LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,254
تعداد مقالات11,420
تعداد مشاهده مقاله81,782,919
تعداد دریافت فایل اصل مقاله120,940,753
Werdani, Kusuma, Kurnia, Syifa, Rahma, Anggia, Nugroho, Purwo Setiyo, Agustina Pratiwi, Bintang, Gita, Anggi Putri Aria, Wijayanti, Anisa. (1404). Maternal and Toddler Characteristics, Environmental Factors, and Health Services as a Risk for Stunting in Rural Karanganyar, Indonesia. سامانه مدیریت نشریات علمی, 14(1), 16-24. doi: 10.30476/jhsss.2025.104323.1986
Kusuma Estu Werdani; Syifa Kurnia; Anggia Rahma; Purwo Setiyo Nugroho; Bintang Agustina Pratiwi; Anggi Putri Aria Gita; Anisa Catur Wijayanti. "Maternal and Toddler Characteristics, Environmental Factors, and Health Services as a Risk for Stunting in Rural Karanganyar, Indonesia". سامانه مدیریت نشریات علمی, 14, 1, 1404, 16-24. doi: 10.30476/jhsss.2025.104323.1986
Werdani, Kusuma, Kurnia, Syifa, Rahma, Anggia, Nugroho, Purwo Setiyo, Agustina Pratiwi, Bintang, Gita, Anggi Putri Aria, Wijayanti, Anisa. (1404). 'Maternal and Toddler Characteristics, Environmental Factors, and Health Services as a Risk for Stunting in Rural Karanganyar, Indonesia', سامانه مدیریت نشریات علمی, 14(1), pp. 16-24. doi: 10.30476/jhsss.2025.104323.1986
Werdani, Kusuma, Kurnia, Syifa, Rahma, Anggia, Nugroho, Purwo Setiyo, Agustina Pratiwi, Bintang, Gita, Anggi Putri Aria, Wijayanti, Anisa. Maternal and Toddler Characteristics, Environmental Factors, and Health Services as a Risk for Stunting in Rural Karanganyar, Indonesia. سامانه مدیریت نشریات علمی, 1404; 14(1): 16-24. doi: 10.30476/jhsss.2025.104323.1986

Maternal and Toddler Characteristics, Environmental Factors, and Health Services as a Risk for Stunting in Rural Karanganyar, Indonesia

Journal of Health Sciences & Surveillance System
دوره 14، شماره 1، فروردین 2026، صفحه 16-24    اصل مقاله (395.48 K)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.30476/jhsss.2025.104323.1986
نویسندگان
Kusuma Estu Werdani* 1، 2؛ Syifa Kurnia1؛ Anggia Rahma1؛ Purwo Setiyo Nugroho3؛ Bintang Agustina Pratiwi4؛ Anggi Putri Aria Gita5؛ Anisa Catur Wijayanti1، 2
1Department of Public Health, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia
2Chronic Disease Research Center, Research Group of Digitalization in Chronic Sexual and Reproductive Health Intervention, Universitas Muhammadiyah Surakarta, Indonesia
3Faculty of Public Health, Universitas Muhammadiyah Kalimantan Timur, Samarinda, Indonesia
4Faculty of Health Sciences, Universitas Muhammadiyah Bengkulu, Bengkulu, Indonesia
5Department of Health Administration, Faculty of Health Sciences, Universitas Kusuma Husada, Surakarta, Indonesia
چکیده
Background: Stunting remains a significant public health concern in Indonesia, particularly in rural areas. Although the national stunting prevalence declined to 19.8%, disparities persist. Despite interventions, there is limited evidence on the combined effects of maternal, environmental, and health servicerelated factors that contribute to stunting in this region. This study aimed to analyze the risk factors for stunting.
Methods: A case-control design was used, involving 85 stunted and 85 non-stunted toddlers in Jumapolo, Karanganyar, Central Java. Data were analyzed through univariate and bivariate analyses using the Chi-square test, followed by multivariate analysis with logistic regression.
Results: Six variables met criteria for inclusion in the final model: mother education (OR=2.042, 95% CI [1.059, 3.937], P=0.048), family income (OR=4.358, 95% CI [0.894, 21.256], P=0.102), birth weight (OR=5.203, 95% CI [1.659, 16.318], P=0.005), birth height (OR=3.128, 95% CI [1.441, 6.786], P=0.006), integratedservices- post (Posyandu) visit (OR=3.257, 95% CI [1.338, 7.929], P=0.013), and hand hygiene behavior by toddler (OR=3.087, 95% CI [1.391, 6.851], P=0.008). The most dominant factor was irregular Posyandu visits. Toddlers were 3.286 times more likely to be stunted (CI 95% 1.271-8.493, value 0.014). Additionally, toddlers with poor hand hygiene had 2.964 times higher odds of stunting (CI 95% 1.251-7.023, P=0.014). The findings suggest that limited access to routine health services and inadequate hygiene practices significantly contribute to stunting.
Conclusion: Intervention should prioritize promoting regular attendance of health services and improving hand hygiene practices among toddlers.

تازه های تحقیق

Kusuma Estu Werdani (Google Scholar)

کلیدواژه‌ها
Hand Hygiene؛ Educational Status؛ Stunting؛ Rural Health
مراجع
  1. World Health Organization. Stunting prevalence among children under 5 years of age (%). Published 2019. Accessed December 27, 2023. Availble at: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence.
  2. World Bank. The World Bank and Nutrition. Published 2024. Accessed May 23, 2025. Availble at: https://www.worldbank.org/en/topic/nutrition/overview?utm_source.
  3. World Health Organization. Global Nutrition Targets 2025 Stunting Policy Brief (WHO/NMH/NHD/14.3); 2014. doi: 10.7591/cornell/9781501758898.003.0006.
  4. Torlesse H, Cronin AA, Sebayang SK, Nandy R. Determinants of stunting in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health. 2016;16(1):1-11. doi: 10.1186/s12889-016-3339-8. PubMed PMID: 27472935. PubMed Central PMCID: PMC4966764.
  5. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):e12617. doi:10.1111/mcn.12617. PubMed PMID: 29770565. PubMed Central PMCID: PMC6175423.
  6. Idrus NI, Zulkifli A, Arsin AA, Ansariadi, Hidayanty H, Riskiyani S. Determinants of Stunting in Children Aged 6-24 Months at Pambusuang Health Centre Working Area, Polewali Mandar Regency, Indonesia. Natl J Community Med. 2023;14(12):842-848. doi: 10.55489/njcm.141220233435.
  7. Ayelign A, Zerfu T. Household, dietary and healthcare factors predicting childhood stunting in Ethiopia. Heliyon. 2021;7(4):e06733. doi: 10.1016/j.heliyon.2021.e06733. PubMed PMID: 33912713. PubMed Central PMCID: PMC8066354.
  8. Buku Saku: Hasil Survei Status Gizi Indonesia (SSGI) 2022; 2023.
  9. Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One. 2022:1-11. doi: 10.1371/journal.pone.0271509. PubMed PMID: 35877770. PubMed Central PMCID: PMC9312392.
  10. Widiyanto J, Lismawati G. Maternal age and anemia are risk factors of low birthweight of newborn. Enfermería Clínica. 2019;29(1):94-97. doi: 10.1016/j.enfcli.2018.11.010.
  11. Islam MM, Sanin KI, Mahfuz M, et al. Risk factors of stunting among children living in an urban slum of Bangladesh: findings of a prospective cohort study. BMC Public Health. 2018;18(1):197. doi: 10.1186/s12889-018-5101-x. PubMed PMID: 29378556. PubMed Central PMCID: PMC5789576.
  12. Vilcins D, Sly PD, Jagals P. Environmental Risk Factors Associated with Child Stunting: A Systematic Review of the Literature. Ann Glob Heal. 2018;84(4):551. doi: 10.29024/AOGH.2361.
  13. Kementerian Kesehatan RI. Buku Saku: Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, Dan Kabupaten/Kota Tahyn 2021. 1st ed. Indonesian Ministry of Health; 2021. doi: 10.36805/bi.v2i1.301
  14. Dinas Kesehatan Kabupaten Karanganyar. Profil Kesehatan Kabupaten Karanganyar 2021. Karanganyar: Dinas Kesehatan Kabupaten Karanganyar, 2021. 131 p.
  15. Destiadi A, Nindya TS, Sumarmi S. Frekuensi Kunjungan Posyandu Dan Riwayat Kenaikan Berat Badan Sebagai Faktor Risiko Kejadian Stunting Pada Anak Usia 3 – 5 Tahun. Media Gizi Indones. 2016;10(1):71-75. doi: 20473/mgi.v10i1.71-75.
  16. World Health Organization. WHO Child Growth Standards. Vol 51.; 2009. doi: 10.1111/j.1469-8749.2009.03503.x.
  17. Rangkuti NA, Harahap MA. Hubungan Pengetahuan dan Usia Ibu Hamil dengan Kehamilan Risiko Tinggi di Puskesmas Labuhan Rasoki. Educ Dev. 2020;8(4):513-517.
  18. Aboagye RG, Ahinkorah BO, Seidu AA, Frimpong JB, Archer AG, Adu C, et al. Birth weight and nutritional status of children under five in sub-Saharan Africa. PLoS One. 2022:1-19. doi: 10.1371/journal.pone.0269279. PubMed PMID: 35679306. PubMed Central PMCID: PMC9182265.
  19. Fauziah DK, Pujiastuti N, Solikhah FK, Nataliswati T. Peran Faktor Persalinan terhadap Stunting pada Balita : Studi di Desa. NERS J Keperawatan. 2023;19(2):99-108. doi: 10.25077/njk.19.2.99-108.2023.
  20. Indonesian Ministry of Health. Permenkes RI Nomor 21 Tahun 2021.; 2021.
  21. Indonesian Ministry of Health. Permenkes RI Nomor 32 Tahun 2017.; 2017.
  22. Habibarrahman S, Yusriani Y, Alwi M. The Influence of Mother’s Characteristics and Self-Determination on Stunting Toddler Care Behavior Using Partial Least Square (PLS) Model. Heal Educ Heal Promot. 2023;11(3):1001-1011. doi: 10.58209/hehp.11.3.493.
  23. Mukisa GGWW, Shumba TTW, Lourens A. Determinants of undernutrition in children under five years in the Southern Africa sub-region: A scoping review. J Heal Res. 2024;38(2):177-199. doi: 10.56808/2586-940X.1074.
  24. Werdani KE, Isnaini N, Kusumawati Y. History of children and malnutrition status in Magetan. Indian J Public Heal Res Dev. 2019;10(3). doi: 10.5958/0976-5506.2019.00613.2.
  25. Musdalifah U, Arifah I. Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting. Malahayati Int J Nurs Heal Sci. 2023;06(5):357-366. doi: 10.33024/minh.v6i5.12561.
  26. Febriani ADB, Daud D, Rauf S, Nawing HD, Ganda IJ, Salekede SB, et al. Risk factors and nutritional profiles associated with stunting in children. Pediatr Gastroenterol Hepatol Nutr. 2020;23(5):457-463. doi: 10.5223/PGHN.2020.23.5.457. PubMed PMID: 32953641. PubMed Central PMCID: PMC7481059.
  27. Borah M, Baruah R. Morbidity status of low birth weight babies in rural areas of Assam: A prospective longitudinal study. J Fam Med Prim Care. 2015;4(3):380. doi: 10.4103/2249-4863.161326. PubMed PMID: 26288777. PubMed Central PMCID: PMC4535099.
  28. Petrika Y, Dahliansyah D, Sulistyaningsih I. Birth Length and Father’S Education Related To Stunting Events in Tolls Aged 7-59 Months. J Kesmas Dan Gizi. 2023;5(2):188-194. doi: 10.35451/jkg.v5i2.1374.
  29. Rahmawati VE. Hubungan Panjang Badan Lahir Dengan Kejadian Stunting Pada Anak Balita Usia 0-59 Bulan Di Kabupaten Jombang. J Kebidanan. 2020;9(2):44-48. doi: 10.47560/keb.v9i2.250.
  30. Nizami H, Agustina S, Harahap M. Motivasi Ibu Terhadap Kunjungan Posyandu Dan Kejadian Stunting Pada Anak Balita Aceh Jaya, Indonesia. Pelayanan Kesehat Komprehensif. 2023;7(2):173-183. doi: 10.37362/jch.v7i2.1028.
  31. Arifah I, Alamsyah SS, Cahyanti ET. “Menjadi Nutrition Champion di Media Sosial”: Peningkatan Kapasitas Kader Kesehatan dalam Upaya Pencegahan Anemia Kehamilan. War LPM. 2023;26(2):174-183. doi: 10.23917/warta.v26i2.1078.
  32. Mutalazimah M, Rahayu GS. Mothers’ Knowledge about Anemia and the Compliance of Consuming Iron Tablets (Fe) and Anemia Occurrence among Pregnant Women. Int J Pharm Res. 2019;11(1):746-752. doi: 10.31838/ijpr/2019.11.01.126.
  33. Alfadhila Khairil Sinatrya, Lailatul Muniroh. Hubungan Faktor Water, Sanitation, and Hygiene (WASH) dengan Stunting di Wilayah Kerja Puskesmas Kotakulon, Kabupaten Bondowoso . Amerta Nutr. 2019;3(3):164-170. doi: 10.2473/amnt.v3i3.2019.164-170.
  34. Yustati E, Sartika M, Suryadinata A, Timur B, Ulu OK. Risk Factors of Events Stunting in Toodlers Aged 1-5 Years. Indones J Glob Heal Res. 2019;2(4):399-406. doi: 10.37287/ijghr.v2i4.250.
  35. Kwami CS, Godfrey S, Gavilan H, Lakhanpaul M, Parikh P. Water, sanitation, and hygiene: Linkages with stunting in rural Ethiopia. Int J Environ Res Public Health. 2019;16(20). doi: 10.3390/ijerph16203793. PubMed PMID: 31600942. PubMed Central PMCID: PMC6843659.
  36. Younie S, Mitchell C, Bisson MJ, Crosby S, Kukona A, Laird K. Improving young children’s handwashing behaviour and understanding of germs: The impact of A Germ’s Journey educational resources in schools and public spaces. PLoS One. 2020:1-19. doi: 10.1371/journal.pone.0242134. PubMed PMID: 33227004. PubMed Central PMCID: PMC7682880.
  37. Yusnita Y, Huda N, Ernawati K, Maharsi ED, Zakiyah Z, Widianti D, et al. Capacity building of integrated health post cadres on stunting prevention in Pandeglang Regency Locus Area. ABDIMAS. 2023;8(2):278-287. doi: 10.26905/abdimas.v8i2.9236.
  38. Erawati NK, Sugandini W, Juliani M. Monitoring of nutritional status to children by Integrated Healthcare Center as stunting early detection. ABDIMAS. 2022;7(4):768-778. doi: 10.26905/abdimas.v7i4.8201.
  39. Astuti AB, Mulyanti S, Diyono. The effectiveness of the interprofessional collaboration (IPC) program on the attitude of mothers and health cadres on stunting at puskesmas karanganom Klaten Central Java Republic of Indonesia. Electron J Gen Med. 2021;18(6). doi: 10.29333/ejgm/11315.
  40. Anggraini DN. Evaluation of Integrated Nutritional Intervention in Cases of Stunting with Chronic Skin Infections. J Med Heal Stud. 2023;4(4):111-118. doi: 10.32996/jmhs.2023.4.4.12.
  41. Zahara H, Lensoni, Kala PR, Anggraini Y, Murni, Saifuddin, et al. Upaya peningkatan pengetahuan pada kader gampong meunasah intan kecamatan kuta baro kabupaten aceh besar dalam pencegahan stunting. PRIMA. 2022;1(3). doi: 10.55047/prima.v1i3.201.
  42. Hapsari D dan S. Deteminan Kejadian Stunting Pada Balita Di Wilayah 3T (Tertinggal, Terdepan, dan Terluar). J Publ Kesehat Masy Indones. 2019;6(2):72-78. doi: 10.20527/jpkmi.v6i2.7456.
  43. Mahmudiono T, Andadari DPPS, Segalita C. Dietary diversity in agricultural and coastal area as potential source for the prevention of child stunting in Sidoarjo district. Indian J Public Heal Res Dev. 2019;10(3):696-700. doi: 10.5958/0976-5506.2019.00584.9.
 

 

آمار
تعداد مشاهده مقاله: 38
تعداد دریافت فایل اصل مقاله: 31


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب