<![CDATA[Background: Stunting is a condition of failure to thrive in children under five as a result of chronic malnutrition. Environmental interventions such as water, sanitation and hygiene behavior (WASH) can be used as a strategy to reduce the high incidence of stunting. This study aims to determine environmental factors and other factors on the incidence of stunting in toddlers.Subjects and Method: This study was an observational analytic study with a case-control approach. This research was conducted in July 2019 – August 2019 in Klaten Regency, Central Java. A total of 200 samples was selected by simple random sampling. The dependent variable was stunting. The independent variables were mother's education, family income, number of family members, water sources, sanitation, history of infectious diseases, family diet, hand washing behavior and posyandu strata. The data collection technique used a questionnaire and analyzed by a multiple multilevel logistic regression.Results: The risk of stunting increased with low maternal education <Senior high school (b= 3.43; 95% CI= 1.47 to 5.40; p <0.001), low family income (b= 2.72; 95% CI= 0.80 to 4.64; p= 0.005), family members ≥5 (b= 2.26; 95% CI= 0.65 to 3.87; p = 0.006), households with open water sources (b= 2.28 95% CI= 0.74 to 3.83; p= 0.004), inadequate sanitation (b= 2.66; 95% CI= 1.06 to 4.26; p <0.001), children had a history of infectious disease (b= 2.29; 95% CI= 0.70 to 3.88; p= 0.005), family diet (b= 2.39; 95% CI= 0.67 to 4.11; p= 0.006), and mothers did not wash their hands (b= 2.10; 95% CI= 0.63 to 3.56; p= 0.005). Posyandu strata had strong contextual effect on stunting in children under five with intra-class correlation (ICC) = 34.84%.Conclusion: The risk of stunting increases with low maternal education, low family income, family members ≥5, households with open water sources, inadequate sanitation, children had a history of infectious disease, family diet, and mothers did not wash their hands. Posyandu strata has strong contextual effect on stunting in children under five.Keywords: stunting, water sources, sanitation, history of infectious diseases Correspondence: Anna Mariyana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: annamariyana28.am@gmail.com.Journal of Maternal and Child Health (2020), 05(06): 725-736https://doi.org/10.26911/thejmch.2020.05.06.12. ]]>
Copyrights © 2020
