Determinants of Stunting in Toddlers: An Analysis of Social, Economic, and Child-Rearing Factors in the Community
DOI:
https://doi.org/10.65739/archipel.v1i7.39Keywords:
Stunting, Social Factors, Economic Factors, Parenting Practies, Public HealthAbstract
Stunting among toddlers remains a critical public health issue due to its long-term impact on cognitive development, productivity, and socio-economic outcomes. This study aims to analyze the determinants of stunting incidence by focusing on social, economic, and parenting factors within the community context. A qualitative approach with a descriptive-exploratory design was employed. Data were collected through in-depth interviews, focus group discussions, observations, and document analysis involving mothers, health workers, and community representatives selected using purposive sampling. The data were analyzed using thematic analysis to identify key patterns and relationships among variables. The findings reveal that stunting is influenced by interconnected factors across multiple dimensions. Social factors such as cultural norms and limited family support affect caregiving practices, while economic constraints—particularly low income and food insecurity restrict access to adequate nutrition and healthcare services. Parenting practices, including breastfeeding, complementary feeding, and child care during illness, emerge as the most critical determinants, acting as a pathway through which social and economic conditions influence child growth. Environmental conditions and limited utilization of health services further exacerbate the risk of stunting. In conclusion, stunting is a multidimensional problem requiring integrated interventions that address socio-economic inequalities, strengthen parenting practices, and improve access to health services to achieve sustainable reductions in prevalence
References
Afework, E., Mengesha, S., & Wachamo, D. (2021). Stunting and associated factors among under-five-age children in West Guji Zone, Oromia, Ethiopia. Journal of Nutrition and Metabolism, 2021. https://doi.org/10.1155/2021/8890725
Akbar, R., Kartika, W., & Khairunnisa, M. (2023). The effect of stunting on child growth and development. Scientific Journal. https://doi.org/10.56260/sciena.v2i4.118
Ansoriani, M. (2023). Risk factor of stunting among toddler: A systematic review. Journal of Advanced Research in Medical and Health Science. https://doi.org/10.53555/jd27ah69
Arief, Y., Yunita, F., Efendi, F., Murti, F., Pradipta, R., & McKenna, L. (2025). Social and environmental determinants of childhood stunting in Indonesia: National cross-sectional study. JMIR Pediatrics and Parenting, 8. https://doi.org/10.2196/68918
Azriani, D., M., Qinthara, N., Yulita, I., Agustian, D., Zuhairini, Y., & Dhamayanti, M. (2024). Risk factors associated with stunting incidence in under five children in Southeast Asia: A scoping review. Journal of Health, Population, and Nutrition, 43. https://doi.org/10.1186/s41043-024-00656-7
Daningrum, D., Yuliana, T., Ardiantoru, R., & Sutisna, M. (2023). Behavioral and environmental risk factors related to stunting incidents in toddlers. KnE Social Sciences. https://doi.org/10.18502/kss.v8i14.13856
Fadmi, F., Mulyani, S., Buton, L., Justin, W., & Riza, Y. (2025). Logistic regression analysis of risk factors for stunting among toddlers aged 24–59 months in Southeast Sulawesi, Indonesia. Health Dynamics. https://doi.org/10.33846/hd20206
Galiatano, M., Phillipo, F., & Nzali, A. (2023). Social factors contributing to stunting for children under five years: A case of Iringa District Council, Tanzania. Asian Journal of Education and Social Studies. https://doi.org/10.9734/ajess/2023/v49i31156
Hurun, A., Yuni, S., Ilya, K., Nurul, P., Sulastyawati, S., Supono, S., & Ronal, S. (2024). Determinants of stunting risk factors for toddlers aged 6–36 months in the Malang Regency, Indonesia. African Journal of Food, Agriculture, Nutrition and Development. https://doi.org/10.18697/ajfand.136.24575
Kalinda, C., Phri, M., Qambayot, M., Ishimwe, M., Gebremariam, A., Bekele, A., & Wong, R. (2023). Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1107300
Kalinda, C., Qambayot, M., Ishimwe, S., Regnier, D., Bazimya, D., Uwizeyimana, T., Desie, S., Rudert, C., Gebremariam, A., Brennan, E., Karumba, S., Wong, R., & Bekele, A. (2024). Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: A systematic review and meta-analysis. Systematic Reviews, 13. https://doi.org/10.1186/s13643-023-02438-4
Kusumajaya, A., Mubasyiroh, R., Sudikno, S., Nainggolan, O., Nursanyoto, H., Sutiari, N., Adhi, K., Suarjana, I., & Januraga, P. (2023). Sociodemographic and healthcare factors associated with stunting in children aged 6–59 months in the urban area of Bali Province, Indonesia 2018. Nutrients, 15. https://doi.org/10.3390/nu15020389
Mulyaningsih, T., Mohanty, I., Widyaningsih, V., Gebremedhin, T., Miranti, R., & Wiyono, V. (2021). Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia. PLoS ONE, 16. https://doi.org/10.1371/journal.pone.0260265
Namirembe, G., Ghosh, S., Ausman, L., Shrestha, R., Zaharia, S., Bashaasha, B., Kabunga, N., Agaba, E., Mezzano, J., & Webb, P. (2022). Child stunting starts in utero: Growth trajectories and determinants in Ugandan infants. Maternal & Child Nutrition, 18. https://doi.org/10.1111/mcn.13359
Noor, M., Andrestian, M., Dina, R., Ferdina, A., Dewi, Z., Hariati, N., Rachman, P., Setiawan, M., Yuana, W., & Khomsan, A. (2022). Analysis of socioeconomic, utilization of maternal health services, and toddler’s characteristics as stunting risk factors. Nutrients, 14. https://doi.org/10.3390/nu14204373
Purwita, E. (2022). Determinants of stunting in children under five in rural areas. Science Midwifery. https://doi.org/10.35335/midwifery.v10i4.729
Quamme, S., & Iversen, P. (2022). Prevalence of child stunting in Sub-Saharan Africa and its risk factors. Clinical Nutrition Open Science. https://doi.org/10.1016/j.nutos.2022.01.009
Rohmawati, N., Akbar, A., & Nurfaradila, T. (2023). Food security and parenting as risk factors of stunting in toddlers aged 24 to 59 months. Pharmacy Education. https://doi.org/10.46542/pe.2023.234.8286
Sari, F., Wulandari, W., Sofais, D., Novega, N., Ramlis, R., Fauzi, Y., Pratiwi, B., & Sutriyawan, A. (2025). Determinants of stunting in children under five. Media Publikasi Promosi Kesehatan Indonesia (MPPKI). https://doi.org/10.56338/mppki.v9i1.8531
Sihotang, W., Hulu, V., Samosir, F., Pane, P., Hartono, H., Manalu, P., Siagian, M., & Panjaitan, H. (2023). Determinants of stunting in children under five: A scoping review. Jurnal Gizi Indonesia. https://doi.org/10.14710/jgi.12.1.9-20
Sinurat, A., Manurung, K., Sembiring, R., Rochadi, K., & Sinaga, J. (2025). Factors associated with the incidence of stunting in early childhood children. Journal of Pharmaceutical and Sciences. https://doi.org/10.36490/journal-jps.com.v8i3.1024
Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in urban and rural Indonesian. BMC Public Health, 24. https://doi.org/10.1186/s12889-024-18824-z
Soofi, S., Khan, A., Kureishy, S., Hussain, I., Habib, M., Umer, M., Ariff, S., Sajid, M., Rizvi, A., Ahmed, I., Iqbal, J., Ahmed, K., Achakzai, A., & Bhutta, Z. (2023). Determinants of stunting among children under five in Pakistan. Nutrients, 15. https://doi.org/10.3390/nu15153480
Suratri, M., Putro, G., Rachmat, B., et al. (2023). Risk factors for stunting among children under five years in East Nusa Tenggara (NTT), Indonesia. International Journal of Environmental Research and Public Health, 20. https://doi.org/10.3390/ijerph20021640
Tamir, T., Gezhegn, S., Dagnew, D., Mekonenne, A., Aweke, G., & Lakew, A. (2024). Prevalence of childhood stunting and determinants in low and lower-middle income African countries. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0302212
Utumatwishima, J., Mogren, I., Umubyeyi, A., Mansourian, A., & Krantz, G. (2023). Household living conditions and gender-related decision-making influence child stunting in Rwanda. PLOS ONE, 19. https://doi.org/10.1371/journal.pone.0290919
Widyaningsih, V., Mulyaningsih, T., Rahmawati, F., & Adhitya, D. (2022). Determinants of socioeconomic and rural-urban disparities in stunting. Rural and Remote Health, 22. https://doi.org/10.22605/rrh7082
Yani, D., Rahayuwati, L., Sari, C., Komariah, M., & Fauziah, S. (2023). Family household characteristics and stunting: An update scoping review. Nutrients, 15. https://doi.org/10.3390/nu15010233
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Muti Atun Nafi’ah

This work is licensed under a Creative Commons Attribution 4.0 International License.
