Background The Indonesian province of Aceh has a high prevalence of stunting. Identifying risk factors for stunting may help prevention efforts. The Growth Diagrams of Indonesian Children are a specific tool to diagnose stunting in Indonesian pediatric populations. Objective To determine the risk factors of stunting in children aged 1-60 months using the Growth Diagrams of Indonesian Children. Methods This observational, analytic study with case-control design was conducted in the Lawe Alas District, Southeast Aceh, Indonesia to compare prior risk factors exposure between stunted children (cases) and non-stunted children (controls) from January-April 2018.  Subjects were children aged 1-60 months and recruited by consecutive sampling. Results The subjects comprised 97 cases and 97 controls, totaling 194 subjects, internal risk factors of stunting were short birth length (OR 2.87; 95%CI 1.24 to 6.61; P=0.011), inadequate calorie intake (OR 2.37; 95%CI 1.32 to 4.27; P=0.004), non-exclusive breastfeeding (OR 3.64; 95%CI 2.01 to 6.61; P<0.001), chronic diarrhea (OR 6.56; 95%CI 3.33 to 13.01; P<0.001) and upper respiratory tract infections (OR 3.47; 95%CI 1.89 to 6.35; P<0.001). External risk factors of stunting were unimproved sanitation (OR 2.98; 95%CI 1.62 to 5.48; P<0.001), unimproved water sources (OR 2.71; 95%CI 1.50 to 4.88; P=0.001), low family income (OR 2.49; 95%CI 1.38 to 4.49; P=0.002), low paternal educational level (OR 2.98; 95%CI 1.62 to 5.48; P<0.001), low maternal educational level (OR 2.64; 95%CI 1.38 to 5.04; P=0.003), and living in households with >4 family members (OR 1.23; 95%CI 0.69 to 2.17; P=0.469). Regression analysis showed that the dominant risk factor of stunting was chronic diarrhea (OR 5.41; 95%CI 2.20 to 13.29; P<0.001). Conclusion The history of chronic diarrhea and non-exclusive breastfeeding are the main risk factors of childhood stunting.

Background Stunting represents a linear growth disturbance due to chronic malnutrition, recurrent infection, and inadequate psychosocial stimulation. The 2006 World Health Organization (WHO) Growth Standards are utilized as a modality in monitoring children’s growth, but to date, there has been no recommendation on use of the Growth Diagrams of Indonesian Children to monitor the growth of Indonesian children. Objective To determine the proportion of stunting, the sensitivity and specificity of Growth Diagrams of Indonesian Children for diagnosing stunting. In addition, we aimed to compare proportions of stunting using the 2006 WHO Growth Standards and Growth Diagrams of Indonesian Children. Method A cross-sectional study was conducted in Lawe Alas District, Southeast Aceh, Indonesia, from December 2017 to May 2018. Subjects were children aged 1-59 months who fulfilled the inclusion criteria. Subjects were obtained using a consecutive sampling method. Weight and height measurements were plotted on the Growth Diagrams of Indonesian Children and on the 2006 WHO Growth Standards to determine the stature o subjects. Stunting was defined as the index Z-score for HAZ of less than -2 SD for the 2006 WHO Growth Standards, and an HAZ index of below the 10th percentile (p10th) for the Growth Diagrams of Indonesian Children. Results Of 141 subjects, 66 (46.8%) had stunting based on the 2006 WHO Growth Standards and 51 (34.8%) had stunting based on Growth Diagrams of Indonesian Children. The sensitivity and specificity of the Growth Diagrams of Indonesian Children were 75.5% and 98.66%, respectively. Significantly more children were considered to be stunted using the 2006 WHO Growth Standards than using the Growth Diagrams of Indonesian Children. Conclusion Stunting prevalence is high in Southeast Aceh. The Growth Diagrams of Indonesian Children is a spesific and sensitive tool to diagnosed stunting in accordance with Indonesian children’s growth patterns.

Background Stunting represents a linear growth disturbance due to chronic malnutrition, recurrent infection, and inadequate psychosocial stimulation. The 2006 World Health Organization (WHO) Growth Standards are utilized as a modality in monitoring children’s growth, but to date, there has been no recommendation on use of the Growth Diagrams of Indonesian Children to monitor the growth of Indonesian children. Objective To determine the proportion of stunting, the sensitivity and specificity of Growth Diagrams of Indonesian Children for diagnosing stunting. In addition, we aimed to compare proportions of stunting using the 2006 WHO Growth Standards and Growth Diagrams of Indonesian Children. Method A cross-sectional study was conducted in Lawe Alas District, Southeast Aceh, Indonesia, from December 2017 to May 2018. Subjects were children aged 1-59 months who fulfilled the inclusion criteria. Subjects were obtained using a consecutive sampling method. Weight and height measurements were plotted on the Growth Diagrams of Indonesian Children and on the 2006 WHO Growth Standards to determine the stature o subjects. Stunting was defined as the index Z-score for HAZ of less than -2 SD for the 2006 WHO Growth Standards, and an HAZ index of below the 10th percentile (p10th) for the Growth Diagrams of Indonesian Children. Results Of 141 subjects, 66 (46.8%) had stunting based on the 2006 WHO Growth Standards and 51 (34.8%) had stunting based on Growth Diagrams of Indonesian Children. The sensitivity and specificity of the Growth Diagrams of Indonesian Children were 75.5% and 98.66%, respectively. Significantly more children were considered to be stunted using the 2006 WHO Growth Standards than using the Growth Diagrams of Indonesian Children. Conclusion Stunting prevalence is high in Southeast Aceh. The Growth Diagrams of Indonesian Children is a spesific and sensitive tool to diagnosed stunting in accordance with Indonesian children’s growth patterns.

Background: Diarrhea is a condition in which feces are discharged from the bowel in loose consistency or even liquid form, and the frequency is usually more often ( usually three times or more) in one day. Non-hygienic lifestyles, such as not washing hands before consuming food and after doing activities can cause negative impact to health, particularly the occurrence of diseases that related to poor sanitation, such as diarrhea. The prevalence are more common by 10 % in rural areas compared to 7.4% in urban areas. Incidence rate in diarrhea tends to be higher in group with lower education whom work as farmer, fisherman, or labor. Objectives: This study aims to analyze the relationship of childrend`s knowledge about hand washing and diarrhea occurence. Methods: This study is an  analytic study with a cross sectional design. The data is primary data that were collected directly from respondents through questionnaire. The respondents were chosen by stratified random sampling method. Results: From data of 35 respondents, the p-value 0.005 ( p <0.05), PR value 0.364 ( 0.177 – 0.749). Conclusion: There is a significant relationship between childrend`s knowledge about hand washing with diarrhea in Panobasan village. Keywords: children's knowledge, diarrhea, hand washing     Latar Belakang: Diare adalah suatu kondisi dimana seseorang buang air besar dengan konsistensi lembek atau cair, bahkan dapat berupa air saja dan frekuensinya lebih sering (biasanya tiga kali atau lebih) dalam satu hari. Kebiasaan kurang higienis berupa tidak mencuci tangan sebelum makan atau tidak mencuci tangan setelah melakukan aktivitas yang berhubungan dengan lingkungan dapat menimbulkan dampak negatif bagi kesehatan masyarakat, terutama munculnya penyakit yang berkaitan dengan perilaku hidup bersih dan sehat yang rendah salah satunya yaitu diare. Prevalensi diare lebih banyak di pedesaan dibandingkan perkotaan, yaitu sebesar 10% di pedesaan dan 7,4 % di perkotaan. Diare cenderung lebih tinggi pada kelompok pendidikan rendah dan bekerja sebagai petani, nelayan dan buruh. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan anak tentang cuci tangan dengan kejadian diare. Metode: Penelitian ini merupakan studi penelitian analitik dengan desain penelitian cross sectional, metode pengumpulan data penelitian ini adalah data primer, yaitu data yang diperoleh langsung dari sampel menggunakan kuesioner. Sampel dalam penelitian ini diperoleh dengan menggunakan cara stratified random sampling. Hasil: Dari 135 responden, hubungan pengetahuan anak tentang cuci tangan dengan kejadian diare didapatkan hasil  dengan nilai p = 0,005 (p < 0,05), dan nilai PR = 0,364 (0,177 – 0,749). Kesimpulan: Terdapat hubungan yang signifikan antara pengetahauan anak tentang cuci tangan dengan kejadian diare di desa Panobasan. Kata kunci: cuci tangan, diare, pengetahuan anak

Background Accelerated pubertal onset has been reported in