ECO-BUILD Economy Bring Ultimate Information All About Development Journal
Par Andy Nuriyanto.
Contenu en anglais
Tuberculosis (TB) in children is usually judged by treatment success, yet its effects on nutrition, growth and education shape long-term human capital. Evidence on these effects in Indonesia remains limited.
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To analyse the impact of childhood TB on nutritional status, linear growth and school participation in Berau Regency, Indonesia.
This matched comparative cohort study included 250 children aged 0 to 14 years who started treatment for drug-susceptible TB and 250 children without TB, matched by age, sex and area of residence. Outcomes were measured more than 6 months after treatment initiation and analysed using linear mixed models, modified Poisson regression and negative binomial regression.Results: Compared with their matched peers, children with a history of TB had a height-for-age z-score that was 0.63 lower (95% CI −0.81 to −0.45), a 2.41-fold higher prevalence of stunting (95% CI 1.68 to 3.48) and 2.12 times as many days absent from school (95% CI 1.74 to 2.60). Nutritional status improved during treatment, but the height deficit persisted.
Childhood TB is associated with losses in human capital that extend beyond the treatment period. TB programmes should be integrated with nutritional support, growth monitoring and help for children returning to school.
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