The Correlation between Environmental Sanitation and Stunting Management through Women's Interventions and Food Security in Pre-School Age Children

Authors

Rizdya Oktofani , Hartati Kartikaningsih , Nurul Badriyah

DOI:

10.29303/jppipa.v11i1.8265

Published:

2025-01-25

Issue:

Vol. 11 No. 1 (2025): In Progress

Keywords:

Environmental sanitation, Food security, Pre-school children, Stunting handling, Women's intervention

Research Articles

Downloads

How to Cite

Oktofani, R., Kartikaningsih, H., & Badriyah, N. (2025). The Correlation between Environmental Sanitation and Stunting Management through Women’s Interventions and Food Security in Pre-School Age Children. Jurnal Penelitian Pendidikan IPA, 11(1), 236–243. https://doi.org/10.29303/jppipa.v11i1.8265

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Abstract

Stunting is a chronic nutritional deficiency that impedes growth and affects the development of body and brain cells. Addressing stunting requires multisectoral collaboration to reduce and prevent stunting among children under 5 years old, the critical "Golden Age" period. Malang City's stunting rate was 18% in 2022, 16% in 2023, with a 2024 target of 14%. Achieving zero stunting involves a multidisciplinary approach, considering environmental, social, and economic factors within a sustainable development framework. This study examines the roles of the community, stakeholders, and government in stunting management. A quantitative approach using explanatory research was conducted on pre-school children in Karangbesuki Village, with a sample of 112 families at risk of stunting from a population of 584. Data was collected through offline questionnaires, and analysis was performed using SEM-PLS software. The study found that environmental sanitation had no significant direct effect on stunting management but positively influenced women's intervention and food security. Both women's intervention and food security significantly impacted stunting management. Furthermore, women's intervention and food security played a perfect mediating role in the relationship between environmental sanitation and stunting management. Future research should consider expanding the sample size and exploring additional independent variables beyond the current framework.

References

Abedi, A. J., Moin, A., Ahmad, S. S., Mehnaz, S., & Almasi‐Hashiani, A. (2021). Prevalence and Determinants of Food Insecurity and Association With Malnutrition of Under Five Children in Aligarh. Indian Journal of Community Health. https://doi.org/10.47203/ijch.2021.v33i03.003

Al Faruq, D. U. (2023). Stunting Mencapai 8,9%, Pemkot Malang Minta Peran Posyandu Ditingkatkan. Retrieved from https://www.medcom.id/nasional/daerah/Wb7R76BN-stunting-mencapai-8-9-pemkot-malang-minta-peran-posyandu-ditingkatkan

Amalia, I. N., Setiani, O., & Darundati, Y. H. (2023). Environmental Factors Associated with Incidence of Stunting in Toddlers : Literature Review. Jurnal Serambi Engineering, 8(3), 6736–6743. https://doi.org/10.32672/jse.v8i3.5740

Arini, D., Ernawati, D., Hayudanti, D., & Alristina, A. D. (2022). Impact of Socioeconomic Change and Hygiene Sanitation During Pandemic COVID-19 Towards Stunting. International Journal of Public Health Science, 11(4), 1382–1390. https://doi.org/10.11591/ijphs.v11i4.21602

Badriyah, L. U., & Syafiq, A. (2017). The Association Between Sanitation , Hygiene , and Stunting in Children Under Two-Years ( An Analysis of Indonesia ’ s Basic Health Research , 2013 ). 2017, 21(2), 35–41. https://doi.org/10.7454/msk.v21i2.6002

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4). https://doi.org/10.1111/mcn.12617

Chandrasekhar, S., Aguayo, V. M., Krishna, V., & Nair, R. (2017). Household Food Insecurity and Children’s Dietary Diversity and Nutrition in India. Evidence From the Comprehensive Nutrition Survey in Maharashtra. Maternal & Child Nutrition. https://doi.org/10.1111/mcn.12447

Efevbera, Y., Bhabha, J., Farmer, P. E., & Fink, G. (2017). Girl child marriage as a risk factor for early childhood development and stunting. Social Science & Medicine, 185, 91–101. https://doi.org/10.1016/j.socscimed.2017.05.027

Fauziah, A. (2023). Tiga Kelurahan di Kota Malang Tahun 2024 Ditarget Zero Stunting. Momentum.com. Retrieved from https://kotamalang.memontum.com/tiga-kelurahan-di-kota-malang-tahun-2024-ditarget-zero-stunting

Fuada, N. (2011). Hubungan sanitasi lingkungan, morbiditas dan status gizi balita di indonesia (relationship between environmental sanitation, morbidity and nutritional status of under-five children in indonesia). Penelitian Gizi Dan Makanan (The Journal of Nutrition and Food Research), 34(2), 104–113. https://doi.org/10.22435/pgm.v34i2.3100

Ghozali, I. (2018). Aplikasi Analisis Multivariate Dengan Program IBS SPSS 25 Edisi 9. Badan Penerbit Universitas Diponegoro.

Hair Jr, J., Page, M., & Brunsveld, N. (2019). Essentials of business research methods. Routledge. https://doi.org/10.4324/9780429203374

Harianto, D. (2022). Perkuat Sanitasi, Tujuh Kelurahan Kota Malang Disuntik Dana Pusat. Jawa Pos Radar Malang. Retrieved from https://radarmalang.jawapos.com/kota-malang/811082892/perkuat-sanitasi-tujuh-kelurahan-kota-malang-disuntik-dana-pusat

Haryuni, N. (2022). Peta Ketahanan dan Kerentanan Pangan FSVA (Food Security and Vulnerability Atlas). Retrieved from https://shorturl.asia/vJr1j

Informasi Publik, B. K. (2022). Terus Upayakan Penurunan Stunting, Pemkot Lakukan Percepatan Kelurahan STBM. Dinas Kesehatan Kota Malang. Retrieved from https://malangkota.go.id/2022/10/18/terus-upayakan-penurunan-stunting-pemkot-lakukan-percepatan-kelurahan-stbm/

Informasi Publik, B. K. (2023). Kuatkan Sinergi dan Kolaborasi Turunkan Stunting di Kota Malang. Pemerintah Kota Malang. Retrieved from https://malangkota.go.id/2023/06/27/kuatkan-sinergi-dan-kolaborasi-turunkan-stunting-di-kota-malang/

Iskandar, A. H. (2023). Prioritas Penggunaan Dana Desa 2023. Sistem Informasi Desa Balai Batu Saudara. Retrieved from https://balaibatusadara.opendesa.id/artikel/2023/1/9/prioritas-penggunaan-dana-desa-tahun-2023

Kemendikbud. (2016). Peringkat dan Capaian PISA Indonesia Mengalami Peningkatan. Kemendikbud. Retrieved from https://www.kemdikbud.go.id/main/blog/2016/12/peringkat-dan-capaian-pisa-indonesia-mengalami-peningkatan

Lalu, N. A. S. (2023). Analysis of Stunting Incidence Based On Food Consumpted and Environmental Sanitation. International Journal of Hydrological and Environmental for Sustainability, 2(2), 97–103. https://doi.org/10.58524/ijhes.v2i2.230

Margatot, D. I., & Huriah, T. (2021). The Effectiveness of Women Empowerment in Preventing Stunting in Children Aged 6-59 Months. Bali Medical Journal. https://doi.org/10.15562/bmj.v10i3.2852

Martony, O. (2023). Stunting Di Indonesia: Tantangan Dan Solusi Di Era Modern. Journal of Telenursing (JOTING), 5(2), 1734–1745. Retrieved from https://doi.org/https://journal.ipm2kpe.or.id/index.php/JOTING/announcement

Mursid, F. (2022). Kesehatan Lingkungan Salah Satu Kontribusi Penurunan Stunting. Republika.Co.Id. Retrieved from https://ameera.republika.co.id/berita/r9etkd430/kesehatan-lingkungan-salah-satu-kontribusi-penurunan-stunting

Najib, N. (2023). Analysis of Feeding Behavior and Family Food Security as a Stunting Risk Factor in Semarang City. Jurnal Kesehatan Masyarakat, 19(2). https://doi.org/10.15294/kemas.v19i2.43144

Novrizaldi. (2023). Pemerintah Optimis Target Penurunan Stunting 14 Persen Tercapai di 2024. kemenkopmk. Retrieved from https://www.kemenkopmk.go.id/pemerintah-optimis-target-penurunan-stunting-14-persen-tercapai-di-2024

Patriota, É. S., Abrantes, L. C., Figueiredo, A. C., Pizato, N., Buccini, G., & Gonçalves, V. S. (2023). Association between household food insecurity and stunting in children aged 0 − 59 months : Systematic review and meta ‐ analysis of cohort studies. Maternal & Child Nutrition, 20(2), 1–15. https://doi.org/10.1111/mcn.13609

Pemkot Malang, P. K. (2024). Dinkes dan TP PKK Kota Malang Kuatkan Sinergi Perangi Stunting. pkk.malangkota.go.id. Retrieved from https://malangkota.go.id/2024/01/30/dinkes-dan-tp-pkk-kota-malang-kuatkan-sinergi-perangi-stunting/

Purba, I. G., Sunarsih, E., Trisnaini, I., & Sitorus, R. J. (2020). Environmental Sanitation And Incidence Of Stunting In Children Aged 12-59 Months. Jurnal Kesehatan Lingkungan, 12(3). https://doi.org/10.20473/jkl.v12i3.2020.189-199

Purwita, E. (2022). Determinants of Stunting in Children Under Five in Rural Areas. Science Midwifery. https://doi.org/10.35335/midwifery.v10i4.729

Putra, D. P., Riantina, A., Nurindalia, B., Kirana, T. A., Mayang, I., Idris, H., Flora, R., & Hasyim, H. (2023). The Role of Food Security in the Incident of Stunting in Toddlers. Community Medicine & Education, 4(3), 367–372. Retrieved from https://shorturl.asia/mJKgT

Rahayu, A. W. (2019). Maternal Factors and Their Effects on Stunting in Indonesia. 2nd International Conference on Strategic and Global Studies (ICSGS 2018), 131–139. https://doi.org/10.2991/icsgs-18.2019.18

Reeves, T. A. (2020). Perceptions of Reproductive Health Services of Young African American Mothers with Low Literacy [Doctoral dissertation: Walden University]. Retrieved from https://shorturl.asia/vPVNT

Renyoet, B. S., Martianto, D., & Sukandar, D. (2016). Potensi kerugian ekonomi karena stunting pada balita di Indonesia tahun 2013. Jurnal Gizi Dan Pangan, 11(3), 247–254. Retrieved from https://journal.ipb.ac.id/index.php/jgizipangan/article/view/16461

Rokom. (2023). Prevalensi Stunting di Indonesia Turun ke 21,6% dari 24,4%. sehatnegeriku.kemkes. Retrieved from https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20230125/3142280/prevalensi-stunting-di-indonesia-turun-ke-216-dari-244/

Salsabila, A. (2023). Relationship Between Environmental Sanitation and Stunting Incidents in Toddlers in Work Area of Kendal II Public Health Center (Nomor ICoHPS. Proceedings of the 6th International Conference of Health Polytechnic Surabaya (ICoHPS 2023). https://doi.org/10.2991/978-94-6463-324-5

Shofifah, A., Sulistyorini, L., & Praveena, S. M. (2022). Environmental Sanitation at Home and History of Infection Diseases as Risk Factors for Stunting in Toddlers in Drokilo Village, Kedungadem District, Bojonegoro Regency. Jurnal Kesehatan Lingkungan. https://doi.org/10.20473/jkl.v14i4.2022.289-295

Supanji, T. H. (2022). Komitmen Pemerintah Percepat Penurunan Angka Stunting. Retrieved from https://www.kemenkopmk.go.id/komitmen-pemerintah-percepat-penurunan-angka-stunting

Tarigan, M. (2022). Jangan Remehkan Peran Perempuan Dalam Cegah Anak Stunting. Retrieved from https://gaya.tempo.co/read/1613752/jangan-remehkan-peran-perempuan-dalam-cegah-anak-stunting

Titaley, C. R., Ariawan, I., Hapsari, D., Mu’asyaroh, A., & Dibley, M. J. (2019). Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients. https://doi.org/10.3390/nu11051106

Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of Stunting in Indonesian Children: Evidence From a Cross-Sectional Survey Indicate a Prominent Role for the Water, Sanitation and Hygiene Sector in Stunting Reduction. BMC Public Health, 16, 1–11. https://doi.org/10.1186/s12889-016-3339-8

UNICEF. (2020). Situasi Anak di Indonesia. Jakarta: UNICEF Indonesia.

Wijaya, O. (2023). Is the Household Food Security the Nucleus Determinant for the Prevalence of Stunting in Purworejo Regency? E3S Web of Conferences. https://doi.org/10.1051/e3sconf/202344401008

Yani, D. I., Rahayuwati, L., Sari, C. W. M., Komariah, M., & Fauziah, S. R. (2023). Family household characteristics and stunting: an update scoping review. Nutrients, 15(1), 233. https://doi.org/10.3390/nu15010233

Yanti, D. S., Sumardiyono, S., & Kusnandar, K. (2023). The Relationship Between Household Good Security and Incidence of Stunting in Toddlers During the New Normal: a Systematic Review. Epidemiology and Society Health Review. https://doi.org/10.26555/eshr.v5i1.7279

Yurizal, N. A. F. (2023). Analysis of environmental factors with the incidence of stunting in toddlers (literature review). Riset Informasi Kesehatan, 12(1), 88–97. https://doi.org/10.30644/rik.v12i1.712

Author Biographies

Rizdya Oktofani, Brawijaya University

Hartati Kartikaningsih, Brawijaya University

Nurul Badriyah, Brawijaya University

License

Copyright (c) 2025 Rizdya Oktofani, Hartati Kartikaningsih, Nurul Badriyah

Creative Commons License

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

Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).