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

Dewi Sandra Lubis -  Health Department of West Aceh District, Indonesia
Aripin Ahmad* -  Nutrition Departement, Politeknik Kesehatan Kemenkes Aceh, Indonesia
Faisal Bin Abdurrahman -  Departement of Public Health, Malaysia University, Kuala Lumpur, Malaysia
DOI : 10.30867/action.v8i4.1008

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.

Keywords : Exclusive breastfeeding, Stunting, Sensitive indicators, Specific indicator, surveillance

  1. Agustina, S. C., Trisnantoro, L., & Handono, D. (2019). Implementasi Program Indonesia Sehat dengan Pendekatan Keluarga (PIS PK) menggunakan tenaga kontrak di Kabupaten Kulon Progo tahun 2018. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 8(3), 104-112.
  2. Al Rahmad, A. H., Miko, A., Labatjo, R., Fajriansyah, F., Fitri, Y., & Suryana, S. (2020). Malnutrition prevalence among toddlers based on family characteristics: A cross-sectional study in the rural and urban areas of Aceh, Indonesia. Sri Lanka Journal of Child Health, 49(3), 263. https://doi.org/10.4038/sljch.v49i3.9145
  3. Apriluana, G., & Fikawati, S. (2018). Analisis faktor-faktor risiko terhadap kejadian stunting pada balita (0-59 bulan) di negara berkembang dan asia tenggara. Media Penelitian dan Pengembangan Kesehatan, 28(4), 247-256.
  4. Balitbangkes (2018). Hasil Utama Riskesdas Tahun 2018.https: // www.litbang. kemkes.go.id / hasil-utama-riskesdas-2018/.
  5. Bzikowska-Jura, A., Czerwonogrodzka-Senczyna, A., Olędzka, G., Szostak-Węgierek, D., Weker, H., & Wesołowska, A. (2018). Maternal nutrition and body composition during breastfeeding: association with human milk composition. Nutrients, 10(10), 1379. https://doi.org/10.3390/nu10101379
  6. Desyanti, C., & Nindya, T. S. (2017). Hubungan riwayat penyakit diare dan praktik higiene dengan kejadian stunting pada balita usia 24-59 bulan di wilayah kerja Puskesmas Simolawang, Surabaya. Amerta Nutrition, 1(3), 243-251.
  7. Dinas Kesehatan Aceh Barat. (2020). Data Profil Kesehatan Kabupaten Aceh Barat tahun 2020. Dinas Kesehatan Kabupaten Aceh Barat.
  8. Farisni, T. N., & Zakiyuddin, Z. (2020). Pembentukan Kp-Stunting (kelompok preventif stunting) sebagai intervensi berbasis upaya kesehatan masyarakat di Kabupaten Aceh Barat. LOGISTA-Jurnal Ilmiah Pengabdian kepada Masyarakat, 4(2):94-103.
  9. Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Asshiddiqi, M. I. N., & Gittelsohn, J. (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
  10. Halim, F., Ermiati, E., & Sari, E. A. (2021). Factors of stunting in toddlers: A literature review. Journal of nursing care, 4(1).
  11. Indriani, D., Dewi, L. R., Murti, B., & Qadrijati, I. (2018). Prenatal factors associated with the risk of stunting: a multilevel analysis evidence from Nganjuk, East Java. Journal of Maternal and Child Health, 3(4), 294-300. https://thejmch.com/index.php/thejmch/article/view/113
  12. Kang, Y., Aguayo, V. M., Campbell, R. K., Dzed, L., Joshi, V., Waid, J. L., & West Jr, K. P. (2018). Nutritional status and risk factors for stunting in preschool children in Bhutan. Maternal & child nutrition, 14, e12653. https://doi.org/10.1111/mcn.12653
  13. Kemenkes. (2016). Pedoman Umum Program Indonesia sehat dengan pendekatan keluarga 2016.
  14. Kemenkes. (2017). Buku Saku Pemantauan Status Gizi’, Buku Saku Pemantauan Status Gizi Tahun 2017.
  15. Kemenkes (2019). Profil Kesehatan Indonesia tahun 2018, Jakarta Kementerian Kesehatan Republik Indonesia. 351.077 Ind P p.
  16. Kemenkes (2020) Program Indonesia Sehat 2020.
  17. Mulyani, N. S., Fitriyaningsih, E., Al Rahmad, A. H., & Hadi, A. (2022). Peningkatan pengetahuan dan sikap ibu untuk pencegahan stunting di Kabupaten Aceh Besar. Jurnal PADE: Pengabdian & Edukasi, 4(1), 28–33. https://doi.org/10.30867/pade.v4i1.810
  18. Rusdianah, E., & Widiarini, R. (2019). Evaluasi program indonesia sehat dengan pendekatan keluarga (PIS-PK): studi kasus di tingkat puskesmas. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 8(4),175-183.
  19. Sánchez, C., Franco, L., Regal, P., Lamas, A., Cepeda, A., & Fente, C. (2021). Breast milk: A source of functional compounds with potential application in nutrition and therapy. Nutrients, 13(3), 1026. https://doi.org/10.3390/nu13031026
  20. Siallagan, D., Rusiana, D., & Susilawati, E. (2021). Determinan stunting pada balita di Puskesmas Wilayah Kabupaten Tangerang tahun 2020. Indonesian Journal of Midwifery, 4(1):1-16.
  21. Sriyanti, C., Siregar, N., Mudatsir, M., & Gani, A. (2019). Effectiveness of students mentoring in exclusive breastfeeding in the districts Aceh Besar and West Aceh. AcTion: Aceh Nutrition Journal, 4(2), 123-127. doi:http://dx.doi.org/10.30867/action.v4i2.179
  22. Sulistyoningsih, H. (2020). Hubungan paritas dan pemberian asi eksklusif dengan stunting pada balita (literature review). Jurnal Seminar Nasional, 2(1), 1-8. https://doi.org/10.48186/.v2i01.247.1-8
  23. Supriyanto, Y., Paramashanti, B. A., & Astiti, D. (2018). Berat badan lahir rendah berhubungan dengan kejadian stunting pada anak usia 6-23 bulan. Jurnal Gizi dan Dietetik Indonesia, 5(1),23-30. http://dx.doi.org/10.21927/ijnd.2017.5(1).23-30
  24. Susianti, N., & Lestari, W. (2020). Faktor prediksi stunting di Kabupaten Tanjung Jabung Timur. Jurnal Khazanah Intelektual, 4(2), 729-757.
  25. Taha, Z., Garemo, M., & Nanda, J. (2018). Patterns of breastfeeding practices among infants and young children in Abu Dhabi, United Arab Emirates. International breastfeeding journal, 13, 1-10. https://doi.org/10.1186/s13006-018-0192-7
  26. Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). 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, 16(1), 1-11. https://doi.org/10.1186/s12889-016-3339-8
  27. WHO. (2018). Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. In World Health Organization. 5(1):55-61.
  28. Zulaikha, Y., Windusari, Y., & Idris, H. (2021). Analisis Pelaksanaan Program Pencegahan Stunting. Jurnal Keperawatan Silampari, 5(1), 406-419. https://doi.org/10.31539/jks.v5i1.3007

Open Access Copyright (c) 2023 Dewi Sandra Lubis, Aripin Ahmad, Faisal Bin Abdurrahman
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: [email protected]

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here