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All Journal Jurnal Kesehatan Kusuma Husada JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Komang Hendra Setiawan
Ganesha University of Education
Health Professions Medicine & Pharmacology Nursing Public Health

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PENGARUH PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA ANAK USIA 6-59 BULAN DI DESA MUNDUK BALI TAHUN 2023 Ni Putu Tia Adnyani; Komang Hendra Setiawan; I Made Kusuma Wijaya
Jurnal Kesehatan Kusuma Husada Vol. 15 No. 2, Juli 2024
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v15i2.1232

Abstract

Stunting merupakan permasalahan gizi kronis yang ditandai dengan hasil TB/U < -2 standar deviasi. Sampai saat ini stunting masih menjadi permasalahan di Indonesia dengan prevalensi 24,4%. ASI Eksklusif memiliki peran krusial dalam pemenuhan gizi untuk mendukung tumbuh kembang anak. Penelitian ini memiliki tujuan untuk mengetahui adanya pengaruh pemberian ASI Eksklusif terhadap kejadian stunting pada anak usia 6-59 bulan di Desa Munduk Bali tahun 2023. Penelitian ini dilakukan di Desa Munduk Bali yang merupakan kawasan wisata, tetapi masih memiliki permasalahan gizi khususnya stunting. Jenis penelitian ini adalah analitik observasional dengan desain penelitian case control. Populasi penelitian mencakup seluruh anak usia 6-59 bulan yang tinggal di Desa Munduk sejumlah 250 anak. Penelitian dilakukan dengan menyetarakan karakteristik umum antara kelompok kasus dan kontrol dengan metode purposive sampling lalu diseleksi dengan kriteria inklusi dan eksklusi hingga didapatkan subjek penelitian berjumlah 20 anak dengan keterangan 10 anak kelompok kasus dan 10 anak kelompok kontrol. Pengumpulan data dilakukan dengan wawancara mendalam bersama Ibu dari sampel penelitian. Hasil uji bivariat dengan fisher exact test mendapat hasil P= 0,020 (Pvalue<0,05) dengan nilai Odds Ratio (OR) = 21,000 dengan confidence interval CI 95% berkisar 1,777 – 248.103. Hal ini menunjukan bahwa terdapat pengaruh signifikan antara pemberian ASI eksklusif dengan kejadian stunting di Desa Munduk tahun 2023. Anak yang tidak ASI Eksklusif memiliki risiko terkena stunting 21 kali lebih tinggi dari pada anak dengan ASI Eksklusif. Stunting is a chronic nutritional problem characterized by a height-for-age (HAZ) result of < -2 standard deviations. Until now, stunting remains a prevalent issue in Indonesia, with a prevalence rate of 24.4%. Exclusive breastfeeding (EBF) plays a crucial role in fulfilling nutritional needs to support the growth and development of children. This research aims to investigate the influence of exclusive breastfeeding on the occurrence of stunting in children aged 6-59 months in Bali’s Munduk Village in 2023. The study is conducted in Balis’Munduk Village, a tourist area that still faces nutritional problems, particularly stunting. This analytical observational research employs a case-control study design. The study population includes all children aged 6-59 months residing in Munduk Village, totaling 250 children. The characteristics of the case and control groups are matched through purposive sampling, followed by selection based on inclusion and exclusion criteria, resulting in a total of 20 research subjects, comprising 10 cases and 10 controls. Data collection is carried out through in-depth interviews with the mothers of the research subjects. Bivariate analysis using Fisher's exact test yields a significant result with P = 0.020 (P value < 0.05) and an Odds Ratio (OR) value of 21.000, with a 95% confidence interval ranging from 1.777 to 248.103. This indicates a significant influence between exclusive breastfeeding and the occurrence of stunting in Munduk Village in 2023. Children who do not receive exclusive breastfeeding have a 21 times higher risk of experiencing stunting compared to those exclusively breastfed
Maternal Factors Associated with Stunting in Children under Five in Asia: A Systematic Review I Gede Arya Satya Darma; I.P. Adi Wibowo; Komang Hendra Setiawan; Made Suadnyani Pasek
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 3 (2026): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.3 (2026)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i3.1059

Abstract

Introduction: Multiple maternal factors influencing pregnancy, fetal development, and early childhood care collectively contribute to stunting, a major health concern among children under five across Asia. Variations in maternal nutritional status, reproductive health, hygienic practices, and access to health services underscore the need to identify the most consistent risk factors. Method: PubMed, ScienceDirect, and Google Scholar were utilized to identify relevant literature. The inclusion criteria encompassed quantitative studies examining maternal factors associated with stunting among children under five in Asian countries. Eligible articles were those published between 2019 and 2024 and available in full text in English. Study selection followed the PRISMA flowchart, and quality assessment used the JBI Critical Appraisal Checklist. Discussion: A total fifteen studies were included and most studies used a cross-sectional design. Analysis identified twenty terms maternal determinants of stunting, including maternal age, educational level, nutritional, and employment status. Several behavioral factors such as handwashing practices, exposure to cigarette smoke, antenatal care compliance, and maternal disease history were also reported as significant although only in a limited number of studies. These factors influence stunting through biological, social, economic, and environmental pathways that affect child growth from pregnancy through early life. Conclusion: Maternal factors have an important role in stunting among children in Asia. The most consistent determinants are maternal age, maternal education, and maternal nutritional status. Strengthening nutrition programs, improving maternal health education, and enhancing access to maternal care services are essential to reduce stunting.
Co-Authors I Gede Arya Satya Darma I Made Kusuma Wijaya I.P. Adi Wibowo Made Suadnyani Pasek Ni Putu Tia Adnyani