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
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Published 2026-06-20
Vol. 8 No. 1 (2026) PAGES 137-145
DOI 10.36566/ijhsrd/Vol8.Iss1/377
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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
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  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.

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Keywords
Stunting MCH Services antenatal care Exclusive Breastfeeding Growth Monitoring

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