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All Journal Jurnal Keperawatan Bina Sehat Prosiding Seminar Nasional Sains Dan Teknologi Fakultas Teknik Journal Of Nursing Practice Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) JKM (Jurnal Kebidanan Malahayati) INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) HOSPITAL MAJAPAHIT (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT) Journal of Telenursing (JOTING) MAHESA : Malahayati Health Student Journal Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Hospital Majapahit : Jurnal Ilmiah Kesehatan Politeknik Kesehatan Mojokerto Jurnal Pengabdian Masyarakat Kesehatan Prosiding Seminar Nasional COSMIC Kedokteran Proceeding Mulawarman International Conference on Tropical Public Health Medica Majapahit
Sulis Diana
STIKES Majapahait Mojokerto
Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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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

Abstract

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 
Pengaruh Faktor Budaya Dan Ketersediaan Sanitasi Terhadap Perilaku Stop Buang Air Besar Sembarangan (BABS) Arif Eko Trilianto; Sulis Diana
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 18 No. 1 (2026): FEBRUARI
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v18i1.1178

Abstract

Open defecation remains a serious challenge in public health development, especially in rural areas of Indonesia. This study was conducted to analyze the influence of cultural factors and the availability of sanitation facilities on open defecation behavior in the working area of the Krejengan Probolinggo Community Health Center. This study used a cross-sectional design. The study population consisted of all married patients who visited the Krejengan Community Health Center in Probolinggo Regency, totaling 13,871 patients, with a sample of 100 people who met the inclusion criteria. Data were collected using questionnaires and analyzed using logistic regression. The results showed that, partially, cultural factors were also proven to have an effect, with a contribution of 8.9%, where negative culture increased the likelihood of open defecation by 2.972 times. The availability of sanitation facilities had the strongest influence, with a contribution of 9.2% and a prevalence ratio of 3.009. Multivariate analysis showed that only the availability of sanitation facilities variable was significantly influential when all variables were tested together. This confirms that sanitation infrastructure is a key enabling factor in changing open defecation behavior. These findings reinforce the importance of a structural approach to public health interventions, in which the provision of basic facilities must be a top priority before attempting to change behavior through education. Community- and culture-based interventions remain necessary to support the sustainability of the Stop Open Defecation program.
Pendidikan Kesehatan Pencegahan Penyakit Akibat Kerja Sebagai Upaya Peningkatan Produktivitas Kerja Dhonna Anggreni; Henry Sudiyanto; Eka Diah Kartiningrum; Sulis Diana; Muhammad Yusuf Alamudi; Arief Fardiansyah
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol. 6 No. 1 (2026): FEBRUARI
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v6i1.1197

Abstract

Improving the quality of human resources is an effort to increase intelligence and work productivity. One effort made to improve the quality of human resources is by improving the health of the public in general and specifically workers. This community service activity aims to increase the knowledge of factory workers regarding steps to prevent occupational diseases so that they do not contract or transmit diseases to their colleagues. This activity was carried out at PT. X in Mojokerto City with the target of the activity being 40 factory workers. This activity consisted of several stages, namely the preparation stage, implementation, and evaluation. In the implementation stage, the activity was carried out through providing health education and health checks. From the evaluation results, it was found that the knowledge of PT. X workers increased after being provided with health education and the results of the health checks were also quite good. The results of the health checks are expected to be a reference for the factory to determine steps to control the risk of health problems among workers.
Pengaruh Pendidikan Gizi Terhadap Tingkat Pengetahuan Gizi Seimbang Pada Siswa Arief Fardiansyah; Sulis Diana; Dlia Usratul Khoiriyah
MEDICA MAJAPAHIT Vol. 18 No. 1 (2026): Maret
Publisher : Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/mm.v18i1.1236

Abstract

Nutritional problems among school-age children remained an important public health issue, characterized by the presence of both undernutrition and overnutrition, which could affect children’s health and development. Low knowledge of balanced nutrition was one of the factors influencing students’ eating behavior. Therefore, nutrition education using educational game-based media was needed to effectively improve students’ understanding. This study used a quasi-experimental design with a pretest-posttest control group approach. The study population consisted of 93 students in grades IV, V, and VI at SDN Pulorejo 2, with a sample of 48 students selected using stratified proportionate random sampling. The sample was divided into two groups: the smart dice media group and the true-false card media group. Data were collected using a questionnaire that had been tested for validity and reliability, and were analyzed using the Paired Sample T-Test and Independent Sample T-Test. The results showed that there was a significant increase in balanced nutrition knowledge in both groups (p < 0.05). The mean knowledge score in the smart dice group increased from 74.79 to 86.63, while in the true-false card group it increased from 70.21 to 80.54. Comparative analysis showed a significant difference in post-test results (p = 0.032), where the smart dice group demonstrated a higher improvement. Nutrition education based on educational games was proven to be effective in improving students’ knowledge. The smart dice media was more effective due to its higher level of interactivity, which enhanced student engagement and understanding.
Co-Authors Abdurrahman, Adam Abidin, Feri Muhammad Agung Tri Anjono Agus Dwi Rahayu Agustin Dwi Syalfina Alamudi, M. Yusuf Alamudi, Mohammad Yusuf Alamudi, Yusuf Anggraeni, Dhonna Arief Fardiansyah Arif Eko Trilianto Arif Hidayat beastbeast, Thabita Benamen, Mohamad Nurdin Citra Adityarini Safitri Citra Adityarini Safitri Denny Prasetyawati Prasetyawati Denny Prasetyawati, Denny Dewi, Fany Rosita Dhonna Anggreni Dlia Usratul Khoiriyah Dwi Helynarti Syurandhari Eka Diah Kartiningrum Eka Dyah Katiningrum Elyana Mafticha EVI NURHIDAYAH, EVI Faradina Fardiansyah, Arief Ferilia Adiesti Ferilia Adiesti Ferilia Adiesti Fernandes, Angelina da Costa Fitria Edni Wari Ginka, Mochammad Ivan Abdillah Putra Henry Sudiyanto HSudiyanto, Henry I Putu Aprilia Pratama Ika Suhartanti, Ika Ikhwan Abdullah Iskhak, Muhamad Laily, Eny Dwi Rokhmatu Leny Candra Kurniawan Mahmudah, Rifaatul Laila Meutia, Reni Muhammad Yusuf Alamudi Nurun Ayati Khasanah Nurun Ayati Khasanah Nurwidji Nurwidji, Nurwidji Putri Lestari, Putri Putu Angga Ciptadi Ridha Rahayu Roisul Umam Roswidianah, Erna Santoso, Mohamad Arif Budi Sari Priyanti, Sari Sarliana Seno, Seno Sri Wardini, Sri Sudianto, Henry Sumirat, Cahyati Sundayana I Made Syahril, Achwan Tonny, Harry Irfan Tri Peni Tripeni Tripeni, Tripeni Wari, Fitria Edni Widya Puspitasari