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"ABSTRAKStunting merupakan masalah kesehatan masyarakat yang perlu diatasi karena berhubungan dengan meningkatnya risiko kesakitan dan kematian, terhambatnya perkembangan motorik, dan pertumbuhan mental. Penelitian ini bertujuan untuk mengetahui mengetahui gambaran dan faktor dominan kejadian stunting pada balita di Desa Talagamulya Kabupaten Karawang tahun 2013. Desain penelitain yang digunakan adalah cross sectional. Sampel pada penelitian ini berjumlah 118 balita yang didapat dengan cara total sampling. Penelitiani ini dilakukan pada bulan April sampai Mei 2013. Pengumpulan data dilakukan dengan pengukuran tinggi badan, panjang badan, wawancara dengan kuesioner dan lembar FFQ semikuatitatif. Analisis data dilakukan dengan uji chi square. Hasil penelitian menunjukkan bahwa prevalensi stunting balita usia 12-36 bulan di Desa Talagamulya sebesar 38,2% dan status gizi TB/U normal sebesar 61,8%. Analisis uji statistik menunjukkan hubungan yang bermakna antara berat lahir, panjang lahir, asupan energi, asupan protein, asupan zat besi, riwayat pemberian ASI eksklusif, dan pendidikan ibu dengan kejadian stunting. Faktor yang paling dominan dengan kejadian stunting adalah panjang lahir setelah dikontrol variabel asupan energi, berat lahir, asupan lemak, asupan besi, asupan seng pemberian ASI dan pengetahuan gizi.

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ABSTRACTStunting is a public health problem that needs to be addressed due to the increased risk of morbidity and mortality, impaired motor development, and mental growth. This study aims to determine and reveal the main factors in the incidence of stunting in children under five Talagamulya village Karawang regency in 2013. This study uses cross sectional research design. Samples in this research were 118 toddlers obtained by total sampling. This research was conducted in April and May 2013. The data was collected by measuring height, body length, questionnaires and interviews with FFQ semikuatitatif sheet. Data were analyzed by chi square test. The results showed that the prevalence of stunting in children aged 12-36 months was 38.2% Talagamulya village and nutritional status of height for age normal of 61.8%. Statistical analysis showed a significant association between birth weight, birth length, energy intake, protein intake, iron intake, history of exclusive breastfeeding, and maternal education with incidence of stunting. The most dominant factor in the incidence of stunting was birth length after the controlled variable intake of energy, birth weigth, intake of fat, intake of iron, intake of zinc, breastfeeding and nutrition knowledge."

"Stunting atau perawakan pendek pada anak merupakan suatu ?tragedi yang tersembunyi? dan dampaknya menyebabkan gangguan pada pertumbuhan dan perkembangan anak yang irreversibel. Penelitian ini bertujuan untuk mengetahui faktor dominan kejadian stunting pada balita usia 24 ? 59 bulan di Kelurahan Harapan Mulya Kota Bekasi tahun 2013. Disain penelitian adalah cross sectional dan melibatkan 143 sampel yang diambil dengan sampel acak sederhana. Status stunting dinilai berdasarkan Z-score TB/U menurut klasifikasi WHO. Pengukuran tinggi badan menggunakan microtoice, berat badan menggunakan timbangan digital, asupan makanan (energi, protein, vitamin A, zink) menggunakan FFQ semikuantitatif. ASI, berat lahir, penyakit infeksi, pendidikan ayah dan ibu, status ekonomi didapatkan melalui wawancara. Hasil analisis menunjukkan sebanyak 32,9% balita usia 24-59 bulan tergolong stunting. Uji chi-square menunjukkan berat lahir, asupan energi dan protein, asupan zink, pendidikan ayah dan status ekonomi berhubungan signifikan dengan kejadian stunting. Analisis regresi logistik menghasilkan berat lahir sebagai faktor dominan yang berhubungan dengan kejadian stunting setelah dikontrol pendidikan ayah dan asupan energi (p=0,003;OR=6,663;CI=1,87? 23,5). Untuk mencegah kejadian stunting pada balita, disarankan pemeriksaan kehamilan yang teratur, memberikan makanan bergizi seimbang untuk balita sesuai AKG yang dianjurkan, mempersiapkan status kesehatan dan gizi yang baik untuk remaja perempuan sebelum kehamilan.

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Stunting or short stature is a ?hidden tragedy? and its impact causes disorder to a irreversible child?s development. The aim of this study were to determine the dominant factor of stunting among children aged 24-59 months at Harapan Mulya sub-district in Bekasi city 2013. Design was a cross sectional study on 143 children whom chosen by simple random sampling. Status of stunting were expressed by height for age z-score (HAZ) according to the WHO classification. Children?s height were measured using microtoise, body weight was measured with digital scales, nutrients intake (energy, protein, vitamin A and zink) were collected throught semiquantitative FFQ. Breastfeeding, birthweight, infection disease, education of father and mother and economic status were collected through interview.

The analysis result showed 32,9% children aged 24-59 months were stunting. Chi-square test showed birthweight , energy and protein intake, zinc intake, father education and economic status were significant correlate with stunting. Logistic regression analysis showed birthweight variable as a dominant factor which related to stunting after being controlled by father education and energy input (p=0,003;OR=6,663;CI=1,8723,5). Suggestion for deterrence of stunting is the regular pregnancy inspection, giving nutritious wellbalanced under five years food input as according to AKG suggested, preparing good nutrient and health status for woman adolescent before pregnancy."

"this study was aimed to assess factors socioeconomic water and sanitation access to health service and immunization status of the children lees than five years with occurrence of stunting in Sikka and Lombok District in in temore Province .our data was secondary data has been collected By Research center UI after analyzing data with stata 2010 unvariat bivariate analysis in summary we find that from 2593 children under five 54.47 were normal and 45.53 were stunted and in multivariate analysis the male children had1.2 time the risk stunted and had significant association with stunting according age of mother at the age 20-30 year have risk 6.1time to stunted age <20 year had 5 time more risk of stunting and significant association with stunted and in socioeconomic have significant association with stunted poor family had 1.1 time more risk to stunted by going high every level socioeconomic prevalence of stunting going down. Use of soap in hygiene activity non us of soap had 1.5 time risk to stunted than who used soap in hygiene activity had less risk to stunted. Use of soap had significant with stunted. And according health service utilization that family who used form selfmedication had more stunted children than who use community private or government facility and health service utilization in long term illness had significant association with stunting."

"ABSTRAK Dampak yang ditimbulkan dari keadaan stunting adalah terganggunya fungsi kognitif. Masa-masa seribu hari pertama kehidupan adalah waktu kritis pertumbuhan anak. Kondisi stunting pada balita di Indonesia dan dunia masih tinggi. Prevalensi stunting pada baduta di Bojong Kamal mengalami peningkatan dari 18,3% pada tahun 2017 menjadi 30,9% pada tahun 2018. Penelitian ini merupakan penelitian kuantitatif dengandesain cross sectional. Tujuan dilakukan penelitian ini untuk mengetahui persentase stunting pada baduta dan mencari faktor paling dominan terhadap kasus stunting padabaduta usia 13-23 bulan di wilayah kerja Puskesmas Bojong Kamal tahun 2018. Sampel penelitian sebanyak 89 orang yang dipilih secara systematic random sampling. Datadikumpulkan melalui pemeriksaan antropometri untuk menentukan kasus stunting pada baduta, kuesioner untuk mengumpulkan data riwayat pemberian ASI, riwayat penyakit infeksi, pendidikan orang tua, penghasilan orang tua, dan kunjungan posyandu, sertadari kuesioner food recall 24 jam untuk asupan makan. Persentase stunting baduta usia 13-23 bulan di wilayah kerja Puskesmas Bojong Kamal adalah sebesar 32,6%. Asupan energi menjadi faktor dominan yang membedakan kejadian stunting pada baduta usia13-23 bulan di wilayah kerja Puskesmas Bojong Kamal dikontrol oleh riwayat penyakit infeksi, asupan protein dan pendidikan ibu.

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ABSTRACT

The effect of stunting is cognitive disfunction. The first 1000 days period of life is a critical time for child's growth. The number of stunting condition in children in Indonesia and around the world are still high. The prevalence of stunting in children

under 2 years old on Bojong Kamal have been increased from 18.3% in 2017 to 30.9% in 2018. This study is a quantitative research and with cross sectional design. The purpose of this study is to know the persentage of stunting and to find out the most

dominant factor in stunting cases in children age 13-23 month living on the working region of Puskesmas Bojong Kamal. Samples of the study about 89 children were choosen by systematic random sampling. Datas collected from the samples are from ix Universitas Indonesia antopometry examination, questionnaire to collect the history of breast feeding, history of infection disease, education level of the parents, income of the parents, visit to

Posyandu, and questionnaire of food recall 24 hours for food consumption. Percentage of stunting in children age 13-23 months in working region of Puskesmas Bojong Kamal is 32.6%. Energy intake is the dominant factor which differentiate the stunting

cases in children age 13-23 months in working region of Puskesmas Bojong Kamal controlled by history of infection disease, protein intake and mother's education."

"Penyakit Demam Berdarah Dengue merupakan penyakit endemis di sebagian besar wilayah Indonesia, termasuk juga di wilayah tropis lainnya. Tidak semua yang terinfeksi virus dengue akan menunjukkan manifestasi DBD berat. Status gizi erat hubungannya dengan status imunologi seseorang yang berkaitan dengan imunopatogenesis dari DBD. Tujuan penelitian ini adalah mengetahui hubungan stunting dengan kejadian DBD pada balita di Kabupaten Sumbawa. Desain studi yang akan digunakan dalam penelitian ini adalah studi analitik dengan rancangan kasus control. Sampel kasus akan di ambil dari keseluruhan kasus, dan untuk sampel kontrol akan diambil dengan menggunakan tekhnik sampel acak (Simple Random Sampling). Sehingga dapat disimpulkan jumlah kasus 97 (total kasus) keluarga yang memiliki balita dengan diagnosa DBD selama tahun 2018 sampai Maret 2020 (dari 5 wilayah kerja puskesmas dengan jumlah DBD pada balita terbanyak) sedangkan kontrol 194 keluarga yang memiliki balita yang merupakan tetangga kasus. Dari hasil bivariat dapat disimpulkan bahwa ada hubungan yang signifikan antara status gizi dengan kejadian DBD pada balita di Kabupaten Sumbawa (p value = 0.0001) dengan OR = 3.269 (95% CI: 1.757-6.083). Pada analisis multivariate menunjukkan hal yang sama (p value = 0.0001) dengan OR = 3.22 (95% CI: 1.679-6.174). Hal ini menunjukkan bahwa balita dengan status gizi pendek dan sangat pendek meningkatkan risiko 3.22 kali terkena DBD.

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Dengue Hemorrhagic Fever is an endemic disease in most parts of Indonesia, including in other tropical regions. Not all infected with dengue virus will show severe DHF manifestations. Nutritional status is closely related to a person's immunological status related to immunopathogenesis of DHF. The purpose of this study was to determine the relationship of stunting with the incidence of DHF in toddlers in Sumbawa Regency. The study design that will be used in this study is an analytic study with a case control design. Case samples will be taken from all cases, and for control samples will be taken by using a random sample technique (Simple Random Sampling). So it can be concluded the number of cases 97 (total cases) of families who have toddlers with DHF diagnoses from 2018 to March 2020 (from 5 working areas of puskesmas with the highest number of DHFs in toddlers) while control of 194 families who have toddlers who are neighboring cases. From the bivariate results it can be concluded that there is a significant relationship between nutritional status and the incidence of DHF in children under five in Sumbawa Regency (p value = 0.0001) with OR = 3,269 (95% CI: 1,757-6,083). In multivariate analysis showed the same thing (p value = 0.0001) with OR = 3.22 (95% CI: 1,679-6,174). This shows that toddlers with short and very short nutritional status increase the risk of 3.22 times getting DHF."

"Stunting adalah kondisi ketidakmampuan pertumbuhan linier yang terjadi akibat masalah gizi, dan memiliki dampak negatif baik dalam jangka pendek maupun jangka panjang. Data SSGI menyebutkan prevalensi stunting pada balita di Provinsi Jawa Barat mencapai 24,5% (tahun 2021) dan 20,2% (tahun 2022). Masih jauh dari target RPJMN 2020-2024 yaitu 14% dan minimal standar WHO yaitu 20%. Tujuan penelitian ini adalah untuk mengetahui hubungan akses pelayanan kesehatan balita dengan kejadian stunting di Provinsi Jawa Barat. Penelitian ini berjenis kuantitatif dengan desain cross sectional. Data yang dianalisis bersumber dari SSGI (Studi Stasus Gizi Indonesia) tahun 2021 dengan analisis univariat, bivariat, dan multivariat. Populasinya sebanyak 4.530 rumah tangga balita, dan sampel sebanyak 4.526 balita di Provinsi Jawa Barat. Hasil penelitian menunjukkan adanya hubungan antara usia balita, berat badan lahir, panjang badan lahir, keberagaman konsumsi, klasifikasi wilayah, fasilitas kesehatan jauh, pemberian vitamin A, status imunisasi, kepemilikan buku KIA, dan sumber air minum dengan kejadian stunting. Penelitian ini menyarankan perlunya peningkatan koalisi stunting lintas sektor di tiap tingkatan wilayah. Dan menempatkan tenaga Kesehatan Masyarakat (Kesmas) dalam program Integrasi Layanan Primer (ILP) untuk mendampingi perawat dan bidan di setiap desa/kelurahan.

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Stunting is a condition of linear growth inability that occurs due to nutritional problems, and has negative impacts in both the short and long term. SSGI data states that the prevalence of stunting among toddlers in West Java Province reached 24.5% (in 2021) and 20.2% (in 2022). It is still far from the 2020-2024 RPJMN target of 14% and the minimum WHO standard of 20%. The aim of this research is to determine the relationship between access to health services for toddlers and the incidence of stunting in West Java Province. This research is quantitative with a cross sectional design. The data analyzed comes from the 2021 SSGI (Indonesian Nutritional Status Study) with univariate, bivariate and multivariate analysis. The population was 4,530 households under five, and the sample was 4,526 toddlers in West Java Province. The results of the research show that there is a relationship between toddler age, birth weight, birth length, diversity of consumption, regional classification, distant health facilities, vitamin A administration, immunization status, ownership of KIA books, and drinking water sources with the incidence of stunting. This research suggests the need to increase cross-sector stunting coalitions at each regional level. And placing Community Health (Kesmas) workers in the Primary Service Integration (ILP) program to accompany nurses and midwives in every village/sub-district."

"Kampanye merupakan rangkaian tindakan komunikasi terencana yang dilakukan secara terus menerus dalam kurun waktu tertentu dan bertujuan menciptakan efek tertentu, di antaranya berupa peningkatan pemahaman dan perubahan perilaku khalayak. Tesis ini mendeskripsikan terpaan kampanye, aspek kognitif dan perilaku pencegahan stunting. Penelitian ini dilatarbekalangi oleh kampanye mengenai pencegahan stunting yang menjadi salah satu kampanye komunikasi kesehatan prioritas pemerintah di era pemerintahan Presiden Joko Widodo. Penelitian ini merupakan penelitian kuantitatif yang dilakukan dengan metode cross sectional survey menggunakan alat bantu kuesioner kepada para orang tua yang mempunyai anak berusia 0 – 59 bulan (<5 tahun), tinggal di wilayah Jabodetabek (Jakarta, Bogor, Depok, Tangerang, dan Bekasi), pernah terpapar kampanye pencegahan stunting di media mengenai pemberian gizi seimbang, ASI dan MPASI, serta penerapan perilaku hidup bersih dan sehat. Hasil penelitian dianalisis secara univariat. Temuan penelitian memperlihatkan bahwa responden memperoleh informasi mengenai pencegahan stunting dari 1 – 2 media dengan Instagram menjadi media di mana responden paling sering memperoleh pesan atau informasi mengenai pencegahan stunting. Terpaan kampanye juga berpotensi merangsang percakapan di antara anggota masyarakat mengenai pesan kampanye tersebut.

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Campaign is a series of planned communication actions that are carried out continuously over a certain period of time and aim to create certain effects, including increasing understanding and changing audience behavior. This thesis describes the campaign exposure, cognitive and behavioral aspects of stunting prevention. This research was motivated by a campaign on stunting prevention which became one of the government's priority health communication campaigns in the era of President Joko Widodo's administration. This research is a quantitative study conducted with a cross sectional survey method using a questionnaire to parents who have children aged 0 – 59 months (<5 years), living in the Greater Jakarta area (Jakarta, Bogor, Depok, Tangerang, and Bekasi). , has been exposed to stunting prevention campaigns in the media regarding the provision of balanced nutrition, breastfeeding and complementary foods, as well as the application of clean and healthy living behaviors. The results of the study were analyzed univariately. The research findings show that respondents obtain information about stunting prevention from 1-2 media with Instagram being the medium where respondents most often receive messages or information about stunting prevention. Campaign exposure also has the potential to stimulate conversation among community members about the campaign message."

"ABSTRAKStunting (pendek) merupakan masalah gizi kronis pada balita yang ditandai dengantinggi badan yang lebih pendek dibandingkan dengan anak seusianya. Kecamatan TanjungAgung Palik memiliki persentase stunting tertinggi (47,48%), Desa yang menjadi lokasipenelitian adalah Desa Sengkuang dan Desa Sawang Lebar, kedua desa tersebutmerupakan desa yang paling tinggi kejadian stunting. Tujuan Penelitian ini untukmenganalisis sosial budaya suku Rejang terkait dengan stunting. Metode penelitian inimenggunakan kualitatif Rapid Ethnografi. Informan utama dalam penelitian ini adalah 4ibu yang memiliki anak balita stunting dengan ekonomi rendah, 4 ibu yang memiliki balitastunting dengan ekonomi menengah dan 4 ibu yang memiliki anak balita normal denganekonomi rendah, yang tinggal di suku Rejang Kecamatan Tanjung Agung Palik yangdipilih dengan metode purposive sampling yang datanya sudah diketahui dari sistem e-PPGBM Puskesmas berdasarkan pengukuran antropometri. Pengumpulan data dilakukanmelalui wawancara mendalam dan observasi partisipasi yang dilaksanakan pada bulanApril-Juni 2019 di Kecamatan Tanjung Agung Palik. Hasil penelitian menunjukan bahwapenyebab stunting pada masyarakat suku Rejang disebabkan oleh 1) Lingkungan danSanitasi yang buruk, 2) Masih belum melakukan ASI eksklusif, 3) Pemberian MP-ASI dinibalita, 4) Pola pemberian makanan yang masih rendah, 5) Pengetahuan masyarakat yangmasih rendah, 6) Masih adanya kepercayaan tentang pantang makan pada ibu hamil danbalita. Disarankan agar ada upaya penurunan kepercayaan pantang makan ibu hamil dananak balita, pengetahuan lingkungan dan sanitasi, mengurangi pemberian makananprelakteal pada bayi baru lahir, pola pemberian makan dan cakupan pemberian MP-ASIdini melalui penyuluhan rutin dengan melibatkan orang tua balita dan bermitra dengandukun untuk memberikan edukasi akan pentingnya kesadaran ibu terkait gizi.

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ABSTRACTStunting is a chronic nutritional problem on toddlers characterised by a shorter heightcompared to the children in their age group. Tanjung Agung Palik District has the higheststunting case percentage (47,48%), the villages used as a sample for this thesis are theSengkuang and Sawang Lebar village. These two village has the highest numbers ofstunting cases. The purpose of this research is to analyse from a socio-cultural aspect ofhow the Rejang Tribe deals with stunting. This research uses a Rapid Etnographic method.The main informants for this research are 4 mothers with stunted toddlers from low incomefamilies, 4 mothers with stunted toddlers from middle income families, and 4 mothers withnormal toddlers from low income families all od whic are from the Rejang Tribe in theTanjung Agung Palik District selected by purposive sampling method whose data is knownfrom the Puskesmas e-PPGBM system based on anthropometric measurements. The datawere collected through an in-depth interview and participative observation conductedbetween April to June 2019 in the Tanjung Agung Palik District. The research resultsconcluded that the stunting cases in the Rejang Tribe are caused by 1) Bad environmentand sanitation, 2) Still not doing exclusive breastfeeding, 3) Provision of early MP-ASI fortoddlers, 4) The pattern of feeding is still low, 5) Community knowledge that is still low,6) There is still a belief about abstinence in pregnant women and toddlers. It isrecommended that there be an effort to reduce the confidence of abstinence from pregnantwomen and toddlers, knowledge of the environment and sanitation, reduce prelactealfeeding in newborns, feeding patterns and coverage of early MP-ASI through routinecounseling involving parents of toddlers and partnering with traditional healers to provideeducation on the importance of maternal awareness regarding nutrition."