Factors Associated with The Incidence of Chronic Energy Deficiency (CED) Among Pregnant Women in Indonesia: an Analysis of Indonesian Health Survey (IHS) 2023
Abstract
Introduction : The Maternal Mortality Rate (MMR) is a measure of a nation's health performance. The Maternal Mortality Rate (MMR) in Indonesia in 2020 is known to reach 189 per 100,000 live births and the number of maternal deaths in 2023 will reach 4,482. Some of the complications that cause maternal death can be prevented by preparing for pregnancy and maintaining pregnancy from various diseases that arise during pregnancy, one of which is Chronic Energy Deficiency (CED).
Objective : To analyze SKI 2023 data in order to determine the factors associated with the prevalence of chronic energy deficiency (CED) in Indonesian pregnant women.
Methods : This study uses a cross-sectional study design with secondary data sourced from the 2023 Indonesian Health Survey and the population of all women aged 10-45 years.
Results : Research shows that 14% of pregnant women are in the condition of CED (LiLA >23.5 cm). Bivariate analysis showed that maternal age, parity, education, area of residence, supplementary feeding (PMT), and defecation behavior were related to CED in pregnant women (p-value: ≤0.05). Meanwhile, in the multivariate analysis, the most dominant variables showed that the relationship with CED in pregnant women was age, area of residence, and supplementary feeding (PMT).
Conclusion : The factors of CED in pregnant women tend to be complex. The results of this study are expected to contribute to increasing the preventive efforts of the government, health workers, and the community related to CED, especially for pregnant women in order to prepare for a healthy pregnancy and form quality human resources.Keywords
References
Aida, Y. N., Asrinawaty, & Ernadi, E. (2022). Relationship of Knowledge, Age and Income in Pregnant Women in the Work Area of the South Alalak Health Center in 2022. Journal of Public Health Sciences, 4(1), 1–10.
Anggraini, D. I., Utami, N., Ramadhian, R., & Wijaya, S. M. (2019). SOCIAL DETERMINANTS OF CHRONIC ENERGY DEFICIENCY IN PREGNANT WOMEN IN CENTRAL LAMPUNG: A QUALITATIVE STUDY. The International Conference on Public Health Proceedings, 4(1). https://doi.org/https://doi.org/10.26911/theicph.2019.01.38
Aryanti, S. L. (2023). The Relationship between Consumption Patterns, Infectious Diseases, and Abstinence with the Incidence of Chronic Energy Deficiency (KEK) in Pregnant Women in the Working Area of the Napal Putih Bengkulu Health Center. Indonesian Scholar Journal of Nursing and Midwifery Science (ISJNMS), 3(02), 1091–1099. https://doi.org/10.54402/isjnms.v3i02.396
Azlina, F. A., Rahmayanti, D., Alkai, S., & Darmayanti, Y. (2023). Identify the risks that cause energy shortages. Tambusai Health Journal, 4(September), 2807–2814.
Bappenas. (2024). Sustainable Development Goals (SDGs). Sdgs.Bappenas. https://sdgs.bappenas.go.id/17-goals/goal-3/
Berkah. (2024). Provision of Supplementary Food (PMT) for Pregnant Women in SEZ. KB BKKBN Village. https://kampungkb.bkkbn.go.id/kampung/37905/intervensi/1106130/pemberian-makanan-tambahan-pmt-untuk-ibu-hamil-kek#:~:text=Pemberian additional nutritional intake for the born, to avoid the risk of stunting.
Erita, M., Amlah, & Rahmawati, E. (2023). The Relationship between Parity, Pregnancy Distance and Disease History with the Incidence of Chronic Energy Deficiency (KEK) in Pregnant Women in the Working Area of the Makrayu Palembang Health Center in 2022. Obsgin Scientific Journal, 15(4), 2685–7987. https://stikes-nhm.e-journal.id/OBJ/index
Erna K. Wati, Retno Murwani, M. I. K. and S. S. (2024). Determinants of chronic energy deficiency (CED) incidence in pregnant women: A cross_sectional study in Banyumas, Indonesia. Narra J, 4, 1–8. https://doi.org/http://doi.org/10.52225/narra.v4i1.742
Fauziah, M., Asmuni, A., Ernyasih, E., & Aryani, P. (2021). Personal Hygiene Counseling for Risk Factors for Infectious Diseases in Students of the Sabilunnajat Ciamis Islamic Boarding School, West Java. AS-SYIFA : Journal of Community Health Service and Empowerment, 2(1), 55. https://doi.org/10.24853/assyifa.2.1.55-68
Febrianti, R., Riya, R., & Sumiati, S. (2020). Economic status and education level with the incidence of pregnant women's cakes at the health center. PANNMED Scientific Journal (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 15(3), 395–399. https://doi.org/10.36911/pannmed.v15i3.798
Handayani, N., Yunola, S., & Indiani, P. L. N. (2021). The Relationship between Maternal Age, Parity and Pregnancy Distance with the Incidence of Chronic Energy Deficiency (KEK) in Pregnant Women in the Working Area of the Tanjung Agung Health Center, Muara Enim Regency in 2020. Doppler Journal, 5(2), 157–163.
Hasanah, U., Monica, O. T., Susanti, D., & Hariyanti, R. (2023). The Relationship between Education and Employment and the Incidence of Chronic Energy Deficiency (KEK) in Pregnant Women at the Putri Ayu Health Center. MAHESA: Malahayati Health Student Journal, 3(8), 2375–2385. https://doi.org/10.33024/mahesa.v3i8.10832
Heryunanto, D., Putri, S., Izzah, R., Ariyani, Y., & Kharin Herbawani, C. (2022). An overview of the condition of chronic energy deficiency in pregnant women in Indonesia, the factors that cause it, and its impact. PREPOTIVE: Journal of Public Health, 6(2), 1792–1805. https://doi.org/10.31004/prepotif.v6i2.4627
Indarti, J., Wonodihardjo, H. S., Sianipar, K. A., & Antoniman, M. A. (2023). Maternal and Neonatal Outcome in Pregnant Women with Chronic Energy Deficiency in Cipto Mangunkusumo General Hospital, Indonesia. Open Access Macedonian Journal of Medical Sciences, 11(B), 474–479. https://doi.org/10.3889/oamjms.2023.8509
Jamila, F., & Rakhmawati, L. (2023). The Relationship Between Knowledge of Chronic Energy Deficiency (KEK) Pregnant Women and the Administration of PMT on Weight Gain at the Gondangwetan Health Center, Pasuruan Regency. Journal of Health Info, 13(1), 6111–6619.
Kadmaerubun, H. S., Azis, R., & Genisa, J. (2023). The Relationship between Diet and Nutritional Intake with Chronic Energy Deficiency (KEK) in Pregnant Women. Inhealth : Indonesian Health Journal, 2(2), 127–138. https://doi.org/10.56314/inhealth.v2i2.152
Ministry of Health of the Republic of Indonesia. (2023). Technical Instructions for Supplemental Feeding (PMT) Made from Local Food for Toddlers and Pregnant Women (D. Astuti & R. Noor (eds.)). Ministry of Health of the Republic of Indonesia.
Ministry of Health of the Republic of Indonesia. (2024). Indonesia Health Profile 2023. Ministry of Health of the Republic of Indonesia.
Ministry of Health of the Republic of Indonesia, & United Nations Children's Fund. (2023). Maternal Nutrition in Indonesia. UNICEF. https://www.unicef.org/indonesia/media/21766/file/Gizi Mothers in Indonesia - Landscape and Rekomendasi.pdf.pdf Analysis
Kumar, M., Saadaoui, M., & Al Khodor, S. (2022). Infections and Pregnancy: Effects on Maternal and Child Health. Frontiers in Cellular and Infection Microbiology, 12(June), 1–15. https://doi.org/10.3389/fcimb.2022.873253
Kusumastuti, T., Putri, D. P., Eliza, C. P., Hanifah, A. N., & Nurcandra, F. (2023). CED in pregnant women: risk factors and impacts. Tambusai Health Journal, 4(3), 2719–2726.
Meilinasari, Efiyanna, R., & Rabbani, F. D. (2024). Factors Associated with Nutritional Status of Pregnant Women in Factors Associated with Nutritional Status of Pregnant Women in Cibungbulang Sub-District. August. https://doi.org/10.32628/IJSRST52411177
Mustafa, H., Nurjana, M. A., Widjaja, J., & Wdayati, A. N. (2021). Dominant Risk Factors Affect Chronic Energy Deficiency (KEK) in Pregnant Women in Indonesia in 2018. Health Research Bulletin, 49(2), 105–112. https://doi.org/10.22435/bpk.v49i2.4773
Nasriyah, N., & Ediyono, S. (2023). The impact of nutritional deficiency in pregnant women on the risk of stunting in babies born. Journal of Nursing and Midwifery, 14(1), 161–170. https://doi.org/10.26751/jikk.v14i1.1627
Putri, A. A., Salsabila, S., Nutrition, J., Medicine, F., Sultan, U., & Tirtayasa, A. (2023). The Impact of KEK Disease on Pregnant Women. Student Scientific Creativity Journal (SSCJ), 1(3), 246–253. https://doi.org/10.55606/sscj-amik.v1i3.1525
Rosita, U., & Rusmimpong, R. (2022). The Relationship between Parity and Age of Pregnant Women and the Incidence of Chronic Energy Deficiency in Simpang Limbur Village, Simpang Limbur Health Center Working Area. Nursing Care and Health Technology Journal (NCHAT), 2(2), 78–86. https://doi.org/10.56742/nchat.v2i2.41
SKI. (2023). Indonesian Health Survey (SKI) 2023 in numbers. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
DOI: 10.24815/jks.v25i1.44899
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