The Stunting Scorecard for Early Prevention: Development and External Validation of a Novel Tool for Predicting Stunting Risk in Children Under 5 Years of Age

Authors

  • Enung Mardiyana Poltekkes Kemenkes Surabaya
  • Rini Ambarwati Department of Nursing, Poltekkes Kemenkes Surabaya, Indonesia
  • Fathimath Shifaza Nursing at the College of Nursing and Health Sciences, Flinders University, Adelaide, Australia

DOI:

https://doi.org/10.35882/ijahst.v2i3.2

Keywords:

Scorecard, Early Detection, Risk Factors, Stunting Events

Abstract

Children under five years of age are very sensitive to environmental influences such as inadequate nutrition, lack of stimulation, and other factors. Several types of health problems can hinder the growth process of children under five, one of which is stunting. This study aims to develop a scorecard model for early detection of stunting risk based on stunting factor analysis in the Surabaya City Health Centre work area. The design of this study is conducted in several phases, including the first phase of analyzing risk factors using a case-control design, and the second phase of compiling a scorecard for early detection of stunting risk with a panel of experts. The sample in this study consisted of several mothers and infants, both with and without stunting risk. The sample size is 175 mothers and children under five years of age. The sampling method used was systematic random sampling. The risk factor data were analyzed using the multinomial logistic regression test, and the scorecard was created based on the OR value. The result of this study is the scorecard able to make early detection of stunting risk with a cut-off value is 3.50. It is mean that using the scorecard has a sensitivity of 80% and specificity of 75% to detect the stunting risk of children. The scorecard can be used to determine whether a child is at low or high risk for stunting. This study implies that the scorecard can be used for early detection of stunting risk by mothers, health cadres, and health workers. It is hoped that by using the scorecard, early identification of the risk of stunting can be addressed immediately and interventions can be implemented according to the recommendations and problems that children are experiencing.

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References

A. J. Prendergast and J. H. Humphrey, “The stunting syndrome in developing countries,” Paediatr. Int. Child Health, vol. 34, no. 4, pp. 250–265, 2014, doi: 10.1179/2046905514Y.0000000158.

W. Bank, “Aiming High. Indonesia’s Ambition to Reduce Stunting,” Angew. Chemie Int. Ed. 6(11), 951–952., pp. 5–24, 2018.

RKPD, “Rkpd_P_Jatim_2020.Pdf.” 2020.

D. Indriani and Y. Retno, “Prenatal Factors Associated with the Risk of Stunting,” vol. 4, pp. 294–300, 2018.

S. Hanieh et al., “The Stunting Tool for Early Prevention: Development and external validation of a novel tool to predict risk of stunting in children at 3 years of age,” BMJ Glob. Heal., vol. 4, no. 6, pp. 1–12, 2019, doi: 10.1136/bmjgh-2019-001801.

Y. Rana et al., “Developing effective data visualization tools for nutrition: Reflections on the design of a Nutrition Scorecard in Nigeria,” Gates Open Res., vol. 5, pp. 1–13, 2021, doi: 10.12688/gatesopenres.13319.1.

S. Kodish, N. Aburto, M. N. Hambayi, C. Kennedy, and J. Gittelsohn, “Identifying the sociocultural barriers and facilitating factors to nutrition-related behavior change: Formative research for a stunting prevention program in Ntchisi, Malawi,” Food Nutr. Bull., vol. 36, no. 2, pp. 138–153, 2015, doi: 10.1177/0379572115586784.

J. Hoddinott, H. Alderman, J. R. Behrman, L. Haddad, and S. Horton, “The economic rationale for investing in stunting reduction,” Matern. Child Nutr., vol. 9, no. S2, pp. 69–82, 2013, doi: 10.1111/mcn.12080.

C. P. Stewart, L. Iannotti, K. G. Dewey, K. F. Michaelsen, and A. W. Onyango, “Contextualising complementary feeding in a broader framework for stunting prevention,” Matern. Child Nutr., vol. 9, no. S2, pp. 27–45, 2013, doi: 10.1111/mcn.12088.

S. K. Mistry, M. B. Hossain, and A. Arora, “Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: A post-program comparison study,” Nutr. J., vol. 18, no. 1, pp. 1–9, 2019, doi: 10.1186/s12937-019-0473-z.

F. Halim, Ermiati, and E. A. Sari, “Factors of stunting in toddlers: A literature review,” J. Nurs. Care, vol. 4, no. 1, pp. 285–294, 2021.

Sirajuddin, R. Asbar, Nursalim, and A. Tamrin, “Breastfeeding practices can potential to prevent stunting for poor family,” Enfermería Clínica, vol. 30, pp. 13–17, 2020, doi: https://doi.org/10.1016/j.enfcli.2020.02.007.

F. S. Hati and A. M. Pratiwi, “The Effect of Education Giving on The Parent’s Behavior About Growth Stimulation in Children with Stunting,” NurseLine J., vol. 4, no. 1, p. 12, 2019, doi: 10.19184/nlj.v4i1.8628.

C. M. Webb et al., “Stunting in pre-school and school-age children in the peruvian highlands and its association with fasciola infection and demographic factors,” PLoS Negl. Trop. Dis., vol. 15, no. 6, pp. 1–12, 2021, doi: 10.1371/journal.pntd.0009519.

R. A. Utami, A. Setiawan, and P. Fitriyani, “Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia,” Enferm. Clin., vol. 29, no. xx, pp. 606–611, 2019, doi: 10.1016/j.enfcli.2019.04.093.

D. Arini, N. Nursalam, M. Mahmudah, and I. Faradilah, “The incidence of stunting , the frequency / duration of diarrhea and Acute m er ci us e on m er ci al us e on,” J. Public health Res., vol. 9, no. 1816, pp. 117–120, 2020.

F. Ahmadi and A. Triwinarto, “Analysis descriptive stunting in Indonesia Health Research Basic,” Ann. Trop. Med. Public Heal., vol. 22, no. 11, 2019, doi: 10.36295/ASRO.2019.221159.

N. K. Aryastami, A. Shankar, N. Kusumawardani, B. Besral, A. B. Jahari, and E. Achadi, “Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia,” BMC Nutr., vol. 3, no. 1, pp. 1–6, 2017, doi: 10.1186/s40795-017-0130-x.

D. F. Permatasari and S. Sumarmi, “Differences of Born Body Length, History of Infectious Diseases, and Development between Stunting and Non-Stunting Toddlers,” J. Berk. Epidemiol., vol. 6, no. 2, p. 182, 2018, doi: 10.20473/jbe.v6i22018.182-191.

M. Rahayu Diah Kusumawati, R. Marina, and C. Endah Wuryaningsih, “Low Birth Weight As the Predictors of Stunting in Children under Five Years in Teluknaga Sub District Province of Banten 2015,” KnE Life Sci., vol. 4, no. 10, p. 284, 2019, doi: 10.18502/kls.v4i10.3731.

M. Tessema, T. Belachew, and G. Ersino, “Feeding patterns and stunting during early childhood in rural communities of Sidama South Ethiopia,” Pan Afr. Med. J., vol. 14, pp. 1–12, 2013, doi: 10.11604/pamj.2013.14.75.1630.

D. J. Millward, “Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children,” Nutr. Res. Rev., vol. 30, no. 1, pp. 50–72, 2017, doi: 10.1017/S0954422416000238.

V. M. Aguayo and P. Menon, “Stop stunting: Improving child feeding, women’s nutrition and household sanitation in South Asia,” Matern. Child Nutr., vol. 12, pp. 3–11, 2016, doi: 10.1111/mcn.12283.

J. H. Humphrey 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. Heal., vol. 7, no. 1, pp. e132–e147, 2019, doi: 10.1016/S2214-109X(18)30374-7.

F. Esfarjani, R. Roustaee, F. Mohammadi-Nasrabadi, and A. Esmaillzadeh, “Major dietary patterns in relation to stunting among children in Tehran, Iran,” J. Heal. Popul. Nutr., vol. 31, no. 2, pp. 202–210, 2013, doi: 10.3329/jhpn.v31i2.16384.

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Published

2022-06-15

How to Cite

[1]
E. Mardiyana, R. . Ambarwati, and F. . Shifaza, “The Stunting Scorecard for Early Prevention: Development and External Validation of a Novel Tool for Predicting Stunting Risk in Children Under 5 Years of Age”, International Journal of Advanced Health Science and Technology, vol. 2, no. 3, pp. 137–144, Jun. 2022.

Issue

Section

Health Science