Analysis of the Determinants of Stunting among Children Aged below Five Years in Stunting Locus Villages in Indonesia

Abstract

Determinants of stunting are a concern in stunting locus villages, especially in East Nusa Tenggara, the province with the highest prevalence of stunting in Indonesia. This study aims to analyze the determinants of stunting in such villages. A cross-sectional research design was conducted on a sample of 166 mothers of children aged 24–59 months selected using a proportional random sampling method in four stunting locus villages in East Nusa Tenggara province, from January to March 2022. Chi-square and binary logistic regression were used to analyze the determinants of stunting with a significance level of p < 0.05. The prevalence of stunting among children aged below five years in the villages was 22.3%. Lack of maternal knowledge (AOR: 5.310; 95% CI: 0.671–41.997) and negative parenting (AOR: 3.026; 95% CI: 1.191–7.871) were associated with higher risk of stunting. Meanwhile, children aged below five years with close birth spacing (AOR: 0.304; 95% CI: 0.087–1.063) had a low risk of stunting. The prevalence of stunting in stunting locus villages needs special attention from the Indonesian government. Maternal knowledge should be enhanced by distributing information related to stunting through formal and non-formal education and teaching good parenting to reduce the prevalence of stunting among children aged below five years in stunting locus villages.

The Effect of Booklet Education on Mothers' Knowledge Related to Stunting

“…Mothers' knowledge of stunting is critical in addressing and preventing stunting-related health problems (Atamou et al, 2023;Beal et al, 2018). The findings of this study indicate that education through booklets is effective for increasing mothers' knowledge related to stunting.…”

Effectiveness Education of Cadres Stunting to Behavior Toddler Mothers Overcome Stunting in Deli Serdang North Sumatera and Aceh Besar, Banda Aceh, Indonesia

“…Currently stunting and nutritional deficiencies in children get special attention from the government by continuing to encourage the acceleration of stunting and malnourished treatment programs in children by doing cooperation between government agencies synergistically (Torlesse et al, 2016). The target of the National Medium Term Development Plan (RPJMN) until 2019 is sought that the stunting percentage can approach the minimum stipulated by the WHO by 20 % of the number of infants in a country (Atamou et al, 2023). Stunting was not only a nutritional deficiency, but there are also environmental sanitation factors, the availability of clean water, including problems of health services in a region so that the need for cooperation and intervention of all ministries of institutions to be coordinated (Anismuslim et al, 2023).…”

Family Resilience With Stunted Children Aged Below 5 Years: A Qualitative Study in Depok City, Indonesia

“…Contextual Determinants can be interpreted as risk factors that can indirectly cause stunting related to the context of cultural politics, health services, education, social, food systems, and the environment. In a study conducted in four stunting locus villages in East Nusa Tenggara province, Indonesia, researchers analyzed the relationship of determinants of stunting prevalence in children aged below 5 years ( Atamou et al, 2023 ). Gender, birth spacing, history of infectious diseases, maternal knowledge, maternal parenting, parental income, utilization of health services, and household sanitation were found to have a significant relationship with the prevalence of stunting.…”