Peer-reviewed article
Analysis of Risk Factors of Parenting Patterns using the Nurturing Care Framework Approach with the Incident of Stunting in Toddlers in a Case Study in the Working Area of Pagambiran Public Health Center
Fenni Amilia, Masrul Masrul, Yusrawati Yusrawati, Nur Indrawaty Lipoeto, Rinang Mariko et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This study examined how parenting patterns based on the Nurturing Care Framework relate to stunting in toddlers aged 24-59 months in Indonesia. The research found that 43.9% of toddlers were stunted, and poor parenting patterns were present in 55.1% of families. Three aspects of the framework were significantly associated with stunting: health care, adequate nutrition, and safety and security, with adequate nutrition being the strongest factor.
Key points
- Stunting prevalence in the study population was 43.9%
- 55.1% of families had less than good parenting patterns according to the Nurturing Care Framework
- Adequate nutrition was the dominant risk factor (OR=8.602, p=0.000)
- Health care (p=0.011) and safety and security (p=0.023) were also significantly associated with stunting
- Early stimulation and responsive parenting showed no significant relationship with stunting
Limitations
The study was cross-sectional, which cannot establish causality or determine temporal relationships between parenting patterns and stunting. The findings are limited to one community health center area in Padang, Indonesia, and may not be generalizable to other populations.
Abstract
Stunting is a linear growth disorder caused by malnutrition and recurrent infections. Prevention is through the Nurturing Care Framework (NCF) approach, which includes health care, adequate nutrition, responsive care, early learning opportunities, and safety and security. This study aims to analyze the relationship between NCF-based parenting risk factors and stunting among toddlers in the Pagambiran Padang Community Health Center (Puskesmas) work area. This study was analytical with a cross-sectional design, conducted from June 2024 to January 2025. Sampling used stratified random sampling and simple random sampling, totaling 214 toddlers aged 24-59 months. Data collection used a questionnaire and was analyzed using univariate, bivariate (chi-square), and multivariate (multiple logistic regression with the backward elimination method). The results showed a stunting prevalence of 43.9%. Parenting patterns using the NCF (composite) approach were less than good at 55.1%. Multivariate analysis showed that risk factors significantly associated with stunting were health care (p=0.011), adequate nutrition (p=0.000), and safety and security (p=0.023). Adequate nutrition was the dominant factor (OR=8.602). Meanwhile, early stimulation and responsive parenting did not show a significant relationship. The conclusion of this study is that there is a relationship between health care, adequate nutrition, and safety and security with stunting. Adequate nutrition is the dominant factor. Cross-sectoral collaboration is expected to address nutritional issues, provide basic health services, monitor growth and development, and implement a healthy environment based on the National Child Protection Framework (NCF).
Findings the Hub has extracted
Each claim below is labelled by its type of design and links back to this report.
Problem
Stunting (linear growth disorder) in toddlers caused by malnutrition and recurrent infections
- Intervention
- Implementation of parenting patterns based on the Nurturing Care Framework approach, which includes health care, adequate nutrition, responsive care, early learning opportunities, and safety and security
- Population
- 214 toddlers aged 24-59 months in the Pagambiran Public Health Center work area in Padang, Indonesia
Key finding
43.9% of toddlers were stunted