The Affect Of Clean And Healthy Living Behavior (PHBS), Economic Level And Parenting Patterns On The Risk Of Stunting Incidence In The Working Area Of UPT Puskesmas Bereng

Authors

  • Adhi Wijaya Siswanto Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Indonesia Maju
  • Abdullah Syafei Program Studi Magister Kesehatan Masyarakat, Fakultas Ilmu Kesehatan, Universitas Indonesia Maju

Keywords:

Clean and Healthy Living Behavior (PHBS), Economic Level, Parenting Patterns,  Stunting

Abstract

Stunting is a condition of growth failure in children under five due to chronic malnutrition so that children become too short for their age. The short-term impact of stunting is susceptibility to infectious diseases while the long-term impact is the inhibition of physical and cognitive development. This study aims to determine the effect of Clean and Healthy Living Behavior (PHBS), economic level and parenting patterns on the risk of stunting in the work area of UPT Puskesmas Bereng. This is an observational study, quantitative design with a cross sectional approach. The study population was all 216 toddlers aged 6-23 months. Sampling was done by cluster random sampling with a total of 140 toddlers 6-23 months. Univariate analysis was conducted to describe each variable studied. The chi-square test was used for bivariate analysis and multivariate analysis was performed by binomial logistic regression model test. The results showed that clean water sources (p = 0.001 OR 7.812), exclusive breastfeeding (p = 0.006 OR 5.898), healthy latrines (p = 0.016 OR 4.991), family economic level (p = 0.029 OR 0.224) and parenting (p = 0.001 OR 3.518) significantly influenced the risk of stunting in toddlers 6-23 months. Whereas delivery in health facilities (p = 0.285 OR 0.463), weighing infants and toddlers regularly (p = 0.053 OR 5.131), washing hands with soap and clean water (p = 0.992 OR 1.014), consumption of nutritious healthy food (p = 0.230 OR 2, 139), regular physical activity (p = 0.892 OR 0.894), family members who smoke (p = 0.552 OR 0.690) and eradicate mosquito nests (p = 0.264 OR 1.955) do not significantly affect the risk of stunting in toddlers under 6-23 months. In the interpretation of the odds ratio, clean water sources (OR 7.812) have a greater effect than other variables on the risk of stunting in toddlers under 6-23 months.

References

A. Rahayu, F. Yulidasari, A. Putri, and L. Anggraini, Study Guide-Stunting dan Upaya Pencegahannya. 2018. Accessed: Mar. 20, 2024. [Online]. Available: https://kesmas.ulm.ac.id/id/wp-content/uploads/2019/02/BUKU-REFERENSI-STUDY-GUIDE-STUNTING_2018.pdf

S. Murarkar et al., “Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study,” BMC Public Health, vol. 20, no. 1, Dec. 2020, doi: 10.1186/s12889-020-09642-0.

A. Aprizah, “Hubungan Karakteristik Ibu dan Perilaku Hidup Bersih Sehat (PHBS)Tatanan Rumah Tangga dengan kejadian Stunting,” JKSP, vol. 4, no. 1, p. 2021, Feb. 2021, doi: 10.32524/jksp.v4i1.70.

A. Salsabila et al., “Upaya Penurunan Stunting Melalui Peningkatan Pola Asuh Ibu,” Jurnal Pengabdian Kesehatan Masyarakat: Pengmaskesmas, vol. 1, no. 2, pp. 103–111, 2021, doi: 10.31849/pengmaskesmas.v1i2/5739.

Menteri Kesehatan Republik Indonesia, “Hasil Survei Status Gizi Indonesia (SSGI) 2022,” Jakarta, Jan. 2023. Accessed: Mar. 29, 2024. [Online]. Available: https://monalisa.bkkbn.go.id/downloadinfo/23

Kepala Puskesmas Bereng, “Profil Puskesmas Bereng Tahun 2022,” Pulang Pisau, Jan. 2022.

A. Putri, “Aspek Pola Asuh, Pola Makan dan Pendapatan Keluarga pada Kejadian Stunting,” Jurnal Kesehatan Tadulako, vol. 6, no. 1, pp. 1–72, Jan. 2020, doi: 10.22487/htj.v6i1.96.

N. Indah, K. Ayunin, C. E. Puspitasari, and N. A. Turisia, “PENYULUHAN PERILAKU HIDUP BERSIH DAN SEHAT DALAM RANGKA MENGURANGI ANGKA STUNTING DI DESA ANDALAN KECAMATAN BAYAN KABUPATEN LOMBOK UTARA,” 2022, [Online]. Available: http://jurnal.lppm.unram.ac.id/index.php/jurnalpepadu/index

Kementerian Kesehatan Republik Indonesia, PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR: 2269/MENKES/PER/XI/2011 TENTANG PEDOMAN PEMBINAAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS). 2011.

Kepala Dinas Kesehatan, “STANDAR PELAYANAN MINIMAL BIDANG KESEHATAN (SPM) KABUPATEN PULANG PISAU TAHUN 2019-2023,” 2019.

S. O. Sangalang et al., “School water, sanitation, and hygiene (WaSH) intervention to improve malnutrition, dehydration, health literacy, and handwashing: a cluster-randomised controlled trial in Metro Manila, Philippines,” BMC Public Health, vol. 22, no. 1, Dec. 2022, doi: 10.1186/s12889-022-14398-w.

Kementerian Kesehatan Republik Indonesia, “Warta Kesmas Edisi 02-2018,” 2018. Accessed: Mar. 20, 2024. [Online]. Available: https://kesmas.kemkes.go.id/konten/105/0/082314-warta-kesmas-edisi-2-2018

L. Fikrina, “Hubungan Tingkat Sosial Ekonomi dengan Kejadian Stunting pada Balita Usia 24-59 Bulan di Desa Karangrejek Wonosari Gunung Kidul,” 2017. Accessed: Mar. 20, 2024. [Online]. Available: http://digilib.unisayogya.ac.id/2461/1/naskah%20publikasi.pdf

A. Putri, “Aspek Pola Asuh, Pola Makan dan Pendapatan Keluarga pada Kejadian Stunting,” Jurnal Kesehatan Tadulako, vol. 6, no. 1, pp. 1–72, Jan. 2020, doi: 10.22487/htj.v6i1.96.

Dayuningsih, “Pengaruh Pola Asuh Pemberian Makan terhadap Kejadian Stunting pada Balita,” Jurnal Kesehatan Masyarakat Andalas, vol. 14, no. 2, pp. 3–11, Aug. 2020, doi: 10.24893/jkma.v14i2.527.

D. S. Effendy, P. Prangthip, N. Soonthornworasiri, P. Winichagoon, and K. Kwanbunjan, “Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study,” Matern Child Nutr, vol. 16, no. 4, Oct. 2020, doi: 10.1111/mcn.13030.

Gubernur Kalimantan Tengah, “Keputusan Gubernur Kalimantan Tengah No. 188.44/472/2022 tentang Upah Minimum Kabupaten/Kota Tahun 2023,” 2023.

I. Picauly and Sarci Magdalena Toy, “Analisis Determinan dan Pengaruh Stunting terhadap Prestasi Belajar Anak Sekolah di Kupang dan Sumba Timur, NTT,” Bogor, Mar. 2013. doi: 10.25182/jgp.2013.8.1.55-62.

E. Safitri, S. Basriati, and S. Mulyani, “Faktor-Faktor yang Mempengaruhi Kejadian Stunting terhadap Balita menggunakan Analisis Regresi Logistik,” Zeta - Math Journal, vol. 7, no. 2, pp. 47–52, Sep. 2022, doi: 10.31102/zeta.2022.7.2.47-52.

Silmi Annisa Rizki Manaf, Erfiani, Indahwati, Anwar Fitrianto, and Reni Amelia, “Faktor–Faktor yang Memengaruhi Permasalahan Stunting di Jawa Barat Menggunakan Regresi Logistik Biner,” J Statistika: Jurnal Ilmiah Teori dan Aplikasi Statistika, vol. 15, no. 2, pp. 259–264, Dec. 2022, doi: 10.36456/jstat.vol15.no2.a5551.

Menteri Kesehatan Republik Indonesia, “Hasil Survei Status Gizi Indonesia (SSGI) 2022,” Jakarta, Jan. 2023. Accessed: Mar. 29, 2024. [Online]. Available: https://monalisa.bkkbn.go.id/downloadinfo/23

S. Bahri Halomoan Hasibuan et al., “Penguatan Gerakan Keluarga Sehat melalui Posyandu terhadap Pencegahan Stunting di Wilayah Kerja Puskesmas Paringgonan Kabupaten Padang Lawas,” vol. 6, no. 7, 2023, doi: 10.31934/mppki.v2i3.

N. Iffah, “Gambaran Perilaku Hidup Bersih dan Sehat Masa Pandemi Posyandu Kuncup Harapan Kelurahan Madyopuro,” 2022. Accessed: Mar. 20, 2024. [Online]. Available: https://ejournal.stkipjb.ac.id/index.php/CORCYS/article/view/2697

A. Semuel Ra et al., “Hubungan Riwayat Pemberian ASI Ekslusif dengan Kejadian Stunting pada Balita 24-59 Bulan,” Palu, Oct. 2021. Accessed: Mar. 20, 2024. [Online]. Available: http://jurnal.poltekkespalu.ac.id/index.php/LNJ

Hamid A., “Analisis Hubungan Pemberian ASI Ekslusif dengan Kejadian Stunting pada Balita,” Jurnal Kesehatan Tambusai, vol. 4, no. 3, pp. 2355–2373, Sep. 2023, doi: 10.31004/jkt.v4i3.17276.

T. C. Angelin, S. Bardosono, D. Shinta, and U. Fahmida, “Growth, dietary intake, and vitamin D receptor (VDR) promoter genotype in Indonesian school-age children,” Nutrients, vol. 13, no. 9, Sep. 2021, doi: 10.3390/nu13092904.

H. Hikmahrachim, R. Rohsiswatmo, and S. Ronoatmodjo, “Efek ASI Eksklusif terhadap Stunting pada Anak Usia 6-59 bulan di Kabupaten Bogor tahun 2019,” Jurnal Epidemiologi Kesehatan Indonesia, vol. 3, no. 2, Dec. 2019, doi: 10.7454/epidkes.v3i2.3425.

C. Nazri et al., “Factors influencing mother’s participation in Posyandu for improving nutritional status of children under-five in Aceh Utara district, Aceh province, Indonesia,” BMC Public Health, vol. 16, no. 1, Jan. 2016, doi: 10.1186/s12889-016-2732-7.

B. Rahayu, “Hubungan Karakteristik Balita, Orang Tua, Higiene dan Sanitasi Lingkungan terhadap Stunting pada Balita,” Binawan Student Journal, vol. 1, no. 1, 2019, Accessed: Mar. 20, 2024. [Online]. Available: https://journal.binawan.ac.id/bsj/article/view/46

B. Sahiledengle et al., “Association between water, sanitation and hygiene (WASH) and child undernutrition in Ethiopia: a hierarchical approach,” BMC Public Health, vol. 22, no. 1, Dec. 2022, doi: 10.1186/s12889-022-14309-z.

C. Kalinda et al., “Socio-demographic and environmental determinants of under-stunting in Rwanda: Evidence from a multisectoral study,” Front Public Health, Mar. 2023, doi: 10.3389/fpubh.2023.1107300.

H. Torlesse, A. A. Cronin, S. K. Sebayang, and R. Nandy, “Determinants of stunting in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction,” BMC Public Health, vol. 16, no. 1, Jul. 2016, doi: 10.1186/s12889-016-3339-8.

D. Vilcins, P. D. Sly, and P. Jagals, “Environmental risk factors associated with child stunting: A systematic review of the literature,” Ann Glob Health, vol. 84, no. 4, pp. 551–562, Nov. 2018, doi: 10.29024/aogh.2361.

A. Jain, H. O. Pitchik, C. Harrison, R. Kim, and S. V. Subramanian, “The Association between Anthropometric Failure and Toilet Types: A Cross-Sectional Study from India,” American Journal of Tropical Medicine and Hygiene, vol. 108, no. 4, pp. 811–819, Apr. 2023, doi: 10.4269/ajtmh.22-0138.

P. D. Sly et al., “Children’s environmental health in south and Southeast Asia: Networking for better child health outcomes,” Ann Glob Health, vol. 85, no. 1, 2019, doi: 10.5334/aogh.2403.

I. U. Haq et al., “Prevalence and determinants of stunting among preschool and school-going children in the flood-affected areas of Pakistan,” Braz J Biol, vol. 82, p. e249971, 2021, doi: 10.1590/1519-6984.249971.

J. Dickson-Gomez, A. Nyabigambo, A. Rudd, J. Ssentongo, A. Kiconco, and R. W. Mayega, “Water, Sanitation, and Hygiene Challenges in Informal Settlements in Kampala, Uganda: A Qualitative Study,” Int J Environ Res Public Health, vol. 20, no. 12, Jun. 2023, doi: 10.3390/ijerph20126181.

A. G. Wasihun et al., “Risk factors for diarrhoea and malnutrition among children under the age of 5 years in the Tigray Region of Northern Ethiopia,” PLoS One, vol. 13, no. 11, Nov. 2018, doi: 10.1371/journal.pone.0207743.

M. Gebreayohanes and A. Dessie, “Prevalence of stunting and its associated factors among children 6-59 months of age in pastoralist community, Northeast Ethiopia: A community-based cross-sectional study,” PLoS One, vol. 17, no. 2 February, Feb. 2022, doi: 10.1371/journal.pone.0256722.

M. Marbun, “Hubungan Pengetahuan Ibu Hamil dan Tingkat Ekonomi Tentang Kejadian Stunting di Puskesmas Parapat, Kecamatan Parapat, Kabupaten Simalungun Tahun 2019,” Jurnal Kesehatan Surya Nusantara, vol. 7, no. 3, 2019, doi: 10.48134/jurkessutra.v7i2.4.

L. Rahayuwati et al., “The Influence of Mother’s Employment, Family Income, and Expenditure on Stunting Among Children Under Five: A Cross-Sectional Study in Indonesia,” J Multidiscip Healthc, vol. 16, pp. 2271–2278, 2023, doi: 10.2147/JMDH.S417749.

A. R. Maulidiana and E. Sutjiati, “Low intake of essential amino acids and other risk factors of stunting among under-five children in Malang City, East Java, Indonesia,” J Public Health Res, vol. 10, p. 2161, Mar. 2021, doi: 10.4081/jphr.2021.2161.

M. J. Fatemi, M. Fararouei, H. Moravej, and M. Dianatinasab, “Stunting and its associated factors among 6-7-year-old children in southern Iran: A nested case-control study,” Public Health Nutr, vol. 22, no. 1, pp. 55–62, Jan. 2019, doi: 10.1017/S136898001800263X.

R. Sanggamele, N. Bawiling, and A. Telew, “Tipe Pola Asuh yang Efektif Menurunkan Angka Kejadian Stunting pada Balita di Kecamatan Kalongan, Kabupaten Kepulauan Talaud,” Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, vol. 8, no. 3, 2023, doi: 10.37887/jimkesmas.v7i1.

D. A. Dhilon and D. A. Harahap, “Gambaran Pola Asuh Pemberian Makan pada Balita di Wilayah Kerja Puskesmas Laboy Jaya,” Jurnal Ners, vol. 6, no. 1, pp. 124–126, Apr. 2022, doi: 10.31004/jn.v6i1.4204.

Downloads

Published

2024-06-19

How to Cite

Adhi Wijaya Siswanto, & Abdullah Syafei. (2024). The Affect Of Clean And Healthy Living Behavior (PHBS), Economic Level And Parenting Patterns On The Risk Of Stunting Incidence In The Working Area Of UPT Puskesmas Bereng. Jurnal EduHealth, 15(02), 1495–1510. Retrieved from https://ejournal.seaninstitute.or.id/index.php/healt/article/view/4569