THE RELATIONSHIP BETWEEN MATERNAL AND CHILD HEALTH SERVICES AND THE INCIDENCE OF STUNTING AMONG TODDLERS AT THE SIKABU COMMUNITY HEALTH CENTER IN PADANG PARIAMAN: A CASE-CONTROL STUDY

MATERNAL AND CHILD HEALTH SERVICES
Novi Putriana Dewi 1 Iran, Islamic Republic of ROR , Syafrawati 1 Indonesia ROR , Vivi Triana 1 Indonesia ROR
1 Andalas University ROR
Link Copied!
Published 2026-06-20
Vol. 8 No. 1 (2026) PAGES 137-145
DOI 10.36566/ijhsrd/Vol8.Iss1/377
Views / Downloads 136 103

Background: Stunting remains a serious public health concern in Indonesia. This study aims to examine the relationship between maternal and child health (MCH) service utilization, including antenatal care (ANC) visits, exclusive breastfeeding, complete basic immunization, vitamin A supplementation, and child growth monitoring and the incidence of stunting in children under five at at Sikabu Public Health Center, Padang Pariaman Regency, in 2025.

Methods: This study used a case-control design with a 1:1 ratio, involving 154 respondents (77 cases and 77 controls). Data were obtained from E-PPBGM, Maternal Cohort Register, Nutrition Register, and Immunization Register. Analysis was conducted using Chi-Square tests and multiple logistic regression.

Results: Bivariate analysis showed that incomplete ANC visits (p<0.001; OR=7.13), absence of exclusive breastfeeding (p<0.001; OR=14.1), and irregular growth monitoring (p<0.001; OR=3.92) were significantly associated with stunting. Multivariate analysis identified exclusive breastfeeding as the most dominant risk factor (Adjusted OR=18.3), followed by ANC visits (Adjusted OR=10.6) and vitamin A supplementation (p=0.03).

Conclusion: Exclusive breastfeeding, ANC visits, and growth monitoring are MCH service components associated with stunting incidence, with exclusive breastfeeding as the dominant factor. Optimization of all MCH service components is essential for accelerating stunting reduction.

THE RELATIONSHIP BETWEEN MATERNAL AND CHILD HEALTH SERVICES AND THE INCIDENCE OF STUNTING AMONG TODDLERS AT THE SIKABU COMMUNITY HEALTH CENTER IN PADANG PARIAMAN: A CASE-CONTROL STUDY : MATERNAL AND CHILD HEALTH SERVICES. (2026). INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD), 8(1), 137-145. https://doi.org/10.36566/ijhsrd/Vol8.Iss1/377
Download data is not yet available.
  1. 1. Kementerian Kesehatan RI. Buku saku hasil Survei Status Gizi Indonesia (SSGI) 2022. Jakarta: Kementerian Kesehatan RI; 2023.
  2. 2. WHO Multicentre Growth Reference Study Group. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: World Health Organization; 2006.
  3. 3. UNICEF, WHO, World Bank Group. Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates, key findings of the 2023 edition. Geneva: WHO; 2023.
  4. 4. UNICEF. Malnutrition in children—UNICEF data. New York: UNICEF; 2023. Available from: https://data.unicef.org/topic/nutrition/malnutrition/
  5. 5. Kementerian Kesehatan RI. Hasil Survei Status Gizi Indonesia (SSGI) 2024. Jakarta: Kementerian Kesehatan RI; 2025.
  6. 6. Kementerian Kesehatan RI. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Jakarta: Kementerian Kesehatan RI; 2023.
  7. 7. Puskesmas Sikabu. Laporan Profil Puskesmas Sikabu tahun 2024. Padang Pariaman: Puskesmas Sikabu; 2025.
  8. 8. Kementerian Kesehatan RI. Penyelenggaraan Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan. Jakarta: Kementerian Kesehatan RI; 2021.
  9. 9. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting [Presidential Regulation No. 72 of 2021 on Stunting Reduction Acceleration].
  10. 10. Izzah R, Ahmad A, Junita D, Rafiqi Arifin SR. Exclusive breastfeeding and low birth weight as risk factors of stunting in under-five children: a case-control study in Darul Imarah Sub-District, Aceh Besar, Indonesia. J Appl Nutr Diet. 2021;1(1):34–42.
  11. 11. Putri SH. Hubungan Pemanfaatan Layanan Kesehatan Ibu dan Anak dengan Kejadian Stunting pada Balita Usia 12-59 bulan di Wilayah Kerja Puskesmas Guntur II, Kabupaten Demak: Studi Kasus-Kontrol. Comphi/Sinergis; 2024.
  12. 12. Irawati A, Susianti, Usman A. Faktor risiko kejadian stunting pada balita usia 12–36 bulan di wilayah kerja Puskesmas Wara, Kota Palopo: studi case-control. 2022.
  13. 13. Aulia R. Hubungan kunjungan antenatal care (ANC) dengan kejadian stunting pada balita. Jurnal Kesehatan Masyarakat. 2023;15(2):123–130.
  14. 14. UNICEF. UNICEF conceptual framework on maternal and child nutrition. New York: United Nations Children's Fund; 2020.
  15. 15. Hadi H, Fatimatasari F, Kusumawati E. Pemberian ASI eksklusif sebagai faktor risiko kejadian stunting pada balita. Jurnal Gizi dan Kesehatan. 2021;13(1):45–52.
  16. 16. Kementerian Kesehatan Republik Indonesia. Pedoman Pemberian Makan Bayi dan Anak (PMBA). Jakarta: Kemenkes RI; 2020.
  17. 17. Sumiaty S. Hubungan kelengkapan imunisasi dasar dengan kejadian stunting pada balita. Jurnal Kesehatan Masyarakat. 2020;14(2):78–85.
  18. 18. Rahmawati D, Sari M, Lestari A. Hubungan pemberian kapsul vitamin A dengan kejadian stunting pada balita. Jurnal Gizi dan Kesehatan. 2022;14(1):55–62.
  19. 19. Ibrahim S, Sahreni S, Aziz YT. Faktor-faktor penyebab terjadinya stunting di Kelurahan Belian. Zona Kedokteran. 2021;11(3):131–141.
  20. 20. Maryuni M, Handayani L, Trustisari H, Fauzia JH. BUTATING: buku pintar cegah stunting. Sidoarjo: BFS Medika; 2024.

Copyright (c) 2026 INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD)

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright Rights & Permissions Guide

Reproducing Published Material from other Publishers

It is absolutely essential that authors obtain permission to reproduce any published material (figures, schemes, tables or any extract of a text) which does not fall into the public domain, or for which they do not hold the copyright. Permission should be requested by the authors from the copyright holder (usually the Publisher, please refer to the imprint of the individual publications to identify the copyright holder).

Permission is required for:

  1. Your own works published by other Publishers and for which you did not retain copyright.
  2. Substantial extracts from anyones’ works or a series of works.
  3. Use of Tables, Graphs, Charts, Schemes and Artworks if they are unaltered or slightly modified.
  4. Photographs for which you do not hold copyright.

Permission is not required for:

  1. Reconstruction of your own table with data already published elsewhere. Please notice that in this case you must cite the source of the data in the form of either “Data from…” or “Adapted from…”.
  2. Reasonably short quotes are considered fair use and therefore do not require permission.
  3. Graphs, Charts, Schemes and Artworks that are completely redrawn by the authors and significantly changed beyond recognition do not require permission.

Obtaining Permission

In order to avoid unnecessary delays in the publication process, you should start obtaining permissions as early as possible. If in any doubt about the copyright, apply for permission. JNH cannot publish material from other publications without permission.

The copyright holder may give you instructions on the form of acknowledgement to be followed; otherwise follow the style: “Reproduced with permission from [author], [book/journal title]; published by [publisher], [year].’ at the end of the caption of the Table, Figure or Scheme.

Every mansucript should be accompanied by "Copyright Transfer Agreement" prior to the article publication

Dimension Badge

Downloads

Downloads
Crossmark Badge
Crossmark Badge
Section
Articles
Keywords
Stunting MCH Services antenatal care Exclusive Breastfeeding Growth Monitoring

Similar Articles

1-10 of 89

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)