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1.
Sustainability ; 15(11):8890, 2023.
Article in English | ProQuest Central | ID: covidwho-20238077

ABSTRACT

The sustainable development goals (SDGs) provide an integrated framework of targets and indicators, including the elimination of stunting, to support better development planning. Indonesia faces a significant challenge as it ranks fourth globally in terms of stunting prevalence, exacerbated by disparities across regions, gender, and socioeconomic status, further compounded by the ongoing COVID-19 pandemic. Given the interlinked nature of SDGs, this study provides empirical support for the prioritization of SDG indicators, primarily in the context of stunting elimination at the district level in Indonesia. This study employed a combination of economic complexity and network theory, utilizing data from a comprehensive set of 54 indicators spanning 28 targets within 13 SDG goals in 514 districts. The analysis is based on network metrics, including revealed comparative advantage (RCA), proximity, centrality, and density to establish the SDG interlinkage network and identify key priority indicators. The findings highlight the importance of prioritizing indicators such as civil registration, health facilities and services, access to basic facilities and housing, and access to ICT in efforts to reduce stunting, particularly among disadvantaged households. Given the unique resources and capacities of each region, our analysis offers district-specific prioritization strategies for stunting elimination.

2.
Front Nutr ; 10: 1083318, 2023.
Article in English | MEDLINE | ID: covidwho-20231194

ABSTRACT

Background and aim: Malnutrition is a major public health problem, especially in developing countries. The aim of this study was to analyze the trend in malnutrition among children under 5 years of age in Iran over recent decades and to estimate malnutrition status for 2020. Methods: This study took the form of a secondary analysis of the reports and data from three cross-sectional national surveys on children's nutritional status conducted between 1998 and 2017. Anthropometric indices, including markers of underweight, wasting, stunting, overweight, and obesity, were used as indicators of the nutritional status of children under 5 years. Malnutrition indicators are reported separately based on regional food security status. Linear mixed-effects modeling was used to predict the status of malnutrition indicators for 2020. Results: The results of this study indicated a downward trend in the prevalence of stunting, underweight, and wasting, from 15.4 to 4.8%, 10.9 to 4.3%, and 4.9 to 4.3%, respectively, between 1998 and 2017. The proportion of children at risk of overweight and prevalence of childhood overweight/obesity showed a downward trend between 2010 and 2017, from 3.73 to 3.02% and from 12.1 to 10.3%, respectively. However, the trend varied between different provinces. Estimates of the prevalence of malnutrition in 2020 also indicated a decrease in the prevalence of all indicators among children. Conclusion: Despite the decreasing trend in malnutrition over the past three decades, the prevalence of stunting, underweight, and wasting is still high in food-insecure provinces. Moreover, following the COVID-19 pandemic and its economic consequences, an increase in the prevalence of malnutrition, especially in food-insecure provinces, is plausible.

3.
Indian Pediatrics ; 60(4):257-258, 2023.
Article in English | EMBASE | ID: covidwho-2316106
4.
Journal of Pediatric Surgery Case Reports ; 93 (no pagination), 2023.
Article in English | EMBASE | ID: covidwho-2291847

ABSTRACT

Blue rubber bleb nevus syndrome (BRBNS) is a rare congenital condition, characterized by multiple venous malformations that may involve any organ system, most commonly the skin or the gastrointestinal tract. These lesions are often responsible for chronic blood loss and secondary anemia, and in rare situations may cause severe complications such as intussusception, volvulus, and intestinal infarction. Intussusception as a complication of BRBNS, although a known complication of the disease, has rarely been reported, especially in the Philippines. In the Philippine Society for Orphan Disorders, only 2 cases of BRBNS are currently included in the organization, including the patient presented in the case report. The treatment of BRBNS that involves the gastrointestinal tract depends on the extent of intestinal involvement and severity of the disease. The treatment aims to preserve the GI tract as much as possible due to the high recurrence in the disease. In this case report, we present a 13 year-old male with BRBNS with previous history of intussusception, successfully managed conservatively;however, upon recurrence, underwent exploratory laparotomy wherein a subcentimeter perforation in the antimesenteric border of the proximal ileum was noted, together with a gangrenous intussuscipiens, and multiple mulberry-like formations on the antimesenteric border of the small bowels. Histopathological findings of the resected bowels showed multiple cavernous hemangiomas consistent with BRBNS. The postoperative course of the patient was unremarkable.Copyright © 2023 The Authors

5.
Gaceta Medica de Caracas ; 131(1):31-39, 2023.
Article in English | Scopus | ID: covidwho-2290889

ABSTRACT

Objective: The prevalence of stunting in Sulawesi Selatan after the pandemic has decreased. This is because the COVID-19 pandemic situation has made it difficult to conduct anthropometric measurements owing to a number of regulations enacted by the government to suppress the cases of COVID-19. The Sudiang Public Health Center is one of the biggest contributors to stunting in Makassar City with a prevalence of 11.06 %. This study aimed to assess the degree of risk of Low Body Weight (LBW), pregnancy checkups <4 times, incomplete basic vaccinations, nonexclusive breastfeeding, Acute Respiratory Infection (ARI)/ diarrhea infections, household income, and contaminated water sources on stunting during the pandemic. Methods: This study was an observational study with a control case epidemiology design. The sample was 140 respondents, namely 70 case children (stunting) and 70 control children (non-stunting). The statistical analysis used was the Chi-Square test and multiple logistic regression test. The results were expressed in the ODDS ratio. Results: The results of this study showed that there is a relationship between LBW (OR=4.0, 1.502-10.911, CI=95 %;ρ=0.006), pregnancy checkups <4 times (OR=3.3, 1.319-8.753, CI=95 %;ρ=0.011), non-exclusive breastfeeding (OR=2.4, 1.045-5.645, CI=95 %;ρ=0.039), and ARI/ diarrhea infections (OR=4.3, 1.839-10.222, CI=95 %;ρ=0.001) and stunting in children aged 12-24 months during the COVID-19 pandemic in Makassar City. The history of infectious disease is the most influential variable in the incidence of stunting. Conclusions: It is concluded that the risk of stunting is the highest in LBW children, with pregnancy checkups less than 4 times, non-exclusive breastfeeding, and infectious diseases such as ARI/diarrhea in the last three months. © 2023 Academia Nacional de Medicina. All rights reserved.

6.
J Pak Med Assoc ; 73(Suppl 2)(2): S59-S62, 2023 Feb.
Article in English | MEDLINE | ID: covidwho-2292149

ABSTRACT

Objectives: To analyse the correlation of parental knowledge and parental stimulation with toddler stunting. Method: The cross-sectional study was conducted in April 2020 at the Tlanakan Health Centre, Pamekasan Regency, Indonesia, and comprised mothers of stunted children aged 6-36 months who had no comorbid disease. Data was collected using a questionnaire and a checklist. Data was analysed SPSS with Spearmen Rank correlation. RESULTS: Of the 186 mothers, 125(67.2%) were aged 20-30 years, and 168(90.3%) were housewives. Among the children, 97(52.2%) were boys and 89(47.8%) were girls. The largest age group was that of 25-36 months 80(43%). There was a significant correlation of parental knowledge and stimulation with the development of stunting toddlers (p=0.001). CONCLUSIONS: Parental knowledge and actions of developmental stimulation by parents were related to the quality of development of the stunted children.


Subject(s)
Mothers , Parents , Male , Female , Humans , Infant , Cross-Sectional Studies , Growth Disorders , Indonesia , Prevalence
7.
2nd IEEE International Conference on Advanced Technologies in Intelligent Control, Environment, Computing and Communication Engineering, ICATIECE 2022 ; 2022.
Article in English | Scopus | ID: covidwho-2277371

ABSTRACT

Stunted growth is a condition in which toddlers are less than their age or height. As a result, non-optimal nutritional needs were satisfied in the first 1000 days of life. A child suffering from stunting has a slower cognitive and physical development than he should. Stunting also decreases productivity and health. This disease has a risk of degenerative diseases such as diabetes. Stunting in children under five requires special attention because it inhibits physical, mental, and cognitive development effects. Stunting at an early age can increase the risk of death, morbidity, and non-optimal posture in adulthood. Stunting prevention requires behavior change in all intervention targets, especially the primary targets, mothers and toddlers. The number of blockages and malnutrition in Indonesia is expected to increase significantly due to the COVID-19 pandemic. The pandemic has made it more challenging to meet children's nutrition during their growth and development. This pandemic has also prevented monitoring activities for the growth and development of children early in life. The monitoring activities are usually implemented at Integrated Healthcare Centers in villages or in Posyandu. If approximately undetectable through weight measures, body length, and head circumference, children can suffer from chronic malnutrition and become inhibited. Therefore, our $SiCenting+Team$ created a Website about Stunting education for the community in Pandeglang Regency. $SiCenting+is$ an application developed for Mothers, Policymakers, and Posyandu. Extensive data was processed to assist stunting screening for use by cadres with family profiles related to specific nutritional factors and sensitive nutrition. Furthermore, villages can use this data to plan the budget for stunting reduction programs at the village level through village deliberations. The $SiCenting+website$ can be opened via a web browser with the following URL address: https://sicenting.id/ © 2022 IEEE.

8.
Open Access Macedonian Journal of Medical Sciences ; Part E. 11:70-75, 2023.
Article in English | EMBASE | ID: covidwho-2273123

ABSTRACT

BACKGROUND: In Indonesia, the stunting prevalence has reached 24.4% in 2021. AIM: The study aims to examine the determinants of stunting among children under five of age during the COVID-19 pandemic in the working area of the Liwuto-Primary Public Health Center, Baubau city. METHOD(S): A community-based unmatched case-control study was conducted from January 10, to March 10, 2022, on a sample of 94, cases (n = 21), and controls (n = 73) of children aged 0-59 months with their respective mothers. Data were collected using a face-to-face interviewer-administered questionnaire and physical measurements standard. The data were analyzed using SPSS version 17. The variables were entered into the multivariable model using the backward stepwise regression approach. Multivariable logistic regression analysis was used to identify factors associated with stunting. Adjusted odds ratio (AOR) with a 95% confidence interval (95% CI) and p < 0.05 was used to declare the significance. RESULT(S): There are 22% of the stunting become in children under 5 years. Stunting children under 5 years was associated with maternal age (AOR = 5.71, 95%, CI: 1.91-17.03). While family income (AOR = 1.78, 95%, CI: 0.17-18.86), exclusive breastfeeding (AOR = 3.95, 95%, CI: 0.14-112.72), complementary feeding (AOR = 1.24, 95%, CI: 0.18-8.55), formal education (AOR = 0.74, 95%, CI: 0.36-1.53), and occupation (AOR = 2.98, 95%, CI: 0.24-36.55) were not associated with the stunting. CONCLUSION(S): Young mother under 30 years old was an important risk factor on the incidence of stunting in children under 5 years during the COVID-19 pandemic.Copyright © 2023 Jumadi Muhammadong, Ridwan Malimpo, Dahmar Karim, Yusman Muriman, Andi Tenri Mahmud.

9.
Int J Prev Med ; 14: 18, 2023.
Article in English | MEDLINE | ID: covidwho-2279851

ABSTRACT

Background: During the COVID-19 pandemic, stunting is estimated to increase 2.4 times higher (It seems that some information is missing here because the usage of the word 'higher' hints at a comparison with some other statistic. Or please consider making the following changes in the statement: "…stunting is estimated to be 2.4 times higher than the normal trend." which can increase mortality, morbidity, and cause economic losses in the future. This study aims to identify the risk factors for stunting during the COVID-19 pandemic. Methods: An unmatched case-control study was conducted to compare the exposure of stunted (cases) and non-stunted (controls) children. There were 127 children aged 6-24 months, 43 cases, and 84 controls. Results: The probability of stunting was two times greater in children who experienced good changes in the consumption of tofu/tempeh (p: 0.047; AdjustedOR (aOR): 2.296; 95% CI 1.013-5.205) and fourtimes greater in children who have a mother that did not receive iron supplementation during pregnancy (p: 0.030; aOR: 4.344; 95% CI: 1.154-16.355). Conclusions: Based on the above results, increasing access to nutritious food, and the delivery of services and information related to maternal and child health services during the pandemic needs to be intensified by using innovative low-risk platforms.

10.
Food Sci Nutr ; 11(3): 1232-1246, 2023 Mar.
Article in English | MEDLINE | ID: covidwho-2273412

ABSTRACT

Globally, anemia is a public health problem affecting mostly women of reproductive age (WRA, n = 452) and children aged 6-59 months (n = 452) from low- and lower-middle-income countries. This cross-sectional study assessed the prevalence and determinants of anemia in WRA and children aged 6-59 months in rural Zimbabwe. The venous blood sample was measured for hemoglobin utilizing a HemoCue machine. Anthropometric indices were assessed and classified based on World Health Organization standards. Socioeconomic characteristics were assessed. The median (±inter quartile range (IQR)) age of WRA was 29 ± 12 years and that for children was 29 ± 14 months. The prevalence of anemia was 29.6% and 17.9% in children and WRA, respectively, while the median (±IQR) hemoglobin levels were 13.4 ± 1.8 and 11.7 ± 1.5 g/dl among women and children, respectively. Multiple logistic regression analysis was used to assess determinants of anemia. Anemia in children was significantly associated with maternal anemia (odds ratio (OR) = 2.02; 95% CI 1.21-3.37; p = .007) and being a boy (OR = 0.63; 95% CI 0.41-0.95; p = .029), while anemia in WRA was significantly associated with the use of unimproved dug wells as a source of drinking water (OR = 0.36; 95% CI 0.20-0.66; p = .001) and lack of agricultural land ownership (OR = 0.51; 95% CI 0.31-0.85; p = .009). Anemia is a public health problem in the study setting. The positive association between maternal and child anemia reflects the possibility of cross-generational anemia. Therefore, interventions that focus on improving preconceptual and maternal nutritional status may help to reduce anemia in low-income settings.

11.
Matern Child Health J ; 2022 Sep 28.
Article in English | MEDLINE | ID: covidwho-2230795

ABSTRACT

BACKGROUND: Low birthweight (LBW) as well as early childhood stunting are risk factors for increased childhood morbidity in low-and middle-income countries (LMIC). The Covid 19 pandemic has exacerbated food insecurity and unemployment globally, prompting concerns for maternal and child health. OBJECTIVES: We used data from the great recession of 2008 to examine the relationship between household food security and other risk factors with LBW and stunting using a longitudinal sample of South African women and their offspring. METHODS: Food security indicators, alcohol use, blood pressure and other characteristics were examined in relation to LBW (≤ 2500 g), stunting (height for age ≤ 2SD) and severe stunting (height for age ≤ 3SD). Regression modelling with clustering at maternal ID level were employed to adjust for maternal characteristics and women who gave birth more than once during the reference period. RESULTS: Birthweight data were available for 1173 children and height for age 1216 children. The prevalence of LBW was 14.7% while stunting and severe stunting was 17.8% and 14.5%. Child hunger in the household, maternal hypertension and alcohol use were associated with low birthweight. Food expenditure below the Stats SA poverty line and low dietary diversity was associated with stunting and severe stunting respectively. Maternal height and low birthweight were associated with both stunting and severe stunting. CONCLUSIONS FOR PRACTICE: Interventions that can improve household food security and nutritional status during the periconceptional and antenatal period may reduce the prevalence of low birthweight and subsequent stunting in low- and middle-income countries.

12.
Journal of Pharmaceutical Negative Results ; 14(1):6-10, 2023.
Article in English | EMBASE | ID: covidwho-2206830

ABSTRACT

BACKGROUND: Stunting is one of the global health and nutrition problems faced by toddlers because of the height growth problem caused by the lack of nutrition intake both the micro nutrition and macro nutrition and also infection diseases in long terms. OBJECTIVE(S): This research aims at analyzing the toddler factors as the stunting risk predisposition factor due to Covid 19 pandemic in stunting locus village area of Indonesia. DESIGN: This study applied case control study research design. This research was conducted for seven months (May 27th - November 20th 2022) in Stunting Locus Pudun Jae Village area, Padangsidimpuan City. PARTICIPANTS: This case control study took 112 toddlers as the samples who were divided into two groups;56 stunting toddlers were included in case group and 56 normal toddlers were included in control group. The sampling technique used was purposive sampling. KEY RESULTS: This research found that the poor eating frequency (OR=3,619), monotonous eating habit (OR=0,440), and exclusive breastfeeding history (OR=0,070) were stunting risk predisposition factors on toddlers. In addition, the result of multivariate analysis on the three stunting risk factors showed that the eating frequency (OR=3,619) was the most dominant factor leading to stunting. CONCLUSION(S): This research findings summary confirmed that eating habit, eating frequency, and exclusive breastfeeding history were the stunting risk predisposition factors with the value of OR > 1. Thus, any intervention which can overcome those predisposition factors to prevent stunting is needed such as family-based nutrition education and accurate nutrition intervention. Copyright © 2023 Wolters Kluwer Medknow Publications. All rights reserved.

13.
Int J Environ Res Public Health ; 19(24)2022 12 08.
Article in English | MEDLINE | ID: covidwho-2155089

ABSTRACT

BACKGROUND: Chronic malnutrition in children is a severe global health concern. In Yogyakarta, the number of children who are too short for their age has dropped dramatically over the past few decades. OBJECTIVE: To perform an analysis of trends, policies, and programs; and an assessment of government, community, household, and individual drivers of the stunting reduction in Yogyakarta, Indonesia. METHOD: Using a mixed-methods approach, there were three types of research: (1) analysis of quantitative data, (2) evaluation of stunting policy, and (3) focus group discussions and in-depth interviews to collect qualitative data. RESULTS: The prevalence of stunting has decreased from year to year. Mean height-for-age z-scores (HAZ) improved by 0.22 SDs from 2013 to 2021. Male and female toddlers aged <20 months have relatively the same body length as the WHO median, but it is lower for children >20 months old. The COVID-19 pandemic has contributed to an increase in stunting-concurrent wasting. Nutrition-specific and -sensitive interventions have been carried out with coverage that continues to increase from year to year, although in 2020, or at the beginning of the COVID-19 pandemic, the coverage of specific interventions decreased. The government has committed to tackling stunting by implementing the five pillars of stunting prevention and the eight convergent stunting actions. As the drivers of stunting reduction, national and community stakeholders and mothers, at the village level, cited a combination of poverty reduction, years of formal education, prevention of early marriage, access to food, enhanced knowledge and perception, and increased access to sanitation and hygiene. CONCLUSIONS: Nutrition-specific and -sensitive sector improvements have been crucial for decreasing stunting in Yogyakarta, particularly in the areas of poverty reduction, food access, preventing child marriage, sanitation, education, and increasing knowledge and perception.


Subject(s)
COVID-19 , Pandemics , Humans , Male , Female , Infant , Indonesia/epidemiology , COVID-19/epidemiology , Growth Disorders/epidemiology , Growth Disorders/prevention & control , Poverty
14.
Asian Journal of Microbiology, Biotechnology and Environmental Sciences ; 24(3):603-610, 2022.
Article in English | EMBASE | ID: covidwho-2067757

ABSTRACT

Childhood stunting is a major public health concern in both developed and developing countries. It is the consequence of malnutrition during the first years of life and the preconception period. It represents a socio-medical problem, it can present the first sign of a pathology and which can jeopardize a vital and functional prognosis of the child, also it can even become complicated with a small height in adulthood. This study focuses on the impact of eating behaviors, habits, and lifestyle on the stunting of 219 children aged 7 to 12 in the peri-urban area of Casablanca, Morocco. The sampling involved 219 children aged 7 to 12 from the region of Tit mellil "peri-urban area of Casablanca, Morocco. All participants completed a CAP Scoring Assessment Questionnaire. The questionnaire was divided into three sections: Food groups, eating behaviour and lifestyle. The height measurement was carried out by a vertical measuring rod, the weight and the BMI using an impedence meter (krada scan). Body status was assessed by comparing BMI to WHO 2008 reference standards. The study involved 219 children (including 125 girls and 94 boys), the mean age was 9.53 +/- 1.48, The prevalence of different height per age classes according to sex showed that the prevalence of growth normal and stunting is respectively 96% and 4% according to WHO (2008). The prevalence of stunting is very high in girls than boys, representing 3% and 1% respectively (Table 3). While the distribution according to age shows a high prevalence of stunting with percentages of 0.9% and in children aged 9 and 12 years. Several characteristics differentiate children with a stunting and normal growth children:). children with a stunting are less likely than normal growth children to eat breakfast often (1.83% versus 37.9% without reaching significance). 0.91% never take it, also 1.83% of children with stunting drink 6 to 8 glasses of water per day (p=0.009). In Morocco stunting prevalence is variable, with prevalence of 16.02% according to WHO standards in children aged less than 5 years (Sellam et al., 2015). The stunting estimated at 4% according to the 2008 WHO references, hence the interest of implementing a preventive strategy in order to slow the progression of this problem is necessary. Accordingly, the promotion of a healthy diet. Copyright © Global Science Publications.

15.
NeuroQuantology ; 20(10):7263-7275, 2022.
Article in English | EMBASE | ID: covidwho-2067314

ABSTRACT

Stunting is a health problem that is a priority to create quality Indonesian human resources. The key to successful stunting prevention is nutritional monitoring and weight measurement of babies and toddlers from the beginning of birth, which is carried out by community cadres in Posyandu. During the COVID-19 pandemic, these activities cannot be carried out, the impact of this pandemic on Indonesia can cause generations to lose in the future. Community empowerment is the key to the success of stunting prevention programs during the Covid-19 pandemic. This research is a descriptive study, with a location in the village which is the Locus of stunting, namely LubukDalamVillage, LubukDalam District. The data collection time is carried out inMarch-July 2021. Data collection was carried out with in-depth interviews and literature studies. It was concluded that there are 5 factors that influence the success of the community empowerment program, namely (1) planning and socialization (2) mentoring and providing motivation to the target group, (3) training on the use of yard products to support the diversification of food consumption, (4) monitoring and evaluating the implementation of the program and its impact, (5) the importance of promotion and marketing aspects. If community empowerment is optimal in these programs, stunting prevention in this new normal era will get optimal results.

16.
Int J Environ Res Public Health ; 19(19)2022 Sep 30.
Article in English | MEDLINE | ID: covidwho-2065987

ABSTRACT

In view of persistent stunting and increasing rates of obesity coexisting among children in the era of the Integrated Nutrition Programme, a cross-sectional study was conducted to determined concurrent stunting and obesity (CSO) and related factors using a random sample of child-mother pairs (n = 400) in Mbombela, South Africa. Sociodemographic data was collected using a validated questionnaire, and stunting (≥2SD) and obesity (>3SD) were assessed through respective length-for-age (LAZ) and body mass index (BAZ) z-scores. Using SPSS 26.0, the mean age of children was 8 (4; 11) months, and poor sociodemographic status was observed, in terms of maternal singlehood (73%), no education or attaining primary education only (21%), being unemployed (79%), living in households with a monthly income below R10,000 (≈$617), and poor sanitation (84%). The z-test for a single proportion showed a significant difference between the prevalence of CSO (41%) and non-CSO (69%). Testing for the two hypotheses using the Chi-square test showed no significant difference of CSO between boys (40%) and girls (41%), while CSO was significantly different and high among children aged 6-11 months (55%), compared to those aged 0-5 months (35%) and ≥12 months (30%). Further analysis using hierarchical logistic regression showed significant associations of CSO with employment (AOR = 0.34; 95%CI: 0.14-0.78), maternal education status (AOR = 0.39; 95%CI: 0.14-1.09) and water access (AOR = 2.47; 95%CI: 1.32; 4.63). Evidence-based and multilevel intervention programs aiming to prevent CSO and addressing stunting, while improving weight status in children with social disadvantages, are necessary.


Subject(s)
Growth Disorders , Nutritional Status , Cross-Sectional Studies , Female , Growth Disorders/epidemiology , Growth Disorders/prevention & control , Humans , Infant , Male , Obesity/epidemiology , Prevalence , South Africa/epidemiology
17.
J Family Med Prim Care ; 11(6): 2516-2520, 2022 Jun.
Article in English | MEDLINE | ID: covidwho-2044100

ABSTRACT

Background: beta thalassemia is one of the most common hereditary hemoglobinopathy requiring regular blood transfusion to help reduce the complications of anemia and allow normal growth in children. Materials and Methods: It was a cross-sectional study done on 50 numbers of transfusion dependent beta thalassemia patients between 18 months and 18 years of age in North east India. Growth parameters like weight, height, BMI were recorded. Results: Overall prevalence of stunting was 68%, a significant association was found between stunting and religious connotation.

18.
Arch Public Health ; 80(1): 192, 2022 Aug 17.
Article in English | MEDLINE | ID: covidwho-2038926

ABSTRACT

BACKGROUND: A growing literature highlights the increased risk of stunting among children growing up in informal or slum settlements. Despite relatively high rates of female labor force participation in slums, there is limited evidence on relationship between mother's work participation and nutritional outcomes of children in these settings. METHODS: We conducted a cross-sectional study in two large slums (Korail and Tongi) of Dhaka and Gazipur, Bangladesh to assess the association between maternal work and childhood stunting in a low-income urban context. Logistic regression models estimated unconditional and conditional associations between maternal work status and 1) child stunting, 2) child morbidity and dietary intake, and 3) health and hygiene behaviors. Subgroup analyses were done by type of child care support available. RESULTS: After adjusting for variations in individual and household level characteristics, we found that children of working mothers had nearly twice the odds of being stunted than children of non-working mothers (OR 1.84, 95%CI 1.05-3.23). Large differences in stunting were found by available care support: compared to children of non-working mothers, children of working mothers with nuclear-type family support had 4.5 times increased odds of stunting (OR 4.49, 95%CI 1.81-11.12), while no odds differential was found for children of working mothers with an extended-type family support (OR 0.69, 95%CI 0.30-1.59). CONCLUSIONS: Maternal employment is associated with a substantial increase in the odds of child stunting in the slum areas studied. Given that these effects only appear to arise in the absence of adequate family support, integrating appropriate childcare support measures for low-income urban working mothers might be an effective strategy to help reduce the prevalence of chronic undernutrition among slum children.

19.
NeuroQuantology ; 20(6):8704-8713, 2022.
Article in English | EMBASE | ID: covidwho-2033441

ABSTRACT

In 2019 the Rumbai Bukit Public Health Center was the health center with the highest prevalence of stunting in Pekanbaru City at 38.8%;this is still above Indonesia's target of 14%. This study aims to analyze the factors associated with the incidence of stunting in children under five (12-59 months) in the working area of the Rumbai Bukit Public Health Center, Pekanbaru City, in 2021. This study is a cross-sectional study. The research sample was 161 mothers with children under five aged 12-59 months in the Rumbai Bukit Health Center working area. Data on stunting children were obtained from direct measurements. Data on knowledge, birth weight of children under five, exclusive breastfeeding, age of complementary feeding, immunization, parenting, economic status, and history of infectious diseases were collected through questionnaire interviews. Bivariate analysis was carried out with a chi-square test and multivariate with a multiple logistic regression test. The study found that 19.9% of children under five were stunted. A history of infectious disease was significantly related to stunting in children under five (p < 0.05). Children under five who have infectious diseases have a 5.5 times chance of becoming stunted. It is recommended that MCH and Nutrition program holders work together to continue counseling about the importance of good parenting for children under five and increase basic immunization coverage to prevent infection during the COVID-19 pandemic.

20.
Jurnal Keperawatan Soedirman ; 17(1):36-42, 2022.
Article in English | Scopus | ID: covidwho-2030503

ABSTRACT

The COVID-19 pandemic has caused many parents to lose their jobs and impacted their ability to purchase healthy food, affecting their children's development. This study aims to determine the factors that influence stunting in children during the COVID-19 pandemic. This was a cross-sectional study. The population was mothers who had toddlers aged 24-59 months (n=145). The sample was chosen through simple random sampling. The data were collected through height tests, interviews, and questionnaires. A univariate analysis was used to obtain a picture of each variable. The bivariate analysis was conducted with the chi-square test, and the multivariate analysis was performed using binary logistic regression. The results showed that 25.5% of children were experiencing stunting. There was a significant relationship between the eating habits of toddlers, childcare, history of infectious disease, mothers’ visitation to health services, mothers’ education level, and family income level with the prevalence of stunting. The level of family income has the most dominant relationship with stunting prevalence. Therefore, during the COVID-19 pandemic, it is essential to lower the prevalence of stunting through cross-sectoral collaborations regarding health service modifications according to the socio-economic level of the community and the incidence of COVID-19 cases. © 2022, Universitas Jenderal Soedirman. All rights reserved.

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