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Malnutrition and stunting among children under five remain major public health challenges in developing countries, including Indonesia. These conditions are associated with increased morbidity, mortality, impaired cognitive development, and reduced productivity in adulthood. Stunting reflects chronic nutritional deficiencies, while severe malnutrition indicates acute or prolonged inadequate nutrient intake, often exacerbated by infections, poor caregiving practices, and unfavorable socioeconomic conditions. This case report aims to describe the clinical condition, contributing factors, management, and outcomes of a 14-month-old female toddler diagnosed with severe malnutrition and stunting without complications in Blang Dalam Geuteung Village, Nisam Subdistrict, North Aceh Regency. The assessment was conducted using a family medicine approach, incorporating detailed history taking, physical examination, anthropometric measurements, and nutritional status evaluation based on World Health Organization Z-score indicators. Interventions included nutritional rehabilitation through appropriate dietary intake, family education on balanced nutrition and proper feeding practices, routine growth monitoring, and optimization of primary healthcare services. The results showed gradual improvement in the child’s nutritional status, evidenced by weight gain, better appetite, and improved feeding patterns following the intervention. This case highlights the importance of early detection, comprehensive family-centered management, and continuous monitoring in addressing malnutrition and stunting at the primary care level. Strengthening community-based interventions, improving caregiver knowledge, and enhancing collaboration between healthcare providers and families are essential to reduce the burden of malnutrition and support optimal child growth and development.

Stunting is a health issue that remains a concern for the government, particularly in supporting the achievement of the Sustainable Development Goals (SDGs), namely the nutritional status of children under five. Stunting, or chronic malnutrition, causes children to fail to grow, which is influenced by mothers' knowledge of nutritional fulfillment in children, especially from the first 1,000 days of birth until the child is 2 years old. The purpose of this study was to determine the effect of health education on parents in preventing stunting in Sumeith Pasinaro Village. The targets of this study were pregnant and breastfeeding mothers and parents who had children aged 1-5 years. This study used a One Group Pre-test-Post-test design with paired sample t-test analysis. There were 12 participants in the activity. Data were collected through a multiple-choice questionnaire administered before and after the socialization with the material “Prevent Stunting from the Heart.” The average pre-test score of the participants was 6.75 and then increased to 9.33 on the post-test, with a difference of 2.58. The paired sample t-test results showed a Sig. (2-tailed) value of 0.014 (< 0.05), indicating a significant increase in participants' knowledge after receiving education. Therefore, health education through socialization activities is effective in increasing mothers' knowledge about stunting prevention. Activities like this are important to continue as an effort to reduce the incidence of stunting in the community.

Stunting is a chronic nutritional problem that has a long-term impact on physical growth, cognitive development, and the quality of human resources in the future. This study aims to determine the relationship between family income and nutritional status of toddlers on the incidence of stunting in the Bukit Cening Daik Health Center working area, Lingga Regency, 2024. This study used a cross-sectional design with a sample size of 62 respondents selected through purposive sampling technique. Data were collected using questionnaires and anthropometric measurements, then analyzed using the chi-square test. The results of the analysis showed that there was a significant relationship between family income and nutritional status of children under five with the incidence of stunting (p < 0.05). This finding suggests that economic conditions and nutritional status play an important role in preventing stunting. Therefore, nutrition interventions targeting low-income families need to be strengthened to reduce stunting in the area.  

Acute Respiratory Infection (ARI) is an infectious disease that often affects the upper and lower respiratory tract. This disease is one of the main causes of death in children under five, especially in areas with less favourable environmental conditions. This study aims to map the distribution of ARI in Central Java Province using the K-Means clustering method. Through data analysis that includes inputting, transforming, processing, and visualisation, this study successfully identified three clusters of areas with different levels of ARI distribution. Cluster 0 indicates areas with low risk, such as Demak and Semarang Regency, Cluster 1 indicates areas with medium risk, such as Klaten, Magelang Regency, Pati, while cluster 2 indicates areas with high risk, including Semarang City and Surakarta City. The results of this analysis are presented as a map using QGIS to spatially visualise the distribution of ARI across Central Java. Thus, local governments can design more effective and targeted ARI prevention and control strategies.

One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.

Introduction: Diarrhea is one of the most common diseases affecting children worldwide. Diarrhea is a condition when the sufferer defecates more often than usual, namely defecating more than 3 times a day and the diarrhea sufferer's stool is thinner than usual. Puskesmas Tarus is one of the Puskesmas in Kupang Regency with the highest data on diarrhea cases in 2021 compared to other Puskesmas, namely 132 cases of diarrhea in toddlers. In 2022 diarrhea cases increased, namely 139 until 2023 it continued to increase to 145 diarrhea patients in children under five. Methods : This type of research and research design is quantitative research with Cross Sectional design. the population in this study were all mothers of toddlers in the Tarus Puskesmas Working Area. The population of mothers who have toddlers is 2,110 people. The sampling method is determined by simple random sampling, with mothers or respondents who have toddlers totaling 66 people. Data analysis was performed with the Chi-Square statistical test. Results: The results showed that there was a significant relationship between maternal knowledge (ρ=0.034), hand washing behavior (ρ=0.022), ownership of healthy latrines (ρ=0.007), availability of clean water (ρ=0.029) with the incidence of diarrhea in toddlers in the Tarus Health Center Working Area. Conclusion: It is recommended for mothers to maintain personal hygiene before doing or giving activities to toddlers.

Background: The phenomenon of Gadget use among children under five is increasing and has become an inseparable part of everyday life. This raises concerns about the impact on child development. There is a risk that excessive use of Gadgets in children under five can disrupt various aspects of development, including physical, cognitive, social and emotional. Children who are too fixated on Gadgets tend to interact less with their surroundings, including with their parents and peers. This can affect their social skills in the future. Objective: The general objective of this research is to understand the impact of Gadget use on the social development of children under five. Method: This research method uses qualitative methods with interviews, observation and documentation, with 5 samples. Results: the use of Gadgets in early childhood in the Cikondang area, Citamiang District, has a significant impact on children's development, both positively and negatively. Suggestion : Efforts need to be made to limit the use of Gadgets and provide stricter supervision from parents and society as a whole to ensure children can develop optimally.

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.

According to the World Health Organization (WHO), in 2022 there will be 148.1 million children under the age of 5 who are too short compared to their age (stunting), 45.0 million children who are too thin compared to their height (wasting), and 37.0 million children too heavy for his height (overweight). This research aims to determine the relationship between the role of Posyandu cadres and the prevention of stunting cases among mothers of toddlers in the Gedang Village Community Health Center Work Area in 2024. This type of research is quantitative and analytical with a cross-sectional study approach. The sampling technique used in this research was the Accidental Sampling technique. The population in this study was all Posyandu cadres in the Gedang Village Health Center Work Area, totaling 42 people with a sample of 42 people. The location of this research was carried out in the Gedang Village Community Health Center Work Area and was carried out in January-July 2024. The results showed that more than half of 24 (57.1%) of the respondents had a poor role as Posyandu Cadres and more than half of 30 (71.4%) respondents with poor prevention of stunting cases in mothers who have children under five with statistical test results (Chi-Square) obtained p-value 0.003. The research conclusion shows that there is a relationship between the role of Posyandu cadres and the prevention of stunting cases in mothers who have children under five. The researchers' suggestions from the research results can be applied in daily nursing practice, such as providing health education regarding the prevention of stunting in mothers who have children under five. As a reference for the Gedang Village Community Health Center in conducting a review of the role of posyandu cadres in preventing stunting cases by always providing health education to mothers

Malaria remains a global health issue, particularly in tropical and subtropical regions. In Indonesia, Papua Province specifically Nabire Regency reports a high incidence of malaria, although a decline has been observed since 2010. Infants and pregnant women are the most vulnerable groups. Nutritional status, influenced by dietary patterns, environment, and access to healthcare, plays a crucial role in susceptibility to malaria. Malnourished children are more prone to severe malaria infections due to their underdeveloped immune systems. This research focuses on Kimi Health Center in Nabire Regency and aims to explore the relationship between the nutritional status of children under five and malaria incidence in 2024. The goal of this study is to determine the relationship between the nutritional status of children under five and malaria incidence at Kimi Health Center, Teluk Umar District, Nabire Regency, in 2024. The research design employs an analytical descriptive approach with a cross-sectional method to analyze the relationship between nutritional status and malaria incidence. Data was collected at one point in time and analyzed using univariate and bivariate analysis with the Kendall tau-b test through SPSS software. The results show that nutritional status significantly influences susceptibility to malaria. Children with poor nutrition are at a higher risk of experiencing severe malaria due to immune system dysfunction. Malnutrition, such as Protein-Energy Malnutrition (PEM), worsens parasitemia and anemia. Nutrient deficiencies, including iron, vitamin A, and zinc, also weaken the immune system. Therefore, improving nutritional status is a crucial effort in malaria control within endemic areas.

The nutritional status of toddlers is an important thing that every parent must know. Malnutrition during this golden age is irreversible (cannot be recovered). Malnutrition can affect a child's brain development. Malnutrition among children under five in Indonesia appears to be increasing from year to year. Malnutrition can occur due to internal and external factors that are not prevented or addressed as early as possible and have an impact on health conditions, growth and development of toddlers, and productivity in adulthood. This phenomenon reveals the importance of preventive efforts to prevent the risk of malnutrition in children under five from all possible risk factors. This article aims to review and analyze factors that influence the nutritional status of toddlers through the literature review method. There are 5 main articles used and have been selected through search results on the Google Scholar database. The results of the study found that factors that influence nutritional status in toddler include infectious diseases, knowledge, birth spacing, socio-economics, parenting patterns.

Stunting is a condition where a child's body size is not appropriate for their age. The consequences of malnutrition, infection, and poor social life can have long-term impacts, such as depression, loss of cognitive and mental functions. The prevalence of stunting in the Tempino Health Center Working Area in 2023 was 2.63%. This study aims to determine the relationship between environmental sanitation and the incidence of stunting in the Tempino Community Health Center Working Area, Mestong District, Muaro Jambi Regency This type of quantitative research with a case control design. The population was 100 and the sample size was 66 respondents with a ratio of 1: 1 taken with the Total Sampling technique. There is a significant relationship between the physical quality of clean water (P-Value = 0.000; (OR) = 12.880), household wastewater disposal system (P-Value = 0.003; (OR) = 5.714), latrine building (P-Value = 0.003; (OR) = 5.333) with the incidence of stunting. There was no association between household waste bins (P-Value = 0.573 (OR) = 0.619 (0.203-1.892), hand washing with soap (P-Value = 0.240; OR) = 0.411) with the incidence of stunting among children under five.

The use of Maternal and Child Health (KIA) books for toddlers at Posyandu Melati 2 in 2023 falls short of the national target of 85%. This low usage rate raises concerns about potential negative impacts on the health of children under five. Cadres play a crucial role in promoting maternal and child health by providing guidance and encouragement regarding the use of KIA books. This study aims to assess the correlation between cadre support and the utilization of KIA books among mothers of toddlers at Posyandu Melati 2 from April to May 2024. A cross- sectional analysis was conducted with a total population of 57 mothers of toddlers, using a total sampling technique. Data on maternal characteristics, cadre support, and KIA book usage were collected through a survey with a questionnaire and analyzed using the chi-square method with a significance level of α = 0.05. Results indicated that only 10.5% of mothers used the KIA books properly, and 28.1% received good support from health workers. The analysis revealed a significant correlation between cadre support and the use of KIA books, with an odds ratio (OR) of 6.5 and a Fisher Exact Test result of p = 0.046. These findings highlight the importance of cadre support in enhancing the use of KIA books among mothers of toddlers, suggesting that increased support could improve usage rates and potentially benefit child health outcomes.  

The Maternal and Child Health (MCH) book is an initiative by the Indonesian Ministry of Health aimed at addressing child nutrition problems. However, at the Karang Mulia Health Center UPTD, the distribution and utilization of the MCH book among mothers of toddlers have not met the national target. The area has reported 164 cases of undernutrition and 74 cases of overnutrition in children under five. This study aims to determine the relationship between the level of maternal knowledge in utilizing the MCH book and the nutritional status of toddlers aged 12-59 months in the working area of the Karang Mulia Health Center UPTD. This correlational analytic research used a cross-sectional approach. The study population included 640 toddlers, with 90 selected samples of mothers who had the MCH book. Purposive sampling was employed, and data were analyzed using the Statistical Program for Social Science (SPSS) version 16.0, applying the chi-square test. The study found no significant relationship between maternal knowledge in using the MCH book and the nutritional status of toddlers. The p-values for the BB/A, PB/A or TB/A, and BB/PB or BB/TB indices were 0.345, 0.851, and 0.282, respectively, all greater than 0.05. There is no significant relationship between maternal knowledge of the MCH book and the nutritional status of toddlers aged 12-59 months in the Karang Mulia Health Center UPTD.

The stunting rate for toddlers in Surakarta increased from 2.0% (2021) to 2.7% (2022). The Pajang Community Health Center has the highest number of stunted toddlers, namely 142 toddlers. A history of infectious disease increases the risk of stunting 3-8 times. Objective: To describe the history of stunting in toddlers in the Pajang Community Health Center working area. Method: This research is quantitative descriptive. The research population was 187 stunted toddlers. The sampling technique used total sampling with inclusion and exclusion criteria, so that 142 respondents were obtained. Results: Characteristics of toddlers: 1-3 years old (69.7%), male (48.6%), and exclusively breastfed (81.7%). Characteristics of mothers of toddlers: aged 20-34 years (74.6%), not working (78.9%), and high school education (50.7%). History of infectious diseases in children under five: diarrhea (42.3%). Non-communicable diseases liver disorders (1.4%) and anemia (1.4%). The genetic disease is Congenital Heart Disease (0.7%). A total of 40 toddlers (28.2%) had no history of disease. Conclusion: Stunted toddlers are predominantly 1-3 years old, male, and exclusively breastfed. Mothers of toddlers aged 20-34 years, not working, and have a high school education. The dominant infectious diseases are diarrhea, non-communicable diseases anemia and liver disorders, as well as the genetic disease CHD. Toddlers with no history of illness in small numbers.

Stunting problems often occur in children who lack essential nutrients, especially protein, iron and other nutrients needed for optimal growth. Stunting is not only a physical problem that can be seen from short height, but also has serious long-term impacts on children's development. Exclusive breast milk is a primary need for babies, so it will have an impact on the baby's growth and development if it is not provided adequately. Breast milk that is not given exclusively in the first 6 months of a baby's life will have an impact on the maturation process of the immune system, causing the baby to be susceptible to infections (Wasiah, 2019). Bekasi Regency is an industrial area with more than 3.5 million residents and 44.6% of them are women. A total of 523 461 of them are working women who are in the productive age range of 15-49 years. In this age range, many working women are mothers who have to leave their babies and be cared for by someone else and cannot provide exclusive breast milk. The failure to provide exclusive breastfeeding is the driving force behind many cases of stunting in Indonesia. This research is a quantitative analytical research with a cross sectional approach with the respondents being working mothers who have children under five. P value is 0.021 and OR 8,000, so there is a significant relationship between breastfeeding behavior and the incidence of stunting in the Kedungwaringin Community Health Center Working Area. Working mothers with non-exclusive breastfeeding behavior increase the risk of stunting by 8,000 times compared to mothers who breastfeed exclusively.

The development of children under five is an increasingly complex body structure and function that occurs in a regular and predictable pattern as a maturation process. Children's development can be assessed from their speech and language abilities, fine or gross motor skills, cognitive intelligence, and social or emotional abilities. This study aims to describe the demographic and developmental characteristics of stunted children aged 2-5 years at the Kesesi I health center. This research is a descriptive study. This sampling technique used total sampling, the population of this study was 38 children at the Kesesi I Community Health Center. This research instrument used the Pre-Developmental Screening Questionnaire (KPSP) which was recommended by the Ministry of Health of the Republic of Indonesia for use in this study, so validity and reliability tests were not carried out. . The data analysis used was univariate in the form of a percentage frequency distribution. The results of this study show that the average child at the Kesesi I Community Health Center is 42 months old. Male gender (71.1%), spontaneous birth (81.6%), term gestation (37-42 weeks) (81.6%), weight at birth with sufficient birth weight (2500-4000 grams) (89.5%), current BB in the normal category (68.4%), current TB in the normal category (60.5%) and (100%) children have a history of breastfeeding. The development of toddlers at the Kesesi I Community Health Center shows that (55%) of respondents have doubtful development. The conclusion obtained is that 55% of the demographic and developmental characteristics of stunted children aged 2-5 years at the Kesesi I Community Health Center have doubtful development.

Children under five are more at risk of experiencing nutritional disorders because during this period children will experience very rapid growth and development. Nutritional disorders can result in children's performance in activities not being optimal, hampering the growth and development process, and can even cause disease. Malnutrition sufferers in Indonesia are increasing every year, and the percentage of malnutrition in Indonesia is around 3.4%. An expert system is a computer-based system built based on facts, knowledge and reasoning that can help solve a problem. However, to measure the uncertainty and level of expert confidence in identifying and detecting malnutrition, an expert system can use the Dempster-Shafer method. The results of testing the system model using the Dempster-Shafer method on toddler nutritional diseases obtained quite good results with system accuracy of 84% with a precision value of 81.83% and also a recall value of 80%.

The factors that influence the nutritional status of children under five are very substantial to be studied. This aims to find out what factors are related so that power action and efforts to improve nutrition can be taken in the community. Because health is a form of human right which is explicitly mandated by the 1945 Constitution. Education and time for mothers and the health of parents, especially mothers, are one of the causes of malnutrition in toddlers. This study aims to determine the relationship between maternal characteristics and the nutritional status of children under five at the Padang Garugur Public Health Center, Padang Lawas Regency. The research procedure was by measuring body weight, mothers of children under five were given a nutritional status questionnaire. Data analysis using the Chi-square test showed that from 45 samples. The majority of children's nutritional status is good (77.8%). There is a relationship between mother's knowledge and nutritional status of children under five at the Padang Garugur Public Health Center, Padang Lawas Regency (p = 0.001). There is a relationship between maternal education and the nutritional status of children under five at the Padang Garugur Health Center, Padang Lawas Regency (p = 0.005). From the results of the study, it can be concluded that knowledge, , education of mothers are related to the nutritional status of children under five. It is recommended that all mothers continue to seek information about children's health, especially the procedure for providing nutritious food to toddlers."

Stunting is a growth disorder due to malnutrition that occurs in children under five years old. Stunting in children under five is a consequence of several factors that are often associated with poverty, including nutrition, health, knowledge and social and cultural factors. The aim of this research is to look at the factors that cause stunting in toddlers. The research method uses Scoping Review to map literature and identify problems or shadows in the research area to be studied. The results of the research show that data obtained that the number of stunting cases in Jorong Lubuk Sao can be worrying, the results of the data show that there is an average for each stunting indicator (TB, BB, LK) which indicates stunting. The intervention that has been carried out from the data above is by providing outreach and counseling regarding healthy food as well as introducing the electronic application ready for marriage and pregnancy (elsimil) to the local community, this is an accompanying screening application for prospective brides (catin), prospective couples of childbearing age (CaPUS) , pregnant women, postpartum mothers, and families with babies aged 0-59 months. The conclusion of this research is that the stunting prevalence rate in Indonesia is still above 20%, meaning it has not reached the WHO target. Influencing factors are low levels of exclusive breastfeeding, low protein energy intake, poor provision of MP-ASI, low family income, completeness of immunizations.