Linkages of Mother’s Status and Autonomy in the Household With Childhood Stunting in Indonesia
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Abstract
Maternal status and autonomy play a crucial role in achieving gender equality, which in turn has the potential to decrease the incidence of stunting, a persisting challenge in Indonesia. This study explores the correlation between stunting and factors such as maternal status and autonomy at the provincial level across Indonesia. It employs methodologies like cross-tabulation and odds ratio, complemented by the Mantel-Haenszel test for analytical purposes. The research utilizes data from the 2017 Indonesia Demographic and Health Survey (IDHS), the Indonesian Nutrition Status Survey (SSGI) of 2022, and publications by the Central Statistics Agency from 2021 and 2022. Findings indicate a notable correlation between the prevalence of stunting and women’s participation in decision-making, particularly regarding physical mobility and the Net Enrollment Rate (NER) for junior high school females. To address this discovery, there is a pressing need for governmental and other relevant entities to focus on enhancing educational attainment and ensuring that all initiatives are grounded in principles of gender equality.
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References
• Abdulahi, A., Shab-Bidar, S., Rezaei, S., & Djafarian, K. (2017). Nutritional status of under five children in Ethiopia: A systematic review and meta-analysis. Ethiopian Journal of Health Sciences, 27(2), 175–188. https://doi.org/10.4314/ejhs.v27i2.10
• Abreha, S. K., Walelign, S. Z., & Zereyesus, Y. A. (2020). Associations between women’s empowerment and children’s health status in Ethiopia. PLOS ONE, 15(7), Article e0235825. https://doi.org/10.1371/journal.pone.0235825
• Acharya, D. R., Bell, J. S., Simkhada, P., van Teijlingen, E. R., & Regmi, P. R. (2010). Women’s autonomy in household decision-making: A demographic study in Nepal. Reproductive Health, 7(1), Article 15. https://doi.org/10.1186/1742-4755-7-15
• Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. N. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17(1), Article 15. https://doi.org/10.1186/s12887-016-0770-z
• Amraeni, Y., Kamso, S., Prasetyo, S. B., & Nirwan, M. (2021). A matriarchal and patriarchal perception on women’s autonomy in decision making on contraception: Qualitative analysis in Indonesia. Malaysian Journal of Medicine and Health Sciences, 17(Supp. 12), 17–21. https://medic.upm.edu.my/upload/dokumen/2021122908090804_MJMHS_0776.pdf
• Anderson, D. R., Sweeney, D. J., Williams, T. A., Camm, J. D., & Cochran, J. J. (2014). Statistics for business & economics (12th ed.). Cengage Learning.
• Azen, R., & Walker, C. M. (2011). Categorical data analysis for the behavioral and social sciences. Routledge.
• Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), Article e12617. https://doi.org/10.1111/mcn.12617
• Berkefeld, D. (2019). A systematic literature review to define the social determinants of stunting among children aged 0-59 months. Evidence from the last 15 years [Masters final project, University of Barcelona]. ISGlobal. https://www.isglobal.org/documents/10179/8136729/Darla/3a625683-60c3-4074-bff2-84616a470212
• Bliznashka, L., Udo, I. E., Sudfeld, C. R., Fawzi, W. W., & Yousafzai, A. K. (2021). Associations between women’s empowerment and child development, growth, and nurturing care practices in sub-Saharan Africa: A cross-sectional analysis of demographic and health survey data. PLOS Medicine, 18(9), Article e1003781. https://doi.org/10.1371/journal.pmed.1003781
• BPS-Statistics Indonesia. (2021, June 8). Keadaan Angkatan Kerja di Indonesia Februari 2021 [Labor Force Situation in Indonesia February 2021]. https://www.bps.go.id/en/publication/2021/06/08/b547a5642aeb04d071cb83d4/keadaan-angkatan-kerja-di-indonesia-februari-2021.html
• BPS-Statistics Indonesia. (2022a). Indeks Pembangunan Gender 2020-2022 [Gender Development Index 2020-2022] [Dataset]. https://tanjabtimkab.bps.go.id/indicator/26/89/1/indeks-pembangunan-gender.html
• BPS-Statistics Indonesia. (2022b, December 7). Keadaan Angkatan Kerja Di Indonesia Agustus 2022 [State of the Labor Force in Indonesia August 2022] [Dataset]. https://www.bps.go.id/id/publication/2022/12/07/a64afccf38fbf6deb81a5dc0/keadaan-angkatan-kerja-di-indonesia-agustus-2022.html
• BPS-Statistics Indonesia. (2022c, November 25). Statistik Pendidikan 2022 [Education Statistics 2022]. https://www.bps.go.id/id/publication/2022/11/25/a80bdf8c85bc28a4e6566661/statistik-pendidikan-2022.html
• Chilinda, Z. B., Wahlqvist, M. L., Lee, M.-S., & Huang, Y.-C. (2021). Higher maternal autonomy is associated with reduced child stunting in Malawi. Scientific Reports, 11(1), Article 3882. https://doi.org/10.1038/s41598-021-83346-2
• de Groot, R., Palermo, T., Handa, S., Ragno, L. P., & Peterman, A. (2017). Cash transfers and child nutrition: Pathways and impacts. Development Policy Review, 35(5), 621–643. https://doi.org/10.1111/dpr.12255
• Duflo, E. (2012). Women empowerment and economic development. Journal of Economic Literature, 50(4), 1051–1079. https://doi.org/10.1257/jel.50.4.1051
• Edwards, M. (2019). The Barker hypothesis. In V. Preedy & V. Patel (Eds.), Handbook of famine, starvation, and nutrient deprivation (pp. 191–211). Springer, Cham. https://doi.org/10.1007/978-3-319-55387-0_71
• Haselow, N. J., Stormer, A., & Pries, A. (2016). Evidence-based evolution of an integrated nutrition-focused agriculture approach to address the underlying determinants of stunting. Maternal and Child Nutrition, 12, 155–168. https://doi.org/10.1111/mcn.12260
• Kamiya, Y., Nomura, M., Ogino, H., Yoshikawa, K., Siengsounthone, L., & Xangsayarath, P. (2018). Mothers’ autonomy and childhood stunting: Evidence from semi-urban communities in Lao PDR. BMC Women’s Health, 18(1), Article 70. https://doi.org/10.1186/S12905-018-0567-3
• Kumar, R., & Lakhtakia, S. (2020). Women’s empowerment and child stunting in India: An investigation. Journal of Population and Social Studies, 29, 47–66. https://doi.org/10.25133/jpssv292021.004
• Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PLOS ONE, 17(7), Article e0271509. https://doi.org/10.1371/journal.pone.0271509
• Mangimela-Mulundano, A., Black, K. I., & Cheney, K. (2022). A cross-sectional study of women’s autonomy and modern contraception use in Zambia. BMC Women’s Health, 22(1), Article 550. https://doi.org/10.1186/s12905-022-02101-5
• Margatot, D. I., & Huriah, T. (2021). The effectiveness of women empowerment in preventing stunting in children aged 6-59 months. Bali Medical Journal, 10(3), 1230–1234. https://doi.org/10.15562/bmj.v10i3.2852
• Mehra, D., Srivastava, S., Chandra, M., Srivastava, N., Laaksonen, M., Saarinen, H. E., & Mehra, S. (2023). Effect of physical mobility, decision making and economic empowerment on gender-based violence among married youth in India-SAWERA project. BMC Public Health, 23(1), Article 548. https://doi.org/10.1186/s12889-023-15421-4
• Ministry of Health Indonesia. (2021, December 27). Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi dan Kabupaten/Kota Tahun 2021 [Results of Indonesian Nutrition Status Study (SSGI) National, Provincial and Regency/City Level 2021]. https://www.badankebijakan.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
• Ministry of Health Indonesia. (2023, February 3). Hasil Survei Status Gizi Indonesia (SSGI) 2022 [Indonesian Nutrition Status Survey Results (SSGI) 2022]. https://ayosehat.kemkes.go.id/pub/files/files46531._MATERI_KABKPK_SOS_SSGI.pdf
• Ministry of National Development Planning (Bappenas). (2017). Terjemahan Tujuan & Target Global: Tujuan Pembangunan Berkelanjutan (TPB)/ Sustainable Development Goals (SDGs) [Translation of global goals and targets of Sustainable Development (TPB)/ Sustainable Development Goals (SDGS) goals].
• Mosley, W. H., & Chen, L. C. (2003). An analytical framework for the study of child survival in developing countries. 1984. Bulletin of the World Health Organization, 81(2), 140–145. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572391/pdf/12756980.pdf
• National Population and Family Planning Agency (BKKBN), BPS-Statistics Indonesia, Ministry of Health Indonesia, & USAID. (2018, September). Survei Demografi Kesehatan Indonesia 2017: Provinsi DKI Jakarta [Indonesian Health Demographic Survey 2017: DKI Jakarta Province]. https://simakip.uhamka.ac.id/download/?type=pengumuman&id=288
• Pitoyo, A. J., Saputri, A., Agustina, R. E., & Handayani, T. M. (2022). Analysis of determinan of stunting prevalence among stunted toddlers in Indonesia. Populasi, 30(1), 36–49. https://doi.org/10.22146/jp.75796
• Pratley, P. (2016). Associations between quantitative measures of women’s empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world. Social Science and Medicine, 169, 119–131. https://doi.org/10.1016/j.socscimed.2016.08.001
• Presidential Regulation Number 72 of 2021. (2021, August 5). Indonesia, Central Government. https://peraturan.bpk.go.id/Details/174964/perpres-no-72-tahun-2021
• Ranganathan, T., & Mendonca, A. (2020, May). Relative educational status and women’s autonomy: Evidence from India (Working Paper 494). Centre for Development Studies. http://14.139.171.199:8080/xmlui/handle/123456789/507
• Ross-Suits, H. M. (2010). Maternal autonomy as a protective factor in child nutritional outcome in Tanzania [Master’s thesis, Georgia State University]. Scholar Works. https://doi.org/10.57709/1341035
• Saaka, M. (2020). Women's decision-making autonomy and its relationship with child feeding practices and postnatal growth. Journal of Nutritional Science, 9, Article e38. https://doi.org/10.1017/jns.2020.30
• Santoso, M. V., Kerr, R. B., Hoddinott, J., Garigipati, P., Olmos, S., & Young, S. L. (2019). Role of women’s empowerment in child nutrition outcomes: A systematic review. American Society for Nutrition: Advances in Nutrition, 10(6), 1138–1151. https://doi.org/10.1093/advances/nmz056
• Secretariat of Vice President of the Republic of Indonesia. (2019, July). Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting): Periode 2018-2024 [National Strategy for the Acceleration of Prevention of Dwarf Children (Stunting): Period 2018-2024]. https://tnp2k.go.id/filemanager/files/Rakornis%202018/Stranas%20Percepatan%20Pencegahan%20Anak%20Kerdil.pdf
• Shafiq, A., Hussain, A., Asif, M., Hwang, J., Jameel, A., & Kanwel, S. (2019). The effect of “women’s empowerment” on child nutritional status in Pakistan. International Journal of Environmental Research and Public Health, 16(22), Article 4499. https://doi.org/10.3390/ijerph16224499
• Sharma, A. J., & Subramanyam, M. A. (2021). Intersectional role of paternal gender-equitable attitudes and maternal empowerment in child undernutrition: A cross-sectional national study from India. BMJ Open, 11(8), Article e047276. https://doi.org/10.1136/bmjopen-2020-047276
• Shimamoto, K., & Gipson, J. D. (2015). The relationship of women’s status and empowerment with skilled birth attendant use in Senegal and Tanzania. BMC Pregnancy and Childbirth, 15(1), Article 154. https://doi.org/10.1186/s12884-015-0591-3
• Siddhanta, A., & Chattopadhyay, A. (2017). Role of women’s empowerment in determining child stunting in Eastern India and Bangladesh. Social Science Spectrum, 3(1), 38–51. http://www.socialspectrum.in/index.php/sp/article/view/93
• Singh, S. (2010). Women’s autonomy in rural India: Need for culture and context. International Social Work, 53(2), 169–186. https://doi.org/10.1177/0020872809355397
• Tahangnacca, M., Amiruddin, R., Ansariadi, & Syam, A. (2020). Model of stunting determinants: A systematic review. Enfermeria Clinica, 30, 241–245. https://doi.org/10.1016/j.enfcli.2019.10.076
• Tome, J., Mbuya, M. N. N., Makasi, R. R., Ntozini, R., Prendergast, A. J., Dickin, K. L., Pelto, G. H., Constas, M. A., Moulton, L. H., Stoltzfus, R. J., Humphrey, J. H., & Matare, C. R. (2020). Maternal caregiving capabilities are associated with child linear growth in rural Zimbabwe. Maternal and Child Nutrition, 17(2), Article e13122. https://doi.org/10.1111/mcn.13122
• United Nations Children’s Fund (UNICEF). (1990). Strategy for improved nutrition of children and women in developing countries. UNICEF.
• United Nations Children’s Fund (UNICEF), World Health Organization (WHO), & World Bank Group. (2021, May 6). Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: Key findings of the 2021 edition. https://www.who.int/publications/i/item/9789240025257
• United Nations Development Programme (UNDP). (2014, January 1). Human Development Report 2014: Sustaining Human Progress: Reducing Vulnerabilities and Building Resilience. https://hdr.undp.org/content/human-development-report-2014
• United Nations Population Fund (UNPF). (2014). Programme of Action of the International Conference on Population Development (20th Anniversary Edition). https://www.unfpa.org/sites/default/files/pub-pdf/programme_of_action_Web%20ENGLISH.pdf
• Upadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., Huchko, M. J., & Prata, N. (2014). Women’s empowerment and fertility: A review of the literature. Social Science & Medicine, 115, 111–120. https://doi.org/10.1016/j.socscimed.2014.06.014
• World Health Organization (WHO). (2014, December 30). Global Nutrition Targets 2025: Stunting Policy Brief. https://www.who.int/publications/i/item/WHO-NMH-NHD-14.3
• Yani, D. I., Rahayuwati, L., Sari, C. W. M., Komariah, M., & Fauziah, S. R. (2023). Family household characteristics and stunting: An update scoping review. Nutrients, 15(1), Article 233. https://doi.org/10.3390/nu15010233
• Yaya, S., Uthman, O. A., Ekholuenetale, M., & Bishwajit, G. (2018). Women empowerment as an enabling factor of contraceptive use in sub-Saharan Africa: A multilevel analysis of cross-sectional surveys of 32 countries. Reproductive Health, 15(1), Article 214. https://doi.org/10.1186/s12978-018-0658-5