Determinants of Child Malnutrition during the 1999 Economic Crisis in Selected Poor Areas of Indonesia

• Published in: Asia Pacific Journal of Clinical Nutrition Vol. 16; no. 3; pp. 512 - 526
• Main Authors: Bardosono, Saptawati, Sastroamidjojo, Soemilah, Lukito, Widjaja
• Format: Journal Article
• Language: English
• Published: Australia HEC Press 01.09.2007
• Subjects: Anemia; Anemia - epidemiology; Anemia - mortality; Child Nutrition Disorders - epidemiology; Child Nutrition Disorders - mortality; Child, Preschool; Children & youth; Cluster Analysis; Communicable Diseases - epidemiology; Communicable Diseases - mortality; Comorbidity; Consumption; Cross-Sectional Studies; Economic crisis; Education; Expenditures; Female; Food; Health Services Accessibility; Health Surveys; Households; Humans; Indonesia - epidemiology; Infant; Infectious diseases; Male; Malnutrition; Nutrition; Nutritional Status; Poverty; Prevalence; Rural areas; Rural Health; Rural Population - statistics & numerical data; Social impact; Urban Health; Urban Population - statistics & numerical data; Indonesia; Jakarta Indonesia; determinants; 經濟; 危機; crisis; 新開始的營養不良（耗損）; Banggai; 慢性營養不良（發育遲緩及貧血）; economy; under-five children; Alor-Rote; 決定因素; 五歲以下孩童; recent-onset malnutrition (wasting); 貧窮; Jakarta; 雅加達; poverty; chronic malnutrition (stunting and anaemia)
• ISSN: 0964-7058; 1440-6047
• DOI: 10.6133/apjcn.2007.16.3.17

國家層級的實徵證據指出，1999年印尼經濟危機對城鄉地區及橫跨的區域的衝擊迥異。一個橫斷性營養狀況研究在雅加達貧窮的城市地區，及蘇拉維西中部的Banggai和East Nusa Tenggara的鄉村地區進行。以兩階段集束抽樣，分別抽出雅加達貧窮地區1078個，Banggai 262個及Alor-Rote 631個有五歲以下孩童的家戶。數據收集從1999年1月起到2001年6月止。此研究顯示在雅加達貧窮的地區，耗損的影響的兒童較其他地區多。另一方面，在Alor-Rote的鄉村地區6－59個月大孩童發育遲緩及貧血的情形較其他地區嚴重。傳染性疾病的高盛行率與雅加達及Banggai研究地區較高的耗損盛行率具有顯著的相關，也與Alor-Rote研究地區較高的發育遲緩及貧血盛行率具有顯著相關。為避免此種因經濟下滑而健康受到衝擊，需要透過既存之健康照護系統，以改善五歲以下孩童及其母親的營養及健康狀況。不論地區，提供基本的健康服務及增進衛生人員的能力，是地方分權過程的一部份。