THE CONTRIBUTION OF THE BUILT ENVIRONMENT ON STUNTING IN INDONESIA

• Main Author: Dwi Faradiba, Chyntia
• Format: Theses
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/57803
• Institution: Institut Teknologi Bandung

The built environment factors have an impact on health outcomes, including malnutrition. Stunting is a malnutrition problem with the highest prevalence in Indonesia, whereas children are a nation's asset that can grow a good life and build a productive workforce. Stunting is a child growth problem that will produce a loss generation in the future because of their low productivity. In the prevention of stunting, 70% was contributed by sensitive nutrition interventions, interventions which outside the health sector including environmental aspects. In the national strategy policy for the acceleration of the prevention of stunting for 2018-2023, the built environment aspect only focuses on the clean water and sanitation aspect, while in the WHO conceptual framework of stunting there are other aspects of the community and the built environment that need intervention. This study aimed to identify built environment factors that influence the probability of stunting status in Indonesian children aged 24-60 months. The research approach is quantitative research using logistic regression analysis to determine the effect of built environment factor on the stunting probability using data from Indonesia Family Life Survey (IFLS). The variables used in this study are categorized into individual factors, household factors, and built environmental and community factors. Individual factors consist of gender, household factors consist of mother's education and health insurance ownership, and built environmental/community factors consist of environmental index, land use changes, frequency of natural disasters and average household per capita expenditure. Logistic regression analysis shows that the built environment and community factor affect stunting status. The healthier the living environment, the lower the probability of stunting as well as the variable average expenditure per capita. Communities that have high per capita expenditures have a lower probability of children becoming stunted in that environment. For the natural disaster variable, an increase in the frequency of natural disasters will increase the probability of stunting. In addition to the influence of the built environment and community factors, stunting status is also influenced by household factors.iv Based on the results, recommendations related to the built environment and community factors are improving environmental hygiene that can be carried out by district and local government, integration stunting prevention with poverty alleviation, and increasing resilience at the local level to reduce disaster risk. Meanwhile, prevention can also be done by increasing opportunities for women to take higher education and knowledge about stunting through posyandu and equitable distribution of primary health facilities. Therefore, stunting prevention requires multi-sectoral integration in sensitive nutrition interventions to increase public access to primary health, education, basic infrastructure and livable settlements.