IDENTIFYING RISK FACTORS FOR STUNTING AMONG UNDER-FIVE INDONESIAN CHILDREN

Authors

  • Mayang Sari Ayu Universitas Islam Sumatera Utara
  • Mayasari Rahmadhani Universitas Islam Sumatera Utara
  • Dewi Pangestuti Universitas Islam Sumatera Utara
  • Florante Ibarra Central Luzon State University

Keywords:

Environment, Household, Primary Health Care, Stunting

Abstract

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

Download data is not yet available.

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. DOI: 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. DOI: 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. DOI: 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.

Ayelign, A., & Zerfu, T. (2021). Household, dietary and healthcare factors predicting childhood stunting in Ethiopia. Heliyon, 7(4).DOI: 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

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. DOI: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. https://repository.unar.ac.id/jspui/handle/123456789/462

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). DOI: 10.52155

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. DOI: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. DOI: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. DOI: 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). DOI: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

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

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. DOI: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. DOI: 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). EVALUATION 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. DOI: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). DOI: 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. DOI:10.1186/s12889-021-11704-w

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. http://www.scielo.org.pe/scielo

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. DOI: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. 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

Downloads

Published

2024-09-14

How to Cite

Ayu, M. S., Rahmadhani, M., Pangestuti, D., & Ibarra, F. (2024). IDENTIFYING RISK FACTORS FOR STUNTING AMONG UNDER-FIVE INDONESIAN CHILDREN. Jurnal Ilmiah Ilmu Terapan Universitas Jambi, 8(2). Retrieved from https://mail.online-journal.unja.ac.id/JIITUJ/article/view/34450