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This thesis discusses the environmental determinants that occur in stunting toddlers aged 6-59 months in Babakan Madang District in 2019. The purpose of this study is to look at the phenomenon of health problems in this case the incidence of stunting with the environmental determinants that influence it. This research is an wise team study with funds from the research directorate and community service at Universitas Indonesia. Using cross-sectional design to take primary data with multi stages sampling method and the way of taking respondents in Posyandu using purposive cluster sampling The distance of the poultry cages with a stunting children's house, and its relationship to the ARI symptoms for 3 months and their interactions with the influence of climate (temperature, wind speed and direction) to stunting are representative through mapping. Some variables can be explained better through spatial descriptive, namely the distance of the cage with a toddler's house. The influence of the distance of the poultry cage with the children's house and there is an interrelated relationship with the temperature, wind direction and wind speed on the incidence of recurrent infectious
ABSTRAK Nama : Gladys Apriluana Program Studi : Ilmu Kesehatan Masyarakat Judul : Hubungan Pemberian MPASI dengan Kejadian Stunting pada Balita Usia 24 Bulan di Kecamatan Pagedangan Kabupaten Tangerang Tahun 2019 Pembimbing : Dr drg. Sandra Fikawati, MPH 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. Kata kunci: stunting, balita, pemberian MPASI, pekerjaan ibu
ABSTRACT Name : Gladys Apriluana Study Program : Public Health Title : Correlation Between Complementary Feeding with Stunting in Children Aged 24 Months in Pagedangan District, Tangerang Regency in 2019 Counsellor : Dr drg. Sandra Fikawati, MPH 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. Keywords: stunting, children, complementary feeding, maternal occupation
This study aims to determine the determinants incidence of diarrhea in infants 6-59 months in Babakan Madang District in 2019. Study design was cross sectional. Sampling method was purposive sampling, obtained 612 toddlers. Data collection in May August 2019, by measuring the weight and length of infants, structured interviews with toddler mothers using questionnaire. The results of the study found that 22,5% of children under five had diarrhea at 1 week, 2 weeks, 1 month and the last 3 months before the interview. Dominant factor in the occurrence of diarrhea in infants 6-59 months in Babakan Madang Sub-district in 2019 was the source of clean water for drinking after being controlled by the mother's age variable, storing leftover complementary feeding, cutting toddler's nails, clean water for cooking and washing toddler's tableware. Infrastructure needs to be sought to meet drinking water needs for low-income people, environmental health through counseling about the dangers of diarrhea and how to prevent it.
ABSTRAK
Stunting atau perawakan pendek pada anak merupakan suatu ?tragedi yang tersembunyi? dan dampaknya menyebabkan gangguan pada pertumbuhan dan perkembangan anak yang irreversibel. Penelitian ini bertujuan untuk mengetahui faktor dominan kejadian stunting pada balita usia 24 ? 59 bulan di Kelurahan Harapan Mulya Kota Bekasi tahun 2013. Disain penelitian adalah cross sectional dan melibatkan 143 sampel yang diambil dengan sampel acak sederhana. Status stunting dinilai berdasarkan Z-score TB/U menurut klasifikasi WHO. Pengukuran tinggi badan menggunakan microtoice, berat badan menggunakan timbangan digital, asupan makanan (energi, protein, vitamin A, zink) menggunakan FFQ semikuantitatif. ASI, berat lahir, penyakit infeksi, pendidikan ayah dan ibu, status ekonomi didapatkan melalui wawancara.
Hasil analisis menunjukkan sebanyak 32,9% balita usia 24-59 bulan tergolong stunting. Uji chi-square menunjukkan berat lahir, asupan energi dan protein, asupan zink, pendidikan ayah dan status ekonomi berhubungan signifikan dengan kejadian stunting. Analisis regresi logistik menghasilkan berat lahir sebagai faktor dominan yang berhubungan dengan kejadian stunting setelah dikontrol pendidikan ayah dan asupan energi (p=0,003;OR=6,663;CI=1,87? 23,5). Untuk mencegah kejadian stunting pada balita, disarankan pemeriksaan kehamilan yang teratur, memberikan makanan bergizi seimbang untuk balita sesuai AKG yang dianjurkan, mempersiapkan status kesehatan dan gizi yang baik untuk remaja perempuan sebelum kehamilan.
ABSTRACT
Stunting or short stature is a ?hidden tragedy? and its impact causes disorder to a irreversible child?s development. The aim of this study were to determine the dominant factor of stunting among children aged 24-59 months at Harapan Mulya sub-district in Bekasi city 2013. Design was a cross sectional study on 143 children whom chosen by simple random sampling. Status of stunting were expressed by height for age z-score (HAZ) according to the WHO classification. Children?s height were measured using microtoise, body weight was measured with digital scales, nutrients intake (energy, protein, vitamin A and zink) were collected throught semiquantitative FFQ. Breastfeeding, birthweight, infection disease, education of father and mother and economic status were collected through interview.
The analysis result showed 32,9% children aged 24-59 months were stunting. Chi-square test showed birthweight , energy and protein intake, zinc intake, father education and economic status were significant correlate with stunting. Logistic regression analysis showed birthweight variable as a dominant factor which related to stunting after being controlled by father education and energy input (p=0,003;OR=6,663;CI=1,8723,5). Suggestion for deterrence of stunting is the regular pregnancy inspection, giving nutritious wellbalanced under five years food input as according to AKG suggested, preparing good nutrient and health status for woman adolescent before pregnancy.
Malnutrition in children is a critical issue in Indonesia, manifesting as low birth weight, severely underweight children, and stunting (UNICEF, 2020b). Stunting is a cumulative result of other nutritional problems and requires immediate attention. The highest prevalence of stunting in Indonesia occurs among the poor, affecting approximately 50 million people (Susenas BPS, 2023). This study aimed to determine the relationship between socioeconomic factors and the incidence of stunting in children aged 24-59 months in Tanjung Priok District, North Jakarta. This was a quantitative study employing a cross-sectional design. The independent variables in this study included paternal and maternal education, maternal nutrition knowledge, paternal and maternal occupation, family income, number of family members, daily child food consumption costs, daily animal protein consumption costs, and daily milk consumption costs. Data analysis utilized chi-square tests, Mann-Whitney U tests, and binary logistic regression method. This study found that the incidence of stunting was not significantly associated with paternal and maternal education, maternal nutrition knowledge, paternal and maternal occupation, the number of family members, or daily milk consumption costs. In contrast, family income, daily child food consumption costs, and daily animal protein consumption costs were significantly associated with the incidence of stunting. Among these variables, daily child food consumption costs was the most strongly associated with the incidence of stunting.