Association Between Antenatal Visit and Stunting in Children Aged 0-59 Months in Margadadi Health Center, Indramayu, West Java, Indonesia
DOI:
https://doi.org/10.26911/thejmch.2025.10.04.02Abstract
Background: Stunting is a condition where a child's height does not match their age caused by persistent nutritional disorders. The incidence of stunting in the Indramayu area is quite high, namely 29.19% in 2019 which exceeds the WHO target of 20%. Antenatal visits indirectly induce stunting since stunting factors can be seen prenatally. Antenatal visits are a series of comprehensive examinations for pregnant women. The Indonesian Ministry of Health's 2021 recommendations divide antenatal visits into the first (K1), fourth (K4), and sixth (K6) visits. This study aimed to discover the relationship quantity of antenatal visits and the incidence of stunting in toddlers in the Margadadi Puskesmas Working Area, Indramayu Regency.
Subjects and Method: A case-control study conducted at the Margadadi Community Health Center, Indramayu, West Java, Indonesia. A total of 60 moms of toddlers selected in this study use the consecutive sampling, with 30 subjects each as a case and control group. The dependent variable was stunting. The independent variables were ANC visit follow are K1, K4, and K6. Data collected by questionairre. Data were analyzed by Chi-Square test.
Results: Pregnant women who had complete K6 antenatal visits had lower risk to have stunted children (OR= 0.20; 95% CI= 0.04 to 1.02; p= 0.038).
Conclusion: K6 shows a protective relationship on stunting.
Keywords:
antenatal visits, stunting, toddlersReferences
Ali SA, Dero AA, Ali SA, Ali GB (2018). Factors Affecting the utilization of antenatal care among pregnant women: a literature review. J. Preg Neonatal Med. 2(2):41–45. doi: https://doi.org/10.35841/neonatal-medicine.2.2.41-45.
Alibhai KM, Ziegler BR, Meddings L, Batung E, Luginaah I (2022). Factors impacting antenatal care utilization: a systematic review of 37 fragile and conflict-affected situations. Conflict and Health. 16: 33. doi: https://doi.org/10.1186/s13031022004599.
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: 16. doi: https://doi.org/10.1186/s407950170130x.
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM (2018). A review of child stunting determinants in Indonesia. Matern Child Nutr. 14(4): e12617. doi: https://doi.org/10.1111/mcn.12617.
Camelia V, Proborini A, Jannah M (2020). Hubungan Antara kualitas & kuantitas riwayat kunjungan antenatal care (ANC) dengan stunting pada balita usia 24-59 bulan di Kecamatan Pujon Kabupaten Malang (The relationship between the quality and quantity of antenatal care (ANC) visit history and stunting in toddlers aged 24-59 months in Pujon District, Malang Regency). Journal of Issues in Midwifery. 4, 100–111. https://doi.org/10.21776/ub.JOIM.2020.004.03.1.
de Onis M, Branca F (2016). Childhood stunting: a global perspective. Maternal & child nutrition. 12 (Suppl 1): 12–26. doi: https://doi.org/10.1111/mcn.12231.
Dewanggayastuti KI, Surinati IDAK, Hartati NN (2022). Kepatuhan ibu hamil melakukan kunjungan antenatal care (ANC) pada masa pandemi COVID-19 (Compliance of pregnant women in carrying out antenatal care (ANC) visits during the COVID-19 pandemic). Jurnal Gema Keperawatan. 15(1): 54–67. doi: https://doi.org/10.33992/jgk.v15i1.1910.
Ernawati R, Purwaka BT, Prasetyo B (2018). Nutritional status of third trimester pregnant women correlates positively with birth weight. Majalah Obstetri & Ginekologi. 25(2): 41-47. doi: https://doi.org/10.20473/mog.V25I22017.41-47.
Gaillard R, Steegers EA, de Jongste JC, Hofman A, Jaddoe VW (2014). Tracking of fetal growth characteristics during different trimesters and the risks of adverse birth outcomes. Int J Epidemiol. 43(4): 1140–1153. doi: https://doi.org/10.1093/ije/dyu036.
Hamid NA, Pakhri A, Mustamin M, Adam A (2021). Kunjungan antenatal care (anc) dengan kejadian stunting pada bayi usia 6 – 23 bulan (Antenatal care (ANC) visits with stunting incidents in babies aged 6-23 months). Media Gizi Pangan. 28(2): 57–63. doi: https://doi.org/https://doi.org/10.32382/mgp.v28i2.2392.
Hapsari A, Fadhilah Y, Wardhani HE (2022). Hubungan kunjungan antenatal care dan berat badan lahir rendah terhadap kejadian stunting di Kota Batu (The relationship between antenatal care visits and low birth weight with the incidence of stunting in Batu City). JIKES (Jurnal Ilmu Kesehatan). 5(2): 108–114. doi: https://doi.org/10.33006/jikes.v5i2.258.
Hutasoit M, Utami KD, Afriyliani NF (2020). Kunjungan antenatal care berhubungan dengan kejadian stunting (Antenatal care visits are related to stunting incidence). Kesehatan Samodra Ilmu. 11(1): 1–10. doi: https://doi.org/10.55426/jksi.v11i1.13.
Ministry of Health RI (2020). Pedoman pelayanan antenatal terpadu, edisi ketiga (Integrated antenatal care guidelines, third edition). Jakarta: Kementrian Kesehatan RI.
Ministry of Health RI (2018). Laporan nasional riset kesehatan dasar 2018 (Report of Indonesian Basic Health Survey 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.
Kumendong LG, Kundre R, Bataha Y (2015). Hubungan frekuensi kunjungan antenatal care (ANC) dan status gizi ibu hamil trimester III Dengan berat badan lahir (BBL) bayi di RSU Pancarankasihgmim Manado Tahun 2015 (The relationship between the frequency of antenatal care (ANC) visits and the nutritional status of pregnant women in the third trimester with the birth weight (BBL) of babies at Pancarankasihgmim Manado Hospital in 2015). Jurnal Keperawatan UNSRAT. 3(2): 1-7. doi: https://doi.org/10.35790/jkp.v3i2.8081.
Li Y, Nong D, Wei B, Feng Q, Luo H (2016). The impact of predisposing, enabling, and need factors in utilization of health services among rural residents in Guangxi, China. BMC Health Services Research. 16(1): 592. doi: https://doi.org/10.1186/s1291301618254.
Mujahidah (2021). Hubungan kunjungan antenatal care (ANC) dengan Kejadian Stunting pada Anak Berusia 0 – 24 bulan di Wilayah Kerja Puskesmas Patimpeng Kabupaten Bone Tahun 2020 (The relationship between antenatal care (ANC) visits and the incidence of stunting in children aged 0-24 months in the Patimpeng Community Health Center Working Area, Bone Regency in 2020). Universitas Hassanudin.
Putri TA, Kusmiyati Y, Kurniati A (2020). Risk factors of stunting in children aged 25-59 months in Kotagede I Health Center, Yogyakarta, in: childhood stunting, wasting, and obesity, as the critical global health issues: forging cross-sectoral solutions. Masters Program in Public Health, Universitas Sebelas Maret. doi: https://doi.org/10.26911/the7thicph.03.112
Putri TA, Salsabila DA, Saputra RK (2021). The effect of low birth weight on stunting in children under five: a meta analysis. J. Matern and Child Health. 6(4): 496–506. doi: https://doi.org/https://doi.org/10.26911/thejmch.2021.06.04.11.
Rachmawati AI, Puspitasari RD, Cania E (2017). Faktor-faktor yang memengaruhi kelengkapan kunjungan antenatal care (ANC) ibu hamil (Factors that influence the completeness of antenatal care (ANC) visits for pregnant women). Jurnal Kedokteran Unila. 7(1): 72–76.
Ramadhini N, Sulastri D, Irfandi D (2021). Hubungan antenatal care terhadap kejadian stunting pada balita usia 0-24 bulan di Wilayah Kerja Puskesmas Seberang Padang Tahun 2019 (The relationship between antenatal care and the incidence of stunting in toddlers aged 0-24 months in the Seberang Padang Community Health Center Working Area in 2019). Jurnal Ilmu Kesehatan Indonesia. 1(3): 246–253. doi: https://doi.org/10.25077/jikesi.v1i3.62
Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ (2019). Determinants of the stunting of children under two years old in Indonesia: A Multilevel analysis of the 2013 Indonesia Basic Health Survey. Nutrients. 11(5): 1106. doi: https://doi.org/10.3390/nu11051106
World Health Organization (2014). Global Nutrition Targets 2025: Stunting Policy Brief. World Health Organization. Retrieved from: https://apps.who.int/iris/handle/10665/149019.
