Malaria Risk Analysis on Stunting Incidence in Toddlers

  • Marlin Mayling Jarona Poltekkes Kemenkes Jayapura
  • Ellen R.V Purba Poltekkes Kemenkes Jayapura
  • Lilys Irianty Natalia Purba Poltekkes Kemenkes Jayapura
Keywords: characteristics, knowledge, malaria, toddlers, stunting

Abstract

Papua recorded the highest number of malaria cases in Indonesia in 2021, with 275,243 individuals affected. Keerom Regency ranked second with 17,901 cases in 2020. Recurrent malaria infections in toddlers can lead to chronic nutritional disorders, anemia, and immune system impairments, which disrupt growth and increase the risk of stunting. Objective: To analyze the risk of malaria on stunting incidence among toddlers based on gender, age, history of fever, maternal knowledge, and malaria prevention practices in Keerom Regency. Method: This was a quantitative analytic study with a cross-sectional design. The study population consisted of toddlers aged 0–59 months who lived in Keerom Regency and had been diagnosed with clinical malaria, with or without stunting. A purposive sampling technique was applied. Data were collected through structured interviews using validated questionnaires administered to mothers, and anthropometric measurements of toddlers were taken to determine nutritional status based on height-for-age indicators. Data were analyzed using the chi-square test. Results: Showed that a history of fever, maternal knowledge of breastfeeding and supplemental feeding, and malaria prevention practices were significantly associated with stunting (p<0.05). Conclusions: Children with fever had a 90.6% stunting rate. Improving maternal knowledge and malaria prevention is essential to reduce stunting.

References

Asoba, G. N., Sumbele, I. U. N., Anchang-Kimbi, J. K., Metuge, S., & Teh, R. N. (2019). Influence of infant feeding practices on the occurrence of malnutrition, malaria and anaemia in children 5 years in the Mount Cameroon area: A cross sectional study. PLoS ONE, 14(7), 1–17. https://doi.org/10.1371/journal.pone.0219386

Ateba, F. F., Doumbia, S., Ter Kuile, F. O., Terlouw, D. J., Lefebvre, G., Kariuki, S., & Small, D. S. (2021). The effect of malaria on stunting: An instrumental variables approach. Transactions of the Royal Society of Tropical Medicine and Hygiene, 115(9), 1094–1098. https://doi.org/10.1093/trstmh/traa183

Bancin, A., Aidha, Z., & Ashar, Y. K. (2024). The Relationship Between Mothers’ Knowledge and Behavior about Nutritional Status with the Incidence of Stunting. Indonesian Journal of Global Health Research, 6(3), 1747–1758. https://doi.org/https://doi.org/10.37287/ijghr.v6i3.3382

Counihan, N. A., Modak, J. K., & de Koning-Ward, T. F. (2021). How Malaria Parasites Acquire Nutrients From Their Host. Frontiers in Cell and Developmental Biology, 9(March), 1–10. https://doi.org/10.3389/fcell.2021.649184

Gari, T., Loha, E., Deressa, W., Solomon, T., & Lindtjørn, B. (2018). Malaria increased the risk of stunting and wasting among young children in Ethiopia: Results of a cohort study. PLoS ONE, 13(1), 1–16. https://doi.org/10.1371/journal.pone.0190983

Hatijar, H. (2023). The Incidence of Stunting in Infants and Toddlers. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 224–229. https://doi.org/10.35816/jiskh.v12i1.1019

Jebiwott, S., Gutapaka, N., Sumari, D., Loss, G., Athuman, T., Nyandele, J. P., Cummins, H., Chemba, M., Benjamin-Chung, J., Gangar, P., Wu, X., Smith, J., Chen, I., Dorsey, G., Fink, G., Olotu, A., & Hsiang, M. (2024). Child Health and Infection with Low Density (CHILD) malaria: a protocol for a randomised controlled trial to assess the long-term health and socioeconomic impacts of testing and treating low-density malaria infection among children in Tanzania. BMJ Open, 14(3), 1–13. https://doi.org/10.1136/bmjopen-2023-082227

Kajjura, R. B., Veldman, F. J., & Kassier, S. M. (2019). Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda. Food and Nutrition Bulletin, 40(2), 221–230. https://doi.org/10.1177/0379572119840214

Keats, E. C., Kajjura, R. B., Ataullahjan, A., Islam, M., Cheng, B., Somaskandan, A., Charbonneau, K. D., Confreda, E., Jardine, R., Oh, C., Waiswa, P., & Bhutta, Z. A. (2022). Malaria reduction drives childhood stunting decline in Uganda: A mixed-methods country case study. American Journal of Clinical Nutrition, 115(6), 1559–1568. https://doi.org/10.1093/ajcn/nqac038

Kemenkes RI. (2022). Petunjuk Teknis Pengendalian Faktor Risiko Malaria. Direktorat Pencegahan dan Pengendalian Penyakit Menular (P2PM).

Kementrian Kesehatan RI. (2024). Profil Kesehatan Indonesia Tahun 2023. Kementerian Kesehatan RI. https://www.kemkes.go.id/id/profil-kesehatan-indonesia-2023

Komang Ayu Resiyanthi, N., & Yanti, N. L. G. P. (2021). Relationship Between Exclusive Breastfeeding and Basic Immunization Status Related With Stunting in Toddlers Aged 12- 24 Months. Indonesian Journal of Global Health Research, 3(4), 563–570. https://doi.org/https://doi.org/10.37287/ijghr.v3i4.666

Lestari, M., Wahyuni, S., & Suci, E. S. (2024). Pemberdayaan Kader Dalam Upaya Pencegahan Malaria Pada Ibu Hamil Di Puskesmas Arso Kota Kabupaten Keerom. Health Care, 2(3), 240–246. https://doi.org/https://doi.org/10.62354/1xg51219

Oladimeji, K. E., Tsoka-Gwegweni, J. M., Ojewole, E., & Yunga, S. T. (2019). Knowledge of malaria prevention among pregnant women and non-pregnant mothers of children aged under 5 years in Ibadan, South West Nigeria. Malaria Journal, 18(1), 1–12. https://doi.org/10.1186/s12936-019-2706-1

Pincelli, A., Cardoso, M. A., Malta, M. B., Johansen, I. C., Corder, R. M., Nicolete, V. C., Soares, I. S., Castro, M. C., & Ferreira, M. U. (2021). Low-level plasmodium vivax exposure, maternal antibodies, and anemia in early childhood: Population-based birth cohort study in amazonian brazil. PLoS Neglected Tropical Diseases, 15(7), 1–22. https://doi.org/10.1371/journal.pntd.0009568

Popang, C. T., Isnaini, Y. S., Mulyanti, & Ester. (2024). Analysis of Nutritional Status in Toddlers and Malaria Incidence. Indonesian Journal of Global Health Research, 6(S6), 197–206. https://doi.org/https://doi.org/10.37287/ijghr.v6iS6.4826

Sahiddin, M., Ishak, H., Arsin, A. A., & Pramestiyani, M. (2024). Impact of early-life malaria exposure on childhood stunting: A case-control study in high endemic malaria area, Papua, Indonesia. Narra Journal, 4(4), 1–11. https://doi.org/https://doi.org/10.52225/narra.v4i3.1451.

Yi, D. Y., & Kim, S. Y. (2021). Human breast milk composition and function in human health: From nutritional components to microbiome and micrornas. Nutrients, 13(9). https://doi.org/10.3390/nu13093094

Published
2025-08-01
How to Cite
Jarona, M. M., Purba, E. R., & Purba, L. I. N. (2025). Malaria Risk Analysis on Stunting Incidence in Toddlers. Indonesian Journal of Global Health Research, 7(4), 131-136. https://doi.org/10.37287/ijghr.v7i4.6322