Factors Associated with Stunting in Children Aged 0-24 Months : Studies in Sukaluyu, Karawang, Indonesia (Citarum Project)

Abstract

The period of early life (0-24 months) is a golden period of growth and development that determines the quality of health in the next age. Double malnutrition, including stunting, at the early life will inhibit the growth and development, also increase the risk of noncommunicable diseases (NCDs) in the next stages of life. Methods: This study was aimed to analyze prevalence and factors associated with stunting in children aged 0-24 months in Sukaluyu, Karawang, Indonesia (Citarum Project). A cross sectional study was conducted in 130 childrens aged 0-24 months during oktober-november 2018 in Sukaluyu Village, Karawang District, Indonesia (sector 17 of citarum harum project). The data were collected by questionnaires and anthropometric assessment. Pearson correlation was used to analyze the association between birth weight, early breastfeeding initiation, breast milk, and hygiene and healthy lifestyle. Results: The prevalence of stunting (length/height for age z-scores < -2.0) among children was 20% (male 58%, female 42%). Factor associated with stunting among children was breast milk (p<0.05), meanwhile for birth weight, early breastfeeding initiation, and hygiene and healthy lifestyle are not associated. Conclusions: This study found that stunting can be prevented through exclusive breastfeeding (until 6 months) and continued for up to 2 years with giving complementary feeding.

Healthy Kitchen Overcoming Stunting or DASHAT (Dapur Sehat Atasi Stunting) Assistance Based on Family Farming in Jujun Village, Kerinci

“…The risk factors for stunting are closely related to fulfilling optimal nutrition during pregnancy, breastfeeding and children up to two years of age (First 1000 Days of Life). (Perdana & Ekasari, 2021). The problem of stunting can be prevented by giving exclusive breast milk until the child is six months old and continuing with giving MP-ASI (complementary breast milk food) until the child is two years old.…”

Memutus Mata Rantai Stunting: Transformasi Pendampingan Keluarga Oleh Tim Stunting Kecamatan Kunduran Blora

“…Namun capaian hingga saat ini masih jauh dari target. Evaluasi kebijakan menunjukkan masih lemahnya koordinasi antar sektor dan keterbatasan anggaran menjadi kendala utama (Perdana, 2020;Nurmala et al, 2021). Oleh karena itu, diperlukan komitmen politik dan sinergi program lintas sektor dalam penanganan stunting di Indonesia (Khomsan et al, 2016;Balitbang Kemendagri, 2018).…”

“…Melalui optimalisasi kinerja Puskesmas Kunduran dan jaringan kader kesehatan di tingkat desa, program edukasi gizi, stimulasi tumbuh kembang, dan pendampingan keluarga dapat diintensifkan di Kecamatan Kunduran (Perdana, 2020;Fatimah et al, 2022). Peningkatan kapasitas sumber daya manusia juga diperlukan untuk memastikan kualitas pendampingan keluarga oleh kader (Atmarita et al, 2021).…”

“…Menurut kajian Perdana (2020), selama ini program pendampingan stunting di banyak daerah masih menggunakan paradigma lama yang berorientasi pada penyuluhan kesehatan (health education) dan penyampaian pesan gizi secara satu arah dari petugas kepada ibu hamil Pendekatan edukasi dan konseling lama ini terbukti belum mampu merubah perilaku ibu dan keluarga secara signifikan dalam praktik pemberian makan, perawatan, dan stimulasi tumbuh kembang anak (Khomsan et al, 2019). Diperlukan pendekatan pendampingan keluarga yang lebih kolaboratif dan responsif dengan memahami situasi khusus setiap keluarga stunting.…”

“…Model ini penting untuk segera diadopsi guna mempercepat penurunan stunting di Indonesia. Pendampingan keluarga dalam intervensi stunting selama ini masih didominasi pendekatan top-down yang berfokus pada penyuluhan dari petugas kepada ibu (Perdana, 2020).…”