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2000
Volume 21, Issue 9
  • ISSN: 1573-4013
  • E-ISSN: 2212-3881
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Abstract

Introduction

Reducing global stunting rates is a critical focus of the Sustainable Development Goals (SDGs), particularly under the objectives of zero hunger, good health and well-being. Indonesia has set a target to reduce the prevalence of stunting to 14%. However, as of 2023, the national prevalence remains at 21.5%, with East Java, a densely populated region, reporting a rate of 19.2%. This study aimed to identify risk factors for nutritional problems among infants and toddlers in East Java to guide region-specific interventions and serve as a global model for addressing stunting and nutritional issues.

Methods

Data was collected from provincial health registries and analysed for trends and associations using STATA18 and spatial distribution using QGIS3.34. Factors examined included community participation, ferrous supplementation during pregnancy, newborn birth weight, exclusive breastfeeding rates, vitamin A supplementation, and child nutritional status monitoring.

Results

While the prevalence of underweight, stunted, and wasted children showed a decreasing trend, critical factors such as ferrous supplementation in pregnant women, exclusive breastfeeding rates, and vitamin A supplementation also exhibited declines. Early and exclusive breastfeeding and vitamin A supplementation were significantly associated with underweight status.

Discussion

Improvements in child nutritional status coexist with persistent challenges, including suboptimal breastfeeding practices, declining vitamin A supplementation, and pandemic-related healthcare disruptions, necessitating reinforced health systems and targeted interventions to attain national and SDGs targets.

Conclusion

Strengthening nutritional and health services in high-burden areas could improve outcomes in East Java and offer a replicable framework for addressing stunting and malnutrition globally.

© 2025 The Author(s). Published by Bentham Science Publishers.
This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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References

  1. United Nations The 17 GOALS | Sustainable Development.2023Available from: https://sdgs.un.org/goals
  2. World Health Organization Malnutrition.2023Available from: https://www.who.int/health-topics/malnutrition#tab=tab_1
  3. Basic Health Research (Riskesdas).2013Available from: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2013
  4. Basic Health Research (Riskesdas).2018Available from: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018
  5. AnikA.I. ChowdhuryM.R.K. KhanH.T.A. MondalM.N.I. PereraN.K.P. KaderM. Urban-rural differences in the associated factors of severe under-5 child undernutrition based on the composite index of severe anthropometric failure (CISAF) in Bangladesh.BMC Public Health2021211214710.1186/s12889‑021‑12038‑334814880
     [Google Scholar]
  6. StatistikB.P. Population by gender and Regency/City of East Java Province (People), 2022-2023.2023Available from: https://jatim.bps.go.id/indicator/12/375/1/jumlah-penduduk-provinsi-jawa-timur.html
  7. WungouwH OttayR RumampukH RumampukI PangemananM Nutritional status of children at Kaima village, North Minahasa Regency, Indonesia.AIP Conf Proc2023269404000910.1063/5.0118600
     [Google Scholar]
  8. SandjajaS. BudimanB. HarahapH. ErnawatiF. SoekatriM. WidodoY. SumediE. RustanE. SofiaG. SyariefS.N. KhouwI. Food consumption and nutritional and biochemical status of 0·5–12-year-old Indonesian children: the SEANUTS study.Br. J. Nutr.20131103S11S2010.1017/S000711451300210924016762
     [Google Scholar]
  9. ErnawatiF. SyauqyA. ArifinA.Y. SoekatriM.Y.E. SandjajaS. Micronutrient deficiencies and stunting were associated with socioeconomic status in Indonesian children aged 6–59 months.Nutrients2021136180210.3390/nu13061802
     [Google Scholar]
  10. RahayuwatiL. NurhidayahI. HidayatiN.O. HendrawatiS. AgustinaH.S. EkawatiR. Analysis of factor affecting nutrition status on Children.Padjadjaran Nursing J.201972.10.24198/jkp.v7i2.1131
     [Google Scholar]
  11. PrasodjoN.W. PandjaitanN.K. KinsengR. KhomsanA. Food choice practices among underweight and normal-weight children under five years of age in West Java, Indonesia.Pak. J. Nutr.201716858859810.3923/pjn.2017.588.598
     [Google Scholar]
  12. Najahah I. Meliati L. SusenoM.R. Mutiara Rahmawati Suseno Risk factors of short-fat status nutrition among children aged 12-23 in Indonesia.Malays. J. Public Health Med.202121121622210.37268/mjphm/vol.21/no.1/art.791
     [Google Scholar]
  13. El-LolyM.M. Colostrum ingredients, its nutritional and health benefits: An overview.Clin. Nutr. Open Sci.20224412614310.1016/j.nutos.2022.07.001
     [Google Scholar]
  14. GaupšienėA. VainauskaitėA. BaglajevaJ. StukasR. RamašauskaitėD. PaliulytėV. IstominaN. Associations between maternal health literacy, neonatal health and breastfeeding outcomes in the early postpartum period.Eur. J. Midwifery202371610.18332/ejm/17016137794862
     [Google Scholar]
  15. SalarvandS. GhazvinehS. MousivandF. Gharaei A.H. BitarafS. Health literacy and its related factors as predictors for the breastfeeding self-efficacy in a western province in Iran.BMC Public Health202323159310.1186/s12889‑023‑15522‑036997892
     [Google Scholar]
  16. SugaH. Household food unavailability due to financial constraints affects the nutrient intake of children.Eur. J. Public Health201929581682010.1093/eurpub/cky26330561601
     [Google Scholar]
  17. CelhayP. MartinezS. VidalC. Measuring socioeconomic gaps in nutrition and early child development in Bolivia.Int. J. Equity Health202019112210.1186/s12939‑020‑01197‑132690012
     [Google Scholar]
  18. HadiH FatimatasariF IrwantiW KusumaC AlfianaRD Ischaq Nabil AsshiddiqiM Exclusive breastfeeding protects young children from stunting in a low-income population: A study from Eastern Indonesia.Nutrients20211312426410.3390/nu13124264
     [Google Scholar]
  19. BelvedereLM AndreasenR SmithR ThomasK SeverT SyafiqA Epidemiology barriers to optimal breastfeeding in Rural Indonesia.Arch Epidemiol2018201831710.29011/2577‑2252.100024
     [Google Scholar]
  20. SsentongoP. BaD.M. SsentongoA.E. FronterreC. WhalenA. YangY. EricsonJ.E. ChinchilliV.M. Association of vitamin A deficiency with early childhood stunting in Uganda: A population-based cross-sectional study.PLoS One2020155e023361510.1371/journal.pone.023361532470055
     [Google Scholar]
  21. AlifarianiA. MurtiB. AdrianiR.B. Meta analysis: Effects of Prelacteal feeding and vitamin a supplementary intake on stunting in children aged 6-59 months.J. Maternal. Child Health20238449850910.26911/thejmch.2023.08.04.11
     [Google Scholar]
  22. SetiawanA. ChristianiY. Integrated health post for child health (Posyandu) as a community-based program in Indonesia: An exploratory study.J. Keperawatan Indonesia201821315015810.7454/jki.v21i3.600
     [Google Scholar]
  23. HasanbasriM. MaulaA.W. WiratamaB.S. EspressivoA. MarthiasT. Analyzing primary healthcare Governance in Indonesia: Perspectives of community health workers.Cureus2024163e5609910.7759/cureus.5609938482536
     [Google Scholar]
  24. GaranetF. SampabeG. TintaA.A. Persistence of a high prevalence of anemia in rural areas among pregnant women in Burkina Faso. A cross-sectional study.J. Public Health Africa20241412273438259427
     [Google Scholar]
  25. QiaoY. DiJ. YinL. HuangA. ZhaoW. HuH. ChenS. Prevalence and influencing factors of anemia among pregnant women across first, second and third trimesters of pregnancy in monitoring areas, from 2016 to 2020: A population-based multi-center cohort study.BMC Public Health2024241110010.1186/s12889‑024‑18610‑x38649895
     [Google Scholar]
  26. ManglaM. SinglaD. Prevalence of anaemia among pregnant women in rural India: A longitudinal observational study.Int. J. Reprod. Contracept. Obstet. Gynecol.20165103500350510.18203/2320‑1770.ijrcog20163431
     [Google Scholar]
  27. ZillmerK. PokharelA. SpielmanK. KershawM. AyeleK. KidaneY. BelachewT. HouserR.F. KennedyE. GriffithsJ.K. GhoshS. Predictors of anemia in pregnant women residing in rural areas of the Oromiya region of Ethiopia.BMC Nutr.2017316510.1186/s40795‑017‑0166‑y32153845
     [Google Scholar]
  28. MahmudionoT. NurdiniE.D. NasikhahA.D. HalimanC.D. Association between household food security and anemia among pregnant women in rural area in Indonesia.Open Access Maced. J. Med. Sci.202210E828710.3889/oamjms.2022.7283
     [Google Scholar]
  29. TalinI.A. AbidM.H. SamadM.A. Azpíroz D.I. de la Torre DiezI. AshrafI. Exploring factors influencing the severity of pregnancy anemia in India: A study using proportional odds model.Sci Rep202313111210.1038/s41598‑023‑49771‑5
     [Google Scholar]
  30. KaushalS. PriyaT. ThakurS. MarwahaP. KaurH. The etiology of anemia among pregnant women in the hill state of himachal Pradesh in North India: A cross-sectional study.Cureus2022141e2144410.7759/cureus.2144435223229
     [Google Scholar]
  31. TangsuksanP. RatinthornA. SindhuS. SpatzD.L. ViwatwongkasemC. Factors influencing exclusive breastfeeding among urban employed mothers: A case-control study.Pac Rim Int J Nurs Res2020241547210.3316/informit.383112238744839
     [Google Scholar]
  32. Abekah-NkrumahG. AntwiM.Y. NkrumahJ. GbagboF.Y. Examining working mothers’ experience of exclusive breastfeeding in Ghana.Int. Breastfeed. J.20201515610.1186/s13006‑020‑00300‑032552899
     [Google Scholar]
  33. BasrowiR.W. SulistomoA.B. AdiN.P. VandenplasY. Benefits of a dedicated breastfeeding facility and support program for exclusive breastfeeding among workers in Indonesia.Pediatr. Gastroenterol. Hepatol. Nutr.2015182949910.5223/pghn.2015.18.2.9426157694
     [Google Scholar]
  34. TsaiS.Y. Impact of a breastfeeding-friendly workplace on an employed mother’s intention to continue breastfeeding after returning to work.Breastfeed Med20138221010.1089/bfm.2012.0119
     [Google Scholar]
  35. Kimani-MurageE.W. WilundaC. MachariaT.N. KamandeE.W. GatheruP.M. ZerfuT. DonfouetH.P.P. KiigeL. JabandoS. DingaL.A. SamburuB. LilfordR. GriffithsP. JacksonD. BeginF. MoloneyG. Effect of a baby‐friendly workplace support intervention on exclusive breastfeeding in Kenya.Matern. Child Nutr.2021174e1319110.1111/mcn.1319133830636
     [Google Scholar]
/content/journals/cnf/10.2174/0115734013379056250725052827
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Spatial Analysis of Nutritional Status in Children Under Five in East Java, Indonesia: Identifying Priority Intervention Areas Using 2018-2023 Provincial Data
Curr. Nutr. Food Sci. 21, 998 (2025); https://doi.org/10.2174/0115734013379056250725052827
/content/journals/cnf/10.2174/0115734013379056250725052827
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  • Article Type:     Research Article
Keyword(s): Child nutrition; children's health; health services; stunting; sustainable development goals; underweight

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