Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia
Open Access
- 30 November 2020
- journal article
- Published by Universitas Airlangga in Amerta Nutrition
- Vol. 4 (4), 326-334
- https://doi.org/10.20473/amnt.v4i4.2020.326-334
Abstract
Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously. Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM. There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.Keywords
This publication has 15 references indexed in Scilit:
- Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health SurveyNutrients, 2019
- The Protective Effect of Exclusive Breastfeeding on Overweight/Obesity in Children with High Birth WeightJournal of Korean Medical Science, 2019
- Relationship Between Exclusive Breastfeeding and Lower Risk of Childhood Obesity: A Narrative Review of Published EvidenceClinical Medicine Insights: Pediatrics, 2017
- 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 reductionBMC Public Health, 2016
- Impact of Universal Health Coverage on Child Growth and Nutrition in ArgentinaAmerican Journal of Public Health, 2016
- Pengaruh Akses ke Fasilitas Kesehatan terhadap Kelengkapan Imunisasi Baduta (Analisis Riskesdas 2013)Media Penelitian dan Pengembangan Kesehatan, 2016
- Adequacy of prenatal care and its association with pregnancy outcomes: A comparison of indices in Tabriz, IranJournal of Analytical Research in Clinical Medicine, 2015
- The association between breastfeeding and childhood obesity: a meta-analysisBMC Public Health, 2014
- The Double Burden of MalnutritionPublished by World Bank ,2012
- Poverty, Obesity, and Malnutrition: An International Perspective Recognizing the ParadoxJournal of the American Dietetic Association, 2007