DETERMINANTS OF STUNTING INCIDENCE IN TODDLERS AGED 24-59 MONTHS: AN EPIDEMIOLOGICAL TRIANGLE ANALYSIS IN THE MAMBORO PUBLIC HEALTH CENTRE, PALU CITY, INDONESIA

Abstract

Abstract

Context/Background: Based on data from the Palu City Health Office, there is still an incidence of stunting above the WHO standard of 20%. The area is located in the mamboro sub-district 20.22% and Taipa sub-district 24.71. This study aims to determine the determinants of stunting in toddlers aged 24-59 months. Aims/Objectives: analyse the determinants that are risk factors for stunting in children under 24-59 months of age in terms of the epidemiological triangle (Host, Agent, Environment) in the Mamboro Puskesmas Working Area, Palu City. Methodology: This study used a case-control design. The total sample size was 171 consisting of 57 cases and 114 controls selected by simple random sampling method. Data analysis was conducted using Stata version 14. Results: Risk factors for stunting were immunisation history (OR 2.7) CI 95% (1.08-7.10), infectious diseases (OR 2.76) CI 95% (1.30-6.06), energy intake (OR 2.17) CI 95% (1.07-4.41), protein intake (OR 3.23) CI 95% (1.58-6.61), exclusive breastfeeding (OR 2.04) CI 95% (1.01-4.10), cigarette smoke exposure (OR 2,43) 95% CI (1.19-4.94), access to clean water (OR 3.14) 95% CI (1.53-6.42), household waste management (OR 2.95) 95% CI (1.45-6.02), Logistic regression analysis showed that protein intake (OR 3.23) was the main determinant of stunting in children aged 24-59 months.  Conclusions: Risk factors for stunting include immunisation history, history of infectious disease, energy intake, protein intake, exclusive breastfeeding history, cigarette smoke exposure, access to clean water and household waste management