Determinan Kejadian Stunting Pada Balita: Peran Literasi Gizi Ibu, Pemberian Makan Responsif, Dan Kepatuhan Pemantauan Pertumbuhan
DOI:
https://doi.org/10.62354/jurnalmedicare.v4i4.321Kata Kunci:
stunting, nutritional literacy, responsive eating, growth monitoringAbstrak
Stunting remains a major chronic nutritional problem with long-term consequences for physical growth, cognitive development, and overall quality of life. In 2024, the global prevalence of stunting reached 23.2%, while Indonesia reported 21.5%, East Nusa Tenggara (NTT) 37.9%, and Kupang District even higher at 39.5%. Household-level factors such as maternal nutrition literacy, responsive feeding practices, and adherence to growth monitoring play an essential role in stunting prevention. A preliminary assessment indicated that many mothers still demonstrated limited nutrition literacy, suboptimal responsive feeding practices, and irregular participation in growth monitoring services. This study aimed to determine the influence of maternal nutrition literacy, responsive feeding, and growth monitoring compliance on stunting among toddlers. A descriptive-analytic design with a cross-sectional approach was applied, and data were analyzed using logistic regression. The findings showed that maternal nutrition literacy (b = –1.61; SE = 0.73; p = 0.034), responsive feeding (b = –1.93; SE = 0.62; p = 0.019), and growth monitoring (b = –1.82; SE = 0.76; p = 0.017) were significantly associated with stunting. Thus, improving maternal nutrition literacy, promoting responsive feeding practices, and strengthening compliance with routine growth monitoring are crucial strategies for reducing stunting among young children.
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Referensi
Akbar, R. R., Kartika, W., & Khairunnisa, M. (2023). The Effect of Stunting on Child Growth and Development. Scientific Journal, 2(4), 153–160.
Azriani, D., Masita, Qinthara, N. S., Yulita, I. N., Agustian, D., Zuhairini, Y., & Dhamayanti, M. (2024). Risk factors associated with stunting incidence in under five children in Southeast Asia: a scoping review. In Journal of Health, Population and Nutrition (Vol. 43, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s41043-024-00656-7
Azwar, A., Tane, R., Sartika, D. M.S. (2023). Responsive Feeding dan Stunting Pada Anak: Literature Review. In Journal of Nursing Innovation (JNI) (Vol. 2, Issue 3).
Black, M. M., & Hurley, K. M. (2017). Responsive feeding: Strategies to promote healthy mealtime interactions. Nestle Nutrition Institute Workshop Series, 87, 153–165. https://doi.org/10.1159/000448965
Chowdhury, Z. T., Hurley, K. M., Shaikh, S., Mehra, S., Ali, H., Shamim, A. A., & Christian, P. (2025). Caregiver Feeding Behaviours and Child Dietary Diversity and Growth in Rural Bangladesh. Maternal and Child Nutrition, 21(2). https://doi.org/10.1111/mcn.13781
Costarelli, V., Michou, M., Panagiotakos, D. B., & Lionis, C. (2022). Parental health literacy and nutrition literacy affect child feeding practices: A cross-sectional study. Nutrition and Health, 28(1), 59–68. https://doi.org/10.1177/02601060211001489
Damanik, S. M., Wanda, D., & Hayati, H. (2020). Feeding practices for toddlers with stunting in Jakarta: A case study. Pediatric Reports, 12. https://doi.org/10.4081/pr.2020.8695
Dinas Kesehatan Kabupaten Kupang. (2023). Profil Kesehatan Kabupaten Kupang 2023. Kabupaten Kupang: Dinas Kesehatan Kabupaten Kupang.
Edae, B. S., Yazew, T., Disasa, H. D., & Kuyu, C. G. (2025). Growth Monitoring and Promotion Service Utilization and Associated Factors Among Mothers/Caregivers of Children 0–23 Months in Sude District, Southeast Ethiopia. Maternal and Child Nutrition, 21(2). https://doi.org/10.1111/mcn.13769
Kementerian Kesehatan Republik Indonesia. (2023). Profil kesehatan Indonesia 2023. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan RI. (2024a). Laporan Tematik Survei Kesehatan Indonesia (SKI) Tahun 2023: Potret Indonesia Sehat. Jakarta: Kementerian Kesehatan RI.
Kementerian Kesehatan RI. (2024b). Survei Status Gizi Indonesia: Dalam Angka. Jakarta: Kementerian Kesehatan RI.
Masilela, L. N., & Modjadji, P. (2023). Child Nutrition Outcomes and Maternal Nutrition-Related Knowledge in Rural Localities of Mbombela, South Africa. Children, 10(8). https://doi.org/10.3390/children10081294
Munawar, K., Mukhtar, F., Roy, M., Majeed, N., & Jalaludin, M. Y. (2024). A systematic review of parenting and feeding practices, children’s feeding behavior and growth stunting in Asian countries. Psychology, Health and Medicine, 29(10), 1705–1752. https://doi.org/10.1080/13548506.2024.2421461
Picauly, I., Mirah Adi, A. A. A., Meiyetriani, E., Mading, M., Weraman, P., Nashriyah, S. F., Hidayat, A. T., Adeline Boeky, D. L., Lobo, V., Saleh, A., & Peni, J. A. (2023). Path analysis model for preventing stunting in dryland area island East Nusa Tenggara Province, Indonesia. PLoS ONE, 18(11 November). https://doi.org/10.1371/journal.pone.0293797
Rezaeizadeh, G., Mansournia, M. A., Keshtkar, A., Farahani, Z., Zarepour, F., Sharafkhah, M., Kelishadi, R., & Poustchi, H. (2024). Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine, 71. https://doi.org/10.1016/j.eclinm.2024.102574
Sahanggamu, P. D., Purnomosari, L., & Dillon, D. (2017). Information exposure and growth monitoring favour child nutrition in rural Indonesia. Asia Pacific Journal of Clinical Nutrition, 26(2), 313–316. https://doi.org/10.6133/apjcn.012016.09
Saleh, A., Syahrul, S., Hadju, V., Andriani, I., & Restika, I. (2021). Role of Maternal in Preventing Stunting: a Systematic Review. Gaceta Sanitaria, 35, S576–S582. https://doi.org/10.1016/j.gaceta.2021.10.087
Sirajuddin, S., Razak, A., Thaha, R. M., & Sudargo, T. (2021). The intervention of maternal nutrition literacy has the potential to prevent childhood stunting: Randomized control trials. In Journal of Public Health Research (Vol. 10).
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. In American Journal of Clinical Nutrition (Vol. 112, pp. 777S-791S). Oxford University Press. https://doi.org/10.1093/ajcn/nqaa159
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