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Journal : Journal of Maternal and Child Health

Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province Picauly, Intje; Adi, Anak Agung Ayu Mirah; Meiyetriani, Eflita; Mading, Majematang; Weraman, Pius; Nashriyah, Siti Fadhilatun; Hidayat, Ahmad Thohir; Boeky, Daniela L. Adeline; Lobo, Varry; Saleh, Asmulyati S.; Peni, Jane A.
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (36.996 KB) | DOI: 10.26911/thejmch.2022.07.06.01

Abstract

Background: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara. Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis. Results: Factors that significantly influence the role of religious leaders are the level of under­standing of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant. Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”. Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Teng­gara, Indonesia.  Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id. 
Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five Picauly, Intje
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.99 KB) | DOI: 10.26911/thejmch.2023.08.01.11

Abstract

Background: Exclusive breastfeeding can affect a child's immune system against infectious diseases and malnutrition. Children under five who experience repeated infectious diseases and malnutrition will have the opportunity to experience stunting problems. Riskesdas (2018) shows that the prevalence of stunting under five in the Province of East Nusa Tenggara (NTT) is higher (42.6%) than the average prevalence of stunting in Indonesia (30.8%). The results of the initial survey found that the coverage of exclusive breastfeeding was very low and the morbidity rate for children under five was still high in the Working Area of the Kokar Health Center, Alor Barat Laut District, Alor Regency, NTT. Subjects and Method: A case control study conducted in Adang Village, the work area of the Kokar Health Center, Alor Barat Laut District, Alor Regency in October-November 2021. The size of the study sample was 132 toddlers with 66 case samples and 66 control samples taken by simple random sampling. The dependent variable was the incidence of stunting. The independent variables were the history of exclusive breastfeeding and the history of illness. The analysis used is simple logistic regression analysis and followed by Odd Ratio (OR) analysis. Results: The history of exclusive breastfeeding (OR=4.57; CI95%= 1.58 to 13.21; p= 0.003) and the history of illness (OR=5.33; CI95%= 2.53 to 11.24; p <0.001) were associated with the incidence of stunting. Further test results showed that every child under five who had a history of bad exclusive breastfeeding had a 4.5 times greater risk of experiencing stunting and a child under five who had a history of illness more often had a 5.3 times greater risk of experiencing stunting. Conclusion: The incidence of stunting in the Northwest Alor District, Alor Regency, NTT Province is influenced by a history of exclusive breastfeeding and a history of infectious diseases or illness. Keywords: history of exclusive breastfeeding, history of illness, incidence of stunting, infectious diseases, nutritional intake Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang City, East Nusa Tenggara, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur.
Stunting Determinant Analysis in the East Mainland Province of East Nusa Tenggara for the Period of 2017-2021 Picauly, Intje; P Manongga, Stefanus; Adar, Damianus; CH Liufeto, Franchy
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.713 KB) | DOI: 10.26911/thejmch.2022.07.06.09

Abstract

Background: The Mainland of Timor, East Nusa Tenggara Province (NTT) has a diverse regional topography with a high prevalence of stunting (>20%). The local government has taken preventive measures. However, the results show a very small reduction in the prevalence of stunting (±2-3%/year). This study aimed to determine the factors that influence the incidence of stunting in the Eastern Mainland Region, NTT Subjects and Method: This data was a cross-sectional study conducted in NTT, from in June to August 2022. A sample of 28 informants who were selected with the following considerations: officials from the Health Office, PUPR Service, Agriculture Service, and Regency/ City BPS data managers for the Eastern mainland region of NTT. The dependent variable was stunting. The independent variables were Availability of Public Health Workers, Infectious infectious diseases, Open defecation behavior, Family income level, Availability of clean water and proper sanitation, Exclusive breastfeeding, Posyandu visits, Program for giving iron tablets to young women, and Administration of Vitamin A. The data were analyzed by linear regression analysis. Results: Factors that influence the incidence of stunting were sanitation factors (b= -2.22; 95% CI= -3.52 to -0.91; p= 0.012), factor of pneumonia infection (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.038), open defecation behavior factor (b= 2.60; 95% CI= 0.99 to 4.21; p= 0.014), and family income level factor (p= -1.21; 95% CI= -1.80 to -5.70; p= 0.009). Conclusion: The incidence of stunting in the East Mainland Region, NTT is influenced by factors: sanitation, pneumonia infection, open defecation behavior; and family income level. Keywords: stunting incidence, eastern mainland, sanitation factors, infectious diseases, pneu­mo­nia, open defecation. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Ku­pa­ng, Nusa Tenggara Timur, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Teng­gara Timur.  Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id. 
Co-Authors Adar, Damianus Ahmad Thohir Hidayat Ali Khomsan Amelya B Sir Amelya B. Sir Anak Agung Ayu Mirah Adi Angela Salome Anna Henny Talahatu Apris L. Isu Aquilina Akoit Ardila M Langata Aspatria, Utma Bernadina Tena Boeky, Daniela L. Adeline Bonavantura Taco Bosko Dapa Toda CH Liufeto, Franchy Christin Nabuasa Daniela Boeky Deviarbi Sakke Tira Diana Aipipidely Diana Apipideli Dorce Bulu Eflita Meiyetriani Eleonora Edeltrudis Nopala Emanuel SB. Lewar Esther Gaspersz Evalina Joana Doutel Firmanu Cahyono Fitriah Yunita Godeliva Dalung Hardinsyah . Hege H. Djita Helga Ndun Honey Ivone Ndoen I Nyoman W. Mahayasa, I Nyoman W. Imelda Getriany Thobias INA DEBORA RATU LUDJI Ivon Patrisia Paah Johny A. R. Salmun Katarina Maria Tjung Lewi Jutomo Lobo, Varry Majematang Mading Maria Clarita Faustina Dhiu Maria G. Barelinda Maria Magdalena Kurnia Deksiana Ratu Marni Marselus Sapeama Herin Marthen R Pellokila Marthen R Pellokila Masrida Sinaga Mega Liufeto Mindo Sinaga, Mindo Muhammad Saleh Muhammad Saleh Nadraeni P. Yakub Nashriyah, Siti Fadhilatun Nindya M Latunussa Noorce Ch. Berek Nur, Marselinus Laga Oematan, Grouse Pacheco, Cipriano do Rosario Paula Tibuludji Peni, Jane A. Pzalmine C. A. Benusu Rafael Paun Renty Alfany Zena Senduk Rimbawan , Rinawati Sirait Robertha Kartini Rolan Sudirman Pakpahan Rut Rosina Riwu Rut Rosina Riwu Sabina Gero Saleh, Asmulyati S. Sarah Lery Mboeik Sarci Magdalena Toy Sherly Hayer Soleman Landi Soni Doke Stefanus P Manongga Stevie B. G. J. Hina Tadeus A.L Regaletha Tamelan, Mervin Theresia M. Sri Sarinah Lendes Theresia Noviayanti Bur Theresia Sri Lendes Tutik Alawiyah Utma Aspatria Welresna Rupiasa Weraman, Pius Winda Sinthya Naomi Yohakim Dawi Yusta Un Nana Zita Apriliani Jeche