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Association between Six Key Messages Behaviour and Incidence of Stunting in Under-Two-Year-Old Children in Central Java Province: Hubungan antara Perilaku Enam Pesan Kunci dengan Kejadian Stunting pada Anak dibawah Dua Tahun di Provinsi Jawa Tengah

Hubungan antara Perilaku Enam Pesan Kunci dengan Kejadian Stunting pada Anak dibawah Dua Tahun di Provinsi Jawa Tengah: Association between Six Key Messages Behaviour and Incidence of Stunting in Under-Two-Year-Old Children in Central Java Province

Amerta Nutrition · Vol. 8 No. 1SP (2024) · pp. 83–95

DOI
10.20473/amnt.v8i1SP.2024.83-95
ISSN
2580-9776, 2580-1163
Published
2024-08-30
Publisher
Universitas Airlangga
Language
eng
License
creativecommons.org/licenses/by-sa/4.0

Abstract

English

Background: The stunting prevalence in Central Java Province remains high. Six key messages, i.e. iron tablet supplementation, healthy latrines, exclusive breastfeeding, Integrated Health Care Post (Posyandu) visit, hand washing, and Antenatal Care visit are the efforts to reduce the prevalence of stunting. Objectives: This study aimed to analyse the relationship between the behaviour of the six key messages and the stunting prevalence in four districts of Central Java Province. Methods: This cross-sectional study was conducted in Brebes Regency, Tegal Regency, Banyumas Regency, and Semarang City with 424 mothers who have under two-year-old children randomly selected as sample. Data were collected by interview using a structured questionnaire with the results grouped into attitude and practices categories. The body’s weight and length were measured by a digital scale and infantometer. Data were analysed using the chi-square test. Results: The findings indicated that 21.5% of children under two had stunting. Besides, behaviour regarding six key messages were mostly good. There was no association between mothers' iron tablet consumption behaviour and the nutritional status of under-two children. There was an association between maternal attitudes about exclusive breastfeeding and knowledge about hand washing with length for age index (p=0.004). There was also an association between antenatal care and Posyandu visits practice with weight for age index (p=0.004 and 0.018). There was a relationship between attitude regarding the use of latrines and the weight for length index (p=0.001). Conclusions: Only the key messages of exclusive breastfeeding attitude, antenatal care visit practice, Posyandu visit practice, and hand washing attitude were associated with the nutritional status of under-two children.

Indonesian

Latar Belakang: Kejadian stunting di provinsi Jawa Tengah cukup tinggi. Enam pesan kunci, yaitu Tablet Tambah Darah (TTD), jamban sehat, pemberian Air Susu Ibu (ASI) eksklusif, kunjungan ke posyandu, cuci tangan dan Antenatal care (ANC) merupakan salah satu upaya untuk menurunkan kejadian stunting. Tujuan: Penelitian ini bertujuan menganalisis hubungan perilaku enam pesan kunci dengan kejadian stunting di empat Kabupaten di Provinsi Jawa Tengah. Metode: Penelitian dengan disain antenatal care dilakukan di Kabupaten Brebes, Kabupaten Tegal, Kabupaten Banyumas, dan Kota Semarang dengan sampel 424 orang Ibu anak bawah dua tahun (baduta). Pengumpulan data menggunakan wawancara dengan kuesioner terstruktur. Hasil dikelompokkan menjadi kategori sikap yaitu baik dan tidak baik dan praktik yaitu tidak sesuai rekomendasi dan tidak tidak sesuai rekomendasi. Pengukuran panjang badan dan berat badan dilakukan dengan timbangan digital dan infantometer. Data dianalisis dengan uji chi square. Hasil: Hasil penelitian menunjukkan prevalensi stunting baduta 21,5%. Perilaku konsumsi TTD, pemberian ASI eksklusif, antenatal care, kunjungan posyandu, cuci tangan, jamban sehat sebagian besar baik. Praktik imunisasi sebagian besar tidak sesuai anjuran. Tidak ada hubungan antara perilaku ibu minum TTD dengan status gizi baduta. Ada hubungan antara sikap ibu tentang pemberian ASI eksklusif dengan indeks panjang badan menurut umur (PB/U) baduta (p=0,004). Ada hubungan antara praktik antenatal care dan kunjungan posyandu dengan indeks berat badan menurut umur (BB/U) (p=0,004 dan 0,018). Ada hubungan sikap jamban sehat dengan indeks berat badan menurut panjang badan (BB/PB) (p=0,001). Kesimpulan: Di antara perilaku 6 pesan kunci adalah sikap ASI eksklusif, praktik antenatal care (ANC), praktik kunjungan posyandu, dan sikap cuci tangan yang berhubungan dengan status gizi anak baduta.

Keywords

Collaboration network of the authors

40 authors · 143 co-authorship links · showing the 40 most connected

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  • Diponegoro University
  • Padjadjaran University
  • Affiliation unknown
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Co-authorOrganisationJoint articles
Suyatno SuyatnoAffiliation unknown5
Sri Achadi NugraheniAffiliation unknown4
Dina Rahayuning PangestutiDiponegoro University3
Naintina LisnawatiAffiliation unknown3
Siti FatimahAffiliation unknown3
Cahya Tri PurnamiAffiliation unknown3
Daru LestantyoAffiliation unknown2
Farid AgushybanaAffiliation unknown2
Suhartono SuhartonoAffiliation unknown2
Yuliani SetyaningsihAffiliation unknown2
Sri WinarniPadjadjaran University2
Siti Fatimah PradigdoAffiliation unknown2
Hasna Izdihar LatifahAffiliation unknown2
Sherlyna Ade Arista PutriAffiliation unknown1
Dharminto DharmintoAffiliation unknown1
Sutopo Patria JatiAffiliation unknown1
Ria Tri WardhaniAffiliation unknown1
Apoina KartiniAffiliation unknown1
Septo Pawelas ArsoAffiliation unknown1
Novia HandayaniAffiliation unknown1
Atik MawarniAffiliation unknown1
Naila FauziatinAffiliation unknown1
Mohammad Zen RahfiludinAffiliation unknown1
Anggit RizkikaAffiliation unknown1
Mahalul AzamAffiliation unknown1
Ani MargawatiAffiliation unknown1
Etika Ratna NoerAffiliation unknown1
Lia Awwalia MajidaAffiliation unknown1
Shalza Ellian Farthur IhzaAffiliation unknown1
Laili Nur KholidahAffiliation unknown1
Reni Dwi AnggitaAffiliation unknown1
Mateus Sakundarno AdiAffiliation unknown1
Dwi SutiningsihAffiliation unknown1
Akmaliya HayuningsihAffiliation unknown1
Henry Setyawan SusantoAffiliation unknown1

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/AMNT/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Association between Six Key Messages Behaviour and Incidence of Stunting in Under-Two-Year-Old Children in Central Java Province: Hubungan antara Perilaku Enam Pesan Kunci dengan Kejadian Stunting pada Anak dibawah Dua Tahun di Provinsi Jawa Tengah</dc:title>
	<dc:title xml:lang="id-ID">Hubungan antara Perilaku Enam Pesan Kunci dengan Kejadian Stunting pada Anak dibawah Dua Tahun di Provinsi Jawa Tengah: Association between Six Key Messages Behaviour and Incidence of Stunting in Under-Two-Year-Old Children in Central Java Province</dc:title>
	<dc:creator>Kartasurya, Martha Irene</dc:creator>
	<dc:creator>Asna, Alfi Fairuz</dc:creator>
	<dc:creator>Denny, Hanifa Maher</dc:creator>
	<dc:creator>Nuridzin, Dion Zein</dc:creator>
	<dc:creator>Dharmawan, Ligar Tresna</dc:creator>
	<dc:subject xml:lang="en-US">Stunting</dc:subject>
	<dc:subject xml:lang="en-US">Iron folate tablet</dc:subject>
	<dc:subject xml:lang="en-US">Exclusive breastfeeding</dc:subject>
	<dc:subject xml:lang="en-US">Handwashing</dc:subject>
	<dc:subject xml:lang="en-US">Under-two children</dc:subject>
	<dc:subject xml:lang="id-ID">Stunting</dc:subject>
	<dc:subject xml:lang="id-ID">Tablet tambah darah</dc:subject>
	<dc:subject xml:lang="id-ID">ASI eksklusif</dc:subject>
	<dc:subject xml:lang="id-ID">Cuci tangan</dc:subject>
	<dc:subject xml:lang="id-ID">Baduta</dc:subject>
	<dc:description xml:lang="en-US">Background: The stunting prevalence in Central Java Province remains high. Six key messages, i.e. iron tablet supplementation, healthy latrines, exclusive breastfeeding, Integrated Health Care Post (Posyandu) visit, hand washing, and Antenatal Care visit are the efforts to reduce the prevalence of stunting.
Objectives: This study aimed to analyse the relationship between the behaviour of the six key messages and the stunting prevalence in four districts of Central Java Province.
Methods: This cross-sectional study was conducted in Brebes Regency, Tegal Regency, Banyumas Regency, and Semarang City with 424 mothers who have under two-year-old children randomly selected as sample. Data were collected by interview using a structured questionnaire with the results grouped into attitude and practices categories. The body’s weight and length were measured by a digital scale and infantometer. Data were analysed using the chi-square test.
Results: The findings indicated that 21.5% of children under two had stunting. Besides, behaviour regarding six key messages were mostly good. There was no association between mothers' iron tablet consumption behaviour and the nutritional status of under-two children. There was an association between maternal attitudes about exclusive breastfeeding and knowledge about hand washing with length for age index (p=0.004). There was also an association between antenatal care and Posyandu visits practice with weight for age index (p=0.004 and 0.018). There was a relationship between attitude regarding the use of latrines and the weight for length index (p=0.001).
Conclusions: Only the key messages of exclusive breastfeeding attitude, antenatal care visit practice, Posyandu visit practice, and hand washing attitude were associated with the nutritional status of under-two children.</dc:description>
	<dc:description xml:lang="id-ID">Latar Belakang: Kejadian stunting di provinsi Jawa Tengah cukup tinggi. Enam pesan kunci, yaitu Tablet Tambah Darah (TTD), jamban sehat, pemberian Air Susu Ibu (ASI) eksklusif, kunjungan ke posyandu, cuci tangan dan Antenatal care (ANC) merupakan salah satu upaya untuk menurunkan kejadian stunting.
Tujuan: Penelitian ini bertujuan menganalisis hubungan perilaku enam pesan kunci dengan kejadian stunting di empat Kabupaten di Provinsi Jawa Tengah.
Metode: Penelitian dengan disain antenatal care dilakukan di Kabupaten Brebes, Kabupaten Tegal, Kabupaten Banyumas, dan Kota Semarang dengan sampel 424 orang Ibu anak bawah dua tahun (baduta). Pengumpulan data menggunakan wawancara dengan kuesioner terstruktur. Hasil dikelompokkan menjadi kategori sikap yaitu baik dan tidak baik dan praktik yaitu tidak sesuai rekomendasi dan tidak tidak sesuai rekomendasi. Pengukuran panjang badan dan berat badan dilakukan dengan timbangan digital dan infantometer. Data dianalisis dengan uji chi square.
Hasil: Hasil penelitian menunjukkan prevalensi stunting baduta 21,5%. Perilaku konsumsi TTD, pemberian ASI eksklusif, antenatal care, kunjungan posyandu, cuci tangan, jamban sehat sebagian besar baik. Praktik imunisasi sebagian besar tidak sesuai anjuran. Tidak ada hubungan antara perilaku ibu minum TTD dengan status gizi baduta. Ada hubungan antara sikap ibu tentang pemberian ASI eksklusif dengan indeks panjang badan menurut umur (PB/U) baduta (p=0,004). Ada hubungan antara praktik antenatal care dan kunjungan posyandu dengan indeks berat badan menurut umur (BB/U) (p=0,004 dan 0,018). Ada hubungan sikap jamban sehat dengan indeks berat badan menurut panjang badan (BB/PB) (p=0,001).
Kesimpulan: Di antara perilaku 6 pesan kunci adalah sikap ASI eksklusif, praktik antenatal care (ANC), praktik kunjungan posyandu, dan sikap cuci tangan yang berhubungan dengan status gizi anak baduta.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2024-08-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:format>text/xml</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/AMNT/article/view/57475</dc:identifier>
	<dc:identifier>10.20473/amnt.v8i1SP.2024.83-95</dc:identifier>
	<dc:source xml:lang="en-US">Amerta Nutrition; Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION; 83-95</dc:source>
	<dc:source>2580-9776</dc:source>
	<dc:source>2580-1163</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/AMNT/article/view/57475/29746</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/AMNT/article/view/57475/29747</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/AMNT/article/view/57475/29755</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2024 Amerta Nutrition</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>