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Abstrak :
Stunting merupakan masalah kesehatan yang menjadi perhatian semua negara di dunia bahkan pada desa lokus stunting di indonesia khususnya di propinsi tertinggi kejadian stunting Nusa Tenggara Timur yang belum pernah diteliti. Penelitian cross sectional dilakukan untuk mengetahui hubungan determinan stunting dengan kejadian stunting di desa lokusstunting. Jumlah sampel dalam penelitian ini adalah 166 ibu balita yang dipilih melalui metode proportional random sampling pada empat desa lokus stunting. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitas. Ditribusi frekuensi digunakan untuk melihat hasil univariat setiap variabel yang diteliti. Uji Chi Square digunakan untuk melihat analisis bivariat dan menunjukkan ada hubungan antara pengetahuan ibu (p=0,033), pola asuh ibu (p=0,016), pendapatan orang tua (p=0,025), pemanfaatan pelayanan kesehatan (p=0,022), rumah tangga sanitasi (p=0,025), jenis kelamin (p=0,036), jarak kelahiran (p=0,000) dan riwayat penyakit infeksi (p=0,025) dengan kejadian stunting. Hasil analisis multivariat menggunakan regresi logistik ganda menunjukkan bahwa faktor yang paling berhubungan dengan kejadian stunting di desa lokus stunting adalah pengetahuan ibu (p=0,000 OR 35,167; CI 95% 6,064-295,438). Pemberian asuhan keperawatan pada komunitas balita stunting sebagai populasi rentan dapat dilakukan dengan meningkatkan pengetahuan ibu tentang stunting sehingga peningkatan pengetahuan dapat berdampak pada pemahaman stunting pada balita dan menurunkan angka kejadianstuntingdi desa lokus stunting ......Stunting is a health problem that is of concern to all countries in the world, even in the village of stunting locus in Indonesia, especially in the province with the highest incidence of stunting in East Nusa Tenggara which has never been studied. A cross sectional study was conducted to determine the relationship between the determinants of stunting and the incidence of stunting in the stunting locus village. The number of samples in this study were 166 mothers of children under five who were selected through the proportional random sampling method in four stunting loci villages. The instrument used is a questionnaire that has been tested for validity and reliability. Frequency distribution is used to see the univariate results of each variable studied. Chi Square test was used to see bivariate analysis and showed that there was a relationship between mother's knowledge (p=0.033), mother's parenting pattern (p=0.016), parents' income (p=0.025), utilization of health services (p=0.022), household sanitation (p=0.025), gender (p=0.036), birth spacing (p=0.000) and history of infectious disease (p=0.025) with stunting. The results of multivariate analysis using multiple logistic regression showed that the factor most related to the incidence of stunting in the stunting locus village was maternal knowledge (p = 0.000 OR 35.167; 95% CI 6,064-295,438). The provision of nursing care to the stunting toddler community as a vulnerable population can be done by increasing mother's knowledge about stunting so that increased knowledge can have an impact on understanding stunting in toddlers and reduce the incidence of stunting in the stunting locus village.

Abstrak :
Upaya penurunan stunting di Indonesia salah satunya menetapkan wilayah prioritas lokus. Angka stunting di Indonesia ditargetkan turun dari 21,6% (2022) menjadi 14% (2024). Pada desa lokus dilakukan intervensi sensitif dan spesifik secara lebih intensif. Tujuan penelitian ini untuk mengetahui determinan stunting pada balita di 15 desa lokus dan 15 desa non lokus di Kabupaten Garut, Indonesia. Desain studi cross-sectional dari data sekunder dari Dinas Kesehatan Kabupaten Garut dengan jumlah sampel 2.359 balita usia 0-59 bulan. Analisis determinan stunting pada penelitian ini dilakukan secara univariat, bivariat, dan multivariat dengan uji Cox Regression. Hasil penelitian menunjukkan prevalensi stunting pada balita di desa lokus dan non lokus Kabupaten Garut sebesar 30,56% dengan perbandingan proporsi stunting lebih tinggi pada desa non lokus dibandingkan dengan desa lokus. Hasil analisis multivariat menunjukkan determinan stunting secara keseluruhan adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak sedangkan di desa lokus adalah infeksi anak, dan PMT anak adapun di desa non lokus adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak. Faktor kontekstual yang berhubungan dengan stunting keseluruhan adalah jenis desa dan merokok  sedangkan di desa lokus maupun non lokus adalah merokok. Faktor yang paling memengaruhi stunting di desa lokus maupun non lokus intervensi penurunan dan pencegahan stunting Kabupaten Garut tahun 2022 adalah infeksi anak (PR 1,76; 95% CI 1,49-2,08). Hasil penelitian menyarankan pihak Pemerintah Daerah, Dinas Kesehatan, dan masyarakat dapat mencegah stunting melalui pencegahan infeksi dengan pola hidup bersih, bekerja sama dalam program desa lokus, dan melakukan kampanye anti rokok dalam rangka pencegahan dan penurunan angka stunting. ......One of the efforts to reduce stunting in Indonesia is to determine locus priority areas. The stunting rate in Indonesia is targeted to decrease from 21.6% (2022) to 14% (2024). In locus villages, sensitive and specific interventions are carried out more intensively. The purpose of this study was to determine the determinants of stunting in toddlers in 15 locus villages and 15 non-locus villages in Garut District, Indonesia. The study design was cross-sectional using secondary data from the Garut District Health Office with a total sample of 2,359 toddlers aged 0-59 months. Analysis of the determinants of stunting in this study was carried out univariately, bivariately and multivariately using the Cox Regression test. The results showed that the prevalence of stunting in toddlers in locus and non-locus villages in Garut District was 30.56% with a higher proportion of stunting in non-locus villages compared to locus villages. The results of multivariate analysis showed that the overall determinants of stunting were child infection, history of pregnancy disorders, and child PMT, while in the locus village it was child infection, and child PMT while in non-locus village it was child infection, history of pregnancy disorders, and child PMT. Contextual factors related to overall stunting are the type of village and smoking, while in both locus and non-locus villages is smoking. The factor that most influences stunting in locus and non-locus intervention villages to reduce and prevent stunting in Garut District in 2022 is child infection (PR 1.76; 95% CI 1.49-2.08). The results of the study suggest that the Regional Government, the Health Service, and the community can prevent stunting by preventing infection with a clean lifestyle, working together in locus village programs, and conducting anti-smoking campaigns in the context of preventing and reducing stunting rates.