Community-level determinants of child growth in an Indonesian tea plantation.

J Paknawin-Mock, L Jarvis, A B Jahari, M A Husaini, E Pollitt

Journal: European journal of clinical nutrition 2000;54 Suppl 2():S28-42

PMID: 10902985

Full Text on Nature Publishing Group View on PubMed

Abstract

OBJECTIVES

The paper presents the results of an ecological-economic approach to identifying community-level factors that influence the physical growth of young children.

DESIGN

A cross-sectional design was used to obtain both the anthropometry and the ecological-economic data.

SETTING

The sites were 24 communities located in a tea plantation near Bandung, West Java, Indonesia.

SUBJECTS

415 children between the ages of 6 and 18 months.

METHODS

Epidemiological and ethnographic methods were used to measure community infrastructure and services related to child growth. Anthropometry was used to measure child growth. Econometric methods, including probit and ordinary least squares regression, were used to analyze the effect of community-level factors on child growth.

RESULTS

Community vaccination programs, child care services, environmental sanitation and latrines were associated with better child growth. We concluded that community-level goods and services substantially contributed to health in early childhood.

Address: International Agricultural Development, University of California, Davis, USA.

DOI: 10.1038/sj.ejcn.1601003

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https://doi.org/10.1038/sj.ejcn.1601003

MeSH Terms: Agriculture, Anthropometry, Child Development, Child, Preschool, Cross-Sectional Studies, Female, Humans, Immunization Programs, Indonesia, Infant, Male, Models, Econometric, Nutrition Disorders, Regression Analysis, Rural Population, Social Welfare, Socioeconomic Factors, Tea