| dc.description.abstract | Background: The causes of stunting are multifactorial and inter-linked, as
described by WHO conceptual frameworks. Nutrition intervention alone may
be insufficient to improve linear growth of children. Poor access to sanitation,
water supply, hygiene facilities have been plausibly linked to stunting.
Exposed to widespread infection and contamination chronically lead to
intestinal infections affecting child's nutritional status by impairing nutrient
absorption and increasing nutrient losses.
Objective: To investigate the relationship of household access to sanitation
facilities, water supply and personal hygiene practices with stunting.
Methods: A crossectional study was conducted on Muara Batang Gadis
Subdistrict North Sumatera in March 2016. Subjects were primary school-
aged children. Anthropometry of the children was measured. The relationship
with place of defecation, household water source and hand hygiene were
analyzed on both group using x2 test.
Results: 174 subjects fulfilled the inclusion criteria, 58 were stunting and 116
were not stunting. The were 23 (38,3%) stunting child having bad defecation
behaviour and 35 (30,7%) stunting child having good behaviour (PR 1.25;
95%CI 0.729-2.702; p 0.310), 29 (35,8%) stunting child having bad hand
hygiene practice and 29 (31,2%) stunting child having good behaviour (PR
1.15; 95%CI 0.654-2.314; p 0.519), 28 (40%) stunting child having bad water
source and 30 (28,8%) stunting child having good source (PR 1.39; 95%CI
0.868-3.116; p 0.126).
Conclusion: defecation facility, household water source and hand hygiene
independently were not associated with stunting. Stunting has a multifactorial
determinants, other factors were considered having interaction with sanitation
or hygiene factors in influencing stunting | en_US |
