HUBUNGAN SANITASI LINGKUNGAN DENGAN KEJADIAN STUNTING PADA BALITA DI PUSKESMAS DRAJAT CIREBON

Abstract

Background: Stunting remains a major health problem in Indonesia, influenced by multiple factors including environmental sanitation, maternal education, and socioeconomic status. This study aims to analyze the relationship between environmental sanitation and the incidence of stunting in toddlers at the Public Health Center Drajat Cirebon. Methods: This study used a cross-sectional design, involving 179 children aged 6–59 months selected through simple random sampling from a population of 425 children. Data were collected through structured interviews and field observations. Bivariate analysis used the Chi-square test, and multivariate analysis used binary logistic regression. Results: The prevalence of stunting was 41.3%. Bivariate analysis indicated that unhealthy latrines, recent diarrhea, and low socioeconomic status were significantly associated with stunting (p < 0.05). In multivariate analysis, unhealthy latrines (OR = 2.08; 95% CI 1.09–3.96), recent diarrhea (OR = 2.44; 95% CI 1.11–5.37), low maternal education (adjusted OR = 0.49; 95% CI 0.25–0.96), and low socioeconomic status (OR = 2.24; 95% CI 1.12–4.49) remained significant determinants of stunting. Conclusion: Comprehensive interventions that improve sanitation, promote hygiene, enhance maternal knowledge, and address socioeconomic constraints are recommended to reduce stunting prevalence in the community.