National Stunting Prevalence Research Articles

Maternal factors associated with stunting among children under two years in South Nias, Indonesia: a cross-sectional study

The Indonesian Nutritional Status Survey 2022 reported that the prevalence of stunted children in South Nias, a district in North Sumatera, was 27.2%, higher than the regional and national prevalence of stunting. Stunting can be caused by many factors including maternal nutritional status, exclusive breastfeeding, and inadequate food intake. This research aims is to analyze the relationship between maternal factors and cases of stunting in children under two years at Somambawa Community Health Center, South Nias Regency. It was a quantitative study with a cross sectional design. Using a total sampling technique, 72 mothers with children under two years were included in the study. Exact fisher statistical and logical regression tests were carried out in bivariate and multivariate analyses. This study found that there was a significant relationship between antenatal care visits (p-value=0.000) and exclusive breastfeeding (p-value=0.000) with stunting in children under two years old. Exclusive breastfeeding was the most dominant predictor of stunting in the study, namely 84 times (p-value=0.000; OR 84.00). Meanwhile, complementary feeding and knowledge did not show a significant relationship with stunting. Therefore, health education to provide information and knowledge about stunting, especially about exclusive breastfeeding and complementary food for babies is suggested.

Sosialisasi Pencegahan Stunting di Dusun Muteran Desa Kejagan, Kecamatan Trowulan, Kabupaten Mojokerto

Stunting remains a significant public health challenge in Indonesia, especially in rural areas. The national stunting prevalence was recorded at 24.4% in 2021, still far above the maximum threshold of 14% set in the SDGs for 2024. To tackle this problem, the KKN-T Bela Negara Group 8 team of the National Development University "Veteran" East Java in collaboration with UPT Puskesmas Tawangsari carried out a socialization program on stunting prevention in Muteran Hamlet, Kejagan Village, Trowulan District, Mojokerto Regency on August 2, 2024. This program involved 38 participants of mothers with children under five years old and focused on three main interventions including measuring children's height, weighing children, and giving vitamin A. This activity aims to know how to prevent stunting from various aspects, knowing how to measure and weigh toddlers appropriately according to health procedures and learning how to give vitamin A to children. Through this collaborative effort, it is hoped that the prevalence of stunting in Muteran Hamlet can be significantly reduced so that it can contribute to improving the quality of human resources in the future.

THE INFLUENCE OF 1000 HPK VIDEO MEDIA ON INCREASING THE KNOWLEDGE AND ATTITUDE OF MOTHERS OF REPRODUCTIVE AGE COUPLES AS AN EFFORT TO PREVENT STUNTING IN GUGUK PANJANG HEALTH CENTER

Background: There are many growth and development problems that occur in children, including stunting. Stunting is a condition of growth failure in children under five due to chronic malnutrition so that children are too short for their age. Malnutrition occurs from the time the baby is in the womb and in the early period after the baby is born, however, stunting conditions are only visible after the baby is 2 years old. Thus the period of 1000 HPK should receive special attention because it determines the growth rate of physique, intelligence, and productivity in the future. In 2020, the national stunting prevalence rate was 27.6%. In Bukittinggi city, the stunting rate in 2021 is 19%. This figure is still far from the national target for 2024 to 14%. Given the importance of stunting prevention, researchers are interested in conducting research on the Influence of 1000 HPK Video Media on Increasing Knowledge and Attitudes of Uisa Subur Couples as Stunting Prevention Efforts at the Guguk Panjang Health Center.Purpose: To determine the influence of health promotion media videos about 1000 HPK on increasing knowledge and changing attitudes of mothers of couples of childbearing age as an effort to reduce the incidence of stuntingMethods: This study is a quasi-experimental study, which uses a one-group pre-test post test design, with a sample of 18 people in the Guguk Panjang Health Center work area.Results: The results showed that before being given education through video media about 1000 HPK, the average maternal knowledge was 7.44 and after it was carried out it became 9.61. The average attitude of mothers before being given education was 34.88 and after it was carried out it was 37.88.Conclusion: There is an influence of 1000 HPK video media education as an effort to prevent stunting on increasing the knowledge and attitudes of mothers of couples of childbearing age at the Guguk Panjang health center..

PENGOLAHAN NUGGET IKAN PATIN (PANGASIUS HYPOPTHALMUS) SEBAGAI MAKANAN UNTUK PENCEGAHAN STUNTING PADA BALITA DI POSYANDU MUTIARA KASIH KELURAHAN 16 ULU PALEMBANG

Stunting is a national priority health problem. Stunting prevention involves the active role of the community, households and parents with children. The national stunting prevalence in Indonesia in 2023 is 21.6%, the target the government wants to achieve in 202 is 14%. Patin fish is one of Indonesia's mainstay commodities. The nutritional value of fresh catfish contains 12.6 - 15.6% protein, 1.09 - 5.8% fat, 0.74 - 3.5% ash and 80 - 3.5% water. 85 %. Furthermore, in the form of fish protein concentrate, the nutritional value contains 75.31% protein, 2.79% fat, 2.14% ash and 6.39% water. This program was implemented in January 2023 at Posyandu Mutiara Kasih and the target of the activities was mothers with children under five in the 16 Ulu sub-district. In implementing this program, several stages were carried out, such as preparation and coordination with the posyandu, local health center, conducting counseling and demonstrations about processing catfish nuggets as food to prevent stunting in toddlers. The hope is that after conducting outreach and demonstrations, mothers in the 16 Ulu sub-district will be able to know about stunting and the processing of catfish nuggets as food to prevent stunting in toddlers. As a result of the activity, it is hoped that mothers in 16 Ulu sub-district will be able to process catfish nuggets made from catfish independently and apply them as a side dish for toddlers in everyday life. Keywords: Stunting, Catfish, Toddlers Stunting is a national priority health problem. Stunting prevention involves the active role of the community, households and parents with children. The national stunting prevalence in Indonesia in 2023 is 21.6%, the target the government wants to achieve in 202 is 14%. Patin fish is one of Indonesia's mainstay commodities. The nutritional value of fresh catfish contains 12.6 - 15.6% protein, 1.09 - 5.8% fat, 0.74 - 3.5% ash and 80 - 3.5% water. 85 %. Furthermore, in the form of fish protein concentrate, the nutritional value contains 75.31% protein, 2.79% fat, 2.14% ash and 6.39% water. This program was implemented in January 2023 at Posyandu Mutiara Kasih and the target of the activities was mothers with children under five in the 16 Ulu sub-district. In implementing this program, several stages were carried out, such as preparation and coordination with the posyandu, local health center, conducting counseling and demonstrations about processing catfish nuggets as food to prevent stunting in toddlers. The hope is that after conducting outreach and demonstrations, mothers in the 16 Ulu sub-district will be able to know about stunting and the processing of catfish nuggets as food to prevent stunting in toddlers. As a result of the activity, it is hoped that mothers in 16 Ulu sub-district will be able to process catfish nuggets made from catfish independently and apply them as a side dish for toddlers in everyday life.

The Risk Factors for Stunting in Children Aged 6-59 Months: A Study of Case Control in A Sub Urban Area

Indonesia currently has a high incidence of stunting. The stunting prevalence in Bogor Regency is 28,6%, which is higher than the national stunting prevalence. Padasuka Village is categorized as sub-urban. Factors causing stunting can differ depending on the characteristics of the area. The objective of the study was to analyze the factors that cause stunting in children aged 6-59 months in sub-urban areas. Observational research method with case control design was conducted from December 2022 to June 2023. The research location was Padasuka Village, Bogor Regency. Data on children under five years old were weight, height, history of infectious diseases, exclusive breastfeeding, immunization, macro and micronutrient intake and maternal knowledge. Data were collected using a questionnaire with interview techniques. Nutrient intake data were obtained using a 2x24 hour food recall form. The study sample sizes were 41 cases and 41 controls, making a total of 82 subjects. Statistical analysis using SPSS 16 for Windows software used univariate analysis to see the description of each research variable and analysis of the relationship between variables (bivariate) using the Chi-Square test for characteristic data and independent t-test for intake data. The results of the analysis were birth weight (p-value=0,012), birth length (p-value=0,012), energy intake (p-value=0,002), carbohydrate intake (p-value=0,024), and protein intake (p-value=0,037) had significant differences between the stunting group and the normal group. Birth weight, birth length, energy intake, carbohydrate intake, and protein intake are risk factors for stunting in children under five years old in sub-urban areas.

Functional Food Processing Application as PMT (Providing Additional Food) for BADUTA in the Program to Support the Movement to Prevent Stunting in Medan Deli District

Stunting is a form of growth failure due to the accumulation of inadequate nutrition that lasts for a long time starting from pregnancy until the age of 24 months, characterized by body length or height being below standard, based on the PB/U or TB/U index, the results of these measurements are at the threshold < -2 SD, =-3 SD (short) and <-3 SD (very short). Based on WHO data (2020), the prevalence of stunting in children under five in the world is 149.2 million or around 22%, the national prevalence of stunting in 2022 is 21.6%, the prevalence of stunting in North Sumatra (January 2023) reaches 21.1%, ranked 17th from 34 provinces with the highest number of stunted children in Indonesia. The prevalence of stunting in Medan City (as of April 1 2023) is 298 children under five. Data obtained from the Medan Deli District Family Planning Coordinator, currently there are 28 stunted toddlers and 30 stunted toddlers, of the 28 stunted toddlers, 1 toddler has 'graduated' from stunting. The aim of this service is to apply functional food processing as PMT (Supplemental Food Provision) for BADUTA as an effort to support the Stunting Prevention Movement Program in accordance with PERPRES (2021) No. 72. In the outreach activities, pretest and posttest evaluation activities were carried out to determine the level of knowledge of participants regarding the provision of additional protein-rich functional food (PMT) in the form of cereal cookies to stunted toddlers and those at risk of stunting by providing simple choice questions that they had to answer. The results of the service obtained are functional stunting food products in the form of cookies containing porang flour and moringa

Determinants of Stunting in Children Aged 6-24 Months at Pambusuang Health Centre Working Area, Polewali Mandar Regency, Indonesia

Background: Based on the results of the Indonesian Nutrition Status Survey in 2022, the national prevalence of stunting is 21.6% and in the Pambusuang Health Centre working area it is still above the national average of 26.1%. This study aims to determine the determinants that are risk factors for stunting in children aged 6-24 months. Methodology: This research uses a case control study design with a total sample size of 144 consisting of 72 cases and 72 controls selected by systematic random sampling method. Data analysis was carried out using Stata version 14 program. Results: Determinants that are risk factors for stunting are history of LBW (OR=7 with 95% CI=1,453-66,087), pregnancy distance (OR=3.7, with 95% CI=1,698-8,178), knowledge about complementary feeding (OR=4.230 with 95% CI=1,841-10,048) and hand washing with soap habits (OR=5.153 with 95% CI=1,707-18,565). Logistic regression analysis showed that LBW history was the main determinant of stunting in children aged 6-24 months. Conclusions: Risk factors that determine stunting in children aged 6-24 months, including a history of LBW, pregnancy distance, knowledge about complementary feeding and hand washing with soap habits.

SEHATI : Sosialisasi Pencegahan dan Aksi Penanganan Stunting di Negeri Hatalai, Kota Ambon

Stunting is a disorder of growth and development of children due to chronic malnutrition, repeated infections, and has an impact on children's cognitive abilities. SSGI in 2022 shows that the stunting prevalence rate in Indonesia reaches 21.6% with Ambon City reaching 20.9%, which is still far from the 2024 national prevalence target of 14%. This is triggered by risk factors that cause stunting, one of which is comprehension of stunting. Hatalai as one of the countries in Ambon City has a stunting prevalence rate of <-3SD which reaches 0%, in fact, it is not allowed to stand idly by. Prevention efforts are urgently needed to continue to maintain and support the reduction in the national stunting prevalence rate. One effective way is the socialization of education about stunting and the implementation of stunting handling actions. Community service is carried out with health education methods and is carried out in Hatalai Country and produces positive benefits for the community. The socialization carried out provides understanding to pregnant and lactating women related to stunting and its prevention, and stunting actions provide awareness of the importance of physical activity and the implementation of balanced nutrition guidelines as an effort to prevent and handle stunting.

THE EFFECT OF SHORT COURSE INTERVENTIONS TO IMPROVE KNOWLEDGE OF POSYANDU (INTEGRATED SERVICE POST) CADRES IN EARLY DETECTION OF STUNTING

Introduction: Stunting is a cumulative growth and development disorder caused by inadequate nutritional intake, recurrent infectious diseases, or both. RISKESDAS data for 2018 recorded a national stunting prevalence of 30.8%, and Dilem Village, Malang Regency, is one of the loci for stunting in Indonesia in 2020. Anthropometry is a growth monitoring method for assessing children's nutritional status and one of the activities at Posyandu, is organized and led by cadres. Hence, it is important to increase the knowledge of Posyandu cadres to achieve the accuracy of children's nutritional status. Aim: The goal of this study was to determine the effect of short course intervention in the knowledge levels of Posyandu cadres in Dilem Village on early detection of stunting and anthropometric measurements of child. Method: The purpose of this study was to determine the effect of short course intervention in the knowledge levels of Posyandu cadres in Dilem Village on early detection of stunting before and after course This study was a pre-experimental study using one group of pre-posttest designs to assess the knowledge of 20 Dilem village cadres for early detection of stunting and correct anthropometric measurements before and after the intervention. Result: The results showed an increase of pre and posttest increase in score 16.5 points (p<0.001). Conclusion: So, it can be concluded that short course intervention can improve cadre’s knowledge on early detection of stunting.

Mother's knowledge and attitude in providing balanced nutrition with efforts to prevent undernutrition in toddler (3-5 years)

<p><strong><em>B</em></strong><strong><em>ackground:</em></strong><em> Food eaten can used in a manner good for the body is contains nutrition. Frequent nutrition is used for the needs body like carbohydrates proteins, fats, vitamins, minerals, and water. </em><em>In 2019 numbers national stunting prevalence to 27 .67. Whereas in 2020 numbers prevalence national to 24.1. </em><em>The level of the mother's knowledge about nutrition is very important in increasing the degree of the family's nutritional status, especially the nutritional status of children because the role of the mother is very influential. </em><em>Parents have an important role in fulfilling the nutrition of toddlers because toddlers still require special attention in their development, more particularly the role of a mother</em><em> </em><em>as the figure most often together with toddlers</em><em></em></p><p><strong><em>Objective:</em></strong><em> Research conducted to know and describe the connection between knowledge and attitude mothers in gift nutrition balanced with effort prevention nutrition not enough on toddlers. </em></p><p><strong><em>Methods:</em></strong><em> </em><em>This type of research is quantitative and with explanatory surveys or interviews. The research design was cross-sectional, namely, the steps involved in collecting data and using a questionnaire given to respondents. The research sample was taken by using a simple random sampling method. Respondents in this study were mothers who had children aged 3-5 years as many as 83 people using the chi square test. </em></p><p><strong><em>Results:</em></strong><em> </em><em>The research that has been carried out is based on maternal knowledge with a p-value of 0.009 and maternal attitudes with a p-value of 0.015.</em><em></em></p><p><strong><em>Conclusion:</em></strong><em> The research that has been studied based on knowledge and attitudes with the results of Ha is accepted, meaning that there is a relationship between balanced nutrition and efforts to prevent undernutrition in toddlers. </em><em>Providing balanced nutrition with efforts to prevent undernutrition in toddlers</em><em>. Balanced nutrition is the food and needs that are eaten and consumed in balance with the needs of the body with a variety of foods if the mother has knowledge then the provision of balanced nutrition can be carried out and supported by good education, the mother's knowledge will be good and the results obtained will be good, but due to the education of mothers, there are still those who have graduated from elementary school, junior high school, and mothers do not know how to provide a variety of foods that suit the needs of toddlers so that the food consumed is still lacking to prevent malnutrition from occurring to toddlers.</em><em></em></p>

Mapping stunted children in Ethiopia using two decades of data between 2000 and 2019. A geospatial analysis through the Bayesian approach

BackgroundChildhood stunting is a major public health problem globally, resulting in poor cognition and educational performance, low adult wages, low productivity, and an increased risk of nutrition-related chronic diseases in adulthood life. Accurate and reliable data on the prevalence of stunting over time with a sub-national estimate are scarce in Ethiopia.ObjectiveOur objective was to investigate the spatiotemporal distributions and ecological level drivers of stunting among under-five children over time in Ethiopia.MethodsA geospatial analysis using the Bayesian framework was employed to map the spatial variations of stunting among children aged less than five years. The data for the primary outcome were obtained from the Ethiopian Demographic and Health Surveys (2000–2019) and covariates data were accessed from different publicly available credible sources. The spatial binomial regression model was fitted to identify drivers of child stunting using the Bayesian approach.ResultThe national prevalence of stunting was 47.9 in 2000, 43.3 in 2005, 37.3 in 2011, 36.6 in 2016, and 35.9 in 2019, with a total reduction rate of 25%. Substantial spatial clustering of stunting was observed in the Northern (Tigray), Northcentral (Amhara), and Northwestern (Amhara) parts of Ethiopia. Temperature (mean regression coefficient (β): −0.19; 95% credible interval (95% CrI): −0.25, −0.12) and population density (β: −0.012; 95% CrI: −0.016, −0.009) were negatively associated with stunting, whereas travel time to the nearest cities (β: 0.12; 95% CrI: 0.064, 0.17) was positively associated with child stunting in Ethiopia.ConclusionThe prevalence of stunting varied substantially at subnational and local levels over time. Clustering of stunted children were observed in the Northern parts of Ethiopia. Temperature, population density and travel time to the nearest cities were identified as the drivers of stunting in children. Improving community awareness of child nutrition through community health extension programs should be strengthened.

Situational analysis of nutritional status among 1899 children presenting with cleft lip and/or palate in Indonesia.

Given the increased risk of malnutrition in children with cleft lip and/or palate (CLP), determining their nutritional status is critical for preventing adverse surgical risks. However, no such disaggregated, national-level data are available in Indonesia. We aimed to determine the nutritional status of patients with clefts in Indonesia and to identify problems and solutions for malnutrition cases within the population. In this cross-sectional study, we considered records of individuals who underwent primary surgery for CLP in Smile Train-sponsored facilities in Indonesia between 1 January 2016 and 31 December 2021 (n = 18 480). We only included children under the age of five with an evaluation date prior to admission date and excluded subjects with invalid data values. We classified their nutritional status by z-scores according to the World Health Organization Child Growth Standard (2006). Malnutrition cases cover four indicators - stunting, wasting, underweight, and overweight. We compared the prevalence for malnutrition cases in children under the age of five using national health survey data. We included 1899 records following data validation. The national prevalence of stunting (24.4%), wasting (12.5%), and overweight cases (12.9%) was high, while underweight cases (6.8%) were comparatively low. Statistical analyses showed significant differences in nutritional status based on length/height-for-age between girls and boys aged 0-5 months (P = 0.008) and 48-60 months (P = 0.001), and based on body mass index-for-age (P = 0.000) between girls and boys aged 0-5 months. Girls in different age groups exhibited a statistically significant difference in nutritional status based on length/height-for-age (P = 0.002) and weight-for-age (P = 0.017). Concurrent stunting and overweight were the most common forms of concurrent malnutrition (8.7%). We found a significant difference in the prevalence of underweight (P = 0.001) and overweight (P = 0.000) cases between children with CLP and those without CLP. Our findings highlight the importance of nutritional interventions for children with orofacial clefts in Indonesia, and the importance of age and gender in their design and implementation. Further investigation is necessary to explore the risks of overweight and concurrent malnutrition among this population.

EFEKTIVITAS KONSUMSI PROTEIN HEWANI (TELUR DAN IKAN) SEBAGAI STRATEGI PENUNTASAN STUNTING

Nutritional problems in Indonesia result in more than 80 (%) child deaths. Based on the 2022 Indonesian Nutrition Status Study (SSGI) survey, the national prevalence of stunting was 21.6%, Central Java province was 20.8% and in the Central Java region the highest stunting toddler was Brebes Regency, which was 29.1%. Stunting is a condition where a toddler has a length or height that is less than his age. Providing additional food especially for vulnerable groups is one of the supplementation strategies in overcoming nutritional problems. Providing additional food to infants is an effort to meet the nutritional needs of infants so that infants can achieve optimal growth and development.This research is a quantitative study with a cross-sectional design, which aims to determine the effectiveness of consuming animal protein (eggs and fish) for toddlers who are stunted. The study was conducted in May and June by providing food in the form of boiled chicken egg protein and fish for 30 days to 33 respondents. Univariate analysis using frequency distribution and bivariate analysis using Chi-Square. The results showed that there was an increase in nutritional status and a decrease in stunting between before and after receiving the intervention. Statistical tests obtained a p-value of 0.039 which indicated that there was an effect of animal protein (eggs and fish) on stunting.

Efforts to Improve Health Cadres’ Knowledge about Maternal Education Concerning Parental Feeding as a Stunting Prevention

Stunting is a condition that results from chronic malnutrition during childhood in low- and middle-income countries. The national prevalence of stunting in children under 5 years is 9 million children out of 24.5 million children. Factors that contribute to stunting include poor feeding and sanitation practices. The purpose of this community service is to provide education to health cadres in the Jaya Mekar Health Center area, West Bandung, regarding parental feeding practices as an effort to prevent stunting. The community service method is to provide education to health cadres through parental feeding booklets. This community service was carried out for 1 day, 10-10-2022, with 26 RW represented by 36 cadres in the Jaya Mekar Public Health Center area, Bandung Barat. The benefits of Community Service are expected after the cadres know about parental feeding, then it becomes a cadre education strategy for mothers (community) about how to give good food for children. The result of this education increases the knowledge of cadres significantly (0.019; 0.001) before and after providing education about parental feeding, then it becomes a cadre education strategy for mothers about how to give good food to children. Recommendations are needed for further programs to monitor cadres in providing education to mothers.

Predictors of stunting among children aged 6-59 months, Zimbabwe.

Stunted children have an increased risk of diminished cognitive development, diabetes, degenerative and CVD later in life. Numerous modifiable factors decrease the risk of stunting in children. This study aimed to assess the role of the individual, household and social factors on stunting in Zimbabwean children. A 1:2 unmatched case-control study. This study was conducted in two predominantly rural provinces (one with the highest national prevalence of stunting and one with the lowest prevalence) in Zimbabwe. Data were obtained from the caregivers of 150 children aged between 6 and 59 months with stunting and from the caregivers of 300 children without stunting. Multiple (39) correlates of stunting were identified. Child's age, birth length, birth weight, and weight-for-age outcome (child-related factors), caregiver's age, maternal HIV status, occupation, and education (parental factors), breast-feeding status, number of meals, and dietary quality (dietary factors), child's appetite, diarrhoeal and worm infection (childhood illnesses), income status, access to safe water, access to a toilet, health clubs and maternal support in infant feeding (household, socio-cultural factors) were all found to be significant predictors of childhood stunting. Nearly all aspects under review from the individual-, household- to social-level factors were significantly associated with childhood stunting. These findings add to the growing body of evidence supporting the WHO stunting framework and strengthen the need to focus interventions on a multi-sectoral approach to effectively address stunting in high prevalence countries.

The Effect of Feeding Patterns and History of Infectious Diseases on the Incidence of Stunting in Children Under Five in the Province of East Nusa Tenggara

BACKGROUND: The prevalence of stunting of children under five years old (toddlers) in East Nusa Tenggara (NTT) reached 40.3 percent, the highest when compared to other provinces in Indonesia. This figure is above the National stunting prevalence of 29.6 percent. The prevalence of stunting in NTT consists of infants with a very short category of 18 percent and a short category of 22.3 percent. The purpose of the study was to analyze the influence of feeding patterns and a history of infectious diseases on stunting.
 
 METHOD: This type of research is quantitative with a case-control study design, located in Kupang Regency and South Central Timor Regency in 2020. The sample of this study was 150 children under five consisting of 75 children under five who were stunted and 75 children under five were not stunted as a control and a simple random sample development technique. The method of collecting data is through measuring the height and weight of children under five and conducting interviews with parents of toddlers using a questionnaire and analyzing it by Chi-Square.
 
 RESULTS AND CONCLUSION: The results showed that there was an influence of food feeding patterns (pattern of menu preparation, food processing, food presentation, and how to feed) and a history of infectious diseases (Ari and diarrhea) on the incidence of Stunting in children under five in East Nusa Tenggara province.

Spatial analysis of stunting determinants in 514 Indonesian districts/cities: Implications for intervention and setting of priority.

While the national prevalence of stunting in Indonesia has decreased, the level remains high in many districts/cities and there is significant variation. This ecological study employed aggregated data from the Basic Health Research Report and the District/City Poverty Data from 2018. We investigated the determinants of stunting prevalence at the district/city level, including autocorrelation applying the spatial autoregressive (SAR) model. The analyses revealed stunting prevalence above the national average in 282 districts/cities (54.9%), i.e. ≥30% in 297 districts/cities (57.8%) and ≥40% in 91 districts/cities (17.7%). Autocorrelation was found between Sumatra, Java, Sulawesi as well as Bali, East Nusa Tenggara and West Nusa Tenggara (Bali NTT NTB). The SAR modelling revealed the following variables with significant impact on the stunting prevalence in various parts of the country: closet defecation, hand washing, at least four antenatal care visits during pregnancy, poverty, immunisation and supplementary food for children under 5 years.

The Determinants Of Family Planning Counselors' Stunting Program Objective During Covid-19 A Case Study In East Java

Out of the 34 provinces, 12 of them in East Java did not achieve the national stunting prevalence target during the Covid-19 pandemic until 2024. The delay in achieving the work goals of family planning counselors (KB) in the stunting program requires concrete steps to overcome existing obstacles. This study aims to identify the problems that determine the goals of the stunting program for family planning counselors and offer solutions so that they can be used as practical references for family planning counselors. This case study research with descriptive design includes three stages: theoretical exploration and case identification, document collection and review, as well as data processing and case study analysis. The first and second stages were obtained from review documents taken from Google Scholar and other eligible sources (Ministry of Health, National Coordination of Family Planning). Then the determinants of the stunting program objectives for family planning counselors were obtained by filtering documents using the PICOT (Population, Intervention, Comparison, Outcome, Time) model. The results of the PICOT selection show that 7 (n=7) of 29 (n=29) documents were selected with the main determinants of the stunting program being communication, information, education which includes fostering youth, prospective brides, families of toddlers, family companion teams, pregnant women, and collaboration with other health workers.

Pendekatan Metode CHAID dan Regresi Logistik dalam Menganalisis Faktor Berpengaruh pada Kejadian Stunting di Provinsi Jawa Barat

Stunting is a chronic nutritional disorder characterized by short or very short height compared to the average child of his age. Data on the prevalence of stunting under five collected by the World Health Organization (WHO) in 2018 stated that Indonesia was the third-highest contributor to stunting in the South-East Asia Regional (SEAR) after Timor Leste and India. Indonesia's national stunting prevalence is 29,6%. West Java Province has the 12th the highest prevalence in Indonesia is one of the priority areas in stunting management, with the stunting prevalence rate most similar to the Indonesian national stunting prevalence of 29,2%. This study aims to examine the variables that are indicated to affect the incidence of stunting in children aged 0-59 months based on data obtained from the 2018 Basic Health Research (Riskesdas). Eighteen variables are categorized into child characteristics, nutritional fulfillment, socio-demographic, socialeconomic, and environmental characteristics. The analysis was performed using the logistic regression method and the Chi-Square Automatic Interaction Detection (CHAID) method. The analysis results show that the probability of stunting will increase significantly in children under five with several criteria. These Criteria are mothers with low education, sex of male toddlers, toddlers who do not carry out immunizations, toddlers who are not given additional food (PMT), and infants with households that have a safe place to eat and the disposal of wastewater from the kitchen is not suitable.

Historical Relationship with Adolescent Pregnancy Stunting Events in Children Age 24-60 Months in Pranggang Village, Kediri District

Stunting is a condition where a toddler has less length or height when compared to age. Toddler stunting will have a level of intelligence that is not optimal, become more susceptible to disease and in the future, it can risk a decrease in the level of productivity which in the end, broadly stunting will be able to inhibit economic growth and increase poverty. The prevalence of stunting toddlers aged 0 to 59 months in East Java reached 32.81%. This figure is higher than the national stunting prevalence, which is 30.8%. The purpose of this study is to analyze the relationship between the history of teenage pregnancy with the incidence of stunting in children aged 24-60 months in Pranggang Kediri. Analytic survey research design with case-control survey design. The sampling technique uses Simple Random Sampling with a sample of 20 non-stunting toddlers and 19 stunting toddlers. The study was conducted in February-March 2020 in Pranggang Kediri. The analysis in this study used the Chi-square test with a significance level of 0.05. The research results showed a p-value (0.029) <0.05, which means there is a relationship between the history of teenage pregnancy with the incidence of stunting in children aged 24-60 months in Pranggang Kediri and the results of the contingency coefficient test of 0.337, it means there is a low relationship between the history of teenage pregnancy with the incidence of stunting in children aged 24-60 months in Pranggang Kediri. Based on the results of this study it is expected that there is an increase in maternal knowledge about factors related to the incidence of stunting.