The Relationships of Environmental Sanitation with Stunting among Toddlers Aged 12-36 Months in Bogor Regency, West Java Province, Indonesia

Authors

  • Agus Nawan1, Ratna Djuwita2

DOI:

https://doi.org/10.37506/ijphrd.v11i3.2014

Keywords:

Stunting, 12–36 months, Toddlers, Sanitation, Bogor Regency

Abstract

Background: About 8.8 million (36%) toddlers in Indonesia was stunted and is ranked as the fourth largest
in the word. Stunting is a sign of chronic malnutrition as a result of the state of not meeting the nutritional
needs for a long period of time between conceptions to children aged 24 months. The cause of stunting is
a multi-causal factor grouped into three cause namely immediate cause, underlying cause and basic cause.
Therefore, the study of the problem of nutritional stunting in Indonesia is a very positive thing.
Method: Cross-sectional study design from primary data collection with a sample of toddlers aged 12-36
months conducted on 500 toddlers under five in Tamansari District, Bogor Regency, West Java Province,
Indonesia. The stunting status is determined based on the hight-for-age z-score <-2 standard deviations (SD),
while the categorization of environmental sanitation variables is scored from the total sanitation questions.
Analysis of the relationship between environmental sanitation and stunting in this study expressed in the
prevalence ratio (PR) and 95% confident interval (CI) using multivariate cox regression analysis.
Result: Based on the results of this study the prevalence of toddlers aged 12-36 months who suffered from
stunting in Bogor Regency was 39.20%. The proportion of stunting in unimproved environmental sanitation
was 44.93% higher than that with improved environmental sanitation. Multivariate cox regression analysis
showed a significant relationship between toddlers with environmental sanitation and stunting. Toddlers
who experienced unimproved environmental sanitation had a stunting prevalence of 1.36 (95% CI: 1.01-
1.82, P: 0.040) times higher than that with improved environmental sanitation, after controlled by covariate
variables.
Conclusion: Environmental sanitation is a factor in stunting among toddlers aged 12-36 months in Bogor
Regency, West Java Province, Indonesia. Efforts to prevent stunting are very important, because stunting
is caused by a multiple causation of diseases. Therefore, prevention and countermeasures must involve all
relevant cross sectors. Implementation of program planning related to sanitation is very important, especially
health promotion about proper sanitation.

Author Biography

  • Agus Nawan1, Ratna Djuwita2

    1Department of Epidemiology, Faculty of Public Health, University of Indonesia,
    2Department of Epidemiology, Faculty of Public Health, University of Indonesia

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Published

2020-03-26

How to Cite

The Relationships of Environmental Sanitation with Stunting among Toddlers Aged 12-36 Months in Bogor Regency, West Java Province, Indonesia. (2020). Indian Journal of Public Health Research & Development, 11(3), 1786-1791. https://doi.org/10.37506/ijphrd.v11i3.2014