Dynamic Self-Determination of Self-Care and Positive Deviance Model for Stunting Prevention in Indonesia
Keywords:Sanitation, Parenting, Hygiene, Growth Disorders, Feeding Behavior
Objective: To describe the dynamic self-determination of self-care (DSDoSC) and positive deviance (PD) models in changing stunting prevention behavior. Material and Methods: This research is a quasi-experimental study with a sample of 90 mothers taken by purposive sampling. Thirty mothers were given the DSDoSC intervention, 30 were given the PD intervention, and another 30 were in the control group. This research was conducted in July – October 2019. The variables studied were feeding behavior, nurturing behavior, personal hygiene behavior, environmental cleanliness and air sanitation, and behavior seeking health services. To analyze the difference in mother behaviour before and after test, we used Paired t-test. Analysis of Variance (MANOVA) was used to analyze the difference of mother behaviour among groups. The level of significance was p<0.05. Results: The PWD group showed that eating behavior, parenting behavior, personal hygiene behavior, environmental hygiene and water sanitation, and behavior seeking health services had significant numbers. In the DSDoSC group, eating behavior, parenting behavior, environmental hygiene, water sanitation and health service-seeking behavior were significantly (p<0.05). The results of the Manova test showed that there was an effect of PD and DSDoSC on stunting prevention behavior. Conclusion: Self-dynamic for self-care model and the positive deviance model both can change a mother's behavior for the better in feeding, parenting, environmental hygiene, and water sanitation, seeking health services, but not changing behavior about personal hygiene behavior.
Houck K, Sorensen MV, Lu F, Alban D, Alvarez K, Hidobro D, et al. The effects of market integration on childhood growth and nutritional status: the dual burden of under- and over-nutrition in the Northern Ecuadorian Amazon. Am J Hum Biol 2013; 25(4):524-33. https://doi.org/10.1002/ajhb.22404
Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team, Humphrey JH, Jones AD, Manges A, Mangwadu G, Maluccio JA, et al. The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial: Rationale, Design, and Methods. Clin Infect Dis 2015; 61 Suppl 7(Suppl 7):S685-702. https://doi.org/10.1093/cid/civ844
Roberton T, Carter ED, Chou VB, Stegmuller AR, Jackson BD, Tam Y, et al. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. Lancet Glob Health 2020; 8(7):e901-e908. https://doi.org/10.1016/S2214-109X(20)30229-1
Konstan MW, Pasta DJ, Wagener JS, VanDevanter DR, Morgan WJ. BMI fails to identify poor nutritional status in stunted children with CF. J Cyst Fibros 2017; 16(1):158-60. https://doi.org/10.1016/j.jcf.2016.11.005
Fink G, Günther I, Hill K. The effect of water and sanitation on child health: evidence from the demographic and health surveys 1986-2007. Int J Epidemiol 2011; 40(5):1196-204. https://doi.org/10.1093/ije/dyr102
Efevbera Y, Bhabha J, Farmer PE, Fink G. Girl child marriage as a risk factor for early childhood development and stunting. Soc Sci Med 2017; 185:91-101. https://doi.org/10.1016/j.socscimed.2017.05.027
Cameron L, Shah M, Olivia S. Impact Evaluation of a Large-Scale Rural Sanitation Project in Indonesia. The World Bank Sustainable Development Network Water and Sanitation Program. Policy Research Working Paper; No. 6360. World Bank: Washington, DC; 2013.
Cameron L, Chase C, Haque S, Joseph G, Pinto R, Wang Q. Childhood stunting and cognitive effects of water and sanitation in Indonesia. Econ Hum Biol 2021; 40:100944. https://doi.org/10.1016/j.ehb.2020.100944
Monasta L, Andersson N, Ledogar RJ, Cockcroft A. Minority health and small numbers epidemiology: a case study of living conditions and the health of children in 5 foreign Romá camps in Italy. Am J Public Health 2008; 98(11):2035-41. https://doi.org/10.2105/AJPH.2007.129734
Schwartz DA, Graham AL. Potential maternal and infant outcomes from (Wuhan) Coronavirus 2019-nCoV infecting pregnant women: lessons from SARS, MERS, and other human Coronavirus infections. Viruses 2020; 12(2):19. https://doi.org/10.3390/v12020194
Paknawin-Mock J, Jarvis L, Jahari AB, Husaini MA, Pollitt E. Community-level determinants of child growth in an Indonesian tea plantation. Eur J Clin Nutr 2000; 54(Suppl 2):S28-42. https://doi.org/10.1038/sj.ejcn.1601003
Aditya RS, Yusuf A, Razeeni DMA, Al-Sayaghi KM, Solikhah FK. "We are at the forefront of rural areas" emergency nurse's experience during pandemic: a qualitative study. Health Equity 2021; 5(1):818-25. https://doi.org/10.1089/heq.2021.0080
Lloyd S, Bangalore M, Chalabi Z, Kovats RS, Hallegatte S, Ronberg J, et al. Potential impacts of climate change on child stunting via income and food price in 2030: a global-level model. Lancet Planet Heal 2019; 3(S1). https://doi.org/10.1016/s2542-5196(19)30144-5
Spears D. How Much International Variation in Child Height Can Sanitation Explain? Policy Research Working Paper; No. 6351. World Bank: Washington, DC; 2013.
Zaidi S, Das JK, Khan GN, Najmi R, Shah MM, Soofi SB. Food supplements to reduce stunting in Pakistan: a process evaluation of community dynamics shaping uptake. BMC Public Health 2020; 20(1):1046. https://doi.org/10.1186/s12889-020-09103-8
Aditya RS, Ningrum LR, Fahrany F, Kodriyah K, Mayasari E. Pengantar Antropologi Kesehatan. Malang: Literasi Nusantara; 2020. [In Indonesian].
Deriba BS, Jemal K. Determinants of low birth weight among women who gave birth at public health facilities in North Shewa zone: unmatched case-control study. Inquiry 2021; 58:469580211047199. https://doi.org/10.1177/00469580211047199
Ramli, Agho KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. BMC Pediatr 2009; 9:64. https://doi.org/10.1186/1471-2431-9-64
Torlesse H, Cronin AA, Sebayang SK, Nandy R. Determinants of stunting in Indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health 2016; 16:669. https://doi.org/10.1186/s12889-016-3339-8
Humphrey JH, Mbuya MNN, Ntozini R, Moulton LH, Stoltzfus RJ, Tavengwa NV, et al. Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: a cluster-randomised trial. Lancet Glob Health 2019; 7(1):e132-e147 https://doi.org/10.1016/S2214-109X(18)30374-7
Akseer N, Vaivada T, Rothschild O, Ho K, Bhutta ZA. Understanding multifactorial drivers of child stunting reduction in exemplar countries: a mixed-methods approach. Am J Clin Nutr 2020; 112(Suppl 2):792S-805S. https://doi.org/10.1093/ajcn/nqaa152
Marsh AD, Muzigaba M, Diaz T, Requejo J, Jackson D, Chou D, et al. Effective coverage measurement in maternal, newborn, child, and adolescent health and nutrition: progress, future prospects, and implications for quality health systems. Lancet Glob Health 2020; 8(5):e730-e736. https://doi.org/10.1016/S2214-109X(20)30104-2
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