2.4.

1 Therapies for Stunting

The government in Indonesia does also takes part in overcoming stunting. It’s
proved by the Law on no. 35 of 2014 concerning Amendments to Law no. 23 of
2002 concerning Child Protection. This law guarantees children for their rights to
live and develop in accordance with human dignity. (Stunting balita, teja).
The popular therapy that can be used to treat stunted children is by using rhGH to
re-place the deficient GH for growth, metabolism, and well-being. This
treatment’s main goal is to increase height velocity and adult height. By checking
the height velocity and change in height SDS every 6–12 months, it can probably
give the most appropriate of the rhGH dose. Clinicians should pay attention to
considerable variations such as age, sex, and etiology-specific response charts as
well to gather personal growth responses after starting rhGH therapy because it is
important to observe genetic syndromes. Other addition is to judge according to
pubertal status in adolescence year. (Diagnosis, collet)
There is indeed an alternative therapy in the form of aromatase inhibitors. This is
used for pubertal boys aiming for the delay of epiphyseal fusion, but this remains
controversial. Adding a GnRH analogue to rhGH therapy may be considered for
some condition but it should be discussed in a personalized approach or in a
pharmaceutical trial as this is off-label. There aren’t a lot of concrete data of the
safety of this therapy, but there is some adverse event in children. Beside, some
genetic conditions, such as Turner syndrome, are associated with an increased
risk for adverse events, . (Diagnosis, collet)
The government in Indonesia does also takes part in overcoming stunting. It’s
proved by the Law that guarantees children for their rights to live and develop.
The popular therapy that can be used to treat stunted children is by using rhGH to
re-place the deficient GH for growth, metabolism, and well-being of a child. By
checking the height velocity and change in height SDS every 6–12 months, it can
probably give the most appropriate of the rhGH dose.
There is indeed an alternative therapy in the form of aromatase inhibitors. This is
used for pubertal boys aiming for the delay of epiphyseal fusion, but this remains
controversial. Adding a GnRH analogue to rhGH therapy may be considered for
some condition but it should be discussed in a personalized approach or in a
pharmaceutical trial as this is off-label.