Supp. File(s): Research Results
Factors influencing the nutritional status of children aged 6–23 months based on the Composite Index of Anthropometric Failure (CIAF)
Rizki Maulidya* -
Bachelor Program in Nutrition, STIKes Muhammadiyah Lhokseumawe, Indonesia
Zulfan Zulfan -
Bachelor Program in Nutrition, STIKes Muhammadiyah Lhokseumawe, Indonesia
Sarah Nadya -
Bachelor Program in Nutrition, STIKes Muhammadiyah Lhokseumawe, Indonesia
Amelia Zahara -
Bachelor Program in Nutrition, STIKes Muhammadiyah Lhokseumawe, Indonesia
Lhokseumawe City still experiences the nutritional problems of being underweight, stunting, and wasting, so it is necessary to know the factors that cause it, especially in the Banda Sakti Health Center. The aim of this study was to determine the factors that affect the nutritional status of children aged 6-23 months according to the Composite Index of Anthropometry (CIAF). This cross-sectional study was conducted at the Banda Sakti Health Center in 2023. A total of 314 children aged 6-23 months were randomly selected. Data were collected via interviews, questionnaires, and anthropometric measurements (weight and height). Nutritional status data were processed using WHO Anthro 2005 software. Data were analyzed using the chi-squared test and logistic regression analysis. Results: The prevalence of growth failure in children at Banda Sakti Health Center was 23,2%. The determinants of growth failure were ANC (p=0,000; OR=20,8), birth weight (p=0,000; OR=8,44), complementary feeding diversity (p=0,000; OR=10,3), animal protein consumption (p=0,000; OR=17,23), and complete immunization (p=0,000; OR=4,41). Antenatal Care (ANC) examination was the dominant factor affecting the incidence of growth failure in children aged 6-23 months (OR= 20,8). In conclusion, incomplete ANC examination is the dominant factor associated with the incidence of growth failure in children aged 6-23 months at the Banda Sakti Health Center, Lhokseumawe City.
Supplement Files
Keywords : Anthropometric, antenatal care, composite index, growth failure
- Aguayo, V. M., & Menon, P. (2016). Stunting: Improving child feeding, women’s nutrition, and household sanitation in South Asia. Maternal and Child Nutrition, 12, 3–11. https://doi.org/10.1111/mcn.12283
- Aisyah, I. S., & Yunianto, A. E. (2021). Hubungan Asupan Energi Dan Asupan Protein Dengan Kejadian Stunting Pada Balita (24-59 Bulan) Di Kelurahan Karanganyar Kecamatan Kawalu Kota Tasikmalaya. Jurnal Kesehatan Komunitas Indonesia, 17(1), 240–246.
- Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. N. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17(1), 1–16. https://doi.org/10.1186/s12887-016-0770-z
- Alfiati, S. (2018). Analisis Faktor-Faktor Yang Mempengaruhi Pola Konsumsi Pangan Rumah Tangga. Jurnal of Economic, Business and Accounting (COSTING), 2(1), 76–83.
- Amiruddin, N. A., Delima, A. A., & Fauziah, H. (2022). Hubungan Anemia dalam Kehamilan dengan Angka Kejadian Berat Bayi Lahir Rendah (BBLR). UMI Medical Journal, 7(2), 132–140. https://doi.org/10.33096/umj.v7i2.216
- Andini, E. N., Udiyono, A., Sutiningsih, D., & Wuryanto, M. A. (2020). Faktor – Faktor yang Berhubungan dengan Status Gizi pada Anak Usia 0-23 Bulan Berdasarkan Composite Index of Anthropometric Failure (CIAF) di Wilayah Kerja Puskesmas Karangayu Kota Semarang. Jurnal Epidemiologi Kesehatan Komunitas, 5(2), 104–112. https://doi.org/10.14710/jekk.v5i2.5898
- Ariati, L. I. P. (2019). Faktor-Faktor Resiko Penyebab Terjadinya Stunting Pada Balita Usia 23-59 Bulan. OKSITOSIN : Jurnal Ilmiah Kebidanan, 6(1), 28–37. https://doi.org/10.35316/oksitosin.v6i1.341
- Aritonang, E. A., Margawati, A., & Fithra Dieny, F. (2020). Analisis Pengeluaran Pangan, Ketahanan Pangan dan Asupan Zat Gizi Anak Bawah Dua Tahun (Baduta) Sebagai Faktor Risiko Stunting. Journal of Nutrition College, 9(1), 71–80. http://ejournal3.undip.ac.id/index.php/jnc/
- Balalian, A. A., Simonyan, H., Hekimian, K., Deckelbaum, R. J., & Sargsyan, A. (2017). Prevalence and determinants of stunting in a conflict-ridden border region in Armenia - A cross-sectional study. BMC Nutrition, 3(1), 1–13. https://doi.org/10.1186/s40795-017-0204-9
- BKPK. (2024). Survei Kesehatan Indonesia. Badan Kebijakan Pembangunan Kesehatan, 01, 1–68.
- Camelia, V., Praborini, A., & Jannah, M. (2020). Hubungan Antara Kualitas & Kuantitas Riwayat Kunjungan Antenatal Care (ANC) Dengan Stunting Pada Balita Usia 24-59 Bulan Di Kecamatan Pujon Kabupaten Malang. Journal of Issues in Midwifery, 4(3), 100–111. https://doi.org/10.21776/ub.joim.2020.004.03.1
- Diagama, W., Amir, Y., & Hasneli, Y. (2019). Hubungan Jumlah Kunjungan Posyandu Dengan Status Gizi Balita (1-5 Tahun). Jurnal Ners Indonesia, 9(2), 97. https://doi.org/10.31258/jni.9.2.97-108
- Dinamara, N., Rahayu, S., & Nuryati, T. (2021). Determinan stunting pada baduta di wilayah kerja dinas kesehatan kota ternate. JGMI: The Journal of Indonesian Community Nutrition, 10(2), 104–113.
- Dolang, M. W. (2020). Hubungan Kepatuhan Mengonsumsi Tablet Fe Dan Keteraturan Kunjungan ANC Dengan Kejadian Anemia Pada Ibu Hamil. Jurnal Keperawatan Muhammadiyah, 5(1), 179–184. https://doi.org/10.30651/jkm.v5i1.4189
- Elisabet, B. M., & Ayubi, D. (2021). Hubungan Pengetahuan, Sikap dengan Perilaku Kader Posyandu dalam Pelaksanaan Pemberian Vitamin A di Jakarta Timur. Jurnal Ilmiah Kesehatan, 13(1), 1–12. https://doi.org/10.37012/jik.v13i1.447
- Femelia, W., Rusti, S., & Abidin, Z. (2019). Diversity in Main Dishes Prevents Children From Composite Index of Anthropometric Failure (CIAF). Human Care Journal, 4(1), 19. https://doi.org/10.32883/hcj.v4i1.218
- Fitri, R. Y. (2019). Determinan Kejadian Composite Index of Anthropometric Failure (Ciaf) Di Kabupaten Sijunjung, Padang Pariaman Dan Pasaman Barat. Human Care Journal, 4(1), 48. https://doi.org/10.32883/hcj.v4i1.206
- Hary Cahyati, W., Yuniastuti, A., Bongkong, L., Tengah Sinjai, S., & Selatan, S. (2019). Disparity of Risk Factors Stunting on Toddlers in the Coast and the Mountain Areas of Sinjai, South Sulawesi. Public Health Perspectives Journal, 4(3), 196–205. http://journal.unnes.ac.id/sju/index.php/phpj
- Hasanah, U., Maria, I. L., Jafar, N., Hardianti, A., Mallongi, A., & Syam, A. (2020). Water, sanitation dan hygiene analysis, and individual factors for stunting among children under two years in ambon. Open Access Macedonian Journal of Medical Sciences, 8(T2), 22–26. https://doi.org/10.3889/oamjms.2020.5177
- Hasanalita. (2023). Analisis Faktor Intervensi Prioritas Dan Faktor Intervensi Pendukung Pada Ibu Hamil Dalam Penanganan Stunting. Jurnal Sehat Mandiri, 18(2), 192–203.
- Hastuty, M. (2020). Hubungan Anemia Ibu Hamil dengan Kejadian Stunting. Jurnal Online Universitas Pahlawan Tuanku Tambusai, 4(2), 112–116.
- Hutasoit, M., Utami, K. D., Afriyliani, N. F., Keperawatan, P., Kesehatan, F., Jenderal, U., & Yani, A. (2018). Kunjungan Antenatal Care Berhubungan Dengan Kejadian Stunting. 2.
- Indah Nurdin, S. S., Octaviani Katili, D. N., & Ahmad, Z. F. (2019). Faktor ibu, pola asuh anak, dan MPASI terhadap kejadian stunting di kabupaten Gorontalo. Jurnal Riset Kebidanan Indonesia, 3(2), 74–81. https://doi.org/10.32536/jrki.v3i2.57
- Juwita, S., Andayani, H., Bakhtiar, B., Sofia, S., & Anidar, A. (2019). Hubungan Jumlah Pendapatan Keluarga dan Kelengkapan Imunisasi Dasar dengan Kejadian Stunting pada Balita di Kabupaten Pidie. Jurnal Kedokteran Nanggroe Medika, 2(4), 1–10.
- Kemenkes. (2016). Panduan Manajemen Terintegrasi Suplementasi Vitamin A. Kementerian Kesehatan Republik Indonesia, 84.
- Kemenkes RI. (2017). Peraturan Menteri Kesehatan republik Indonesia Tentang Penyelenggaraan Imunisasi. 2–4.
- Kemenkes RI. (2018). Buletin Stunting. Kementerian Kesehatan RI, 301(5), 1163–1178.
- Khan, R. E. A., & Raza, M. A. (2016). Determinants of malnutrition in Indian children: new evidence from IDHS through CIAF. Quality and Quantity, 50(1), 299–316. https://doi.org/10.1007/s11135-014-0149-x
- Khanal, V., Sauer, K., Karkee, R., & Zhao, Y. (2014). Factors associated with small size at birth in Nepal: Further analysis of Nepal Demographic and Health Survey 2011. BMC Pregnancy and Childbirth, 14(1). https://doi.org/10.1186/1471-2393-14-32
- Kundarwati, R., Dewi, A., Abdullah, & Wati, D. (2022). Hubungan Asupan Protein, Vitamin A, Zink, dan Fe dengan Kejadian Stunting Usia 1-3 Tahun. Jurnal Gizi, 11(1), 2022.
- Kuswanti, I., & Azzahra, S. K. (2022). Jurnal Kebidanan Indonesia. Hubungan Pengetahuan Ibu Tentang Pemenuhan Gizi Seimbang Dengan Perilaku Pencegahan Stunting Pada Balita, 13(1), 15–22.
- Loya, R. R. P., & Nuryanto, N. (2017). Pola asuh pemberian makan pada bayi stunting usia 6-12 bulan di Kabupaten Sumba Tengah, Nusa Tenggara Timur. Journal of Nutrition College, 6(1), 84. https://doi.org/10.14710/jnc.v6i1.16897
- Lukman, T. N. E., Anwar, F., Riyadi, H., Harjomidjojo, H., & Martianto, D. (2021). Birth Weight and Length Associated with Stunting among Children Under-Five in Indonesia. J. Gizi Pangan, 16(28), 99–108.
- Malah, S., & Montol, A. (2016). Hubungan Kepatuhan Ibu Hamil Dalam Mengkonsumsi Tablet Besi ( Fe ) Dengan Kadar Hemoglobin ( Hb ) Di Wilayah Puskesmas Ranomut Kota Manado. GIZIDO, 8(2), 35–44.
- Mianna, R., & Harianti, R. (2020). Status Imunisasi dan Keragaman Konsumsi Makanan Balita Terhadap Kejadian Stunting. Jurnal Kesehatan Komunitas, 6(2), 225–229. https://doi.org/10.25311/keskom.vol6.iss2.552
- Mitra, Nurlisis, & Destriyani, R. (2014). Jenis dan Keberagaman Makanan Pendamping Air Susu Ibu.
- Murti, L. M., Budiani, N. N., Widhi, M., & Darmapatni, G. (2020). Hubungan Pengetahuan Ibu Tentang Gizi Balita Dengan Kejadian Stunting Anak Umur 36-59 Bulan. The Journal Of Midwifery, 8(2), 3–10.
- Nafijah, M., Wardoyo, A. S., & Mahmudiono, T. (2017). Hubungan Frekuensi Penimbangan , Penggunaan Garam Underweight Pada Balita Di Provinsi Jawa Timur. Media, 12(1), 40–46.
- Nasution, D., Nurdiati, D. S., & Huriyati, E. (2014). Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan. Jurnal Gizi Klinik Indonesia, 11(1), 31. https://doi.org/10.22146/ijcn.18881
- Negrato, C. A., & Gomes, M. B. (2013). Low birth weight: Causes and consequences. Diabetology and Metabolic Syndrome, 5(1), 1–8. https://doi.org/10.1186/1758-5996-5-49
- Nurhaidah, N., & Rostinah, R. (2021). Faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Mpunda Kota Bima. Jurnal Manajemen Kesehatan Indonesia, 9(2), 121–129. https://doi.org/10.14710/jmki.9.2.2021.121-129
- Oot, L., Sethuraman, K., Ross, J., & Diets, A. E. S. (2016). Effect of Chronic Malnutrition ( Stunting ) on Learning Ability , a Measure of Human Capital : A Model in PROFILES for Country-Level Advocacy. Technical Brief, Food and Nutrition Technical Assistance III Project, February, 1–8. https://www.fantaproject.org/sites/default/files/resources/PROFILES-brief-stunting-learning-Feb2016.pdf
- Permatasari, T. A. E., & Chadirin, Y. (2022). Assessment of undernutrition using the composite index of anthropometric failure (CIAF) and its determinants: A cross-sectional study in the rural area of the Bogor District in Indonesia. BMC Nutrition, 8(1), 1–20. https://doi.org/10.1186/s40795-022-00627-3
- Permenkes RI. (2021). Penyelenggaraan Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Pelayanan Kontrasepsi, dan Pelayanan Kesehatan Seksual. Kementerian Kesehatan RI, 70(3), 156–157.
- Picauly, I., & Toy, S. M. (2013). Analisis Determinan Dan Pengaruh Stunting Terhadap Prestasi Belajar Anak Sekolah Di Kupang Dan Sumba Timur, Ntt. Jurnal Gizi Dan Pangan, 8(1), 55. https://doi.org/10.25182/jgp.2013.8.1.55-62
- Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158
- Rahmad, A., & Miko, A. (2016). Kajian Stunting pada balita berdasarkan Pola Asuh dan Pendapatan Keluarga di Banda Aceh. Jurnal Kesmas Indonesia, 8, 63–79.
- Rahmadini, N., Sudiarti, T., & Utari, D. M. (2013). Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure. Kesmas: National Public Health Journal, 7(12), 538. https://doi.org/10.21109/kesmas.v7i12.327
- Rahman, M., Howlader, T., Masud, M., & Rahman, L. (2016). Association of low-birth weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLoS ONE, 11(6), 1–16. https://doi.org/10.1371/journal.pone.0157814
- Raisah, P., Zahara, H., Anggriani, Y., Karma, T., Samsudin, S., Seni, W., Lensoni, L., Marlinda, M., Riezky, A. K., & Saifuddin, S. (2022). Hubungan Berat Badan Lahir, Riwayat Asi Ekslusif Dan Riwayat Imunisasi Dengan Stunting Pada Anak Usia 0-59 Bulan Di Gampong Meunasah Intan Kecamatan Kuta Baro Kabupaten Aceh Besar. Malahayati Nursing Journal, 4(5), 1265–1273. https://doi.org/10.33024/mnj.v4i5.5954
- Ramdaniati, S. N., & Nastiti, D. (2019). Hubungan Karakteristik Balita, Pengetahuan Ibu Dan Sanitasi Terhadap Kejadian Stunting Pada Balita Di Kecamatan Labuan Kabupaten Pandeglang. Hearty, 7(2), 47–54. https://doi.org/10.32832/hearty.v7i2.2877
- Remonja, C. R., Rakotonirainy, N. H., Rasoloarijaona, R., Piola, P., Raharintsoa, C., & Randremanana, V. (2018). Dietary diversity of 6- to 59-month-old children in rural areas of Moramanga and Morondava districts , Madagascar. PLoS ONE, 4(2), 1–14.
- Retnorini, D. L., Widatiningsih, S., & Masini, M. (2017). Pengaruh Pemberian Tablet Fe Dan Sari Kacang Hijau Terhadap Kadar Hemoglobin Pada Ibu Hamil. Jurnal Kebidanan, 6(12), 8. https://doi.org/10.31983/jkb.v6i12.1908
- Sari, E. M., Juffrie, M., Nurani, N., & Sitaresmi, M. N. (2016). Asupan Protein, Kalsium dan Fosfor pada anak Stunting dan tidak Stunting usia 24 - 59 Bulan. Jurnal Gizi Klinik Indonesia, 12(4), 152–159.
- Sari, & Indriani. (2020). Hubungan Anemia Pada Ibu Hamil, Hidramnion, Dan Ketuban Pecah Dini (Kpd) Terhadap Kejadian Berat Bayi Lahir Rendah (Bblr) Di Rumah Sakit Islam Siti Khadijah Palembang Tahun 2018. Masker Medika, 8(1), 185–192. https://doi.org/10.52523/maskermedika.v8i1.392
- Simanjuntak, B. Y., Haya, M., Suryani, D., & Ahmad, C. A. (2018). Early inititation of breastfeeding and Vitamin A supplementation with nutritional status of children aged 6-59 months. Kesmas, 12(3), 107–113. https://doi.org/10.21109/kesmas.v12i3.1747
- Siswati, T., Susilo, J., & Paramashanti, B. (2023). Assessing Child Undernutrition Using Composite Index Of Anthropometric Failure (CIAF) and Its Determinants: A Crosssectional Study In Yogyakarta, Indonesia. Journal of Hunan University Natural Sciences, 60(August). https://doi.org/10.5281/zenodo.8288375
- Soumokil, O. (2017). Hubungan Asupan Energi Dan Protein Dengan Status Gizi Balita di Kecamatan Nusalaut Kabupaten Maluku Tengah. Global Health Science, 2(3), 220–225.
- Sulistyawati, S., & Mistyca, M. R. (2016). Pengetahuan Berhubungan dengan Sikap Ibu dalam Kemampuan Menstimulasi Pertumbuhan dan Perkembangan Anak Balita dengan Gizi Kurang. Jurnal Ners Dan Kebidanan Indonesia, 4(2), 63. https://doi.org/10.21927/jnki.2016.4(2).63-69
- Tessema, M., Gunaratna, N. S., Brouwer, I. D., Donato, K., Cohen, J. L., McConnell, M., Belachew, T., Belayneh, D., & Groote, H. De. (2018). Associations among high-quality protein and energy intake, serum transthyretin, serum amino acids and linear growth of children in Ethiopia. Nutrients, 10(11), 1–17. https://doi.org/10.3390/nu10111776
- Theresia, D. (2020). Hubungan Jumlah Kunjungan Ibu Ke Posyandu Dengan Status Gizi Balita Di Wilayah Kerja Puskesmas Amplas. Jurnal Keperawatan Priority, 3(2), 31–41. https://doi.org/10.34012/jukep.v3i2.958
- Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients, 11(5). https://doi.org/10.3390/nu11051106
- Triana, W., Razi, P., & Sayuti, S. (2021). Partisipasi Ibu Balita Ke Posyandu Melati di Desa Sungai Bertam, Kabupaten Muaro Jambi Tahun 2020. Perilaku Dan Promosi Kesehatan: Indonesian Journal of Health Promotion and Behavior, 3(1), 19. https://doi.org/10.47034/ppk.v3i1.4154
- Wati, R. W. (2021). Hubungan Riwayat Bblr, Asupan Protein, Kalsium, Dan Seng Dengan Kejadian Stunting Pada Balita. Nutrizione: Nutrition Research And Development Journal, 1(2), 1–12. https://doi.org/10.15294/nutrizione.v1i2.50071
- Widiyanto, J., Yarnita, Y., & Gasril, P. (2022). Analisis Faktor yang Berkaitan dengan Stunting di Provinsi Riau. Jurnal Kesehatan As-Shiha, 8(1), 10–15.
- Zoleko-Manego, R., Mischlinger, J., Dejon-Agobe, J. C., Basra, A., MacKanga, J. R., Diop, D. A., Adegnika, A. A., Agnandji, S. T., Lell, B., Kremsner, P. G., Matsiegui, P. B., Gonzalez, R., Menendez, C., Ramharter, M., & Mombo-Ngoma, G. (2021). Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life. PLoS ONE, 16(2 February), 1–15. https://doi.org/10.1371/journal.pone.0246694
- Zulfan, Z., & Sudiarti, T. (2023). Faktor-Faktor Yang Berhubungan Dengan Keragaman Konsumsi Balita Usia 12-59 Bulan Di Provinsi Aceh Tahun 2021. Jurnal Cahaya Mandalika, 3(2), 674–685


This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Article Info
Submitted: 28-08-2024
Published: 15-03-2025
Section: Original Research
Published In Vol 10, No 1 (2025): March
Statistics
Abstract view : 16 times
PDF views : 13 times
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: jurnal6121@gmail.com
e-issn: 2548-5741, p-issn: 2527-3310
All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License