Prevalence Of Stunting In Children Research Articles

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

Does Corruption Affect the Reduction in Children's Stunting Rate Caused by Foreign Aid?

Recent empirical evidence has indicated a potential avenue for ameliorating the nutritional status of children in developing nations through focused interventions in the realms of food and agriculture. This research delves into the issue of child stunting prevalence in developing countries, scrutinizing the impact of corruption on the efficacy of such interventions. Utilizing comprehensive data derived from the Organization for Economic Cooperation and Development (OECD) and the World Bank, this study meticulously analyzed evolving trends. Notably, the investigation revealed a diminishing prevalence of child stunting among both genders but the role of total aid emerged as inconsequential in contributing to this positive trend. Furthermore, an intriguing revelation surfaced, indicating that the battle against child malnutrition hinges not solely on the optimized distribution of foreign aid but significantly on the curbing of corruption. The research uncovered a notable improvement in children's nutrition correlated not with the augmentation of foreign aid but with the augmentation of public health expenditures, thereby emphasizing the pivotal role of corruption control. This discernment underscores the imperative need for targeted aid and robust governance mechanisms to effectively combat the formidable challenge of child malnutrition.

Animal-Based Protein Intake is Associated with Stunting in Children in Primary Health Care of Minggir

Background: Stunting in children under fives years of age still become crucial problem. One of the factors that influenced directly to stunting is lack of nutritional intake especially protein. Most of protein consumed by under-fives children must be in high quality such as animal-based protein because it has more complete composition of essential amino acids than plant-based protein. Objectives: The study aimed to analyzed the association between animal-based protein and stunting in children in Primary Health Care of Minggir. Methods: This study was analytical observational with cross-sectional design. A total of 50 mothers that have 24–59 months old children were involve in this study and taken by using purposive sampling. Data of animal-based protein intake were collected by SQ-FFQ for the last three months. Height-for-age in z-score was used to determine stunting that were obtained from the last measurement and recorded in Maternal and Child Book. The association between stunting and the animal-based protein intake was analyzed descriptively through cross-tabulation. Results: More than half of under-five children were stunting (56%). Inadequate animal-based protein intake was observed in 46% of under-fives children. Sources of animal-based protein were eggs, chicken, catfish, ice cream and UHT milk. Children who have adequate animal-based protein intake were not stunted (67%), however children who have inadequate animal-based protein intake were stunted (83%). The prevalence of stunting in children who consume inadequate animal-based protein is 2 times greater than in children who consume adequate animal-based protein (PR: 2.478). Conclusions: Based on this study, animal-based protein intake is associated with stunting in under-fives children in Primary Health Care of Minggir. Mothers should improve their children’s animal-based protein intake by local food sources supplied from side dishes to prevent stunting.

Patterns of Providing Complementary Food with Incidents of Stunting in Toddlers in Kupang City, Ages 6-24 Months

The province of East Nusa Tenggara has a high rate of malnutrition, particularly stunting. The development of toddlers is significantly influenced by complementary foods. Inappropriate supplementation of food may increase the risk of stunting. The purpose of this study is to ascertain how supplemental feeding practices affect the prevalence of stunting in children in Kupang City between the ages of 6 and 24 months. An analytical survey with a cross-sectional design was employed in this kind of study. The population was all toddlers in Kupang City, with a total of 25.266 children. A multistage random sample technique was used to choose 394 children between the ages of 6 and 24 months to participate in the study. Chi-square test was utilized in the data analysis. The results showed that there was a significant relationship between the number of complementary foods (p-value=0,001, OR 2,691), the texture of complementary foods (p-value=0,025, OR 1,907), and the frequency of complementary foods (p-value=0,000, OR 3,945) and the incidence of stunting among children aged 6–24 months in Kupang City.

Dairy trade liberalization and child stunting: Evidence from low- and middle-income countries

Despite the well-studied nutritional benefits of dairy for child linear growth, dairy is less consumed in low- and middle-income countries (LMICs) where the prevalence of child stunting is high. Previous studies have suggested the cost of dairy as a potential barrier to increased dairy consumption in these countries. Surprisingly, little research on the association between dairy consumption and child stunting in LMICs focuses on the role of trade policies, particularly the liberalization of dairy trade. To explore this, we use representative cross-country individual data on child stunting from 2006 to 2020 and link it with country-level dairy trade data. We find that a 10% decline in dairy tariff rates reduces the risk of stunting by 7.78%. Our results are robust to a subsample analysis excluding countries which joined the WTO after 2000 and to an alternative clustering method. As a falsification test, our results show child stunting is not linked with tariffs for coffee and tea. Heterogeneity analysis indicates the associations are more pronounced for boys, children aged 3–5, and children from households with lower socioeconomic status. Although we did not find significant rural–urban differences, the associations are indeed stronger for households without cattle and for countries in Western Africa, South East Asia and Europe and Central Asia. Mechanism analysis suggests that dairy tariffs are positively correlated with milk prices, while they are negatively associated with dairy import values. Lower dairy tariffs are also found to be linked with higher probability of child dairy consumption. Our findings highlight the importance of removing tariff barriers in reducing the cost of dairy and promoting dairy consumption in LMICs. This study has implications for repurposing dairy trade policies in creating nutrition-sensitive agriculture.

Determinant factors of stunting in children 2-5 years in West Aceh District, Indonesia

The prevalence of stunting in children under five years of age in Indonesia, and Aceh in particular, is still very high. This condition affects the quality of human resources and future economic growth. This study examined the determinants of stunting among children under five years of age 24-59 months in West Aceh District, Aceh Province, Indonesia. The research method was a cross-sectional study design, using secondary data from the EPPGBM and PIS-PK data from the Health Center in 2020. The sample comprised 386 families with children under five. Data were collected through documentation studies from PIS-PK data and stunting data from the E-PPGBM data. Family data matching was performed using the National Identity Number (NIN). Statistical analysis was performed using a Multiple Logistic Regression test with 95% confidence interval (CI). The results showed a significant association between exclusive breastfeeding (OR= 2,81; p= 0,010), latrine use (OR=1,73; p= 0,043), and smoking (OR= 1,62; p= 0,022) with the prevalence of stunting. Furthermore, exclusive breastfeeding was a determining factor for the incidence of stunting in toddlers (OR= 2,36; p= 0,010). In conclusion, exclusive breastfeeding practices are a determinant factor of stunting in children under five in West Aceh, so structured efforts need to be made to increase exclusive breastfeeding coverage by strengthening nutrition counseling and breastfeeding preparation for pregnant women up to two years.

Risk of Stunting in Children: Links to Internal and Social Family Interactions in Central Buton District (a Case Study)

With a high prevalence of stunting in children in the Central Buton District. This study aims to explore the relationship between internal family dynamics and external social relationships affecting children's nutrition. The study was based on the hypothesis that more frequent and qualitative family interactions and involvement in social activities would correlate with a lower risk of stunting. This study used a cross-sectional study design. Analyzing secondary data from the 2021 Family Data Collection (PK21). The study included 6,586 target families as a sample, the analysis included family dynamics as an exposure variable and used the family happiness index formula to identify family interaction and social interaction. The study used logistic regression from Scikit-learn to evaluate the data in the final stage. Data analysis revealed that internal family interactions, although important, showed no statistically significant association with stunting risk (p=0.3699). However, social interaction had a highly significant association with reduced risk of stunting, with a regression coefficient of -1.9934 and Odds Ratio (AOR) of 0.1362 (95% CI: 0.0739 - 0.2510, p<0.0001) in logistic regression analysis. These findings confirm that strong social engagement and community support are key factors in reducing the prevalence of stunting among children in the Mawasangka sub-district. This study concludes that engagement in community social activities has a significant impact on reducing the risk of stunting in children. The findings suggest that interventions aimed at reducing stunting should go beyond intra-family interventions and include increased social interaction and community support to achieve optimal outcomes in stunting prevention.

Efektifitas Program Anakku Sehat dan Cerdas Terhadap Keragaman Makanan dan Status Gizi anak PAUD

Background: Indonesia still facing child nutrition problems even though the government has made maximum efforts, but the prevalence of stunting in children under five years (toddlers) remains high at 30.8% in 2018. Based on 2018 Riskesdas data, the prevalence of children aged 0-23 months who were stunting in districts Brebes is much higher than the prevalence of Central Java Province, namely 27.31% and 13.87%, respectively. Objectives: to determine the effect of the My Healthy and Smart Child Program intervention on food diversity and the nutritional status of PAUD children in Kluwut village. Methods: Quasi-experimental research design with one group post test only. Respondents were mothers of PAUD children and the sample were PAUD children selected by purposive sampling. Data collected on respondent characteristics such as gender, child's age, mother's age, father's age, mother's education, father's education, family income, and number of families, food diversity, food intake, and children's nutritional status. Data was collected by questionnaire, food recall form, FFQ form, and anthropometry. The number of samples were 65. Data analysis included univariate and bivariate analysis (dependent t test). Result: The data shows that there is no diversity difference on nutrition intake diet and the nutritional status before and after the intervention. However, there was a difference in the respondents' fat intake after the intervention (p0.05). Conclusion: The intervention period was relatively short therefore the effect of the intervention had not manifested on intake and nutritional status. In addition, the intervention material provided should focus more on improving nutritional intake

Pendampingan Pembuatan Soft Candy Semangka, Nutrisi Halal Pemenuhan Zat Besi Sebagai Upaya Pencegahan Stunting

Prevalence of stunting in children in Indonesia at the national level is around 37%. Various efforts are made to reduce and prevent the incidence of stunting, one of the efforts to overcome this is the fulfillment of nutrition in children. one of the efforts to overcome this is the fulfillment of nutrition in children. One of One of the micronutrients that is important for child growth is iron. Lack of iron deficiency can cause stunting and impaired cognitive development in children. children. Iron is found in many foods, including watermelon. At Some people dislike the consumption of fruit directly. This becomes a challenge in itself where there needs to be an effort to process watermelon fruit into a dosage form that is favored by children, namely soft candy. One of one of the main ingredients for making soft candy is gelatin which needs to be considered its halalness. Therefore, there is assistance in making watermelon soft candy as halal nutrition to meet the iron needs of children as an effort to prevent stunting in MT Annisa, MT Annisa, MT Annisa, MT Annisa, MT Annisa. to prevent stunting in MT Annisa, Madiun City. The method in this activity begins with a pretest, then socialization and workshops, and ends with a posttest. The pretest results showed that only 9.09%, while the posttest results were 54.55% of residents who understood the knowledge and process of making halal watermelon soft candy for making halal watermelon soft candy for stunting prevention nutrition. This shows an increase in community knowledge after attending socialization and workshop looks different.

Eating behavior of adolescent girls in countries with a high prevalence of stunting under five: a systematic review

BackgroundAdolescence is critical for physical and psychological growth, making healthy dietary behavior essential. Several countries face nutritional challenges due to a high prevalence of stunting in children under five, which can impact adolescent girls’ eating behavior. This systematic review aims to provide evidence on the eating behavior of adolescent girls in such countries, offering insights for stunting prevention programs.MethodsWe conducted a systematic review following PRISMA guidelines and registered it in PROSPERO. We employed a comprehensive search strategy across multiple databases. Study selection involved three stages: deduplication, title/abstract screening, and full-text review, with inter-reviewer agreement assessment.ResultsThe search identified 15 eligible studies from various countries, primarily utilizing cross-sectional designs. The studies focused on age ranges within adolescence and varied in sample size and assessment tools. The primary objective of these studies was to assess eating behavior, with outcomes related to dietary patterns, eating disorders, body image, and nutritional knowledge. The results revealed diverse eating behaviors among adolescent girls, including restrained eating, dieting for weight loss, craving-induced eating, and unhealthy dietary patterns. Many girls exhibited low dietary diversity, contributing to micronutrient deficiencies.SuggestionsTo address these issues effectively, stunting prevention programs and policies should prioritize the following strategies: implementing comprehensive nutritional education programs to enhance adolescents’ knowledge of healthy eating habits and dietary diversity, providing resources and support for positive body image development to reduce the pressure for unhealthy dieting, improving access to affordable, nutrient-rich foods in both urban and rural areas, raising awareness about eating disorders and emphasizing early identification and intervention, engaging parents, caregivers, and communities in promoting healthy eating behaviors, and maintaining rigorous research and monitoring to adapt strategies based on evolving trends in adolescent eating behaviors.ConclusionAdolescent girls in countries with high stunting prevalence exhibit diverse eating behaviors that can impact their nutritional status and overall health. Addressing these behaviors is essential to prevent stunting and its long-term consequences, emphasizing the importance of comprehensive strategies and support for this vulnerable population.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/#recordDetails, identifier CRD42023389909.

NutriTalk: Nutrition Intervention by Experts to Reduce the Impact of Stunting Through Mobile-Based Applications Using Agile Method

The prevalence of childhood stunting, a pervasive global health concern primarily attributed to persistent malnutrition, underscores an urgent need for intervention. In Indonesia, where stunting rates are alarmingly high, with approximately 27.6% of children under five affected, innovative solutions are imperative. This study introduces "Nutri Talk," a mobile application developed using Agile Methodology aimed at revolutionizing nutritional consulting services. The application facilitates seamless communication with nutrition specialists, offering evidence-based information and personalized consultations to empower parents in making informed dietary decisions for their children. Through rigorous testing, including Boundary Value Analysis (BVA) and User Acceptance Testing (UAT), the application demonstrates robust functionality and user satisfaction. "Nutri Talk" stands poised to mitigate the long-term impacts of stunting, leveraging technology to enhance nutritional outcomes. This research advocates for a comprehensive approach to combat stunting, combining technological advancements with targeted interventions, ultimately contributing to improved childhood nutrition and development.

Potential risk of stunting in children under five years living by the riverside: A systematic review

Introduction: Stunting, or linear growth failure, is defined by a height-for-age z-score of below -2SD according to WHO growth standard. Stunting can have short-, medium-, and long-term consequences. Rivers have an important role in human life. In several riverside areas, households still depend on the river for their livelihoods and health. This study aimed to explore the prevalence of stunting in children living by the riverside and its related factors. Methods: Epidemiological studies published from PUBMED, MEDLINE via EBSCOHost, Science Direct, ProQuest, and Research Gate databases were systematically searched. The publication period was not restricted. Only open-access and English articles were examined. Results: A total of 20 from 1200 studies were reviewed. The prevalence of stunting ranged from 20% to 48.3%. The other outcomes besides stunting were wasting and underweight status. There were 83 risk factors studied, and the most studied variables were age, gender, diarrhoea, water source, parent’s education, immunisation, and inappropriate complementary feeding practices (6 to 13 studies). Household water sources from rivers and economic status were consistently correlated with stunting. Majority of the risk factors studied were related to nutrition. From the environmental aspect, the most studied risk factors were water sources and sanitation. Conclusion: Children living by the riverside face a significant risk of stunting attributed to the consistent correlation between household water sources from rivers and economic status, affecting various aspects of daily life beyond drinking water. Future research is needed to examine the impact of environmental factors and the behaviours of riverside communities.

CORRELATION BETWEEN BIRTH WEIGHT AND STUNTING IN CHILDREN UNDER FIVE A CASE-CONTROL STUDY

Stunting is a condition in which children experience delayed growth and development due to poor nutrition, recurrent infections, and inadequate psychosocial stimulation. The prevalence of children under 5 affected by stunting in 2020 is 22.3% or 148.1 million children worldwide. The analytical case-control study was conducted to explore the prevalence of child stunting and determine the association between birth weight and stunting occurrence among children under 5 years. It shows statistically significant with a p-value of 0.009 (p-value 0.05). A history of birth weight 2500 gr babies have a 3,660 times greater risk of experiencing stunting compared to children under 5 who were born with birth weight ≥2500 gr (CI=95%). There was a significant association between birth weight and stunting incidence among children under 5 years.

Sensitive Intervention Policy Recommendations to Reduce Stunting Rates Based on Spatial Analysis of Sanitary Factors on the Prevalence of Stunting in DKI Jakarta Province in 2021

The purpose of this study was to describe the prevalence of stunting in children under five and the percentage of proper sanitation, as well as recommendations for priority areas for stunting control interventions in the Province of the Special Capital Region of Jakarta in 2021. This study used a descriptive approach to present an overview of the percentage of sanitation and prevalence of stunting in children under five by sub-district in 38 districts in DKI Jakarta. Data is displayed as a map to show distribution areas based on high, medium, and low categories. An overlay was made between the distribution map of the percentage of sanitation and the prevalence of stunting to determine the areas with the highest risk. Analysis was carried out on the area's characteristics obtained from the spatial mapping results to determine the recommended intervention program policies. Based on the results of the overlay on the distribution of stunting prevalence and sanitation percentage maps, the recommended areas for priority intervention are Tambora, Sawah Besar, Johar Baru, Senen, Menteng, Jatinegara, Tebet, and Mampang Prapatan sub-districts. The recommended program to be carried out is sensitive interventions consisting of improving sanitation facilities and increasing knowledge and perceptions about sanitation. Improving sanitation facilities means increasing access to gooseneck latrines with septic tanks and access to clean water. Increasing knowledge and perception of the importance of sanitation to prevent stunting is carried out intensively and routinely through community activities and optimizing the role of community leaders.

Machine Learning Algorithms for Predicting Stunting among Under-Five Children in Papua New Guinea.

Preventing stunting is particularly important for healthy development across the life course. In Papua New Guinea (PNG), the prevalence of stunting in children under five years old has consistently not improved. Therefore, the primary objective of this study was to employ multiple machine learning algorithms to identify the most effective model and key predictors for stunting prediction in children in PNG. The study used data from the 2016-2018 Papua New Guinea Demographic Health Survey, including from 3380 children with complete height-for-age data. The least absolute shrinkage and selection operator (LASSO) and random-forest-recursive feature elimination were used for feature selection. Logistic regression, a conditional decision tree, a support vector machine with a radial basis function kernel, and an extreme gradient boosting machine (XGBoost) were employed to construct the prediction model. The performance of the final model was evaluated using accuracy, precision, recall, F1 score, and area under the curve (AUC). The results of the study showed that LASSO-XGBoost has the best performance for predicting stunting in PNG (AUC: 0.765; 95% CI: 0.714-0.819) with accuracy, precision, recall, and F1 scores of 0.728, 0.715, 0.628, and 0.669, respectively. Combined with the SHAP value method, the optimal prediction model identified living in the Highlands Region, the age of the child, being in the richest family, and having a larger or smaller birth size as the top five important characteristics for predicting stunting. Based on the model, the findings support the necessity of preventing stunting early in life. Emphasizing the nutritional status of vulnerable maternal and child populations in PNG is recommended to promote maternal and child health and overall well-being.

Risk Factors Associated with Stunting among Children Under Five in Timor-Leste.

Undernutrition, including stunting, is the cause of almost 45% of all deaths among children under the age of five. It not only affects child growth but also has a long-term negative influence on cognitive and physical abilities. Timor-Leste has the highest prevalence of child stunting in Southeast Asia. Therefore, this study aimed to identify the prevalence of stunting and factors associated with it. This was a cross-sectional study conducted using the Demographic and Health Survey of 2016 for Timor-Leste. The prevalence of stunting among children under five years of age was examined, and bivariable and multivariable logistic regression analysis was conducted to identify the factors associated with stunting. Among 4,581 children under five years of age, growth in nearly 40% was stunted. The majority of the mothers with stunted children were of age 20-30 years with about 33% having their first baby at ≤19 years of age. Compared to women of <145 cm of height, those of ≥145 cm height had lower likelihood of having a stunted child (OR: 0.62, 95% CI: [0.48-0.80], p < 0.001). It was also interesting to note that the risk of stunting was lower among female children than male children [OR: 0.75, 95% CI: (0.64-0.88), p < 0.001] in our adjusted model. Similarly, other factors such as wealth index, postnatal care visits, currently breastfeeding, age of the child, and size of the child at birth were also associated with stunting. The present findings indicate that child stunting in Timor-Leste is mainly associated with maternal and child sociodemographic status. Hence, it is crucial to identify the quality of services provided by health facilities, the involvement of health workers and volunteers, and the intention of mothers to use the health services in Timor-Leste.

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.

RELATIONSHIP BETWEEN BUDGET POLICY, FISCAL CAPACITY AND STUNTING PREVALENCE IN INDONESIA

The prevalence of stunting in Indonesia is still above the world stunting average, although it shows a downward trend (Central Statistics Agency, 2020). The deterioration in the quality of life of children with growth, development and metabolic disorders increases health care costs. In the long run, stunting can affect the quality of human resources and social development in Indonesia. Alderman et al. (2006) found that children with developmental delays tend to have lower cognitive abilities, lower incomes, and less than optimal productivity when they grow up so that it will affect the improvement of the quality of Human Resources and the nation's competitiveness in the future. Strengthening the quality of human resources is still a top priority in the 2020-2024 RPJMN, in connection with efforts to strengthen these human resources, the Government has established a National Strategy for the Acceleration of Stunting Prevention in 2020-2024. In the National Medium-Term Development Plan (RPJMN) 2020-2024, the Indonesian government sets a target of reducing the prevalence of stunting in children under 5 years old by only 14% by 2024. Stunting reduction is a national priority program, so budget policies and fiscal capacity adequacy are needed. The stunting reduction budget from the State Budget is channeled through the Provincial-District/City Governments according to the authority for these activities. The budget allocation is expected to be part of orchestration with own regional funds to reduce stunting prevalence in Indonesia. This study will analyze the relationship between budget policies, fiscal capacity conditions, and stunting prevalence in 34 (thirty-four) provinces in Indonesia from 2018 to 2022 using the fixed effect method.&#x0D; Keywords: Budget Policy, Fiscal Capacity, Stunting Prevalence.

Comparison of The Effect of Genetic and Intake on Stunting Incidence in Toddlers

The prevalence of stunting in children under five is influenced by genetic factors and nutritional status originating from direct nutritional intake. This study aims to determine the contribution of genetic factors and food intake to the occurrence of stunting in toddlers in the Rajapolah Community Health Center area. This research used an observational methodology with a case-control design involving a total of 66 toddler participants. Among them, 33 people were identified as having stunting (with height-for-age Z-score &lt; -2 SD), while 33 people had normal nutritional status (height-for-age Z-score =&gt; -2 SD). The participants were selected using purposive sampling. Data analysis includes applying the unpaired T test for normally distributed data, as well as the Mann-Whitney test for non-normally distributed data. The results of this investigation highlight significant differences in genetic aspects of height (both father and mother) between the stunted and non-stunting toddler groups (with p values of 0,029 and 0.046, respectively). In addition, nutritional intake, including energy (p-value&lt;0,001), protein (p-value&lt;0,001), fat (p-value=0,01), and carbohydrates (p&lt;0,001), was between the two groups. Based on these findings, it can be concluded that genetic factors (in the form of parental height) and nutritional intake (including energy, protein, fat and carbohydrates) have a significant influence on the occurrence of stunting in toddlers. Therefore, this research is a basis for designing interventions aimed at mitigating the problem of stunting within the operational scope of the Rajapolah Community Health Center.

Pengaruh Kinerja Kader Dan Pengawasan Terhadap Efektivitas Pencegahan Dan Penanganan Stunting Di Desa Sarirejo Kecamatan Bogorejo Kabupaten Blora

Stunting is a form of growth failure (growth faltering) due to accumulation of insufficient nutrition that lasts for a long time from pregnancy to 24 months of age. The problem of stunting is a serious problem in Indonesia because the prevalence of stunting in children under five in Indonesia is still relatively high. Considering that the stunting rate in Indonesia is still quite high, prevention and treatment cannot be borne by the Ministry of Health or related institutions. Therefore, in order to increase the achievement of reducing stunting rates, the hard work of all parties is required in preventing and dealing with stunting problems in Indonesia. The writing of the results of this study is intended to provide an overview of the achievements of stunting prevention and treatment in Sarirejo Village, Bogorejo District, Blora Regency.