Factors Associated with Stunting Prevention Among Children Aged 24–59 Months in The Working Area of Ternate City Health Centers
DOI:
https://doi.org/10.52046/biosainstek.v8i2.2797Keywords:
Stunting Prevention, Exclusive Breastfeeding, Diarrhea, Maternal Knowledge, Acute Respiratory InfectionAbstract
Stunting is a chronic nutritional problem caused by prolonged nutritional deficiencies during the first 1,000 days of life and can impair physical growth, cognitive development, and future productivity. This study aimed to examine the relationship between maternal knowledge, diarrhea incidence, acute respiratory infection (ARI), exclusive breastfeeding, and environmental sanitation with stunting prevention efforts among children aged 24–59 months in the working area of Ternate City Health Centers in 2025. An analytic observational study with a cross-sectional design was conducted. A total of 87 respondents were selected from 680 children using the Slovin formula and purposive sampling. Data were collected through structured interviews, environmental sanitation observation, and height measurement using a microtoise according to WHO standards. The data were analyzed using the Chi-square test with α = 0.05. The results showed that diarrhea incidence (p = 0.010) and exclusive breastfeeding (p = 0.000) were significantly associated with stunting prevention efforts, while maternal knowledge (p = 0.619), ARI incidence (p = 0.231), and environmental sanitation (p = 0.994) were not. These findings suggest that stunting prevention should prioritize exclusive breastfeeding promotion and diarrhea prevention through breastfeeding counseling, nutrition education, growth monitoring, and clean and healthy living behavior promotion at community health centers and integrated health posts. Limitations include the cross-sectional design, which precludes causal inference, purposive sampling, which may cause selection bias, and self-reported data, which may be affected by recall bias.
References
Arini, D., Nursalam, Mahmudah, & Faradilah, I. (2020). The Incidence of Stunting, the Frequency/Duration of Diarrhea and Acute Respiratory Infection in Toddlers. Journal of Public Health Research, 9(4). https://doi.org/10.4081/jphr.2020.1816
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
Brander, R. L., Pavlinac, P. B., Walson, J. L., et al. (2019). Determinants of linear growth faltering among children with moderate-to-severe diarrhea in the Global Enteric Multicenter Study. BMC Medicine, 17, 214. https://doi.org/10.1186/s12916-019-1441-3
Cumming, O., & Cairncross, S. (2016). Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications. Maternal & Child Nutrition, 12(Suppl 1), 91–105. https://doi.org/10.1111/mcn.12258
Dewey, K. G., et al. (2022). Preventive small-quantity lipid-based nutrient supplements reduce severe wasting and severe stunting among young children: an individual participant data meta-analysis of randomized controlled trials. The American journal of clinical nutrition, 116(5), 1314–1333. https://doi.org/10.1093/ajcn/nqac232
M. Hadi. (2023). Association between Exclusive Breastfeeding and Stunting in Chilren: A Systematic Review. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 9(6), 90-94. https://doi.org/10.53555/nnmhs.v9i6.1740
Hadi, H., et al. (2021). Exclusive Breastfeeding Protects Young Children from Stunting in a Low-Income Population: A Study from Eastern Indonesia. Nutrients, 13(12), 4264. https://doi.org/10.3390/nu13124264
Kemenkes RI.(2020). Pedoman Pelaksanaan Stimulasi, Deteksi dan Intervensi Dini Tumbuh Kembang Anak. Jakarta: Kementerian Kesehatan RI.
Kemenkes, RI. (2022). Buku Saku Hasil Survei Status Gizi Indonesia (SSGI). Jakarta: Kementerian Kesehatan RI Keperawatan dan Kebidanan, 1(1), 7-12
Kemenkes RI. (2024). Profil Kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan RI.
Lamberti, L. M., Walker, C. L. F., Noiman, A., Victora, C., & Black, R. E. (2011). Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health, 11(3), S15. https://doi.org/10.1186/1471-2458-11-S3-S15
Lawrence Green & Kreuter, M. W. (2005). Health Program Planning: An Educational and Ecological Approach. New York: McGraw-Hill.
Lestari, E., Siregar, A., Hidayat, A. K., & Yusuf, A. A. (2024). Stunting and its association with education and cognitive outcomes in adulthood: A longitudinal study in Indonesia. PloS one, 19(5), e0295380. https://doi.org/10.1371/journal.pone.0295380
Prendergast, A. J., & Humphrey, J. H. (2022).The stunting syndrome in developing countries. Paediatrics and International Child Health. https://doi.org/10.1080/20469047.2014.936448
Rah, J. H., Cronin, A. A., Badgaiyan, B., Aguayo, V. M., Coates, S., & Ahmed, S. (2015). Household sanitation and personal hygiene practices are associated with child stunting in rural India: a cross-sectional analysis of surveys. BMJ Open, 5(2), e005180. https://doi.org/10.1136/bmjopen-2014-005180
Saputra, N., Sari, Y. K., & Desnita, E. (2023). Hubungan pengetahuan ibu terhadap pencegahan stunting di wilayah kerja Puskesmas Gunung Kota Padang Panjang. Literasi: Jurnal Pengabdian Masyarakat dan Inovasi, 3(1), 69–74. https://doi.org/10.58466/literasi.v3i1.1294
Simbolon, D., & Putri, N. (2024). Stunting Prevention through Exclusive Breastfeeding in Indonesia: A Meta-Analysis Approach: Pencegahan Stunting melalui Pemberian ASI Eksklusif di Indonesia: Pendekatan Meta-Analisis. Amerta Nutrition, 8(1SP), 105–112. https://doi.org/10.20473/amnt.v8i1SP.2024.105-112
Tran, L. M., Nguyen, P. H., Young, M. F., Martorell, R., & Ramakrishnan, U. (2024). The relationships between optimal infant feeding practices and child development and attained height at age 2 years and 6–7 years. Maternal & Child Nutrition, 20, e13631. https://doi.org/10.1111/mcn.13631
Thurstans, S., et al. (2020). Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition. BMJ Global Health, 5(12), e004030. https://doi.org/10.1136/bmjgh-2020-004030
UNICEF.(2020). Conceptual Framework on Maternal and Child Nutrition. New York: United Nations Children's Fund
Victora, C. G., Bahl, R., Barros, A. J. D., et al. (2016). Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet, 387(10017), 475–490. https://doi.org/10.1016/S0140-6736(15)01044-2
Wamani, H., Åstrøm, A. N., Peterson, S., Tumwine, J. K., & Tylleskär, T. (2007). Boys are more stunted than girls in sub-Saharan Africa: A meta-analysis of 16 demographic and health surveys. BMC Pediatrics, 7, 17
WHO. (2022). Malnutrition. Geneva: World Health Organization.
WHO. (2023a). Infant and Young Child Feeding Fact Sheet. Geneva: World Health Organization.
WHO(2023b). Exclusive breastfeeding for optimal growth, development and health of infants. World Health Organization
WHO. (2024a). Diarrhoeal Disease Fact Sheet. Geneva: World Health Organization.
WHO.(2024b). Sanitation Fact Sheet. Geneva: World Health Organization.
Zavala, E., King, S. E., Sawadogo-Lewis, T., & Roberton, T. (2021). Leveraging water, sanitation and hygiene for nutrition in low- and middle-income countries: A conceptual framework. Maternal & child nutrition, 17(3), e13202. https://doi.org/10.1111/mcn.13202
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Copyright (c) 2026 Galapu Sangadji , Andiani Andiani, Rosmila Tuharea , Agustin Rahayu , Nani Supriyatni
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