THE EFFECT OF NURTURING CARE ON THE INCIDENCE OF STUNTING AMONG TODDLERS IN THE SERVICE AREA OF THE MAIWA COMMUNITY HEALTH CENTER ENREKANG REGENCY
DOI:
https://doi.org/10.61677/jth.v4i2.875Keywords:
Exclusive breastfeeding, complementary feeding, nurturing care, sanitation, stunting.Abstract
Stunting refers to a condition of chronic undernutrition in which a child's height-for-age (HAZ) falls more than two standard deviations below the WHO reference median. In 2024, Enrekang Regency reported a stunting prevalence of 34.3%, the second-highest figure in South Sulawesi Province. This research set out to examine how three dimensions of maternal caregiving—exclusive breastfeeding, complementary feeding, and household sanitation—relate to stunting among toddlers within the coverage area of Puskesmas Maiwa, Enrekang Regency. A cross-sectional quantitative design was applied, drawing 93 respondents through simple random sampling, with binary logistic regression used for data analysis. Findings indicated that exclusive breastfeeding was significantly related to stunting status (p=0.002; OR=11.058), while inappropriate complementary feeding emerged as the strongest predictor (p=0.000; OR=37.414); sanitation, by contrast, showed no significant association (p=0.675). Together, the three variables accounted for 68.7% of the variance in stunting occurrence (Nagelkerke R² = 0.687). Based on these results, efforts to prevent stunting in the area should give priority to maternal education on proper breastfeeding and complementary feeding practices.
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