Main Article Content

Abstract

Background: Wasting is still a major health problem in toddlers, especially in rural areas. This study aims to analyze the risk factors of wasting in children under five years of age 24-59 months in rural areas of West Sumatra Province.


Methods: This study used a quantitative approach with a cross-sectional design. The study used secondary data from the Indonesian Health Survey in 2023 with a sample size of 541 toddlers. Data analysis was conducted bivariate using the chi-square test.


Results: The results of the analysis showed that of the five variables studied, the history of infectious diseases (p=0.001) and vitamin A supplementation (p=0.003) had a significant association with the incidence of wasting in children aged 24-59 months in rural areas of West Sumatra Province. Meanwhile, economic status (p=0.414), environmental sanitation (p=0.104), and drinking water source (p=0.094) had no significant association.


Conclusion: In rural areas, infectious diseases and lack of vitamin A supplementation were the causes of wasting. Health promotion and prevention of infectious diseases need to be evaluated and improved including efforts to increase the immune system of children under five.

Keywords

Wasting Rural West Sumatera Children nutrition

Article Details

How to Cite
Ul-Humami, A., Nursal, D. G. A., & Widoyo, R. (2025). THE RISK FACTORS FOR WASTING IN CHILDREN AGED 24–59 MONTHS IN RURAL AREAS OF WEST SUMATRA PROVINCE: ANALYSIS OF SKI 2023 DATA : WASTING IN CHILDREN AGED 24–59 MONTHS. INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 7(2), 98–104. https://doi.org/10.36566/ijhsrd/Vol7.Iss2/325

References

  1. 1. Hapsari DA, Terati T, Nazarena Y, Susyani S, Sihite NW. Pemberian Makanan Tambahan Fitbar Bingu (Ubi ungu) Terhadap Status Gizi Balita Wasting Di Puskesmas Sako Tahun 2021. JGK:Jurnal Gizi dan Kesehatan [Internet] 2021 [cited 2024 Feb 25];1(2):87–94. Available from: https://jurnal.poltekkespalembang.ac.id/index.php/jgk/article/download/1061/549/
  2. 2. Abidin, Tasnim, Fatmawati. Faktor Risiko Status Gizi Wasting dalam Penerapan Full Day School pada Anak di Pendidikan Anak Usia Dini Pesantren Ummmusari Kendari. Jurnal Gizi Ilmiah [Internet] 2018 [cited 2024 Aug 6];5(1):20–8. Available from: https://jurnal.karyakesehatan.ac.id/JGI/article/view/379
  3. 3. WHO, UNICEF, World Bank Group. Levels and Trend in Child Malnutrition [Internet]. 2023 [cited 2024 Feb 29]. Available from: https://www.who.int/publications/i/item/9789240073791
  4. 4. Kementerian Kesehatan RI. Indikator Program Kesmas dalam RPJMN dan Renstra Kementerian Kesehatan 2020-2024 [Internet]. Jakarta: 2020 [cited 2024 Feb 29]. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/ef5bb48f4aaae60ebb724caf1c534a24.pdf
  5. 5. Talukder A. Risk factors associated with wasting among under-5 children residing in urban areas of Bangladesh: a multilevel modelling approach. Journal of Public Health (Germany) [Internet] 2021 [cited 2025 Jul 2];29(3):525–31. Available from: https://link.springer.com/article/10.1007/s10389-019-01163-4
  6. 6. Tariku A, Bikis GA, Woldie H, Wassie MM, Worku AG. Child wasting is a severe public health problem in the predominantly rural population of Ethiopia: A community based cross-sectional study. Archives of Public Health [Internet] 2017 [cited 2025 Jun 30];75(1):1–9. Available from: https://link.springer.com/articles/10.1186/s13690-017-0194-8
  7. 7. World Health Organization. Guideline. Vitamin A supplementation in infants and children 6-59 months of age [Internet]. World Health Organization; 2011 [cited 2025 Jul 14]. Available from: https://iris.who.int/bitstream/handle/10665/44664/9789241501767_eng.pdf?sequence=1
  8. 8. Patil CR, Thakre SS, Khamgaonkar MB, Thakre S. Prevalence of stunting and wasting among Anganwadi school children of rural and urban area of Central India: A cross-sectional study. Int J Med Sci Public Health [Internet] 2017 [cited 2025 Jul 20];6(2):413–413. Available from: https://www.ijmsph.com/?mno=240694
  9. 9. Harding KL, Aguayo VM, Webb P. Factors associated with wasting among children under five years old in South Asia: Implications for action. PLoS One [Internet] 2018 [cited 2025 Jul 19];13(7):e0198749. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0198749
  10. 10. Kementerian Kesehatan RI. Survei Kesehatan Indonesia 2023 [Internet]. Jakarta: 2024 [cited 2024 Sep 29]. Available from: https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/#
  11. 11. UNICEF. UNICEF Conceptual Framework. 2020;
  12. 12. Khairunnisa Wahid N, Leida Maria I, Hidayanty H. Relationship Between Drinking Water Sources, Drinking Water Treatment And Sewage Management With Stunting In Two-Years-Old Children In Mamuju Regency. EAS Journal of Nutrition and Food Sciences [Internet] 2020 [cited 2025 Jul 19];2(4). Available from: https://www.easpublisher.com/media/features_articles/EASJNFS_24_204-209.pdf
  13. 13. UNICEF. Strengthening Water and Sanitation Systems to Improve Child Nutrition and Development Outcomes-Brief Technical Guidance [Internet]. 2024 [cited 2025 Jul 14]. Available from: https://www.unicef.org/media/154646/file/Strengthening%20water%20and%20sanitation%20systems%20to%20improve%20child%20nutrition%20and%20development%20outcomes%20.pdf
  14. 14. Obekpa HO, Abu GA, Abu O. Effect of Water Sources on Wasting of Under Five Years Old Children in Nigerian Rural Households. Nigerian Agricultural Policy Research Journal (NAPReJ) [Internet] 2020 [cited 2025 Jun 30];07(01). Available from: https://ideas.repec.org/a/ags/naprej/314134.html
  15. 15. UNICEF. Global Action Plan on Child Wasting A framework for action to accelerate progress in preventing and managing child wasting and the achievement of the Sustainable Development Goals. 2019.