Maternal Behavior Regarding Nutrition and Eating Culture of Children Under Five in the Stunting Locus Area, Nusa Tenggara Timur

Authors

  • Intje Picauly Department of Community Nutrition, Faculty of Public Health, Nusa Cendana University, Indonesia

DOI:

https://doi.org/10.26911/thejmch.2024.09.03.07

Abstract

Background: Stunting has become a major nutritional problem for children under five in Indo­nesia. Since 2007 until now, the problem of stunting has been detected in Flobamora, including Rote Ndao Regency. The results of the weighing operation in 2023 reported that the prevalence of stunting in NTT province was 21.7%. Measurement data shows that in 2023 there will be 414 babies born, with 38 children experiencing stunting as measured using the baby's birth length. Mother's behavior regarding nutrition and culture of child eating patterns from the time the child is in the womb until the age of under five years plays an important role in shaping the quality of human resources, including preventing the problem of malnutrition, especially stunting. This study aimed to determine the relationship between maternal behavioral factors regarding nutrition and the eating culture of children under five in the stunting locus area, East Nusa Tenggara Province.

Subjects and Method: This was a cross sectional study carried out in Mokdale Village, Lobalain District, Rote Ndao Regency, East Nusa Tenggara, Indonesia, from June to August 2023. A sample of 44 children aged 12 to 36 months, consisted of 22 stunted children and 22 normal height children was selected for this study. The dependent variable was stunting. The independent variables were maternal behavior, knowledge, attitude, and feeding practice, child’s eating behavior. The data were analyzed using Chi-square.

Results: The incidence of stunting in children increased with maternal behavior regarding poor nutrition (OR = 2.72; 95% CI= 1.25 to 4.19; p= 0.001); maternal knowledge about poor nutrition (OR= 1.13; 95% CI= -1.06 to 2.37; p = 0.060); attitude = mother regarding poor nutrition (OR = 1.74; 95% CI=0.44 to 3.03; p =0.001); maternal actions regarding malnutrition (OR = 3.07; 95% CI = 1.50 to 4.64; p=0.001); and poor eating culture of children under five (OR= 3.03; 95% CI= 0.12 to 3.57; p= 0.001), and these result were statistically significant

Conclusion: Maternal behavioral factors regarding good nutrition and good eating culture are closely related and can reduce the chances of problems with the nutritional status of toddlers in the stunting locus area, Lobalain District, Rote Ndao Regency, East Nusa Tenggara Province.

Keywords:

maternal behavior, nutrition, culture, parenting style, children under five, stunting

References

Adekanye RNOE, Odetola RNTD (2014). Awareness and implementation of integrated management of childhood illness (IMCI) among nurses in paediatric settings of selected hospitals in Ibadan, Nigeria. IOSR Journal of Nursing and Health Science. 3(5): 29–34. https://doi.org/10.9790/195903532934

Arikunto S (2016). Metodologi penelitian pendekatan praktis di lapangan (Research methodology practical approach in the field).

Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E (2017). Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutrition, 3(1): 1–6. https://doi.org/10.1186/s407950170130x

Berhe K, Seid O, Gebremariam Y, Berhe A, Etsay N (2019). Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PLoS ONE. 14(6): 1–11. https://doi.org/10.1371/journal.pone.0217736

Murti B (2022). Health belief model. http://myblogcomnurse.blogspot.com/2016/02/health-belive-model.html

BPS (2018). Persentase rumah tangga yang memiliki akses terhadap layanan sanitasi layak (Percentage of households that have access to adequate sanitation services).

Brooks L A, Manias E, Bloomer MJ (2019). Culturally sensitive communication in healthcare: A concept analysis. Collegian. 26(3): 383–391. https://doi.org/10.1016/j.colegn.2018.09.007

Gaspersz E, Picauly I, Sinaga M (2020). Faktor-faktor yang berhubungan dengan status gizi ibu hamil di wilayah lokus stunting Kabupaten Timur Tengah Utara. Jurnal PAZIH_PERGIZI PANGAN DPD NTT. 9(2): 1081–1090. https://pergizipaganntt.id/ejpazih/index.php/filejurnal/article/view/77/71

Hendraswari C A, Purnamaningrum Y E, Maryani T, Widyastuti Y, Harith S (2021). The determinants of stunting for children aged 24-59 months in Kulon Progo District 2019. Kesmas, 16(2): 71–77. https://doi.org/10.21109/KESMAS.V16I2.3305

Hina SBGJ, Picauly I (2021). Hubungan faktor asupan gizi, riwayat penyakit infeksi dan riwayat asi eksklusif dengan kejadian stunting di Kabupaten Kupang (The relationship between nutritional intake, history of infectious disease and history of exclusive breastfeeding with the incidence of stunting in Kupang Regency). Jurnal Pangan Gizi Dan Kesehatan. 10(2): 61–70. https://doi.org/10.51556/ejpazih.v10i2.155

Indrayani T, Siauta JA, Apriliani S E (2023). Pengaruh penyuluhan kesehatan tehadap tingkat pengetahuan ibu hamil tentang pencegahan kejadian stunting (The influence of health education on the level of knowledge of pregnant women about preventing stunting). Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal. 13(3): 937–944. https://doi.org/10.32583/pskm.v13i3.1056

Kementerian PPN/ Bappenas. (2018). Pedoman pelaksanaan intervensi penurunan stunting terintegrasi di kabupaten/kota (Guidelines for implementing integrated stunting reduction interventions in districts/cities). Rencana Aksi Nasional Dalam Rangka Penurunan Stunting: Rembuk Stunting, November, 1–51. https://www.bappenas.go.id

Li Z, Kim R, Vollmer S, Subramanian S V (2020). Factors associated with child stunting, wasting, and underweight in 35 low- and middle-income countries. JAMA Network Open. 3(4): 1–18. https://doi.org/10.1001/jamanetworkopen.2020.3386

Luthfiyah F, Widjajanto E (2011). Pencegahan kekurangan energi protein pada balita (Prevention of protein energy deficiency in toddlers). Jurnal Kedokteran Brawijaya, 26(3), 131–135.

Mentari TS (2020). Pola asuh balita stunting usia 24-59 bulan (Parenting patterns for stunted toddlers aged 24-59 months). Higeia Journal of Public Health Research and Development, 4(4): 84–94. http://journal.unnes.ac.id/sju/index.php/higeia

Munanadia (2022). Perilaku ibu hamil dalam pencegahan stunting di Puskesmas Panarung (Behavior of pregnant women in preventing stunting at the Panarung Community Health Center). Bunda EduMiwifery Journal, 5(2), 31–36.

Murti B (2021). Desain studi observasional dan cara analisis data (Observational study design and data analysis methods)

Mustika W, Syamsul D (2018). Analisis permasalahan status gizi kurang pada balita di Puskesmas Teupah Selatan Kabupaten Simeuleu (Analysis of the problem of malnutrition status among toddlers at the Teupah Selatan Community Health Center, Simeuleu Regency). Jurnal Kesehatan Global, 1(3), 127. https://doi.org/10.33085/jkg.v1i3.3952

Mutingah Z, Rokhaidah R (2021). Hubungan pengetahuan dan sikap ibu dengan perilaku pencegahan stunting pada balita. Jurnal Keperawatan Widya Gantari Indonesia. 5(2): 49. https://doi.org/10.52020/jkwgi.v5i2.3172

P2PTM Kemenkes RI (2018). Cegah stunting dengan perbaikan pola makan, pola asuh dan sanitasi - Direktorat P2PTM (Prevent stunting by improving diet, parenting and sanitation - P2PTM Directorate) In Kemkes.Go.Id. http://p2ptm.kemkes.go.id/kegiatanp2ptm/subdit-penyakit-diabetes-melitus-dan-gangguan-metabolik/cegah-stunting-dengan-perbaikan-pola-makan-pola-asuh-dan-sanitasi

Picauly I (2023). Stunting dalam bingkai kesehatan ibu dan anak (edisi revisi). In Angewandte Chemie International Edition. 6(11): 951–952. (Dua (2) Ed). Penerbit Amerta Media.

Picauly I, Adi AAAM, Meiyetriani E, Mading M, Weraman P, Nashriyah SF, Hidayat AT, Boeky DLA, et al. (2023). Path analysis model for preventing stunting in dryland area island East Nusa Tenggara Province, Indonesia. PloS One. 18(11): e0293797. https://doi.org/10.1371/journal.pone.0293797

Picauly I, Nur ML, Marni M, Kale EI (2023). Utilization of local therapeutic food in preventing and treating nutrition problems in the dry land area of the islands of east nusa tenggara province. Journal of Advanced Pharmaceutical Technology and Research. 14(3): 253–257. https://doi.org/10.4103/japtr.japtr_38_23

Rahayu Diah Kusumawati M, Marina R, Endah WC (2019). Low birth weight as the predictors of stunting in children under five years in Teluknaga Sub District Province of Banten 2015. KnE Life Sciences. 4(10): 284. https://doi.org/10.18502/kls.v4i10.3731

Rahmi P (2020). Peran nutrisi bagi tumbuh dan kembang anak usia dini. Pusat Jurnal UIN Ar-Raniry (Universitas Islam Negeri), 15: 274–282.

Save The Childern (2018). Buku pegangan kader. 2(April), 223–238.

Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition, 9(S2): 27–45. https://doi.org/10.1111/mcn.12088

Swanida N, Malonda H, Arthur P, Kawatu T (2020). History of exclusive breastfeeding and complementary feeding as a risk factor of stunting in children age 36-59 months in Coastal Areas. Journal of Health, Medicine and Nursing, 70, 52–57. https://doi.org/10.7176/jhmn/7007

Tello B, Rivadeneira MF, Moncayo AL, Buitrón J, Astudillo F, Estrella A, Torres AL (2022). Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. International Breastfeeding Journal, 17(1): 1–15. https://doi.org/10.1186/s13006022004610

Wulandari F, Juliana N, Sari E, Karya P, Muna P (2022). Literature review: correlation between mother’s knowledge of nutrition and stunting incidence in children literatur review: hubungan antara pengetahuan ibu tentang gizi dengan kejadian stunting pada anak. Journal of Sciences and Health (JSH, 2(2): 78–84. https://doi.org/10.54619/jsh.v2i2

Downloads

Published

2024-05-16

How to Cite

Picauly, I. (2024). Maternal Behavior Regarding Nutrition and Eating Culture of Children Under Five in the Stunting Locus Area, Nusa Tenggara Timur. Journal of Maternal and Child Health, 9(3), 352–363. https://doi.org/10.26911/thejmch.2024.09.03.07

Issue

Section

Articles