Growth monitoring is a determinant of stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency, Jambi province, Indonesia

Nurtika Sari; Ari Probandari; Suminah Suminah

doi:10.21927/ijnd.2025.0(0).%p

Growth monitoring is a determinant of stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency, Jambi province, Indonesia

Nurtika Sari, Ari Probandari, Suminah Suminah

Abstract

ABSTRAK

Latar Belakang: Kabupaten Tanjung Jabung Timur merupakan salah satu kabupaten di Provinsi Jambi dengan angka prevalensi stunting yang masih tinggi berdasarkan hasil SSGI 2022 yaitu sebesar 22,5%. Penyebab stunting menjadi beberapa faktor baik dari faktor anak sendiri, maupun faktor orang tua dan faktor lingkungan rumah tangga.

Tujuan: Penelitian ini bertujuan untuk mengkaji determinan stunting pada balita usia 6-23 bulan di Kabupaten Tanjung Jabung Timur.

Metode: Penelitian ini menggunakan desain cross sectional dengan memanfaatkan data sekunder bersumber dari hasil Survei Status Gizi Indonesia tahun 2022 di Kabupaten Tanjung Jabung Timur Provinsi Jambi. Penelitian ini melibatkan 148 balita berusia 6 hingga 23 bulan sebagai sampel. Analisis menggunakan aplikasi SPSS dengan melakukan analisis distribusi frekuensi dan tabulasi silang menggunakan chi square. Variabel terikat pada penelitian ini adalah stunting dan variabel bebas yaitu pemantauan pertumbuhan, Inisiasi Menyusu Dini (IMD), Air Susu Ibu (ASI) eksklusif, berat badan lahir, dan imunisasi.

Hasil: Hasil penelitian menunjukkan pemantauan pertumbuhan sebagai variabel bebas yang berhubungan dengan kejadian stunting di Kabupaten Tanjung Jabung Timur usia 6-23 bulan (0R 2,34; p = 0,048; 95%CI 1,08 – 5,11), sedangkan IMD, ASI eksklusif, berat badan lahir,dan imunisasi tidak berhubungan dengan stunting.

Kesimpulan: Pemantauan pertumbuhan merupakan determinan stunting pada balita usia 6-23 bulan di Kabupaten Tanjung Jabung Timur. Penting untuk meningkatkan kunjungan masyarakat dalam melakukan pemantauan pertumbuhan secara rutin ke pelayanan kesehatan, karena pemantauan berperan dalam mendeteksi dini gangguan gizi, memastikan intervensi yang tepat, dan mendukung tumbuh kembang anak yang optimal.

KATA KUNCI: BBLR; IMD; pemantauan pertumbuhan; stunting

ABSTRACT

Background: Tanjung Jabung Timur Regency is one of the regencies in Jambi Province that has a high prevalence of stunting, recorded at 22,5% based on the 2022 SSGI results. Stunting has several causes, including the child's, parental, and household environmental factors.

Objectives: This study examined the risk factors for stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency.

Methods: This study used a cross-sectional design by utilizing secondary data sourced from the results of the 2022 Indonesian Nutritional Status Survey (SSGI) in Tanjung Jabung Timur Regency, Jambi Province. This study included 148 toddlers between 6 and 23 months as its sample. The analysis used the SPPS application by conducting frequency distribution analysis and cross-tabulation using chi-square. The dependent variable in this study was stunting, and the independent variables were growth monitoring, early initiation of breastfeeding, exclusive breastfeeding, birth weight, and immunization.

Results: The results showed that growth monitoring was the independent variable related to stunting in Tanjung Jabung Timur Regency aged 6-23 months (0R 2.34; p = 0.048; 95% CI 1.08 – 5.11), while early initiation of breastfeeding, exclusive breastfeeding, birth weight, and immunization were not related to stunting.

Conclusions: Growth monitoring determines stunting in toddlers aged 6-23 months in Tanjung Jabung Timur Regency. Improving community participation in routine growth monitoring at health services is essential, as it contributes to the early detection of nutritional problems, ensures appropriate interventions, and promotes optimal child growth and development.

KEYWORD: early initiation of breastfeeding; growth monitoring; low birth weight; stunting

Article submitted on November 13, 2024; Articles revised on January 08, 2024; Articles received on May 07, 2025; Available online on November 29, 2025

Keywords

stunting; growth monitoring; breastfeeding; early initiation of breastfeeding; low birth weight

References

UNICEF/WHO/WORLD BANK. Levels and trends in child malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2021 edition. World Heal Organ [Internet]. 2021;1–32. Available from: https://www.who.int/publications/i/item/9789240025257

Kementerian Kesehatan RI. Hasil Riset Kesehatan Dasar Tahun 2018. Vol. 53, Kementerian Kesehatan RI. 2018.

Kemenkes RI. Buku Saku Hasil Survei Status Gizi Indonesia (SSGI) 2022 [Internet]. Kementerian Kesehatan RI. 2022. 1–14 p. Available from: https://www.litbang.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/

UNICEF. Conceptual Framework Child Nutrition. Nutr Child Dev Sect Program Gr 3 United Nations Plaza New York, NY 10017, USA [Internet]. 2021;2–3. Available from: www.unicef.org/nutrition

Hardinsyah, Supariasa I. Ilmu Gizi : Teori dan Aplikasi. Jakarta: EGC; 2016.

Haris A, Fitri A, Kalsum U. Determinan Kejadian Stunting Dan Underweight Pada Balita Suku Anak Dalam Di Desa Nyogan Kabupaten Muaro Jambi Tahun 2019. J Kesmas Jambi [Internet]. 2019;3(1):41–54. Available from: https://doi.org/10.22437/jkmj.v3i1.7598

Achadi EL, Achadi A, Aninditha T, Auliya P, Sari YNI. Pencegahan Stunting Pentingnya Peran 1000 Hari Pertama Kehidupan. Depok : Rajawali Pers; 2020.

Nur Handayani U, Rika R, Anies I, Kencana S, Bunga Christitha Rosah BC, Nurillah A, et al. Short birth length, low birth weight and maternal short stature are dominant risks of stunting among children aged 0-23 months: Evidence from Bogor longitudinal study on child growth and development, Indonesia. Malays J Nutr. 2018;24(29):11–23.

Kementerian Desa Pembangunan Daerah Tertinggal dan Transmigrasi. Buku Saku Desa dalam Penanganan Stunting. Kemendes PDTT; 2017. 1–35 p.

Dinas Kesehatan Kabupaten Tanjung Jabung Timur. Profil Kesehatan Kabupaten Tanjung Jabung Timur Tahun 2022. 2022.

Fentiana N, Tambunan F, Ginting D. Peran Pemantauan Pertumbuhan Dalam Upaya Pencegahan Stunting Anak 0-23 Bulan di Indonesia: Temuan Riskesdas 2013. J Semesta Sehat [Internet]. 2022;2(2):9–18. Available from: https://doi.org/10.58185/j-mestahat.v2i2.96

Kebede GG, Dawed YA, Seid KA. Child growth monitoring and promotion practice and associated factors among health care workers at public health facilities in south Wollo Zone, Northeast Ethiopia: a facility-based cross-sectional study. BMC Nutr [Internet]. 2022;8(1):99. Available from: https://doi.org/10.1186/s40795-022-00597-6

Susilowaty E, Feriani P. Hubungan Pemantauan Status Gizi Balita dengan Kejadian Stunting: Literatur Review 2021. Borneo Student Res [Internet]. 2022;3(3):2504–14. Available from: https://journals.umkt.ac.id/index.php/bsr/article/view/2826/1337

Ergun-Longmire, MD B, Wajnrajch MP. Growth and Growth Disorders [Internet]. Feingold K, Anawalt B, Blackman M, editors. South Dartmouth (MA): MDText.com: Endotext [Internet]; 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279142/

Sahu SK, Rajaa S, Vijayageetha M, Selvaraj K, Sambath PM, Roy G. Strengthening growth monitoring among under-5-year children to fight childhood undernutrition in India. J Fam Med Prim care [Internet]. 2019 Jan;8(1):231–8. Available from: doi: 10.4103/jfmpc.jfmpc_225_18

Mariah S, Sugianti TE. The Relationship between Birth Weight, History of IMD, Exclusive Breastfeeding, and MP-ASI with Stunting in Children 0-59 Months at Pajagan Community Health Center 2023. J Obstet Scienia [Internet]. 2023;11(2):114–29. Available from: https://doi.org/10.55171/obs.v11i2.1035

Ayelign A, Zerfu T. Household, dietary and healthcare factors predicting childhood stunting in Ethiopia. Heliyon [Internet]. 2021;7(4):e06733. Available from: https://doi.org/10.1016/j.heliyon.2021.e06733

Permanasari Y, Saptarini I, Amaliah N, Safitri A, Aditianti, Nurhidayati N, et al. Faktor Determinan Balita Stunting pada Desa Lokus dan Non Lokus di 13 Kabupaten Lokus Stunting di Indonesia Tahun 2019. Penelit Gizi dan Makanan [Internet]. 2021;44(2):79–92. Available from: https://pgm.persagi.org/index.php/pgm/article/view/680/745

Kementerian Kesehatan RI. Pemberian Makan Bayi dan Anak : Buku Bacaan kader Posyandu. 2022. 1–38 p.

Rusmil VK, Prahastuti TO, Luftimas DE. Exclusive and Non-Exclusive Breastfeeding among Stunted and Normal 6 – 9 Month-Old-Children in Jatinangor Subdistrict , Indonesia. Althea Med J [Internet]. 2019;6(1):35–41. Available from: https://doi.org/10.15850/amj.v6n1.1598

Hina SBGJ, Picauly I. Hubungan Faktor Asupan Gizi, Riwayat Penyakit Infkesi dan Riwayat ASI Eksklusif dengan Kejadian Stunting di Kabupaten Kupang. J Pangan Gizi dan Kesehat [Internet]. 2021 Nov 1;10(2 SE-):61–70. Available from: https://pergizipanganntt.id/ejpazih/index.php/filejurnal/article/view/155

UNICEF & WHO. Indicators for Assessing Infant and Young Child Feeding Practices [Internet]. Vol. WHA55 A55/, World Health Organization. 2021. 122 p. Available from: https://www.who.int/publications/i/item/9789240018389

Perdani FP, Laksono AD, Chalidyanto D. The Undernutrition Prevalence of Under-Two-Years Infant in Indonesia: Do breastfeeding Practices Ecologically Matter? Indian J Forensic Med Toxicol [Internet]. 2021 Aug 16;15(4 SE-Articles):1113–9. Available from: https://doi.org/10.37506/ijfmt.v15i4.16855

Pérez-Escamilla R, Tomori C, Hernández-Cordero S, Baker P, Barros AJD, Bégin F, et al. Breastfeeding: crucially important, but increasingly challenged in a market-driven world. Lancet [Internet]. 2023 Feb 11;401(10375):472–85. Available from: https://doi.org/10.1016/S0140-6736(22)01932-8

Prihatini FJ, Achyar K, Kusuma IR. Faktor – Faktor yang Mempengaruhi Ketidakberhasilan ASI Eksklusif pada Ibu Menyusui. J Ris Kesehat Masy [Internet]. 2023;3(4):184–91. Available from: https://doi.org/10.14710/jrkm.2023.18811

Nurhayati E, Fikawati S. Counseling of exclusive breastfeeding during antenatal care (ANC) and perceptions of insufficient milk supply. J Gizi dan Diet Indones (Indonesian J Nutr Diet [Internet]. 2020;7(2):65. Available from: http://dx.doi.org/10.21927/ijnd.2019.7(2).65-73

Haniarti H, Umar F, Triananda S, Anwar AD. Stunting Risk Factor in Toddlers 6-59 Months. J Ilm Kesehat [Internet]. 2022 Aug 31;4(2 SE-Articles):210–9. Available from: https://salnesia.id/jika/article/view/266

Woldeamanuel BT, Tesfaye TT. Risk Factors Associated with Under-Five Stunting, Wasting, and Underweight Based on Ethiopian Demographic Health Survey Datasets in Tigray Region, Ethiopia. J Nutr Metab [Internet]. 2019;2019:6967170. Available from: https://doi.org/10.1155/2019/6967170

Upadhyay RP, Taneja S, Strand TA, Sommerfelt H, Hysing M, Mazumder S, et al. Early child stimulation, linear growth and neurodevelopment in low birth weight infants. BMC Pediatr [Internet]. 2022 Oct;22(1):586. Available from: https://doi.org/10.1186/s12887-022-03579-6

Sekretariat Wakil Presiden RI. Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting). Setwapres RI; 2019. 1–110 p.

Abdur-Rabb AF, Syam SF, Idris M. Determinan Stunting di Provinsi Sulawesi Selatan. Innov J Soc Sci Res [Internet]. 2024;4(1):2026–37. Available from: https://doi.org/10.31004/innovative.v4i1.8128

Rusliani N, Hidayani WR, Sulistyoningsih H. Literature Review: Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Balita. Bul Ilmu Kebidanan dan Keperawatan [Internet]. 2022 Aug 23;1(01 SE-Articles):32–40. Available from: https://journal.iistr.org/index.php/BIKK/article/view/39

Prendergast AJ. Malnutrition and vaccination in developing countries. Philos Trans R Soc Lond B Biol Sci [Internet]. 2015 Jun;370(1671). Available from: https://doi.org/10.1098/rstb.2014.0141

DOI: http://dx.doi.org/10.21927/ijnd.2025.0(0).%25p