Factors Associated With Stunting in Children Aged 24–59 Months in Gariuai Village, Timor-Leste, 2026

Authors

  • Nike Apriani Universitas Sari Mutiara Indonesia
  • Noelia Maria Jose Guterres Sari Mutiara Indonesia University
  • Kesaktian Manurung Sari Mutiara Indonesia University
  • Janno Sinaga Sari Mutiara Indonesia University
  • Frida Lina Tarigan Sari Mutiara Indonesia University
  • Rinawati Sembiring5 Sari Mutiara Indonesia University

DOI:

https://doi.org/10.22487/5dds3n75

Keywords:

Stunting, exclusive breastfeeding, family income, sanitation

Abstract

Stunting remains a major public health problem in developing countries. It is a condition of chronic malnutrition characterized by a child’s height being below the standard for his or her age and may lead to impaired physical growth, cognitive development, and increased risks of health problems later in life. This study aimed to analyze the factors associated with stunting prevalence among children aged 24–59 months in Gariuai Village, Baucau Municipality, Timor-Leste. A quantitative study with a cross-sectional design was conducted among a population of 557 children. A sample of 253 children was selected using proportionate stratified random sampling. Data were analyzed using univariate analysis, the Chi-Square test for bivariate analysis, and multiple logistic regression for multivariate analysis. The results revealed that 11.1% of the children were stunted. Exclusive breastfeeding, family income, access to clean water, and toilet facilities were significantly associated with stunting prevalence, whereas maternal education and birth weight history were not significantly associated with stunting. Exclusive breastfeeding was identified as the most dominant factor associated with stunting. These findings indicate that local health interventions should prioritize strengthening exclusive breastfeeding support and counseling, particularly for vulnerable families, while continuing to improve household income, access to clean water, and sanitation facilities.

Downloads

Download data is not yet available.

Author Biographies

  • Noelia Maria Jose Guterres , Sari Mutiara Indonesia University

    Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University

  • Kesaktian Manurung, Sari Mutiara Indonesia University

    Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University

  • Janno Sinaga, Sari Mutiara Indonesia University

    Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University

  • Frida Lina Tarigan, Sari Mutiara Indonesia University

    Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University

  • Rinawati Sembiring5, Sari Mutiara Indonesia University

    Master of Public Health Study Program, Faculty of Pharmacy and Health Sciences, Sari Mutiara Indonesia University

References

1. World Health Organization. Global nutrition targets 2030: stunting brief. Geneva: WHO; 2025.

2. UNICEF. Conceptual framework on stunting. New York: UNICEF; 2023.

3. Azriani A, et al. Long-term consequences of childhood stunting on physical and cognitive development: a systematic review. J Glob Health. 2024;14:04012.

4. UNICEF, WHO, World Bank Group. Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates – Key findings of the 2025 edition. Geneva: WHO; 2025.

5. World Health Organization. Global nutrition targets 2030: policy brief series. Geneva: WHO; 2025.

6. Ministry of Health of the Republic of Indonesia. Survei Status Gizi Indonesia (SSGI) 2024. Jakarta: Kemenkes RI; 2025.

7. Health Development Policy Agency. Portrait of stunting in Indonesia. Jakarta: BKPK Kemenkes RI; 2025.

8. Office of the Vice President of the Republic of Indonesia. Stunting rate falls below 20 percent: national commitment to accelerate stunting reduction. Jakarta: Setwapres RI; 2025.

9. Singapore Department of Statistics. SDG Indicator 2.2.1: Prevalence of stunting among children under 5 years. Singapore: SingStat; 2026.

10. UNICEF, Ministry of Health Timor-Leste. Timor-Leste Family Nutrition Survey (TLFNS) 2020. Dili: UNICEF & MoH Timor-Leste; 2022.

11. UNMICS, WFP. Multisectoral Nutrition Action Plan Timor-Leste 2025–2030. Dili: UNMICS & WFP; 2025.

12. Government of Timor-Leste. Unidade de Missão para o Combate ao "Stunting" (UNMICS) launch. Dili: GovTL; 2026.

13. Danaei G, Sundaram N, Giménez Sánchez H, et al. Risk factors for childhood stunting in low- and middle-income countries: a systematic review and meta-analysis. PLoS One. 2016;11(11):e0165101.

14. Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–490.

15. Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427–451.

16. World Health Organization. Infant and young child feeding: fact sheet. Geneva: WHO; 2021.

17. UNICEF. Conceptual framework on stunting. New York: UNICEF; 2021.

18. Pransika A, et al. Exclusive breastfeeding and stunting among children under five in Indonesia: a cross-sectional study. J Nutr Public Health. 2024;7(2):45–56.

19. Ministry of Health Timor-Leste, UNICEF. Integrated Community Health and Nutrition Service (SISCa) operational guidelines. Dili: MoH Timor-Leste & UNICEF; 2022.

20. Julianawati I, et al. Family income and stunting among children under five in Indonesia: a cross-sectional study. J Public Health Res. 2023;12(3):245–256.

21. Headey D, Alderman H. The economic determinants of child nutrition: evidence from low- and middle-income countries. World Bank Econ Rev. 2019;33(2):219–247.

22. Shinta R, et al. Household income, sanitation, and stunting in Indonesian children: a secondary data analysis. Indones J Health Dev. 2022;4(1):12–23.

23. UNICEF. Conceptual framework on stunting. New York: UNICEF; 2021.

24. World Bank. Food inflation and household food security in low- and middle-income countries. Washington, DC: World Bank; 2023.

25. Victora CG, Bahl R, Barros AJD, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–490.

26. Desmond C, Casale M. Catch-up growth in low birth weight infants: a systematic review. Matern Child Nutr. 2017;13(4):e12456.

27. Prentice AM, et al. Critical windows for nutritional interventions against stunting. Am J Clin Nutr. 2013;97(5):911–918.

28. Nindi S, et al. Access to clean water and stunting among children under five in Indonesia: a community-based study. J Environ Health. 2024;15(2):78–89.

29. Maulina D, et al. Water, sanitation, and hygiene (WASH) factors associated with stunting in Indonesian children. J Public Health Epidemiol. 2022;14(3):101–112.

30. World Health Organization. WHO global water, sanitation and hygiene: annual report 2024. Geneva: WHO; 2025.

31. Azhary F, et al. Household toilet facilities and stunting among children under five in Indonesia: a cross-sectional analysis. J Community Health. 2023;8(1):34–45.

32. Danaei G, Sundaram N, Giménez Sánchez H, et al. Risk factors for childhood stunting in low- and middle-income countries: a systematic review and meta-analysis. PLoS One. 2016;11(11):e0165101.

33. UNMICS, WFP. Multisectoral Nutrition Action Plan Timor-Leste 2025–2030. Dili: UNMICS & WFP; 2025.

34. Ministry of Health Timor-Leste, UNICEF. Integrated Community Health and Nutrition Service (SISCa) operational guidelines. Dili: MoH Timor-Leste & UNICEF; 2022.

Downloads

Published

2026-08-30

How to Cite

Factors Associated With Stunting in Children Aged 24–59 Months in Gariuai Village, Timor-Leste, 2026. (2026). Preventif : Jurnal Kesehatan Masyarakat, 17(2), 152-172. https://doi.org/10.22487/5dds3n75

Similar Articles

41-50 of 54

You may also start an advanced similarity search for this article.