scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA STUNTING PADA BALITA USIA 24-59 BULAN

2021 ◽  
Vol 7 (1) ◽  
pp. 25-31
Author(s):  
Lisa Tanzil ◽  
Hafriani Hafriani

ABSTRACT FACTORS AFFECTING STUNTING IN CHILDREN AGE 24-59 MONTHS  Background: Stunting is a description of chronic malnutrition in the period of growth and development since early life. Many factors can cause stunting in children under five, such as the characteristics of toddlers and socioeconomic characteristics. The prevalence of stunting in Indonesia is the fifth largest in the world. Basic health research data (Riskesdas) in 2013 showed the prevalence of stunting in the national scope of 37.2 percent, consisting of a stunting prevalence of 18.0 percent and very short prevalence of 19.2 percent. Stunting is considered a serious public health problem when the prevalence of stunting is in the 30-39 percent range. Purpose: This study aims to determine the factors that cause stunting in toddlers aged 24-59 monthsMethods: This study was an analytic observational study with a case control conducted in the working area of the Simpang Ulim Public Health Center, East Aceh. Samples were taken as many as 20 toddlers as a case group and 20 toddlers as a control group with a purposive sampling technique. Data analysis used the chi square test and used cross tabulation to analyze the closeness of the relationship between two variables by looking at the Odds Ratio (OR) value.Results: The study showed that energy adequacy (OR = 9,333; CI = 2,180-39,962), protein adequacy (OR = 7000; CI = 1,739-28,174), maternal knowledge (OR = 7000; CI = 1.739-28174), maternal education (OR = 22,667; CI = 4,374-117,468), family income (OR = 13,222; CI = 2,790-62,670) was a risk factor for stunting, while other factors in this study were low birth weight (LBW) (OR = 1,588; CI (0.236-10.704), history of breastfeeding (OR = 0.474; CI (0.39-5.688) and maternal occupation (OR = 1.238; CI = 0.343-4.64) were not risk factors for stunting.Conclusion: Lack of energy and protein intake, less knowledge of mothers, low education of mothers and low family income are risk factors for stunting in children aged 24-59 months.Suggestion It is hoped that the Puskesmas and other related sectors can increase maternal knowledge about the nutritional needs of toddlers through nutritional counseling activities which include education on nutritional adequacy rates for children under five according to age, how to properly process food, and provide financial assistance for underprivileged families. It is hoped that mothers of toddlers can actively participate in posyandu activities so that they are more often exposed to nutritional fulfillment information for toddlers. Keywords: Stunting, Risk Factor, Toddler, Simpang Ulim ABSTRAK Latar Belakang: Stunting merupakan penggambaran dari status gizi kurang yang bersifat kronik pada masa pertumbuhan dan perkembangan sejak awal kehidupan. Banyak factor yang dapat menyebabkan terjadinya stunting pada balita seperti karakteristik balita maupun social ekonomi. Prevalensi stunting di Indonesia menempati peringkat kelima terbesar di dunia. Data Riset kesehatan  dasar  (Riskesdas)  tahun  2013 menunjukkan prevalensi stunting dalam lingkup nasional sebesar 37,2 persen, terdiri dari prevalensi pendek sebesar 18,0 persen dan sangat pendek sebesar 19,2 persen. Stunting dianggap sebagai masalah kesehatan masyarakat yang berat bila prevalensi stunting berada pada rentang 30-39 persen.Tujuan: Penelitian ini bertujuan untuk mengetahui factor-faktor yang menyebabkan terjadinya stunting pada balita usia 24-59 bulan.Metode: Penelitian ini merupakan penelitian observasional analitik dengan kasus kontrol yang dilakukan di wilayah kerja UPTD Puskesmas Simpang Ulim, Aceh Timur. Sampel yang diambil sebanyak 20 balita sebagai kelompok kasus dan 20 balita sebagai kelompok kontrol dengan teknik purposive sampling. Analisis data menggunakan uji chi square serta menggunakan tabulasi silang untuk menganalisis keeratan hubungan antara dua variabel dengan melihat nilai Odds Ratio (OR).Hasil: Pada penelitian menunjukkan bahwa kecukupan energy (OR=9.333; CI=2.180-39.962), kecukupan protein (OR=7000; CI=1.739-28.174), pengetahuan ibu (OR=7000; CI=1.739-28174), pendidikan ibu (OR=22.667; CI=4.374-117.468), pendapatan keluarga (OR=13.222; CI=2.790-62.670) merupakan factor resiko terjadinya stunting, sedangkan factor lainnya dalam penelitian ini yaitu berat badan lahir rendah (BBLR) (OR=1.588; CI (0.236-10.704), Riwayat ASI (OR=0.474; CI (0.39-5.688) dan pekerjaan ibu (OR=1.238; CI=0.343-4.64) bukan merupakan factor resiko terjadinya stunting.Kesimpulan: Asupan energi dan protein yang kurang, pengetahuan ibu yang kurang, pendidikan ibu yang rendah serta pendapatan keluarga yang rendah merupakan fakor resiko terjadinya stunting pada balita usia 24-59 bulan.Saran Bagi pihak Puskesmas dan lintas sektoral yang terkait diharapkan dapat meningkatkan pengetahuan ibu tentang kebutuhan nutrisi pada balita melalui kegiatan penyuluhan gizi yang meliputi edukasi mengenai angka kecukupan gizi pada balita sesuai umur, cara mengolah makanan yang benar, serta memberikan bantuan finansial bagi keluarga yang tidak mampu. Bagi ibu balita diharapkan dapat aktif mengikuti kegiatan posyandu supaya lebih  sering terpapar dengan informasi pemenuhan nutrisi pada balita. Kata kunci : Stunting, Factor Resiko, Balita, Simpang Ulim  

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Harriet U. Ugboko ◽  
Obinna C. Nwinyi ◽  
Solomon U. Oranusi ◽  
Fasina F. Fagbeminiyi

Diarrhoea is the passage of three or more loose or liquid stools per day or more frequent passage than is normal for an individual. Diarrhoea alters the microbiome, thus the immune system, and is a significant cause of morbidity and mortality in young children. This study evaluated the association between the risk factors and diarrhoea prevalence among children under five years in Lagos and Ogun States, located in Southwest Nigeria. Participants included 280 women aged 15–49 years and children aged 0–59 months. The study used quantitative data, which were assessed by a structured questionnaire. Data obtained were analyzed using the Statistical Package for the Social Sciences Software Version 25.0 and Microsoft Excel 2013. The relationships and/or association between variables were evaluated using Pearson's Chi Square and logistic regression tests. One hundred and eighteen (42%) of the children were male, and 162 (58%) were female. The majority of the children belonged to the age group 0–11 months (166). Age ( p = 0.113 ) and gender ( p = 0.366 ) showed no significant association with diarrhoea among the children. The majority of the mothers belonged to the age group 30–34. Multivariate analysis showed that the mother's level of education (95% CI for OR = 11.45; P = 0.0001 ) and family income (95% CI for OR = 7.61, P = 0.0001 ) were the most significant risk factors for diarrhoea among children. Mother’s educational status, mother's employment, and family income were the factors significantly associated with diarrhoea in Southwest Nigeria. The study recommends that female education should be encouraged by the right government policy to enhance the achievement of the sustainable development goal three (SDG 3) for the possible reduction of neonates and infants' deaths in Nigeria.


2021 ◽  
Vol 3 (2) ◽  
pp. 47-54
Author(s):  
Wiji Novarianti ◽  
Muhammad Syukri ◽  
M. Dody Izhar ◽  
M Ridwan ◽  
Faisal Faisal

Introduction: Pneumonia accounts for 16 % of the causes of death in children under five including in Indonesia. This study aims to determine nutritional status, provide vitamin A capsules, and complete immunization as risk factors for pneumonia in toddlers aged 18-59 months. Methods: This study used a case-control design with 47 cases and 47 control children. The case was a toddler with pneumonia aged 18-59 months who was registered at Puskesmas Paal V Jambi City. Controls were toddlers who did not experience pneumonia with age (range ≤3 months), gender, and came from the same sub-district as the case toddler. Sampling was done by purposive technique by selecting the latest patient medical record data. Data collection was carried out by interview method in October-November 2020. Data analysis was carried out univariate and bivariate using the Chi-Square test. Results: The results showed nutritional status (p=0.023 OR=3.93 95% CI 1.29-11.96), Vitamin A capsules administration (p=0.026 OR=3.12 95% CI 1.23-7.91) is a risk factor for pneumonia in children under-five. Complete immunization is nor a risk factor for pneumonia in children under five. Conclusion: The conclusion of the study was nutritional status and vitamin A administration as risk factors for pneumonia in children aged 18-59 months.


2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years


2020 ◽  
Author(s):  
Emmanuel Chilanga ◽  
Delphine Collin-Vezina ◽  
Mohammad Nuruzzaman Khan ◽  
Liam Riley

Abstract Background: Intimate partner violence (IPV) against women is a pervasive and significant public health problem. The phenomenon is linked to adverse health effects for women and children. Mothers of young children in Malawi can be particularly at risk because of gender-based power imbalances. The objectives of this study were to examine the prevalence and the risk factors of IPV perpetrated by the current or recent partner against mothers of children under five years of age in rural Malawi.Methods: A multistage cross-sectional study design was used. A sample of 538 mothers of young children was randomly selected from postnatal clinics in Dowa district. The WHO's Violence against women instrument was used to collect data. Logistic regressions were used to determine risk factors that were associated with IPV against mothers. Results: The prevalence of IPV controlling behavior, psychological, physical, and sexual violence were 74.7%, 49.4%, 43.7% and 73.2% respectively. In multivariate analyses, mothers whose partners had extra marital affairs were more likely to experience controlling behavior (AOR: 4.97, 95% CI: 2.59-8.55, P<0.001), psychological (AOR: 2.14, 95% CI: 1.486-3.472, P<0.001) and physical (AOR: 2.29, 95% CI: 1.48-3.94, P<0.001) violence than mothers whose partners did not have extra marital affairs. Mothers whose partners consume alcohol were more likely to experience sexual violence (AOR: 2.00, 95% CI: 1.17-3.41, P<0.001) than mothers whose partners did not drink. Finally, mothers who spent more than 30 minutes drawing water were at greater risk of experiencing IPV than mothers who spent less than 30 minutes.Conclusion: This study found a significantly higher prevalence of IPV against mothers in rural Malawi compared to the national prevalence. Programs aimed at reducing the partners’ potential risk behaviors identified in this study are recommended. Public health programs that support increased household access to safe water are also recommended to help mitigate IPV against mothers.


2019 ◽  
Vol 3 (1) ◽  
pp. 53
Author(s):  
Vika Indah Rahayu ◽  
Nugroho Susanto ◽  
Ayu Fitriani

Background: One of the biggest nutritional problems in Indonesia is stunting. Children under five years old with stunting are more susceptible to disease and having reduced cognitive abilities. Stunting can be caused by several factors, such as from both external and internal factors. Objective: To find out the determinants of the incidence of stunting among children under five years old in Wukirsari Village, Cangkringan sub district, Sleman, Yogyakarta. Methods: This study was conducted in 23 subvillages in Wukirsari Village in February 2019 with a case control design. This study involved 100 children under five years old with 50 cases and 50 controls. Maternal nutritional status during pregnancy, mothers’ education, family income, and posyandu visit were collected using a questionnaire. Data were analyzed using Chi Square test. Results: There was no correlation between mother’s education and posyandu visit with stunting incidence (p>0.05). There was a correlation between family income with stunting incidence (p=0.00). Family who had low income were 6.526 times more likely to have stunted children. Conclusion: There was a significant correlation between family income with stunting incidence.


2017 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Sofia Sofia

Acute Respiratory Infection (ARI) is still one public health problem that is important to note, because it is an acute illness and can even cause death in infants in developing countries, including Indonesia. In general, there are three the risk factors of ARI namely environmental factors, individual factors of children, and behavioral factors. The aim of research to find out the environmental risk factors with the incidence of  ARI  in Toddlers in Public Health Center of Ingin Jaya, Aceh Besar district. This type of research is an analytic survey with cross-sectional study approach. The sample size is calculated using the formula Lemeshow of 100 respondents, samples were taken randomly. Data analysis using Chi-Square test. The results showed that the level of humidity in the home (p= 0,039), smoking habits of family members in the home (p= 0,001), and the habit of using mosquito coils in the home (p= 0,003) as a risk factor for ISPA to children in Region Public Health Center of Ingin Jaya, Aceh Besar district. Conclusion, risk factor of ARI in the toddler that is a smoking habit, usage habit of mosquito coil and air humidity. Suggestions, the public in order to maintain air quality in the home environment to avoid various transmission of infectious diseases.Keywords: Air humidity, habits, environment, ARIPenyakit Infeksi Saluran Pernafasan Akut (ISPA) masih menjadi salah satu masalah kesehatan masyarakat yang penting untuk diperhatikan, karena merupakan penyakit akut dan bahkan dapat menyebabkan kematian pada balita di berbagai negara berkembang termasuk  Indonesia. Secara umum ada 3 (tiga) faktor risiko terjadinya ISPA yaitu faktor lingkungan, faktor individu anak, serta faktor perilaku. Tujuan penelitian untuk mengetahui faktor risiko lingkungan dengan kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Jenis penelitian adalah survey analitik dengan pendekatan Crossectional study. Besarnya sampel dihitung dengan menggunakan rumus lameshow yaitu 100 responden, sampel diambil secara acak sederhana. Analisa data dengan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa tingkat kelembaban udara dalam rumah (p=0,039), kebiasaan merokok anggota keluarga dalam rumah (p=0,001), dan kebiasaan menggunakan obat nyamuk bakar di dalam rumah (p=0,003) sebagai faktor risiko kejadian ISPA pada Balita di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Kesimpulan, faktor risiko ISPA pada balita yaitu kebiasaan merokok, kebiasaan penggunaan obat nyamuk bakar dan kelembaban udara. Saran, masyarakat agar dapat menjaga kualitas udara dilingkungan rumah agar terhindar dari berbagai penularan penyakit infeksi. Kata kunci: Kelembaban udara, kebiasaan, lingkungan, ISPA


2018 ◽  
Vol 18 (1) ◽  
pp. 208
Author(s):  
Listautin Listautin

Diarrhea is one of health problem in the world including Indonesia. The Morbidity survey undertaken by Sub-Directorate of diarrhea, Health Department from 2007 to 2010is improved. According to the data gained from Puskesmas in Tanjung Pinang Jambi in 2017, it is found out that 5 different districs in Tanjung Pinang are the district which has the highest rate of diarrhea sufferers. The aim of this study is to find out the risk factors of the flies density and the dwelling sanitation to the occurance of diarrhea in Tanjung Pinang Jambi in 2017. This study is quantitative study by using case control design. The sample of this study is 68 people who consists of 34 samples of case group and 34 samples of control group. This study is analyzed through univariate and bivariate analysis by using chi-square test. The instruments of this study are the reviewed document, ceklist, and the measurement through fly grill. The result of analysis are found out that toilet is the main risk factor for the occurance of diarrhea with odds ratio (OR) value is 3,519. Sewerage (SPAL) is one the risk factor of the diarrhea occurance with odds ratio (OR) value is 3,361. The waste is the other risk factors for the occurance of diarrhea with odds ratio (OR) value is 4,418. The flies density is the protective factor for the diarrhea occurance with odds ratio (OR) value is 0,773.Based on the result of this study, it can be concluded that it is necesarry to do the coorporation across program to optimize the noticing of information to public concerning on the importance of good dwelling sanitation and the low flies density in order to avoid from the occurance of diarrhea.Keyword : Diarrhea, Dwelling Sanitation, Flies Density


2021 ◽  
Vol 15 (2) ◽  
pp. 51
Author(s):  
Milantika Kristanti ◽  
Nayla Kamilia Fithri

<em>Stunting is stunted growth in children due to malnutrition. It can affect children's cognitive and physical development, increase the risk of infection, and significantly contribute to child morbidity and mortality. This study aims to analyze the risk factors for stunting in children under five (13-59 months). The study used a case-control design to compare previous exposure to stunting and normal children under five. Measurements and interviews were conducted with 120 children under five and their mothers. The SPSS (24.0) was used for the Chi-square and Odds Ratio (alpha = 5%) test. The study found the risk factors for stunting under five, poor income (OR = 4.75; 95% CI 2.18-10.33), not getting exclusive breastfeeding (OR = 5.29; 95% CI 2.39-11.68) ), there is no access to clean water (OR = 3.00; 95% CI 1.42–6.32), and healthy latrines (OR = 3.73; 95% CI 1.75-7.94). Increasing the nutritional status of pre-pregnant and pregnant women and access to clean water and healthy latrines to prevent infection is an urgent need to be implemented immediately.</em><p> </p>


Author(s):  
Agung Hadi Pranomo ◽  
Dino Gagah Prihadianto

Background : Based on data from the Karimun District Health Office in 2017, there was 0.9% malnutrition, 4.8% malnutrition, and the prevalence of underweight children was 5.7%. Meanwhile, according to the Center for Data and Information, the Ministry of Health of the Republic of Indonesia in 2017 the nutritional status of children under five to 59 months according to BW / U has 3.7% malnutrition, 14.0% malnutrition, 80.1% good nutrition and 2.1% over nutrition. The purpose of this study was to determine the relationship between maternal knowledge and parenting about the nutritional status of toddlers with the incidence of malnutrition in children under five in Baran Timur Village, Meral District, Karimun Regency. Method : This research used an analytical research design with a cross sectional design approach. Meral Karimun Regency. In this study, the population is all mothers who have toddlers aged 3-59 months who live in Baran Timur Village, Meral District, Karimun Regency as many as 460 people. The data is presented in the form of a cross table then the data is analyzed using the SPSS program (Social Science Program Statistics) through the chi-square statistical test using a significant level of 0.05 Result : from 82 respondents, it is found that 1 respondent (33.3%) with less parenting is malnutrition status, 1 respondent (33.3%) with poor parenting was malnourished and 1 respondent (33.3%) with insufficient parenting was good nutritional status. While 21 respondents (63.6%) with moderate parenting were good nutritional status and 41 respondents (89.1%) with good parenting were good nutritional status obtained a p value of 0.003


2018 ◽  
Vol 17 (1) ◽  
pp. 39
Author(s):  
Rahayu Lubis ◽  
Merina Panggabean ◽  
Hemma Yulfi

Latar belakang: Kejadian kecacingan pada balita di Indonesia masih tinggi. Untuk mengurangi kejadian kecacingan balitamemerlukan upaya terintegrasi seperti peningkatan perilaku sehat. Hal ini dapat diwujudkan dengan memberikan pengetahuan pada masyarakat terutama ibu yang mempunyai balita. Oleh karena itu perlu dilakukan penelitian tentang pengetahuan dan sikap ibu yang mempunyai anak balita yang dibawa ke posyandu untuk pencegahan penyakit kecacingan pada balitaMetode: Ini adalah penelitian quasi experiment,pre and post test design. Populasi adalah ibu yang mempunyai anak balita yang datang ke posyandu Sentosa di Kota Medan tahun 2016. Sampel adalah ibu yang bersedia memeriksakan tinja anak balitanya. Sampel diambil secara purposif yaitu sebanyak 50 orang. Intervensi yang diberikan berupa penyuluhan (ceramah dan video). Pengumpulan data menggunakan kuesioner dan catatan medik Puskesmas Sentosa Baru. Analisis data secara univariat, bivariat menggunakan analisis uji  chi-square.Hasil: Total dari 50ibu yang mempunyai anak balita sebagian besar pada kelompok umur 20-30 tahun, berpendidikan SMP, bekerja sebagai ibu rumah tangga dan mempunyai anak 1-2 orang. Ada peningkatan pengetahuan dan sikap yang baik sebesar 43% dan 52% sesudah di berikan intervensi. Ada pengaruh tingkat pengetahuan ibu terhadap infeksi kecacingan pada balita (RR= 1,96; 95% CI: 1,12-4,15;p = 0,002). Ada pengaruh sikap ibu terhadap infeksi kecacingan pada balita (RR=2,46; 95% CI: 1,46-5,62;p = 0,001).Simpulan: Infeksi kecacingan pada anak balita dipengaruhi oleh pengetahuan dan sikap ibu. Untuk menjaga kesehatan anaknya perlu menjaga kebersihan diri dan lingkungan sertamelakukan pemeriksaan kesehatan secara periodik, penyuluhan kesehatan secara rutin perlu diberikan pada ibu yang datang ke posyandu ABSTRACTTitle: The Influence of Maternal Knowledgeand Attitude Against Soil Transmitted Helminths Infections in Children Lessthan Five Years OldBackground:The incidenceof helminthes infection in children less than five years old is still high in Indonesia. To reduce the incidence of helminthes infectionneeds an integrated effort such as the improvement of healthy behavior. This can be realized by providing knowledge to the community, especially mothers with children under five years. Therefore it is necessary to do research on knowledge and attitude of mother who have children under five who brought to posyandu for prevention of diseases of helminthes infection in children less than five years oldMethod:This is a quasi-experimental study pre and post-test design. The population is mothers who have children less than five years old who come to posyandu Sentosa in Medan City in 2016. The sample is the mother who is willing to check the feces of her children. The sample was taken purposively as many as 50 people. Data collection was using structural questioners before and after intervention (lectures and video) about helminthesinfection.Data medical records from Puskesmas Sentosa Baru Medan. Data analysis univariate and bivariate using chi-square test.Result:A total of 50 mothers with children less than five years old are mostly in the age group 20-30 year, junior high school educated, work as housewives and have 1-2 children. There is an increase in knowledge and good attitude by 43% and 52% after intervention.Mothers with not good knowledge and not good attitude were significantly influence intensity of helminthesinfection in children (RR = 1.96; 95% CI 1.12-4.15, p = 0.002) and (RR = 2.46, 95% CI 1.46-5.62, p = 0.001) respectively.Conclusion: There was influence of maternal knowledge and attitude against helminthes infection in children less than five years old. Awareness in protection of personal and environment hygiene, periodic medical check- up should be done for improve health children. Health counseling routinely needs to be given to mothers who come to posyandu


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