skip to main content

Determinants of stunting in children under five: a scoping review

Department of Public Health, Faculty of Medicine, Dentistry and Health Sciences, Universitas Prima Indonesia, Indonesia

Received: 13 Apr 2023; Published: 28 Dec 2023.

Citation Format:
Abstract

Background: Inadequate diet, socioeconomic condition, and maternal and child characteristics can damage stunted children under five's mental and physical development. As a result, they have difficulty developing physically and cognitively, have low intellectual abilities, are more susceptible to disease, and have less creativity and innovation.

Objective: This study seeks to investigate and summarize the determinants of stunted children under five.

Materials and Methods: The study used a scoping review method. The literature search was carried out on indexed databases of Scopus, PubMed, Google Scholar, Crossref, and Pro-Quest in English and Indonesian. There were 720 research articles, and 18 of them met the inclusion criteria. From the 18 journals, information was collected from the publication year 2015-2021. Relevant study articles related to the topic were analyzed qualitatively using NVIVO-12 Plus.

Results: Our findings identify that maternal education, low birth weight (LBW), gender, exclusive breastfeeding, parental income, parental age, and child age are the dominant determinants of stunting among under-five children.

Conclusion: Higher risk factors of stunting among children are parents' lack of knowledge, low family income, low nutrition, low level of mother's education, and lack of parents' supervision and parenting skills.

Note: This article has supplementary file(s).

Fulltext View|Download |  Copyright Transfer Agreement
Pernyataan Persetujuan Penulis
Subject
Type Copyright Transfer Agreement
  Download (880KB)    Indexing metadata
Keywords: children under five; determinants of stunting; scoping review

Article Metrics:

  1. Pertiwi FD, Hariansyah M, Prasetya EP. Faktor Risiko Stunting Pada Balita Dikelurahan Mulyaharja Tahun 2019. Promotor. 2019;2(5):381. DOI: 10.32832/pro.v2i5.2531
  2. Kurniadi. Determinan Penyebab Kejadian Stunting Pada Balita: Tinjauan Literatur. Din Kesehat J Kebidanan Dan Keperawatan. 2019;11(1):172–86. DOI: 10.33859/dksm.v11i1.559
  3. Umiyah A, Hamidiyah A. Karakteristik Anak Dengan Kejadian Stunting Characteristics of Children with Stunting. Jurnal Ilmiah Kebidanan.2021;8(1):66–72. DOI: 10.35316/oksitosin.v8i1.1157
  4. Imelda I, Rahman N, Nur R. Faktor Risiko Kejadian Stunting Pada Anak Umur 2-5 Tahun Di Puskesmas Biromaru. Ghidza J Gizi dan Kesehatan. 2020;2(1):39–43. DOI: 10.22487/ghidza.v2i1.6
  5. Masereka EM, Kiconco A, Katsomyo E, Munguiko C. The Prevalence and Determinants of Stunting among Children 6 - 59 Months of Age in One of the Sub-Counties in the Rwenzori Sub-Region, Western Uganda. Open J Nurs. 2020;10(03):239–51. DOI: 10.4236/ojn.2020.103016
  6. Fitriami E, Huriah T. Determinan kejadian Stunting pada Anak di Indonesia : A Literature Review. J Smart Keperawatan. 2019;6(2):113. DOI: 10.34310/jskp.v6i2.190
  7. Rakotomanana H, Gates GE, Hildebrand D, Stoecker BJ. Determinants of stunting in children under 5 years in Madagascar. Matern Child Nutr. 2017;13(4). DOI: 10.1111/mcn.12409
  8. World Health Organization. Joint child malnutrition estimates [Internet]. 2022. Available from: https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
  9. Pamungkasari EP, Wekadigunawan C. The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months. J Matern Child Heal. 2018;03(02):105–18.DOI: 10.26911/thejmch.2018.03.02.03
  10. Kwami CS, Godfrey S, Gavilan H, Lakhanpaul M, Parikh P. Water, sanitation, and hygiene: Linkages with stunting in rural Ethiopia. Int J Environ Res Public Health. 2019;16(20). DOI: 10.3390/ijerph16203793
  11. Setiawan E, Machmud R, Masrul M. Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018. J Kesehat Andalas. 2018;7(2):275. DOI: 10.25077/jka.v7i2.813
  12. Xiao Y, Watson M. Guidance on Conducting a Systematic Literature Review. J Plan Educ Res. 2019;39(1):93–112.DOI: 10.1177/0739456X17723971
  13. Mabe K, Hadju V, Bahar B, Jafar N, Hidayanty H, Saleh LM. Determinants of Stunting Events in Children Aged 6-23 Months in Locus and Non-Locus Areas in East Luwu Regency. J La Medihealtico. 2020;1(6):7–16. DOI: 10.37899/journallamedihealtico.v1i6.163
  14. Kahssay M, Woldu E, Gebre A, Reddy S. Determinants of stunting among children aged 6 to 59 months in pastoral community, Afar region, North East Ethiopia: Unmatched case control study. BMC Nutr. 2020;6(1):1–8. DOI: 10.1186/s40795-020-00332-z
  15. García Cruz LM, González Azpeitia G, Reyes Súarez D, Santana Rodríguez A, Loro Ferrer JF, Serra-Majem L. Factors associated with stunting among children aged 0 to 59 months from the central region of Mozambique. Nutrients. 2017;9(5):1–16.DOI: 10.3390/nu9050491
  16. Berhanu G, Mekonnen S, Sisay M. Prevalence of stunting and associated factors among preschool children: A community based comparative cross sectional study in Ethiopia. BMC Nutr. 2018;4(1):1–16. DOI: 10.1186/s40795-018-0236-9
  17. Lobo WI, Talahatu AH, Riwu RR. Faktor Penentu Kejadian Stunting pada Anak Balita di Wilayah Kerja Puskesmas Alak Kota Kupang. Media Kesehatan Masyarakat. 2019;1(2):59–67. DOI: 10.35508/mkm.v1i2.1953
  18. Nkurunziza S, Meessen B, Van geertruyden JP, Korachais C. Determinants of stunting and severe stunting among Burundian children aged 6-23 months: Evidence from a national cross-sectional household survey, 2014. BMC Pediatr. 2017;17(1):1–15.DOI: 10.1186/s12887-017-0929-2
  19. Rakotomanana H, Gates GE, Hildebrand D, Stoecker BJ. Determinants of stunting in children under 5 years in Madagascar. Matern Child Nutr. 2017;13(4). DOI: 10.1111/mcn.12409
  20. Abeway S, Gebremichael B, Murugan R, Assefa M, Adinew YM. Stunting and its determinants among children aged 6-59 Months in Northern Ethiopia: A cross-sectional study. J Nutr Metab. 2018;2018.DOI: 10.1155/2018/1078480
  21. Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients. 2019;11(5). DOI: 10.3390/nu11051106
  22. Semali IA, Tengia-Kessy A, Mmbaga EJ, Leyna G. Prevalence and determinants of stunting in under-five children in central Tanzania: Remaining threats to achieving Millennium Development Goal 4. BMC Public Health. 2015;15(1):4–9.DOI: 10.1186/s12889-015-2507-6
  23. Wali N, Agho KE, Renzaho AMN. Factors associated with stunting among children under 5 years in five south asian countries (2014–2018): Analysis of demographic health surveys. Nutrients. 2020;12(12):1–27.DOI: 10.3390/nu12123875
  24. Chirande L, Charwe D, Mbwana H, Victor R, Kimboka S, Issaka AI, et al. Determinants of stunting and severe stunting among under-fives in Tanzania: Evidence from the 2010 cross-sectional household survey. BMC Pediatr. 2015;15(1):1–14.DOI: 10.1186/s12889-015-2507-6
  25. Rahmawati VE, Pamungkasari EP, Murti B. Determinants of Stunting and Child Development in Jombang District. J Matern Child Heal. 2018;03(01):6–13.DOI: 0.26911/thejmch.2018.03.01.07
  26. Derso T, Tariku A, Biks GA, Wassie MM. Stunting, wasting and associated factors among children aged 6-24 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia. BMC Pediatr. 2017;17(1):1–10. DOI: 10.1186/s12887-017-0848-2
  27. Hendraswari CA, Purnamaningrum YE, Maryani T, Widyastuti Y, Harith S. The determinants of stunting for children aged 24-59 months in Kulon Progo District 2019. Kesmas. 2021;16(2):71–7.DOI: 10.21109/kesmas.v16i2.3305
  28. Khan S, Zaheer S, Safdar NF. Determinants of stunting , underweight and wasting among children < 5 years of age : evidence from 2012-2013 Pakistan demographic and health survey. 2019;1–16. DOI: /10.1186/s12889-019-6688-2
  29. Habimana S, Biracyaza E. Risk Factors Of Stunting Among Children Under 5 Years Of Age In The Eastern And Western Provinces Of Rwanda: Analysis Of Rwanda Demographic And Health Survey 2014/2015. Pediatr Heal Med Ther. 2019;Volume 10:115–30.DOI: 10.2147/PHMT.S222198
  30. Parenreng KM, Hadju V, Bahar B, Jafar N, Hidayanty H, Saleh LM. Determinants of Stunting Events in Children Aged 6-23 Months in Locus and Non-Locus Areas in East Luwu Regency. J La Medihealtico. 2020;1(6):7–16. DOI: 10.37899/journallamedihealtico.v1i6.163
  31. Lobo WI, Talahatu AH, Riwu RR. Faktor Penentu Kejadian Stunting pada Anak Balita di Wilayah Kerja Puskesmas Alak Kota Kupang. Media Kesehat Masy. 2019;1(2):59–67.DOI: 10.35508/mkm.v1i2.1953
  32. Rahmawati VE, Pamungkasari EP, Murti B. Determinants of Stunting and Child Development in Jombang District. J Matern Child Heal. 2018;03(01):68–80.DOI: 10.26911/thejmch.2018.03.01.07
  33. Ernawati R. Hubungan Jarak kehamilan dan Kehamilan Remaja dengan kejadian Stunting di Puskesmas Harapan Baru Samarinda. J Midwifery Reprod. 2021;4(2):56–63.DOI: 10.35747/jmr.v4i2
  34. Fauzi M, Wahyudin, Aliyah. Hubungan Tingkat Pendidikan dan Pekerjaan Ibu Balita dengan Kejadian Stunting di Wilayah Kerja Puskesmas X Kabupaten Indramayu. Pros Semin Nas Kesehat. 2020;9–15. DOI: 10.48186/.v2i01.257.9-15
  35. Rukmana E, Briawan D, Ekayanti I. Faktor Risiko pada Stunting pada Anak usia 6-24 Months in Bogor. J MKMI2. 2016;12(3):192–9.DOI: 10.30597/mkmi.v12i3.1081
  36. Asfaw M, Wondaferash M, Taha M, Dube L. Prevalence of undernutrition and associated factors among children aged between six to fifty nine months in Bule Hora district, South Ethiopia. BMC Public Health. 2015 Dec;15(1).DOI: 10.1186/s12889-015-1370-9
  37. Anggraeni ZEY, Kurniawan H, Yasin M, Aisyah AD. Hubungan Berat Badan Lahir, Panjang Badan Lahir dan Jenis Kelamin dengan Kejadian Stunting. Indones J Heal Sci. 2020;12(1):51–6.DOI: 10.32528/ijhs.v12i1.4856
  38. Damayanti RA, Muniroh L, Farapti F. Perbedaan Tingkat Kecukupan Zat Gizi Dan Riwayat Pemberian Asi Eksklusif Pada Balita Stunting Dan Non Stunting. Media Gizi Indones. 2017;11(1):61.DOI: 10.20473/mgi.v11i1.61-69
  39. AL Rahmad AH, Miko A, Hadi A. Kajian Stunting Pada Anak Balita Ditinjau Dari Pemberian ASI Eksklusif , MP-ASI, Status Imunisasi Dan Karakteristik Keluarga Di Kota Banda Aceh. J Kesehat Ilm Nasuwakes Poltekkes Aceh. 2013;6(2):169–84
  40. Putri AD, Ayudia F. Hubungan Pemberian Asi Eksklusif Dengan Kejadian Stunting Pada Anak Usia 6-59 Bulan Di Padang. J Kesehat Med Saintika. 2020;11(1):33–8. DOI: 10.30633/jkms.v11i1.598
  41. Domili I, Suleman SD, Arbie FY, Anasiru MA, Labatjo R. Karakteristik ibu dan pemberian ASI eksklusif dengan kejadian stunting di Kelurahan Padebuolo Kota Gorontalo. AcTion Aceh Nutr J. 2021;6(1):25. DOI: 10.30867/action.v6i1.359
  42. Mohammed SH, Muhammad F, Pakzad R, Alizadeh S. Socioeconomic inequality in stunting among under-5 children in Ethiopia: A decomposition analysis. BMC Res Notes. 2019;12(1):1–5. DOI: 10.1186/s13104-019-4229-9
  43. Maulina C, Rachmayanti RD. Risk Factors for Stunting under Two-Year-Old Children in Surabaya. J Promosi Kesehat Indones. 2021;16(1):1–6.DOI: 10.14710/jpki.16.1.1-6
  44. Nasution D, Nurdiati DS, Huriyati E. Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan. J Gizi Klin Indones. 2014;11(1):31. DOI: 10.22146/ijcn.18881
  45. Kleinman RE, Coletta FA. Historical overview of transitional feeding recommendations and vegetable feeding practices for infants and young children. Nutr Today. 2016;51(1):7–13. DOI: 10.1097/NT.0000000000000137
  46. Malako BG, Asamoah BO, Tadesse M, Hussen R, Gebre MT. Stunting and anemia among children 6-23 months old in Damot Sore district, Southern Ethiopia. BMC Nutr. 2019;5(1):1–11. DOI: 10.1186/s40795-018-0268-1

Last update:

No citation recorded.

Last update: 2024-06-11 09:08:14

No citation recorded.