Page 138 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

P–DBCP–013
Factors Associated with Stunting among Children Under 5-year-old in Rural
Islands of East Nusa Tenggara: Evidence from Ksatria Airlangga Floating
Hospital Service from August to September 2019

1,2
3
3
1,2
Amrina Rosyada , Nabila Fitri Aryati , Raissa Virgy Rianda ,Agrasenfani Hadi , Gadis Meinar Sari 2
Department of Child Health, Faculty of Medicine Universitas Airlangga/Dr. Soetomo General Hospital ,
1
3
2
Ksatria Airlangga Floating Hospital , and Faculty of Medicine , Universitas Airlangga, Surabaya, East Java, Indonesia
Abstract
Background Stunting is one of prevalent forms of malnutrition in children. East Nusa Tenggara (ENT)
has the highest stunting prevalence in Indonesia. However, limited information are available due to hardly
accessible territories of rural islands.Objective To determine the factors associated with stunting among
children under 5 years old in rural islands of ENT. Methods An analytic cross-sectional study involving 191
pediatric patients from Rote, Sabu Raijua, Sumba, and Ende island in ENT. Demographic, medical history,
socio-economic and anthropometric data were taken from medical records in Ksatria Airlangga Floating
Hospital from August to September 2019. Analysis was using chi-square and multiple logistic regression.
Results There were 186 subjects who met the inclusion criteria. Around 55.4% (103/186) were boys and
40.3% (75/186) were stunted. Stunting was associated with age group 24-59 months old compared to age
group 0-23 months old (OR = 2.33, 95%CI: 1.21-4.49; P = 0.011); no access to electricity compared to
whose house had electricity (OR = 2.77, 95%CI: 1.08-7.09; P = 0.034); and children with history of growth
and developmental delay compared to those with no delay (OR = 8.09, 95%CI: 2.96-22.13; P< 0.001).
Conclusion The factors associated with stunting among children under 5 years old in rural islands of ENT
were age, access to electricity, and history of growth and developmental delay. Several approaches suggested
for future program to reduce stunting cases are to conduct rigorous early growth and developmental screening
and improve electricity access in rural islands.
Keywords: stunting; pediatric; factors; rural; island

P-DBCP-014
Indonesian Regulation of Growth and Development Surveillance in Children: A
Policy Analysis

Jeslyn Tengkawan , Felicia , Bernie E Medise , Sara E. Benjamin-Neelon 3
1
1,3
2
Capella Project Foundation and Faculty of Medicine Universitas Indonesia/Dr/ Cipto Mangunkusumo General Hospi-
1
2
tal , Jakarta, Indonesia, and Johns Hopkins Bloomberg School of Public Health, Maryland, United States 3
Abstract
Background According to Ministry of Health regulation number 66 promulgated in 2014, routine child
growth and development surveillance is important to ensure children thrive and flourish. Regulations
governing the implementation of the surveillance requirement, however, are needed. Regulations at
the provincial level are produced through agreement between both Regional People's Representative
Assembly at the legislative side and the governors at the executive side. Objective To describe growth and
development regulations in all 34 provinces in Indonesia. Methods We assessed current health and child
protection regulations from all 34 provinces, downloaded from the regional Legal Documentation and
Information Network website from May to June 2021. We assessed the availability to which regulations
addressed the child growth and development surveillance mandate from the provincial regulation.
Results Of the 34 provinces, we found that 20 and 24 provinces had health and child protection regulations,
respectively. Twenty-eight provinces had either health or child protection regulations. Only 9 provinces
had child growth and development surveillance regulation component in either health or child protection
regulations. These included West Sumatera, Riau Islands, West Java, West Nusa Tenggara, West Kalimantan,
South Kalimantan, East Kalimantan, North Kalimantan, and South Sulawesi. Conclusion Despite its
importance, many provinces did not have child growth and development surveillance components in either
health or child protection regulations. This finding should encourage and increase awareness of policymaker
to improve their policies for better child health.
Keywords: child health; nutrition; growth; development; policy; Indonesia

90 KONIKA XVIII Abstract Book