• sutarto Department of Community Medicine and Public Health, Faculty of Medicine, University of Lampung, Indonesia
  • Neti Yuliana Department of Agricultural Product Technology, Faculty of Agriculture, University of Lampung, Indonesia
  • Dyah Wulan Sumekar Rengganis Wardani Department of Community Medicine and Public Health, Faculty of Medicine, University of Lampung, Indonesia
  • Samsu Udayana Nurdin Department of Agricultural Product Technology, Faculty of Agriculture, University of Lampung, Indonesia



Stunting, model, immunization, mother, children


All children have the right to a decent living, including health status, to grow and develop. The government has made various efforts to improve maternal and child health through immunization programs, maternal and child health services and nutrition improvement programs. Several determinants interact with stunting. The health status of children is critical, and infectious diseases are straightforward to transmit. This infection is very contagious and infects the body of malnourished children, and sick children will reduce their appetite. This study aims to explain the effect of modelling the health status of children under two years of age on the incidence of stunting. The descriptive-analytic method uses a case-control design, with the main population in this study being toddlers aged 2-3 years, using multiple logistic regression tests. In the health status of children aged less than two years, the most influential variables were the status of completeness of immunization (OR=104) and the following order of clean living behaviour at the household level (OR=33), complementary feeding (OR= 23), the tradition of leaving children (OR=10), birth weight (OR=9), active in Integrated Healthcare Center (OR=8), knowledge of using MCH handbooks (OR=5), age to stop breastfeeding (OR=4), gestational age (OR=4 ), and length of birth (OR=3). In the model equation, the variable of immunization status is the variable that has the most significant influence on the incidence of stunting. Immunization protects not only individuals but also the broader community through the benefits of herd immunity. All factors related to the health status of children under two years of age and knowledge of mothers during pregnancy are associated with using maternal-child health books and a history of anaemia during pregnancy, so children in Way Kanan have a 99.9% chance of experiencing a reduction in stunting


Nova M, Afriyanti O. The relationship between weight, exclusive breastfeeding, MP-ASI and energy intake with stunting in toddlers aged 24–59 months at the Lubuk Buaya Health Center. Pioneer's Journal of Health (Perintis's. 2018;5(1):39–45.

McFadden SAM, Sonney J, Bekemeier B. Model for system-level influence on child immunization completion. Public Health Nursing. 2021;38(3):406–11.

Zara N, Lubis Z, Siagian A. Family Characteristics, Parenting Patterns and Types of Diseases with Toddler Nutritional Status (Health Study at the Dewantara Health Center, North Aceh District). Journal of Indonesian Medical Anthropology. 2022;3(1):28–34.

Michaelsen KF, Stewart CP, Dewey KG, Onyango AW, Iannotti L. Contextualizing complementary feeding within a broader framework for stunting prevention. Maternal & Child Nutrition. 2015;9(Sp2):27–45.

Prado EL, Jimenez EY, Vosti S, Stewart R, Stewart CP, Somé J, et al. Pathway analysis of risk factors for linear growth disorders in four prospective cohorts of young children in Ghana, Malawi, and Burkina Faso. BMJ Global Health. 2019; 4:1–11.

Harper KM, Mutasa M, Prendergast AJ, Humphrey J, Manges AR. Pathways of environmental enteric dysfunction and child stunting: a systematic review. PLoS Neglected Tropical Diseases. 2018;12(1):1–23.

Pambudi J, Christian R. Early Weaning Practices and Their Relation to Socio-Economic Conditions and Residential Areas. Nutrition and Food Research (The Journal of Nutrition and Food Research). 2018;40(2):87–94.

Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between duration of breastfeeding and malnutrition in children aged 0-3 years in Pakistan. International Journal of Pediatric and Adolescent Medicine. 2020;1(06):1–8.

Jayanti ND, Mayasari SI. Pregnancy Period and Analysis of Bio-Psychosocial and Economic Factors on Toddler Development. Journal of Nurses and Midwifery. 2021;8(1):26–32.

Pham BN, Silas VD, Okely AD, Pomat W. Measuring the Prevalence of Wasting and Stunting in Children Under the Age of 5 and Associated Risk Factors in Papua New Guinea: New Evidence From a Comprehensive Epidemiological and Health Surveillance System. Frontier in Nutrition. 2021;8(March):1–13.

Addisse M. Maternal and Child Health Care. USAID cooperative. Ethiopian Public Health Training Initiative. Gondar, Ethiopia: Funded under a USAID Partnership Agreement; 2003. 1–98 p.

Daracantika A, Ainin, Besral. Systematic Literature Review : The Negative Effect of Stunting on Children's Cognitive Development. Bikfoke. 2021;1(2):124–35.

Saputra AR. The Role of Exclusive Breastfeeding on Nutritional Status and Growth and Development in Early Childhood. J Agromed Unila. 2016;3(1):30–5.

Wemakor A, Mensah KA. Relationship between maternal depression and child stunting in Northern Ghana: A cross-sectional study. BMC Public Health [Internet]. 2016;16(1):1–7. Available from:

Nasution SS, Girsang BM, Hariati H. Evaluation of the influence of socio-cultural factors on the status of children in Langkat Regency, Indonesia. Macedonian Journal of Medical Sciences Open Access. 2021;9:461–6.

Chilinda ZB, Wahlqvist ML, Lee MS, Huang YC. Greater maternal autonomy is associated with reduced child stunting in Malawi. Scientific Reports [Internet]. 2021;11(3882):1–12. Available from:

Onis M de, Branca F. Childhood stunting: A global perspective. Maternal and Child Nutrition. 2016;12(1):12–26.

Kureishy S, Khan GN, Arrif S, Ashraf K, Cespedes A, Habib MA, et al. A mixed methods study to assess the effectiveness of a food-based intervention to prevent stunting in children under five in Thatta and Sujawal Districts, Sindh Province, Pakistan: Study protocol. BMC Public Health [Internet]. 2017;17(1):1–6. Available from:

Lemeshow S, Jr. David W. Hosmer, Klar J, Lwanga SK. Adequacy of Sample Size in Health Studies. First (t. Kusnanto H, editor. Yogyakarta: Gadjah Mada University Press; 1997. 1–259 p.

Ningtias RAA, Wijayanti T. Relationship between Maternal Age and Gestational Age with Hypertension in Pregnancy. Kalimantan Student Research. 2021;2(3):1647–53.

Pancawardani R, Amelia R, Wahyuni S. Maternal gestational age affects the output of low birth weight babies. Journal of Midwifery Care. 2022;3(2):40–7.

Bagus ID, Widya K, Danianto A, Cholidah R. Relationship of obesity in pregnancy with baby weight and gestational age at delivery at the Cakranegara Health Center. Unram Medical Journal. 2022;11(1):781–4.

Aksari ST, Imanah NDN. Gestational age as a factor associated with the incidence of anemia in pregnant women during the Covid 19 pandemic. Indonesian Journal of Midwifery. 2022;13(1):94–102.

Mustaghfiroh L, Faradila IPV, Wijayanti IT. Analysis of birth weight of babies from mothers who have anemia: seen from the factors of maternal age and gestational age. Permas Scientific Journal: STIKES Kendal Scientific Journal Volume. 2021;11(1):149–56.

Apriani E, Subandi A, Mubarok AK. Relationship between Age of Pregnant Women, Parity and Age of Pregnancy with Low Birth Weight Incidence at Cilacap Hospital. Trends in Nursing [Internet]. 2021;2(1):45–52. Available from:

Sutarto, Yuliana N, Nurdin SU, Wulan D, Rengganis S. The Influence of Local Culture on Mothers During Pregnancy on Stunting Incidents. Journal of Positive Psychology & Wellbeing. 2022;6(1):2172–80.

Murti FC, Suryati S, Oktavianto E. The relationship between low birth weight (LBW) and stunting in toddlers aged 2-5 years in Umbulrejo Village, Ponjong District, Gunung Kidul Regency. Nursing Health Scientific Journal. 2020;16(2):52.

Nasution D, Nurdiati DS, Huriyati E. Low birth weight (LBW) with stunting in children aged 6-24 months. Indonesian Journal of Clinical Nutrition. 2017;11(1):31.

Lubis FSM, Cilmiaty R, Magna A. The relationship between several factors and stunting in toddlers with low birth weight. Kusuma Husada Health Journal. 2018;9(1):13–8.

Sukmawati, Hendrayati, Chaerunimah, Nurhumairah. Maternal nutritional status during pregnancy, birth weight of babies with stunting in toddlers. Food Nutrition Media. 2018;25(1):18–24.

Winowatan G, Malonda NSH, Punuh MI. Relationship Between Child Birth Weight and Stunting Incidents in Toddlers in the Work Area of the Sonder Health Center, Minahasa Regency. Public Health Journal [Internet]. 2017;6(3):1–8. Available from:

Rahmadi A. Relationship between body weight and birth length with stunting in children 12-59 months in Lampung province. Nursing Journal. 2016;XII(2):209–18.

Sutriyawan A, Rahayu S, Kurniawati RD, Habibi J. The relationship between immunization status and history of infectious diseases with stunting in toddlers: a retrospective study. Journal of Midwifery [Internet]. 2020;8(2):1–9. Available from:

Fajariyah RN, Hidajah AC. Correlation between Immunization Status and Mother's Height, and Stunting in Children Aged 2–5 Years in Indonesia. Journal of Epidemiology Periodical. 2020;8(1):89.

Haryani RI, Dimyati, Fauziah PY. The Role of Parenting Grandparents on Prosocial Behavior in Early Childhood. Obsession Journal : Journal of Early Childhood Education. 2022;6(1):173–81.

Dhiu KD, Fono YM. The Impact of Parenting Grandparents. Journal of Early Childhood Education Undiksha. 2021;9(3):342.




How to Cite

, sutarto, Yuliana, N., Wulan Sumekar Rengganis Wardani, D., & Udayana Nurdin, S. (2023). REGRESSION MODELING OF AFTER-BIRTH CHILD HEALTH STATUS TO STUNTING EVENTS IN WAY KANAN DISTRICT, LAMPUNG PROVINCE, INDONESIA. Malaysian Journal of Public Health Medicine, 23(1), 218–226.