Main Article Content

ID Sofiyulloh Sofiyulloh ID Martya Rahmaniati ID Fajar Nugraha

Abstract

Stunting remains a significant global health issue affecting children, and Indonesia is still one of the countries with a high prevalence of stunting. Over the past three years, the prevalence of stunting in Indonesia was reached 24.4% in 2021, 21.6% in 2022, and 21.5% in 2023. East Java is one of the provinces still experiencing high stunting rates, although the figures are slightly below the national average. From 2021 to 2023, a decrease occurred, though not significantly. Several factors such as age at marriage and low birth weight are associated with the risk of stunting in East Java. This study employs a spatial-temporal approach through the visualization of stunting risk mapping using geographic information systems (GIS). Secondary aggregate data were obtained from the Indonesian Ministry of Health, BPS East Java, and digital maps sources. The h three-year autocorrelation analysis showed greater changes in the Moran's I value from 2021-2023, indicating changes in special pattern. In mapping the risk of stunting, there is a change in distribution of t high and low risk areas, although some areas remained in the same category. The results from the analysis and visualization in this study are expected to serve as valuable input for stakeholders  to overcome stunting in East Java.


 Keywords: stunting, East Java, spatial, GIS, autocorrelation

Downloads

Download data is not yet available.

Article Details

How to Cite
Sofiyulloh, S., Rahmaniati, M., & Nugraha, F. (2025). Spatial-Temporal Study of Stunting Risk in East Java 2021 - 2023. Medical Technology and Public Health Journal , 9(2), 163–174. https://doi.org/10.33086/mtphj.v9i2.6921
Section
Articles
stunting, GIS, east java, spatial, autocorrelation

References

Agus, J., Pitoyo, A., Saputri, R., Eka, A., & Handayani, T. (2022). Analysis of Determinan of Stunting Prevalence among Stunted Toddlers in Indonesia. In Populasi (Vol. 30). DOI: https://doi.org/10.22146/jp.75796

Apriluana, G., & Fikawati, S. (2018). Analisis Faktor-Faktor Risiko terhadap Kejadian Stunting pada Balita (0-59 Bulan) di Negara Berkembang dan Asia Tenggara. Media Penelitian Dan Pengembangan Kesehatan, 28(4), 247–256. https://doi.org/10.22435/mpk.v28i4.472 DOI: https://doi.org/10.22435/mpk.v28i4.472

Atamou, L., Rahmadiyah, D. C., Hassan, H., & Setiawan, A. (2023). Analysis of the Determinants of Stunting among Children Aged below Five Years in Stunting Locus Villages in Indonesia. Healthcare (Switzerland), 11(6). https://doi.org/10.3390/healthcare11060810 DOI: https://doi.org/10.3390/healthcare11060810

Banhae, Y., Making, M. A., Abanit, Y. M., & Sambriong, M. (2023). Social and Physical Environment with Stunting Incidents in Toddlers. Indonesian Journal of Global Health Research, 5(4), 619–628. https://doi.org/10.37287/ijghr.v5i4.2361

Berti, C., & La Vecchia, A. (2023). Temporal trend of child stunting prevalence and Food and Nutritional Surveillance System. Jornal de Pediatria, 99(2), 99–100. https://doi.org/10.1016/j.jped.2022.10.001 DOI: https://doi.org/10.1016/j.jped.2022.10.001

BKKBN. (2023, October 22). Terjadi Akibat Faktor Multi Dimensi, Jatim Perlu Usaha Keras Capai Target 14 Persen Prevalensi Stunting Di 2024. BKKBN. https://keluargaindonesia.id/2023/10/22/terjadi-akibat-faktor-multi-dimensi-jatim-perlu-usaha-keras-capai-target-14-persen-prevalensi-stunting-di-2024/

BPPK Kemenkes. (2023). BUKU SAKU Hasil Survei Status Gizi Indonesia (SSGI) 2022.

BPPK, & Kemenkes. (2024). Survei Kesehatan Indonesia (SKI) dalam Angka.

Budiastutik, I., & Nugraheni, A. (2018). Determinants of Stunting in Indonesia: A Review Article. In International Journal Of Healtcare Research (Vol. 1, Issue 1). DOI: https://doi.org/10.12928/ijhr.v1i2.753

Budiyatri, R., Anjani, G., Legowo, A. M., Syauqy, A., & Limijadi, E. K. S. (2024). The effect of Dadih for the prevention of iron deficiency anemia in adolescent girls 12-15 years old. AcTion: Aceh Nutrition Journal, 9(1), 91. https://doi.org/10.30867/action.v9i1.1527 DOI: https://doi.org/10.30867/action.v9i1.1527

Chowdhury, A. I., Abdullah, A. Y. M., Haider, R., Alam, A., Billah, S. M., Bari, S., Rahman, Q. S. U., Jochem, W. C., Dewan, A., & El Arifeen, S. (2019). Analyzing spatial and space-time clustering of facility-based deliveries in Bangladesh. Tropical Medicine and Health, 47(1). https://doi.org/10.1186/s41182-019-0170-9 DOI: https://doi.org/10.1186/s41182-019-0170-9

Danaei, G., Andrews, K. G., Sudfeld, C. R., Fink, G., McCoy, D. C., Peet, E., Sania, A., Smith Fawzi, M. C., Ezzati, M., & Fawzi, W. W. (2016). Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Medicine, 13(11). https://doi.org/10.1371/journal.pmed.1002164 DOI: https://doi.org/10.1371/journal.pmed.1002164

de Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. In Maternal and Child Nutrition (Vol. 12, pp. 12–26). Blackwell Publishing Ltd. https://doi.org/10.1111/mcn.12231 DOI: https://doi.org/10.1111/mcn.12231

Eyles, John., & Williams, Allison. (2016). Sense of place, health and quality of life. Routledge. DOI: https://doi.org/10.4324/9781315243474

Fariza, A., Asmara, R., & Istiqomah, G. N. (2023). Visualisasi Spasial Temporal Tingkat Risiko Stunting di Jawa Timur Menggunakan Metode Fuzzy Spatial Temporal Visualization of Stunting Risk Level in East Java Using Fuzzy Method. Jurnal Teknologi Dan Informasi, 13(1), 83–95. https://doi.org/10.34010/jati.v13i1 DOI: https://doi.org/10.34010/jati.v13i1.8954

Girotra, S., Mohan, N., Malik, M., Roy, S., & Basu, S. (2023). Prevalence and Determinants of Low Birth Weight in India: Findings From a Nationally Representative Cross-Sectional Survey (2019-21). Cureus. https://doi.org/10.7759/cureus.36717 DOI: https://doi.org/10.7759/cureus.36717

Halli, S. S., Biradar, R. A., & Prasad, J. B. (2022). Low Birth Weight, the Differentiating Risk Factor for Stunting among Preschool Children in India. International Journal of Environmental Research and Public Health, 19(7). https://doi.org/10.3390/ijerph19073751 DOI: https://doi.org/10.3390/ijerph19073751

Haque, M. A., Wahid, B. Z., Tariqujjaman, M., Khanam, M., Farzana, F. D., Ali, M., Naz, F., Sanin, K. I., Faruque, A. S. G., & Ahmed, T. (2022). Stunting Status of Ever-Married Adolescent Mothers and Its Association with Childhood Stunting with a Comparison by Geographical Region in Bangladesh. International Journal of Environmental Research and Public Health, 19(11). https://doi.org/10.3390/ijerph19116748 DOI: https://doi.org/10.3390/ijerph19116748

Hariani, E., Febriyastuti Widyawati, R., Tamara, R., Dwimastadji, M. W., & Dewa, B. L. (2023). Pencegahan Stunting dalam Peningkatan Kualitas Sumber Daya Manusia Di 11 Kabupaten Jawa Timur. Jurnal Ekonomi Bisnis, Manajemen Dan Akuntansi (Jebma), 3(3), 949–956. DOI: https://doi.org/10.47709/jebma.v3i3.3187

Helmyati. (2022, April 5). Getting to Know Detection, Impact, and Prevention of Stunting. PKGM FK UGM. https://pkgm.fk.ugm.ac.id/en/2022/04/05/getting-to-know-detection-impact-and-prevention-of-stunting/

Holimombo, J. (2023). FAKTOR-FAKTOR YANG MEMPENGARUHI STUNTING PADA ANAK BALITA DI DESA ETI. Pattimura Mengabdi : Jurnal Pengabdian Kepada Masyarakat, 1(3), 106–109. https://doi.org/10.30598/pattimura-mengabdi.1.3.106-109 DOI: https://doi.org/10.30598/pattimura-mengabdi.1.3.106-109

Jannah, R. (2023). The Relation of Mother’s Knowledge, Parenting Patterns and Household Food Security Status with Stunting Case in Children Aged 6-23 Months (Regional Study of Landasan Ulin Health Center, Banjarbaru City). Journal of Local Therapy, 02(01). DOI: https://doi.org/10.31290/jlt.v2i1.3388

Kemenkes. (2021). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021.

Mahmood, A. S., Zain, A., & Mohd Radzi, N. M. (2022). Stunting among Preschool Children: A Review of The Effects of Cognitive and Literacy Development. International Journal of Academic Research in Progressive Education and Development, 11(3). https://doi.org/10.6007/ijarped/v11-i3/14570 DOI: https://doi.org/10.6007/IJARPED/v11-i3/14570

Makanjana, O., & Naicker, A. (2021). Months Attending Early Child Development Centres in a Semi-Rural Community in South Africa. Int. J. Environ. Res. Public Health, 18. https://doi.org/10.3390/ijerph DOI: https://doi.org/10.3390/ijerph18010261

Mason, J. B. (2012). The importance of maternal undernutrition for maternal, neonatal, and child health outcomes: An editorial. http://tulane.edu/publichealth/internut/maternal-nutri- DOI: https://doi.org/10.1177/15648265120332S101

Mukodi, Rahmawati, D., & BKKBN Jawa Timur. (2023). Policy Brief Jatim Strategi Penanganan dan Percepatan Penurunan Stunting di Jawa Timur. DOI: https://doi.org/10.21137/jpp.2022.14.2.8

Murad, A., Faruque, F., Naji, A., Tiwari, A., Helmi, M., & Dahlan, A. (2022). Modelling geographical heterogeneity of diabetes prevalence and socio-economic and built environment determinants in Saudi City - Jeddah. Geospatial Health, 17(1). https://doi.org/10.4081/gh.2022.1055 DOI: https://doi.org/10.4081/gh.2022.1072

Mustajab, A. A., & Indriani, F. (2023). Hubungan Pernikahan Dini Anak Terhadap Kejadian Stunting pada Balita di Wonosobo. Jurnal Keperawatan Widya Gantari Indonesia, 7(1). https://doi.org/10.52020/jkwgi.v6i3.5494 DOI: https://doi.org/10.52020/jkwgi.v7i1.5494

Ode, D., Murti, B., & Budihastuti, U. R. (2022). Correlation between Low Birth Weigth and Stunting in Children Under Five: Meta Analysis. Journal of Maternal and Child Health, 7(5), 498–509. https://doi.org/10.26911/thejmch.2022.07.05.01 DOI: https://doi.org/10.26911/thejmch.2022.07.05.01

Prafianti, F. (2024, August 5). Monthly Discussion LD FEB UI: Indonesia’s Stunting Rate Still Second Highest After Papua New Guinea in Asia-Pacific. FEB UI. https://feb.ui.ac.id/en/2022/08/05/monthly-discussion-ld-feb-ui-angka-stunting-indonesia-masih-tertinggi-kedua-setelah-papua-nugini-di-asia-pasifik/

Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158 DOI: https://doi.org/10.1179/2046905514Y.0000000158

Raiten, D. J., & Bremer, A. A. (2020). Exploring the nutritional ecology of stunting: New approaches to an old problem. Nutrients, 12(2). https://doi.org/10.3390/nu12020371 DOI: https://doi.org/10.3390/nu12020371

Rakhmahayu, A., Lanti, Y., Dewi, R., & Murti, B. (2019). Logistic Regression Analysis on the Determinants of Stunting among Children Aged 6-24 Months in Purworejo Regency, Central Java. Journal of Maternal and Child Health, 4(3), 158–169. https://doi.org/10.26911/thejmch.2019.04.03.03 DOI: https://doi.org/10.26911/thejmch.2019.04.03.03

Sekneg RI. (2023, October 3). Prevalensi Stunting Tiga Kabupaten di Jatim Masih di Atas 30 Persen. Kementerian Sekretariat Negara RI. https://stunting.go.id/prevalensi-stunting-tiga-kabupaten-di-jatim-masih-di-atas-30-persen/

Simbolon, D., Jumiyati, J., Ningsih, L., & Riastuti, F. (2021). Is there a Relationship Between Pregnant Women’s Characteristics and Stunting Incidence In Indonesia? Jurnal Kesehatan Masyarakat, 16(3), 331–339. https://doi.org/10.15294/kemas.v16i3.23550 DOI: https://doi.org/10.15294/kemas.v16i3.23550

Sipahutar, T., Eryando, T., & Budhiharsana, M. P. (2022). Spatial Analysis of Seven Islands in Indonesia to Determine Stunting Hotspots. Kesmas, 17(3), 228–234. https://doi.org/10.21109/kesmas.v17i3.6201 DOI: https://doi.org/10.21109/kesmas.v17i3.6201

Sipahutar, T., Eryando, T., & Budiharsana, M. P. (2022). Fenomena Stunting di Indonesia - Pemanfaatan Data Sekunder untuk Pemetaan Daerah Rawan Stunting Menggunakan Analisis Spasial (W. N. Cahyo, Ed.; 1st ed.). DEEPUBLISH.

Sipahutar, T., Rahardiantoro, S., & Eryando, T. (2024). Pengantar Analisis Data Spasial (1st ed.). Penerbit ANDI.

Sofiyulloh, S., & Rahmaniati, M. (2024). Faktor Kontributor Prevalensi Stunting: Studi Kasus Jawa Timur Tahun 2022. Jurnal Biostatistik, Kependudukan Dan Informatika Kesehatan (BIKFOKES), 5(1), 21–32. https://doi.org/10.7454/bikfokes.v5i1.1087 DOI: https://doi.org/10.7454/bikfokes.v5i1.1087

Suparji, Wahito Nugroho, H. S., & Surtinah, N. (2024). Handling Stunting in Indonesia: Challenges, Progress and Recommendations. In National Journal of Community Medicine (Vol. 15, Issue 2, pp. 161–164). MedSci Publications. https://doi.org/10.55489/njcm.150220243546 DOI: https://doi.org/10.55489/njcm.150220243546

Syauqi Haris, M., Naseh Khudori, A., Teja Kusuma, W., Teknologi, I., Kesehatan dr Soepraoen Kesdam V, dan R., & Korespondensi, P. (2022). PERBANDINGAN METODE SUPERVISED MACHINE LEARNING UNTUK PREDIKSI PREVALENSI STUNTING DI PROVINSI JAWA TIMUR. Jurnal Teknologi Informasi Dan Ilmu Komputer (JTIIK), 9(7), 1571–1576. https://doi.org/10.25126/jtiik.202296744 DOI: https://doi.org/10.25126/jtiik.2022976744

Tahangnacca, M., & Muntahaya, F. (2022). SPATIAL PATTERN OF STUNTING ON CHILDREN UNDER FIVE IN INDONESIA 2019 Pola Spasial Stunting Pada Balita Di Indonesia Tahun 2019. Jurnal Kesehatan Reproduksi, 13(1), 47–55. DOI: https://doi.org/10.58185/jkr.v13i1.36

Tshiya, Y., & Magoha, H. (2020). Prevalence and Risk Factors of Malnutrition among Children of Ages 6 to 59 Months in Manyovu, Buhigwe District Kigoma-Tanzania. Journal of Food and Nutrition Research, 8(7), 320–328. https://doi.org/10.12691/jfnr-8-7-3 DOI: https://doi.org/10.12691/jfnr-8-7-3

UNICEF. (2021). Southeast Asia Regional Report on Maternal Nutrition and Complementary Feeding Southeast Asia Regional Report on Maternal Nutrition and Complementary Feeding UNICEF East Asia and Pacific Region. www.unicef.org/eap/

UNICEF. (2022). Nutrition: Tackling the “triple burden” of malnutrition in Indonesia . UNICEF. https://www.unicef.org/indonesia/nutrition

Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. In American Journal of Clinical Nutrition (Vol. 112, pp. 777S-791S). Oxford University Press. https://doi.org/10.1093/ajcn/nqaa159 DOI: https://doi.org/10.1093/ajcn/nqaa159

Sofiyulloh Sofiyulloh, East Java Provincial Health Office; Department of Biostatistics and Population, Faculty of Public Health, Universitas Indonesia

Martya Rahmaniati, Department of Biostatistics and Population, Faculty of Public Health, Universitas Indonesia

Fajar Nugraha, Department of Biostatistics and Population, Faculty of Public Health, Universitas Indonesia