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Nina Fentiana; Daniel Ginting

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

There has been a shift in the age group of stunting children between 2018-2019 in Indonesia. The decline in the prevalence of stunting occurred in the younger age group, namely 0-5 months, 6-11 months and 12-23 months. This study aims to analyze the determinants of stunting in children aged 0-2 years in Indonesia based on cross-sectional survey evidence. This research is a retrospective study to get an overview of the incidence of stunting in children 0-23 months in Indonesia in 2013 as a basis for seeing the achievement of reducing stunting. The research analyzed secondary data from the 2013 Basic Health Research which measured 27,779 heights of children 0-2 years in 33 provinces in Indonesia. The results showed that a history of giving iron tablets to pregnant women was the factor most related to the incidence of stunting in children 0-2 years in Indonesia. The program to accelerate the reduction of stunting in Indonesia in 2024 to 14% needs to consider increasing the coverage of iron supplement administration to pregnant women and women of childbearing age..

Suhaera Suhaera; Suci Fitriani Sammulia; Arie Voniekartika; Nahrul Hasan

Jurnal ilmu Kesehatan Umum 2023 Asosiasi Riset Ilmu Kesehatan Indonesia

Diabetes mellitus is a frequently encountered degenerative disease. Indonesia, being one of the most populous countries, experiences a notable increase in the global prevalence of diabetes mellitus. Type 2 diabetes mellitus constitutes the most prevalent form, with approximately 90-95% of diabetics falling into this category. Notably, patient compliance in Indonesia falls short of meeting the recommended glycemia target. The root cause of this non-compliance is linked to a lack of understanding among individuals with diabetes mellitus regarding the purpose of therapy, leading to a lack of awareness about potential complications. This research aims to explore the connection between patient characteristics and adherence to medication in Type 2 diabetes mellitus patients at the Tiban Baru Health Center in Batam City. Employing a descriptive correlation approach with a prospective cross-sectional research design, the study utilized purposive sampling, including 92 patients meeting the inclusion criteria. Data collection involved the administration of a compliance questionnaire (MMAS). The study's conclusion reveals a significant association between job characteristics and medication adherence in Type 2 diabetes mellitus patients, evidenced by a p-value of 0.046. Conversely, factors such as gender, age, education, duration of suffering, and comorbidities were not found to be correlated with medication adherence (p-value > 0.05). It is anticipated that healthcare professionals at the Tiban Baru Health Center will impart accurate information to patients, enhancing their awareness of the potential complications associated with diabetes mellitus.

Friska Sinaga; Erlin Novitasari; Maya Primayanti

Jurnal Mahasiswa Ilmu Kesehatan 2023 STIKes Ibnu Sina Ajibarang

Anemia in pregnancy is characterized by a condition in which the body has few red blood cells or the cells cannot carry oxygen throughout the body. it is estimated that the prevalence of anemia in pregnant women in Indonesia in 2019 is 48.9%. Bananas are the best food because they contain vitamins needed by pregnant women. Bananas are sufficient to meet the substance intake of anemic patients. The aim of the study was to determine the relationship between Ambon Banana Administration and Hemoglobin Levels in Pregnant Women with Mild Anemia in the First Trimester. This research was carried out using quantitative analytic research with a cross sectional approach by collecting secondary data from medical records. from April 2021 to June 2022 . This research was conducted at TPMB Susi in Dolok Merawan District, Serdang Bedagai Regency in February 2023. The sampling technique used total sampling with a total sample of 42 pregnant women in the first trimester with mild anemia who met the inclusion and exclusion criteria. Analysis using the Chi Square statistical test shows that the p value is 0.000 (<0.05). So that the hypothesis can be accepted, then there is a "Relationship between Giving Ambon Bananas and Hemoglobin Levels in Pregnant Women with Mild Anemia in the First Trimester. The results of this study indicate that there is a relationship between giving Ambon bananas and hemoglobin levels of pregnant women after being given Ambon bananas. Giving ambon bananas can be suggested as an alternative complement of vitamins to increase hemoglobin levels.

Erida Fadila; Sumarmi Sumarmi; Dwi Rahayu; Sutrisno Sutrisno

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Background: Diabetes Mellitus is called the silent killer, because this disease causes various kinds of complaints and can attack all organs of the body. In Southeast Asia, people with Diabetes Mellitus in Indonesia are ranked 3rd with a prevalence of 11.3%. There are four pillars of diabetes mellitus control including physical activity, diet, pharmacological interventions, and education. Of the four pillars, physical activity is the most effective therapy to prevent blood sugar levels from remaining normal. Physical activities recommended for people with Diabetes Mellitus include walking, cycling, gymnastics and jogging. Purpose:  The purpose of this literature review is to determine the effect of non-pharmacological diabetes mellitus therapy on blood sugar levels.Methode: In the search for data sources the article is carried out through the databases Google Scholar, Publish or Perish and Mendeley. Inclusion of study design using Literature Review. Results: The results of the literature review analysis there are 12 journals that ha stated or the alternative hypothesis is accepted. Conclusion:  So it can be concluded that there is an influence of non-pharmacological therapy (diet and physical activity) diabetes mellitus on blood sugar levels. The effect of physical activity therapy on a decrease in blood sugar levels by 66.6%. And the effect of dietary therapy on reducing blood sugar levels by 33.3%. 

Sugiyanto Sugiyanto

Public Service And Governance Journal 2023 Universitas 17 Agustus 1945 Semarang

Stunting is a form of growth failure (growth faltering) due to accumulation of insufficient nutrition that lasts for a long time from pregnancy to 24 months of age. The problem of stunting is a serious problem in Indonesia because the prevalence of stunting in children under five in Indonesia is still relatively high. Considering that the stunting rate in Indonesia is still quite high, prevention and treatment cannot be borne by the Ministry of Health or related institutions. Therefore, in order to increase the achievement of reducing stunting rates, the hard work of all parties is required in preventing and dealing with stunting problems in Indonesia. The writing of the results of this study is intended to provide an overview of the achievements of stunting prevention and treatment in Sarirejo Village, Bogorejo District, Blora Regency.

Widya, Wastu; Adzka Fahma Rodliya

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

Stunting is a condition of growth failure in infants that occurs during a critical period of the process of growth and development in the womb and during the initial period after the baby is born. It is not only affected the physical growth of the baby but also the brain. The purpose of this research was to determine the factors associated with the stunting prevalence among the children under five years old of age in Jetis 1 Primary Health Care Center, Bantul. The research method is quantitative, case control research design with retrospective approach. The data analysis methods were chi-square and logistic regression. The results of this research were some factors could be associated with stunting prevalence. The factors were the history of exclusive breastfeeding (p: 0.037 or: 0.253) and the nutritional status of the mother during pregnancy (p: 0.001 or: 5.634). Meanwhile, gender (p: 0.153), history of birth weight (p: 0.677) and mother's education (p: 0.127) were found to have no relationship with stunting prevalence. It is expected that the mothers of children under five years old can prepare for pregnancy in the future by calculating nutritional intake before and during pregnancy and provide exclusive breastfeeding for 6 months.

Mala Nimas Astuti; Nadiyah Nadiyah; Yulia Wahyuni; Harna Harna; Mury Kuswari

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Cholesterol is a form of fat that has an important role for the body, but if the body has high cholesterol levels it will cause health problems in the form of fatty deposits which will be at risk of blockage of blood vessels. Based on the results of Basic Health Research, it shows that the prevalence in Indonesia with total cholesterol levels > 200 mg/dL is 39.8%, the high prevalence rate is one of the reasons for the increased mortality rate in Indonesia (RI Ministry of Health, 2018). Controlling cholesterol levels can be done by controlling diet such as intake of calcium, fruit, vegetables and fish. The research was conducted in Cengkareng Timur Village, from 19 October 2022 to 2 November 2022. The type of research is quantitative which is analytic using a cross sectional research design, the research sample is 84 respondents. Data analysis used the Spearman correlation test. Based on the research results, it was found that there was a relationship between calcium intake and cholesterol levels (p=0.000) with a value of r = -0.924, there was a relationship between vegetable and fruit consumption and cholesterol levels (p=0.002) with a value of r = -0.496, and there was a relationship between consumption fish with cholesterol levels (p=0.001) with a value of r = -0.351. Workers handling public facilities infrastructure in Cengkareng Timur Village are expected to be able to consume fruits and vegetables because workers' consumption of fruits and vegetables is less than 400 g/day accompanied by a healthy lifestyle.

Yuwono Yuwono; Fernando Nathaniel; Joshua Kurniawan; Noer Saelan Tadjudin

Jurnal Inovasi Riset Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Hypertension is one of the cardiovascular disease, defined by World Health Organization as blood pressure ≥140/90 mmHg. The high prevalence of hypertension has always been a problem globally. This disease could cause many complications, including cerebrovascular disease, and often associated with cognitive impairment. This study is done to find out the relation between uncontrolled blood pressure and cognitive impairment in geriatric people. This study is an observational analytic study with cross-sectional design. Samples are geriatric people with minimum of 60 years of age in Sasana Tresna Werda RIA Pembangunan in January 2019. Sample was taken with total sampling method. The hypertension criteria in study is previous history of hypertension or blood pressure ≥140/90 mmHg. MMSE score interpretations are: (1) score of 25-30: normal cognitive function; (2) score of <21: indication of mild to severe cognitive impairment. Statistical analysis used in the study are Pearson Chi Square with Yates Correction, with alternative of Fischer Exact, with parameter of expected count of 5%. Significant relation expected in the study is 5%. The study found that there are no significant relation between history of hypertension with cognitive impairment in geriatric people in Sasana Tresna Werda RIA Pembangunan (p-value=0.098), but it is predicted that the group of geriatric people with history of hypertension has 27.7% more risk of getting cognitive impairment. However, the elderly group who have a history of hypertension has a proportion of 27.7% experiencing cognitive impairment.

Mohamad Mimbar Topik; Yenza Fahera

Jurnal Mahasiswa Ilmu Kesehatan 2023 STIKes Ibnu Sina Ajibarang

Atopic dermatitis (AD) is a skin inflammation in the form of chronic, recidive dermatitis, accompanied by itching, and hitting certain parts of the body, especially on the face in the baby (infantile phase) and the flexible part of the extremities (in the child phase). Atopic dermatitis often occurs in infants and children, about 50% will disappear in adolescence, but sometimes it can also persist, or even only begin to appear in adulthood. The prevalence of AD is increasing and the increase in the incidence of AD is related to a history of atopy. The etiology of AD is not known with certainty, but it is known to be caused by the interaction of intrinsic and extrinsic factors in AD. Clinically, itching and skin disorders are found according to specific morphology and distribution. Risk factors that are proven to cause and induce AD are skin barrier disorders due to FLG mutations, environmental changes, and diet. FLG mutations can damage the skin barrier function with impaired pH and maintenance of skin hydration. It is known that the causes of multifactor AD and AD cannot be cured, however, only controlled. Therefore, preventive efforts are important, where doctors need to communicate with patients and their families, provide information and education on diseases, and how to treat and prevent recurrences. Because until now there is no ideal treatment regimen for AD patients, so thorough and appropriate management is needed, especially in reducing signs and symptoms, healing and preventing recurrences.    

Erlita Cahaya Rizkiah; Nadiyah Nadiyah; Anugrah Novianti; Nazhif Gifari; Mertien Sapang

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

Background: Visceral fat is fat that is stored in the adipose tissue of the abdominal region. The accumulation of high amounts of visceral fat causes central obesity and the occurrence of metabolic syndrome which is a risk for degenerative diseases. Banten Province shows that the prevalence of obesity in 2018 is 22.5% and in 2020 it is 25.2%. Risk factors that cause obesity, especially in the workplace, are lack of physical activity, unhealthy eating patterns, and unhealthy lifestyles. Objective: to determine the relationship between glycemic load, physical activity, and work stress with visceral fat. Methods: The research was carried out in the Office of Manpower and Transmigration of Banten Province, from August 2021 to August 2022. This type of research is quantitative research which is an analytic survey using a cross-sectional research design with a research sample of 76 respondents. Data analysis used the Chi-Square test. Results: There was a relationship between glycemic load and visceral fat (p=0.000), there was a relationship between physical activity and visceral fat (p=0.002), and there was no relationship between work stress and visceral fat (p=0.137). This is because respondents still consume sufficient carbohydrate food on weekdays and holidays and respondents tend to do less physical activity which causes fat accumulation in the body.Conclusion: There is a significant relationship between glycemic load and physical activity to the formation of visceral fat.

Ity Sulawati; Dean Ascha Wijaya; William Gilbert Satyanegara

Jurnal Rumpun Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

In 2013, 4.6 million babies died worldwide before their first birthday, with 50% dying on the first day and nearly 75% within the first week. Most stillbirths and premature newborn deaths are attributable to birth complications that are preventable. The maternal profile in neonatal mortality cases plays an important role in understanding the factors that contribute to this high mortality rate. This cross-sectional study aims to determine the maternal profile of neonatal death cases at Ciawi Hospital, which were selected according to the criteria by total sampling based on medical record data from January 1, 2020, to December 31, 2020. The variables utilized in this study include maternal factors such as gestational age, type of delivery, twin pregnancy, presentation of pregnancy, medical condition of the mother, and obstetric problems. The data is presented in a descriptive format. Among the 58 respondents, the average age was 30.26 years, with a higher prevalence of preterm births (55.2%). The most frequently encountered medical condition in the maternal profile of neonatal deaths at Ciawi General Hospital is chronic hypertension. Conversely, the most common obstetric problems are premature rupture of membranes and oligohydramnios. Efforts to address medical issues in mothers can contribute to the reduction of neonatal mortality cases.    

Rima Ida; Susaldi Susaldi; Agustina Sari

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

The prevalence of stunting in the world is still relatively high, including in Indonesia and the Thousand Islands where the prevalence of stunting under five in the Thousand Islands Region is 27.1%. The purpose of this study was to determine the effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers at the Puskesmas in the Panggang Island Sub-District, Seribu Islands in 2023. The type of research used in this study was to use a quantitative analytical descriptive method. The research design used was a cross-sectional or cross-sectional study. This research was conducted in the Thousand Islands Region in 2023. The time of the research was January – February 2023. This research was focused on parents who had toddlers in the Working Area of ​​the Panggang Island Village District Health Center in Thousand Islands in 2023 as many as 559 people. The required sample is 85 respondents. The sampling technique for respondents used a simple random sampling technique. The research instrument used to collect data is by using a questionnaire or questionnaire and collecting data by observation. Based on the results of the study, the effect of history of exclusive breastfeeding (P value = 0.001), sanitation (P value = 0.000) and parenting style (P value = 0.000) on stunting. The conclusion is that there is an effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers in the Working Area of ​​the Panggang Island Village Health Center Seribu Islands in 2023.

Retni Retni; Mariza Arfianti

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

Background: The burden of malnutrition in Indonesia is quite large, with more than a quarter of the adolescent population aged 16-18 years, 27 percent experiencing stunting and 8 percent being underweight, the prevalence of anemia in young women aged 13-18 years is 22.7 percent. The highest prevalence of chronic energy deficiency (CED) in women of childbearing age is experienced by adolescents aged 15-19 years, reaching 36.3%. Nutritional problems in adolescents have serious implications for the health of young people, affecting the well-being of current and future generations, as well as the economy and health of countries. In particular, the nutritional status of adolescent girls is closely related to pregnancy outcomes and the health and survival of mothers and children. Objective: To identify the diversity of food consumption and nutritional status of young women who live in boarding houses Methods: This study is an analytic observational study with a cross-sectional design that aims to identify the diversity of food consumption and nutritional status of female adolescents living in boarding houses. The sample in this study were young women who had just entered higher education at the age of 18-19 years, who lived in boarding houses, totaling 49 people. The diversity of food consumption was identified using the Semi Food Frequency Questionnaire (FFQ). Nutritional status was assessed based on body mass index and upper arm circumference. Results: The diversity of food consumption of respondents was low at 46.9%, the nutritional status based on BMI was mostly in the normal category, namely 71.42%, the nutritional status based on the LiLA category was lacking, namely 46.93%, there was no relationship between BMI and diversity in food consumption (P Value 0.13, but there is a significant relationship between the diversity of food consumption and LiLA (P Value 0.02). Conclusion: Diversity in food consumption is low and there are nutritional problems in young women living in boarding houses.

Erika Nur Khasanah; Dini Gandini Purbaningrum; Citra Andita; Dwi Ayu Setiani

Jurnal Akuntan Publik 2023 International Forum of Researchers and Lecturers

Indonesia is a country with a stunting prevalence that can still be categorized as high with a prevalence rate of 24.4%. Various efforts have been made by the government to be able to overcome the stunting problem that occurs through various policies and regulations as well as through national strategies and interventions. This paper aims to explain the national policies and regulations and strategies used on tackling stunting in Indonesia. The method used in this research is a literature study method where the technique is through library data collection, reading and taking notes, and managing research materials. Indonesia already has a number of national policies and strategies on stunting that are realized in the form of interventions both specific and sensitive. Specific interventions are carried out by the Health sector by focusing on priority goals and important goals, while sensitive interventions are carried out by sectors outside Health where they are carried out to increase access to nutritious food; increase awareness, commitment, and nutrition parenting practices of mothers and children; improve access and quality of nutritional and health services; and improve the provision of clean water and sanitation facilities. Policies and regulations that exist at the central level, must also be followed by follow-up in the regions to the village level and involve not only the health sector but also other related sectors.

Ni Made Susilawati; Meliance Bria

Perigel: Jurnal Penyuluhan Masyarakat Indonesia 2023 Universitas 17 Agustus 1945 Semarang

Worm infection is a health problem that often occurs throughout the world, especially in Indonesia with a high prevalence. One of the most common helminthic infections in Indonesia is the Soil Transmitted Helminths worm. Children are an age group that is susceptible to this infection. Worm infections can have serious consequences if not treated with deworming medication and a clean and healthy lifestyle for the person. This community service is carried out with the aim of conducting counseling about environmental health, especially in helminthiasis at the Alak Final Disposal Site, Kupang City. This activity conducts counseling and examination of the community on how to deal with helminthiasis in children. Subjects as many as 30 children. The worm examination was carried out using the direct slide method and then observed under a microscope with a magnification of 10x-40x. Based on the results of the examination found Ascaris lumbricoides eggs by 10%. So based on the results of this service it shows that there is a prevalence of worm infection in the Alak Final Disposal Site. Therefore, it is suggested to parents and especially children to further improve the Clean and Healthy Lifestyle (PHBS) to avoid worm infection.

Dedy Arisjulyanto; Gerson Andrew Warnares

Journal of New Trends in Sciences 2023 CV. Aksara Global Akademia

Rare diseases present a significant challenge in diagnosis due to their low prevalence and the limited awareness among healthcare professionals. The emergence of genomic technologies, particularly Next-Generation Sequencing (NGS), has revolutionized the diagnosis of rare diseases by enabling the identification of genetic variations associated with these conditions. This technology offers improved accuracy and speed compared to traditional clinical diagnostic methods, which are often time-consuming and insufficient for rare genetic conditions. This study explores the application of genomic technology in identifying rare diseases in Indonesia, highlighting its effectiveness, accuracy, and the challenges involved in its implementation. The research employed genomic testing techniques, including whole-genome sequencing (WGS), to identify genetic mutations associated with rare diseases in patients. The findings of the study demonstrate that genomic technology significantly reduces the time required for diagnosis, providing a more comprehensive understanding of the genetic conditions. Diseases such as Diphyllobothriasis and Sparganosis, which are rarely diagnosed through traditional clinical methods, were successfully identified using genomic technologies. However, challenges persist in the implementation of genomic technology in Indonesia, including limited infrastructure, high costs, and a lack of specialized training for healthcare professionals. Despite these barriers, the findings underscore the potential of genomic technologies to improve the diagnosis and management of rare diseases in Indonesia. The study concludes by recommending further investments in infrastructure, the training of healthcare professionals, and the development of supportive policies to facilitate the widespread adoption of genomic technologies in the healthcare system, particularly for the diagnosis of rare diseases.

Dea Pitaloca; Nasywa Iedha Khaerunisa Anrose; Nadia Aristawati Daniswara; Maulia Depria Kembara

GARUDA : Jurnal Pendidikan Kewarganegaraan dan Filsafat 2023 International Forum of Researchers and Lecturers

Sexual harassment, which jeopardizes human rights and poses a threat to individual’s well-being within society, is a type of violence. The increasing prevalence of sexual harassment cases has become a crucial societal concern, as it can transpire indiscriminately. This study intends to elucidate how Pancasila is implemented to address sexual harassment in the community. Pancasila, as the fundamental principles of the Indonesian state, encompasses pertinent values such as justice, unity, equality, and humanity, which serve as a foundation for combating sexual harassment. The research methodology employed entails a literature review incorporating library studies.

Rona Febriyona; Nur Uyuun I. Biahimo; Febrianto Adam

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension                            

Annisa Nuradhiani

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2023 CV. ALIM'SPUBLISHING

One of the most common health problems among toddlers in Indonesia is malnutrition. Based on the results of the 2018 Riskesdas, nationally the prevalence of malnutrition is 13.8%. This study aims to determine the risk factors associated with the incidence of malnutrition in toddlers in Indonesia. The research method used is through searching articles on Google Scholar during the period of 2018-2021 using the keywords toddlers malnutrition, underweight in toddlers, factors of under nutrition in toddlers, and determinants of toddlers malnutrition. As the results, the study found 5 journal articles mentioned the risk factors of malnutrition in toddlers, which are direct factors and indirect factors. The direct factors of malnutrition in toddlers are : infectious diseases and poor parenting patterns, while the indirect factors are : not being provided exclusive breastfeeding, low quality of mother's knowledge regarding feeding toddlers, low economic status and family food security, the short gap of giving birth, and inadequate personal hygiene as well as environmental sanitation.

Annisa Nuradhiani

JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL 2023 CV. ALIM'SPUBLISHING

One of the most common health problems among toddlers in Indonesia is malnutrition. Based on the results of the 2018 Riskesdas, nationally the prevalence of malnutrition is 13.8%. This study aims to determine the risk factors associated with the incidence of malnutrition in toddlers in Indonesia. The research method used is through searching articles on Google Scholar during the period of 2018-2021 using the keywords toddlers malnutrition, underweight in toddlers, factors of under nutrition in toddlers, and determinants of toddlers malnutrition. As the results, the study found 5 journal articles mentioned the risk factors of malnutrition in toddlers, which are direct factors and indirect factors. The direct factors of malnutrition in toddlers are : infectious diseases and poor parenting patterns, while the indirect factors are : not being provided exclusive breastfeeding, low quality of mother's knowledge regarding feeding toddlers, low economic status and family food security, the short gap of giving birth, and inadequate personal hygiene as well as environmental sanitation.