DETERMINAN STUNTING DI WILAYAH KERJA PUSKESMAS AWAAI KABUPATEN NIAS UTARA

Authors

  • Beatric Permatasari Zebua Universitas Sari Mutiara Indonesia
  • Donal Nababan Universitas Sari Mutiara Indonesia
  • Evawani M Silitonga Universitas Sari Mutiara Indonesia

DOI:

https://doi.org/10.34012/jkpi.v8i1.4984

Abstract

Stunting rates among toddlers in the Health Center area remained high despite efforts such as counseling and supplementary feeding, which have not yielded significant results. This study aimed to identify the factors contributing to stunting among 2-5-year-olds at the Public Health Center through a cross-sectional design. Data were gathered using a questionnaire from 124 mothers, including 62 with stunted toddlers and 62 with normal ones. Bivariate analysis revealed correlations between stunting and several factors: knowledge (p = 0.003), exclusive breastfeeding history (p = 0.008), husband's support (p = 0.007), family income (p = 0.004), and diet (p = 0.000). The most influential factor was exclusive breastfeeding history (p=0.04 and OR=0.235). Multivariate analysis indicated that exclusive breastfeeding history (OR=0.235; 95%CI: 0.088-0.630), husband's support (OR=0.129; 95%CI: 0.043-0.390), and diet (OR=0.068; 95%CI: 0.024-0.192) were the dominant variables related to stunting. Exclusive breastfeeding was found to reduce stunting incidence by 0.23 times compared to infants who didn't receive exclusive breastfeeding.

Keywords:   Knowledge, Exclusive Breastfeeding History, Husband's Support, Family Income, Diet, Stunting

References

Agustin, L., & Rahmawati, D. (2021). Hubungan Pendapatan Keluarga Dengan Kejadian Stunting. Indonesian Journal of Midwifery, 4(1), 30–34.

Ahmad, A., Madanijah, S., Dwiriani, C. M., & Kolopaking, R. (2019). Pengetahuan, sikap, motivasi ibu dan praktik pemberian MP-ASI pada anak usia 6-23 bulan : studi formatif di Aceh. Jurnal Gizi Klinik Indonesia, 16(1), 1–13. https://doi.org/10.22146/ijcn.34560

Anshori, L. M., Sutrisna, B., & Fikawati, S. (2020). Relationship energy and protein intake with the incidence of stunting among toddler aged (25-60 months) in Mangkung Village, District of central Lombok. Indian Journal of Public Health Research and Development, 11(3), 1604–1609. https://www.embase.com/search/results?subaction=viewrecord&id=L2004451861&from=export

Aridiyah, F. O., Rohmawati, N., & Ririanty, M. (2015). Faktor-faktor yang Mempengaruhi Kejadian Stunting pada Anak Balita di Wilayah Pedesaan dan Perkotaan ( The Faktors Affecting Stunting on Toddlers in Rural and Urban Areas ). E-Jurnal Pustaka Keseshatan, 3(1).

Arini, D., Nursalam, N., Mahmudah, M., & Faradilah, I. (2020). The incidence of stunting, the frequency/duration of diarrhea and Acute Respiratory Infection in toddlers. Journal of Public Health Research, 9(2), 117–120. https://doi.org/10.4081/jphr.2020.1816

Baliwati, Y. F., Briawan, D., & Melani, V. (2015). Pengembangan Instrumen Penilaian Kualitas Konsumsi Pangan Pada Rumah Tangga Miskin Di Indonesia. Gizi Indonesia, 38(1), 63. https://doi.org/10.36457/gizindo.v38i1.168

Cetthakrikul, N., Topothai, C., Suphanchaimat, R., Tisayaticom, K., Limwattananon, S., & Tangcharoensathien, V. (2018). Childhood stunting in Thailand: When prolonged breastfeeding interacts with household poverty. BMC Pediatrics, 18(1), 1–9. https://doi.org/10.1186/s12887-018-1375-5

Cortes, J. Z., Osti, L. E. T., Torres, M. O., Vargas, L. M., & Gress, A. A. O. (2018). Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. BMC Public Health, 35(2), 271–278.

Damanik, S. M., Wanda, D., & Hayati, H. (2020). Feeding practices for toddlers with stunting in Jakarta: A case study. Pediatric Reports, 12(1), 18–22. https://doi.org/10.4081/pr.2020.8695

Dayuningsih, Permatasari, T. A. E., & Supriyatna, N. (2019). Pola asuh makan, frekuensi konsumsi pangan dan kejadian stunting pada anak balita.

Destiadi, A., Susila, T., & Sumarmi, S. (2015). Frekuensi Kunjungan Posyandu dan Riwayat Kenaikan Berat Badan sebagai Faktor Risiko Kejadian Stunting pada Anak Usia 3 - 5 Tahun. Media Gizi Indonesia, 10, 71–75.

Dwi, A., Yadika, N., Berawi, K. N., & Nasution, S. H. (2019). Pengaruh Stunting terhadap Perkembangan Kognitif dan Prestasi Belajar. September, 273–282.

Erwina, S. (2020). Studi Literatur : Dampak Stunting Terhadap Kemampuan Kognitif Anak. Prosiding Seminar Nasional Kesehatan, 127–134.

Febrianita, Y., Fitri, A., Roza, A., & Saputra, R. (2020). The Relationship of Exclusive Breast Milk With Stunting in Children Under the Age of Two Years Tapung Kampar Distric. International Journal of Innovative Science and Research Technology, 5(7), 1262–1264. https://doi.org/10.38124/ijisrt20jul844

Fikawati, S., Adhi, E. K., Syafiq, A., & Bakara, S. M. (2019). Age of Milk Introduction is a Dominant Faktor of Stunting Among Toddlers Aged 24 Months in Bogor District: A Cross-Sectional Study. Pakistan Journal of Nutrition, 18(10), 969–976. https://doi.org/10.3923/pjn.2019.969.976

Ghifari, Y. E. D. (2021). The correlation of mother’s knowledge, mother’s attitude, and low birth weight (LBW) with stunting in toddlers at Kulon Progo District, Yogyakarta. In Public health and Comunity Medice.

Halimatunnisa, M., Indarwati, R., Ubudiyah, M., Trihartuty, Martha Sari, N. K. P., & Suhardin, S. (2020). Family Determinants of Stunting in Indonesia: A Systematic Review. International Journal of Psychosocial …, 24(09), 815–822. https://www.researchgate.net/profile/Saverinus-Suhardin/publication/348805833_Family_Determinants_of_Stunting_in_Indonesia_A_Systematic_Review/links/6011291b299bf1b33e290f78/Family-Determinants-of-Stunting-in-Indonesia-A-Systematic-Review.pdf

Hamzah, W., Haniarti, & Anggraeny, R. (2021). Faktor risiko stunting pada balita. Jurnal Surya Muda, 3(1), 33–45.

Hasnawati, Latief, S., & Purnama, J. (2021). Hubungan Pengetahuan Ibu dengan Kejadian Stunting pada Balita Usia 12-59 bulan. Jurnal Pendidikan Keperawatan Dan Kebidanan, 01(1), 7–12.

Kismul, H., Acharya, P., Mapatano, M. A., & Hatløy, A. (2017). Determinants of childhood stunting in the Democratic Republic of Congo: Further analysis of Demographic and Health Survey 2013-14. BMC Public Health, 18(1), 1–14. https://doi.org/10.1186/s12889-017-4621-0

Krisnana, I., Suryawan, A., & Muftiyaturrohmah, M. (2020). Analysis of fathers’ support based on maternal perceptions through stunting incidence in toddler at coastal areas. Systematic Reviews in Pharmacy, 11(5), 761–767. https://doi.org/10.31838/srp.2020.5.110

Kurniatin, L. febri, & lepita. (2020). Deteminan Kejadian Stunting Pada Anak Usia 24-59 Bulan Di Wilayah Puskesmas Saigon Kecamatan Pontianak Timur Determination Stunting Of Children 24-59 Months In The Puskesmas. Jurnal Kesehatan Poltekkes Kemenkes Pangkalpinang, 8(1), 9–16.

Kurniawati, E. (2020). Faktor risiko kejadian stunting pada balita di kabupaten kerinci provinsi jambi. Jurnal Stikes Siti Hajar, 2(2), 143–151.

Kusumawardhani, I. (2017). Asi Eksklusif, Panjang Badan lahir, Berat Badan lahir Rendah sebagai faktor risiko terjadinya stunting pada anak usia 6-24 bulan di Puskesmas Lendah II Kulon Progo.

Larasati, D. A., Nindya, T. S., & Arief, Y. S. (2018). Hubungan antara Kehamilan Remaja dan Riwayat Pemberian ASI Dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Pujon Kabupaten Malang The Correlation Between Adolescent Pregnancy , Breastfeeeding Practice and Stunted Children at Puskesmas Pujo. Amerta Nutrition, 392–401. https://doi.org/10.2473/amnt.v2i4.2018.392-401

Maria, I., Nurjannah, N., & Usman, S. (2020). Analisis Determinan Stunting menurut Wilayah Geografi di Indonesia Tahun 2018. 7, 239–250.

Maulid, A., Supriyadi, & Dewi, S. R. (2018). Relationship between the Role of Families and the Stunting Event in Toddler Ages in the Work Area of Jelbuk Jember Health. Jurnal Kesehatan Universitas Muhamadiyah Jember, 34, 1–14.

Meli, A. M., & Ali, A. (2021). Dietary Intake, Nutritional Status and Cognitive Performance among Fishermen’s Children: A Review. Malaysian Journal of Public Health Medicine, 21(1), 148–159. https://doi.org/10.37268/MJPHM/VOL.21/NO.1/ART.1092

Mentari, S., & Hermansyah, A. (2019). Faktor-Faktor Yang Berhubungan Dengan Status Stunting Anak Usia 24-59 Bulan Di Wilayah Kerja Upk Puskesmas Siantan Hulu. Pontianak Nutrition Journal (PNJ), 1(1), 1. https://doi.org/10.30602/pnj.v1i1.275

Mentari, T. (2020). Pola Asuh Balita Stunting Usia 24-59 Bulan. Higeia Journal of Public Health Research and Development, 1(3), 625–634.

Natalia, A., Nugraheni, S., Nugraheni, S. A., & Lisnawati, N. (2020). Hubungan Asupan Zat Gizi Makro dan Mineral dengan Kejadian Balita Stunting di Indonesia: Kajian Pustaka. Media Kesehatan Masyarakat Indonesia, 19(5), 322–330. https://doi.org/10.14710/mkmi.19.5.322-330

Ni`mah Khoirun, & Nadhiroh, S. R. (2015). Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita. Media Gizi Indonesia, 10(1), 13–19.

Noorhasanah, E., Tauhidah, N., & Putri, M. (2020). Faktor-faktor yang berhubungan dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Tatah Kabupaten Banjar. Jornal of MIDWIFERY REPRODUCTION, 4(1), 13–20.

Nur Hanum. (2019). Hubungan Tinggi Badan Ibu dan Riwayat Pemberian MP-ASI dengan Kejadian Stunting pada Balita Usia 24-59 Bulan. Amerta Nutrition, 3(2), 78–84. https://doi.org/10.2473/amnt.v3i2.2019.78-84

Nursanyoto, H., & Tanu, I. N. (2017). Bahan Ajar Gizi (Aplikasi Komputer) Pusat Pendidikan Sumber Daya Manusia Kesehatan Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia dan Kesehatan Edisi Tahun 2017.

Oktavianisya, N., Sumarni, S., & Aliftitah, S. (2020). Faktor yang mempengaruhi kejadian stunting pada anak usia 2-5 tahun di kepulauan mandingin.

Olfah, Y., Mendri, N. K., & Badi’ah, A. (2013). Kanker Payudara & Sadari (pertama). Nuha Medika.

Olsa, E. D., Sulastri, D., & Anas, E. (2018). Hubungan Sikap dan Pengetahuan Ibu Terhadap Kejadian Stunting pada Anak Baru Masuk Sekolah Dasar di Kecamanatan Nanggalo. Jurnal Kesehatan Andalas, 6(3), 523. https://doi.org/10.25077/jka.v6i3.733

Pantaleon, M. G., Hadi, H., & Gamayanti, I. L. (2015). Stunting berhubungan dengan perkembangan motorik anak di Kecamatan Sedayu , Bantul , Yogyakarta. Jurnal Gizi Dan Dietetik Indonesia, 3(Januari), 10–21.

Picauly, I., & Toy, S. M. (2013). Analisis Determinan Dan Pengaruh Stunting Terhadap Prestasi Belajar Anak Sekolah Di Kupang Dan Sumba Timur, Ntt. Jurnal Gizi Dan Pangan, 8(1), 55. https://doi.org/10.25182/jgp.2013.8.1.55-62

Purnamasari, M., & Rahmawati, T. (2021). Literature Review Hubungan Pemberian Asi Eksklusif dengan Kejadian Stunting Pada Balita Umur 24-59 Bulan Pendahuluan. 10.

Rahmawati, U. hasniah, Aini, L., & Rasni, H. (2019). Hubungan pelaksanaan peran keluarga dengan kejadian stunting pada balita di kecamatan arjasa kabupaten jember.

Ramadhan, R., & Ramadhan, N. (2018). Determinasi Penyebab Stunting di Provinsi Aceh. Sel Jurnal Penelitian Kesehatan, 5(2), 68–76. https://doi.org/10.22435/sel.v5i2.1595

Ramdhani, A., Handayani, H., & Setiawan, A. (2020). Hubungan Pengetahuan Ibu dengan Kejadian Stunting. In Semnas LPPM.

Riskesdas. (2018). HASIL UTAMA RISKESDAS 2018.

Rokhman, A., & Nana, Q. (2020). Hubungan Status Sosial Ekonomi Dan Penyakit Infeksi Dengan Kejadian Stunting Pada Anak Usia Prasekolah 3-5 Tahun Di Kecamatan …. Jurnal Kesehatan, 9(2), 73–85. https://doi.org/10.37048/kesehatan.v9i2.277

Saaka, M. (2014). Relationship between mothers’ nutritional knowledge in childcare practices and the growth of children living in impoverished rural communities. Journal of Health, Population and Nutrition, 32(2), 237–248. https://doi.org/10.3329/jhpn.v32i2.2618

Safitri, Y., Lail, N. H., & Indrayani, T. (2021). Faktor- Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita Dimasa Pandemi Covid-19 Wilayah Kerja Puskesmas Gunung Kaler Tangerang. Journal for Quality in Women’s Health, 4(1), 70–83. https://doi.org/10.30994/jqwh.v4i1.107

Sampe, S. A., Toban, R. C., & Madi, M. A. (2020). Hubungan Pemberian ASI Eksklusif Dengan Kejadian Stunting Pada Balita Pendahuluan. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 448–455. https://doi.org/10.35816/jiskh.v10i2.314

Sari, M. T., Daryanto, & Oesmani, M. (2020). Maternal Characteristics and Knowledge on the Risk of Childhood Stunting at Simpang Kawat Community Health Center, Jambi. https://doi.org/10.26911/the7thicph.03.84

Setiawan, E., Machmud, R., & Masrul, M. (2018). Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018. Jurnal Kesehatan Andalas, 7(2), 275. https://doi.org/10.25077/jka.v7.i2.p275-284.2018

Simanjuntak, B. Y., Haya, M., Suryani, D., Khomsan, A., & Ahmad, C. A. (2019). Maternal knowledge, attitude, and practices about traditional food feeding with stunting and wasting of toddlers in farmer families. National Public Health Journal, 14(2), 58–64. https://doi.org/10.21109/kesmas.v14i2.2712

Sirajuddin, Ramlan, A., Nursalim, & Abdullah, T. (2020). Breastfeeding practices can potential to prevent stunting for poor family. PubMed: Enfermería Clínica, 30(4), 13–17.

Sirajuddin, Surmita, & Astuti, T. (2018). Bahan Ajar Gizi (Survey Konsumsi Pangan) Pusat Pendidikan Sumber Daya Manusia Kesehatan Badan Pengembangan dan Pemberdayaan Sumber Daya Manusia dan Kesehatan Edisi Tahun 2018.

Stiller, C. K., Golembiewski, S. K. E., Golembiewski, M., Mondal, S., Biesalski, H. K., & Scherbaum, V. (2020). Maternal nutritional status and child feeding practices: A retrospective study in Santal communities, Birbhum District, West Bengal, India. International Breastfeeding Journal, 15(1), 1–24. https://doi.org/10.1186/s13006-020-00262-3

Susyanti, S., Maryana, D., & Suryawanitie, T. (2005). Kecendrungan kejadian stunting balita di desa mekarwangi wilayah kerja puskesmas mekarwangi kabupaten Garut.

Tanaka, J., Yoshizawa, K., Hirayama, K., Karama, M., Wanjihia, V., Changoma, M. S., & S Kaneko. (2019). Relationship between dietary patterns and stunting in preschool children: a cohort analysis from Kwale, Kenya. BMC Public Health, 58–68. https://doi.org/doi: 10.1016/j.puhe.2019.05.013.

Triana, N. Y., & Haniyah, S. (2020). Relationship of Exclusive Breastfeeding, Complementary Feeding and Nutritional Intake with Stunting in Children in Karanglewas Health Center. Advances in Health Sciences Research, 20, 74–78. https://doi.org/10.2991/ahsr.k.200204.017

Trihono, Atmarita, Tjandrarini, D. H., Irawati, A., Utami, N. H., & Nurlinawati, L. (2015). PENDEK (STUNTING) DI INDONESIA, MASALAH DAN SOLUSINYA.

Tsaralatifah, R. (2020). Faktor yang Berhubungan dengan Kejadian Stunting pada Baduta di Kelurahan Ampel Kota Surabaya Determinants of Stunted Children Under Two Years Old in Ampel Village , Surabaya. January 2019, 171–177. https://doi.org/10.20473/amnt.

Usman, S., & Ramdhan, S. (2021). Hubungan Faktor Pemberian ASI Eksklusif dengan Kejadian Stunting Pada Anak Balita Pendahuluan Metode. Jurnal Ilmiah Kesehatan Sandi Husada, 10(1), 285–289.

Widyaningsih, N. N., & Anantanyu, S. (2018). Jurnal Gizi Indonesia Keragaman pangan , pola asuh makan dan kejadian stunting pada balita usia 24-59 bulan. Jurnal Gizi Idonesia, 7(1).

Wiliyanarti, P. F. (2020). Peran Keluarga dan Pola Makan Balita Stunting. Jurnal Keperawatan Muhamdiyah, 5(1).

Yuliana, W., & Nulhakim, B. (2019). Efektifitas Kelas Nenek Terhadap Keberhasilan ASI Eksklusif untuk Mencegah Stunting. JI-KES (Jurnal Ilmu Kesehatan), 3(1), 29–33. https://doi.org/10.33006/ji-kes.v3i1.128

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Published

2024-05-08