HOUSEHOLD FOOD SECURITY AND NUTRITIONAL STATUS AMONG CHILDREN UNDER TWO YEARS OLD IN EAST KOLAKA DISTRICT, SOUTH EAST SULAWESI PROVINCE, INDONESIA
Keywords:
Anemia, children nutritional, food security, hemoglobinAbstract
Context: Household food security and Nutritional Status. Aims: to explore the association of household food security and nutrition status among children under 2 years old in East Kolaka District, South East Sulawesi Province, Indonesia.
Methods and Material: Household food security was measured using a short version of United States Security Survey Module (US–HFSSM) questionnaire. Nutritional status of children under five measured by anthropometric measurement with indicator z–score of WHZ, WAZ, and HAZ. Hemoglobin measurement was done using portable hemoglobin photometer with cyanmethemoglobin method. Settings and Design: cross sectional. Statistical analysis used: Chi Square.
Results: More than half of the households (53.80 %) were categorized as high or marginal food secure, 34 % food insecure without hunger and 11.4 % food insecurity with hunger. Prevalence of underweight, stunted, wasted, and anemia of under 2 years old children in this area were 15.9 %, 20.5 %, 8.4 % and 63.6%. There was no significant association between household food security status with underweight, stunting, and wasting (p= 0.714, p= 0.94, p=0.25). Anemia in children who suffer food insecure household with hunger was significantly higher than those in children from food secure households (p= 0.037).
Conclusions: There was no significant association between household food security status and under 2 years old children nutritional status. However anemia in children from food insecure household with hunger was significantly higher than those in children from food secure households.
References
2. FAO, IFAD, WFP. The state of food insecurity in the world 2013, The multiple dimensions of food security. Rome: FAO. 2013. http://www.fao.org/3/a-i3434e.pdf
3. Berita resmi statistik : Profil kemiskinan di Indonesia September 2013 [Official statistical news: Profile of poverty in Indonesia September 2013]. Badan Pusat Statistik [Central Bureau of Statistics]. 2014. [In Bahasa Indonesia]. https://www.bps.go.id/pressrelease/download.html?nrbvfeve=MjU1&sdfs=ldjfdifsdjkfahi&twoadfnoarfeauf=MjAyMC0wMy0xOSAwOTozNzozNA%3D%3D
4. Penyajian pokok-pokok hasil riset kesehatan dasar 2013 [Presentation of Principles of Basic Health Research Results 2013]. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Indonesia [Health Research and Development Agency of the Indonesian Ministry of Health]. 2013. [In Bahasa Indonesia]. http://kesga.kemkes.go.id/images/pedoman/Data%20Riskesdas%202013.pdf
5. Oh S, Hong MJ. Food insecurity is associated with dietary intake and body size of Korean children from low–income families in urban areas. Europe Journal of Clinical Nutrition. 2003;57:1598–1604. https://doi.org/10.1038/sj.ejcn.1601877
6. Holben D. Position of the american dietetic association: Food insecurity in the United States. Journal American Dietetic Association . 2010;110(9):1368–77. https://doi.org/10.1016/j.jada.2010.07.015
7. Ali D, Saha KK, Nguyen PH, Diressie MT, Ruel MT, Menon P, et al. Household food insecurity is associated with higher child under nutrition in Bangladesh, Ethiopia, and Vietnam, but the effect is not mediated by child dietary diversity. Journal of Nutrition. 2013;143(12):2015–2021. https://doi.org/10.3945/jn.113.175182
8. Phengxay M, Ali M, Yagyu F, Soulivanh P, Kuroiwa C, Ushijiwa H. Risk factors for protein–energy malnutrition in children under 5 years: Study from Luangprabang Province, Laos. Pediatrics International. 2007;49:260–265. https://doi.org/10.1111/j.1442-200X.2007.02354.x
9. Hackett M, Quinonez HM, Alvarez MC. Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica . 2009;25(6):506-10. https://www.scielosp.org/pdf/rpsp/2009.v25n6/506-510/en
10. Usfar, Avita A., Umi Fahmida, Judhiastuty F. Household food security status measured by the US–Household Food Security/Hunger Survey Module (US–FSSM) is in line with coping strategy indicators found in urban and rural Indonesia. Asia Pacific Jurnal of Clinical Nutrition. 2007;16(2):368–74. http://apjcn.nhri.org.tw/server/APJCN/16/2/368.pdf
11. Nielsen. SES (Socio-Economic Status) Indonesia. 2010. https://vidinur.net/2010/11/04/ses-socio-economic-status-ndonesia/
12. Gibson, RS. Principles of nutritional assessment (2nd ed.). New York: Oxford University Press. 2005. https://books.google.co.id/books?hl=id&lr=&id=lBlu7UKI3aQC&oi=fnd&pg=PR11&dq=Principles+of+Nutritional+Assessment+Second+Edition&ots=RWTxWVarsB&sig=02XnAJJxXzLzt_6Zp_J8D9zh4js&redir_esc=y#v=onepage&q=Principles%20of%20Nutritional%20Assessment%20Second%20Edition&f=false
13. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security, Revised 2000. U.S. Department of Agriculture, Food and Nutrition Service, Alexandria VA. 2000. https://alliancetoendhunger.org/wp-content/uploads/2018/03/USDA-guide-to-measuring-food-security.pdf
14. Shariff ZM, Khor GL. Household food insecurity and coping strategies in a poor rural community in Malaysia. Nutrition Research and Practice. 2008;2(1):26–34. https://doi.org/10.4162/nrp.2008.2.1.26
15. Studdert LJ, Frongillo EA, Valois P. Household food insecurity was prevalent in Java during Indonesia’s economic crisis. The Journal of Nutrition. 2001;131(10):2685–91. https://doi.org/10.1093/jn/131.10.2685
16. Matheson DM, Varady J, Varady A, Killen JD. Household food security and nutritional status of hispanic children in the fifth grade. American Journal of Clinical Nutrition. 2002;76(1):210–217. https://doi.org/10.1093/ajcn/76.1.210
17. Black RE, Allen LH, Bhutta ZA, Caulfield LE, Rivera J. Maternal and child undernutrition: Global and regional exposures and health consequences. The Lancet. 2008;371(9608):243–260. https://doi.org/10.1016/S0140-6736(07)61690-0
18. Peiris TDR, Wijesinghe DGNG. Nutritional status of under 5 y.o children and its relationship with maternal nutrition knowledge in Weeraketiya DS division of Sri Lanka. Tropical Agricultural Research. 2010;21(4):330–339. http://192.248.43.136/bitstream/1/2137/2/PGIATAR-21%284%29-330.pdf
19. World Health Organisation. Nutrition landscape information system (NLIS) country profile indicators: Interpretation guide. WHO Document Production Services, Geneva, Switzerland. 2010. https://apps.who.int/iris/bitstream/handle/10665/44397/9789241599955_eng.pdf
20. Osei A, Pandey P, Spiro D, Nielson J, Shresta R, Talukder Z, et al. Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali District of Nepal. Food and Nutrition Bulletin. 2010;31(4):483–494. https://doi.org/10.1177%2F156482651003100402
21. Saha K, Frongillo E, Alam D, Arifeen S, Persson L, Rasmussen K. Household food security is associated with growth of infants and young children in rural Bangladesh. Public Health Nutrition. 2009;12(9):1556–62. https://doi.org/10.1017/S1368980009004765