The Responsive Feeding Behavior and Stunting Incident on Toddlers

Abstract

Stunting is a condition where the children have short stature caused by chronic malnutrition. Stunting could interfere with physical development and affects low intelligence levels. Based on basic health research data in 2019,the stunting rate in Indonesia reached 27.6%. WHOs' The WHO targeted stunting rate should be under 20%. In 2019, Tegal city had 830 children aged 0-5 years with stunting,and for the Margadana regency,there were 80 toddlers. This study aimed to determine the correlation of responsive feeding behavior and the incidence of stunting. This study was an observational study with a case-control design,with a ratio of 1:1. The population of this research was mothers who have toddlers aged 6-36 months. The sample was 28 respondents divided into two groups. Subjects who entered the stunting group had a PB/U z-score<-2 SD,and subjects in the normal group had a PB/U-2SDz-score to 2SD. Data collection through interviews was to assess Knowledge,Attitudes,and Responsive Feeding Behavior and analyze the correlation with stunting and assessing the amount of risk for each variable. The data analyzed using Chi-Square on the study results show a relationship between knowledge,attitudes,and responsive feeding behavior with stunting. Based on the risk factor for lack of knowledge,the risk is 6.2 times greater for children experiencing stunting and unfavorable attitudes, 6.6 times greater risk for stunting children. At the same time, good behavior has a lower risk of 0.15 children experiencing stunting. It is hoped that toddlers' mothers can improve responsive feeding knowledge,attitudes,and behaviors so that toddlers' nutritional needs will be even better.

The Correlation between Knowledge, Attitude, and Behavior of Responsive Feeding on Stunting Incidents in Children in Karangploso Health Center, Malang Regency, Indonesia

“…This result agrees with previous study, reveals that responsive feeding knowledge and the incidence of stunting in toddlers 6-36 months are interrelated. Other studies also stated the same thing, the knowledge variable of responsive feeding and stunting in children aged 6-24 months are interconnected [12,14,15]. In addition, another research also stated the same thing, but in children aged 12-24 months.…”

“…The results of this study are in line with the results of the study of Septamarini et al, [12] which states that there is a relationship between responsive feeding and stunting in children aged 6-24 months in the Working Area of the Bandarharjo Health Center Semarang with an odds ratio of 5.6, which means that mothers with poor responsive feeding attitudes are 5.6 times more at risk for having stunted offspring compared to mothers who have good responsive feeding attitudes. Furthermore, research Latifah et al, [15] also states that responsive feeding and stunting are interrelated with an OR value of 6.6. Attitude is a special tendency in responding to environmental stimuli that can direct a person's behavior.…”

“…If we compare mothers with low knowledge to mothers with sufficient knowledge, the risk of stunting in children is 10.2 times higher in mothers with low knowledge of responsive feeding. Likewise, mothers with low responsiveness to feeding have a 5.2 times greater risk of experiencing stunting in their offspring compared to mothers with sufficient responsiveness to feeding [12,15].…”

Strategi Peningkatan Pengetahuan, Sikap, dan Praktik Responsive Feeding untuk Pencegahan Stunting pada Balita

“…Responsive Feeding berhubungan dengan keragaman pangan yang dikonsumsi oleh balita (Robert et al, 2021). Pengetahuan, sikap, dan praktik Responsive Feeding berhubungan dengan kejadian stunting pada (Latifah, et al, 2020;Septamarini et al, 2019) Pengetahuan dan sikap gizi ibu memiliki hubungan positif terhadap skor konsumsi anak yang dapat meningkatkan atau memperbaiki status gizi anak. Keuntungan jangka pendek adalah meningkatnya pemberian tanda lapar dan kenyang secara jelas dan sikap yang responsif.…”

“…Kuesioner yang disusun meliputi aspek pengetahuan, sikap, dan praktik Responsive Feeding pada ibu balita. Kuesioner yang disusun mengadopsi kuesioner yang telah digunakan oleh penelitian (Latifah et al, 2020;Septamarini et al, 2019)…”