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敏感和特定干预项目指标的覆盖情况以及五岁以下儿童发育迟缓患病率:印度尼西亚亚齐省的一项横断面研究。

The coverage of indicators of sensitive and specific intervention programs and prevalence of stunting under-five children: A cross-sectional study in Aceh Province, Indonesia.

作者信息

Muliadi Teuku, Ahmad Aripin, Nur Abidah, Marissa Nelly, Reynaldi Fitrah, Fitriyaningsih Eva, Naufal Iflan, Damanik Muhammad Rizal Martua, Adji Ardi, Arifin Syuja' Rafiqi, Annisa Devita

机构信息

Faculty of Public Health, Universitas Teuku Umar, Aceh, Indonesia.

Department of Nutrition and Centre of Excellent for Community Nutrition and Disaster Emergency (CNDE), Health Polytechnic of Aceh, Aceh Besar, Indonesia.

出版信息

Nutr Health. 2025 Mar;31(1):165-173. doi: 10.1177/02601060231164664. Epub 2023 Apr 4.

DOI:10.1177/02601060231164664
PMID:37013728
Abstract

The prevalence of stunting children under-five in Aceh Province is still high due to multiple factors, including the sub-optimal coverage of intervention programs. This study aimed at finding out the correlation between the coverage of indicators of sensitive and specific intervention programs with prevalence of stunting in Aceh. A cross-sectional design analyzed secondary data from the Indonesia nutritional status survey and program coverage data in 13 regencies/cities in Aceh Province. The dependent variable was the prevalence of stunting. Meanwhile, the independent variable covered 20 sensitive and specific intervention program indicators. We apply STATA 16 to analyze the correlation between sensitive and specific coverage and stunting prevalence. The coverage of indicators of pregnant women with chronic energy deficiency (CED) receiving supplementary feeding, young children with diarrhea receiving zinc supplementation, parents taking parenting classes, and participation in the health insurance program had a significant correlation with prevalence stunting in Aceh ( = -0.57;  = -0.50;  = -0.65; and  = -0.60). Intervention measures to avert childhood stunting in Aceh should include strengthening supplementary feeding programs for mothers and toddlers, supplementation to prevent toddler diarrhea, and counseling parents on parenting and health insurance.

摘要

由于多种因素,包括干预项目的覆盖率未达到最佳水平,亚齐省五岁以下儿童发育迟缓的患病率仍然很高。本研究旨在找出敏感和特定干预项目指标的覆盖率与亚齐省发育迟缓患病率之间的相关性。一项横断面设计分析了来自印度尼西亚营养状况调查的二手数据以及亚齐省13个县/市的项目覆盖数据。因变量是发育迟缓的患病率。同时,自变量涵盖20个敏感和特定干预项目指标。我们应用STATA 16来分析敏感和特定覆盖率与发育迟缓患病率之间的相关性。孕妇慢性能量缺乏(CED)接受补充喂养、腹泻幼儿接受锌补充、父母参加育儿课程以及参与健康保险项目的指标覆盖率与亚齐省发育迟缓患病率存在显著相关性(分别为=-0.57;=-0.50;=-0.65;=-0.60)。亚齐省预防儿童发育迟缓的干预措施应包括加强针对母亲和幼儿的补充喂养项目、预防幼儿腹泻的补充措施以及为父母提供育儿和健康保险方面的咨询。

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