Determinant Factors of Stunting in Under-Five Children

Abstract

BACKGROUND: The high rate of stunting cases is a serious nutritious problem that still persists in Indonesia. The problem is potentially impactful on the quality of the country’s human resources. AIM: This present study aimed to analyze the determinant factors of stunting cases in 24–59-month-old children in the working area of Puskesmas or Community Health Center in Kota Tengah, Gorontalo. METHOD: The case-control survey analytical research involved a case population of 34 people and a control population of 34 people. All the participants were 24–59 months old. All case populations were treated as the research subject, while the control population was calculated based on the formula. A simple random sampling technique was employed to acquire the sample in the control group. The study involved independent variables of birth length, birth weight, provision of exclusive breastfeeding, and the number of siblings. Meanwhile, the dependent variable was the stunting cases in 24–59-month-old children. The data were analyzed by Chi-square (χ2) and multiple logistic regression statistical tests. RESULTS: The bivariate analysis that used the Chi-square suggested that the birth length (0.001) < (0.05), birth weight (0.003) < (0.05), and provision of exclusive breastfeeding (0.000) < (0.05) were the factors of stunting cases. Meanwhile, parity (1.72) > (0.05) was not a factor of stunting. Moreover, the multivariate analysis involving multiple logistic regression tests indicated that the provision of exclusive breastfeeding (0.006) served as the determinant factor of stunting cases. CONCLUSIONS: The provision of exclusive breastfeeding is the most significant determinant factor of stunting cases.

Low birth weight and low mother education as dominant risk factors of stunting children in Magelang Regency, Central Java

“…Meanwhile, in Makassar, South Sulawesi also found something similar: LBW is the main risk factor for stunting in children aged 6-60 months (Febriani et al, 2020). Some previous studies also agreed that LBW is a prominent factor that significantly affects stunting in children under five years (Podungge et al, 2021;Sartika et al, 2021;Wijayanti & Djuwita, 2020).…”

The Determinants of Stunting Incidence in Children Aged 24-59 Months

“…That there is no relationship between parity and cases of stunting in children aged 24-59 months in the study area. A different study found by Podungge et.al., that there is no correlation between parity and stunting cases in children aged 24-59 months 15. According to Faye, et.al., that maternal parity is an essential factor associated with time to recovery from stunting in the first five years of life Research conducted in Nairobi 16.…”

Faktor Risiko Stunting pada Balita di Indonesia

“…Penelitian tentang faktor risiko yang mempengaruhi stunting pada anak dibawah usia5 tahun di berbagai provinsi di Indonesia telah banyak dilakukan dan sudah banyak dipublikasi dengan hasil yang beragam. Salah satunya adalah penelitian dari Podungge et al, (2021) yang menyebutkan bahwa Panjang lahir bayi, berat badan lahir rendah (BBLR), dan pemberian ASI eksklusif merupakan faktor penyebab kasus stunting di Kota Tengah, Gorontalo. Selain itu penelitian dari Kusumajaya et al, (2023) menunjukkan hasil bahwa tingkat pendidikan ibu yang rendah, konsumsi tablet zat besi yang tidak adekuat selama kehamilan, dan tidak ada kerterlibatan keluarga besar dalam pengasuhan anak secara signifikan merupakan penyebab risiko stunting pada anak.…”