{\rtf1{\fonttbl{\f2 Times New Roman Bold;}{\f3 Times New Roman Bold Italic;}{\f4 Times New Roman Italic;}{\f5 Times New Roman Italic;}{\f6 Times New Roman;}{\f7 Times New Roman Bold Italic;}{\f8 Times New Roman Bold Italic;}{\f9 Times New Roman;}{\f10 Times New Roman Italic;}{\f11 Times New Roman Bold;}{\f12 Times New Roman;}{\f13 Times New Roman;}{\f14 Times New Roman;}{\f15 Times New Roman;}{\f16 Times New Roman Italic;}{\f17 Times New Roman Italic;}{\f18 Times New Roman;}{\f19 Times New Roman Italic;}{\f20 Times New Roman;}{\f21 Times New Roman;}{\f22 Times New Roman;}{\f23 Times New Roman;}{\f24 Times New Roman Bold;}{\f25 Calibri Bold;}{\f26 Calibri;}{\f27 Times New Roman;}{\f28 Arial;}{\f29 Calibri Bold;}{\f30 Calibri;}{\f31 Times New Roman;}{\f32 Arial;}{\f33 Calibri Bold;}{\f34 Calibri Bold;}{\f35 Calibri;}{\f36 Times New Roman;}{\f37 Arial;}{\f38 Calibri Bold;}{\f39 Calibri;}{\f40 Calibri Italic;}{\f41 Times New Roman;}{\f42 Calibri Bold;}{\f43 Calibri;}{\f44 Calibri Italic;}{\f45 Times New Roman;}{\f46 Times New Roman;}{\f47 Arial;}{\f48 Times New Roman;}{\f49 Arial;}{\f50 Times New Roman Italic;}{\f1000000 Times New Roman;}}{\colortbl;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red255\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;\red0\green0\blue0;}\viewkind1\viewscale100\margl0\margr0\margt0\margb0\deftab80\dntblnsbdb\expshrtn\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\par\pard\ql \li1757\sb0\sl-270\slmult0 \par\pard\ql\li1757\sb0\sl-270\slmult0 \par\pard\ql\li1757\sb0\sl-270\slmult0 \par\pard\ql\li1757\sb0\sl-270\slmult0 \par\pard\ql\li1757\sb0\sl-270\slmult0 \par\pard\ql\li1757\ri1502\sb127\sl-270\slmult0\tx2026\tx3905 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf1\f2\fs24 KAJIAN \ul0\nosupersub\cf2\f3\fs24 STUNTING\ul0\nosupersub\cf1\f2\fs24 PADA ANAK BALITA DITINJAU DARI PEMBERIAN \line\tab \up0 \expndtw-3\charscalex100 ASI EKSKLUSIF, MP-ASI, STATUS IMUNISASI DAN KARAKTERISTIK \line \tab \up0 \expndtw-3\charscalex100 KELUARGA DI KOTA BANDA ACEH \par\pard\ql \li1860\sb0\sl-270\slmult0 \par\pard\ql\li1860\ri1614\sb20\sl-270\slmult0\tx2141\tx2405 \up0 \expndtw-3\charscalex100 STUNTING STUDY ON CHILDREN VIEWED FROM EXCLUSIVE BREAST \line\tab \up0 \expndtw-5\charscalex100 FEEDING, COMPLEMENTARY BREASTFEEDING, IMMUNIZATION \line \tab \up0 \expndtw-5\charscalex100 STATUS AND FAMILIES CHARACTERISTICS IN BANDA ACEH \par\pard\ql \li3588\sb0\sl-253\slmult0 \par\pard\ql\li3588\sb32\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 Agus Hendra AL-Rahmad, Ampera Miko, Abdul Hadi \par\pard\ql \li4177\sb7\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Jurusan Gizi Politeknik Kesehatan Aceh \par\pard\ql \li3103\ri2901\sb0\sl-260\slmult0\tx4652 \up0 \expndtw-3\charscalex100 Jln. Soekarno-Hatta Kampus Terpadu Poltekkes Kemenkes Aceh \line\tab \up0 \expndtw-3\charscalex100 Email : hen2dra@yahoo.com \par\pard\ql \li5341\sb0\sl-276\slmult0 \par\pard\ql\li5341\sb73\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf2\f3\fs24 ABSTRACT \par\pard\qj \li1798\ri1585\sb143\sl-253\slmult0 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf3\f4\fs22 Aceh province is one of the greatest short prevalence above the national average, the \line \up0 \expndtw0\charscalex106 prevalence of stunting was 44,6%, Banda Aceh prevalence of 38.8%. They its become \line \up0 \expndtw-4\charscalex100 important to note the cause of the incident. The purpose of the study to assess the incidence of \line \up0 \expndtw0\charscalex102 Stunting in children under five in terms exclusive breastfeeding, complementary feeding, \line \up0 \expndtw-2\charscalex100 immunization status, family characteristics. Quantitative research approaches to the design of \line \up0 \expndtw0\charscalex102 Case Control Study, carried out in the region and Banda Raya Health Center, Batoh and \line \up0 \expndtw0\charscalex102 Meuraxa the number of samples is \up0 \expndtw0\charscalex102 96 persons. Data collected included primary and \par\pard\qj \li1798\ri1595\sb0\sl-253\slmult0 \up0 \expndtw-3\charscalex100 secondary data. Data analysis includes univariate and bivariate using the Chi-square test on \line \up0 \expndtw-3\charscalex100 CI 95%, and multivariate (logistic regression). The result showed the incidence of stunting in \line \up0 \expndtw-3\charscalex100 infants caused by low family income (p = 0,026; OR = 3,1), non-exclusive breastfeeding (p = \line \up0 \expndtw-3\charscalex100 0,002; OR = 4.2), giving poor complementary feeding (p = 0,007; OR = 3,4), and incomplete \line \up0 \expndtw-3\charscalex100 immunization (p = 0,040; OR = 3,5). Results of multivariate analysis obtained non-exclusive \line \up0 \expndtw0\charscalex100 breastfeeding is very dominant cause stunting of children under five suffered Banda Aceh \line \up0 \expndtw0\charscalex103 region with OR = 4,9. The conclusion\ul0\nosupersub\cf6\f7\fs22 ,\ul0\nosupersub\cf3\f4\fs22 stunting among children is associated with lower \line \up0 \expndtw0\charscalex103 family income, not-exclusively breastfeeding, complementary feeding less favorable and \line \up0 \expndtw-2\charscalex100 incomplete immunization. While not-exclusive breastfeeding a dominant factor as the cause of \line \up0 \expndtw-3\charscalex100 the child's risk of experiencing stunting. \par\pard\li1798\sb249\sl-253\slmult0\fi0\tx3074 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs22 Key Words\tab \up0 \expndtw-1\charscalex100 : \ul0\nosupersub\cf3\f4\fs22 Stunting, Exclusive Breastfeeding, Complementary Feeding, Immunization\par\pard\li1798\sb0\sl-253\slmult0\par\pard\li1798\sb5\sl-253\slmult0\fi3660 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf6\f7\fs22 ABSTRAK\par\pard\qj \li1798\ri1595\sb123\sl-251\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf3\f4\fs22 Aceh merupakan salah satu provinsi yang paling besar prevalensi pendek di atas angka \line \up0 \expndtw0\charscalex100 nasional, dengan prevalensi stunting sebesar 44,6%, prevalensi Kota Banda Aceh sebesar \line \up0 \expndtw-1\charscalex100 38,8%. Angka menjadi penting diperhatikan penyebab kejadian tersebut. Tujuan penelitian \line \up0 \expndtw0\charscalex100 untuk mengkaji kejadian Stunting pada anak balita ditinjau pemberian ASI Eksklusif, MP-\line \up0 \expndtw-2\charscalex100 ASI, status imunisasi, karakteristik keluarga. Pendekatan penelitin secara kuantitatif dengan \line \up0 \expndtw-3\charscalex100 rancangan Case Control Study, dan dilakukan diwilayah Puskesmas Banda Raya, Batoh dan \line \up0 \expndtw-2\charscalex100 Meuraxa dengan jumlah sampel yaitu 96 orang. Data yang dikumpulkan meliputi data primer \line \up0 \expndtw0\charscalex100 dan skunder. Analisis data meliputi univariat dan bivariat menggunakan Chi-Square Test \line \up0 \expndtw0\charscalex102 pada CI 95%, serta multivariat menggunakan regresi logistik. Hasil penelitian diperoleh \line \up0 \expndtw0\charscalex100 kejadian stunting pada balita disebabkan rendahnya pendapatan keluarga \up0 \expndtw-4\charscalex100 (p=0,026; \par\pard\qj \li1798\ri1613\sb2\sl-260\slmult0 \up0 \expndtw-3\charscalex100 OR=3,1), pemberian ASI tidak eksklusif (p=0,002; OR=4,2), pemberian MP-ASI kurang baik \line \up0 \expndtw-4\charscalex100 (p=0,007; OR=3,4), serta imunisasi tidak lengkap \up0 \expndtw-4\charscalex100 (p=0,040; OR=3,5). Hasil analisis \par\pard\qj \li1798\ri1612\sb0\sl-260\slmult0 \up0 \expndtw0\charscalex100 multivariate diperoleh pemberian ASI yang tidak eksklusif sangat dominan menyebabkan \line \up0 \expndtw0\charscalex109 anak balita mengalami stunting diwilayah Kota Banda Aceh dengan OR=4,9. \line \up0 \expndtw0\charscalex100 Kesimpulannya,stunting pada anak balita sangat berkaitan dengan rendahnya pendapatan \par\pard\ql \li5801\sb0\sl-230\slmult0 \par\pard\ql\li5801\sb0\sl-230\slmult0 \par\pard\ql\li5801\sb25\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf7\f8\fs20 169 {\shp {\*\shpinst\shpleft1816\shptop1514\shpright10122\shpbottom1514\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz33\shplid0{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}{\sp{\sn lineWidth}{\sv 33937}}}}{\shp {\*\shpinst\shpleft29\shptop14\shpright11899\shpbottom1651\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz1004\shplid1{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 11870}}{\sp{\sn geoBottom}{\sv 1637}}{\sp{\sn pVerticies}{\sv 8;4;(0,1637);(11870,1637);(11870,0);(0,0)}}{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}{\shp {\*\shpinst\shpleft0\shptop15368\shpright11899\shpbottom16840\shpfhdr0\shpbxpage\shpbypage\shpwr3\shpwrk0\shpfblwtxt1\shpz1008\shplid2{\sp{\sn shapeType}{\sv 0}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn geoRight}{\sv 11899}}{\sp{\sn geoBottom}{\sv 1472}}{\sp{\sn pVerticies}{\sv 8;4;(11899,0);(0,0);(0,1472);(11899,1472)}}{\sp{\sn pSegmentInfo}{\sv 2;10;16384;45824;1;45824;1;45824;1;45824;24577;32768}}{\sp{\sn fFillOK}{\sv 1}}{\sp{\sn fFilled}{\sv 1}}{\sp{\sn fillColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn lineType}{\sv 0}}{\sp{\sn fArrowheadsOK}{\sv 1}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn lineColor}{\sv 0}}}}\par\pard\sect\sectd\fs24\paperw11900\paperh16840\pard\sb0\sl-240{\bkmkstart Pg2}{\bkmkend Pg2}\par\pard\ql \li1798\sb0\sl-230\slmult0 \par\pard\ql\li1798\sb100\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf7\f8\fs20 170\ul0\nosupersub\cf8\f9\fs20 \ul0\nosupersub\cf9\f10\fs20 Jurnal Kesehatan Ilmiah Nasuwakes Vol.6 No.2, November 2013, 169 - 184 \par\pard\qj \li1798\sb0\sl-250\slmult0 \par\pard\qj\li1798\sb0\sl-250\slmult0 \par\pard\qj\li1798\sb0\sl-250\slmult0 \par\pard\qj\li1798\ri1603\sb164\sl-250\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf3\f4\fs22 keluarga, pemberian ASI tidak eksklusif, kurang baiknya MP-ASI serta imunisasi tidak \up0 \expndtw-3\charscalex100 lengkap. Sedangkan pemberian ASI tidak eksklusif merupakan faktor dominan sebagai resiko \up0 \expndtw-4\charscalex100 penyebab anak mengalami stunting. \par\pard\li1798\sb0\sl-253\slmult0\par\pard\li1798\sb5\sl-253\slmult0\fi0\tx3216 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf6\f7\fs22 Kata Kunci\tab \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 : Stunting, ASI Eksklusif, MP-ASI, Imunisasi.\par\pard\sect\sectd\sbknone\cols2\colno1\colw6078\colsr160\colno2\colw5522\colsr160\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb30\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf10\f11\fs22 PENDAHULUAN\par\pard\qj \li1798\ri336\sb144\sl-379\slmult0\fi566 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf11\f12\fs22 Gizi merupakan salah satu faktor \line \up0 \expndtw-3\charscalex100 penting yang menentukan tingkat kesehatan \line \up0 \expndtw-9\charscalex100 dan kesejahteraan manusia. Gizi yang baik jika \line \up0 \expndtw-5\charscalex100 terdapat keseimbangan dan keserasian antara \line \up0 \expndtw-8\charscalex100 perkembangan fisik dan perkembangan mental \line \up0 \expndtw-2\charscalex100 orang tersebut. Terdapat kaitan yang sangat \line \up0 \expndtw-7\charscalex100 erat antara status gizi dan konsumsi makanan. \line \up0 \expndtw-2\charscalex100 Tingkat status gizi optimal akan tercapai \line \up0 \expndtw-9\charscalex100 apabila kebutuhan zat gizi optimal terpenuhi\ul0\super\cf12\f13\fs20 1\ul0\nosupersub\cf11\f12\fs22 .\par\pard\qj \li1798\ri336\sb3\sl-379\slmult0\fi566 \up0 \expndtw-1\charscalex100 Dalam mencapai tumbuh kembang \line \up0 \expndtw-4\charscalex100 optimal, di dalam \ul0\nosupersub\cf3\f4\fs22 Global Strategy for Infant \line \up0 \expndtw0\charscalex100 and Young Child Feeding\ul0\nosupersub\cf11\f12\fs22 , WHO/UNICEF \line \up0 \expndtw-4\charscalex100 merekomen-dasikan empat hal penting yang \line \up0 \expndtw-4\charscalex100 harus dilakukan yaitu : pertama memberikan \line \up0 \expndtw0\charscalex101 Air Susu Ibu kepada bayi segera dalam 30 \line \up0 \expndtw-2\charscalex100 menit setelah bayi lahir, kedua memberikan \line \up0 \expndtw-7\charscalex100 hanya Air Susu Ibu (ASI) saja atau pemberian \line \up0 \expndtw-4\charscalex100 ASI secara Eksklusif sejak lahir sampai bayi \line \up0 \expndtw-6\charscalex100 berusia 6 bulan, ketiga memberikan Makanan \line \up0 \expndtw0\charscalex100 Pendamping Air Susu Ibu (MP-ASI) sejak \line \up0 \expndtw0\charscalex101 bayi berusia 6 bulan sampai 24 bulan, dan \line \up0 \expndtw-4\charscalex100 keempat meneruskan pemberian ASI sampai \line \up0 \expndtw-8\charscalex100 anak berusia 24 bulan atau lebih\ul0\super\cf12\f13\fs20 2\ul0\nosupersub\cf11\f12\fs22 . Hal tersebut \line \up0 \expndtw-2\charscalex100 menekankan, secara sosial budaya MP-ASI \line \up0 \expndtw-6\charscalex100 hendaknya dibuat dari bahan yang murah dan \line \up0 \expndtw0\charscalex105 mudah diperoleh dari daerah setempat \line \up0 \expndtw-9\charscalex100 (\ul0\nosupersub\cf3\f4\fs22 indegenous food\ul0\nosupersub\cf11\f12\fs22 )\ul0\super\cf12\f13\fs20 3\ul0\nosupersub\cf11\f12\fs22 .\par\pard\ql \li2364\sb108\sl-253\slmult0\tx5247 \up0 \expndtw-1\charscalex100 Survey kesehatan nasional\tab \up0 \expndtw-8\charscalex100 2008\par\pard\qj \li1798\ri336\sb22\sl-379\slmult0 \up0 \expndtw-4\charscalex100 menunjukkan sebanyak 37% balita memiliki \line \up0 \expndtw-6\charscalex100 tinggi badan di bawah standar alias stunting\ul0\super\cf12\f13\fs20 4\ul0\nosupersub\cf11\f12\fs22 .\par\pard\column \ql \li6238\sb0\sl-253\slmult0 \par\pard\ql \li20\sb25\sl-253\slmult0 \up0 \expndtw0\charscalex102 Tidak hanya di Indonesia, penelitian yang\par\pard\qj \li20\ri1570\sb22\sl-379\slmult0 \up0 \expndtw-2\charscalex100 dilakukan UNICEF menunjukkan hampir \line \up0 \expndtw-6\charscalex100 sepertiga anak-anak di bawah usia lima tahun \line \up0 \expndtw-6\charscalex100 di negara-negara berkembang memiliki tubuh \line \up0 \expndtw-4\charscalex100 pendek. India adalah juaranya, jumlahnya \line \up0 \expndtw0\charscalex101 mencapai 61 juta anak\ul0\super\cf12\f13\fs20 5\ul0\nosupersub\cf11\f12\fs22 . Artinya, 3 dari 10 \line \up0 \expndtw-2\charscalex100 anak pendek di dunia berasal dari India. Itu \line \up0 \expndtw-2\charscalex100 sebabnya, mengatasi balita pendek menjadi \line \up0 \expndtw0\charscalex103 salah satu perhatian dalam tujuh program\par\pard\ql \li20\sb106\sl-253\slmult0\tx3139 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf3\f4\fs22 Milenium Development Goals\tab \up0 \expndtw-8\charscalex100 \ul0\nosupersub\cf11\f12\fs22 (MDGs).\par\pard\ql \li20\sb126\sl-253\slmult0 \up0 \expndtw-3\charscalex100 Pemerintah Indonesia sendiri, pada \up0 \expndtw-7\charscalex100 2015\par\pard\qj \li20\ri1580\sb22\sl-379\slmult0 \up0 \expndtw-2\charscalex100 menargetkan angka balita pendek turun jadi \line \up0 \expndtw-8\charscalex100 18%\ul0\super\cf12\f13\fs20 6\ul0\nosupersub\cf11\f12\fs22 .\par\pard\qj \li20\ri1568\sb0\sl-379\slmult0\fi566 \up0 \expndtw-2\charscalex100 Masalah pendek pada balita secara \line \up0 \expndtw-1\charscalex100 nasional masih serius yaitu sebesar \up0 \expndtw-8\charscalex100 36,8%.\par\pard\qj \li20\ri1568\sb0\sl-380\slmult0\tx1039\tx2256\tx3291 \up0 \expndtw-8\charscalex100 Delapan belas provinsi menghadapi prevalensi \line \up0 \expndtw0\charscalex104 pendek di atas angka nasional, salah satu \line \up0 \expndtw0\charscalex101 provinsi tersebut adalah Aceh yang ketiga \line \up0 \expndtw-10\charscalex97 terbesar \tab \up0 \expndtw-9\charscalex100 prevalensi \tab \up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf3\f4\fs22 stunting \tab \up0 \expndtw-8\charscalex100 \ul0\nosupersub\cf11\f12\fs22 dengan\par\pard\ql \li20\sb104\sl-253\slmult0\tx2333\tx3235 \up0 \expndtw-2\charscalex100 prevalensinya adalah\tab \up0 \expndtw-9\charscalex100 44,6%.\tab \up0 \expndtw-8\charscalex100 Adapun\par\pard\qj \li20\ri1569\sb23\sl-379\slmult0 \up0 \expndtw-6\charscalex100 prevalensi \ul0\nosupersub\cf3\f4\fs22 stunting\ul0\nosupersub\cf11\f12\fs22 balita untuk wilayah Kota \up0 \expndtw0\charscalex101 Banda adalah sebesar \up0 \expndtw0\charscalex106 38,8%. Dan ini\par\pard\qj \li20\ri1570\sb1\sl-379\slmult0 \up0 \expndtw-4\charscalex100 merupakan angka yang sangat penting untuk \up0 \expndtw-9\charscalex100 diperhatikan\ul0\super\cf12\f13\fs20 4\ul0\nosupersub\cf11\f12\fs22 .\par\pard\qj \li20\ri1568\sb0\sl-379\slmult0\fi566 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf3\f4\fs22 Stunting\ul0\nosupersub\cf11\f12\fs22 merupakan hasil ukur status \line \up0 \expndtw0\charscalex101 gizi bayi yang dilihat dari indicator TB/U, \line \up0 \expndtw-4\charscalex100 yang menggambarkan status gizi bersifatnya \line \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf3\f4\fs22 kronis\ul0\super\cf12\f13\fs20 7\ul0\nosupersub\cf11\f12\fs22 , artinya muncul sebagai akibat dari \line \up0 \expndtw0\charscalex102 keadaan yang berlangsung lama seperti \line \up0 \expndtw-7\charscalex100 kemiskinan, pola asuh yang tidak tepat, sering {\shp 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Pg3}{\bkmkend Pg3}\par\pard\ql \li5513\sb0\sl-230\slmult0 \par\pard\ql\li5513\sb100\sl-230\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf9\f10\fs20 Agus Hendra, Kajian Stunting Pada Anak Balita \u8230?\u8230?\ul0\nosupersub\cf7\f8\fs20 171\par\pard\sect\sectd\sbknone\cols2\colno1\colw6078\colsr160\colno2\colw5522\colsr160\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb152\sl-253\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf11\f12\fs22 menderita penyakit secara berulang karena\par\pard\ql \li1798\sb126\sl-253\slmult0 \up0 \expndtw-9\charscalex100 higiene dan sanitasi yang kurang baik\ul0\super\cf12\f13\fs20 8\ul0\nosupersub\cf11\f12\fs22 .\par\pard\qj \li1798\ri370\sb22\sl-379\slmult0\fi566 \up0 \expndtw0\charscalex102 Berdasarkan latar belakang dan \line \up0 \expndtw0\charscalex100 permasalahan di atas, maka dirumuskan \line \up0 \expndtw-9\charscalex100 perumusan masalah pada penelitian ini adalah \line \up0 \expndtw-1\charscalex100 bagaimanakah kejadian \ul0\nosupersub\cf3\f4\fs22 stunting\ul0\nosupersub\cf11\f12\fs22 pada anak \line \up0 \expndtw0\charscalex101 balita jika ditinjau dari pemberian ASI \line \up0 \expndtw-1\charscalex100 eksklusif, MP-ASI, status imunisasi dan \line \up0 \expndtw-4\charscalex100 pendapatan keluarga di Kota Banda Aceh ?. \line \up0 \expndtw0\charscalex100 Penelitian ini bertujuan untuk mengkaji \line \up0 \expndtw-1\charscalex100 kejadian \ul0\nosupersub\cf3\f4\fs22 Stunting\ul0\nosupersub\cf11\f12\fs22 pada anak balita ditinjau \line \up0 \expndtw-9\charscalex100 dari pemberian ASI Eksklusif, MP-ASI, status \line \up0 \expndtw-2\charscalex100 imunisasi dan pendapatan keluarga di Kota \line \up0 \expndtw-8\charscalex100 Banda Aceh.\par\pard\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb112\sl-253\slmult0 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf10\f11\fs22 METODE PENELITIAN\par\pard\qj \li1798\ri339\sb18\sl-379\slmult0\fi743 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf11\f12\fs22 Kerangka konsep dalam kajian \line \up0 \expndtw-2\charscalex100 s\ul0\nosupersub\cf3\f4\fs22 tunting \ul0\nosupersub\cf11\f12\fs22 menurut \ul0\nosupersub\cf3\f4\fs22 Global Strategy for Infant\par\pard\column \ql \li6238\sb0\sl-253\slmult0 \par\pard\ql \li6238\sb0\sl-253\slmult0 \par\pard\ql \li6238\sb0\sl-253\slmult0 \par\pard\ql \li587\sb152\sl-253\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf11\f12\fs22 Kriterian sample dengan desain \ul0\nosupersub\cf3\f4\fs22 Case\par\pard\qj \li20\ri1569\sb22\sl-379\slmult0\tx993\tx3546 \up0 \expndtw0\charscalex100 Control\ul0\nosupersub\cf11\f12\fs22 , maka sampel dalam penelitian ini \line \up0 \expndtw-1\charscalex100 terdiri 1) \ul0\nosupersub\cf3\f4\fs22 Kasus; \ul0\nosupersub\cf11\f12\fs22 bayi\ul0\nosupersub\cf6\f7\fs22 \ul0\nosupersub\cf11\f12\fs22 berusia 12 - 60 bulan \line \up0 \expndtw-3\charscalex100 yang mengalami \ul0\nosupersub\cf3\f4\fs22 stunting\ul0\nosupersub\cf11\f12\fs22 , tercatat dibuku \line \up0 \expndtw-10\charscalex97 register \tab \up0 \expndtw-2\charscalex100 penimbangan, terdapat \tab \up0 \expndtw-8\charscalex100 data\par\pard\qj \li20\ri1568\sb0\sl-379\slmult0 \up0 \expndtw0\charscalex103 pendukung (KMS), dan bayi ibu bersedia \line \up0 \expndtw-4\charscalex100 dijadikan sampel dan responden. 2) \ul0\nosupersub\cf3\f4\fs22 Kontrol, \line \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf11\f12\fs22 bayi berusia 12 - 60 bulan tidak mengalami \line \up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf3\f4\fs22 stunting\ul0\nosupersub\cf11\f12\fs22 , tercatat dibuku register penimbangan, \line \up0 \expndtw-7\charscalex100 terdapat data pendukung (KMS), dan bayi ibu \line \up0 \expndtw-4\charscalex100 bersedia dijadikan sampel dan responden. \line \up0 \expndtw-6\charscalex100 Dilakukan \ul0\nosupersub\cf3\f4\fs22 matching\ul0\nosupersub\cf11\f12\fs22 (jenis kelamin dan umur \line \up0 \expndtw-7\charscalex100 anak balita dengan interval ; 12 - 23 bulan, 24 \line \up0 \expndtw-7\charscalex100 - 35 bulan, 36 - 47 bulan, 48 - 60 bulan).\par\pard\qj \li1798\sb0\sl-252\slmult0 \par\pard\qj \li20\ri1568\sb108\sl-252\slmult0\fi566 \up0 \expndtw-3\charscalex100 Besar dalam penelitian ini dihitung \up0 \expndtw-9\charscalex100 menggunakan rumus dua proporsi\ul0\super\cf12\f13\fs20 10\ul0\nosupersub\cf11\f12\fs22 :\par\pard\ql \li1798\sb0\sl-161\slmult0 \par\pard\ql \li1929\sb120\sl-161\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf13\f14\fs14 2\par\pard\sect\sectd\sbknone\cols4\colno1\colw6122\colsr160\colno2\colw381\colsr20\colno3\colw259\colsr20\colno4\colw4818\colsr160\qj \li1798\ri382\sb38\sl-379\slmult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf3\f4\fs22 and Young Child Feeding\ul0\nosupersub\cf11\f12\fs22 seperti terilihat \up0 \expndtw-3\charscalex100 pada gambar 1.\par\pard\column \ql \li6282\sb0\sl-276\slmult0 \par\pard\ql \li47\sb8\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf15\f16\fs24 n \up0 \expndtw-11\charscalex80 \ul0\nosupersub\cf14\f15\fs24 \u-4035?\par\pard\ql \li6282\sb0\sl-276\slmult0 \par\pard\ql \li6282\sb0\sl-276\slmult0 \par\pard\ql \li20\sb132\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf18\f19\fs24 P \up0 \expndtw-11\charscalex80 \ul0\nosupersub\cf17\f18\fs24 \u-4035?\par\pard\column \ql \li20\sb0\sl-216\slmult0 \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf15\f16\fs24 Z \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf16\f17\fs14 a\par\pard\ql \li91\sb1\sl-240\slmult0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf14\f15\fs24 2\par\pard\column \ql \li68\sb1\sl-274\slmult0\tx812 \up0 \expndtw-11\charscalex80 \u-4053? \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf15\f16\fs24 Z \up0 \expndtw-11\charscalex80 \ul0\nosupersub\cf14\f15\fs24 \u-3998? \tab \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf15\f16\fs24 PQ\par\pard\ql \li20\sb230\sl-276\slmult0\tx779 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf14\f15\fs24 ( \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf15\f16\fs24 P \up0 \expndtw-11\charscalex80 \ul0\nosupersub\cf14\f15\fs24 \u-4051? \up0 \expndtw-3\charscalex100 1\tab \up0 \expndtw-3\charscalex100 )\par\pard\ql \li646\sb0\sl-192\slmult0 \up0 \expndtw-3\charscalex100 2\par\pard\ql \li49\sb120\sl-276\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf18\f19\fs24 R \par\pard\sect\sectd\sbknone \li6732\sb0\sl-216\slmult0\fi0\tx6962\tx7270 \up0 \expndtw-11\charscalex92 \ul0\nosupersub\cf17\f18\fs24 (\t \up0 \expndtw-11\charscalex92 1\tab \up0 \expndtw-11\charscalex80 \u-4053?\t \up0 \expndtw-11\charscalex92 \ul0\nosupersub\cf18\f19\fs24 R\tab \up0 \expndtw-11\charscalex92 \ul0\nosupersub\cf17\f18\fs24 )\par\pard\ql \li6238\sb0\sl-253\slmult0 \par\pard\ql\li6238\sb10\sl-253\slmult0 \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf11\f12\fs22 Keterangan : \par\pard\ql \li6238\sb7\sl-253\slmult0 \up0 \expndtw-3\charscalex100 R = Perkiraan Odds Rasio = 2 \par\pard\qj \li6238\ri1963\sb18\sl-240\slmult0 \up0 \expndtw-4\charscalex100 Po = Prevalensi kontrol yang terpapar = \line \up0 \expndtw-4\charscalex100 10%\par\pard\sect\sectd\sbknone\cols2\colno1\colw6078\colsr160\colno2\colw5522\colsr160\ql \li1798\sb0\sl-253\slmult0 \par\pard\ql \li1798\sb170\sl-253\slmult0 \up0 \expndtw-9\charscalex100 Gambar 1. Kerangka Konsep Penelitian\par\pard\qj \li1798\ri336\sb149\sl-379\slmult0\fi566\tx4413 \up0 \expndtw-4\charscalex100 Jenis penelitian merupakan kuantitatif \line \up0 \expndtw-5\charscalex100 dengan rancangan \ul0\nosupersub\cf3\f4\fs22 Case Control Study \ul0\nosupersub\cf11\f12\fs22 secara \line \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf3\f4\fs22 community based\ul0\super\cf12\f13\fs20 9\ul0\nosupersub\cf3\f4\fs22 . \ul0\nosupersub\cf11\f12\fs22 Penelitian dilakukan \line \up0 \expndtw-7\charscalex100 selama 2 minggu bulan Oktober 2010, dengan \line \up0 \expndtw0\charscalex101 lokasinya yang mempunyai prevalensi \line \up0 \expndtw-3\charscalex100 \ul0\nosupersub\cf3\f4\fs22 stunting\ul0\nosupersub\cf11\f12\fs22 tersebesar yaitu \tab \up0 \expndtw-3\charscalex100 wilayah kerja\par\pard\qj \li1798\ri338\sb0\sl-379\slmult0 \up0 \expndtw-1\charscalex100 Puskesmas Banda Raya, Puskesmas Batoh, \up0 \expndtw-8\charscalex100 Puskesmas Meuraxa.\par\pard\column \ql \li40\sb1\sl-287\slmult0\tx309\tx2152\tx2586 \up0 \expndtw-10\charscalex85 \ul0\nosupersub\cf19\f20\fs24 \u-3999? \tab \up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf11\f12\fs22 = 0,05\tab \up0 \expndtw-3\charscalex100 Q\tab \up0 \expndtw-10\charscalex96 = 0,62\par\pard\ql \li64\sb0\sl-287\slmult0\tx309\tx2152\tx2577 \up0 \expndtw-10\charscalex80 \ul0\nosupersub\cf20\f21\fs25 \u-3998? \tab \up0 \expndtw-9\charscalex100 \ul0\nosupersub\cf11\f12\fs22 = 0,10\tab \up0 \expndtw-8\charscalex100 Z\ul0\nosupersub\cf21\f22\fs24 \u-3999? \tab \up0 \expndtw-10\charscalex100 \ul0\nosupersub\cf11\f12\fs22 = 1,96\par\pard\ql \li20\sb79\sl-253\slmult0\tx309\tx2152\tx2718 \up0 \expndtw-3\charscalex100 P\tab \up0 \expndtw-9\charscalex100 = 0,38\tab \up0 \expndtw-7\charscalex100 Z\ul0\nosupersub\cf22\f23\fs25 \u-3998? \tab \up0 \expndtw-2\charscalex100 \ul0\nosupersub\cf11\f12\fs22 = 1,28\par\pard\qj \li20\ri1605\sb195\sl-379\slmult0\fi566 \up0 \expndtw0\charscalex103 Besar sampel berdasarkan rumus \up0 \expndtw0\charscalex103 diatas diperoleh n \up0 \expndtw-3\charscalex100 = \up0 \expndtw0\charscalex100 43,97 dibulatkan\par\pard\ql \li20\sb106\sl-253\slmult0\tx963 \up0 \expndtw-3\charscalex100 menjadi\tab \up0 \expndtw0\charscalex110 44 anak balita. Selanjutnya\par\pard\qj \li20\ri1601\sb24\sl-379\slmult0 \up0 \expndtw0\charscalex105 dilakukan estimasi \ul0\nosupersub\cf3\f4\fs22 lost to follow\ul0\nosupersub\cf11\f12\fs22 sebesar \line \up0 \expndtw-2\charscalex100 10%, sehingga jumlah sampel sebanyak 48 \line \up0 \expndtw-1\charscalex100 anak balita. Maka, jumlah sampel minimal \line \up0 \expndtw0\charscalex103 untuk kasus = 48 anak usia 12 - 60 bulan \par\pard\sect\sectd\fs24\paperw11900\paperh16840{\shp{\*\shpinst\shpleft0\shptop0\shpright11900\shpbottom16840\shpwr3\shpfblwtxt0\shpz-10000\shplid3{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fBehindDocument}{\sv 1}}{\sp{\sn pib}{\sv {\pict\jpegblipffd8ffe000104a46494600010101006000600000ffdb00430001010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101010101ffdb0043010101010101010101010101010101010101010101010101010101