Potential Association of Sanitation Factors on Stunting Incidences Among Children Under Age 5 in Bali Province, Indonesia

摘要

Some sub-districts in Bali province have stunting prevalence more that national average which might be associated with the environmental health condition in those areas. This study aimed to examine the association between environmental health factors with stunting prevalence among children age 2 - 5 years. Case-control study was conducted at Karangasem district with 101 case and 101 control. Cases were obtained from the list of stunted children from the result of PSG 2017 in 4 sub-districts. The controls were children at the same age and sex which were randomly selected from the available list of children in the health center. Bivariate and multivariate (logistic regression) were used for analysis. The study shows that cases and controls were comparable for age, sex, health access, nutrition sensitive intervention, infection history, water access, solid waste management. Cases and controls differed for variables: education level of parents, toilet access and ownerships, disposal of child's feces, hand washing practice dan facilities, and distance to livestock shelter. Logistic regression showed that only father's education (AOR=2.429; 95%CI: 1.304-4.525) associated with stunting among children age 2-5 years. The optimum prediction model was obtained with variables of father's education, disposal of child's feces and distance to animal shelter. In conclusion, only father's education was found associated with stunting and only weak associations were found between environmental health factors and stunting.