Hubungan Higiene Dan Sanitasi Lingkungan Dengan Kejadian Stunting Pada Balita Di Desa Siraja Hutagalung Kabupaten Tapanuli Utara
DOI:
https://doi.org/10.62027/praba.v4i3.1022Keywords:
Stunting, Hygiene, Environmental Sanitation, Children Under FiveAbstract
Stunting remains one of the health problems among children under five that requires attention, including in the working area of Siatas Barita Public Health Center. Based on data from Siatas Barita Public Health Center, Stunting cases in Siraja Hutagalung Village were still found every year, with 17 children under five in 2023, 18 in 2024, and 17 in 2025. This condition indicates that Stunting remains a health problem that needs attention, particularly in relation to environmental hygiene and sanitation. An unhealthy environment and poor hygiene practices may increase the risk of infections that interfere with nutrient absorption and child growth. This study aimed to determine the relationship between environmental hygiene and sanitation and the incidence of Stunting among children under five in Siraja Hutagalung Village, North Tapanuli Regency. This study used a quantitative method with an analytical observational design and a cross-sectional approach. The study population consisted of 109 children under five, with a sample of 75 children. Data were collected through questionnaires and observations and analyzed using the Chi-Square and Fisher’s Exact tests. The results showed that 14 children (18.7%) were stunted. Significant associations were found between handwashing with soap practices (p=0.032; PR=3.167), cleanliness of eating utensils (p=0.021; PR=3.021), maternal nail cleanliness (p=0.019; PR=3.268), latrine ownership and condition (p=0.002; PR=4.444), household waste management (p=0.001; PR=5.816), and wastewater drainage conditions (p=0.000; PR=13.351) and Stunting. However, there was no significant association between clean water sources and Stunting (p=0.356). In conclusion, environmental hygiene and sanitation were associated with Stunting among children under five. The community is encouraged to improve clean and healthy living practices and environmental sanitation as efforts to prevent Stunting.
References
Agustia, V. & Rosyada, A. (2023). Hubungan air, hygiene, dan sanitasi terhadap kejadian stunting. PREPOTIF: Jurnal Kesehatan Masyarakat, 7(3), 16946–16956. https://doi.org/10.31004/prepotif.v7i3.22508
Aprihatin, Y., Barlian, E., Fatimah, S., Yanti, E. & Armaita. (2020). Impact of environmental sanitation and infection disease as a determining stunting factor for children. Sumatra Journal of Disaster, Geography and Geography Education, 4(2), 209–211. https://doi.org/10.24036/sjdgge.v4i2.336
Bintoro, N.F. & Ardiansyah, I. (2025). Pola kejadian stunting berdasarkan air bersih, sumber air minum, sanitasi dan kebersihan rumah. Jurnal Sanitasi Lingkungan, 5(1), 1–8. https://doi.org/10.36086/jsl.v5i1.2740
Datunsolang, S.W., Badjuka, B.Y.M. & Ali, I.H. (2024). Hubungan kualitas fisik air bersih dan kebiasaan cuci tangan pakai sabun dengan kejadian stunting. Journal of Noncommunicable Diseases, 4(1), 42–54.
Ernawati, R. (2025). Effectiveness of educational videos about stunting via TikTok and Instagram on adolescent knowledge. Indonesian Journal of Global Health Research, 7(1), 521–528. https://doi.org/10.37287/ijghr.v7i1.4626
Fitriani, L., Wahyuni, S., Usman, A., Jamir, A.F., Susianti, S., Sari, A.P., Irawati, A. & Rismawati. (2023). Penyuluhan dan praktek menu makanan sehat balita untuk pencegahan stunting di Kelurahan Anreapi. Jurnal Abdimas ITEKES Bali, 3(1), 40–44. https://doi.org/10.37294/jai.v3i1.500.
Fitria, N.J.P. & Fitria, L. (2025). Access to sanitation and its impact on stunting in toddlers in East Nusa Tenggara, Indonesia. Unnes Journal of Public Health, 14(1), 14–21. https://doi.org/10.15294/ujph.v14i1.15938
Halawa, et al. (2025). Hubungan hygiene dan sanitasi rumah tangga dengan kejadian stunting. Nutriology: Jurnal Pangan, Gizi, dan Kesehatan, 6(2), 125–136.
Hidayat, T., et al. (2024). Factors affecting stunting in Merawang District, Bangka Regency. Jurnal Media Trend, 19(2), 424–437.
Ilmani, D.A. & Fikawati, S. (2023). Nutrition intake as a risk factor of stunting in children aged 25–30 months in Central Jakarta, Indonesia. Jurnal Gizi dan Pangan, 18(2), 117–126. https://doi.org/10.25182/jgp.2023.18.2.117-126
Kementerian Kesehatan Republik Indonesia. (2023). Survei Kesehatan Indonesia 2023 dalam angka. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2023). Waktu yang tepat untuk mencuci tangan. Ayo Sehat. https://ayosehat.kemkes.go.id/kapan-sih-waktu-yang-tepat-untuk-mencuci-tangan-pakai-sabun.
Kementerian Kesehatan Republik Indonesia. (2025). Survei Status Gizi Indonesia 2024 dalam angka. Jakarta: Kementerian Kesehatan Republik Indonesia.
Liliskarlina, Hamzah, H. & Fitryastuti. (2022). Faktor risiko kejadian stunting terhadap balita usia 6–59 bulan di Desa Tamannyeleng. Patria Artha Journal of Nursing Science, 6(1), 55–64. https://doi.org/10.33857/jns.v6i1.557
Mardiah, A., Farisni, T.N., Kiswanto, Darmawan & Ernawati. (2024). Relevansi personal hygiene dan sanitasi lingkungan dengan kejadian stunting di wilayah kerja Puskesmas Bakal Buah Kecamatan Simpang Kiri Kota Subulussalam. Jurnal Kesehatan Tambusai, 5(2), 3855–3866.
Sukmawati, Abidin, U.W. & Hasmia. (2021). Hubungan hygiene dan sanitasi lingkungan terhadap kejadian stunting pada balita di Desa Kurma. Journal Peqguruang: Conference Series, 3(2), 496–501.
UNICEF. (2020). UNICEF conceptual framework on the determinants of maternal and child nutrition. UNICEF.
Woldesenbet, B., Tolcha, A. & Tsegaye, B. (2023). Water, hygiene and sanitation practices are associated with stunting among children of age 24–59 months in Lemo District, South Ethiopia, in 2021: Community based cross sectional study. BMC Nutrition, 9(17), 1–9. https://doi.org/10.1186/s40795-023-00677-1
World Health Organization. (2023). World health statistics 2023: Monitoring health for the SDGs. World Health Organization.
Dinas Kesehatan Kabupaten Tapanuli Utara. (2024). Laporan Kinerja Dinas Kesehatan Kabupaten Tapanuli Utara (LAKIP).
Badan Pusat Statistik. (2025). Kabupaten Tapanuli Utara dalam angka 2025. Badan Pusat Statistik.
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