Systematic Review: The Relationship Between Environmental Sanitation and the Incidence of Stunting
Abstract
Stunting in children under five is a crucial public health issue in developing countries, including Indonesia. Poor environmental sanitation has been identified as a significant factor influencing the incidence of stunting. This study aims to review the latest literature linking environmental sanitation conditions with the prevalence of stunting. The method used in this research is a literature review, utilizing several research articles from the past five years obtained from various scientific journal sources. The type of study is an observational analytic survey with a case-control design. The research was conducted by comparing two groups: cases and controls. Based on the literature review, poor environmental sanitation, particularly access to clean water and adequate sanitation facilities, has a significant relationship with the high prevalence of stunting in children across various countries. Providing clean water, proper sanitation facilities, and hygiene education programs have been proven to reduce stunting rates. Improving access to environmental sanitation and hygiene is a critical step in reducing the prevalence of stunting. Sanitation interventions should be a priority in public health programs in developing countries.
References
Ali, A. (2021). Current status of malnutrition and stunting in Pakistani children: what needs to be done?. Journal of the American College of Nutrition, 40(2), 180-192. https://doi.org/10.1080/07315724.2020.1750504
Alum, E. U., Obeagu, E. I., & Ugwu, O. P. C. (2024). Enhancing quality water, good sanitation, and proper hygiene is the panacea to diarrhea control and the attainment of some related sustainable development goals: A review. Medicine, 103(38), e39578. https://doi.org/10.1097/MD.0000000000039578
Arifin, Z., Fitriani, F., & Suryani, Y. (2021). The impact of access to clean water on stunting among children under five years in Indonesia. Journal of Public Health and Development, 19(1), 45-53. Https://doi.org/10.22375/jphd.v19i1.1234
Bagamian, K. H., Anderson IV, J. D., Blohm, G., & Scheele, S. (2023). Shigella and childhood stunting: Evidence, gaps, and future research directions. PLoS Neglected Tropical Diseases, 17(9), e0011475. https://doi.org/10.1371/journal.pntd.0011475
Brown, J., Cairncross, S., & Ensink, J. H. (2013). Water, sanitation, hygiene and enteric infections in children. Archives of disease in childhood, 98(8), 629-634. https://doi.org/10.1136/archdischild-2011-301528
Dimitrova, A., Gershunov, A., Levy, M. C., & Benmarhnia, T. (2023). Uncovering social and environmental factors that increase the burden of climate-sensitive diarrheal infections on children. Proceedings of the National Academy of Sciences, 120(3), e2119409120. https://doi.org/10.1073/pnas.2119409120
Echazú, A., Bonanno, D., Juarez, M., Cajal, S. P., Heredia, V., Caropresi, S., ... & Krolewiecki, A. J. (2015). Effect of poor access to water and sanitation as risk factors for soil-transmitted helminth infection: selectiveness by the infective route. PLoS neglected tropical diseases, 9(9), e0004111. https://doi.org/10.1371/journal.pntd.0004111
Fadjriah, R. N., Rusdianto, R., Herman, H., & Vidyanto, V. (2021). Factors associated with the stunting in toddlers in the work area of tikson raya public health center. Open Access Macedonian Journal of Medical Sciences, 9(E), 1207-1212. https://doi.org/10.3889/oamjms.2021.6957
Febriani, A. D. B., Daud, D., Rauf, S., Nawing, H. D., Ganda, I. J., Salekede, S. B., ... & Sarmila, B. (2020). Risk factors and nutritional profiles associated with stunting in children. Pediatric gastroenterology, hepatology & nutrition, 23(5), 457. https://doi.org/10.5223/pghn.2020.23.5.457
Ferdian, M. A. R., & Wikarta, A. (2023, August). Mechanical Properties of the Polyester Hybrid Composite Reinforced by Fiberglass and Bamboo Blades as the Replacement Materials for 10GT Boat. In International Conference on Mechanical Engineering (pp. 259-267). Singapore: Springer Nature Singapore. https://doi.org/10.1007/978-981-97-7898-0_29
Finlay, B. B., Amato, K. R., Azad, M., Blaser, M. J., Bosch, T. C., Chu, H., ... & Giles-Vernick, T. (2021). The hygiene hypothesis, the COVID pandemic, and consequences for the human microbiome. Proceedings of the National Academy of Sciences, 118(6), e2010217118. https://doi.org/10.1073/pnas.2010217118
Gebru, T., Gebremedhin, S., & Abreha, K. (2019). Water, sanitation, and hygiene (WASH) and its impact on stunting among children under five in rural Ethiopia. International Journal of Environmental Research and Public Health, 16(18), 3401. Https://doi.org/10.3390/ijerph16183401
Girma, M., Hussein, A., Norris, T., Genye, T., Tessema, M., Bossuyt, A., ... & Samuel, A. (2024). Progress in water, sanitation and hygiene (WASH) coverage and potential contribution to the decline in diarrhea and stunting in Ethiopia. Maternal & Child Nutrition, 20, e13280. https://doi.org/10.1111/mcn.13280
Hailu, B., Ji-Guo, W., & Hailu, T. (2021). Water, Sanitation, and Hygiene Risk Factors on the Prevalence of Diarrhea among Under‐Five Children in the Rural Community of Dangila District, Northwest Ethiopia. Journal of tropical medicine, 2021(1), 2688500. https://doi.org/10.1155/2021/2688500
Kamila, P. S., & Salami, I. R. (2022, July). Study of clean water and sanitation access and its relationship to waterborne and stunting prevalence in bandung regency. In IOP Conference Series: Earth and Environmental Science (Vol. 1065, No. 1, p. 012039). IOP Publishing. http://dx.doi.org/10.1088/1755-1315/1065/1/012039
Kementerian Kesehatan Republik Indonesia. (2021). Laporan Status Kesehatan Indonesia 2021. Jakarta: Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2021). Survei Status Gizi Balita Indonesia 2021. Jakarta: Kemenkes RI.
Kiani, A. K., Dhuli, K., Donato, K., Aquilanti, B., Velluti, V., Matera, G., ... & Bertelli, M. (2022). Main nutritional deficiencies. Journal of preventive medicine and hygiene, 63(2 Suppl 3), E93. https://doi.org/10.15167/2421-4248/jpmh2022.63.2S3.2752
Laksono, A. D., Izza, N., Trisnani, T., Paramita, A., Sholikhah, H. H., Andarwati, P., ... & Wulandari, R. D. (2024). Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey. BMJ open, 14(9), e089531. https://doi.org/10.1136/bmjopen-2024-089531
Leocádio, P. C. L., Lopes, S. C., Dias, R. P., Alvarez-Leite, J. I., Guerrant, R. L., Malva, J. O., & Oriá, R. B. (2021). The transition from undernutrition to overnutrition under adverse environments and poverty: the risk for chronic diseases. Frontiers in Nutrition, 8, 676044. https://doi.org/10.3389/fnut.2021.676044
Manalu, S. M. H., Syaputri, D., Tanjung, N., Tanjung, R., & Damanik, A. P. (2023). The Effect of Clean Water Facilities and Household Food Sanitation Hygiene on Stunting in Toddlers. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(3), 969-978. http://dx.doi.org/10.30829/contagion.v5i3.17239
Mebrahtom, S., Worku, A., & Gage, D. J. (2022). The risk of water, sanitation and hygiene on diarrhea-related infant mortality in eastern Ethiopia: a population-based nested case-control. BMC Public Health, 22(1), 343. http://dx.doi.org/10.1186/s12889-022-12735-7
Momberg, D. J., Voth-Gaeddert, L. E., Richter, L. M., Norris, S. A., & Said-Mohamed, R. (2022). Rethinking water, sanitation, and hygiene for human growth and development. Global public health, 17(12), 3815-3824. https://doi.org/10.1080/17441692.2022.2036218
Nasrin, D., Blackwelder, W. C., Sommerfelt, H., Wu, Y., Farag, T. H., Panchalingam, S., ... & Kotloff, K. L. (2021). Pathogens associated with linear growth faltering in children with diarrhea and impact of antibiotic treatment: the Global Enteric Multicenter Study. The Journal of infectious diseases, 224(Supplement_7), S848-S855. https://doi.org/10.1093/infdis/jiab434
Novianti, S., & Nurjaman, A. (2022). The Relationship Of Environmental Factors And A History Of Diarrhea To The Incidence Of Stunting In Baduta Aged 6-23 Months. Int J Heal Sci Med Res [Internet], 1(2), 62-72. https://doi.org/10.37905/ijhsmr.v1i2.12764
Okesanya, O. J., Eshun, G., Ukoaka, B. M., Manirambona, E., Olabode, O. N., Adesola, R. O., ... & Chowdhury, A. A. (2024). Water, sanitation, and hygiene (WASH) practices in Africa: exploring the effects on public health and sustainable development plans. Tropical medicine and health, 52(1), 68. https://doi.org/10.1186/s41182-024-00614-3
Omarova, A., Tussupova, K., Berndtsson, R., Kalishev, M., & Sharapatova, K. (2018). Protozoan parasites in drinking water: A system approach for improved water, sanitation and hygiene in developing countries. International journal of environmental research and public health, 15(3), 495. https://doi.org/10.3390/ijerph15030495
Rah, J. H., Akhter, N., & Sulaiman, M. (2020). Association between sanitation access and childhood stunting in Bangladesh: a cross-sectional study. BMC Public Health, 20(1), 1234. Https://doi.org/10.1186/s12889-020-09289-2
Raharini, H., & Yuniarti, E. (2023). The Relationship Between Water Quality and Stunting in Indonesia: Literature Review. Jurnal Penelitian Pendidikan IPA, 9(9), 664-670. http://dx.doi.org/10.29303/jppipa.v9i9.4513
Rhue, S. J., Torrico, G., Amuzie, C., Collins, S. M., Lemaitre, A., Workman, C. L., ... & Stoler, J. (2023). The effects of household water insecurity on child health and well‐being. Wiley Interdisciplinary Reviews: Water, 10(6), e1666. https://doi.org/10.1002/wat2.1666
Riskesdas. (2018). Riset Kesehatan Dasar 2018. Jakarta: Kementerian Kesehatan Republik Indonesia.
Ross, I. (2021). Measuring and valuing quality of life in the economic evaluation of sanitation interventions (Doctoral dissertation, London School of Hygiene & Tropical Medicine).
Sari, N. P., Usman, S. S., & Amin, M. (2020). The effect of sanitation interventions on reducing stunting in children under five: a systematic review. Journal of Health Promotion and Behavior, 5(2), 92-100. Https://doi.org/10.26911/thejhpb.2020.05.02.06
Shofifah, A., Sulistyorini, L., & Praveena, S. M. (2022). Environmental sanitation at home and history of infection diseases as risk factors for stunting in toddlers in Drokilo village, Kedungadem district, Bojonegoro regency. Journal of Environmental Health 14(4). https://doi.org/10.20473/jkl.v14i4.2022.289-295
Sugiyanto, J., Raharjo, S. S., & Dewi, Y. L. R. (2019). The effects of exclusive breastfeeding and contextual factor of village on stunting in bontang, east kalimantan, indonesia. Journal of Epidemiology and Public Health, 4(3), 222-233.
Syaputri, D., Soedjadi, T. T. B., Manalu, S. M. H., Tanjung, R., & Rosana, D. (2023). The Relationship Between Household Drinking Water Quality and The Incidence of Stunting. Contagion: Scientific Periodical of Public Health and Coastal Health, 5(1), 1-11. http://dx.doi.org/10.30829/contagion.v5i1.14890
Wibasusanti, G. P., Thohari, I., Wardoyo, I. R. E., & Laksono, C. W. (2024). Basic Sanitation Factors and Clean and Healthy Living Behavior as Determinants of Stunting: A Case Study in Bondowoso. Public Health Research Development, 1(2), 58-68. https://doi.org/10.36568/phrd.v1i2.11
World Health Organization. (2022). Global Nutrition Report 2022: The State of Global Nutrition. Geneva: WHO.
Copyright (c) 2024 Journal La Medihealtico

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



