Maternal And Child Health Handbook Research Articles

Overview of current revision of ‘Maternal and Child Health Handbook (MCH Handbook)’ in Japan

Overview of current revision of ‘Maternal and Child Health Handbook (MCH Handbook)’ in Japan

PENGARUH PELAKSANAAN KELAS IBU HAMIL TERHADAP PENGETAHUAN TENTANG PERSIAPAN PERSALINAN DI DESA TALAGA KECAMATAN MANCAK TAHUN 2023

The program organized by the Ministry of Health to support this step is the class for pregnant women. Class activities for pregnant women use learning methods, one of which is by discussing the material in the MCH book. The use of the MCH handbook is expected to improve the quality of maternal and child health and nutrition services so that one of the national development goals, namely reducing MMR and IMR, can be achieved. Based on the above, the researcher is interested in conducting research entitled "The Influence of Conducting Pregnant Women's Classes on Knowledge About Birth Preparation in Talaga Village, Mancak District in 2023". Research Objectives: To find out the level of influence of holding pregnant women's classes on knowledge about childbirth preparation. Research Methods: This study used a quasi-experimental with purposive sampling with a sample of 30 people. Data techniques included in univariate analysis using the normalization test and bivariate analysis using the SPSS program statistical calculations. Research results: The results of the Paired Sample Test show that the Sign (2-tailed) value is 0.000 <0.05, so H0 is rejected and Ha is accepted. So it can be concluded that there is an effect of using the answer gallery learning strategy in leaving learning outcomes for pregnant women classes in Talaga village, Mancak sub-district. Conclusions and Suggestions: There is a significant influence of class knowledge on pregnant women. It is expected that pregnant women can attend classes for pregnant women

Analysis of P4K Filling in The MCH Book with Factor of Maternal Death Based on Three Delays (3T) in 2022 In The Jember District

The Birth Preparedness and Complication Readiness Program (P4K) is an effort to overcome maternal mortality by reducing three delays (3T), late decision-making, late reaching health facilities, and late getting treatment. The purpose of this study was to analyze P4K filling in maternal and child health (MCH) books with the causes of maternal death based on three delays (3T). The method used in this study is quantitative and descriptive using data on 58 cases of maternal death found at the Jember District Health Office. The results of this study were that there were 15 (25.8%) cases of maternal death with P4K in the MCH handbook which were incompletely filled in and identified as experiencing three delays and 12 (20.6%) cases of maternal death with P4K in the MCH handbook which were not filled out. This research can be used as material for evaluating the Birth Preparedness and Complication Readiness Program (P4K).

THE RELATIONSHIP BETWEEN EXCLUSIVE BREASTFEEDING HISTORY AND STUNTING INCIDENCE IN TODDLERS AGE 24-60 MONTHS

Currently the incidence of short toddlers or called stunting is one of the nutritional problems experienced by toddlers in the world. One of the causes of the stunting problem is the delay in Early Breastfeeding Initiation (IMD) and non-exclusive breastfeeding. The World Health Organization (WHO) recommends breastfeeding for at least 6 months. Breast milk is a nutritional intake that fits the needs that help the growth and development of children. Children who do not get enough breast milk mean they have poor nutritional intake and can cause malnutrition, one of which can cause the risk of stunting. The method of this study is observational analytic with a retrospective approach. The number of samples in this study were 72 toddlers. The instrument used to obtain secondary data in this study was the MCH handbook, and the instrument used to obtain primary data in this study was research observation sheets. The data were analyzed using the Fisher Exact test. The results showed that out of 72 toddlers, 36 toddlers experienced stunting, 37 of them were not given exclusive breastfeeding and 35 of them were given exclusive breastfeeding. Bivariate analysis showed that there was a relationship between a history of exclusive breastfeeding and the incidence of stunting (P Value 0,000). There is a relationship between a history of exclusive breastfeeding and the incidence of stunting in toddlers aged 24-60 months in the working area of the Telen Health Center.

Pengaruh Pengetahuan Ibu dan Peran Petugas Kesehatan Terhadap Pemanfaatan Buku KIA Di Puskesmas Rawat Inap Muara Sabak Timur Kabupaten Tanjung Jabung Timur

The Maternal and Child Health Book (KIA) is a notebook owned by parents and health service providers that is used to monitor maternal health during pregnancy, assess the growth and development of children. The use of the MCH handbook can be optimal if health workers and cadres ensure that the mother and family understand the contents of the MCH handbook, increasing knowledge of the MCH handbook can be done in various ways, one of which is by providing counseling according to the needs of pregnant women.The research design used was a one group pretest-posttest design. It was carried out at the East Muara Sabak Inpatient Health Center in December 2022. The total population was as many as 30 respondents with a sample. Data analysis used the Wilcoxon test.The results showed that the mother's knowledge was quite good (40.0%) became good (76.7%) after attending counseling and the role of health workers was not good (66.7%) increased to good (100%) after attending counseling about the use of MCH book. There is an effect of mother's knowledge on the utilization of the MCH handbook. <0.05).The conclusion obtained in this study is the influence of mother's knowledge and the role of health workers on the use of the MCH handbook at the East Muara Sabak Inpatient Health Center, East Tanjung Jabung Regency. And it is suggested that socialization and ongoing counseling be carried out so that it is hoped that this research can be used as a reference for planning maternal and child health programs.

The Relationship of Toddler Visits with the Government (SAMBAL MATAH) on Toddler Visits to POSYANDU

Posyandu activities can prevent malnutrition, currently visits to posyandu are still low where visits to posyandu have only reached 62.16%, so efforts are made for government involvement to increase visits to posyandu with the SAMBAL MATAH innovation, namely Visit Toddlers with the Government, government involvement in posyandu activities are very important to increase visits to posyandu. This type of research uses a quasy experimental research design, namely pre post-test with control group design. The population in this study were all mothers with toddlers of 93 people with a purposive sampling sample, as many as 17 people in the experimental group and 17 people in the control group. The measuring tool uses attendance documentation data from the posyandu and the MCH handbook. Data analysis used the Mann Whitney test. Visits to the posyandu before the intervention 100% did not visit and after the intervention 94.1% visited the posyandu. Visits to the posyandu before the WA Group conducted 100% did not visit and after the WA Group 11.7% visited the Posyandu. There is a relationship between SAMBAL MATAH activities and visits to posyandu for mothers with toddlers in the Work Area of the Handil Baru Health Center, Tanjung Harapan Village, with a p value of 0.000. Government involvement in supporting posyandu activities can provide motivation for mothers who have toddlers to bring their toddlers to posyandu because SAMBAL MATAH activities apart from providing motivation also provide information about the importance of posyandu activities

Faktor-Faktor yang Berhubungan dengan Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Oleh Ibu Hamil

The coverage of MCH handbooks in Jambi Province is only around 72.34% where the target coverage is 100%. Seen from the withdrawal of the distribution of the MCH handbook received by the Puskesmas in Jambi Province, it reached 90%, however, the utilization of the MCH handbook was still low. The aim of the study to determine the relationship between knowledge, attitude and education of pregnant women in using the MCH handbook. The research method uses analytic observational with cross sectional. The study population was pregnan women who checked their pregnancies in the Working Area of the Bingin Teluk Health Center during the study. The sampling technique used purposive sampling based on the inclusion criteria of 70 respondents. Data analysis test using Fisher’s Exact. The result showed thet there was no relationship between knowledge and the use of the MCH handbook with a p-value of 0.062, OR of 0.078 (0.001-0.946). There is no relationship between attitude and utilization of the MCH handbook with a p-value of 1.000, OR of 0.841 (0.758-0.932). There is a relationship between education and the utilization of the MCH handbooks with a p-value of 0.044, with an OR of 0.198 (0.045-0.880).The conclusion of this study is that tehre is no relationship between the knowledge and attitude of pregnant women and the use of the MCH handbooks and there is a relationship between the education of pregnant women and the users of the MCH handbook in the Working Area of the Bingin Teluk Health Center.

Association of sociodemographic and maternal healthcare factors with birth registration in Angola

ObjectivesAngola has a high burden of unregistered children and efforts to increase birth-registration coverage have not yielded the desired progress. This study aimed to examine sociodemographic and healthcare-related factors associated with birth registration in Angola. Study designSecondary data analysis of the Maternal and Child Health (MCH) Handbook randomised controlled trial conducted in Benguela province, Angola and involving 11,006 women. MethodsFor this analysis, we excluded women with missing data on birth registration (n = 1424), multiple gestation (n = 243), and those with infant death (n = 6). The final study population included 9333 women with infants under one year of age. We used multilevel mixed-effects logistic regression analysis to determine sociodemographic and healthcare-related factors associated with the registration of a child's birth. ResultsOf the 9333 live births, 25% (95% confidence interval [CI] = 13.4–41.8) were registered, while 21% (95%CI = 11.1–35.7) were registered with certificate. There were higher proportions of registered births among mothers who possessed the MCH Handbook across various demographic and healthcare indicators. Birth registration was most significantly associated with facility-based delivery (odds ratio [OR] = 2.97; 95%CI = 2.45–3.61), possession of MCH Handbook (OR = 2.04; 95%CI = 1.70–2.46), and complete scheduled vaccination visits (OR = 1.69; 95%CI = 1.44–1.97). Higher maternal age and education level, belonging to the highest wealth quintile, beginning antenatal care in the first trimester, attending at least four antenatal care visits, and using postnatal care services were positively associated with registration of birth. ConclusionMaternal healthcare factors showed significant associations with birth registration and integrating birth-registration processes with certain maternal and child health services may further raise awareness and boost registration levels in Angola.

Incidence of Anemia and Adherence to Fe Tablet Consumption Based on MCH Book Completion

Maternal mortality is a measure of welfare and health status in a country. The death of 1320 mothers in Indonesia is caused by bleeding, one of which is caused by anemia during pregnancy. The success of supplementing 90 Fe tablets in Indonesia is 51% and only 37.7% of pregnant women consume 90 tablets of Fe tablets. Pregnant women and giving 90 iron tablets in West Java Province amounted to 98.2%, or 943.34 people and there was a jump of 0.5% or 5,505 pregnant women did not get Fe tablets. One way to monitor the consumption of FE tablets is through the MCH book. Research Objectives: To determine the relationship between consumption of Fe tablets in terms of filling out the MCH handbook and the incidence of anemia in third trimester pregnant women at the Cipayung Health Center in 2022. Research Methods: This study used the chi square method where observations were made of pregnant women at one time to measure the relationship between consumption adherence FE tablets with the incidence of anemia. The sample used in this study were 33 people who met the inclusion and exclusion criteria. Research Results: demo data obtained the average age of the mother is 31 years. Mother's education 54.5% have higher education. As many as 84.4% of mothers have high knowledge. As many as 66.7% of the 21 pregnant women who adhered to the consumption of FE tablets did not experience anemia. Statistical tests showed a P-value of 0.016 and there was a relationship between adherence to consumption of FE tablets and the incidence of anemia in third-trimester pregnant women at the Cipayung Health Center in 2022. Conclusion: monitoring of FE consumption can be done through the MCH handbook for pregnant women so that early prevention of anemia during pregnancy, especially when entering the third trimester.

Optimalisasi Pemanfaatan Buku KIA Pada Ibu Hamil Resiko Tinggi di Daerah Lahan Basah

AbstractMaternal mortality (MMR) and infant mortality (IMR) are critical health indicators. An essential part of the MCH service is using the MCH Handbook. The Maternal and Child Health Book is a tool or media midwives use to provide health information to pregnant women, women in childbirth, mothers and children. The results of RiskesDas showed that 80.8% had an MCH handbook, but only 40.4% could show an MCH handbook at the time of the survey, and 19.2% of mothers did not have an MCH handbook at all. The Obstetrics and Gynecology Outpatient at Ulin Hospital is a referral centre for high-risk mothers in the Banjarmasin Wetlands. This activity aims to optimize the use of MCH guidelines and carry out health education to increase the knowledge of high-risk pregnant women. This activity was conducted specifically for high-risk pregnant women who underwent routine ANC at the Ulin Hospital Obstetrics Outpatient in June-July 2023. The pre and post-questionnaires were filled in to assess the results of the counselling activitiesfor 60 pregnant women. Most pregnant women over 35 years (50%) multipara as much as 41.67%, anaemia 83.33%, K4 less than 50%. The cumulative high pre-test score was only 16.67%, and the high post-test score increased to 33.33% after this activity is hoped to be continued and developed by optimizing the MCH Handbook use. Keywords: MCH Handbook; pregnant mother; Activity

Association between the quality of care and continuous maternal and child health service utilisation in Angola: Longitudinal data analysis.

Many low- and middle-income countries (LMICs) prioritise minimising maternal, neonatal, and infant mortality. To improve maternal and child health, various evidence-based interventions have been introduced. Quality of care is pertinent while strengthening service utilisations. Achieving optimal-quality care is often marred with difficulties, such as inadequate skills and knowledge of health workers, poor fidelity to protocols, and poor user acceptance. Angola is a LMIC facing these problems. This study aimed to demonstrate the influence of health facilities' quality of care at antenatal care (ANC) on subsequent maternal, newborn and child health (MNCH) service utilisation in Angolan pregnant women. Population-based cohort data from the Maternal and Child Health Handbook (MCH-HB) effectiveness study were analysed. The original study was conducted among women who became pregnant between March and April 2019 in Benguela Province, Angola. Socioeconomic and MNCH service utilisation indicators were collected through interviewer-administered structured questionnaires. The indicator of quality of care was a composite measure that assessed the implementation of the MCH-HB based on the RE-AIM framework, mostly consisted of common factors related to delivery and management of MNCH services. A multivariate logistic regression analysis was performed between quality of care, socioeconomic factors, and service utilisation indicators among the intervention group participants who had at least one ANC visit. Of the 3351 pregnant women who visited ANC at least once, 2911 without missing values among explanatory or dependent variables were included in the analysis. Among them, 2032 (69.8%) were exposed to optimal-quality ANC, and 2058 (70.7%), 1573 (54.0%), and 941 (32.3%) achieved ANC target, facility delivery, and vaccination target for six-month-old infants, respectively. Exposure to suboptimal-quality care at ANC was associated with lower odds for facility delivery (adjusted odds ratio (AOR) = 0.60, 95% CI = 0.49-0.73) and the achievement of the vaccination target (AOR = 0.43, 95% CI = 0.33-0.55). A low socioeconomic status was inversely associated with health service utilisation indicators. Health facilities' quality of care influences subsequent MNCH service utilisation. Therefore, simultaneous efforts to improve quality of care and the mobilisation of pregnant women and communities are essential for enhancing maternal and child health.

A global perspective of the role of the maternal and child health handbook in health promotion: Narrative synthesis

Little is known about the impact of "home-based records'' on the health promotion of mothers and children. Considering this, we compiled and analysed existing evidence on the effectiveness of a specific home-based record, the Maternal and Child Health Handbook (MCHHB), in enhancing the health of mothers and their children. A systematic search of PubMed, Google Scholar, Maternity, and Infant Care, CINHAL, and Ovid was conducted. All types of original research articles published in English were considered. A narrative synthesis was used due to the heterogeneity of findings among the included studies. Out of a total of 1351 papers, 45 studies were included. Breastfeeding, immunisation, family planning, antenatal care, maternal nutrition, maternal Tetanus Toxoid (TT) immunisation, vitamin A and iron supplements, smoking and alcohol consumption during pregnancy, healthy and safe delivery, awareness of pregnancy complications, and healthy child development are all areas where MCHHB has been implemented and evaluated. Although one study found no effect, our findings indicate a positive impact. The results emphasised the effectiveness and value of MCHHB in enhancing maternal and infant health. However, given that only a small number of studies were available for each outcome group, we suggest more research be conducted on the MCHHB's positive effects on mothers’ and children’s health.

The Incomplete Basic Immunization for Infants During the Covid-19 Pandemic in the Work Area of the Bandar Petalangan Health Center, Pelalawan Regency

Achievement of complete basic immunization at Puskesmas bandar Petalangan was only 77.7%. There are various causes for the low achievement of Complete Basic Immunization such as remote and difficult to reach immunization service locations, irregular service schedules and incompatible with community activities, unavailability of immunization cards (MCH handbook), low public awareness and knowledge of benefits. The research objective was to know the timeliness of the implementation of basic immunization in infants during the Covid-19 pandemic in the work area of the Bandar Petalangan Community Health Center, Pelalawan Regency in 2020. The research method used a cross sectional design with a population of mothers who had babies aged 3-12 months, totaling 257 people with a sample. totaled 161 people. The sampling technique used accidental sampling. Data analysis was performed using univariate, bivariate and multivariate multiple logistic regression. The results showed that there were 54 mothers (33.5%) who were not on time in basic immunization, variables related to the timeliness of basic immunizations were maternal education (POR = 2.9), affordability of immunization sites (POR = 3.6) and family support (POR = 3.3). It is recommended that BLUD Puskesmas bandar Petalangan be able to increase and equalize posyandu service facilities, increase information and education communication (KIE) efforts to mothers and families about the importance of basic immunization in infants and increase the role of volunteer health.

Edukasi Pemberian MPASI Melalui Optimalisasi Buku KIA Dalam Upaya Pencegahan Stunting Pada Ibu Dengan Anak Usia 6-24 Bulan

The problem of stunting is influenced by the low knowledge of mothers in the application of proper complementary feeding. In an effort to fulfill proper MPASI, it is necessary to increase knowledge through information that is easily understood by mothers who have toddlers. Increasing knowledge can be done by optimizing the MCH handbook in applying understanding of the information about MPASI in the MCH handbook and carrying out early detection through reading the height/age chart to detect whether toddlers are stunted or not. The purpose of doing community service in Sayutan Village, Magetan Regency is to increase the knowledge of mothers and toddlers through education on giving MPASI through optimizing the MCH book. The method used in this service is to prepare by conducting a survey of the knowledge possessed by toddler mothers about giving MPASI. The next stage is the implementation of activities, namely education with counseling about the information on complementary feeding contained in the MCH handbook and how to interpret PB/U charts to detect stunting. The final stage of this activity is to evaluate the implementation of activities by measuring the level of knowledge before education is carried out and after evaluation is carried out. The results of this community service show that there is an increase in the level of good knowledge of 80.5% compared to before education, namely less knowledge of 48.8%. Information in the MCH handbook can be an appropriate reference if it is read and understood correctly. With increased understanding of a mother will further improve the health status of toddlers in the family.

The Effectiveness of Using Maternal and Child Health (MCH) Handbook through the 40 Days CARE Method for Independently Prevention of Postpartum Complications

The puerperium is the period after delivery up to 40 days when the reproductive organs recover. Postpartum services according to standards are provided to mothers and newborns from 6 hours to 42 days after delivery at least three times through home visits for early detection, treatment, or referral of complications that may occur during the postpartum period, as well as provide an explanation about health in general. One of the efforts made by the government is to procure MCH Handbook equipped with important information for mothers and babies, including screening for early detection of complications. Cadres will assist mothers in maximizing the utilization of MCH handbooks in the obedience of postpartum mothers to carry out postpartum visits, independent screening media for complications of the postpartum period and sources of receiving informational educational counseling during the postpartum period. This study aimed to analyze the effectiveness of using MCH handbook through the 40 Days CARE method for independently preventing complications in postpartum mothers. The design used was the Pre-Experiment (One Shot Case Study) with a sample of 30 respondents using a purposive sampling technique. Data collection used a questionnaire. Data analysis used T Test (α = 0.05). The results showed p value of 0.000, which means that there was an effect of using MCH handbook through the 40 Days CARE method on independently preventing complications in postpartum mothers. Based on this result, it is known that postpartum assistance has an influence and is effective in increasing the mothers’ independence in detecting and preventing postpartum complications, so the consistency in postpartum assistance and outreach to health cadres regarding this activity are badly needed

Relationship between Utilization of the MCH Handbook and Mother's Knowledge and Attitudes in Early Detection of Stunting

It is important to pay attention to the prevalence of under-five nutritional problems in Indonesia in 2022 which will still reach 21.6%, especially related to stunting and underweight. This disorder has far-reaching consequences, including increased morbidity and mortality. As a result, it is critical to recognize stunting early, and one way that can be done is to employ Maternal and Child Health (MCH) books as a source of information for moms of toddlers. Through this MCH guide, mothers can independently monitor their toddlers' growth and development, as well as expand their understanding and attitudes about toddler nutrition. The purpose of this study is to examine the association between the use of the MCH handbook and the mother's knowledge and attitudes about early stunting identification. The study was a quantitative study that was done out utilizing cross-sectional research methodologies on 88 moms who had toddlers and MCH books. The results showed that the use of the MCH handbook as a communication tool was the factor that had the most influence on mother's knowledge (OR=12,007) and one of the factors that had a significant impact on mother's attitude in early detection of stunting.

Pregnant woman awareness of obstetric danger signs in developing country: systematic review

BackgroundMother's awareness of obstetric danger signs is the degree of a pregnant woman to fully utilize her knowledge of the signs and symptoms of complications of pregnancy, which helps the mother and family to seek medical help immediately. High maternal and infant mortality rates in developing countries are due to a combination of a lack of quality, resources and access to health services coupled with mother’s lack of awareness. The purpose of this study was to collect current empirical studies to describe the pregnant women awareness about the obstetric danger sign in developing country.MethodThis review employed the Prisma-ScR checklist. The articles searched in four electronic databases (Scopus, CINAHL, Science Direct, Google Scholar). Variables that used to search the articles (pregnant woman, knowledge, awareness, danger signs pregnancy). The Framework used to review is PICOS.ResultThe results of the article found 20 studies which met inclusion criteria. The determinants were high educational status, more pregnancy experience, more ANC visit, and labour in the health facility.ConclusionThe level of awareness is low to medium, only some have fair awareness, in which related to determinant. The recommended effective strategy is to improve the ANC program by assess the risk of obstetric danger sign promptly, assess the barrier of health seeking related to the family support, i.e. the husband and the elderly. Additionally, use MCH handbook or mobile application to record the ANC visit and communicate with the family.

Description of Pregnant Women Using Maternal and Child Health (MCH) Books as Information Media

Introduction: During pregnancy, the mother will experience various physical and psychological changes. Fulfillment of psychological needs is obtained from health information and education, supported by interesting information media. The MCH handbook is very important for mothers to own and understand in order to make it easier to monitor the health of mothers and children. Objective: This study aims to describe pregnant women who use the MCH Handbook as an Information Media in the Sumberjaya Poskesdes Working Area in 2022. Method: This research is a quantitative research with a quantitative descriptive research design. The sample in this study were all pregnant women who came to the Poskesdes to do an examination and have a MCH handbook. Retrieval of data using a total sample technique, namely 40 respondents. Retrieval of data using primary data in the form of a questionnaire. The research was conducted from November-December 2022. Result: The majority of pregnant women aged 20-35 years (85%) had used the MCH Handbook as much as 52.9% as a medium of information. The majority of respondents had low education (70%) with 57.2% had not used the MCH handbook as an information medium. Most of the respondents belong to the second trimester category (55%) and 54.5% have used the MCH Handbook as a medium of information. The majority of respondents are housewives who do not work (65.5%) and the majority have used the MCH handbook as a medium of information as much as 51.6%. The majority of pregnant women did not use the MCH Handbook as Information Media as much as 52% with the majority having sufficient knowledge. Conclusion: Most of the respondents have used the MCH Handbook as an Information Media apart from being a notebook for monitoring Maternal and Child Health.

Relationship Of Maternal Nutrition Status And Mother's Height Of Stunting Events In Tolls At Puskesmas Pagambiran

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p align="center"><strong><em>Abstract</em></strong></p><p align="center"><strong><em> </em></strong></p><p><em>Stunting is a chronic malnutrition problem characterized by height for age which is <-2 SD according to the median standard of child growth. Stunting causes poor quality of human resources, which will reduce productivity. </em><em>T</em><em>he factor causing the problem of stunting In Tools AtPagambiran Health Center, Padang City is the lack of clean water sanitation. The purpose of this study was to determine the relationship between the nutritional status of the mother, the height of the mother, and the mother's knowledge of the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City.This research is an observational analytic study with a cross-sectional design. This research was conducted at the Pagambiran Health Center in Padang City with 3457 populations in November 2021-December 2022. The research sample was 174 mothers and children aged 24-59 months. Sampling using Stratified Random Sampling and Simple Random Sampling. Data collection used a questionnaire and the MCH handbook. The statistical tests used are Chi-square and Logistic Regression.The results of the univariate study found that 55 mothers (31.6%) had a history of chronic energy deficiency, and 12 mothers (6.9%) had a height < 150 cm. The results of the bivariate study using chi-square analysis obtained the p-value of each variable, namely the mother's nutritional status (p=0.005) and mother's height (p=0.018). The study concludes that there is a relationship between the mother's nutritional status and the mother's height in the incidence of stunting in toddlers at the Pagambiran Health Center, Padang City.</em> <em>Researchers suggest that counseling related to stunting can be carried out for pregnant women and prospective brides as an initial preventive measure.</em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: <strong><em>Chronic Energy Deficiency, Mother's Height, Stunting.</em></strong></em></strong>

Analisis faktor ibu terhadap kejadian stunting pada balita usia 24-59 bulan di perkotaan

The prevalence of stunting is still high in urban areas. Maternal factors such as height, education, occupation, antenatal visits, and nutritional status have increased stunting in urban areas. The study aims to analyze the maternal factors that influence the incidence of stunting among children aged 24-59 months in urban areas. The case-control design study was conducted in May-July 2019 in Pasuruan City. Samples of 67 cases (HAZ < -2SD) and 67 controls (HAZ > -2SD) were selected by simple random sampling. Data on children's age, gender, birth order, education, occupation, pregnancy classes, and antenatal visits were collected by interviewing respondents using a questionnaire. Data on birth weight, maternal age during pregnancy, maternal upper arm circumference during pregnancy, and maternal height were obtained from the MCH Handbook. The chi-square test and Logistic Regression were used for data analysis. The results showed that the maternal nutritional status during pregnancy was associated with the incidence of stunting in urban areas (p= 0,010). In contrast, children's age, gender, birth order, birth weight, maternal age during pregnancy, maternal height, education, occupation, pregnancy classes, and antenatal visits were not associated (p> 0,05). The incidence of stunting was 3,37 times higher in mothers with MUAC < 23,5 cm during pregnancy (OR= 3,37). In conclusion, maternal nutritional status during pregnancy is the main predictor of stunting among children aged 24-59 months in urban areas.