Andriani Helen, Arsyi Miftahul, Sutrisno Alphyyanto E, Waits Alexander, Rahmawati Nurul D
Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Master Program in Public Health, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Narra J. 2025 Apr;5(1):e1462. doi: 10.52225/narra.v5i1.1462. Epub 2025 Jan 10.
Stunting remains a critical public health issue in East Nusa Tenggara (ENT), Indonesia, with prevalence rates among the highest in the country despite national efforts to reduce its occurrence. The aim of this study was to project the impact of the 2018-2024 National Strategy to Accelerate Stunting Prevention on children under five years old in ENT, using the Lives Saved Tool. A cross-sectional approach was employed, integrating data from various sources, including the 2020 Census of Indonesia, the Global Data Lab-Area Database, the Central Bureau of Statistics Republic Indonesia, the National Socioeconomic Survey, the 2017 Indonesia Demographic and Health Survey, the 2018 Basic Health Research, and the 2021 Indonesia Nutrition Status Survey. The analysis considered three scenarios: (1) a baseline scenario reflecting ENT's 2017 coverage, maintained through 2028; (2) a scenario assuming Indonesia achieves the Health Plan Action Stunting targets; and (3) a projection of stunting rates based on ENT-specific coverage. Under scenarios 1 and 2, the prevalence of stunting was projected to decrease from 40.04% in 2018 to 39.82% and 39.78%, respectively, by 2028, with scenario 3 reflecting a similar trend. The findings revealed a sharp increase in the number of stunting cases averted among children under five years old between 2017 and 2021, followed by a more gradual decline, culminating in the 2028 projections: 2,249 children (scenario 2), 2,130 children (scenario 3), and 1,966 children (scenario 1). Breastfeeding promotion emerged as the most impactful intervention, accounting for over half of the total stunting cases averted under both Indonesia-wide and ENT-specific coverage scenarios. This was followed by interventions such as multiple micronutrient supplementation and vitamin A supplementation. The study highlights that reducing the prevalence of stunting among children requires a comprehensive prioritization of intervention strategies. The implementation of breastfeeding promotion, combined with appropriate complementary feeding practices, is expected to contribute significantly to achieving the sustainable development goal targets.
发育迟缓仍是印度尼西亚东努沙登加拉省（ENT）一个严峻的公共卫生问题，尽管国家已努力减少其发生率，但该省的发育迟缓患病率仍位居全国前列。本研究旨在使用“挽救生命工具”预测《2018 - 2024年加速预防发育迟缓国家战略》对ENT省五岁以下儿童的影响。采用了横断面研究方法，整合了来自多个来源的数据，包括2020年印度尼西亚人口普查、全球数据实验室 - 区域数据库、印度尼西亚共和国中央统计局、全国社会经济调查、2017年印度尼西亚人口与健康调查、2018年基本卫生研究以及2021年印度尼西亚营养状况调查。分析考虑了三种情景：（1）反映ENT省2017年覆盖率并持续到2028年的基线情景；（2）假设印度尼西亚实现《健康计划行动发育迟缓》目标的情景；（3）基于ENT省特定覆盖率的发育迟缓率预测。在情景1和情景2下，预计到2028年，发育迟缓患病率将分别从2018年的40.04%降至39.82%和39.78%，情景3呈现出类似趋势。研究结果显示，2017年至2021年间，五岁以下儿童中避免发育迟缓的病例数急剧增加，随后逐渐下降，最终得出2028年的预测数据：情景2为2249名儿童，情景3为2130名儿童，情景1为1966名儿童。促进母乳喂养是最具影响力的干预措施，在印度尼西亚全国范围和ENT省特定覆盖率情景下，避免的发育迟缓病例总数中占比超过一半。其次是多种微量营养素补充和维生素A补充等干预措施。该研究强调，降低儿童发育迟缓患病率需要对干预策略进行全面优先排序。促进母乳喂养并结合适当的辅食喂养做法，有望为实现可持续发展目标做出重大贡献。
