Open AccessThe role of drinking water source, sanitation, and solid waste management in reducing childhood stunting in Indonesia
Author(s) -
Sri Irianti,
Puguh Prasetyoputra,
Ika Dharmayanti,
Khadijah Azhar,
Puti Sari Hidayangsih
Publication year - 2019
Publication title -
iop conference series. earth and environmental science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.179
H-Index - 26
eISSN - 1755-1307
pISSN - 1755-1315
DOI - 10.1088/1755-1315/344/1/012009
Subject(s) - sanitation , environmental health , garbage , odds , logistic regression , odds ratio , rural area , public health , open defecation , population , medicine , geography , waste management , engineering , nursing , pathology
Indonesia still bears a significant public health problem of stunting among under-5 (U-5) children. Environmental factors have been demonstrated to be associated with stunting as indirect causes. However, the extent to which the environmental factors determine the stunting burden in rural Indonesia is stil underexplored. Hence, this study investigates environmental factors that determine stunting among U-5 children in the rural areas of Indonesia. We employed data from the Indonesia Family Life Survey 2014/2015 (IFLS5) and selected a sample size of 2,571 children under five years of age residing in rural areas. We performed a multivariable logistic regression analysis and estimated the “population attributable fraction” (PAF) of drinking water, sanitation, and garbage collection on stunting. The results suggest that unimproved drinking water source and improper garbage collection correspond with higher odds of child stunting. Inadequate sanitation facility, however, was not found to be significantly influencing the odds of stunting. Moreover, household wealth is protective of risk of stunting. Furthermore, the PAF analysis demonstrated that 21.58% of the stunting burden among U-5 children residing in rural areas are preventable by providing access to an improved drinking water source and better household solid waste management to prevent repeated infections.