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Stunting is a public health problem that needs to be addressed both in Indonesia and the World. The real impact of this problem is hampered motor development, mental growth and increased risk of morbidity and death. One of the risk factors for stunting in children is the lack of nutritional intake of infants, especially exclusive breastfeeding. This study aims to determine the relationship between exclusive breastfeeding with stunting in toddlers aged 12-36 months in Tamansari sub-district, Bogor district, 2019. The research design used was cross-sectional using primary data. The sample in this study amounted to 500 toddlers obtained by Proportional Random Sampling. This research was conducted in July 2019. Data collection was carried out by measuring height, body length, interviews with questionnaires and food recall. Stunting status was assessed based on the TB / U indicator <-2 z-score. The analysis used in this study uses multivariate cox regression analysis and the magnitude of the effect is expressed in the prevalence ratio (PR) with a 95% confident interval (CI). The results showed that the prevalence of stunting in toddlers aged 12-36 months in Tamansari sub-district, Bogor district in 2019 was 39.2%. The results of multivariate analysis showed that toddlers who were not given exclusive breastfeeding had a chance of 1.37 (95% CI: 1.03-1.83) times stunting compared to toddlers who were given exclusive breastfeeding after being controlled by maternal education and toddler calorie intake. It is necessary to improve maternal education at least high school and to provide toddlers food intake that is high in energy and protein and affordable by the community.
Kata kunci : stunting, ASI eksklusif, balita 6-59 Bulan.
Stunting is a state of body short and very short to beyond the deficit -2SDbelow the median length or height. Stunting in children can be fatal to their futureproductivity of adults. Stunting associated with impaired immune function andincrease the risk of death. The general objective of this study is known picture ofthe behavior of exclusive breast-feeding mothers in the incidence of Stunting intoddlers (6-59 months) at the district health center Kilasah Kasemen. Cross-sectional studies have been conducted on the behavior of exclusive breastfeedingwith events Stunting with bivariate results obtained meaningful relationships ofknowledge, attitudes and practices towards exclusive breastfeeding Stuntingevents.
Key Words : stunting, exclusive breastfeeding, toddlers 6-59 month.
Stunting is a malnutrition that is still a public health problem in Indonesia and causes various adverse effects on children's health. Besides caused by a chronic lack of nutrition, stunting can also be caused by recurrent of infectious diseases. Efforts to prevent infectious diseases, such as immunization, will play a role in increasing child growth, especially in developing countries. The purpose of this study was to examine the association between basic immunization status and the incidence of stunting in toddlers in Indonesia. This study used a cross-sectional study design using secondary data from SSGI 2021. The inclusion criteria for this study were that toddlers were aged 12–59 months at the time of data collection, their height was measured, were not experiencing severe or chronic illness, and had complete variable data. A total of 70,267 toddlers met the inclusion criteria, and all were taken as research samples. Data analysis was performed using the Cox regression to obtain a prevalence ratio (PR) with 95% of confidence interval. This study shows that the prevalence of stunting among children aged 12–59 months in Indonesia is 23.1%, and the proportion of children under five who have complete basic immunization status is 74.92%. The results of the multivariate analysis showed that basic immunization status had a statistically significant association with the incidence of stunting. Toddlers with incomplete basic immunization status are at risk 1.19 times higher for stunting compared to toddlers with complete basic immunization status [adjusted PR 1.19 (95% CI 1.15–1.23)]. Toddlers who are not immunized at all have an even higher risk of experiencing stunting, which is 1.27 times higher compared to toddlers with complete basic immunization status [adjusted PR 1.27 (95% CI 1.15–1.39)], after controlling for variables such as the mother's education, economic status, and the child's birth weight. Efforts are needed to complete the child's immunization status on time according to schedule and increase the mother's knowledge regarding the use of health services, the fulfillment of toddler nutrition, and the stimulation of child growth and development.
