Hasil Pencarian  ::  Simpan CSV :: Kembali

"Upaya penurunan stunting di Indonesia salah satunya menetapkan wilayah prioritas lokus. Angka stunting di Indonesia ditargetkan turun dari 21,6% (2022) menjadi 14% (2024). Pada desa lokus dilakukan intervensi sensitif dan spesifik secara lebih intensif. Tujuan penelitian ini untuk mengetahui determinan stunting pada balita di 15 desa lokus dan 15 desa non lokus di Kabupaten Garut, Indonesia. Desain studi cross-sectional dari data sekunder dari Dinas Kesehatan Kabupaten Garut dengan jumlah sampel 2.359 balita usia 0-59 bulan. Analisis determinan stunting pada penelitian ini dilakukan secara univariat, bivariat, dan multivariat dengan uji Cox Regression. Hasil penelitian menunjukkan prevalensi stunting pada balita di desa lokus dan non lokus Kabupaten Garut sebesar 30,56% dengan perbandingan proporsi stunting lebih tinggi pada desa non lokus dibandingkan dengan desa lokus. Hasil analisis multivariat menunjukkan determinan stunting secara keseluruhan adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak sedangkan di desa lokus adalah infeksi anak, dan PMT anak adapun di desa non lokus adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak. Faktor kontekstual yang berhubungan dengan stunting keseluruhan adalah jenis desa dan merokok  sedangkan di desa lokus maupun non lokus adalah merokok. Faktor yang paling memengaruhi stunting di desa lokus maupun non lokus intervensi penurunan dan pencegahan stunting Kabupaten Garut tahun 2022 adalah infeksi anak (PR 1,76; 95% CI 1,49-2,08). Hasil penelitian menyarankan pihak Pemerintah Daerah, Dinas Kesehatan, dan masyarakat dapat mencegah stunting melalui pencegahan infeksi dengan pola hidup bersih, bekerja sama dalam program desa lokus, dan melakukan kampanye anti rokok dalam rangka pencegahan dan penurunan angka stunting.

---

One of the efforts to reduce stunting in Indonesia is to determine locus priority areas. The stunting rate in Indonesia is targeted to decrease from 21.6% (2022) to 14% (2024). In locus villages, sensitive and specific interventions are carried out more intensively. The purpose of this study was to determine the determinants of stunting in toddlers in 15 locus villages and 15 non-locus villages in Garut District, Indonesia. The study design was cross-sectional using secondary data from the Garut District Health Office with a total sample of 2,359 toddlers aged 0-59 months. Analysis of the determinants of stunting in this study was carried out univariately, bivariately and multivariately using the Cox Regression test. The results showed that the prevalence of stunting in toddlers in locus and non-locus villages in Garut District was 30.56% with a higher proportion of stunting in non-locus villages compared to locus villages. The results of multivariate analysis showed that the overall determinants of stunting were child infection, history of pregnancy disorders, and child PMT, while in the locus village it was child infection, and child PMT while in non-locus village it was child infection, history of pregnancy disorders, and child PMT. Contextual factors related to overall stunting are the type of village and smoking, while in both locus and non-locus villages is smoking. The factor that most influences stunting in locus and non-locus intervention villages to reduce and prevent stunting in Garut District in 2022 is child infection (PR 1.76; 95% CI 1.49-2.08). The results of the study suggest that the Regional Government, the Health Service, and the community can prevent stunting by preventing infection with a clean lifestyle, working together in locus village programs, and conducting anti-smoking campaigns in the context of preventing and reducing stunting rates."

"Stunting merupakan masalah kesehatan yang menjadi perhatian semua negara di dunia bahkan pada desa lokus stunting di indonesia khususnya di propinsi tertinggi kejadian stunting Nusa Tenggara Timur yang belum pernah diteliti. Penelitian cross sectional dilakukan untuk mengetahui hubungan determinan stunting dengan kejadian stunting di desa lokusstunting. Jumlah sampel dalam penelitian ini adalah 166 ibu balita yang dipilih melalui metode proportional random sampling pada empat desa lokus stunting. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitas. Ditribusi frekuensi digunakan untuk melihat hasil univariat setiap variabel yang diteliti. Uji Chi Square digunakan untuk melihat analisis bivariat dan menunjukkan ada hubungan antara pengetahuan ibu (p=0,033), pola asuh ibu (p=0,016), pendapatan orang tua (p=0,025), pemanfaatan pelayanan kesehatan (p=0,022), rumah tangga sanitasi (p=0,025), jenis kelamin (p=0,036), jarak kelahiran (p=0,000) dan riwayat penyakit infeksi (p=0,025) dengan kejadian stunting. Hasil analisis multivariat menggunakan regresi logistik ganda menunjukkan bahwa faktor yang paling berhubungan dengan kejadian stunting di desa lokus stunting adalah pengetahuan ibu (p=0,000 OR 35,167; CI 95% 6,064-295,438). Pemberian asuhan keperawatan pada komunitas balita stunting sebagai populasi rentan dapat dilakukan dengan meningkatkan pengetahuan ibu tentang stunting sehingga peningkatan pengetahuan dapat berdampak pada pemahaman stunting pada balita dan menurunkan angka kejadianstuntingdi desa lokus stunting

---

Stunting is a health problem that is of concern to all countries in the world, even in the village of stunting locus in Indonesia, especially in the province with the highest incidence of stunting in East Nusa Tenggara which has never been studied. A cross sectional study was conducted to determine the relationship between the determinants of stunting and the incidence of stunting in the stunting locus village. The number of samples in this study were 166 mothers of children under five who were selected through the proportional random sampling method in four stunting loci villages. The instrument used is a questionnaire that has been tested for validity and reliability. Frequency distribution is used to see the univariate results of each variable studied. Chi Square test was used to see bivariate analysis and showed that there was a relationship between mother's knowledge (p=0.033), mother's parenting pattern (p=0.016), parents' income (p=0.025), utilization of health services (p=0.022), household sanitation (p=0.025), gender (p=0.036), birth spacing (p=0.000) and history of infectious disease (p=0.025) with stunting. The results of multivariate analysis using multiple logistic regression showed that the factor most related to the incidence of stunting in the stunting locus village was maternal knowledge (p = 0.000 OR 35.167; 95% CI 6,064-295,438). The provision of nursing care to the stunting toddler community as a vulnerable population can be done by increasing mother's knowledge about stunting so that increased knowledge can have an impact on understanding stunting in toddlers and reduce the incidence of stunting in the stunting locus village."

"Latar Belakang. Stunting adalah deficit pertumbuhan pada anak yang bisa diperkecil dengan melakukan usaha intervensi pada lingkungannya sebelum usia anak melebihi dua tahun, jika melebihi usia tersebut kegagalan pertumbuhan linier tidak bisa diubah. Konsekuensi dari kejadian stunting adalah kematian, rendahnya kemampuan kognitif, rendahnya tinggi badan saat dewasa, meningkatkan resiko penyakit kronis, menurunkan kesehatan reproduksi, menurunkan produktivitas kerja. Pola asuh merupakan faktor yang mempengaruhi pertumbuhan dan perkembangan anak berusia di bawah lima tahun. Perilaku ibu dalam mengasuh balitanya memiliki kaitan yang erat dengan kejadian stunting pada balita. Salah satu penyebab ibu tidak dapat mengasuh balitanya dengan baik adalah ketika ibu memiliki pekerjaan, dan meningkatnya peran sosial ekonomi wanita pada saat ini. Wilayah Jakarta Timur menduduki posisi lokai fokus stunting, salah satunya di Kelurahan Tengah. Diketahui sebagian besar pekerjaan ibu di Kelurahan Tengah sebagai pengupas bawang. Berdasarkan operasi timbang dan pengolahan data pendahuluan yang dilakukan oleh peneliti pada Februari 2019 di wilayah kerja Puskesmas Kelurahan Tengah, Kecamatan Kramat Jati, diketahui prevalensi stunting pada enam posyandu di dua RW terpilih mencapai angka 25,9%.Tujuan. Mengetahui Perbandingan Pola Asuh Ibu Pekerja Pengupas Bawang Dengan Balita Stunting Dan Tidak Stunting Di Kelurahan Tengah, Kecamatan Kramat Jati Tahun 2020.Metode. Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus dengan teknik pengumpulan data dilakukan melalui wawancara mendalam secara daring. Penelitian di lakukan di wilayah kerja Puskesmas Kelurahan Tengah, Kecamatan Kramat Jati. Sampel dipilih secara purposive sampling sesuai kriteria inklusi dan eksklusi dengan informan utama yang memiliki balita stunting dan tidak stunting usia 24-59 bulan, informan keluarga dan informan kunci terdiri dari, Tenaga Pelaksana Gizi Puskesmas Tengah dan kader posyandu.Hasil. Hasil penelitian terhadap informan utama dengan balita stunting menunjukkan bahwa sebagian besar ibu berpendidikan rendah, memiliki suami dengan pekerjaan non-formal, tidak memberikan ASI Eksklusif kepada anaknya, memberikan makan dengan frekuensi yang kurang, variasi makanan tidak beragam karena anak banyak diberikan jajanan, dukungan psikososial yang rendah serta rendahnya partisipasi ke posyandu.Kesimpulan. Terdapat perbedaan antara pola asuh ibu pekerja pengupas bawang dengan balita stunting dan ibu pekerja pengupas bawang dengan balita tidak stunting.

---

Background. Stunting is a growth deficit in children which can be reduced by doing some interventions in the environment before the child is more than two years old, if it goes beyond that age the growth failure cannot be changed. The consequences of the occurrence of stunting are death, low cognitive ability, low height in adulthood, increasing the risk of chronic diseases, reducing reproductive health, and decreasing work productivity. Parenting is a factor that affects the growth and development of children under five years old. Mother's caring behavior for her toddler has a close relationship with the incidence of stunting in toddlers. One of the reasons is because the mothers couldn’t take a good care of their toddlers when they’re doing their jobs, and the increasing socioeconomic role of women at this time. East Jakarta region has become the main location of stunting, one of them is in Karang Tengah Village. It is known that most of Karang Tengah Village’s mothers work as an onion peeler. Based on the weighing and preliminary data which carried out by researchers in February 2019 in the working area of ​​Puskesmas Karang Tengah, Kramat Jati District, it is known that the prevalence of stunting in 6 posyandu in the two selected RWs reached 25.9%.

Goal. Knowing the comparison of mother's parenting patterns of onion peeling workers with stunting toddlers and non-stunting toddlers in tengah village, kramat jati sub-district in 2020

Method. This research is a qualitative research, with case-study approach, and data collection techniques carried out through in-depth online interviews. The study was conducted in the working area of the Puskesmas Karang Tengah, Kramat Jati District. The sample was selected by purposive sampling, based on the inclusion and exclusion criteria which the main informant having stunting and not stunting toddlers aged 24-59 months, family informants and key informants consisting of Nutrition Workers in the Puskesmas Karang Tengah and Posyandu cadres.

Result. The results of research on key informants with stunting toddlers show that most mothers have low education, have husbands with non-formal jobs, and didn’t give exclusive breastfeeding to their children, provide food with less frequency, food variations are not varied because children are given a lot of snacks, psychosocial support low and low participation in Posyandu.

Conclusion. There is a difference between the parenting pattern of onion peeler workers with stunting toddlers and the parenting pattern of onion peeler workers with non-stunting toddlers"

"Gagal tumbuh selama ini menggunakan pengukuran antropometri menurut indeks konvensional yang diukur terpisah, sementara kekurangan gizi tidak dapat berdiri sendiri. Pengukuran gagal tumbuh menggunakan CIAF diperlukan untuk melengkapi kegagalan antropometri yang lebih komprehensif. Penelitian ini bertujuan untuk mengetahui hubungan gagal tumbuh dengan perkembangan anak usia 24-59 bulan di desa lokus stunting wilayah kerja Puskesmas Sungai Limau. Menggunakan desain studi cross sectional dengan teknik simple random sampling, analisis chisquare dan regresi logistik model faktor risiko dengan sampel 105 anak usia 24-59 bulan. Anak mengalami perkembangan meragukan sebanyak 31,4%, perkembangan sesuai 68,6%, gagal tumbuh sebanyak 29,5% dan normal 70,5%. Hasil bivariat menunjukkan terdapat hubungan antara gagal tumbuh dengan perkembangan anak(p=0,028), gagal tumbuh berhubungan dengan perkembangan motorik kasar (p=0,002) dan kemampuan bicara bahasa (p=0,050).Variabel lain yang berhubungan dengan perkembangan anak yaitu pendidikan ibu (p=0,002), pekerjaan ibu (p=0,003), pendapatan(p=0,003), ASI ekslusif (p=0,0034), dan stimulasi (p=0,0005). Analisis multivariat menunjukkan gagal tumbuh tetap konsisten berhubungan dengan perkembangan anak (p=0,002). Gagal tumbuh berhubungan dengan perkembangan meragukan setelah dikontrol beberapa variabel kovariat. Pelaksanaan program deteksi dini tumbuh kembang anak memerlukan kerjasama dan komitmen lintas sektor kesehatan dan pendidikan yaitu mengintegrasikan kegiatan posyandu dan Pendidikan Anak Usia Dini.

---

Failure to thrive so far using anthropometric measurements according to conventional indices measured separately, while malnutrition cannot stand alone. Measurement of failure to thrive using CIAF is needed to complement more comprehensive anthropometric failures. This study aims to determine the relationship between failure to thrive and the development of children aged 24-59 months in the stunting locus village of the Sungai Limau Health Center work area. Using a cross-sectional study design with simple random sampling techniques, chisquare analysis and logistic regression risk factor models with a sample of 105 children aged 24-59 months. Children experienced dubious development as much as 31.4%, corresponding development 68.6%, failure to grow as much as 29.5% and normal 70.5%. Bivariate results showed an association between failure to thrive with child development (p = 0.028), failure to thrive was associated with gross motor development (p = 0.002) and speech skills (p = 0.050). Other variables related to child development were maternal education (p = 0.002), maternal employment (p = 0.003), income (p = 0.003), exclusive breastfeeding (p = 0.0034), and stimulation (p = 0.0005). Multivariate analysis showed failure to thrive remained consistently associated with child development (p = 0.002). Failure to thrive was associated with dubious development after controlling for several covariate variables. The implementation of early detection programs for child growth and development requires cooperation and commitment across the health and education sectors, namely integrating posyandu and Early Childhood Education activities."

"Latar belakang: Stunting adalah masalah global yang menyebabkan pertumbuhan anak tidak maksimal. Selain asupan nutrisi, stunting juga dipengaruhi oleh berbagai faktor lain, seperti karakteristik sosioekonomi. Jenis lingkungan tempat tinggal, antara di urban atau rural, dapat memengaruhi faktor-faktor tersebut. Tujuan: Mengetahui hubungan antara lingkungan urban dengan lingkungan rural dan skor-Z TB/U pada balita untuk mencegah stunting. Metode: Penelitian ini adalah penelitian potong lintang komparatif antara populasi balita di lingkungan urban dan rural dengan status stunting dan skor-Z TB/U di Banten, Indonesia. Sebanyak 99 anak di Kota Serang dan 102 anak di Kabupaten Tangerang berusia 6-59 bulan diteliti. Panjang/tinggi anak diolah menggunakan WHO Anthro Survey Analyser untuk mendapatkan skor-Z TB/U. Asupan gizi dicatat menggunakan kuesioner 24-hour recall dan dihitung total konsumsi energi, karbohidrat, protein, dan lemak dalam satu hari. Karakteristik sosioekonomi pekerjaan ayah dan ibu, pendidikan ayah dan ibu, serta pemasukan keluarga per bulan) didapatkan melalui kuesioner. Hasil penelitian diuji menggunakan SPSS v20 dengan uji hipotesis Chi-Square untuk proporsi stunting dan uji T independen untuk skor-Z TB/U. Hasil: Skor-Z TB/U di lingkungan urban -1,05 (±1,42) dan di urban -0,81 (±1,09) (p: 0,183). Sedangkan, proporsi status stunting di lingkungan rural 25,5% dibandingkan di urban 14,1% (p: 0,044). Simpulan: Skor-Z TB/U antara lingkungan urban dan rural tidak berbeda signifikan, namun proporsi stunting lebih tinggi di lingkungan rural secara signifikan

---

Background: Stunting is a global problem that affects growth of children. Aside from nutrition intake, stunting is also caused by other factors, for instance socioeconomic characteristics. Differences in living areas between urban and rural can affect these factors.

Aim: To find out the relation between urban and rural environment and height-forage Z-score (HAZ) in children to prevent stunting.

Methods: A cross-sectional study was held comparing population of children in rural and urban areas with stunting status and HAZ in Banten, Indonesia. The samples were 99 children from Kota Serang and 102 children from Kabupaten Tangerang aged 6-59 months. Length/height was processed using WHO Anthro Survey Analyser to get HAZ. Nutrition intake was recorded using 24-hour recall questionnaire and converted into total energy, carbohydrate, protein, and fat consumption of one day. Sosioeconomic characteristics were recorded using a questionnaire. Results of this study were processed using SPSS v20 with Chi-Square test for stunting difference proportion and independent-T test for HAZ difference.

Results: HAZ in rural area is -1,05 (±1,42) whilst in urban area is -0,81 (±1,09) (p: 0,183). Meanwhile, the proportion of stunting in rural area is 25,5% compared to in urban area, which is 14,1% (p: 0,044).

Conclusion: There is no significant difference in HAZ between urban and rural areas, but the proportion of stunting is significantly higher in rural area."

"Prevalensi stunting di Indonesia berada pada posisi 115 dari 151 negara di dunia pada tahun 2020. Secara nasional, Indonesia menunjukkan penurunan namun masih diperlukan penurunan untuk mencapai target di tahun 2024. Menurut hasil SSGI tahun 2021 prevalensi stunting di Provinsi Jawa Barat sebesar 24,5%. Berdasarkan Buku Profil Informasi Kesehatan Kabupaten Bogor 2019, prevalensi stunting di Puskesmas Ragajaya sebesar 41,98% lebih tinggi daripada prevalensi Kabupaten Bogor yaitu sebesar 19,08%. Ibu hamil merupakan salah satu kelompok sasaran dalam pencegahan stunting. Pencegahan stunting dapat dilakukan sejak 1000 Hari Pertama Kehidupan (HPK) yaitu dari masa kehamilan hingga usia 2 tahun. Stunting dapat terjadi akibat asupan nutrisi ibu hamil kurang. Theory of Planned Behavior (TPB) mencakup strategi untuk meningkatkan kepercayaan ibu terhadap kemampuannya dalam memenuhi kebutuhan nutrisi selama kehamilan. Perilaku pencegahan stunting dapat dipengaruhi berbagai faktor seperti sikap, norma subjektif, dan persepsi kontrol perilaku. Penelitian ini bertujuan untuk mengetahui hubungan sikap, norma subjektif, dan persepsi kontrol perilaku dengan perilaku pencegahan stunting pada ibu hamil di wilayah kerja Puskesmas Ragajaya. Desain penelitian ini cross-sectional. Sampel penelitian sebanyak 90 ibu hamil. Pengambilan data dilakukan pada bulan Desember 2022. Hasil penelitian menunjukkan bahwa sebanyak 65.5% ibu hamil memiliki perilaku pencegahan stunting yang baik. Hasil analisis bivariat menunjukkan sikap (p=0.004), norma subjektif (p=0.045), dan persepsi kontrol perilaku (p=0.001) berhubungan dengan perilaku ibu hamil dalam mencegah stunting. Saran bagi fasilitas kesehatan diharapkan memberikan pendidikan kesehatan secara rutin sebagai salah satu langkah preventif baik melalui pelayanan konsultasi kesehatan ibu hamil, berbagai platform media sosial, serta kegiatan – kegiatan diskusi terkait dengan kesehatan ibu hamil terutama mengenai gizi ibu hamil dalam pencegahan stunting.

---

In 2020, the prevalence of stunting in Indonesia will be the 115th highest out of 151 countries in the world. Nationally, Indonesia is showing a decline, but a gradual decrease is still needed to reach the target in 2024. According to the results of SSGI in 2021, the prevalence of stunting in West Java Province is 24.5%. Based on the 2019 Bogor Regency Health Information Profile Book, the prevalence of stunting in the Ragajaya Health Center is 41.98%, which is higher than the Bogor Regency prevalence of 19.08%. Pregnant women are one of the target groups in stunting prevention. Stunting can be prevented from the first 1000 days of life (HPK), or from pregnancy to the age of two. Stunting can occur due to the insufficient nutritional intake of pregnant women. The Theory of Planned Behavior (TPB) includes strategies to increase the mother's confidence in her ability to meet nutritional needs during pregnancy. Stunting prevention behavior can be influenced by various factors, such as attitudes, subjective norms, and perceptions of behavior control. This study aims to determine the relationship between attitudes, subjective norms, and perceptions of behavior control with stunting prevention behavior in pregnant women in the working area of the Ragajaya Health Center. The research design is cross-sectional. The research sample consisted of 90 pregnant women. Data collection was carried out in December 2022. The results showed that 65.5% of pregnant women had good stunting prevention behavior. The results of the bivariate analysis showed that attitude (p = 0.004), subjective norm (p = 0.045), and perceived behavioral control (p = 0.001) were related to pregnant women's behavior in preventing stunting. Suggestions for health facilities are expected to provide routine health education as one of the preventive measures both through pregnant women's health consultation services, various social media platforms, and discussion activities related to the health of pregnant women, especially regarding nutrition for pregnant women in preventing stunting."

"Stunting merupakan masalah serius, dampak nyata adalah menurunnya kualitas generasi muda di masa datang baik secara fisik maupun motorik yang mana akan berpengaruh pada perekonomian negara. Program stunting di Indonesia masuk dalam Rencana Pembangunan Jangka Menengah Nasional dengan target penurunan dari (30,8%) 2018 menjadi (14%) 2024. Tujuan penelitian ini mengetahui faktor determinan stunting pada batita usia 12-36 bulan di kecamatan tamansari, kabupaten Bogor, Indonesia. Desain studi cross-sectional dari data primer dengan jumlah sampel 500 batita usia 12-36 bulan. Analisis faktor determinan stunting pada penelitian ini menggunakan analisis multivariat cox regresi dan besar pengaruh dinyatakan dalam prevalensi rasio (PR) dengan confident interval (CI) 95%. Penelitian kami menunjukkan prevalensi stunting pada batita usia 12-36 bulan di Tamansari sebesar 39.2%. Hasil uji Multivariat menunjukkan faktor determinan stunting di Tamansari yaitu riwayat pemberian ASI (PR=1.32), diare (PR= 1.40), asupan energi (PR=1.35), pendidikan ibu (PR=1.54) dan usia ibu (PR=1.44). Hasil penelitian menyarankan bahwa pihak Puskesmas dan Dinas Kesehatan dapat mencegah stunting dengan meningkatkan cakupan asi eksklusif, pola hidup bersih dan sehat serta meningkatkan asupan energi dan protein seperti telur, tahu dan tempe. Bagi Dinas Pendidikan, meningkatkan pendidikan ibu dengan kejar paket A-C, dan bagi BKKBN bersama Kantor Urusan Agama setempat meningkatkan usia pernikahan sesuai UU perkawinan yaitu 19 tahun.

---

Stunting is a serious problem, the real impact is the decline in the quality of young people in the future both physically and motorically which potentially affect the countrys economy. Stunting programmes in Indonesia are included in the National Medium Term Development Plan with a reduction target of (30.8%) 2018 to (14%) 2024. The purpose of this study is to assess the determinant factor of stunting in toddlers aged 12-36 months in Tamansari, Bogor District, Indonesia. A cross-sectional study design was employed, with primary data from a total sample of 500 toddlers in the District. The analysis of the determinant factor of stunting applied multivariate Cox Regression analysis and the effect is expressed by the prevalence ratio (PR) with a 95% confidence interval (CI). Our study shows that the prevalence of stunting in toddlers aged 12-36 months in Tamansari is 39.2%. The Multivariat analysis test results show factors determinant of stunting in Tamansari such as the history of breast feeding (PR=1.32), diarrhoeal disease (PR=1.40), energi intake (PR=1.35), mothers education (PR=1.54) and mothers age (PR=1.44). The researcher suggest that The Health Center and the Department of Health prevent stunting by apply exclusive breast feeding, healthy lifestyles and increase energy and protein intake such as eggs, tofu and tempe. Department of Education increasing the minimum of mothers education with "kejar paket A-C". National Family Planning Coordinating Agency and Religious Affairs Office increasing the minimum marriage age in accordance with Indonesian marriage law limitations at age of 19 years."

"Stunting adalah menurunnya laju pertumbuhan panjang/tinggi badan dibawah minus 2 standar deviasi. Desa Cijeruk Kecamatan Kibin merupakan desa dengan angka kejadian stunting tertinggi di Kab. Serang dimana 233 (77,66%) balita menderita stunting. Tujuan penelitian ini adalah mengidentifikasi gambaran kejadian stunting pada balita di Desa Cijeruk Kecamatan Kibin Kabupaten Serang Banten tahun 2023 dan menganalisis hubungannya dengan Riwayat Penyakit Infeksi. Desain penelitian adalah potong lintang dengan pendekatan kuantitatif. Hasil penelitian didapatkan terdapat hubungan riwayat penyakit infeksi dengan kejadian stunting (p<0,01). Balita dengan riwayat penyakit infeksi berisiko 21,23 kali mengalami stunting (OR=21,23,95% CI 7,15-62,01). Variabel kovariat faktor balita yang berhubungan dengan kejadian stunting adalah jenis kelamin (p=0,038) dan riwayat penyakit infeksi (p=<0,001); faktor keluarga yaitu pendapatan keluarga (p=0,040) dan pola asuh otoriter (p= 0,004); dan faktor lingkungan yaitu stop buang air besar sembarangan (p=0,038) dan pengamanan sampah rumah tangga (p=<0,001). Variabel MP-ASI dan stop buang air besar sembarangan merupakan variabel perancu terhadap hubungan riwayat penyakit infeksi dengan kejadian stunting. Balita yang memiliki riwayat penyakit infeksi berisiko 31,30 kali lebih tinggi mengalami stunting dibanding balita yang tidak memiliki riwayat penyakit infeksi setelah dikontrol oleh variabel perancu (OR=21,28 95% CI 6,088-74,379).

---

Stunting is a decrease in the growth rate of length/height below minus 2 standard deviations. Cijeruk Village, Kibin District, is the village with the highest stunting rate in Kab. Serang where 233 (77.66%) toddlers suffer from stunting. The purpose of this study was to identify the description of the incidence of stunting in toddlers in Cijeruk Village, Kibin District, Serang Banten Regency in 2023 and analyze its relationship with a History of Infectious Diseases. The research design is cross-sectional with a quantitative approach. The results of the study found that there was a relationship between a history of infectious diseases and the incidence of stunting (p <0.01). Toddlers with a history of infectious diseases are at risk of 21.23 times experiencing stunting (OR=21.23.95% CI 7.15-62.01). The covariate variables associated with stunting were gender (p=0.038) and history of infectious diseases (p=<0.001); family factors, namely family income (p=0.040) and authoritarian parenting (p=0.004); and environmental factors, namely stopping open defecation (p=0.038) and safeguarding household waste (p=<0.001). The MP-ASI variable and stopping open defecation are confounding variables for the relationship between a history of infectious diseases and the incidence of stunting. Toddlers who have a history of infectious diseases have a 21.28 times higher risk of experiencing stunting than toddlers who do not have a history of infectious diseases after controlling for confounding variables (OR=21.28 95% CI 6.088-74.379)."

"ABSTRAKStunting growth adalah pertumbuhan abnormal pada tinggi badan yang diklasifikasikan menurut standar pengukuran World Health Organization WHO yaitu tinggi badan menurut usia berada di bawah minus 2 SD. Defisiensi nutrisi yang umum terjadi pada stunting antara lain defisiensi besi. Besi merupakan salah satu komponen penyusun hemoglobin Hb . Hb mengisi eritrosit, dan mempengaruhi ukuran eritrosit MCV . Studi ini menilai hubungan kadar besi serum SI dengan MCV dan Hb. Di samping itu, studi ini juga menilai perbedaan kadar besi serum SI , Hb, MCV, dan TIBC pada kelompok stunting dan non stunting.Dalam pengolahan data, pertama-tama dilakukan uji normalitas Kolmogorov-Smirnov. Uji korelasi nilai SI dengan MCV dilakukan dengan uji korelasi Spearman, diperoleh hasil korelasi lemah dan bermakna secara statistik r = 0,361 dan p = 0,002 . Uji korelasi nilai SI dengan Hb dilakukan dengan uji korelasi Spearman, diperoleh hasil korelasi sedang dan bermakna secara statistik r = 0,559 dan p < 0.001 . Uji perbedaan nilai SI, nilai Hb, dan nilai MCV pada kelompok stunting dan non stunting dilakukan dengan uji Mann Whitney dan diperoleh hasil tidak terdapat perbedaan bermakna pada semua parameter antara kedua kelompok. SI p = 0,224 , Hb level p = 0,266 , MCV p = 0,576 , dan TIBC p = 0,266.

---

ABSTRAKAccording to World Health Organization WHO , stunting is an impaired growth in children whose height for age below minus two standard deviations. Stunted children are most likely to also suffer malnutrition. One of the most common malnutrition is iron deficiency. Iron is the component of hemoglobin Hb and its presence can affect the size of the erythrocytes MCV . The aim of this study was to, 1 evaluate the relationship of serum iron SI and MCV also SI and Hb level 2 compare the differences between SI, Hb, MCV, and TIBC in stunting children and non stunting children.To asses the normality of the data, Kolmogorov Smirnov test for normality were performed. The correlation between SI and MCV was assessed using Spearman correlation and there was statistically significant weak correlation between SI and MCV r 0.361 p 0.002 . Spearman correlation test between SI and Hb level gave a statistically significant moderate correlation between SI and Hb level r 0.559 p 0.001 . Furthermore, the Mann Whitney comparison test of SI, Hb level, MCV and TIBC proved to be not significant between stunting children and non stunting children in each of the parameters SI p 0.224 , Hb level p 0.266 , MCV p 0.576 , and TIBC p 0.266 ."

"Stunting anak 0-23 bulan di Indonesia merupakan masalah kesehatan masyarakat yang disebabkan oleh berbagai faktor langsung dan tidak langsung.  Penelitian menggunakan data Riset Kesehatan Dasar, Survey Sosial Ekonomi Nasional dan Produk Domestik Regional Bruto per kapita tahun 2018 dengan pendekatan potong lintang bertujuan mengetahui model jalur hubungan langsung dan tidak langsung berbagai faktor risiko stunting dengan prevalensi stunting tingkat kabupaten/kota.  Pengolahan data sekunder dilakukan pada Januari-April 2022. Sampel adalah 106 kabupaten/kota prevalensi stunting <20% dan 403 kabupaten/kota prevalensi stunting ≥20% (20%-<30%, 30%-40% dan >40%) yang diagregratkan pada tingkat kabupaten/kota dari 32.095 data individu anak usia 0-23 bulan yang diukur panjang badannya. Pemodelan menggunakan analisis jalur. Model jalur pencegahan risiko stunting memperlihatkan akses terhadap makanan (r=-0,31) dan pemeriksaan kehamilan (r=-0,29) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting <20%. Keluarga Berencana (r=-0,15), pemeriksaan kehamilan (r=-0,13) dan cuci tangan pakai sabun (r=-0,11) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting ≥20%. Tablet tambah darah ibu hamil (r=-0,02) dan inisiasi menyusu dini (r=-0,03) berhubungan tidak langsung melalui ASI eksklusif dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 20%-<30%. ASI eksklusif (r=-0,15) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 20%-<30%. Cuci tangan pakai sabun berhubungan signifikan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 30%-40% (r=-0,22) dan >40% (r=-0,45). Model jalur menyimpulkan bahwa kabupaten/kota dapat memainkan peran penting dalam upaya pencegahan risiko stunting dengan memodifikasi sejumlah faktor risiko terutama pada keluarga anak 0-23 bulan.

---

Stunting in children 0-23 months in Indonesia is a public health problem caused by various direct and indirect factors. This study uses data from Basic Health Research, National Socio-Economic Survey and Gross Regional Domestic Product per capita in 2018 with a cross-sectional approach. Secondary data processing was carried out in January-April 2022. The samples were 106 districts/cities with stunting prevalence <20% and 403 districts/cities with stunting prevalence 20% (20%-<30%, 30%-40% and >40%) Aggregated at the district/city level from 32,095 individual data for children aged 0-23 months, whose body length was measured. The modeling uses path analysis. The stunting risk prevention pathway model shows that access to food (r=-0.31) and prenatal care (r=-0.29) is directly related to the prevalence of stunting at the district/city level in districts/cities with stunting prevalence <20%. Family planning (r=-0.15), pregnancy check-ups (r=-0.13) and hand washing with soap (r=-0.11) were directly related to the prevalence of stunting at the district/city level in districts/cities stunting prevalence 20 %. Blood supplement tablets for pregnant women (r=-0.02) and early initiation of breastfeeding (r=-0.03) were indirectly related through exclusive breastfeeding with the prevalence of stunting at the district/city level in districts/cities stunting prevalence of 20%-<30% . Exclusive breastfeeding (r=-0.15) was directly related to the prevalence of stunting at the district/city level in the district/city stunting prevalence of 20%-<30%. Hand washing with soap is directly related to stunting prevalence at district/city level in districts/cities, stunting prevalence is 30%-40% (r=-0.22) and >40% (r=-0.45). The pathway model concludes that districts/cities can play an important role in preventing stunting risk by modifying a number of risk factors, especially in families of children 0-23 months."