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"Stunting merupakan permasalahan gizi yang mempengaruhi pertumbuhan dan perkembangan dan menimbulkan dampak terhadap kualitas sumber daya manusia dan perekonomian. Salah satu penyebab stunting yaitu terjadinya infeksi berulang. Infeksi terjadi dapat disebabkan oleh air minum yang dikonsumsi telah terkontaminasi oleh bakteri Escherichia coli. Penelitian ini bertujuan untuk mengetahui hubungan kualitas mikrobiologi (Escherichia coli) pada air minum dengan kejadian stunting anak usia 12 – 59 bulan. Penelitian ini merupakan penelitian analitik observasional dengan desain studi kasus kontrol. Sampel penelitian sebanyak 76 di wilayah kerja Puskesmas Aia Gadang yang terdiri dari 38 kasus dan 38 kontrol. Pengumpulan data penelitian dengan menggunakan compact dry EC dan membrane filter untuk kualitas mikrobiologi (Escherichia coli) dan juga menggunakan kuisioner serta dianalisis menggunakan uji chi square dan regresi logistic. Hasil penelitian menunjukkan bahwa kualitas mikrobiologi (Escherichia coli) air minum (OR=3,222; 95%CI:1,207-8,6), buang air besar sembarangan (OR=3,222 ; 95%CI:1,207-8,6) dan cuci tangan pakai sabun (OR=4,694; 95%CI:1,784-12,351) berhubungan dengan kejadian stunting anak usia 12-59 bulan. Kualitas mikrobiologi (Escherichia coli) air minum anak usia 12-59 bulan yang tidak memenuhi standar baku mutu berpeluang mengalami kejadian stunting 3,997 Kali lebih tinggi dibandingkan dengan anak usia 12-59 bulan yang memiliki kualitas mikrobiologi air minum (Escherichia coli) memenuhi standar baku mutu setelah dikontrol variabel cuci tangan pakai sabun.

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Stunting is a nutrition problem that affects growth and development and has an impact on the quality of human resources and economy. One of the causes of stunting is repeated infections. Infection can occur because the drinking water consumed has been contaminated Escherichia coli . This study aims to determine the relationship between microbiological quality ( Escherichia coli) in drinking water and the stunting in children aged 12 – 59 months. Thie study  is an observational analytic research with a case control study design. The research sample was 76 in Puskesmas Aia Gadang consist of 38 cases and 38 controls. The data  was collected  using compact dry EC and membrane filter for microbiology quality (Escherichia coli)  and quistionnaires and analyzed using  chi square test and  logistic regression. The results showed that the  microbiological quality ( Escherichia coli) in drinking water (OR=3,222; 95%CI:1,207-8,6), open defecation  (OR=3,222 ; 95%CI:1,207-8,6) and  hand washing using soap  (OR=4,694; 95%CI:1,784-12,351)  associated with stunting in children aged 12-59 months. The Microbiological quality ( Escherichia coli) in drinking water children aged 12-59 months who do not  qualified is 3,997 times higher risk of experiencing stunting than chikdren aged 12-59 months whose Microbiological quality ( Escherichia coli) qualified  after controlling  variable hand washing using soap."

"Penelitian ini bertujuan untuk mengetahui hubungan indikator Pemberian Makan pada Bayi dan Anak (PMBA) umur 6-23 bulan dan faktor lainnya terhadap kejadian stunting di Posyandu Puskesmas Warung Jambu Kota Bogor Tahun 2015. Desain penelitian yang digunakan adalah cross sectional. Sampel pada penelitian ini berjumlah 152 bayi dan anak yang didapat dengan purposive sampling. Penelitian ini dilakukan pada bulan April hingga Mei 2015. Pengumpulan data dilakukan melalui pengukuran panjang badan bayi dan anak, tinggi badan ibu, wawancara kuesioner dan lembar recall 24 jam. Hasil penelitian menunjukkan proporsi bayi dan anak stunting sebesar 11,8 %. Hasil penelitian menunjukkan bahwa panjang badan lahir sebagai faktor dominan kejadian stunting pada bayi dan anak umur 6-23 bulan, setelah dikontrol oleh Minimum Dietary Diversity, jumlah anggota rumah tangga, penyakit infeksi, dan usia bayi dan anak. Penelitian ini menyarankan agar meningkatkan penyuluhan terkait gizi ibu hamil serta pemberian makan bayi dan anak yang optimal hingga 2 tahun (1000 hari pertama kehidupan).

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The objective of this research is to determine the association between Infant and Young Child Feeding (IYCF) indicators and other factors with stunting at Posyandu Community Health Center Warung Jambu Bogor in 2015. The method of this research is cross sectional design. The research was done to 152 children by purposive sampling. The research was held on April to May 2015. The database were collected by measuring length of the children, mother's height, interview on the questionaire and recall 24 hour sheet.

The result of the study shows that 11,8 % children are stunting. The analysis shows that birthlength is the most dominant factor associated with under-two stunting, after controlling Minimum Dietary Diversity (MDD), number of household members, infectious diseases and age of child. This study suggests to improve nutrition for pregnant women and also infant and young child feeding up to 2 years (first 1000 days of life)."

"Stunting masih menjadi masalah gizi utama bagi anak di Indonesia. Laporan data SSGI 2022 menunjukkan prevalensi stunting di Indonesia mencapai 21,6%. Stunting disebabkan oleh banyak faktor, di antaranya akses air bersih dan sanitasi melalui penyakit infeksi. Pada tahun 2020, akses kualitas air minum aman di Indonesia hanya mencapai 11,9%. Selain itu, angka rumah tangga yang memiliki sarana toilet dengan sambungan tangki septik tertutup dan rutin dibersihkan kurang dari 8%. Di sisi lain, program akses air bersih dan sanitasi di Indonesia belum menjadi prioritas dalam penanggulangan stunting. Oleh karena itu, penelitian ini bertujuan untuk mengetahui sejauh mana akses air bersih dan sanitasi memengaruhi stunting. Penelitian ini menggunakan desain crosssectional dengan populasi seluruh anak usia 6-23 bulan di Indonesia. Seluruh subjek yang memenuhi kriteria inklusi dan eksklusi menjadi sampel penelitian, yaitu sebanyak 56.536 sampel. Uji statistik menggunakan uji regresi logistik berganda. Hasil penelitian menunjukkan bahwa terdapat hubungan signifikan antara akses air bersih dan sanitasi dengan stunting. Anak dengan akses air bersih dan sanitasi yang kurang memiliki odds 1,17 kali lebih tinggi untuk mengalami stunting. Dengan demikian, peningkatan akses terhadap air bersih dan sanitasi yang layak perlu dilakukan untuk menanggulangi stunting.

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Stunting is still a major nutritional problem for children in Indonesia. The 2022 SSGI data report shows that the prevalence of stunting in Indonesia has reached 21.6%. Stunting is caused by many factors, including access to clean water and sanitation through infectious diseases. In 2020, access to safe drinking water in Indonesia will only reach 11.9%. In addition, the number of households that have toilet facilities with closed septic tank connections and are regularly cleaned is less than 8%. On the other hand, clean water and sanitation access programs in Indonesia have not been a priority in preventing stunting. Therefore, this research aims to find out the relationship between access to clean water and sanitation with stunting. This study used a cross-sectional design with a population of all children aged 6–23 months in Indonesia. All subjects who met the inclusion and exclusion criteria became the research sample, namely 56,536 samples. Statistical tests use multiple logistic regressions. The research results show that there is a significant relationship between access to clean water, sanitation, and stunting. Children with poor access to clean water and sanitation have 1.17 times higher odds of experiencing stunting. Thus, increasing access to clean water and proper sanitation needs to be done to overcome stunting."

"Prevalensi stunting di Indonesia masih cukup tinggi. Indonesia telah menerapkan berbagai upaya dalam pencegahan dan penurunan stunting namun belum optimal. Kota Depok merupakan kota yang berhasil menurunkan angka stunting. Salah satu intervensi penanganan stunting adalah pemberian pelayanan gizi berbasis masyarakat dan promosi kesehatan. Kader kesehatan berperan dalam upaya pendampingan balita stunting. Penelitian ini bertujuan untuk mengeksplorasi pengalaman kader kesehatan dalam melakukan pendampingan stunting di Kota Depok. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Partisipan yang terlibat di dalam penelitian ini yaitu 10 kader kesehatan. Metode analisis penelitian ini menggunakan analisis tematik. Berdasarkan data analisis yang dilakukan diperoleh 7 tema yaitu alasan menjadi kader, pemahaman kader terhadap stunting, tugas kader pendamping balita stunting, hambatan dan kendala kader dalam pendampingan stunting, respon kader dalam pendampingan balita stunting, manfaat pendampingan balita stunting, dan dukungan kader pendamping balita stunting. Kader kesehatan perlu mendapatkan peningkatan kapasitas melalui bimbingan dan pemantauan perawat untuk melakukan pendampingan balita stunting di komunitas.

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The prevalence of stunting in Indonesia is still quite high. Indonesia has implemented various efforts to prevent and reduce stunting, but not optimal. Depok city is a city that has succeeded in reducing stunting rates. One intervention to handle stunting is the provision of community-based nutrition services and health promotion. Health cadres play a role in efforts to assist stunting toddlers. This research aims to explore the experiences of health cadres in providing stunting assistance in Depok City. This research is qualitative research with a phenomenological approach. The participants involved in this research were 10 health cadres. This research's analytical method uses thematic analysis. Based on the data analysis carried out, 7 themes were obtained, namely the reasons for becoming a cadre, the cadre's understanding of assisting stunting toddlers, the duties of cadres accompanying stunting toddlers, obstacles and obstacles for cadres in assisting stunting, cadre responses in assisting stunting toddlers, the benefits of assisting stunting toddlers, and cadre support in companion for stunting toddlers. Health cadres need to increase their capacity through guidance and monitoring of nurses to assist stunting toddlers in the community."

"The objective of the present study was to evaluate and to compare the nutritional status of households targeted by the IDT program (POKMAS members), with those households not targeted (non-POKMAS) from the same village, and with households in non-IDT villages in West Sumatra at the start (1994) of the program, after a one year period and its determinants. For this purpose, a quasi-experimental study was applied. A total number of 38 IDT villages and 6 non-IDT villages were selected using proportionate random sampling from the list of less-developed villages in West Sumatra. ln each IDT village 40 households (20 POKMAS and 20 non-POKMAS) which have children under live and live to ten years of age were selected randomly, while in each non-IDT village 40 households which have children under live and live to ten years of age were selected using the same' method. At the beginning of the IDT program's implementation (baseline) and one year after the implementation of the IDT program (follow up), anthropometric measurements of the children and non-pregnant women, household's food consumption using food Frequency questionnaire and 24 hours recall for a sub sample, socio-economic, health and environmental condition?s assessments using questionnaires were conducted. Student t-test, ANOVA and logistic regression using SPSS for Windows version 6.0 were performed in this study. The study had several limitations such as the relatively short duration between the baseline and the follow up study, while the income generating activities done by most of the POKMAS were relatively long-term income generating activities. As a result some of the expected results and impacts could not be observed yet. The nutritional status of the children under tive and tive to ten years of age in the surveyed villages in 1994 was not favorable with the highest prevalence of stunting (20.9% and 53.9%) followed by underweight ( 17.0% and 40.0%) and wasting (7.4% and 19.5%). After one year (1995) the prevalence of stunted children under five years of age in the POKMAS households and in non-POKMAS households was not lower compared with the prevalence in 1994 (58-4% vs. 53.1% and 41.5% vs. 30.6%), while the prevalence of stunted children five to ten years of age in the POKMAS households and in non-POKMAS households in 1995 tended to be lower compared with the prevalence in 1994 (50.4% vs. 53-9% and 38.4% vs. 40.4%). The best improvement in nutritional status in the stunted, underweight as well as the wasted was observed among the most retarded in growth. In 1994, the prevalence of chronic energy deficiency (CED) among non-pregnant women of the POKMAS households was significantly higher compared with the households in non-IDT village (I5.4% vs. 9.1%), There was no significant difference in the prevalence of CED among non-pregnant women in 1994 compared with 1995 (15.8% vs. 15.4% in POKMAS households, 11.8% vs. 13.8% in non-POKMAS households in IDT villages). The diets of the surveyed households were in general totally different from the food sold in "Padang" eating places, which are characterized, by its predominantly high animal protein dishes. The diets ofthe surveyed households generally consisted of rice as the staple food and side dishes such as boiled cassava leaves or young jack fruit in coconut sauce, fried small dried fish and hot pepper sauce (Indonesia: sambal). In 1994 the percentage of households which complained about food-shortage among the POKMAS households in IDT villages was about twice higher (62%) compared with the non-POKMAS households in IDT villages (42%), and three times higher compared with the households in non-IDT villages (28%) Regarding the selection criteria of households to be given funds, this study observed that there were various criteria among villages. As a result not all households given IDT funds could be considered poor. At the start of the lDT program, the selection of the income generating activities of the POKMAS used the bottom up approach, but later on the top down approach was still stronger influencing the process. lt could be observed that the income generating activity of most of the POKMAS was cow fattening while less than 20% of the POKMAS households had experience in cow fattening activity. The sanitation and hygiene practices (sources of the drinking water; place for garbage disposal and place for defecation) of the POKMAS households was worse compared with the non-POKMAS households in the same villages. In this study it was observed that the POKMAS households were households with undemourished children especially stunted children, It means that stunted children were the characteristic for poor households. The predictors for stunting of the children at the baseline were the following: the place for garbage disposal (in the garden, river, lake), health problems in daily life, the POKMAS households did not have a separated kitchen, children did not get measles vaccination, mother was pregnant, having problems with the environment, the age ofthe child (under five), chicken consumption less than once per week and the mother had more participation in social activities. It can be concluded that the indicators of the poverty situation were a reflection of the living condition of the households (socioeconomic, environmental condition, housing condition) and confirm that the targeting of poor groups within villages used in this study was relatively proper. The child?s nutritional status particularly stunting is a reflection of the poor living condition; the prevalence of stunting at village level is a good indicator for targeting of a poverty alleviation program. The IDT program may have improved income however not necessarily alleviate poverty. The IDT program was emphasized on improving income however the households targeting was not clear; not all POKMAS households could be considered poor and the IDT program did not cover the other factors influencing poverty. Considering the feasibility and more practical use of the height and length measurements in young children for community studies, stunting should be used in the poverty alleviation program, nutrition surveillance program and other nutrition intervention programs. However further studies to investigate whether stunting could be used as indicator of poor households needs to be conducted. Further studies in different locations with ditferent socioeconomic, cultural, and environmental situations are needed to investigate approaches the most proper for various areas in indonesia. Referring to the most recent concept of poverty the key of the problem of poverty lies in the accessibility of the individual, household or community to the resources of basic needs such as food, health service, clothing and shelter, primary education and social cultural life. To alleviate poverty th IDT program should include activities to provide and improve the resources of basic needs. The IDT program at present is only providing one of the tools to improve resources."

"Stunting merupakan salah satu dampak dari kekurangan gizi kronik pada anak yang akan membawa dampak jangka panjang pada pertumbuhan serta lintas generasi ibu melalui siklus sindrom stunting.. Keberadaan anak stunting di kabupaten Kerinci mencapai setengah dari populasi balita yang dapat dipengaruhi oleh faktor anak, keluarga dan budaya. Penelitian cross sectional dilakukan untuk mengetahui faktor determinan kejadian stunting. Jumlah sampel dalam penelitian ini adalah 290 anak yang dipilih dengan metode cluster random sampling.Hasil analisis bivariat menunjukkan adanya hubungan antara kejadian stunting dengan jenis kelamin p=0,019, riwayat ASI eksklusif p=0,038, dan suku ibu p=0,042. Hasil analisis multivariat menggunakan regresi logistik menunjukkan faktor yang berhubungan terhadap kejadian stunting pada balita adalah jenis kelamin, riwayat pemberian ASI eksklusif, praktik pemberian makanan menurut kepercayaan/tradisi ibu, larangan makan dan tekanan untuk makan. Sementara faktor yang paling berhubungan dengan kejadian stunting adalah riwayat pemberian ASI eksklusif. Dengan demikian pemberian asuhan keperawatan pada anak stunting dapat dilakukan dengan melakukan peningkatan upaya pemberian ASI eksklusif, serta berfokus kepada budaya ibu dalam pemberian makan pada anak.

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Stunting is one of chronic malnutrition in children that will have long term impact on growth across generations through the cycle of stunting syndrome. The presence of stunting children in Kerinci district were about half of the under five years children population that can be affected by children, family and culture factors. Cross sectional study was conducted to determine the determinant factor of stunting. The number of samples in this study were 290 children selected by cluster random sampling method.

The result of bivariate analysis shows the relationship between stunting incidence with sex p 0,019, history of exclusive breastfeeding p 0,038, and maternal ethnicity p 0,042 . The results of multivariate analysis using logistic regression showed factors related to stunting were gender, history of exclusive breast feeding, feeding practices according to mother 39 s belief tradition, restriction and pressure to eat. While the factor most related to the incidence of stunting is history of exclusive breastfeeding. Thus the provision of nursing care in stunting children can be done by improving exclusive breastfeeding efforts, and focusing on the mother 39 s culture in feeding the child."

"ABSTRAKNama : Tika Noor Prastia Program Studi : Ilmu Kesehatan Masyarakat Judul : Faktor Risiko Kejadian Stunting Anak Usia 6-24 Bulan Di Wilayah Kerja Puskesmas Kras Kecamatan Kras Kabupaten Kediri Tahun 2017 Stunting menjadi masalah kesehatan yang terjadi hampir di seluruh wilayah di Indonesia. Dampak stunting menyebabkan buruknya kualitas sumber daya manusia dan menurunkan kemampuan produktifitas. Penelitian ini bertujuan menilai faktor-faktor risiko yang berhubungan dengan kejadian stunting pada anak usia 6-24 bulan di wilayah kerja Puskesmas Kras Kecamatan Kras Kabupaten Kediri Tahun 2017. Desain penelitian mengggunakan cross sectional dengan metode proportional random sampling dengan jumlah sampel 187 anak. Data diperoleh dari data primer melalui wawancara kuesioner dan form FFQ semikuantitatif, serta pengukuran antropometri panjang badan anak dan tinggi badan ibu. Analsisis bivariat menggunakan uji chi-square, regresi logistik ganda untuk analisis multivariat. Hasil penelitian menunjukkan prevalensi stunting sebesar 20,9 . Analisis bivariat menunjukkan faktor yang berhubungan dengan kejadian stunting yaitu riwayat IMD dan asupan zink p0,05 . Analisis multivariat menunjukkan asupan zink OR= 12,54: 95 CI: 3,68-42,76 merupakan faktor risiko dominan yang menyebabkan kejadian stunting setelah dikontrol dengan berat badan lahir dan pendidikan ibu. Perlu diperhatikan komsumsi makan anak seperti daging, ikan, hati, dan telur yang kaya akan zink sebagai upaya pencegahan terhadap kejadian stunting pada anak usia 6-24 bulan. Kata kunci : Stunting asupan zink, anak usia 6-24 bulan

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ABSTRACTName Tika Noor PrastiaStudy Program Ilmu Kesehatan MasyarakatJudul Risk Factors of Stunting In 6 24 Months Old Children InWorking Area of Puskesmas Kras, Kras Sub Districts,Kediri District 2017Stunting became a health problem that occurred in almost all regions of Indonesia.The impact of stunting causes poor quality of human resources and decreasesability. This research design used cross sectional with proportional randomsampling method with the number of samples were 187 children. Data from primarydata through questionnaire interview and semiquantitative FFQ form, andanthropometric measurement of body length and height of mother. Bivariateanalyzes used chi square, multiple logistic regression for multivariate analysis. Theresults showed that the prevalence of stunting as much as 20.9 . Bivariate analysisshowed factors related to stunting incidence of history of early breastfeedinginitiation, and zinc intake p 0.05 .Multivariate analysis showed that zinc intake OR 12,54 95 CI 3,68 42,76 wasthe dominant risk factor causing stunting event after controlled by birth weight andmother 39 s education,. Needed the consumption of children such as red meat, fish,liver, and eggs were rich in zinc as an effort to prevent the occurrence of stuntingin children aged 6 24 months.Key words Stunting, zinc intake, children 6 24 months"

"Stunting merupakan gambaran masalah status gizi yang berlangsung dalam jangka waktu lama. Dampak stunting menurunkan kapasitas intelektual dan produktivitas sumber daya manusia di masa mendatang. Penelitian ini membahas mengenai faktor-faktor yang berhubungan dengan kejadian stunting pada balita usia 24-59 bulan di Provinsi Nusa Tenggara Timur (NTT) Tahun 2010. Faktorfaktor tersebut antara lain konsumsi energi, konsumsi protein, umur, jenis kelamin, pendidikan ibu, pekerjaan ibu, status ekonomi keluarga, serta jumlah anggota rumah tangga. Penelitian menggunakan pendekatan kuantitatif dengan desain studi cross sectional dan melibatkan 411 sampel. Data penelitian menggunakan data sekunder yang diambil dari data Riset Kesehatan Dasar (Riskesdas) Tahun 2010. Pengambilan data tersebut dilakukan pada bulan Mei hingga Agustus 2010. Analisis yang digunakan adalah analisis univariat dan bivariat dengan Chi-Square.Hasil penelitian menunjukkan gambaran balita stunting di NTT sebesar 67,2%. Terdapat hubungan bermakna antara konsumsi protein, jenis kelamin, serta pendidikan ibu balita dengan kejadian stunting. Berdasarkan hasil tersebut, peneliti menyarankan agar konsumsi protein balita ditingkatkan sesuai dengan Angka Kecukupan Gizi yang Dianjurkan (AKG). Perbaikan di bidang pendidikan, khususnya pendidikan ibu, juga perlu dilakukan untuk mendukung keberhasilan penanganan stunting pada balita. Selain itu, upaya pencegahan stunting perlu dilakukan dengan memberikan pendidikan gizi dan kesehatan kepada ibu hamil.

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Stunting is a description of nutritional problem lasting on longer period of time. It could result in the lowering of intellectual capacity and the impoverishing of human resource productivity of future generation. This study explicates stunting-related factors on children aging 24–59 months in the Province of Nusa Tenggara Timur (NTT) in 2010. Those expected-variables are energy intake, protein consumption, age, sex, mother's level of education, mother's occupation, family economical status, and number of family member. It employs quantitative approach using cross-sectional design involving 411 samples. All data used are secondary, obtained from Basic Health Research (Riset Kesehatan Dasar/Riskesdas) in 2010. The data gathering ensued from May to August 2010 in NTT. Analyses taken are univariate and bivariate analyses by using Chi-Square.

It shows that 67.2% of children aging 24–59 months in NTT are stunting. There is significant relationship between protein consumption, sex, and mother's education level of the children towards stunting. Observing the findings, the writer recommends boosting children’s protein consumption as balanced to Recommended Dietary Allowance (RDA) standard. Education to the family, especially mothers, is imperative to cover succesful treatment of the stunting children. Furthermore, nutritional and health socialization for pregnant mother is needed in preventing stunting children."

"ABSTRAKNama : Hertin RindawatiProgram Studi : Ilmu Kesehatan MasyarakatJudul : Hubungan Pemberian Makanan Pendamping Air Susu Ibu MPASI dengan Kejadian Stunting pada Bayi di WilayahKerja Puskesmas Katapang Kabupaten Bandung Tahun2017Stunting balita pendek memiliki efek terhadap masa depan anak sepertiberkurangnya tingkat kognitif anak, hambatan dalam peningkatan tinggi badan,kelebihan berat badan atau obesitas di kemudian hari, dan mengurangi hasilkehadiran sekolah sehingga menyebabkan berkurangnya produktifitas pada masadewasa. Penelitian ini bertujuan untuk mengetahui faktor dominan dalamhubungan pemberian MPASI dengan kejadian stunting pada bayi berusia 12 bulandari Januari-April 2017 di wilayah kerja Puskesmas Katapang KabupatenBandung tahun 2017. Rancangan penelitian ini menggunakan desain case controlpada 28 kasus dan 56 kontrol. Penelitian ini dilakukan pada bulan Mei 2017. Datadianalisis dengan uji regresi logistik sederhana untuk melihat hubungan antarvariabel dan uji regresi logistik ganda model prediksi untuk menemukan faktordominan dalam hubungan pemberian MPASI dengan kejadian stunting pada bayi.Hasil penelitian menunjukkan faktor dominan dalam hubungan pemberian MPASIdengan kejadian stunting pada bayi adalah berat lahir bayi p=0,022 OR=5,177dan 95 CI=1,27-21,098 , diare p=0,027 OR=5,226 dan 95 CI=1,206-22,652 ,dan pemberian MPASI p=0,034 OR=3,884 dan 95 CI=1,106-13,649 . Faktordominan dari ketiga variabel tersebut yaitu variabel diare. Variabel diare memilikihubungan paling kuat dengan kejadian stunting pada bayi. Perlu adanya langkahlangkahdalam pencegahan stunting pada bayi dengan cara konseling pemberianasupan gizi optimal pada ibu hamil agar terhindar dari risiko kelahiran BBLR,pencegahan diare berulang pada bayi dan pemberian MPASI yang benar terutamaperbaikan asupan protein pada bayi.Kata Kunci : stunting, berat lahir, diare, pemberian MPASI

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ABSTRACTName Hertin RindawatiStudy Program Public Health SciencesTitle The Relation of Complementary Feeding with Stunting inInfants at the Territory Work of Katapang Health CenterBandung Regency 2017Stunting has an effect on the child 39 s future such as reduced child 39 s cognitive level,obstacles in height increase, overweight or obesity later in life, and reduced schoolattendance resulting in reduced productivity in adulthood. This study aims todetermine the dominant factor in the relationship of gi with stunting in infantsaged 12 months from January to April 2017 in the work area of the KatapangHealth Center Bandung Regency in 2017. The design of this study used casecontrol design on 28 cases and 56 controls. This study was conducted in May2017. The data were analyzed by simple logistic regression test to see therelationship between variables and multiple logistic regression test predictionmodel to find the dominant factor in the relationship of complementary feedingwith stunting in infants. The results showed that the dominant factor in theassociation of complementary feeding with the incidence of stunting in infantswas birth weight p 0,022 OR 5,177 and 95 CI 1,27 21,098 , diarrhea p 0,027 OR 5,226 and 95 CI 1,206 22,652 , and giving of complementaryfeeding p 0,034 OR 3,884 and 95 CI 1,106 13,649 . The dominantfactors of these three variables are diarrhea which have the strongest relationshipwith the incidence of stunting in infants. Preventing stunting in infants bycounseling the optimal intake of nutrients in pregnant women to avoid the risk oflow birth weight, prevention of recurrent diarrhea in infants and provision ofappropriate complementary feeding, especially the improvement of protein intakein infants are needed.Keywords stunting, birth weight, diarrhea, complementary feeding"

"Latar belakang: Stunting adalah masalah kurang gizi kronis yang banyak diderita balita di Indonesia. Kecamatan Pagedangan memiliki jumlah balita kurang gizi masih tinggi. Faktor penting pada pertumbuhan anak adalah asupan gizi. MPASI yang diberikan setelah balita berusia 6 bulan harus beraneka ragam dan adekuat, sehingga dapat memenuhi kebutuhan dalam mencapai pertumbuhan yang optimal. Sayangnya, di Indonesia sulit untuk mencapai asupan gizi cukup dari MPASI yang umumnya berbasis tradisional dan tidak difortifikasi. Tujuan penelitian untuk mengetahui hubungan antara Metode: Penelitian dilakukan dengan disain kasus kontrol dan rasio sampel 1:1,5. Penelitian dilakukan dari Maret-Mei 2019. Populasi adalah balita usia 24 bulan. Total sampel sebanyak 100 anak. Hasil: Hasil analisis bivariat menunjukkan ada hubungan yang signifikan antara pemberian MPASI (p=0,033) dan pekerjaan ibu (p=0,040) dengan kejadian stunting. Hasil analisis multivariat menunjukkan variabel yang paling berpengaruh adalah pekerjaan ibu (OR=7,6), pendapatan keluarga (OR=4,8), dan pemberian MPASI (OR=4,0). Kesimpulan: Faktor dominan yang berhubungan dengan kejadian stunting pada balita adalah pekerjaan ibu, setelah dikontrol pendapatan keluarga, pemberian MPASI, frekuensi minum susu, konsumsi susu, dan usia mulai minum susu. Saran: Meningkatkan program “Isi Piringku” dengan membuat menu makanan yang bergizi untuk balita disesuaikan ketersediaan pangan dan status sosial ekonomi warga.

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Background: Stunting is a chronic malnutrition problem that affects many children in Indonesia. Pagedangan district has a high number of malnourished children. An important factor in children's growth is nutritional intake. Complementary foods that given after a 6-month-old toddler must be diverse and adequate, so that it meets growth needs. Unfortunately, in Indonesia it is difficult to achieve sufficient nutritional intake from complementary foods which is generally traditional and not fortified. The purpose of study was to determine correlation between complementary feeding and the incidence of stunting in children aged 24 months.

Methods: The study was conducted with case control design and sample ratio of 1: 1.5. The study was conducted from March to May 2019. The population was children aged 24 months. A total sample of 100 children.

Results: The results of bivariate analysis showed that there was a significant correlation between complementary feeding (p=0.033) and maternal occupation (p=0.040) with the incidence of stunting. The results of multivariate analysis showed the most influential variables were maternal occupation (OR = 7.6), family income (OR = 4.8), and complementary feeding (OR = 4.0).

Conclusion: The dominant factor associated with the incidence of stunting in children aged 24 months is maternal occupation, after controlled family income, complementary feeding, frequency of drinking milk, milk consumption, and age start drinking milk. Suggestion: Improving the program "Fill my plate" by making nutritious food menus for toddlers adjusted for food availability and socio-economic status of the residents."