Hubungan Stunting dengan Anemia, Morbiditas dan Perkembangan Anak Usia Batita di Puskesmas Kebondalem Pemalang

Arwinda Nugraheni, Ani Margawati, Aras Utami, Firdaus Wahyudi

Abstract


Kejadian stunting merupakan masalah kesehatan anak di Indonesia yang berdampak pada anemia, perkembangan dan sistem imunitas. Pada balita anemia, peningkatan morbiditas dan gangguan perkembangan dapat menyebabkan gangguan pada struktur dan fungsi tubuh dalam kemampuan anak menuju kematangan yang bersifat tetap dan berpengaruh pada kesehatan di masa mendatang. Penelitian ini bertujuan untuk mengetahui hubungan stunting dengan kadar hemoglobin, morbiditas dan perkembangan batita. Penelitian ini menggunakan desain penelitian cross-sectional dan dilakukan pada bulan Juli 2019 di wilayah kerja Puskesmas Kebondalem di Kabupaten Pemalang dengan sampel batita usia 6-26 bulan. Variabel penelitian yang dinilai adalah kadar hemoglobin (Hb), morbiditas, perkembangan yang diukur melalui kemampuan gerak kasar, gerak halus, bicara, bahasa dan sosialisasi, dan kemandirian, dan stunting pada batita, serta karakteristik ibu. Pengumpulan data dilakukan dengan pengukuran antropometri, pemeriksaan Hb, dan wawancara. Analisis multivariat menggunakan uji regresi logistik. Pada penelitian ini, diantara total 142 batita, 45,1% mengalami stunting. Pada penelitian ini ditemukan bahwa anak yang mengalami stunting mengalami risiko anemia dan mobiditas, masing-masing sebesar 125 (POR=125,21; 95% CI=16,17-969,26) dan 2,5 kali (POR=2,46 95% CI=1,12-5,04) lebih tinggi dibanding dengan anak yang tidak stunting. Tidak ditemukan hubungan antara stunting dengan perkembangan anak (POR=0,22; 95% CI=0,02-2,23).  Pada penelitian ini, ditemukan adanya hubungan anak stunting dengan anemia dan morbiditas. Keberhasilan program pengendalian stunting dapat berintegrasi dengan program pencegahan dan pengendalian penyakit.

Keywords


Stunting, Batita, Anemia, Morbiditas, Perkembangan.

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References


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DOI: http://dx.doi.org/10.7454/epidkes.v7i1.6667

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