The prevalence of stunting is still high in urban areas. Maternal factors such as height, education, occupation, antenatal visits, and nutritional status have increased stunting in urban areas. The study aims to analyze the maternal factors that influence the incidence of stunting among children aged 24-59 months in urban areas. The case-control design study was conducted in May-July 2019 in Pasuruan City. Samples of 67 cases (HAZ < -2SD) and 67 controls (HAZ > -2SD) were selected by simple random sampling. Data on children's age, gender, birth order, education, occupation, pregnancy classes, and antenatal visits were collected by interviewing respondents using a questionnaire. Data on birth weight, maternal age during pregnancy, maternal upper arm circumference during pregnancy, and maternal height were obtained from the MCH Handbook. The chi-square test and Logistic Regression were used for data analysis. The results showed that the maternal nutritional status during pregnancy was associated with the incidence of stunting in urban areas (p= 0,010). In contrast, children's age, gender, birth order, birth weight, maternal age during pregnancy, maternal height, education, occupation, pregnancy classes, and antenatal visits were not associated (p> 0,05). The incidence of stunting was 3,37 times higher in mothers with MUAC < 23,5 cm during pregnancy (OR= 3,37). In conclusion, maternal nutritional status during pregnancy is the main predictor of stunting among children aged 24-59 months in urban areas.
East Java has a stunting toddler prevalence of 26.1% and Surabaya City has a stunting toddler prevalence of 17.44%. The purpose of this service activity is to empower the East Perak Community Health Center through nutrition education in the context of stunting prevention. Activities carried out in two stages of activity. The first activity is to provide training to become facilitators. The second activity provides assistance to partner cadres/communities as facilitators in counseling. The results of stunting prevention activities in the Tembok Dukuh Community Health Center in Surabaya City showed that the jigsaw method was more effective in improving the quality of toddler parenting than the lecture and demonstration methods (P<0.05). In addition, the results of this activity also showed a significant increase in knowledge. Cadres are also able to become facilitators in applying flashcards using the jigsaw method.
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