Factors Analysis of Stunting Prevention Effort in Mother of Toddlers through Snehandu B. Karr Theory Approach

Authors

  • Teresia Retna Puspitadewi Department of Nursing, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, East Java, Indonesia
  • Roudlotul Jannah Department of Nursing, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, East Java, Indonesia
  • Yasin Wahyuriyanto Department of Nursing, Politeknik Kesehatan Kementerian Kesehatan Surabaya, Surabaya, East Java, Indonesia

DOI:

https://doi.org/10.53770/medica.v8i3.978

Keywords:

Stunting Prevention, Snehandu B. Karr Theory, Maternal Behavior, Toddlers, Public Health Center

Abstract

Stunting remains a major global public health problem reflecting chronic malnutrition in children and contributing substantially to under-five mortality worldwide. This study aimed to analyze the dominant factors influencing stunting prevention efforts among mothers of toddlers using the Snehandu B. Karr theoretical approach in the working area of Wire Public Health Center, Tuban Regency. An analytical cross-sectional design was employed in August 2022 involving 200 mothers of toddlers selected through quota sampling. Data were collected using a structured questionnaire developed based on the Snehandu B. Karr theory to assess internal and external determinants of preventive behavior. Univariate analysis was conducted to describe respondent characteristics and study variables, while bivariate and multivariate analyses using logistic regression were performed to identify significant and dominant factors. The results showed that social support (p = 0.029), behavioral intention (p = 0.018), and autonomy (p = 0.018) were significantly associated with stunting prevention efforts, whereas access to information (p = 0.998) and situational factors (p = 0.999) were not significantly related. Behavioral intention was identified as the most dominant factor influencing stunting prevention behavior among mothers. In conclusion, strengthening maternal behavioral intention, enhancing social support, and promoting autonomy are crucial to improving stunting prevention efforts; therefore, future studies should focus on intervention-based and longitudinal approaches to better understand causal relationships and evaluate the effectiveness of behavior change strategies.

References

Amusa, L. B., Yahya, W. B., & Bengesai, A. V. (2023). Spatial variations and determinants of malnutrition among under-five children in Nigeria: A population-based cross-sectional study. Plos one, 18(4), e0284270. https://doi.org/10.1371/journal.pone.0284270

Bukit, D.S., Yustina, I., Nurmaini, N., Rochadi, K., & Zuska, F. (2023). The Correlation Of Mother's Knowledge and Mother's Behavior in Stunting Prevention Efforts in Tuntungan Village 2 Deli Serdang Regency. International Journal of Midwifery Research, 3(1), 31-39. https://doi.org/10.47710/ijmr.v3i1.48

Bhatt Carreno, S., Orjuela-Grimm, M., Vahedi, L., Roesch, E., Heckman, C., Beckingham, A., Gayford, M., & Meyer, S. R. (2024). Linkages between maternal experience of intimate partner violence and child nutrition outcomes: A rapid evidence assessment. Plos one, 19(3), e0298364. https://doi.org/10.1371/journal.pone.0298364

Friska, E., & Andriani, H. (2022). The Utilization of Android-Based Application as a Stunting Prevention E-Counseling Program Innovation during Covid-19 Pandemic. Journal of Maternal and Child Health, 6(5), 323–332. https://doi.org/10.26911/thejmch.2021.06.05.02

Helmyati, S., Atmaka, D. R., Wisnusanti, S. U., & Wigati, M. (2020). STUNTING: Permasalahan dan Penanganannya. Yogyakarta: UGM Press.

Huo, S., Wang, K., Liu, Z., Yang, Y., Hee, J. Y., He, Q., Takesue, R., & Tang, K. (2022). Influence of Maternal Exposure to Mass Media on Growth Stunting Among Children Under Five: Mediation Analysis Through the Water, Sanitation, and Hygiene Program. JMIR public health and surveillance, 8(4), e33394. https://doi.org/10.2196/33394

Kamiya, Y., Nomura, M., Ogino, H., Yoshikawa, K., Siengsounthone, L., & Xangsayarath, P. (2018). Mothers’ autonomy and childhood stunting: Evidence from semi-urban communities in Lao PDR. BMC Women’s Health, 18(1), 1–9. https://doi.org/10.1186/s12905-018-0567-3

Kumar, P., Rashmi, R., Muhammad, T., & Srivastava, S. (2021). Factors contributing to the reduction in childhood stunting in Bangladesh: a pooled data analysis from the Bangladesh demographic and health surveys of 2004 and 2017–18. BMC Public Health, 21(1), 1–14. https://doi.org/10.1186/s12889-021-12178-6

Mangimela-Mulundano, A., Black, K. I., & Cheney, K. (2022). A cross-sectional study of women’s autonomy and modern contraception use in Zambia. BMC Women’s Health, 22(1), 1–8. https://doi.org/10.1186/s12905-022-02101-5

Marni, M., Zulkifli, A., Thaha, R. M., Hidayanty, H., Stang, S., Syafar, M., Razak, A., Liliweri, A., Sudarmin, R. R., & Picauly, I. (2023). Awareness, Motivation, and Intentions in Preventing Stunting in the Dry Land Area of Kupang Regency, East Nusa Tenggara Province. International Journal of Sustainable Development and Planning, 18(1), 201–207. https://doi.org/10.18280/ijsdp.180121

Munira, S. L. (2023). Results of the 2022 Indonesian Nutrition Status Survey (SSGI). Jakarta: Health Development Policy Agency, Ministry of Health of the Republic of Indonesia.

Nankya-Mutyoba, J., Aizire, J., Makumbi, F., Ocama, P., & Kirk, G. D. (2019). Hepatitis B virus perceptions and health seeking behaviors among pregnant women in Uganda: implications for prevention and policy. BMC Health Services Research, 19(1). https://doi.org/10.1186/S12913-019-4516-0

Nasution, S. S., Oktavinola, F., & Hariati. (2019). Mother’S Knowledge and Attitude About Stunting of Children in Namorambe District. ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat, 4(1), 61–65. https://doi.org/10.32734/abdimastalenta.v4i1.2386

Nenobais, D. I., & Katmini, K. (2021). Application of Health Belief Model Theory on Prevention of Stunting in Toddlers Through Nutritional Behavior. Journal for Quality in Public Health, 5(1), 27–34. https://doi.org/10.30994/jqph.v5i1.244

Noviana, U., Ekawati, H., M. Hasinuddin, Haris, M., & Mufarika, M. (2024). Stunting prevention behavior among children under two years based on integrated behavior: A model development. Pediomaternal Nursing Journal, 10(1), 7–13. https://doi.org/10.20473/pmnj.v10i1.47366

Novianti, S., Huriyati, E., & Padmawati, R. S. (2023). Safe Drinking Water, Sanitation and Mother’s Hygiene Practice as Stunting Risk Factors: A Case Control Study in a Rural Area of Ciawi Sub-district, Tasikmalaya District, West Java, Indonesia. Ethiopian Journal of Health Sciences, 33(6), 935–944. https://doi.org/10.4314/ejhs.v33i6.3

Nuraeni, N., Hawa, N., Utari, D., & Parahyanti, E. (2024). Global Journal of Environmental Science and Management Clean and healthy environmental behavior in terms of malnutrition and sanitation. Global J. Environ. Sci. Manage, 10(2), 589–604. https://doi.org/10.22034/gjesm.2024.02.11

Nurlinda, N., Zarkasyi, R., & R. Herlina. (2021). Preventing Child Stunting Starting from the Preconception Period. Pekalongan: PT. Nasya Expanding Management.

Office of the Vice President of the Republic of Indonesia. (2019). National Strategy for Accelerating the Prevention of Stunting. Jakarta: Office of the Vice President of the Republic of Indonesia.

Pandani, N. W. P. (2021). The Role of Social Support for Mother’s Interest in Preventing Stunting. Community Medicine and Education Journal, 1(1), 44–52. https://doi.org/10.37275/cmej.v1i1.103

Patimah, S. (2021). Stunting Threatens Human Capital. Sleman: Deepublish.

Scheiner, E. (2023). Tackling child malnutrition: A long-run, global perspective on a persistent issue.

Soviyati, E., Sulaeman, E. S., Sugihardjo, I., & Wiboworini, B. (2023). Effect of applying the health promotion model in stunting prevention and behavior control in Indonesia. Journal of education and health promotion, 12, 227. https://doi.org/10.4103/jehp.jehp_276_23

Suminar, J. R., Arifin, H. S., Fuady, I., Aisha, S., Moch, A. S. S., & Prasanti, D. (2021). Application of Planned Behavior Model: Factors Affecting Young Mothers’ Intention of Behavior in Stunting Prevention in West Java. Review of International Geographical Education Online, 11(5), 100–109. https://doi.org/10.48047/rigeo.11/5/10

Supadmi, S., Laksono, A. D., Kusumawardani, H. D., Ashar, H., Nursafingi, A., Kusrini, I., & Musoddaq, M. A. (2024). Factor related to stunting of children under two years with working mothers in Indonesia. Clinical Epidemiology and Global Health, 26(May 2023), 101538. https://doi.org/10.1016/j.cegh.2024.101538

Susilowati,, S. Setiawan, Y. A., & Budiana, T.A. (2019). Relationship of Mother Factors and Stunting Incidence in Children (24-59 Months) in Buniwangi Village, Work Area of Pagelaran Public Health Center, Cianjur Regency. Third International Seminar on Global Health (3rdISGH) 3(1), 115–123.

Tekeba, B., Tarekegn, B. T., Zegeye, A. F., & Ayele, A. D. (2023). Stunting disparities and its associated factors among preschool children of employed and unemployed mothers in Gondar City: a comparative community-based cross-sectional study. Frontiers in nutrition, 10, 1172501. https://doi.org/10.3389/fnut.2023.1172501

Tuban Regency Communication, Information, Statistics, and Cryptography Agency. (2022). Tuban’s 2023 Minimum Wage Rises; Here Are the Figures. Tuban: Tuban Regency Communication, Information, Statistics, and Coding Agency.

Tuban Regency Communication, Information, Statistics, and Coding Agency. (2024). Tuban Regency Successfully Reduces Stunting Rate by 7.1 Percent. Tuban: Tuban Regency Communication, Information, Statistics, and Coding Agency.

UNICEF. (2021). Southeast Asia Regional Report on Maternal Nutrition and Complementary Feeding. Bangkok: UNICEF.

UNICEF. (2023). Malnutrition in Children. UNICEF.

Utami, R. A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermería Clínica, 29, 606–611. https://doi.org/10.1016/J.ENFCLI.2019.04.093

Utami, R. N., Pandarugan, L. S., & Nambiar, N. (2022). Analysis of Risk Factors for Stunting in Toddlers in Cicantayan Sukabumi Regency. KnE Life Sciences, 2022, 194–206. https://doi.org/10.18502/kls.v7i2.10302

Wand, H., Naidoo, S., Govender, V., Reddy, T., & Moodley, J. (2024). Preventing Stunting in South African Children Under 5: Evaluating the Combined Impacts of Maternal Characteristics and Low Socioeconomic Conditions. Journal of Prevention, 45(3), 339–355. https://doi.org/10.1007/s10935-024-00766-2

WHO. (2020). Joint child malnutrition estimates. The Global Health Observatory. Geneva: WHO.

WHO. (2021). Malnutrition. Facts Sheet. Geneva: WHO.

World Bank. (2024). Democratic Republic of Congo. World Bank.

Yuhan, R. J., Kutanegara, P. M., & Budiani, S. R. (2024). Linkages of Mother’s Status and Autonomy in the Household With Childhood Stunting in Indonesia. Journal of Population and Social Studies, 32, 416–430. https://doi.org/10.25133/JPSSv322024.025

Downloads

Published

2026-03-31

How to Cite

Puspitadewi, T. R., Jannah, R., & Wahyuriyanto, Y. . (2026). Factors Analysis of Stunting Prevention Effort in Mother of Toddlers through Snehandu B. Karr Theory Approach. MEDICA (International Medical Scientific Journal), 8(3), 133–141. https://doi.org/10.53770/medica.v8i3.978