<![CDATA[Stunting is a serious health problem that impacts the quality of life of children under five. In 2023, East Nusa Tenggara recorded the second highest prevalence of stunting in Indonesia, influenced by health, socio-economic and environmental factors. In terms of the environment, remote sensing technology can be utilised to monitor environmental factors that contribute to stunting, such as vegetation conditions, access to clean water, and soil conditions. This study aims to evaluate the incidence of stunting among children under five using a hybrid machine learning approach, combining predictive modeling and cluster analysis. The results indicate thStunting is a serious health problem that impacts the quality of life of children under five. In 2023, East Nusa Tenggara recorded the second highest prevalence of stunting in Indonesia, influenced by health, socio-economic and environmental factors. In terms of the environment, remote sensing technology can be utilised to monitor environmental factors that contribute to stunting, such as vegetation conditions, access to clean water, and soil conditions. This study aims to evaluate the incidence of stunting among children under five using a hybrid machine learning approach, combining predictive modeling and cluster analysis. The results indicate that eXtreme Gradient Boosting Regressor (XGBR) is the best model for estimating stunting prevalence, with a Root Mean Squared Error (RMSE) of 3.2076 and an value of 0.7223. Meanwhile, for clustering results, K-Means Clustering is identified as the most effective method for grouping districts/cities based on socioeconomic and environmental factors. The clustering process produced two groups, such as vulnerable (Cluster 1) and highly vulnerable (Cluster 2), with connectivity, Dunn Index, and silhouette coefficient values of 29.290, 0.6931, and 0.4509, respectively. These findings are expected to serve as a basis for policymakers in formulating targeted interventions to reduce stunting rates, particularly in highly vulnerable areas. at eXtreme Gradient Boosting Regressor (XGBR) is the best model for estimating stunting prevalence, with a Root Mean Squared Error (RMSE) of 3.2076 and an value of 0.7223. Meanwhile, for clustering results, K-Means Clustering is identified as the most effective method for grouping districts/cities based on socioeconomic and environmental factors. The clustering process produced two groups, such as vulnerable (Cluster 1) and highly vulnerable (Cluster 2), with connectivity, Dunn Index, and silhouette coefficient values of 29.290, 0.6931, and 0.4509, respectively. These findings are expected to serve as a basis for policymakers in formulating targeted interventions to reduce stunting rates, particularly in highly vulnerable areas.]]>
