The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman


Wiwie Putri Adila
Roza Sri Yanti


Stunting is a chronic malnutrition problem caused by poor nutritional intake, repeated infections, and inadequate psycho-social stimulation at the first 1000 days of life, characterized by height for age below the applicable standard, Prevalence of stunting in Indonesia in 2019 was 27.7%. In 2021 it became 24.4%, and although it has decreased, Indonesia is still far from the target. Objective: This study aims to determine the relationship between CED, exclusive breastfeeding, and economic status with the incidence of stunting in children. This research is an observational analytic study with a cross-sectional design. A total of 224 respondents were selected randomly by proportional random sampling, and the study was conducted in July-September 2022. Data collection was carried out by measuring height, looking at the MCH book, interviews, and questionnaires. Bivariate analysis was performed using chi-square and multivariate using multiple logistic regression. The results showed that 50.9% of children are stunted. Chi-square results show a significant relationship between the history of CED with a p-value of 0.000, exclusive breastfeeding with a p-value of 0.020, and economic status with a p-value of 0.003 and the incidence of stunting. CED is the most dominant factor affecting the incidence of stunting. Statistically, CED has a risk of 11.278 times, affecting the occurrence of stunting. This study suggests Health agencies and related parties to collaborate in early detection, reduce the risk of stunting, and be able to run programs that the government has made.


How to Cite
Adila, W. P., Roza Sri Yanti and Mayetti (2023) “The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman”, Science Midwifery, 10(6), pp. 4471-4480. doi: 10.35335/midwifery.v10i6.1165.


Alfarisi, R., Nurmalasari, Y., & Nabilla, S. (2019). Status Gizi Ibu Hamil Dapat Menyebabkan Kejadian Stunting Pada Balita. Jurnal Kebidanan Malahayati, 5(3), 271–278.
Altmann, M., Altare, C., Spek, N. Van Der, Barbiche, J., Dodos, J., Bechir, M., Aissa, M. A., & Kolsteren, P. (2018). Effectiveness of a Household Water , Sanitation and Hygiene Package on an Outpatient Program for Severe Acute Malnutrition : A Pragmatic Cluster-Randomized Controlled Trial in Chad. 98(4), 1005–1012.
Bella, F. D., Fajar, N. A., & Misnaniarti, M. (2020). Hubungan antara Pola Asuh Keluarga dengan Kejadian Balita Stunting pada Keluarga Miskin di Palembang. Jurnal Epidemiologi Kesehatan Komunitas, 5(1), 15–22.
Hadi, M. I., Kumalasari, M. L. F., & Kusumawati, E. (2019). Faktor Risiko yang Berhubungan dengan Kejadian Stunting di Indonesia: Studi Literatur. Journal of Health Science and Prevention, 3(2), 86–93.
Kassaw, M. W., Bitew, A. A., Gebremariam, A. D., Fentahun, N., Açik, M., & Ayele, T. A. (2020). Low Economic Class Might Predispose Children under Five Years of Age to Stunting in Ethiopia: Updates of Systematic Review and Meta-Analysis. Journal of Nutrition and Metabolism, 2020.
Kien, V. D., Lee, H. Y., Nam, Y. S., Oh, J., Giang, K. B., & Van Minh, H. (2016). Trends in socioeconomic inequalities in child malnutrition in Vietnam: Findings from the Multiple Indicator Cluster Surveys, 2000-2011. Global Health Action, 9(1).
Ministry of Health. (2018). Situasi Balita Pendek (Stunting) di Indonesia. Pusat Data dan Informasi (ISSN 2088-). Buletin Jendela.
Nakphong, M. K., & Beltrán-Sánchez, H. (2021). Socio-economic status and the double burden of malnutrition in Cambodia between 2000 and 2014: Overweight mothers and stunted children. Public Health Nutrition, 24(7), 1806–1817.
Rahayu, A., Yulidasari, F., Putri, A. O., & Anggraini, L. (2018). Study Guide - Stunting dan Upaya Pencegahannya. In Buku stunting dan upaya pencegahannya.
Ruaida, N., & Soumokil, O. (2018). Hubungan Status Kek Ibu Hamil Dan Bblr Dengan Kejadian Stunting Pada Balita Di Puskesmas Tawiri Kota Ambon. Jurnal Kesehatan Terpadu (Integrated Health Journal), 9(2), 1–7.
Setiawan, E., Machmud, R., & Masrul, M. (2018). Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018. Jurnal Kesehatan Andalas, 7(2), 275.
SJMJ, S. A., Toban, R. C., & Madi, M. A. (2020). Hubungan Pemberian ASI Eksklusif Dengan Kejadian Stunting Pada Balita Pendahuluan. 11(1), 448–455.
Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition, 9(S2), 27–45.
Sukmawati, Hendrayati, Chaerunimah, & Nurhumairah. (2018). Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi Dengan Stunting Pada Balita. Media Gizi Pangan, 25, 19.
Sulung, N. (2020). Kajian Penyebab Stunting Anak Usia 24 - 59 Bulan Diwilayah Kerja Puskesmas Padang Gelugur Kabupaten Pasaman. Jurnal Pembangunan Nagari, 5(1), 1.
Suroso, S.-. (2020). Kebijakan Pembangunan Desa Tertinggal Berbasis Indeks Desa Membangun (IDM) dan Potensi Lokal. Jurnal Litbang: Media Informasi Penelitian, Pengembangan Dan IPTEK, 16(1), 47–62.
TNP2K. (2018). Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting). Kementrian PPN/ Bappenas.
UNICEF. (2017). Reducing Stunting in Children Under Five Years of Age: A Comprehensive Evaluation of UNICEF’s Strategies and Programme Performance – Cambodia Country Case Study. Globalization and Development in the Mekong Economies, April, 152–166.
UNICEF. (2020). LEVELS AND TRENDS IN CHILD MALNUTRITION UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2020 edition 144. Asia-Pacific Population Journal, 24(2), 51–78.
UNICEF, WHO, & WORLD BANK. (2021). Levels and trends in child malnutrition; UNICEF/WHO/World Bank Group-Joint child malnutrition estimstes 2021 edition. World Health Organization, 1–32.
WHO. (2016). Stunting Policy Brief. 9.
WHO. (2018). Reducing Stunting. (diakses pada tanggal 31 Maret 2020)
Wulan, D., Rengganis, S., & Wulandari, M. (2020). Hubungan Faktor Sosial Ekonomi dan Ketahanan Pangan terhadap Kejadian Stunting pada Balita Relationship of Social Economic and Food Security Factors on Stunting Incidence in Children under Five Years. 10.