Determinants of Stunting Based on Ecological Approach in Stunting Locus Area in Banyumas District

Abstract

Stunting is a long-term malnutrition issue that results in growth abnormalities in children, with the child's height being lower or shorter (dwarf) than the average for their age. The prevalence of stunting in Indonesia in 2018 was 28%, while in Banyumas District was 32%. The study analyzed the determinants of stunting incidences based on the ecological approach at the stunting locus village in the Banyumas District. This research was quantitative research on the relationship between intrapersonal, interpersonal, institutional, community, and public policies and the classification of stunting. The subject was all mothers of stunted toddlers in the stunting locus village (ten villages) in seven sub-districts in Banyumas District (90 mothers) chosen by stratified random sampling technique. The inclusion criterion is mothers of stunted toddlers. The validity and reliability of the questionnaire tested on 30 respondents before the study. Data analytic techniques used factor analysis to identify the factors related to stunting incidences. The findings of a reduction in factor analysis are reached with three factors out of the 14 factors, namely factor 1, 2, and 3 had 45.657%, 10.511%, and 8.374% variance values. The highest determinants of stunting were the institutional factor (BKB, nutrition officers, midwives, Puskesmas, and Posyandu. An integrated effort between healthcare workers and the regional health office is necessary to reduce the incidence of stunting among under-fives.