scholarly journals Faktor- faktor yang berhubungan dengan kejadian stunting pada 1000 hari pertama kehidupan

2021 ◽  
Vol 15 (2) ◽  
pp. 256-266
Author(s):  
Yunani Yunani ◽  
Yuniastini Yuniastini
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Health Education ◽  
Pregnant Women ◽  
Family Income ◽  
Average Weight ◽  
Average Birth Weight ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children

Factors related to  the occurrence of stunting in the first 1000 days of lifeBackground: Stunting is a problem that occurs in children under five and is a condition of failure to thrive in children under five which is a form of chronic malnutrition, repeated infections, and inadequate psychosocial stimulation, especially in the First 1000 Days of Life, from fetus to child. two years old. The percentage of stunting under five in Indonesia is 30.8% in 2018. In Lampung Province, Pesawaran Regency is the second-highest in Lampung, which is 33.5% in the very short category and 17.3% in the short category.Purpose: To find out the factors related to  the occurrence of stunting in the first 1000 days of lifeMethod: The research method uses a descriptive method. The research sample is children in the first 1000 days of life in the Working Area of UPT Puskesmas Kota Dalam Pesawaran Regency in 2020. The number of samples is 266 consisting of 133 stunted children and 133 non-stunted children. Data collection uses a questionnaire.Results: Logistics Regression test found several variables related to stunting, namely the father's height (p=0.008) and the mother's knowledge (p=0.004). Meanwhile, the variables of maternal height, increased weight of pregnant women, birth weight, number of children, breastfeeding, maternal illness during pregnancy, income, distance to health facilities, were not associated with stunting.Conclusion: Descriptively, the data obtained are: The average father's height is 162.72 cm, the average height of the mother is 153.08 cm, the average weight gain during pregnancy is 8.49 kg, the average birth weight is 3114 g, the average knowledge value is 8.77 good category), the number of children is mostly 2 people, breastfeeding is mostly over 12 months, (59.4%), most of the mothers during pregnancy do not suffer from infectious diseases (worms, pulmonary TB, diarrhea), most of the family income is low (93.7%), most of the knowledge is sufficient.Suggestion: The management of the Public health center should improve health education for pre-pregnant women and provide to prevent stunting in their working area. As well as increasing community independence in nutritional adequacy.Keywords: Stunting; First 1000 days of life; Fetus; Weight of pregnancy; Number of children, Family income.Pendahuluan : Stunting merupakan masalah yang terjadi pada anak balita dan merupakan kondisi gagal  tumbuh  pada  anak  balita  yang  merupakan  salah  satu  bentuk  dari  malnutrisi kronis, infeksi berulang, dan stimulasi psikososial yang tidak memadai terutama dalam 1000 Hari Pertama Kehidupan (HPK) yaitu sejak janin hingga anak berusia dua tahun. Persentase balita stunting di Indonesia 30.8 % pada tahun 2018. Di Propinsi Lampung, Kabupaten Pesawaran adalah nomor dua tertinggi di Lampung yakni sebesar 33,5% dalam kategori sangat pendek dan 17,3% dalam kategori pendek.Tujuan: Mengetahui factor yang berhubungan dengan kejadian Stunting pada balita di Wilayah kerja UPT Puskesmas Kota Dalam Tahun 2020.Metode: Penelitian menggunakan metode deskriptif, Sampel penelitian adalah anak  1000 hari  pertama kehidupan di Wilayah Kerja UPT Puskesmas Kota Dalam Kab.Pesawaran Tahun 2020. Jumlah  sampel 266 terdiri dari anak stunting 133 dan  anak tidak stunting 133.  Pengumpulan data menggunakan kuesioner.Hasil: Regresi Logistik menemukan beberapa variabel yang berhubungan dengan stunting yaitu tinggi badan ayah (p=0,000), usia ayah (p=0,000) usia ibu (p=0,009), pertambahan berat badan ibu hamil (p=0,029, jumlah anak (p =0,009) p=0,000), pendapatan keluarga (p=0,000).), weight gain of pregnant women (p=0.029, number of children (p=0.009) p=0.000), family income (p=0.000).Simpulan: Secara deskritif beberapa factor berkaitan erat dengan kejadian stunting dan beberapa factor dapat dicegah terjadinya stunting dengan peningkatan gizi dan nutrisi selama kehamilan.Saran: Manajemen Puskesmas supaya lebih peningkatan health education kepada ibu prahamil dan pendampingan untuk mencegah terjadinya stunting diwilayah kerjanya. Serta peningkatan kemandirian masyarakat dalam kecukupan nutrisi melalui  pemanfaatan halaman rumah.

scholarly journals Analysis of Determinant Factors in Stunting Children in Palopo, Indonesia

2020 ◽  
Vol 1 (2) ◽  
pp. 77-82
Author(s):  
Resty Ryadinency ◽  
Suwandi N ◽  
Try Ayu Patmawati
Keyword(s):  
Birth Weight ◽  
Family Income ◽  
Statistical Tests ◽  
Analysis Data ◽  
Children Under Five ◽  
Under Five ◽  
Determinant Factors ◽  
Normal Birth ◽  
South Sulawesi ◽  
History Of

Stunting is a global problem, especially in Indonesia. The prevalence of stunting among children under five in Palopo city is quite high, namely 36.0%. Therefore, this study aims to determine the incidence of stunting and its determinant factors in children aged 12–59 months in Palopo city, South Sulawesi, Indonesia. This study used a case control design. The subjects of this study were mothers who have toddlers aged 12-59 months. sampling with purposive sampling. 200 samples were collected for analysis. Data analysis using odds ratios. The proportion of stunting among toddlers 12-59 months was higher in children under five with a history of normal birth weight (70.8%) and under five who had no history of infection (84.0%). Low family income for stunting toddlers (78.0%). The results of statistical tests showed that LBW (OR = 5.37), history of infection (OR = 2.53) and family income (OR = 6.30) were determinants of stunting. This study shows that the determinants of stunting incidence in children aged 12-59 months are low birth weight, infectious diseases and low family income.

scholarly journals Binary Logistic Regression Model for Assessing Factors Associated with Nutritional Status of Children Under Five Years among Chepang Community in Siddi, Chitwan, Nepal

2020 ◽  
Vol 4 ◽  
pp. 43-56
Author(s):  
Ravi Kiran Poudel ◽  
Shankar Prasad Khanal
Keyword(s):  
Logistic Regression ◽  
Nutritional Status ◽  
Regression Model ◽  
Logistic Regression Model ◽  
Family Income ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Number Of Children ◽  
Nutritional Status Of Children

Background: Chepang Community in Nepal has often been characterized as the poorest among Nepal’s poor, and has faced food insecurity at a household level each year. Health status of their children is poor compared to other community children and more so for the age group under the age of five years. Objective: To find the proportion of stunting, wasting and underweight, and to assess the most promising factors associated with the nutritional status of children under five years of Chepang community in Siddi, Chitwan, Nepal. Materials and Methods: A cross-sectional research design was used with 170 samples. To find the association of different factors with the nutritional status of children under 5 years of age (stunting, wasting and underweight, each) binary multiple logistic regression model was used and the goodness of fit of the model was assessed through Hosmer and Lemeshow test. Results: The overall proportion of children under five years of the Chepang community is 60.6%, 30.6% and 44.7% for underweight, stunting and wasting respectively. Among many factors, the mother’s illiteracy (OR: 5.30, 95 % CI: 1.37 to 21.57), external monthly family income (≤ NRs. 2000) (OR: 9.65, 95 % CI: 3.23 to 30.78) and food availability for six months from own land (OR: 4.17, 95 % CI: 1.90 to 17.98) have a significant association with underweight. Similarly, for stunting, female child (OR: 2.19, 95 % CI: 1.02 to 4.70), number of children (more than one) below 14 years at home (OR: 4.15, 95 % CI : 1.77 to 11.04) and external family income (≤ NRs. 2000) (OR: 4.42, 95% CI: 1.01 to 17.06) are significantly associated, and for wasting, a number of children (more than one) below 14 years at home (OR: 4.64, 95 % of CI: 1.71 to 12.60) and external family income (≤ NRs. 2000) (OR: 5.17, 95 % CI: 2.27 to 11.79) are significantly associated. Conclusion: Substantial numbers of children from Chepang community are having the problem of underweight, stunting and wasting. Different demographic and socio-economic variables have been found associated for odds of having low level of nutritional status of children.

scholarly journals LACK OF NUTRITION AND POOR NUTRITION RISK FACTORS IN CHILDREN OF 12-59 MONTHS

2015 ◽  
Vol 2 (1) ◽  
pp. 7-11
Author(s):  
Dedi Alamsyah
Keyword(s):  
Risk Factors ◽  
Maternal Education ◽  
Family Income ◽  
Severe Malnutrition ◽  
Bivariate Analysis ◽  
Nutrition Risk ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Poor Nutrition

Background, Moderate and severe malnutrition in Pontianak  each years  trend of decreasing prevalence of  cases  malnutrition , but case numbers are still above 10 % . Non Problem Based Health according to WHO , the prevalence of the area is less weight above 10.0 % , while malnutrition has increased  well as the decline is not drastic cases of less nutrition . The prevalence of malnutrition and malnutrition in 2011 by weight for age amounted to 18.94 % and 1.94 %, in 2012 10.91 % and 2.75 % , while in 2013 amounted to 10.60 % and 2,47 % . The purpose of this study prove the environmental risk factors that affect the incidence of moderate and malnutrition among children under five years old aged 12-59 months. Method: The type of research was observational using the quantitative study design of case control study. Results, The bivariate analysis found five (5) variables significantly associated with the prevalance of moderate and severe malnutrition in children under five years old aged 12-59 months, i.e.: low maternal education (OR: 7.07 p = 0.001 95% CI 2.06 - 16.079), poor of attitude toward food  (OR: 5.76 p = 0.001 95% CI 2.51 - 19.85), poor environmental sanitation (OR: 4.33 p = 0.004 95% CI -11.06 - 1.69), low family income (OR: 4.20 p = 0.020 95% CI 1.35 - 13.06) and low family income and a larger number of children two (OR : 0,040 p = 0,040 95 % CI 1,14-7,39).  

scholarly journals Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia

2019 ◽  
Vol 15 (2) ◽  
pp. 160-170
Author(s):  
Demsa Simbolon ◽  
Desri Suryani ◽  
Epti Yorita
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Rural Areas ◽  
Maternal Education ◽  
Secondary Data ◽  
Young Age ◽  
Female Adolescent ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.

scholarly journals Pencegahan Stunting melalui Pelatihan Pemberian ASI Eksklusif dan Makanan Pendamping ASI (MP ASI)

2020 ◽  
Vol 5 (1) ◽  
pp. 133-140
Author(s):  
Khoiriyah Isni ◽  
Siti Muthia Dinni
Keyword(s):  
Health Education ◽  
Exclusive Breastfeeding ◽  
Scientific Publication ◽  
Community Empowerment ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Or Practice ◽  
Target Skills ◽  
And Training

PREVENTION OF STUNTING THROUGH EXCLUSIVE BREASTFEEDING TRAINING AND ASI COMPLEMENTARY FOOD (MP ASI). Randugunting Hamlet is one of the hamlets that have the highest number of children under five in the area of Tamanmartani Village, Kalasan, Sleman, DIY. Meanwhile, parenting patterns that are less responsive and supportive in breastfeeding and breastfeeding are suspected to be factors that trigger nutritional health problems of children under five. It is due to the ignorance of parents and caregivers in providing exclusive breastfeeding and complementary feeding according to WHO standards. This situation is very high-risk accounts for the number of stunting cases in Indonesia. Especially in Sleman Regency, so that the Community Partnership Program Proposal Team conducts community empowerment activities. It is the form of training in the context of stunting prevention. The targets of this activity are pregnant women, mothers who have toddlers, and health cadres. The method of activities used includes the provision of health education, simulations, and training or practice through the MP ASI cooking competition and process evaluation. Increased knowledge and target skills in exclusive breastfeeding and MP ASI standard WHO is the output of this empowerment activity. Besides, the dissemination of events in the form of scientific publication products and training modules. In general, this empowerment activity can increase target knowledge and skills. The evaluation of the process shows the enthusiasm of the target in implementing the knowledge that the Proponent Team provided through health education and simulations. It hoped that this activity could be continue in other hamlets located in the Tamanmartani village area. It can contribute to preventing and reducing the number of stunting cases in Indonesia.

scholarly journals The Correlation Of Mid-Upper Arm Circumference With Birth Weight Based In Puskesmas Kecamatan Cipondoh Tangerang January-December 2013

2017 ◽  
Vol 8 (2) ◽  
pp. 92-100
Author(s):  
Dwi Mursita Sari ◽  
Sugeng Wiyono
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Maternal Age ◽  
Body Weight Gain ◽  
Statistical Tests ◽  
Maternal Height ◽  
Average Birth Weight ◽  
Risk Parity ◽  
Not At Risk

Birth weight is a predictor for the infant's ability to survive, grow, and evolve, even as a predictor of health status in the next life cycle. In 2012, in the city of Tangerang number of low birth weight increased from 436 cases to 647 cases. This research was conducted in Puskesmas Kecamatan Cipondoh on January 24, June 20 and 23 June 2014. The design of this research used a retrospective design with a sample of 140 people. Average birth weight 2867.14 ± 373.674 gram, the size of the mother MUAC 25.46 ± 3.333 cm, weight gain during pregnancy of 9.67 ± 3.483 kg, maternal height 153.9 ± 5.894 cm, and maternal age 28,28 ± 6.226 years. Pregnant mother who have a risk parity of 42 people (30%) and 98 people are not at risk (70%), pregnant women who have completed primary school education 20 (14.3%), graduated SMP/MTS 42 people (30%), graduated SMA/MA 70 people (50%), and graduated from PT 8 people (5.7%), pregnant women who worked 20 persons (14.3%) and didn’t work 120 people (85.7%). Based on statistical tests, there is a relationship between birth weight based MUAC mother, mother body weight gain, and maternal height. However, there was no relationship with maternal age and there was no difference in birth weight by maternal parity. Pregnant women should consume nutritious foods in accordance with their needs well before and during pregnancy.

scholarly journals Penyuluhan dan Pelatihan Stimulasi Periode Emas Anak 1000 HPK di Wilayah Puskesmas Sipoholon, Kabupaten Tapanuli Utara Tahun 2019

2020 ◽  
Vol 1 (1) ◽  
pp. 125-131
Author(s):  
Sulastry Pakpahan
Keyword(s):  
Health Education ◽  
Pregnant Women ◽  
Everyday Life ◽  
Growth And Development ◽  
National Data ◽  
Children Under Five ◽  
Under Five ◽  
And Training ◽  
Positive Character ◽  
Stimulation Of

National data according to the Indonesian Ministry of Health in 2015, 11.5% of children under five in growth and development of abnormalities. Knowledge and awareness of the importance of stimulation of growth and development during the 1000 HPK period is needed so that parents can take advantage of this period to form children who have intellectual, emotional, language, creative and positive character. Activities carried out by providing counseling to pregnant women, mothers or husbands with toddlers and training to health cadres. The implementation of the activity lasts 3 days, divided into 2 stages, namely day 1-2 is the implementation of health education  and day 3 is the implementation of training. The number of health education participants was 57 people and training participants were 48 people. Each participant was given a questionnaire to measure the increase in knowledge after the implementation of the activity. The results of this activity was obtained that the participants' knowledge increased by 24.56% in very good categories, 22.8% in good categories, and 43.38% in adequate categories. The increase in the knowledge of the training participants in the very good category increased by 27.1%, the good category was 20.8% and the moderate category was 47.9%. Health education and training about growth and development stimulation during the 1000 HPK period can increase knowledge and awareness of mothers, families and health cadres so they are expected to be able to apply the knowledge received during the training in everyday life and to the surrounding community.

scholarly journals CEGAH STUNTING PADA ANAK MELALUI GERAKAN IBU SADAR 1000 HPK

2021 ◽  
pp. 363
Author(s):  
Rokhaidah Rokhaidah ◽  
Chandra Tri Wahyudi ◽  
Lima Florensia
Keyword(s):  
Health Promotion ◽  
Health Education ◽  
Community Service ◽  
Healthy Living ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Complete Health ◽  
Implementation Method ◽  
The Government

The First 1000 Days of Life is a critical period for children's growth and development, malnutrition in this period can cause stunting problems in children, the government has compiled and implemented the First 1000 Days of Life (HPK) Movement program in an effort to prevent stunting. The prevalence for the West Java region itself is at 26.21%, this figure is still far above the minimum value set by WHO, which is less than 20% or one-fifth of the total number of children under five. The results of the observations made it known that the problem in RT 07 RW 02 Pasir Putih Village, Sawangan District, Depok City was that mothers under five had not yet optimal understanding of how to prevent stunting in children and health education about stunting in children had not been carried out and how to prevent it. Based on this, the service team from the Faculty of Health Sciences UPN Veterans Jakarta carried out community service in the form of health education about stunting and clean and healthy living behavior (PHBS) in household settings. The purpose of this activity is to raise awareness, willingness, and ability of mothers to recognize, prevent and protect children from stunting. This community service implementation method is carried out through several stages, namely: Regional potential surveys, dialogue program activities through FGDs, health promotion regarding stunting in children and clean and healthy living behavior in household settings and evaluation monitoring. The health promotion activities were attended by 10 mothers of children under five and posyandu cadres. The results of this activity obtained data that mothers who have good knowledge of 90% and 10% sufficient knowledge and PHBS behavior in household settings are 30% in perfect health and 70% in primary health. Conclusion: Continuous efforts are needed in the form of mentoring mothers of children under five to improve the behavior of stunting prevention efforts through optimizing 1000 HPK and increasing PHBS behavior towards complete health.1000 Hari Pertama Kehidupan adalah periode kritis bagi pertumbuhan dan perkembangan anak, kekurangan gizi pada periode ini dapat menyebabkan masalah stunting pada anak,  pemerintah telah menyusun dan melaksanakan program Gerakan 1000 Hari Pertama Kehidupan (HPK) dalam upaya mencegah stunting. Prevalensi untuk wilayah Jawa Barat sendiri berada pada angka 26,21%, angka ini masih jauh diatas nilai minimal yang ditetapkan oleh WHO yaitu kurang dari 20% atau seperlima dari jumlah total balita. Hasil observasi yang dilakukan diketahui bahwa permasalahan di RT 07 RW 02 Kelurahan Pasir Putih Kecamatan Sawangan Kota Depok adalah belum optimalnya pemahaman ibu balita mengenai cara pencegahan stunting pada anak dan belum pernah dilakukan pendidikan kesehatan tentang stunting pada anak dan cara menceganya. Berdasarkan hal tersebut maka tim pengabdi dari Fakultas Ilmu Kesehatan UPN Veteran Jakarta melakukan pengabdian kepada masyarakat berupa pendidikan kesehatan tentang stunting dan perilaku hidup bersih dan sehat (PHBS) di tatanan rumah tangga. Tujuan dari kegiatan ini adalah untuk menumbuhkan kesadaran, kemauan, dan kemampuan ibu dalam mengenali, mencegah dan melindungi anak dari penyakit stunting. Metode pelaksanaan pengabdian masyarakat ini dilakukan melalui beberapa tahap yaitu: Survei potensi wilayah, dialog program kegiatan melalui FGD, promosi kesehatan mengenai stunting pada anak dan perilaku hidup bersih dan sehat di tatanan rumah tangga dan monitoring evaluasi. Kegiatan promosi kesehatan diikuti oleh 10 ibu balita dan kader posyandu. Hasil dari kegiatan ini diperoleh data bahwa ibu yang memiliki pengetahuan baik 90% dan pengetahuan cukup 10% dan perilaku PHBS di tatanan rumah tangga yaitu 30 % sehat peripurna dan 70% sehat utama. Kesimpulan: Diperlukan upaya berkelanjutan berupa pendampingan ibu balita untuk meningkatkan perilaku upaya pencegahan stunting melalui optimalisasi 1000 HPK dan meningkatkan perilaku PHBS menuju sehat paripurna.

scholarly journals Inadequate Gestational Weight Gain and Exposure to Second-Hand Smoke during Pregnancy Increase the Risk of Low Birth Weight: A Cross-Sectional Study among Full-Term Infants

2021 ◽  
Vol 18 (3) ◽  
pp. 1068
Author(s):  
Muliana Edi ◽  
Yit Chin ◽  
Fui Woon ◽  
Geeta Appannah ◽  
Poh Lim ◽  
...  
Keyword(s):  
Weight Gain ◽  
Birth Weight ◽  
Pregnant Women ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Second Hand Smoke ◽  
Sectional Study ◽  
Cross Sectional ◽  
Shs Exposure ◽  
At Home

Despite the advancement of the healthcare system, low birth weight (LBW) remains as one of the leading causes of under-five mortality. This cross-sectional study aimed to determine the prevalence of LBW and its associated factors among 483 third trimester pregnant women recruited from six selected public health clinics in the Federal Territory of Kuala Lumpur and the state of Selangor, Malaysia. Pregnant women were interviewed for information on socio-demographic characteristics, smoking behaviour, and second-hand smoke (SHS) exposure at home and in the workplace. Information on the obstetrical history and prenatal care visits history were retrieved from the maternal medical records, while infant’s birth outcomes were retrieved from infant medical records. The prevalence of LBW (<2.5 kg) in infants was 10.4%, with a mean birth weight of 3.0 [standard deviation (SD) 0.4] kg. Results from the multivariable logistic regression model showed that inadequate weight gained during pregnancy [odds ratio (OR) = 2.41, 95% confidence interval (CI) = 1.18–4.90] and exposure to SHS at home (OR = 1.92, 95% CI = 1.03–3.55) were significantly associated with LBW. In conclusion, pregnant women should monitor their rate of weight gain throughout pregnancy and avoid SHS exposure at home to reduce the risk of delivering LBW infants.

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