Jurnal Sains dan Kesehatan
Vol. 10 No. 1 (2026): Juni : Jurnal Sains dan Kesehatan (JUSIKA)

Identification of Stunting Risk Based on Maternal Prenatal Factors Using Random Forest Approach: A Preliminary Retrospective Study

Kaysa Naisy Khosina (Sekolah Tinggi Ilmu Kesehatan Semarang)
Pramesti Kusumaningtyas (Sekolah Tinggi Ilmu Kesehatan Semarang)
Mohammad Rofii (Sekolah Tinggi Ilmu Kesehatan Semarang)



Article Info

Publish Date
24 Jun 2026

Abstract

Stunting is a multifactorial public health problem influenced by various risk factors that may emerge during the prenatal period. Early identification of stunting risk during pregnancy is important to support preventive interventions. This study aimed to develop a stunting risk prediction model based on maternal prenatal factors using the Random Forest algorithm. Secondary data from 172 pregnant women, consisting of 83 stunting cases and 89 non-stunting cases, were analyzed. The predictor variables included maternal age during pregnancy, height, hemoglobin level, mid-upper arm circumference (MUAC), smoking history, hypertension, asthma, and diabetes mellitus. The research stages consisted of data preprocessing, model training using Stratified 5-Fold Cross Validation, performance evaluation, external testing, and feature importance analysis. Internal evaluation results showed an accuracy of 60%, precision of 60.6%, recall of 57.3%, F1-score of 58.9%, and AUC of 0.6688. External testing yielded an accuracy of 70% and an AUC of 0.6167. Feature importance analysis identified maternal age during pregnancy as the most influential variable in the prediction process. The findings indicate that maternal prenatal factors have potential for early stunting risk identification, although the predictive performance remains moderate. This approach may serve as a foundation for developing early screening tools to support targeted interventions among high-risk pregnancies.

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Journal Info

Abbrev

jusika

Publisher

Subject

Health Professions Public Health

Description

publikasi ilmiah dalam konten kesehatan dan sains yang memuat hasil penelitian, kajian pustaka, analisis kritis dan ...