Evaluación de los factores multicausales relacionados con el atrofiamiento del desarrollo infantil en zonas con recursos limitados en Indonesia. Un estudio de caso en la isla de Nias / Assessment of Multicausal Factor related Stunting at Limited Res
Resumen
Evaluación de los factores multicausales relacionados con el atrofiamiento del desarrollo infantil en zonas con recursos limitados en Indonesia. Un estudio de caso en la isla de Nias / Assessment of Multicausal Factor related Stunting at Limited Resources Area, Indonesia: A case study in Nias Island, Indonesia
El problema de atrofiamiento del desarrollo infantil sigue amenazando a todo el mundo y más en las zonas subdesarrolladas. El objetivo de este estudio es cartografiar los factores multicausales en una zona de recursos limitados, la isla de Nias, provincia de Sumatra del Norte, categorizada como un área remota, luego se recopilaron datos de la Encuesta Básica de Salud de Indonesia en 2018 y se utilizó Treemap para mapear el entorno, el comportamiento, el acceso a cuidados médicos y comportamiento de enfermedades infecciosas entre niños menores de 5 años. La mayor prevalencia de atrofiamiento severo en el desarrollo de bebés menores de 2 años en la isla de Nias en 2018, respectivamente, fue el Distrito de Nias (35.9%), Nias Norte (28.6%), Nias Sur (21.8%), GunungSitoli (17.9%) y Nias Oeste (12.31%), la mayor prevalencia de atrofiamiento severo del desarrollo entre bebés menores de 5 años fue también Nias (35.81%). El impacto del difícil acceso a los servicios sanitarios puede afectar la continuidad de la atención a la salud de lactantes y madres. Esto puede observarse en la alta prevalencia de enfermedades en niños menores de cinco años, como diarrea, infecciones respiratorias agudas y neumonía. En los distritos de Nias, la prevalencia de diarrea, neumonía e IRA fue del 13.67%, 13.73% y 13.07%, respectivamente. La mayor incidencia de IRA y diarrea se registró en los distritos del sur de Nias, con una prevalencia del 27.52% y el 21.64%, respectivamente. Palabra clave: atrofiamiento del desarrollo, distribución espacial, multicausalidad
Citas
WHO. Joint child malnutrition estimates. Geneva; 2020.
Ssentongo P, Ssentongo AE, Ba DM, Ericson JE, Na M, Gao X, et al. Global, regional and national epidemiology and prevalence of child stunting, wasting and underweight in low- and middle-income countries, 2006–2018. Sci Rep. 2021 Dec;11(1):5204.
Ministry of Health of Republic of Indonesia. Indonesia Health Survey. Ministry of Health of Republic of Indonesia. 2018.
United Nations. Sustainable Development Goals. 2015.
Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014 Nov;34(4):250–65.
De Sanctis V, Soliman A, Alaaraj N, Ahmed S, Alyafei F, Hamed N. Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Biomed. 2021;92(1):e2021168.
Dewey KG, Begum K. Long-term consequences of stunting in early life. Matern Child Nutr. 2011 Oct;7 Suppl 3:5–18.
The Republic of Indonesia Ministry of Health. Indonesian Nutrition Status Survey. Jakarta; 2021.
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Maternal and Child Nutrition. 2018.
Soekatri MYE, Sandjaja S, Syauqy A. Stunting Was Associated with Reported Morbidity, Parental Education and Socioeconomic Status in 0.5–12-Year-Old Indonesian Children. Int J Environ Res Public Health. 2020 Aug;17(17):6204.
Musheiguza E, Mahande MJ, Malamala E, Msuya SE, Charles F, Philemon R, et al. Inequalities in stunting among under-five children in Tanzania: decomposing the concentration indexes using demographic health surveys from 2004/5 to 2015/6. Int J Equity Health. 2021 Dec;20(1):46.
Kikafunda J, Agaba E, Bambona A. Malnutrition amidst plenty: An assessment of factors responsible for persistent high levels of childhood stunting in food secure Western Uganda. African J Food, Agric Nutr Dev. 2014 Aug;14(65):9288–313.
Bogale B, Gutema BT, Chisha Y. Prevalence of Stunting and Its Associated Factors among Children of 6-59 Months in Arba Minch Health and Demographic Surveillance Site (HDSS), Southern Ethiopia: A Community-Based Cross-Sectional Study. J Environ Public Health. 2020;2020:9520973.
Arini D, Nursalam N, Mahmudah M, Faradilah I. The incidence of stunting, the frequency/duration of diarrhea and Acute Respiratory Infection in toddlers. J Public health Res. 2020;9(2):117–20.
Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One. 2022;17(7 July).
Rizal MF, van Doorslaer E. Explaining the fall of socioeconomic inequality in childhood stunting in Indonesia. SSM - Popul Heal. 2019;9.
Kusumawardani DA, Irawan R, Purnomo W. Child health care practices and stunting in children aged 12-36 months in jember regency of Indonesia. Indian J Public Heal Res Dev. 2019;10(8):1363–8.
Cameron L, Chase C, Haque S, Joseph G, Pinto R, Wang Q. Childhood stunting and cognitive effects of water and sanitation in Indonesia. Econ Hum Biol. 2021;
Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients. 2019;
WHO. Stunted Growth and Development : Context, Causes and Consequences. World Heal Organ. 2017;4.
Howard Guy, Bartram Jamie. Domestic Water Quantity, Service Level and Health. World Heal Organ. 2003;1–28.
Saeidlou SN, Babaei F, Ayremlou P. Malnutrition, Overweight, and Obesity Among Urban and Rural Children in North of West Azerbijan, Iran. 2014;
Kropiwiec MV, Franco SC, do Amaral AR. Factors Associated With Infant Mortality in A Brazilian City with High Human Development Index. 2017;
UNICEF, WHO WB. Levels and Trends in Child Malnutrition. 2018;
Mahendradhata, Trisnantoro, Listyadewi, Soewondo, Marthias. The Republic of Indonesia Health System Review, Health Systems in Transition. 2017;7.
Pongou R, Ezzati M, Salomon JA. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Health. 2006;4(98):1–19.
Mahmudiono T, Nindya TS, Andrias DR, Megatsari H, Rosenkranz R. Household Food Insecurity as a Predictor of Stunted Children and Overweight/Obese Mothers (SCOWT) in Urban Indonesia. 2018;
Roesler A, Smithers L, Wangpakapattanawong P, Moore V. Stunting, Dietary Diversity and Household Food Insecurity Among Children Under 5 Years in Ethnic Communities of Northern Thailand. 2019;
Cruz LG, Azpeitia GG, Suarez DR, Rodriguez AS, Ferrer JFL, Serra-Majem L. Factors Associated with Stunting among Children Aged 0 to 59 Months from the Central Region of Mozambique. 2017;
Akombi B, Agho K, Hall J, Wali N, Renzaho A, Merom D. Stunting, Wasting and Underweight in Sub-Saharan Africa: A Systematic Review. 2017;
