Contextual Effect of Posyandu on the Risk of Stunting in Children Under Five, Klaten, Central Java

Abstract

Background: Stunting is a condition of failure to thrive in children under five as a result of chronic malnutrition. Environmental interventions such as water, sanitation and hygiene behavior (WASH) can be used as a strategy to reduce the high incidence of stunting. This study aims to determine environmental factors and other factors on the incidence of stunting in toddlers. Subjects and Method: This study was an observational analytic study with a case-control approach. This research was conducted in July 2019-August 2019 in Klaten Regency, Central Java. A total of 200 samples was selected by simple random sampling. The dependent variable was stunting. The independent variables were mother's education, family income, number of family members, water sources, sanitation , history of infectious diseases, family diet, hand washing behavior and posyandu strata. The data collection technique used a questionnaire and analyzed by a multiple multilevel logistic regression. Results: The risk of stunting increased with low maternal education <0.001), low family income (b= 2.72; 95% CI= 0.80 to 4.64; p= 0.005), family members ≥5 (b= 2.26; 95% CI= 0.65 to 3.87; p = 0.006), households with