KnE Social Sciences
ISSN: 2518-668X
The latest conference proceedings on humanities, arts and social sciences.
Relationship of Macroeconomic Policies with Stunting: The Role of The Health Budget, Applying Fiscal Autonomy and Reducing Poverty
Published date: Nov 08 2022
Journal Title: KnE Social Sciences
Issue title: Science and Technology Research Symposium (SIRES)
Pages: 264–273
Authors:
Abstract:
The prevalence of stunting over the past 10 years indicates no significant changes and this indicates that the stunting problem needs to be addressed immediately. The indirect cause of the problem of stunting is influenced by various factors including the health budget, fiscal autonomy, and the level of poverty. This study used a regression model using panel data or pooled data (pooling cross section-time series regression). The cross-section unit was 100 districts and cities in 33 provinces in Indonesia and the year of analysis in 2019. The analysis showed that, partially, the level of poverty influences the incidence of stunting, the health budget influences the incidence of stunting, and fiscal autonomy influences the incidence of stunting. Simultaneously the health budget, fiscal autonomy, and poverty level influence stunting. Our study recommends that the Indonesian government increase health budget, reduce the inter-regional fiscal gap, improve the social welfare of the Indonesian people, and reduce revenue inequality.
Keywords: stunting, fiscal budget, health, poverty, macroeconomic.
References:
[1] National G, Pillars H. 100 kabupaten/kota prioritas untuk intervensi anak kerdil (stunting). 2021.
[2] Chanie E. Insurance on Child Health Outcomes . 2019.
[3] Pongou R, Ezzati M, Salomon JA. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Health. 2006 Apr;6(1):98.
[4] Rubio DJ. The impact of decentralization of health services on health outcomes: evidence from Canada. Appl Econ. 2011;43(26):3907–17.
[5] Stevens GA, Finucane MM, Paciorek CJ, Flaxman SR, White RA, Donner AJ, et al.; Nutrition Impact Model Study Group (Child Growth). Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries: a systematic analysis of population representative data. Lancet. 2012 Sep;380(9844):824–34.
[6] Mary S, Shaw K, Colen L, Gomez y Paloma S. Does agricultural aid reduce child stunting? World Dev. 2020;130:104951.
[7] Huey SL, Mehta S. Stunting: The Need for Application of Advances in Technology to Understand a Complex Health Problem. EBioMedicine. 2016 Apr;6(October):26–7.
[8] Uwiringiyimana V, Ocké MC, Amer S, Veldkamp A. Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition. 2019 Apr;60:11–8.
[9] Dranesia A, Wanda D, Hayati H. Pressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, Indonesia. Enferm Clin. 2019;29(xx):81–6.
[10] Manggala AK, Wiswa K, Kenwa M, et al. Risk factors of stunting in children aged 24-59 months. Paediatr Indones. 2018;58(5):205–12.
[11] K.K. Fikawati S. Syafiq A, Gizi Ibu dan Bayi. PT RajaGrafindo Persada; 2015.
[12] Turyashemererwa F, Kikafunda J, Agaba E. Prevalence of early childhood malnutrition and influencing factors in peri urban areas of Kabarole district, western Uganda. Afr J Food Agric Nutr Dev. 2009;9(4):1–7.
[13] Horton S, Steckel RH. Global economic losses attributable to malnutrition 1900- 2000 and projections to 2050. Cambridge University Press; 2011. pp. 247–72.
[14] Ahmad AW. DAMPAK DESENTRALISASI FISKAL TERHADAP OUTCOMES BIDANG KESEHATAN: Studi Empiris di Kabupaten/Kota Propinsi Sumatera Barat.2016;1–11.
[15] Jiménez-Rubio D, García-Gómez P. Decentralization of health care systems and health outcomes: evidence from a natural experiment. Soc Sci Med. 2017 Sep;188:69–81.
[16] Angdembe MR, Dulal BP, Bhattarai K, Karn S. Increased risk of low birthweight and preterm birth, stunting in infancy, short adult height, poor schooling, and higher adult fasting glucose concentrations. The. Int J Equity Health. 2019;18(42):1–17.