Analysis of determinant stunting primary school students in remote areas of southeast Aceh District
1 Faculty of Medicine, Public Health Post Graduate Program, University of Syiah Kuala Aceh, Indonesia.
2 Department of Medical Surgical Nursing, School of Nursing, Universitas Muhammadiyah Surakarta, Surakarta, Indonesia.
3 Department of Nursing, Polytechnique of Health of Yogyakarta, Yogyakarta, Indonesia.
Research Article
Open Access Research Journal of Science and Technology, 2022, 06(01), 010–017.
Article DOI: 10.53022/oarjst.2022.6.1.0045
Publication history:
Received on 19 April 2022; revised on 01 June 2022; accepted on 03 June 2022
Abstract:
Southeast Aceh District has always been in the top five of the highest stunting rate in Aceh from 2013-2021, so it is necessary to know the contributing factors through children born in 2013-2015. This study aims to determine the prevalence and determinants of stunting in primary school students in grades I-II in Leuser Sub-district, Southeast Aceh. The study used a case control study design with a sample of 30 stunted children and a control of 60 children who were not stunted. This was carried out by purposive sampling with the criteria of stunting children, poor families and living in that location. Data on father/mother's education and knowledge, socioeconomic status, history of maternal pregnancy, history of child infectious diseases, child care patterns and early childhood food supplements were obtained through interviews. Measurement of student height was carried out using microtoise and then processed using WHO Anthro Plus software to determine stunting/not stunting. Statistical analysis using Odds Ratio test and Logistic Regression. The prevalence of stunting in Leuser is 32.1%. The determinants of stunting were exclusive breastfeeding OR = 8.73, knowledge of maternal health OR = 98.95, completeness of immunizations OR = 34.78, father's work factor as a unskilled laborers OR = 22.89, the incidence of diarrhoea OR = 17.9, and low birth weight OR = 0, 78. There are 1 in 3 children who are stunted in Southeast Aceh Regency and the main factors that trigger stunting in these children in the family are the mother's low level of knowledge about health, incomplete immunization of children, fathers who work as unskilled laborers, children do not receive exclusive breastfeeding and frequent children experience diarrhoea in childhood, while the condition of sanitation and drinking water consumed by the family has no effect on stunting. Children who are stunted are more common in mothers with a history of giving birth <21 years and >36 years.
Keywords:
Stunting; Diarrhoea; Socio-Economic; Primary School Students
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