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Biography

My qualifications are MPH and MSc-Nutrition and I am currently a PhD student in epidemiology with training in global public health at Umeå University, Sweden. I am studying the emergence of the dual burden of malnutrition in Indonesia focusing specifically on the role of gender and social capital. Since January 2014, I have started collaborating with Prof. SV Subramanian from Harvard University studying inter-individual inequalities in Body Mass Index (BMI) as well as variation in BMI over time and place utilizing multilevel statistical analysis. For this work, I have been appointed as a research scientist at the Department of Social and Behavioral Science, Harvard T.H. Chan School of Public Health in spring 2015.

Abstract

Introduction: The paradoxical phenomenon of the coexistence of overweight and underweight individuals in the same household, referred to as the ‘‘dual burden of malnutrition’’, is a growing nutrition dilemma in low- and middle-income countries (LMICs). Aims: The objectives of this study were (i) to examine the extent of the dual burden of malnutrition across different provinces in Indonesia and (ii) to determine how gender, community social capital, place of residency and other socioeconomic factors affect the prevalence of the dual burden of malnutrition. Methods: The current study utilized data from the fourth wave of the Indonesian Family Life Survey (IFLS) conducted between November 2007 and April 2008. The dataset contains information from 12,048 households and 45,306 individuals of all ages. To account for the multilevel nature of the data, a multilevel multiple logistic regression was conducted. Results: Approximately one-fifth of all households in Indonesia exhibited the dual burden of malnutrition, which was more prevalent among male-headed households, households with a high Socio-economic status (SES), and households in urban areas. Minimal variation in the dual burden of malnutrition was explained by the community level differences (4%). Living in households with a higher SES resulted in higher odds of the dual burden of malnutrition but not among female-headed households and communities with the highest social capital. Conclusion: To improve household health and reduce the inequality across different SES groups, this study emphasizes the inclusion of women’s empowerment and community social capital into intervention programs addressing the dual burden of malnutrition.