Faktor risiko kejadian gizi buruk di Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat

https://doi.org/10.22146/ijcn.17468

Khaerul Anwar(1*), Muhammad Jufrrie(2), Madarina Julia(3)

(1) Dinas Kesehatan Provinsi Nusa Tenggara Barat
(2) Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Gadjah Mada
(3) Bagian Anak RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Despite numerous interventions, the preva- lence of severe malnutrition in under fives in the District of Lombok Timur during the last 5 years did not changed much and tended to increase.

Objective: To assess risk factors for severe malnutrition, considered from points of view of family characteristics, children rearing practice and performance of posyandu, in 12 to 23 month-infants in the district.

Methods: This was a case-control study. Cases were 65 severely malnourished children, while controls were a same number of children matched for age.

Results:  In bivariate analyses, variables identified as risk factors of severe malnutrition are low family income, OR(95%CI) of 5.0 (1.9-13.5), p=0.001; low maternal education, OR(95%CI) of 2.3 (1.1-4.9), p=0.02; low maternal knowledge on growth monitoring, OR(95%CI) of 15.6 (4.4-55.1), p<0.001; not cared by mother, OR(95%CI) of 7.8 (1.7-36.5), p=0.003; low birth weight, OR(95%CI) of 5.7 (1.2-27.3), p=0.02; short duration of exclusive breastfeeding, OR(95%CI) of 2.6 (1.3-5.2), p=0.008; incomplete immunization, OR(95%CI) of 10.3 (2.3-46.9), p<0.001; and the children’s feeding practice, OR(95%CI) of 3.3 (1.5-7.4), p=0.004. In multiple logistic regression, only maternal knowledge on growth monitoring was significantly associated with the risk of severe malnutrition.

Conclusion: Family characteristic and children rearing practice were important risk factors of severe malnutrition in Lombok Timur District. Performance of posyandu is not associated with occurrence of severe malnutrition.


Keywords


severe malnutrition; performance of Posyandu; family characteristic; children rearing practice

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DOI: https://doi.org/10.22146/ijcn.17468

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