STUNTING IN PREGNANCY OUTSIDE LEGAL MARRIAGE SOCIO-CULTURAL STUDIES IN RURAL TIMOR, KUATNANA DISTRICT, SOUTH CENTRAL TIMOR REGENCY, EAST NUSA TENGGARA, INDONESIA
DOI:
https://doi.org/10.24246/kritis.v34i2.12827Keywords:
Stunting, socio-cultural factors, pregnancy outside legal marriage, lifestyleAbstract
Background: The prevalence of stunting in Indonesia is still higher than the WHO maximum standard of 20 percent. East Nusa Tenggara is one of the Provinces in Indonesia that is still struggling with a high prevalence of stunting. The purpose of this study was to examine the incidence of stunting caused by socio-cultural factors related to pregnancy outside legal marriage in rural Timor, East Nusa Tenggara. Design and research method: A descriptive qualitative method along with a health anthropological approach were used to answer research questions. The cases being studied were the family of stunted toddlers under five years of age and their families with poor nutritional status. The initial survey was conducted on 108 stunted malnourished toddlers using a purposive sampling technique, 16 families with stunted children were selected for observation. Family activities were observed to learn about lifestyle, care of pregnant women, diet, and parenting patterns, as well as traditions carried out. In-depth interviews were conducted with the parents and grandparents of stunted children, the village head, village health workers, public figures, religious leaders, and traditional birth attendants in the study area.
Results: Study results indicate that pregnancy outside of marriage occurs with couples without physical, mental, and financial readiness. It is also more common in people living in remote areas with traditional lifestyles who have low education and little knowledge and experience about health, pregnancy, and childcare. They are economically disadvantaged, including prospective fathers without a job and steady income.
Conclusion and recommendation: Pregnancy outside legal marriage is one of the root causes that strongly influence social problems with an impact on the high incidence of stunting as well as malnutrition in rural Timor. To prevent and solve stunting problems, efforts are needed to overcome socio-cultural related stunting problems in rural Timor.
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References
ACC/SCN & International Food Policy Research Institute. (2000). 4th report on the world nutrition situation throughout the life cycle. ACC/SCN.
Al-Anshori, H., & Nuryanto, N. (2013). Risk factors for stunting in children aged 12–24 months (study in East Semarang District). Journal of Nutrition College, 2, 675–681.
Allen, H. L., & Gillespie, S. (2001). What works? A review of the efficacy and effectiveness of nutrition interventions. ACC/SCN.
Almanshur, F., & Ghony, D. (2012). Metodologi penelitian kualitatif. Ar-Ruzz Media.
Aridiyah, F. O., Rohmawati, N., & Ririanty, M. (2015). Factors affecting stunting incidence in toddlers in rural and urban areas. e-Jurnal Pustaka Kesehatan, 3(1), 163–170.
Batiro, B., Demissie, T., & Anjulo, A. A. (2017). Determinants of stunting among children aged 6–59 months in Southern Ethiopia: A case–control study. PLoS ONE, 12, 1–16.
Blair, P., et al. (2018). Socio-demographic correlates of stunting among children. Journal of Global Health, 5, 4231–4236.
Central Bureau of Statistics of East Nusa Tenggara Province. (2019). Human development index of East Nusa Tenggara Province 2019. BPS.
Central Bureau of Statistics of the Republic of Indonesia. (2019). National socio-economic survey (SUSENAS) 2019. BPS.
Central Bureau of Statistics of South Central Timor Regency. (2019). Kuatnana District in figures 2019. BPS.
Central Bureau of Statistics of South Central Timor Regency. (2020). South Central Timor Regency in figures 2020. BPS.
Enda. (2010). Ilmu perilaku kesehatan. Rineka Cipta.
Esfarjani, F., et al. (2013). Determinants of stunting in school-aged children of Tehran, Iran. International Journal of Preventive Medicine, 4, 173–179.
Fikadu, T., Assegid, S., & Dube, L. (2014). Factors associated with stunting among children aged 24–59 months in Southern Ethiopia. BMC Public Health, 14, 1–7. https://doi.org/10.1186/1471-2458-14-800
Fitri. (2012). Birth weight as a dominant factor for stunting in toddlers [Master’s thesis, Universitas Indonesia]. http://lib.ui.ac.id
Foster, G. M., & Anderson, B. G. (1986). Medical anthropology (Indonesian translation). UI Press.
Geberselassie, S. B., et al. (2018). Prevalence of stunting and its associated factors among children aged 6–59 months in Northwest Ethiopia. PLoS ONE, 13, 1–12.
Giriwono, P. E. (2015). Scaling-up nutrition (SUN) movement in Indonesia. Journal of Food Quality, 2(1), 74–79.
Herdiansyah, H. (2012). Metodologi penelitian kualitatif untuk ilmu sosial. Salemba Humanika.
Indonesian Pediatrician Association. (2017). Short stature in children and adolescents in Indonesia. IDAI.
Irwansyah, et al. (2016). Teenage pregnancy and stunting incidence in West Lombok. Berita Kedokteran Masyarakat, 32(6).
Judiasih, S. D., et al. (2018). Women, law, and policy: Child marriage practices in Indonesia. Journal of Notarial, 3(1), 45–55.
Kameo, D. (2020). NTT melawan stunting. https://www.victorynews.id/ntt-melawan-stunting/
Kasmini, O. W. H. (2012). Cultural systems in parenting nutrition for toddlers. Journal of Health Ecology, 11(3), 240–250.
Keefe, C. J. L., Couch, S. C., & Philipson, E. (2008). Handbook of nutrition and pregnancy. Humana Press.
Ministry of Health of the Republic of Indonesia. (2020). Healthy living community movement (GERMAS). MoH.
Miles, M. B., & Huberman, A. M. (1992). Qualitative data analysis. UIP.
Moleong, L. J. (2007). Metodologi penelitian kualitatif. Remaja Rosdakarya.
Nadiyah. (2014). Risk factors for stunting in children aged 0–23 months. Journal of Nutrition and Food, 9, 125–132.
Nasri, S., & Rahman, K. M. M. (2012). Factors affecting early marriage in Bangladesh. International Journal of Sociology and Anthropology, 4(2), 54–62. https://doi.org/10.5897/IJSA11.145
Nkurunziza, S., et al. (2017). Determinants of stunting among Burundian children. BMC Pediatrics, 17, 1–15.
North, D. C. (1995). The new institutional economics and third world development. In J. Harris et al. (Eds.), The new institutional economics and third world development (pp. 17–26). Routledge.
Paudel, R., et al. (2012). Risk factors for stunting among children in Nepal. Kathmandu University Medical Journal, 10, 18–24.
Republic of Indonesia. (2009). Law No. 36 of 2009 on health.
Republic of Indonesia. (2012). Law No. 18 of 2012 on food.
Republic of Indonesia. (2013). Presidential regulation No. 42 of 2013 on national movement for nutrition improvement.
Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting in Indonesian children. BMC Public Health, 16, 1–11. https://doi.org/10.1186/s12889-016-3339-8
WHO. (2006). Physical status: The use and interpretation of anthropometry. World Health Organization.
Yisak, H., & Gobena, T. (2015). Prevalence and risk factors for undernutrition in Ethiopia. BMC Pediatrics. https://doi.org/10.1186/s12887-015-0535-0
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