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The Assosiation Between Nutritional Status and Fine Motor Development in Children Aged 36-42 Months Wari, Fitria Edni; Yuliani, Farida; Mail, Erfiani
Jurnal Midpro Vol. 14 No. 1 (2022): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v14i1.365

Motor development is related to nutritional status, optimal nutrition affects the physical growth of cell proliferation. Malnutrition will affect the development of children where the proportion of body structure becomes inappropriate for their age and interferes with the development of other aspects, one of which is fine motor development. This study used an analytical survey research design with a cross sectional approach with the aim of knowing the relationship between nutritional status and fine motor development. The population and sample in this study were 36-42 months old children in PAUD Tarbiyatush Shibyan, Gayaman Village, Mojoanyar District, amounting to 36 children with a total sampling technique. This study uses a weight scale instrument to measure body weight in determining the nutritional status of children with the criteria of Weight based on Age and KPSP (Kuesioner Pra Skrining Perkembangan) observation sheet to measure children's fine motor development. Data analysis with univariate analysis and bivariate analysis on two variables that are suspected to be correlated. Chi Square test was performed. Chi Square test results obtained p Value = 0.004 <0.05 which indicates that there is a relationship between nutritional status and fine motor development in PAUD Tarbiyatush Shibyan, Gayaman Village, Mojoanyar District. Midwife coordinates with the teaching staff/teachers in the school to monitor progress and continuous stimulation.

Relationship Of Pregnant Mother Satisfaction In Antenatal Care Services With Motivation To Do Antenatal Care Mail, Erfiani; Yuliani, Farida; Wari, Fitria Edni
Jurnal MIDPRO Vol 15 No 1 (2023): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v15i1.453

Quality of health services provided by the government still has not or does not meet the expectations of patients and the public. This study aims to determine the relationship between the satisfaction of pregnant women at antenatal care with the motivation to do antenatal care. This research is an analytical study, which uses cross sectional design. The population in this study of pregnant women who do antenatal care in rural Puskesmas Gayaman Kabupaten Mojokerto is 58 people. The sample size in this study were 30 respondents. The sampling technique with a non-probability sampling techniques with the type of accidental sampling. Data collection techniques using primary data in the form of questionnaires and secondary data obtained from the KMS pregnant women. Techniques used in data analysis is Spearman Rank correlation. The study was conducted in Puskesmas Gayaman Kabupaten Mojokerto village on June 15 to June 29, 2022. The results of this study showed that pregnant women who feel very satisfied that as many as 23 respondents (76.7%), and pregnant women who have good motives as much as 26 respondents (86.7%). From the analysis of the data by Spearman Rank test, the result shows that the calculated Ï Ï table 0.5468 and 0.364, the price can be seen that Ï greater than Ï count table that means there is a correlation between the satisfaction of pregnant women at antenatal care with the motivation to do antenatal care. Â Â Â Â Â Â Â Â Â Satisfaction of pregnant women in antenatal care of pregnant women affect the motivation to perform antenatal care. A good midwife services, facilities, friendly attitude of midwives, midwives skills in responding quickly to face the problems of patients so that respondents are motivated to come back. The motivation is called extrinsic motivation, namely the stimulation comes from outside or other people. Conclusions from this study are doing antenatal care satisfaction related to the motivation of doing antenatal care. Suggestions for health services in accordance with the result expected service quality can be maintained and further enhanced.

Analisis Faktor-Faktor yang Mempengaruhi Kualitas Pelayanan terhadap Kepuasan Pasien Diana, Sulis; Syahril, Achwan; Anggreni, Dhonna; Wari, Fitria Edni
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.7710

This study aimed to determine the factors that influence service quality on patient satisfaction at Jember Acupuncture House. This research is an analytical survey research with an explanatory approach. The results showed that Data analysis was performed using multiple linear regression tests and the results obtained showed that there was a significant influence between the factors of reliability, responsiveness, and attention. Meanwhile, assurance and appearance factors have no significant effect on patient satisfaction. From this study, the results showed that the overall quality of service at Jember Acupuncture House was good, but some did not show maximum service quality because the services received did not by the expectations and needs of patients.. Keywords: Quality of service, Satisfaction, Patient

Determinant Factors Of Anemia During Pregnancy Nurhasanah, Rifaatun; Yuliani, Farida; Wari, Fitria Edni; Irawati, Dian
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.18534

Latar Belakang: Anemia merupakan masalah kesehatan yang sering terjadi selama kehamilan. Anemia dapat meningkatkan risiko IUGR, prematuritas, penyakit infeksi, perdarahan pascapersalinan, bahkan kematian ibu dan bayi.Tujuan: Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil.Metode: Penelitian ini merupakan penelitian cross-sectional di Puskesmas Brondong. Sampel penelitian sebanyak 46 ibu hamil trimester III yang diambil secara simple random sampling. Kriteria inklusi adalah ibu hamil trimester III, sedangkan kriteria eksklusi adalah ibu hamil yang menolak menjadi responden dan sudah pernah melahirkan sebelum pengambilan data. Pengumpulan data dilakukan pada bulan Oktober 2022 sampai dengan Januari 2023. Analisis statistik dilakukan dengan uji chi square dengan tingkat signifikansi α = 0,05.Hasil: Hasil penelitian menunjukkan bahwa faktor risiko kejadian anemia adalah jarak kehamilan (nilai p = 0,002, OR 0,12) dan konsumsi suplemen zat besi secara teratur (nilai p = 0,001, OR 0,86). Tidak terdapat pengaruh paritas terhadap kejadian anemia (nilai p = 0,31).Kesimpulan: Terdapat pengaruh jarak kehamilan dan keteraturan konsumsi zat besi terhadap kejadian anemia.Saran: Bagi petugas kesehatan dan kader kesehatan agar memberikan promosi kesehatan untuk mencegah anemia, seperti memberikan pendidikan kesehatan tentang jarak kehamilan, keluarga berencana, dan manfaat pentingnya mengkonsumsi suplemen zat besi pada ibu hamil. Kata kunci: anemia, jarak kehamilan, paritas, suplemen zat besi ABSTRACT Background: Anemia is a health problem that often occurs during pregnancy. It can increase the risk of IUGR, prematurity, infectious diseases, postpartum hemorrhage, and even maternal and infant mortality.Objective: The aim of this study was to identify determine the factors on incidence of anemia in pregnant women.Methods: A cross-sectional study was carried out at Brondong Community Health Care. 46 third trimester pregnant women taken by simple random sampling. Inclusion criteria was third trimester pregnant women, exclusion criteria were they refused to be respondents and already had given birth prior data collection. Data collection was took place from October 2022 to January 2023. Statistical analyses carried out by chi square test with significant level of α = 0.05.Results: The results showed that risk factors on incidence of anemia were pregnancies space (p value = 0.002, OR 0,12) and regular consumption of ferrous supplements (p value = 0.001, OR 0.86). There wasn’t effect of parity on incidence of anemia (p value = 0,31).Conclusions: There was effect of pregnancy space and regular consumption of ferrous on incidence of anemia.Suggestion: Health provider, health workers, and cadres would provide health promotion to prevent anemia, such as providing health education about pregnancy spacing, family planning, and the aventages of consuming ferrous supplements in pregnant women. Keywords : anemia, ferrous supplements, parity, pregnancy space

Assistance for Pregnant Women in Preventing KEK and Anemia Yuliani, Farida; Mail, Erfiani; Wari, Fitria Edni
Journal of Community Service for Health Vol. 4 No. 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jcsh.v4i1.1128

Anemia in pregnant women is a health problem related to its high incidence and the complications that can arise in the mother and fetus. This community service aimed to provide assistance and counseling in the prevention of anemia and KEK in pregnant women so that pregnant women in the Gayaman Village area routinely consume FE tablets to prevent anemia. The method used mentoring and measuring the discipline in consuming FE tablets with a checklist and interviews about the regularity of FE tablet consumption. This community service was conducted on 25 pregnant women in September 2022-January 2023. The results revealed that based on interviews before the service was carried out, pregnant women still did not routinely consume FE tablets and did not pay attention to diets during pregnancy. After the explanation and assistance, pregnant women understood the benefits of consuming FE tablets regularly. Assistance needs to be given to pregnant women so that FE consumption is carried out regularly so that pregnant women avoid anemia and KEK.

Analysis Of Factors Affecting Stunting In Toddlers Iskhak, Muhamad; Diana, Sulis; Anggreni, Dhonna; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.22176

Latar Belakang: Stunting pada balita memerlukan perhatian khusus karena menghambat perkembangan fisik dan mental anak, yang secara tidak langsung terkait dengan risiko penyakit dan kematian.Tujuan: Tujuan penelitian ini adalah menganalisis faktor-faktor yang mempengaruhi insidensi stunting pada balita di wilayah kerja Puskesmas Klenang, Kabupaten Probolinggo.Metode: Studi ini menggunakan desain kasus-kontrol kuantitatif. Variabel independen meliputi faktor individu (Berat Badan Lahir Rendah (BBLR), riwayat ASI eksklusif, penyakit menular pada balita, status imunisasi), faktor ibu (status gizi ibu, usia ibu saat hamil, paritas, jarak kelahiran), dan faktor lingkungan (sumber air bersih, akses ke toilet). Variabel dependen dalam penelitian ini adalah insidensi stunting. Populasi penelitian meliputi 359 ibu dan balita di wilayah kerja Puskesmas Cakar, Kecamatan Banyuanyar, Kabupaten Probolinggo. Pengambilan sampel dilakukan dengan metode proportional random sampling, menggunakan kuesioner sebagai instrumen. Analisis menggunakan uji regresi logistik.Hasil: Sebagian besar balita dengan Berat Badan Lahir Rendah (BBLR) mengalami stunting, 44 (52,4%). 71 (84,5%) di antaranya diberikan ASI eksklusif. 83 (98,8%) balita stunting tidak menderita penyakit menular. 73 (86,9%) balita stunting telah mendapatkan imunisasi lengkap. Berat Badan Lahir Rendah (BBLR) (nilai P 0,000 < 0,05), pemberian ASI eksklusif (nilai P 0,017 < 0,05), dan status imunisasi (nilai P 0,046 < 0,05) secara signifikan mempengaruhi stunting. Status penyakit menular (P-value 0,556 < 0,05) tidak mempengaruhi stunting.Kesimpulan: Berat Badan Lahir Rendah (BBLR) merupakan faktor dominan yang mempengaruhi stunting akibat asupan nutrisi yang tidak memadai selama kehamilan dan riwayat berat badan lahir rendah.Saran: Tenaga kesehatan harus meningkatkan pendidikan dan konseling bagi ibu hamil, ibu balita, dan calon orang tua tentang stunting, gizi, pengasuhan anak, dan pencegahan penyakit menular, melalui posyandu terpadu, kader kesehatan, dan media digital. Kata kunci: Faktor ibu, faktor individu, faktor lingkungan, stunting ABSTRACT Background: Toddler stunting requires special attention because it inhibits the physical and mental development of children which will indirectly be related to the risk of illness and death.Objective: The purpose of the study: to analyze the factors that influence the incidence of stunting in toddlers in the working area of the Klenang Health Center, Probolinggo Regency.Method: This study used a quantitative case-control design. The independent variables were individual factors (LBW, history of exclusive breastfeeding, toddler infectious diseases, immunization status), maternal factors (maternal nutritional status, maternal age during pregnancy, parity, birth spacing), and environmental factors (source of clean water, access to toilets). The dependent variable in this study was the incidence of stunting. The population was all 359 mothers and toddlers in the Cakar Community Health Center work area, Banyuanyar District, Probolinggo Regency. Proportional random sampling was used, with a questionnaire as the instrument. Analysis used a logistic regression test.Results: The majority of toddlers with LBW experienced stunting, 44 (52.4%). 71 (84.5%) were exclusively breastfed. 83 (98.8%) of the stunted toddlers did not have infectious diseases. 73 (86.9%) of the stunted toddlers had complete immunizations. Low birth weight (LBW) (P-value 0.000 < 0.05), exclusive breastfeeding (P-value 0.017 < 0.05), and immunization status (P-value 0.046 < 0.05) significantly affected stunting. Infectious disease status (P-value 0.556 < 0.05) did not influence stunting.Conclusion: Low birth weight (LBW) is the most dominant factor influencing stunting due to inadequate nutritional intake during pregnancy and a history of low birth weight.Suggestion: Health workers should increase education and counseling for pregnant women, mothers of toddlers, and expectant parents about stunting, nutrition, parenting, and infectious disease prevention, through integrated health posts (Posyandu), health cadres, and digital media. Keywords: Environmental factors, individual factors, maternal factors, stunting

Factor-Factor What Influences Open Defecation Behavior Meutia, Reni; Diana, Sulis; Alamudi, Yusuf; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.21794

Latar Belakang: Buang Air Besar Sembarangan (BASS) merupakan masalah kesehatan lingkungan yang masih umum terjadi di Indonesia dan berdampak pada penyebaran penyakit menular, terutama diare.Tujuan: Studi ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi Perilaku Buang Air Besar Sembarangan di Desa Tegalrejo, Kecamatan Dringu, Kabupaten Probolinggo.Metode: Studi ini menggunakan desain analitis observasional dengan pendekatan cross-sectional, melibatkan 1.015 rumah tangga di Desa Tegalrejo, dengan 225 responden yang dipilih melalui sampling acak proporsional. Data dikumpulkan menggunakan kuesioner terstruktur dan dianalisis melalui uji univariat, bivariat (uji Chi-Square), dan multivariat (regresi logistik).Hasil: Hasil penelitian menunjukkan bahwa variabel yang secara signifikan terkait dengan perilaku Buang Air Besar di tempat terbuka meliputi tingkat pendidikan, pengetahuan, sikap, pekerjaan, usia, pendapatan, kepemilikan jamban, ketersediaan air bersih, peran tenaga kesehatan, dan dukungan dari pemimpin masyarakat. Faktor dominan yang mempengaruhi perilaku Buang Air Besar di tempat terbuka adalah kepemilikan jamban dan tingkat pengetahuan responden.Kesimpulan: Temuan ini menunjukkan pentingnya intervensi berbasis komunitas yang mencakup pendidikan kesehatan lingkungan, peningkatan akses ke sanitasi dasar, dan keterlibatan aktif pemimpin komunitas dan tenaga kesehatan dalam mendukung program Stop BABS menuju pencapaian desa bebas Buang Air Besar Sembarangan (BABS).Saran: Pemerintah daerah dan Dinas Kesehatan perlu meningkatkan intervensi promotif dan preventif dengan memperkuat program Sanitasi Total Berbasis Masyarakat (STBM), khususnya pilar pertama (Stop Buang Air Besar Sembarangan). Pendekatan berbasis komunitas dan keterlibatan lintas sektor perlu diperluas untuk meningkatkan akses ke toilet yang sehat. Kata kunci: Buang Air Besar Sembarangan (BABS), Kepemilikan Toilet, Pengetahuan, Perilaku, Sanitasi. ABSTRACT Background:Open Defecation is an environmental health problem that is still common in Indonesia and has an impact on the spread of infectious diseases, especially diarrhea.Objective:This study aims to analyze the factors that influence open defecation behavior in Tegalrejo Village, Dringu District, Probolinggo Regency.Method:This study employed an observational analytical design with a cross-sectional approach, involving 1,015 households in Tegalrejo Village, resulting in 225 respondents selected through proportional random sampling. Data were collected using a structured questionnaire and analyzed through univariate, bivariate (Chi-Square test), and multivariate (logistic regression) tests.Results:The results of the study showed that variables significantly associated with defecation behavior included education level, knowledge, attitude, occupation, age, income, latrine ownership, clean water availability, the role of health workers, and support from community leaders. The dominant factors influencing defecation behavior were latrine ownership and respondents' level of knowledge.Conclusion:These findings indicate the importance of community-based interventions that include environmental health education, increasing access to basic sanitation, and actively involving community leaders and health workers in supporting the Stop BABS program towards achieving Open Defecation Free (ODF) villages.Suggestion:Regional governments and the Health Department should increase promotive and preventive interventions by strengthening the STBM program, particularly the first pillar (Stop Open Defecation). Community-based approaches and cross-sectoral engagement need to be expanded to increase access to healthy latrines. Keywords: Behavior, Knowledge, Open Defecation, Sanitation, Toilet Ownership

Analysis Of Factors Affecting Dental Caries In Stunted Toddlers Sumirat, Cahyati; Diana, Sulis; Anggreni, Dhonna; Mahmudah, Rifaatul Laila; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 12 (2025): Volume 11 No 12 Desember 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i12.23343

Latar Belakang: Stunting dan karies gigi masih menjadi masalah kesehatan yang serius pada balita di Indonesia. Balita yang mengalami stunting berisiko lebih tinggi terkena karies gigi akibat gangguan pertumbuhan dan pola makan yang terganggu. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi karies gigi pada balita yang mengalami stunting di Pusat Kesehatan Masyarakat Sooko, Kabupaten Mojokerto.Metode: Desain penelitian menggunakan pendekatan cross-sectional dengan teknik sampling simple stratified random sampling pada 85 responden. Data dikumpulkan melalui wawancara menggunakan kuesioner, dan dianalisis secara univariat, bivariat, dan multivariat.Hasil: Hasil penelitian menunjukkan bahwa sebagian besar ibu dari balita yang mengalami stunting memiliki pengetahuan yang baik (43,5%), perilaku positif (30%), dan jumlah keluarga besar yang mengalami stunting (37,1%). Sebanyak 49,4% balita tidak memiliki riwayat Berat Badan Lahir Rendah (BBLR), dan 30% balita yang tidak mendapatkan ASI eksklusif tidak mengalami stunting. Sebagian besar ibu memiliki penghasilan di bawah upah minimum (52,4%), dan 52,4% balita dengan variasi pola makan tertentu mengalami karies. 25,9% balita yang tinggal di lingkungan miskin mengalami stunting. Uji regresi logistik menunjukkan bahwa pengetahuan ibu (p=0,007), riwayat BBLR (p=0,043), dan asupan makanan (p=0,000) memiliki pengaruh yang signifikan. Analisis multivariat menunjukkan bahwa asupan makanan (p=0,000), faktor ibu (p=0,002), dan insidensi stunting (p=0,000) memiliki pengaruh terhadap karies. Di sisi lain, perilaku ibu (p=0,641), jumlah anggota keluarga (p=0,052), ASI eksklusif (p=0,092), pola makan (p=0,998), pendapatan keluarga (p=0,465), dan sanitasi lingkungan (p=0,522) tidak memiliki pengaruh signifikan terhadap karies gigi.Kesimpulan: Pencegahan karies gigi dapat dilakukan melalui pendidikan, meningkatkan pengetahuan ibu, memperbaiki pola makan anak-anak, dan meningkatkan kebersihan lingkungan dan sanitasi. Kata Kunci: Karies Gigi, Stunting, Pengetahuan Ibu, Pola Makan, Sanitasi ABSTRACT Background: Stunting and dental caries are still high health problems in toddlers in Indonesia. Stunted toddlers are at greater risk of caries due to growth disorders and disturbed eating patterns. This study aims to analyze the factors that influence dental caries in stunted toddlers at Sooko Community Health Center Mojokerto Regency.Method: The research design used a cross-sectional approach with simple stratified random sampling technique on 85 respondents. Data were collected through interviews using a questionnaire, and analyzed univariately, bivariately, and multivariately.Results: The results showed that most mothers of stunted toddlers had good knowledge (43.5%), positive behavior (30%) and the number of large families experiencing stunting (37.1%). A total of 49.4% of toddlers did not have a history of LBW, and 30% of toddlers who did not get exclusive breastfeeding did not experience stunting. Most mothers had an income below the minimum wage (52.4%) and 52.4% of toddlers with certain dietary variations had caries. 25.9% of children under five who lived in poor neighborhoods were stunted. Logistic regression test showed that maternal knowledge (p=0.007), LBW history (p=0.043), and food intake (p=0.000) had a significant effect. Multivariate analysis showed that food intake (p=0.000), maternal factors (p=0.002), and the incidence of stunting (p=0.000) had an effect on caries. In contrast, maternal behavior (p=0.641), number of family members (p=0.052), exclusive breastfeeding (p=0.092), diet (p=0.998), family income (p=0.465), and environmental sanitation (p=0.522) had no significant effect on dental caries.Conclusion: Prevention of dental caries can be done through education, increasing maternal knowledge, improving children's diet, and improving environmental hygiene and sanitation. Keywords: Dental Caries, Stunting, Maternal Knowledge, Diet, Sanitation

The Influence Of Maternal Factors, Toddler Factors, And Environmental Factors On The Incidence Of Stunting In Toddlers Laily, Eny Dwi Rokhmatu; Diana, Sulis; Anggreni, Dhonna; Wari, Fitria Edni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 12 (2025): Volume 11 No 12 Desember 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i12.23344

Latar Belakang: Stunting merupakan masalah gizi kronis di Indonesia yang mempengaruhi tinggi badan, perkembangan kognitif dan motorik, serta risiko penyakit kronis. Studi ini bertujuan menganalisis pengaruh faktor ibu, balita, dan lingkungan terhadap insidensi stunting pada balita di Desa Balongsari, Kota Mojokerto pada tahun 2025.Metode: Studi ini merupakan studi observasional analitis potong lintang terhadap 84 ibu dan balita yang dipilih menggunakan sampling acak berstrata proporsional. Data dikumpulkan melalui kuesioner, wawancara, data sekunder, dan antropometri, kemudian dianalisis menggunakan uji chi-square dan SEM.Hasil: Hasil penelitian sebagian besar ibu memiliki status gizi normal (60,7%), berusia 20–34 tahun (61,9%), memiliki pengetahuan yang baik tentang menyusui (56%), dan memiliki jarak kelahiran normal 2–4 tahun (67,9%). Di antara bayi, sebagian besar memiliki riwayat infeksi sesekali (65,5%), imunisasi lengkap (52,4%), dan jarak kelahiran ideal (66,7%). Faktor lingkungan didominasi oleh kurangnya akses ke air bersih (52,4%), sanitasi yang buruk (51,2%), ketersediaan layanan kesehatan (71,4%), dan lingkungan yang tidak higienis (52,4%). Menyusui eksklusif selama 6 bulan mencapai 54,8%, dan sebagian besar balita tidak mengalami stunting (69%). Analisis menunjukkan bahwa variabel signifikan untuk stunting adalah status gizi ibu (p=0,000; PR=23,500), pengetahuan (p=0,000; PR=8,039), usia ibu saat hamil (p=0,001; PR=0,185), jarak kelahiran (p=0,000; PR=6,836), paritas (p=0,001; PR=0,187), riwayat infeksi (p=0,000; PR=9,614), imunisasi (p=0,000; PR=12,222), sanitasi (p=0,000; PR=9,690), akses ke air bersih (p=0,000; PR=13,508), akses ke fasilitas kesehatan (p=0,000; PR=13,762), dan menyusui eksklusif (p=0,000; PR=14,438). Variabel yang tidak signifikan adalah jarak kelahiran (p=0,182; PR=0,491). SEM menunjukkan bahwa faktor ibu, bayi, dan lingkungan berpengaruh, dengan faktor ibu menjadi yang paling dominan.Kesimpulan: Stunting pada balita dipengaruhi oleh faktor-faktor terkait ibu, balita, lingkungan, dan pemberian ASI eksklusif. Upaya pencegahan harus difokuskan pada pendidikan ibu tentang gizi, promosi pemberian ASI eksklusif, imunisasi balita, serta peningkatan sanitasi dan akses ke air bersih. Kata Kunci: Stunting, ASI Eksklusif, Pendidikan Ibu, Sanitasi, Balita ABSTRACT Background: Stunting is a chronic nutritional problem in Indonesia that affects height, cognitive and motor development, and the risk of chronic diseases. This study aims to analyze the factors that influence open defecation behavior in Tegalrejo Village, Dringu District, Probolinggo Regency.Method: This study is a cross-sectional analytical observational study of 84 mothers and toddlers selected using proportionate stratified random sampling. Data were collected through questionnaires, interviews, secondary data, and anthropometry, then analyzed using chi-square tests and SEM.Results: The results of the study showed that most mothers were of normal nutritional status (60.7%), aged 20–34 years (61.9%), had good knowledge about breastfeeding (56%), and had a normal birth interval of 2–4 years (67.9%). Among infants, the majority had a history of occasional infections (65.5%), complete immunization (52.4%), and an ideal birth spacing (66.7%). Environmental factors were dominated by lack of access to clean water (52.4%), poor sanitation (51.2%), availability of health services (71.4%), and unhygienic environments (52.4%). Exclusive breastfeeding for 6 months was 54.8%, and most toddlers were not stunted (69%).The analysis shows that the significant variables for stunting are maternal nutritional status (p=0.000; PR=23.500), knowledge (p=0.000; PR=8.039), maternal age during pregnancy (p=0.001; PR=0.185), birth spacing (p=0.000; PR=6.836), parity (p=0.001; PR=0.187), history of infection (p=0.000; PR=9.614), immunization (p=0.000; PR=12.222), sanitation (p=0.000; PR=9.690), access to clean water (p=0.000; PR=13.508), access to health facilities (p=0.000; PR=13.762), and exclusive breastfeeding (p=0.000; PR=14.438). The non-significant variable was birth spacing (p=0.182; PR=0.491). SEM indicated that maternal, infant, and environmental factors were influential, with maternal factors being the most dominant.Conclusion: Stunting in toddlers is influenced by factors related to the mother, the toddler, the environment, and exclusive breastfeeding. Prevention efforts should focus on educating mothers about nutrition, promoting exclusive breastfeeding, immunizing toddlers, and improving sanitation and access to clean water. Keywords: Stunting, Exclusive Breastfeeding, Mother Education, Sanitation, Toddlers

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