Maternal Knowledge of Balanced Nutrition and Maternal Feeding Practices Associated with Stunting in Children Aged 24-60 Months in the Puskesmas Siempat Rube Working Area
Abstract
Introduction: The prevalence of stunting among children aged 24-60 months is a critical public health concern including in the Puskesmas Siempat Rube working area. Inadequate maternal knowledge about balanced nutrition and inappropriate feeding practices can contribute to the incidence of stunting.
Objective: To analyze the relationship between maternal knowledge of balanced nutrition and maternal feeding practice on the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area.
Method: This cross-sectional study was conducted in December 2023. The research sample consisted of 43 participants selected using purposive sampling. Balanced nutrition knowledge scores were categorized into poor, sufficient, and good; meanwhile, the higher the score for feeding practice, the better the mother's feeding practice was assumed. Height was assessed based on the TB/U indicator and categorized into stunting and not stunting. Hypotheses were analyzed using logistic regression tests, with statistical significance set at p < 0.05.
Result: The prevalence of stunting in this study was 69.8%. Most mothers had insufficient knowledge of balanced nutrition (90.7%), and the average feeding practice score was 58.4. Maternal knowledge of balanced nutrition and maternal feeding practice are significantly related to the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area (p < 0.05). Maternal knowledge of balanced nutrition and maternal feeding practice act as protective factors against the incidence of stunting. The odds of children aged 24-60 months experiencing stunting were 0.056 times lower if their mothers had sufficient knowledge of balanced nutrition compared to mothers with poor knowledge. Similarly, each 1-point increase in a mother's feeding practice score could reduce the incidence of stunting by 0.910 times compared to mothers with a feeding practice score one point lower.
Conclusion: Maternal knowledge of balanced nutrition and maternal feeding practice are significantly associated with the incidence of stunting in children aged 24-60 months in the Puskesmas Siempat Rube working area.
References
Kemenkes. Hasil Survei Status Gizi Indonesia. Jakarta; 2022.
Gusman YM, Farlikhatun L. Hubungan Riwayat Pemberian Asi Eksklusif, Pola Asuh Dan Pengetahuan Ibu Tentang Gizi Dengan Terjadinya Stunting Pada Balita Usia 24-59 Bulan. Malahayati Nursing Journal. 2024; doi: 10.33024/mnj.v6i2.10858
Fitriana Ibrahim N, Bakti Rahayu N, Ajeng Anggreny Ibrahim N, Devianti Tandiallo N. Analisis Faktor Yang Berhubungan Dengan Kejadian Stunting Di Wilayah Kerja Puskesmas Bajo Barat. Bina Generasi Jurnal Kesehatan. 2023; doi: 10.35907/bgjk.v15i1.289
Waqiyah H, Maineny A, Nurfatimah N. The Relationship Between the Timing of Complementary Feeding and Maternal Knowledge of Responsive Feeding and the Incidence of Stunting in Children Aged 6-24 Months. Poltekita Jurnal Ilmu Kesehatan. 2023; doi: 10.33860/jik.v17i1.1889
Ismayanti T, Idealistiana L. Hubungan Pola Pemberian Makan Dan Riwayat Pemberian ASI Ekslusif Terhadap Kejadian Stunting Pada Balita Usia 24 – 59 Bulan Di Wilayah Kerja Puskesmas Tempuran Kabupaten Karawang. Malahayati Nursing Journal. 2024; doi: 10.33024/mnj.v6i4.11150
Iqbalwanty S, Daulay M. Corelation of Family Economic Status With Stunting in the Working Area of Puskesmas Sambau, Kota Batam. Zona Kedokteran Program Studi Pendidikan Dokter Universitas Batam. 2021; doi: 10.37776/zked.v11i1.533
Azmii F, Arini FA. Karakteristik Ibu, Riwayat Asi Eksklusif Dan Riwayat Penyakit Infeksi Dengan Kejadian Stunting Pada Balita 12-59 Bulan Di Wilayah Kerja Puskesmas Sukmajaya. Medika Respati Jurnal Ilmiah Kesehatan. 2018; doi: 10.35842/mr.v13i4.193
Saputri UA, Pangestuti DR, Rahfiludin MZ. Pengetahuan Gizi Dan Pola Asuh Ibu Sebagai Faktor Risiko Stunting Usia 6-24 Bulan Di Daerah Pertanian. Media Kesehatan Masyarakat Indonesia. 2021; doi: 10.14710/mkmi.20.6.433-442
Saleh A, Syahrul S, Hadju V, Andriani I, Restika I. Role of Maternal in Preventing Stunting: a Systematic Review. Gac Sanit. 2021;35:S576–82. Available from: https://www.sciencedirect.com/science/article/pii/S0213911121002909
Rezaeizadeh G, Mansournia MA, Keshtkar A, Farahani Z, Zarepour F, Sharafkhah M, et al. Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine. 2024;71:102574. Available from: https://www.sciencedirect.com/science/article/pii/S2589537024001536
Sirkka O, Abrahamse-Berkeveld M, van der Beek EM. Complementary Feeding Practices among Young Children in China, India, and Indonesia: A Narrative Review. Curr Dev Nutr. 2022;6(6):nzac092. Available from: https://www.sciencedirect.com/science/article/pii/S2475299122000816
Herman H, Mansur AR, Chang Y-J. Factors associated with appropriate complementary feeding: A scoping review. J Pediatr Nurs. 2023;71:e75–89. Available from: https://www.sciencedirect.com/science/article/pii/S0882596323001070
Khomsan A. Teknik Pengukuran Pengetahuan Gizi. Bogor: PT Penerbit IPB Press; 2021.
Kemenkes R. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang Standar Antropometri Anak. Jakarta: Kemenkes RI. 2020;3:1–78.
Rahmawati A, Nurmawati T, Sari LP. Faktor yang berhubungan dengan pengetahuan orang tua tentang stunting pada balita. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery). 2019;6(3):389–95.
Loya RRP, Nuryanto N. Pola asuh pemberian makan pada bayi stunting usia 6-12 bulan di Kabupaten Sumba Tengah, Nusa Tenggara Timur. Journal of Nutrition College. 2017;6(1):84–95.
Rahman N, Hermiyanty, Fauziah L. Faktor Risiko Kejadian Gizi Kurang Pada Balita Usia 24-59 Bulan Di Kelurahan Taipa Kota Palu. Preventif: Jurnal Kesehatan Masyarakat. 2016;7(2):6.
Lailiyah N, Ariestiningsih ES, Supriatiningrum DN. Hubungan pengetahuan ibu dan pola pemberian makan dengan kejadian stunting pada balita (2-5 tahun). Ghidza Media Jurnal. 2021;3(1):226–33.
Marbun M, Pakpahan R, Tarigan AK. Hubungan Pengetahuan Ibu Hamil Dan Tingkat Ekonomi Tentang Kejadian Stunting Dipuskesmas Parapat Kecamatan Parapat Kabupaten Simalunguntahun 2019. Jurkessutra: Jurnal Kesehatan Surya Nusantara. 2019;7(2).
Amalia ID, Lubis DPU, Khoeriyah SM. Hubungan pengetahuan ibu tentang gizi dengan kejadian stunting pada balita. Jurnal Kesehatan Samodra Ilmu. 2021;12(2):146–54.
Tsaralatifah R. Faktor yang Berhubungan dengan Kejadian Stunting pada Baduta di Kelurahan Ampel Kota Surabaya Determinants of Stunted Children Under Two Years Old in Ampel Village, Surabaya. Amerta Nutr. 2020;171–7.
Palupi FH, Renowening Y, Mahmudah H. Pengetahuan Ibu Tentang Gizi Berhubungan Dengan Kejadian Stunting Pada Balita Umur 24-36 Bulan. Jurnal Kesehatan Mahardika. 2023;10(1):1–6.
Noftalina E, Mayetti M, Afriwardi A. Hubungan kadar zinc dan pola asuh ibu dengan kejadian stunting pada anak usia 2–5 tahun di kecamatan panti kabupaten pasaman. Jurnal Ilmiah Universitas Batanghari Jambi. 2019;19(3):565–9.
Purnama AJ, Hasanuddin I, Sulaeman S. Hubungan pengetahuan ibu dengan kejadian stunting pada balita umur 12-59 bulan. Jurnal Kesehatan Panrita Husada. 2021;6(1):75–85.
Wibowo DP, Irmawati S, Tristiyanti D, Normila N, Sutriyawan A. Hubungan Pola Asuh Ibu dan Pola Pemberian Makanan terhadap Kejadian Stunting. JI-KES (Jurnal Ilmu Kesehatan). 2023;6(2):116–21.
Murti LM, Budiani NN, Darmapatni MWG. Hubungan pengetahuan ibu tentang gizi balita dengan kejadian stunting anak umur 36-59 bulan di Desa Singakerta Kabupaten Gianyar. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery). 2020;8(2):62–9.
Rahman FD. Pengaruh Pola Pemberian Makanan Terhadap Kejadian Stunting Pada Balita (Studi di Wilayah Kerja Puskesmas Sumberjambe, Kasiyan, dan Puskesmas Sumberbaru Kabupaten Jember). The Indonesian Journal of Health Science. 2018;10(1).
Authors who publish with Journal of Public Health and Pharmacy retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:
-
Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.
-
Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Journal of Public Health and Pharmacy.
-
License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.