Skip to main content Skip to main navigation menu Skip to site footer

Maternal social determinants of stunting events in Kulon Progo, Yogyakarta

  • Suci Musvita Ayu ,
  • Liena Sofiana ,
  • Yuniar Wardani ,
  • Yus Haryanto ,


Abstract

Background and purpose: Kulon Progo District is one of the 100 priority districts in Indonesia for stunting program with a prevalence of 22.65%. The purpose of this research is to identify association between mother's education, family income and exclusive breastfeeding history with stunting events in Kulon Progo District, Yogyakarta.

Methods: This research used a cross sectional design which conducted in Kulon Progo District, Yogyakarta. There were 729 children aged 0-59 months recorded in the integrated service post (posyandu) who met the inclusion criteria. Data collection was conducted using a questionnaire for children and mothers’ characteristics, while stunting status was retrieved from the growth monitoring card. Data analysis was conducted using Chi-Square test.

Results: Children in the survey were 53.77% boys and around a quarter (24.69%) were at 25-36 months old. The majority of the mothers (72.98%) were between the ages of 26 and 35 years with high school education (67.35%) and most of them did not work (82.17%). Children with lower maternal education are less likely to experience stunting (PR=0.751; 95%CI: 0.593-0.952; p=0.013), and those from lower income family have almost five fold increased chance of stunting (PR=4.562; 95%CI: 2.643–7.874; p<0.001). Whilst for history of exclusive breastfeeding, the association was not statistically significant with stunting (PR=0.795; 95%CI: 0.529–1.196; p=0.239)

Conclusion: There is a relationship between maternal and family education with the probability of stunting, while there is 20% reduced chance of stunting if children were breast fed although it was not statistically significant. Improving maternal awareness on stunting is essential for stunting management programs.

Keywords: stunting maternal education family income exclusive breastfeeding children under five

References

  1. Hermina H, Prihantini S. Gambaran keragaman konsumsi, makanan dan sumbangannya terhadap (stunting), energi protein pada anak balita pendek di Indonesia [Overview of the diversity of consumption, food and its contribution to (stunting), protein energy among short under five years children in Indonesia]. Buletin Penelitian Kesehatan. 2011; 39(2): 62-73.
  2. Dasman H. Empat dampak stunting bagi anak dan negara Indonesia [Four impacts of stunting among children and Indonesia]. The Conversation [Internet]. Available from: https://theconversation.com/empat-dampak-stunting-bagi-anak-dan-negara-indonesia-110104
  3. World Health Organization. Nutrition Landscape Information System (NLIS) country profile indicators. Geneva: Department of Nutrition for Health and Development, World Health Organization. 2010.
  4. Picauly I, Toy SM. Analisis determinan dan pengaruh stunting terhadap prestasi belajar anak sekolah di Kupang dan Sumba Timur, NTT [Analysis of determinants and effects of stunting on students' learning achievement in Kupang and East Sumba, East Nusa Tenggara]. J Gizi dan Pangan. 2013; 8(1): 55-62.
  5. World Health Organization. In exclusive breastfeeding for optimal growth, development, and health of infants. World Health Organization [Internet]. 2018. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_1
  6. Ministry of Health of Indonesia. Buku Saku Pemantauan Status Gizi Tahun 2017 [Pocket Book of The 2017 Nutritional Status Monitoring]. Ministry of Health of Indonesia. Jakarta; 2018.
  7. Nugroho A. Determinan growth failure (stunting) pada anak umur 1 s/d 3 tahun (studi di Kecamatan Tanjungkarang Barat Kota Bandar Lampung) [Determinants of growth failure (stunting) among children aged 1 to 3 years (study in Tanjungkarang Barat Sub-District, Bandar Lampung City)]. Jurnal Kesehatan. 2016; 7(3): 470-479.
  8. Kusumawardhani I, Gunawan IMA, Aritonang I. ASI eksklusif, panjang badan lahir, berat badan lahir rendah sebagai faktor resiko terjadinya stunting pada anak usia 6-24 bulan di Puskesmas Lendah II Kulon Progo (Skripsi) [Exclusice breastfeeding, birth length, low birth weight as risk factors for stunting among children aged 6-24 months at Lendah II Public Health Center, Kulon Progo (Undergraduate Thesis)]. Poltekkes Kemenkes Yogyakarta; 2017.
  9. Cynthia, Suryawan IWB, Widiasa, AAM. Hubungan ASI eksklusif dengan kejadian stunting pada anak usia 12-59 bulan di RSUD Wangaya Kota Denpasar [The association between exclusive breasfeeding and stunting among children aged 12-59 months at Wangaya Hospital Denpasar]. J Kedokt Meditek. 2019; 25(1): 29-35.
  10. Pengan J, Kawengian S, Rombot DV. Hubungan antara riwayat pemberian ASI eksklusif dengan kejadian stunting pada anak usia 12-36 bulan di wilayah kerja Puskesmas Luwuk Kecamatan Luwuk Selatan Kabupaten Banggai Sulawesi Tengah [The relationship between exclusive breastfeeding and stunting among children aged 12-36 months in the working area of the Luwuk Public Health Center, South Luwuk Sub-District, Banggai District, Central Sulawesi]. J Pub Health of Unsrat. 2015; 1(1); 1-8.
  11. Putri AD, Ayudia F. Hubungan pemberian ASI eksklusif dengan kejadian stunting pada anak usia 6-59 bulan di Kota Padang [Relationship of exclusive breastfeeding with stunting among children aged 6-59 months in Padang City]. J Kesehat Med Saintika. 2020; 11(2): 91-96.
  12. Kuntadi. Angka stunting turun, Pemkab Kulon Progo terus perkuat komitmen pencegahan [Stunting rate drops, Kulon Progo District Government continues to strengthen prevention commitments] [Internet]. 2019. Available from: https://yogya.inews.id/berita/angka-stunting-turun-pemkab-kulonprogo-terus-perkuat-komitmen-pencegahan
  13. Semba RD, de Pee S, Sun K, Sari M, Akhter N, Bloem MW. Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. The Lancet. 2008; 371(9609): 322-328.
  14. Ni’mah K, Nadhiroh SR. Faktor yang berhubungan dengan kejadian stunting pada balita [Factors associated among under five year children]. Media Gizi Indonesia. 2015; 10(1): 13-19.
  15. Reyes H, Pérez-cuevas R, Sandoval A, Castillo R, Santos JI, Doubova S V, et al. The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study. BMC Public Health. 2004; 4(10): 1-10.
  16. Lusiana E. The relationship between exclusive breastfeeding (ASI) and mother heightwith incident rates stunting among child age 2-5 years in Barombong Public Health Center, Gowa, South Sulawesi. KnE Life Sciences. 2019; 558-567.
  17. Sri M, Arif M, Agus KA, Zian LN. Faktor penyebab anak stunting usia 25-60 bulan di Kecamatan Sukorejo Kota Blitar [The description of stunting's causal factors among children aged 25-60 months in Sukorejo Sub-District, Blitar City]. J Ners dan Kebidanan. 2018; 5(3): 268-278.

How to Cite

Ayu, S. M., Sofiana, L., Wardani, Y., & Haryanto, Y. (2021). Maternal social determinants of stunting events in Kulon Progo, Yogyakarta. Public Health and Preventive Medicine Archive, 9(2), 116–119. https://doi.org/10.15562/phpma.v9i2.407
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
159

Total
86

Share