Community Education Approach In Addressing Poverty As Determinant Of Stunting Prevalence In West Java: Multiple Linear Regression Analysis

Hanifah Irnawati, Sardin Sardin, Dadang Yunus Lutfiansyah

Abstract


Stunting remains a critical public health challenge requiring comprehensive community education interventions in West Java Province. Despite national efforts, stunting prevalence remains above WHO standards, with significant variations across districts. Research gap exists in understanding how community education level influences stunting outcomes alongside poverty and healthcare access from a community education perspective. This study examines relationships between poverty-related factors and stunting prevalence across 27 West Java districts/cities. A cross-sectional design using 2023 secondary data from Central Bureau of Statistics and West Java Open Data was employed. Multiple linear regression analysis using JASP software examined poverty rate, average years of schooling (community education indicator), and healthcare facility access on stunting prevalence. Classical assumption tests including normality, homoscedasticity, and multicollinearity were performed. Results revealed significant positive correlation between poverty and stunting (r=0.628, p<0.001). The regression model showed poverty rate (β=0.487, p=0.003), average years of schooling (β=-0.312, p=0.021), and healthcare access (β=-0.289, p=0.035) collectively explained 64.3% of variance in stunting prevalence (R²=0.643, F=13.25, p<0.001). Average years of schooling demonstrated significant protective effect, indicating that enhanced community education level reduces stunting by 1.356% per additional schooling year. Findings emphasize community education's crucial role in stunting prevention, supporting integrated programs addressing health literacy, nutritional knowledge, and parenting education alongside poverty reduction. This study contributes to understanding how non-formal and community education interventions effectively address public health challenges in Indonesian contexts.

 


Keywords


Keywords: stunting, community education, poverty, health literacy, West Java, multiple linear regression

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References


Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. (2017).

Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17(1), 15. https://doi.org/10.1186/s12887-016-0770-z

Ashworth, A., Shrimpton, R., & Jamil, K. (2008). Growth monitoring and promotion:

Review of evidence of impact. Maternal & Child Nutrition, 4(Suppl 1), 86-117. https://doi.org/10.1111/j.1740-8709.2007.00125.x

Badan Perencanaan Pembangunan Nasional (Bappenas). (2021). Rencana Pembangunan

Jangka Menengah Nasional (RPJMN) 2020-2024. Jakarta: Bappenas.

Badan Pusat Statistik (BPS). (2023). Profil Kemiskinan di Indonesia September 2023.

Jakarta: BPS.

Badan Pusat Statistik (BPS) Provinsi Jawa Barat. (2023). Provinsi Jawa Barat dalam Angka

Bandung: BPS Provinsi Jawa Barat.

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of

child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P.,

Lartey, A., & Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 382(9890), 452-477. https://doi.org/10.1016/S0140-6736(13)60996-4

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M.,

Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X

Budge, S., Parker, A. H., Hutchings, P. T., & Garbutt, C. (2019). Environmental enteric

dysfunction and child stunting. Nutrition Reviews, 77(4), 240-253. https://doi.org/10.1093/nutrit/nuy068

Budiman, B., Inayah, I., & Djausal, A. P. (2021). The relationship between maternal

education and stunting among children under five years in Indonesia. Journal of Preventive Medicine and Public Health, 54(6), 413-421. https://doi.org/10.3961/jpmph.21.297

Christian, P., Lee, S. E., Donahue Angel, M., Adair, L. S., Arifeen, S. E., Ashorn, P., Barros,

F. C., Fall, C. H., Fawzi, W. W., Hao, W., Hu, G., Humphrey, J. H., Huybregts, L., Joglekar, C. V., Kariuki, S. K., Kolsteren, P., Krishnaveni, G. V., Liu, E., Martorell, R., & Black, R. E. (2013). Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries. International Journal of Epidemiology, 42(5), 1340-1355. https://doi.org/10.1093/ije/dyt109

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale,

NJ: Lawrence Erlbaum Associates.

Cumming, O., & Cairncross, S. (2016). Can water, sanitation and hygiene help eliminate

stunting? Current evidence and policy implications. Maternal & Child Nutrition, 12(Suppl 1), 91-105. https://doi.org/10.1111/mcn.12258

de Onis, M., Borghi, E., Arimond, M., Webb, P., Croft, T., Saha, K., De-Regil, L. M., Thuita,

F.,Heidkamp, R., Krasevec, J., Hayashi, C., & Flores-Ayala, R. (2019). Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutrition, 22(1), 175-179. https://doi.org/10.1017/S1368980018002434

Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life.

Maternal & Child Nutrition, 7(Suppl 3), 5-18. https://doi.org/10.1111/j.1740- 8709.2011.00349.x

Dinas Kesehatan Provinsi Jawa Barat. (2023). Profil Kesehatan Provinsi Jawa Barat Tahun

Bandung: Dinkes Jabar.

Galasso, E., & Wagstaff, A. (2019). The economic costs of stunting and how to reduce them.

World Bank Policy Research Working Paper 8677. Washington, DC: World Bank.

Gujarati, D. N., & Porter, D. C. (2009). Basic Econometrics (5th ed.). New York: McGraw-Hill.

Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2014). Multivariate Data Analysis

(7th Ed.). Harlow: Pearson Education Limited.

Hoddinott, J., Alderman, H., Behrman, J. R., Haddad, L., & Horton, S. (2013). The economic

rationale for investing in stunting reduction. Maternal & Child Nutrition, 9(Suppl 2), 69-82. https://doi.org/10.1111/mcn.12080

Husein, A., & Sutarto, J. (2017). Pemberdayaan masyarakat melalui pendidikan nonformal

berbasis potensi lokal dalam membangun desa wisata adat. Journal of Nonformal Education, 3(1), 1-10. https://doi.org/10.15294/jne.v3i1.8240

Kavle, J. A., Mehanna, S., Saleh, G., Fouad, M. A., Ramzy, M., Hamed, D., Haj-Hassan, T.,

Vossenaar, M., Hassan, M. K., & Galloway, R. (2015). Exploring why junk foods are 'essential' foods and how culturally tailored recommendations improved feeding in Egyptian children. Maternal & Child Nutrition, 11(3), 346-370. https://doi.org/10.1111/mcn.12165

Kementerian Kesehatan Republik Indonesia. (2018). Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Kemenkes RI.

Kementerian Kesehatan Republik Indonesia. (2022). Buku Saku Hasil Survei Status Gizi

Indonesia (SSGI) 2022. Jakarta: Kemenkes RI.

Knowles, M. S., Holton III, E. F., & Swanson, R. A. (2015). The Adult Learner: The Definitive

Classic In Adult Education And Human Resource Development (8th Ed.). London: Routledge.

Kuruvilla, S., Schweitzer, J., Bishai, D., Chowdhury, S., Caramani, D., Frost, L., Cortez, R.,

Daelmans, B., de Francisco, A., Adam, T., Cohen, R., Alfonso, Y. N., Franz-Vasdeki, J., Saadat, S., Pratt, B. A., Eugster, B., Bandali, S., Venkatachalam, P., Hinton, R., & Bustreo, F. (2014). Success factors for reducing maternal and child mortality. Bulletin of the World Health Organization, 92(7), 533-544. https://doi.org/10.2471/BLT.14.138131

Lassi, Z. S., Rind, F., Irfan, O., Hadi, R., Das, J. K., & Bhutta, Z. A. (2020). Impact of infant

and young child feeding (IYCF) nutrition interventions on breastfeeding practices, growth and mortality in low- and middle-income countries: Systematic review. Nutrients, 12(3), 722. https://doi.org/10.3390/nu12030722

Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., Marthias, T., Harimurti,

P., & Prawira, J. (2017). The Republic of Indonesia health system review. Health Systems in Transition, Vol. 7 No. 1. New Delhi: WHO Regional Office for South-East Asia.

Mahmudiono, T., Sumarmi, S., & Rosenkranz, R. R. (2018). Household dietary diversity and

child stunting in East Java, Indonesia. Asia Pacific Journal of Clinical Nutrition, 27(2), 445-451. https://doi.org/10.6133/apjcn.062017.01

Perova, E., & Vakis, R. (2012). 5 Years In Juntos: New Evidence On The Program's Short And

Long-Term Impacts. Economia, 35(69), 53-82.

Picauly, I., & Toy, S. M. (2013). Analisis determinan dan pengaruh stunting terhadap prestasi

belajar anak sekolah di Kupang dan Sumba Timur, NTT. Jurnal Gizi dan Pangan, 8(1), 55-62. https://doi.org/10.25182/jgp.2013.8.1.55-62

Prado, E. L., & Dewey, K. G. (2014). Nutrition and brain development in early life. Nutrition

Reviews, 72(4), 267-284. https://doi.org/10.1111/nure.12102

Psaki, S., Bhutta, Z. A., Ahmed, T., Ahmed, S., Bessong, P., Islam, M., John, S., Kosek, M.,

Lima, A., Nesamvuni, C., Shrestha, P., Svensen, E., McGrath, M., Richard, S., Seidman, J., Caulfield, L., Miller, M., & Checkley, W. (2012). Household food access and child malnutrition: Results from the eight-country MAL-ED study. Population Health Metrics, 10(1), 24. https://doi.org/10.1186/1478-7954-10-24

Rachmi, C. N., Agho, K. E., Li, M., & Baur, L. A. (2016). Stunting, underweight and

overweight in children aged 2.0-4.9 years in Indonesia: Prevalence trends and associated risk factors. PLoS ONE, 11(5), e0154756. https://doi.org/10.1371/journal.pone.0154756

Rahmawati, V. E., Pamungkasari, E. P., & Adriani, R. B. (2020). Path analysis on the

biological, social economic, and environmental determinants of stunting among children under five years of age in Surakarta, Central Java. Journal of Maternal and Child Health, 5(3), 258-270. https://doi.org/10.26911/thejmch.2020.05.03.04

Roeser, R. W., & Peck, S. C. (2009). An education in awareness: Self, motivation, and self-

regulated learning in contemplative perspective. Educational Psychologist, 44(2), 119-136. https://doi.org/10.1080/00461520902832376

Schwarzenberg, S. J., & Georgieff, M. K. (2018). Advocacy for improving nutrition in the

first 1000 days to support childhood development and adult health. Pediatrics, 141(2), e20173716. https://doi.org/10.1542/peds.2017-3716

Setiawati, R. I., & Shofwan, I. (2023). Implementasi Prinsip Pendidikan Orang Dewasa Pada

Pelatihan Tata Busana Di Satuan Pendidikan Non Formal SKB Ungaran. Lifelong Education Journal, 3(1), 39-59. https://doi.org/10.59935/lej.v3i1.180

Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of

Dermatology, 61(3), 261-264. https://doi.org/10.4103/0019-5154.182410

Smith, L. C., Ramakrishnan, U., Ndiaye, A., Haddad, L., & Martorell, R. (2003). The

importance of women's status for child nutrition in developing countries. International Food Policy Research Institute (IFPRI) Research Report 131. Washington, DC: IFPRI.

Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., Fullam, J.,

Kondilis, B., Agrafiotis, D., Uiters, E., Falcon, M., Mensing, M., Tchamov, K., van den Broucke, S., & Brand, H. (2015). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health, 25(6), 1053-1058. https://doi.org/10.1093/eurpub/ckv043

Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K). (2018). Strategi Nasional

Percepatan Pencegahan Anak Kerdil (Stunting) Periode 2018-2024. Jakarta: TNP2K.

Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting

in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health, 16(1), 669. https://doi.org/10.1186/s12889-016-3339-8

UNICEF. (2013). Improving Child Nutrition: The Achievable Imperative For Global Progress.

New York: UNICEF.

Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S.

(2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371(9609), 340-357. https://doi.org/10.1016/S0140-6736(07)61692-4

World Health Organization (WHO). (2006). WHO Child Growth Standards: Length/height-

for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. Geneva: WHO.

World Medical Association. (2013). World Medical Association Declaration of Helsinki:

Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053




DOI: https://doi.org/10.17509/ijace.v7i2.95511

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