Abstract

Positive deviance is an uncommon condition where the behavior or activities of a person or group in a population can unconsciously be a protective factor for a problem. Positive deviance behavior can occur in Sleman Regency with a stunting incidence rate of 11%, because it still has a sub-district with a relatively higher incidence of stunting than the average of Sleman Regency. This study discusses the analysis of feeding behavior, parenting behavior, hygiene behavior, and health care behavior as positive deviance (PD) behaviors in low economic status families with non-stunting incidence in Sleman Regency, Yogyakarta. This study is a qualitative study conducted in Sendangarum Village, Minggir District, Sleman Regency in the period between June and July 2020 for low economic status families who have children aged 1-2 years with not stunting incidence. The results of this study indicate positive deviance behavior in families with low economic status with non-stunting namely feeding behavior, parenting behavior, and hygiene behavior. The results of this study were important to analyzed PD behavior in Sendangarum Village, so that the officials could make an intervention by considering the findings to prevent stunting. The conclusion of this study found that positive deviance behavior in families with low economic status with non-stunting incidence were: 1) feeding behavior with a frequency of three times a day for main meals and side meals, 2) food ingredients consumed by children with good nutritional value with main meals a four-star menu and a snack, 3) the quantity of time parents spend with their children, 4) the role of parents when with children, 5) joint activities before bedtime, and 6) the behavior of maintaining the child's body hygiene, such as brushing teeth before bed.

Highlights

  • Stunting is a major public health problem, which has become an international concern due to its impact on children globally, both in the short and long term

  • Positive deviance behavior can occur in Sleman Regency with a stunting incidence rate of 11%, because it still has a sub-district with a relatively higher incidence of stunting than the average of Sleman Regency

  • The aim of this study is to discuss the analysis of feeding behavior, parenting behavior, hygiene behavior, and health care behavior as positive deviance (PD) behavior in low economic status families with non-stunting incidence in Sleman Regency, Yogyakarta

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Summary

Introduction

Stunting is a major public health problem, which has become an international concern due to its impact on children globally, both in the short and long term. The World Health Organization mentions eight major points of the causes of stunting, such as problems of nutritional quality, safety of food and water sources, characteristics of mothers, home environmental conditions, infectious diseases, parenting behavior, exclusive breastfeeding, complementary feeding (MP-ASI). Southeast Asia experienced a decrease in prevalence from 2000 by 38.4% to 25% in 2018. This figure is still in the high category, especially when compared to the percentage of stunting in the world in 2018 of 21.9%. Southeast Asia has the second highest stunting prevalence in the Asian continent after South Asia [3]

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