IDENTIFYING RISK FACTORS FOR STUNTING AMONG UNDER-FIVE INDONESIAN CHILDREN
DOI:
https://doi.org/10.22437/jiituj.v8i2.34450Keywords:
Environment, Household, Primary Health Care, StuntingAbstract
The prevalence of child stunting in Indonesia in 2023 at the national level from 24.5% to 21.6%. Despite declining, the figure is still relatively high, as 28 out of 100 babies suffer from stunting. The study aims to predict stunting risk factors in children under the age of 5. They use bivariate and multivariate logistic regression to identify significant factors associated with stunting risk. Stunting prevalence in Batu Bara District of North Sumatra Province was 18.35% out of 28.716 children under 5 years of age (967 children very short and 3,944 young children). The study was conducted on 100 households with brief and concise children living in rural areas. The results of the study showed maternal education (OR 5.27; 95% CI 1.04-5.62); low maternal nutritional status during pregnancy (OR 2.57, 95% CI 1.22-5.89); formula milk delivery less than 6 months (OR 3.47; 95% CI 1.40-8.28); low birth weight of less than 2500 grams (OR 4.94; 95% CI 1.30-18.80); lack of access to drinkable water (or 3.14; 95% CI 1.29-7.65); low family wealth index (OR 0.13; 95% CI 0.05-0.32). Environmental and household factors have a significant relationship with stunting risk control. Multilateral efforts from the level of family empowerment, increasing the role of health services, and improving nutritional status are access to public health status.
Downloads
References
Ainy, F. N., Susanto, T., & Susumaningrum, L. A. (2020). The relationship between environmental sanitation of family and stunting among under-five children: A cross-sectional study in the public health center of Jember, Indonesia. Nursing Practice Today. https://doi.org/10.18502/npt.v8i3.5932
Amaha, N. D., & Woldeamanuel, B. T. (2021). Maternal factors associated with moderate and severe stunting in Ethiopian children: analysis of some environmental factors based on 2016 demographic health survey. Nutrition Journal, 20, 1–9. https://doi.org/10.1186/s12937-021-00677-6.
Anggreni, D., Lubis, L. A., & Kusmanto, H. (2022). Implementasi program pencegahan stunting di puskesmas Dolok Sigompulon Kabupaten Padang Lawas Utara. Histeria Jurnal: Ilmiah Soshum Dan Humaniora, 1(2), 91–99. https://doi.org/10.55904/histeria.v1i2.281.
Ari, Y., Umi Romayati, K., & Linawati, N. (2022). Program promosi kesehatan terhadap pengetahuan dan sikap dalam pencegahan stunting. Holistik: Jurnal Kesehatan, 16(1), 74–80.
Aryadi, A., Sudaryono, S., & Karim, M. (2022). Development of re-creative strategies in learning to write poetry for elementary school students. Tekno-Pedagogi: Jurnal Teknologi Pendidikan, 12(2), 20-26. https://doi.org/10.22437/teknopedagogi.v12i2.32524.
Ayelign, A., & Zerfu, T. (2021). Household, dietary and healthcare factors predicting childhood stunting in Ethiopia. Heliyon, 7(4). https://doi.org/10.1016/j.heliyon.2021.e06733.
Ayu, M. S., Susanti, M., & Durungan, T. S. (2023). A Stunting Risk Model Based on Children’s Parenting Style. International Journal of Public Health Excellence (IJPHE), 2(2), 578–583. https://doi.org/10.55299/ijphe.v2i2.347.
Baah, R., Konovalov, O., & Tenzin, S. (2024). Effectiveness of e-assessment in science learning: Improving the quality and efficiency of assessment in the digital era. Integrated Science Education Journal, 5(2), 74-81. https://doi.org/10.37251/isej.v5i2.960.
Babu, S., Gajanan, S., & Hallam, J. A. (2016). Nutrition economics: Principles and policy applications. Academic Press.
Basri, H., Hadju, V., Zulkifli, A., Syam, A., Indriasari, R., & Helmiyanti, S. (2021). Dietary diversity, dietary patterns, and dietary intake are associated with stunted children in Jeneponto District, Indonesia. Gaceta Sanitaria, 35, S483–S486. https://doi.org/10.1016/j.gaceta.2021.10.077.
Das, S., Chanani, S., Shah More, N., Osrin, D., Pantvaidya, S., & Jayaraman, A. (2020). Determinants of stunting among children under 2 years in urban informal settlements in Mumbai, India: evidence from a household census. Journal of Health, Population, and Nutrition, 39(1), 1–13. https://doi.org/10.1186/s41043-020-00222-x.
Drewnowski, A. (2015). Nutrition economics: How to eat better for less. Journal of Nutritional Science and Vitaminology, 61(Supplement), S69–S71. https://doi.org/10.3177/jnsv.61.S69.
Fitriani, H., Setya R, A., & Nurdiana, P. (2020). Risk factors of maternal nutrition status during pregnancy to stunting in toddlers Aged 12–59 Months.
Fitriana, H., & Waswa, A. N. (2024). The influence of a realistic mathematics education approach on students’ mathematical problem solving ability. Interval: Indonesian Journal of Mathematical Education, 2(1), 29-35. https://doi.org/10.37251/ijome.v2i1.979.
Habibi, M. W., Jiyane, L., & Ozsen, Z. (2024). Learning revolution: The positive impact of computer simulations on science achievement in madrasah ibtidaiyah. Journal of Educational Technology and Learning Creativity, 2(1), 13-19. https://doi.org/10.37251/jetlc.v2i1.976.
Harper, A., Rothberg, A., Chirwa, E., Sambu, W., & Mall, S. (2023). Household Food Insecurity and Demographic Factors, Low Birth Weight and Stunting in Early Childhood: Findings from a. https://doi.org/10.1007/s10995-022-03555-7.
Hastuti, L. (2023). The Influence Of Sociocultural Factors On Stunting Incidents (Qualitative Studies In Rural).
Hatijar, H. (2023). The Incidence of Stunting in Infants and Toddlers. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 224–229. DOI: https://doi.org/10.35816/jiskh.v12i1.1019.
Hendraswari, C. A., Purnamaningrum, Y. E., Maryani, T., Widyastuti, Y., & Harith, S. (2021). The determinants of stunting for children aged 24-59 months in Kulon Progo District 2019. Kesmas: National Public Health Journal, 16(2), 71–77. https://doi.org/10.21109/kesmas.v16i2.3305.
Hengky, H. K., & Rusman, A. D. P. (2022). Model Prediksi Stunting. Penerbit NEM.
Huriah, T., & Nurjannah, N. (2020). Risk factors of stunting in developing countries: A scoping review. Open Access Macedonian Journal of Medical Sciences, 8(F), 155–160. DOI:10.3889/oamjms.2020.4466
IMD, P. M. K., & Eksklusif, A. S. I. (2013). Kementerian Kesehatan RI. Jakarta.
Katoch, O. R. (2023). Urgent call to address child malnutrition: A matter of life and future. Nutrition, 116. https://doi.org/10.1016/j.nut.2023.112236.
Kemiskinan, T. N. P. P. (2018). Gerakan Nasional Pencerahan Stunting Kerjasama Kemitraan Multi Sektor. Jakarta. Tim Nasional Percepatan Penanggulangan Kemiskinan. H, 5.
Khadija, U., Mahmood, S., Ainee, A., Quddoos, M. Y., Ahmad, H., Khadija, A., Zahra, S. M., & Hussain, A. (2022). Nutritional health status: association of stunted and wasted children and their mothers. BMC Pediatrics, 22(1), 255. https://doi.org/10.1186/s12887-022-03309-y.
Krisnana, I., Pratiwi, I. N., & Cahyadi, A. (2020). The Relationship between Socio-Economic Factors and Parenting Styles with the Incidence of Stunting in Children. Systematic Reviews in Pharmacy, 11(5). https://doi.org/10.31838/srp.2020.5.106.
Kushargina, R., Falah, A. N., Hafidz, M. D., Nadia, N. Z., & Uswatun, U. (2023). “ ASI Itu Penting”: Edukasi pada Ibu Hamil untuk Cegah Stunting di Kabupaten Bogor. Jurnal Abmas Negeri (JAGRI), 4(1), 8–15. https://doi.org/10.36590/jagri.v4i1.495.
Kusuma, R. S. (2020). Improving students’ basic asking skills by using the discovery learning model. Tekno - Pedagogi : Jurnal Teknologi Pendidikan, 10(2), 8-13. https://doi.org/10.22437/teknopedagogi.v10i2.32743.
Lestari, P., Anwar, C., & Ulhaq, M. Z. (2023). Sosialisasi Pemanfaatan Hasil Pangan Lokal dengan Pengembangan Menu MP-ASI Sebagai Upaya Penurunan Angka Balita Stunting di Candimulyo, Magelang. COMSERVA, 2(10), 2125–2133. https://doi.org/10.59141/comserva.v2i10.607.
Linawati, N. (2022). Relationship Between Low Birth Weight And Infectious Diseases With Stunting In Children Aged 4 To 5 Years. Indonesian Journal of Multidisciplinary Science, 1(9), 1020–1030. https://doi.org/10.55324/ijoms.v1i9.143.
Mardiati, D. C., Alorgbey, B., & Zarogi, A. B. (2024). The relationship between educational level and the role of parents with learning achievement in mathematics. Interval: Indonesian Journal of Mathematical Education, 2(1), 22-28. https://doi.org/10.37251/ijome.v2i1.983.
Mitra, M. (2015). Stunting problems and interventions to prevent stunting (a Literature Review). Jurnal Kesehatan Komunitas, 2(6), 254–261. https://doi.org/10.25311/keskom.Vol2.Iss6.85.
Modjo, D., Indriyaningsih, S. T., & Nai, R. (2023). Penerapan Skrining Stunting Education Terhadap Kemampuan Orang Tua Balita di Rsia Siti Khadijah Kota Gorontalo. MAHESA: Malahayati Health Student Journal, 3(4), 1090–1104. https://doi.org/10.33024/Mahesa.v3i4.10228.
Muhith, A., Nursalam, N., & Wulandari, L. A. (2017). Family’s Economic Level and Culture Correlate with Nutritional Status of Children Under Five Years. None, 9(1), 138–142. https://doi.org/10.20473/jn.v9i1.3279.
Naufal, M., Hansen, H., & Ghozali, G. (2023). Pemberian Air Susu Ibu (ASI) Eksklusif dan Makanan Pendamping Air Susu Ibu (MP-ASI) dengan Risiko Stunting pada Balita Usia 0-59 Bulan. Jurnal Ilmu Kesehatan Masyarakat, 12(02), 140–147. https://doi.org/10.33221/jikm.v12i02.2008.
Nurdin, A., & Muhammad, Z. (2022). Analysis of Government Policy in Reducing Stunting Rate at Aceh Jaya, Indonesia. International Journal of Advances in Social Sciences and Humanities, 1(4), 187–196. https://doi.org/10.56225/ijassh.v1i4.95.
Oginawati, K., Yapfrine, S. J., Fahimah, N., Salami, I. R. S., & Susetyo, S. H. (2023). The associations of heavy metals exposure in water sources to the risk of stunting cases. Emerging Contaminants, 9(4), 100247. https://doi.org/10.1016/j.emcon.2023.100247.
Pasulu, Y. T., Budiyanto, A. B., & Astuti, R. A. (2023). Eevaluation of the level of patient satisfaction with pharmacy services at dr. jp wanane, Sorong District. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 7(2), 175–183. https://doi.org/10.22437/jiituj.v7i2.30113.
Pramahdyta, E., Susanti, Y., Santoso, D. Y. A., & Iqomh, M. K. B. (2023). Overview of Family Economic Status and Environmental Sanitation of Stunting Toddler Homes. Proceedings of the International Conference on Nursing and Health Sciences, 4(1), 331–342. https://doi.org/10.37287/picnhs.v4i1.1824.
Purba, I. E., Harahap, L. M., Sembiring, R., Wandra, T., & Nababan, D. (2023). Determinants of Stunting Among Children Under Two Years of Age in Batu Bara District, Indonesia. Poltekita: Jurnal Ilmu Kesehatan, 17(2), 508–514. https://doi.org/10.33860/jik.v17i2.3113.
Purnama, T. B., Hasibuan, R., Susanti, N., Ashar, Y. K., & Assegaf, M. T. (2023). Assessment of Multicausal Factor related Stunting at Limited Resources Area, Indonesia: A case study in Nias Island, Indonesia. Social Medicine, 16(03), 100–108.
Putra, R. P., Ramadhanti, A., & Darmawan, H. (2023). Male Or Female, Who Is The Highest? Life Optimism In Cardiovascular Disease Patients. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 7(1), 11–21. https://doi.org/10.22437/jiituj.v7i1.26618.
Quamme, S. H., & Iversen, P. O. (2022). Prevalence of child stunting in Sub-Saharan Africa and its risk factors. Clinical Nutrition Open Science, 42, 49–61. https://doi.org/10.1016/j.nutos.2022.01.009.
Raiten, D. J., & Bremer, A. A. (2020). Exploring the nutritional ecology of stunting: new approaches to an old problem. Nutrients, 12(2), 371. https://doi.org/10.3390/nu12020371.
Satria, A. A., & Ningsih, M. (2023). Hubungan Pemberian ASI Eksklusif Terhadap Kejadian Stunting Pada Balita Usia 24-59 Bulan Di Wilayah Kerja Puskesmas Pejeruk Tahun 2022. Aspiration of Health Journal, 1(1), 24–29.
Satriawan, E. (2018). Strategi nasional percepatan pencegahan stunting 2018-2024. Jakata: Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K). http://dx.doi.org/10.30872/jkmm.v5i1.10355.
Setiawati, T. (2022). Hubungan Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi Dengan Kejadian Stunting Pada Balita Usia 6-24 Bulan Di Puskesmas Suradita Tahun 2021. Sekolah Tinggi Ilmu Kesehatan Indonesia Maju. http://151.106.125.191:8080/jspui/handle/123456789/6711.
Siregar, S. H., & Siagian, A. (2021). Hubungan Karakteristik Keluarga dengan Kejadian Stunting pada Anak 6–24 bulan di Kabupaten Langkat. Tropical Public Health Journal, 1(1), 1–8. https://doi.org/10.32734/trophico.v1i1.6049.
Sk, R., Banerjee, A., & Rana, M. J. (2021). Nutritional status and concomitant factors of stunting among pre-school children in Malda, India: A micro-level study using a multilevel approach. BMC Public Health, 21, 1–13. https://doi.org/10.1186/s12889-021-11704-w.
Suwarni, R. (2021). Analysis the process of observing class iv students in thematic learning in primary schools. Tekno - Pedagogi : Jurnal Teknologi Pendidikan, 11(1), 26-32. https://doi.org/10.22437/teknopedagogi.v11i1.32717.
Tahangnacca, M., Amiruddin, R., & Syam, A. (2020). Model of stunting determinants: A systematic review. Enfermería Clínica, 30, 241–245. https://doi.org/10.1016/j.enfcli.2019.10.076.
Tarigan, Y. G., Etty, C. R., Purba, I. E., & Riaprilany, N. (2024). Breastfeeding Exclusive Status and Stunting Incidence Among Children Aged 24-36 Months in West Gunungsitoli, Nias. REAL in Nursing Journal, 7(1), 16–25. DOI: http://dx.doi.org/10.32883/rnj.v7i1.2841.
Utario, Y., Misniarti, M., & Haryani, S. (2022). Pemberdayaan Kader Posyandu tentang Deteksi Dini Stunting, Stimulasi Tumbuh Kembang dan Gizi Seimbang Balita. Jurnal Abdimas Kesehatan, 4(3), 519–524.DOI: http://dx.doi.org/10.36565/jak.v4i3.423.
Velásquez, A. (2009). Efectividad de programas de reducción de la pobreza en la nutrición infantil y los determinantes económicos de la desnutrición en países de escasos recursos. Revista Peruana de Medicina Experimental y Salud Pública, 26(4), 478–493.
Wahid, N. K., Maria, I. L., & Hidayanty, H. (2020). Relationship between drinking water sources, drinking water treatment, and sewage management with stunting in two-years-old children in Mamuju Regency. EAS Journal Nutrition Food Science, 187(3), 204–209. https://doi.org/10.36349/easjnfs.2020.v02i04.005.
Wahyuningrum, S. N., Asturiningtyas, I. P., Martiyana, C., & Mirzautika, A. (2023). Low birth weight and low mother education as dominant risk factors of stunting children in Magelang Regency, Central Java. Action: Aceh Nutrition Journal, 8(1), 111–118. https://doi.org/10.30867/action.v8i1.859.
Wang, X., Höjer, B., Guo, S., Luo, S., Zhou, W., & Wang, Y. (2009). Stunting and ‘overweight in the WHO Child Growth Standards–malnutrition among children in a poor area of China. Public Health Nutrition, 12(11), 1991–1998. https://doi.org/10.1017/S1368980009990796.
Wicaksono, R. A., Arto, K. S., Mutiara, E., Deliana, M., Lubis, M., & Batubara, J. R. L. (2021). Risk factors of stunting in Indonesian children aged 1 to 60 months. Paediatrica Indonesiana, 61(1), 12–19. https://doi.org/10.14238/pi61.1.2021.12-9.
Widiastuti, S. H., & Susanto, H. (2023). Sistem Informasi Monitoring Kesehatan Ibu Hamil Dan Gizi Balita Terhadap Stunting Di Puskesmas Bontang Selatan II. Jurnal Sains Dan Sistem Teknologi Informasi, 5(1), 1–9. https://doi.org/10.59811/sandi.v5i1.15.
Yohanie, D. D., Botchway, G. A., Nkhwalume, A. A., & Arrazaki, M. (2023). Thinking process of mathematics education students in problem solving proof. Interval: Indonesian Journal of Mathematical Education, 1(1), 24-29. https://doi.org/10.37251/ijome.v1i1.611.
Zakiyah, Z., Boonma, K., & Collado, R. (2024). Physics learning innovation: Song and animation-based media as a learning solution for mirrors and lenses for junior high school students. Journal of Educational Technology and Learning Creativity, 2(2), 54-62. https://doi.org/10.37251/jetlc.v2i2.1062.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mayang Sari Ayu, Mayasari Rahmadhani, Dewi Pangestuti, Florante Ibarra
This work is licensed under a Creative Commons Attribution 4.0 International License.