Machine Learning for Child Malnutrition Prediction in Indonesia
DOI:
https://doi.org/10.37306/9v7sth43Keywords:
Child Malnutrition, Family Planning, Machine Learning, Predictive ModelingAbstract
This study utilizes machine learning (ML) methods to predict malnutrition among children in Indonesia. It adopts a family-centered perspective, leveraging large datasets from WHO, UNICEF, and the Global Nutrition Report. A 100,000-strong stratified sample of children aged 0-18 was examined, incorporating a set of anthropometric, socioeconomic, and demographic factors. Preprocessing of data included imputation, normalization, and feature selection. Results revealed a dual burden of malnutrition, with stunting proportion being 25.3% and overweightness proportion being 8.6%, and regional disparities indicating higher proportions in rural areas and provinces such as Aceh and South Kalimantan. Analysis of feature importance identified weight-for-age, parental education, household income, and access to clean water as key predictors of health outcomes. The model had peak performance for children aged 6-10 years. These findings highlight the strength of ML to improve health surveillance, inform targeted nutritional interventions, and enhance evidence-based policymaking. The framework provides actionable insights for enhancing national initiatives, such as Bangga Kencana, so that family planning efforts are aligned with overall child health targets. Future studies should focus on improving data quality for rural environments, adding environmental and dietary factors into models, and exploring advanced ensemble models for higher generalizability and applicability to policy.
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References
An, R., Yang, Y. (2024). Artificial Intelligence Holds Promise for Transforming Public Health Nutrition. Nutrients, 16, 4034. https://doi.org/10.3390/nu16234034
Berger LM, Font SA. (2015). The Role of the Family and Family-Centered Programs and Policies. Future Child, 25(1):155-176. PMID: 30679897; PMCID: PMC6342196.
Bitew FH, Sparks CS, Nyarko SH. (2022). Machine learning algorithms for predicting undernutrition among children under five in Ethiopia. Public Health Nutr. 25(2):269–280. doi: 10.1017/S1368980021004262. Epub PMID: 34620263; PMCID: PMC8883776.
Black, R. E., Victora, C. G., Walker, S. P., & Bhutta, Z. A. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Das, J. K., Salam, R. A., & Saeed, M. (2016). Interventions for adolescent nutrition: A systematic review and meta-analysis. The Journal of Adolescent Health, 67(1), 15–31. https://doi.org/ 10.1016/j.jadohealth.2016.06.022
De Onis, M., & Blössner, M. (2003). The World Health Organization Global Database on Child Growth and Malnutrition: methodology and applications. International Journal of Epidemiology, 32(4), 518–526. https://doi.org/10.1093/ije/dyg099
De Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal & Child Nutrition, 12(S1), 12–26. https://doi.org/10.1111/mcn.12231
Fabian Pedregosa et al. (2018). Scikit-learn: Machine Learning in Python. https://arxiv.org/abs/1201.0490
Fingerman KL, Kim K, Davis EM, Furstenberg FF Jr, Birditt KS, Zarit SH. (2015). I Will Give You the World: Socioeconomic Differences in Parental Support of Adult Children. J Marriage Fam. 77(4):844-865. doi: 10.1111/jomf 12204. PMID: 26339102; PMCID: PMC4553699.
GeeksforGeeks. (2025). F1 Score in Machine Learning. Retrieved from https://www.geeksforgeeks.org/f1-score-in-machine-learning/
Global Nutrition Report (2020). Indonesia nutrition profile: A comprehensive view of the country’s nutritional challenges and opportunities. Retrieved from https://globalnutritionreport.org
Kaggle. (2021). Global child malnutrition dataset. Retrieved from https://www.kaggle.com/datasets/usharengaraju/child-malnutrition-unicef-dataset
Kishore, K., Suman, J., Mnikyamba, I., Polamuri, D., & Venkatesh, B. (2023). Prediction of malnutrition in newborn Infants using machine learning techniques. https://doi.org/10.21203/rs.3.rs-2958834/v1
Martín Abadi et al. (2016). TensorFlow: A system for large-scale machine learning. https://arxiv.org/abs/1605.08695
Martorell, R., & Zongrone, A. (2012). Intergenerational Influences on Child Growth and Undernutrition Maternal & Child Nutrition, 8(S1), 32–47. https://doi.org/ 10.1111/j.1365-3016.2012.01298.x
Ministry of Health Indonesia. (2018). National Report on Basic Health Research (RISKESDAS). Retrieved from http://www.riskesdas.litbang.kemkes.go.id
Napirah MR., Vidyanto V., Rahman N., et al. (2024). Implementation of National Movement for the Acceleration of Nutrition Improvement Policy for the First 1,000 Days of Life in Indonesia. Kesmas. 19(1): 67-73. DOI: 10.21109/kesmas.v19i1.8045.
Nisbett, N. (2023). Malnutrition as more-than-food: understanding failings in the broader infrastructures of nurture. Children’s Geographies, 21(5), 883–897. https://doi.org/10.1080/14733285.2022.2153328.
Purnamasari, D., Puspita, W., & Rikhaniarti, T. (2025). The Impact of Family Planning on Family Welfare. Advances in Healthcare Research, 3(1), 1-15. https://doi.org/10.60079/ahr.v3i1.386
Rao, B., Rashid, M., Hasan, M.G., Thunga, G. (2025). Machine Learning in Predicting Child Malnutrition: A Meta-Analysis of Demographic and Health Surveys Data. Int. J. Environ. Res. Public Health, 449. https://doi.org/10.3390/ijerph22030449
Save the Children. (2021). Improving child nutrition in Asia. Retrieved from https://savethechildren.org
Shahid M, Cao Y, Shahzad M, Saheed R, Rauf U, Qureshi MG, Hasnat A, Bibi A, Ahmed F. (2022). Socio-Economic and Environmental Determinants of Malnutrition in Children under Three: Evidence from PDHS-2018. Children (Basel), 9(3):361. doi: 10.3390/children9030361. PMID: 35327732; PMCID: PMC8947569.
Stover J, Hardee K, Ganatra B, et al. (2016). Interventions to Improve Reproductive Health. In: Black RE, Laxminarayan R, Temmerman M, et al., editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, Third Edition (Volume 2). Washington (DC): The International Bank for Reconstruction and Development/The World Bank; Chapter 6. Available from: https://www.ncbi.nlm.nih.gov/books/NBK361913/ doi: 10.1596/978-1-4648-0348-2_ch6.
Taye, M.M. (2023). Understanding of Machine Learning with Deep Learning: Architectures, Workflow, Applications, and Future Directions. Computers, 12, 91. https://doi.org/10.3390/computers12050091.
The World Bank. (2020). Nutrition interventions for Southeast Asia. Retrieved from https://worldbank.org
TNP2K. (2020). Tackling stunting in Indonesia. Jakarta: The National Team for the Acceleration of Poverty Reduction. Retrieved from https://tnp2k.go.id.
Tzioumis, E., & Adair, L. S. (2014). Childhood dual burden of under- and overnutrition in low- and middle-income countries: A critical review. Food and Nutrition Bulletin, 35(2), 230–243. https://doi.org/10.1177/156482651403500210
UNICEF. (2021a). Child Malnutrition Database: Global and regional trends. Retrieved from https://data.unicef.org/country/idn/
UNICEF. (2021b). Nutrition in Indonesia: A report for child health improvement. Retrieved from https://unicef.org
Victora, C. G., Christian, P., y de Onis, M. (2021). Revisiting maternal and child undernutrition. The Lancet Global Health, 9(1), e1–e2. https://doi.org/10.1016/S0140-6736(21)003949
World Health Organization. (2019). Global Database on Child Growth and Malnutrition. Retrieved from https://www.who.int/teams/nutrition-and-food-safety/databases
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