The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age

Background: Stunting is a chronic nutritional problem whose causes include unmet nutrition in pregnant women, lack of infant nutritional intake, and socioeconomic conditions. Dinoyo Health Center covers an area with a high stunting rate in Malang City, particularly Lowokwaru District. Previous resea...

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Main Authors: Aulia Pramesti, Hartati Eko Wardani, Tika Dwi Tama, Anindya Hapsari
Format: Article
Language:English
Published: CV Rezki Media 2025-06-01
Series:Public Health and Occupational Safety Journal
Subjects:
Online Access:https://journal.rezkimedia.or.id/phosj/article/view/539
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author Aulia Pramesti
Hartati Eko Wardani
Tika Dwi Tama
Anindya Hapsari
author_facet Aulia Pramesti
Hartati Eko Wardani
Tika Dwi Tama
Anindya Hapsari
author_sort Aulia Pramesti
collection DOAJ
description Background: Stunting is a chronic nutritional problem whose causes include unmet nutrition in pregnant women, lack of infant nutritional intake, and socioeconomic conditions. Dinoyo Health Center covers an area with a high stunting rate in Malang City, particularly Lowokwaru District. Previous research stated that the dominant factor causing stunting in toddlers is antenatal care (ANC). Objectives: This study aims to determine whether stunting in toddlers in the Dinoyo Community Health Center area is caused by the quality and quantity of ANC. Methods: The research method is observational analytic with a case-control design using a retrospective approach. The population was 1643 mothers taken from three villages: Tlogomas, Dinoyo, and Sumbersari. The research sample amounted to 69 people using purpose sampling. The research was conducted in February - March 2023. Quality measurement was based on a minimum 10T service standard, while quantity measurement was based on a minimum frequency of 4 visits using a checklist sheet instrument and MCH book with Chi-Square analysis. Results: The results obtained for ANC quality with stunting p-value = 0.609 with OR value = 1.30 (95% CI: 0.47-3.55), while ANC quantity with stunting p-value = 0.864 with OR value = 1.09 (95% CI: 0.40-2.97). Conclusions: It is concluded that the quality and quantity of antenatal care have no association with the incidence of stunting in children under 24-59 months in the Dinoyo Community Health Center (Puskesmas) area. These findings highlight the need for multifactor interventions beyond ANC to reduce stunting, such as improved maternal nutrition and environmental sanitation.
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spelling doaj-art-f9fc319714fb4fc6b5be75796e962d4b2025-08-21T09:36:41ZengCV Rezki MediaPublic Health and Occupational Safety Journal3090-53112025-06-01119711310.56003/phosj.v1i1.539539The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of ageAulia Pramesti0https://orcid.org/0009-0000-3784-8986Hartati Eko Wardani1https://orcid.org/0000-0002-6748-2556Tika Dwi Tama2https://orcid.org/0000-0001-7075-1641Anindya Hapsari3https://orcid.org/0000-0003-2663-8232Universitas Negeri MalangUniversitas Negeri MalangUniversitas Negeri MalangUniversitas Negeri MalangBackground: Stunting is a chronic nutritional problem whose causes include unmet nutrition in pregnant women, lack of infant nutritional intake, and socioeconomic conditions. Dinoyo Health Center covers an area with a high stunting rate in Malang City, particularly Lowokwaru District. Previous research stated that the dominant factor causing stunting in toddlers is antenatal care (ANC). Objectives: This study aims to determine whether stunting in toddlers in the Dinoyo Community Health Center area is caused by the quality and quantity of ANC. Methods: The research method is observational analytic with a case-control design using a retrospective approach. The population was 1643 mothers taken from three villages: Tlogomas, Dinoyo, and Sumbersari. The research sample amounted to 69 people using purpose sampling. The research was conducted in February - March 2023. Quality measurement was based on a minimum 10T service standard, while quantity measurement was based on a minimum frequency of 4 visits using a checklist sheet instrument and MCH book with Chi-Square analysis. Results: The results obtained for ANC quality with stunting p-value = 0.609 with OR value = 1.30 (95% CI: 0.47-3.55), while ANC quantity with stunting p-value = 0.864 with OR value = 1.09 (95% CI: 0.40-2.97). Conclusions: It is concluded that the quality and quantity of antenatal care have no association with the incidence of stunting in children under 24-59 months in the Dinoyo Community Health Center (Puskesmas) area. These findings highlight the need for multifactor interventions beyond ANC to reduce stunting, such as improved maternal nutrition and environmental sanitation.https://journal.rezkimedia.or.id/phosj/article/view/539anc qualityanc quantitystunting
spellingShingle Aulia Pramesti
Hartati Eko Wardani
Tika Dwi Tama
Anindya Hapsari
The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
Public Health and Occupational Safety Journal
anc quality
anc quantity
stunting
title The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
title_full The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
title_fullStr The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
title_full_unstemmed The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
title_short The relationship between quality and quantity of antenatal care services and stunting in children 24–59 months of age
title_sort relationship between quality and quantity of antenatal care services and stunting in children 24 59 months of age
topic anc quality
anc quantity
stunting
url https://journal.rezkimedia.or.id/phosj/article/view/539
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