Determinan Kejadian Stunting Pada Balita Usia 24-59 Bulan Berdasarkan Model Kesehatan H. L. Blum Di Wilayah Kerja Puskesmas Tokorondo Kabupaten Poso Tahun 2026

Wati Wati; Andi Alim; Lina Fitriani; Aminuddin Syam

doi:10.31004/koloni.v5i3.1278

Authors

Wati Wati Universitas Mega Buana Palopo
Andi Alim Universitas Mega Buana Palopo
Lina Fitriani Universitas Mega Buana Palopo
Aminuddin Syam Universitas Hasanuddin

DOI:

https://doi.org/10.31004/koloni.v5i3.1278

Keywords:

stunting; H. L. Blum’s health model; determinants; children aged 24–59 months

Abstract

Stunting remains a nutritional problem that requires a comprehensive approach because it is influenced by various health determinants and poses a challenge to improving the quality of human resources. The H. L. Blum Health Model was selected to examine the relationship between environmental, behavioral, health service, and genetic determinants and the occurrence of stunting among toddlers, thereby optimizing stunting prevention efforts. This study aimed to identify determinants that constitute risk factors associated with stunting among children aged 24–59 months based on the H. L. Blum Health Model in the working area of Tokorondo Public Health Center, Poso Regency, in 2026. This analytical observational study used a case-control design involving 70 children, consisting of 35 cases and 35 controls selected using total sampling for cases and purposive sampling for controls. Data were analyzed using the Chi-square test, Odds Ratio, and binary logistic regression. The results showed that access to clean water (p=0.003; OR=4.750), latrine sanitation (p=0.005; OR=6.303), exclusive breastfeeding/complementary feeding history (p=0.043; OR=2.647), parenting practices (p=0.007; OR=3.852), Posyandu utilization (p=0.001; OR=11.000), and maternal height (p=0.001; OR=9.264) were significantly associated with stunting, while complete basic immunization (p=0.163) and low birth weight history (p=0.614) were not significantly associated. Multivariate analysis identified three main determinants: access to clean water (OR=15.191), parenting practices (OR=15.122), and maternal height (AOR=28.776). The model explained 52.3% of the variation in stunting occurrence. In conclusion, the H. L. Blum Health Model is relevant for identifying determinants of stunting among children aged 24–59 months. Accelerating stunting reduction requires integrated and cross-sectoral interventions that prioritize improving access to clean water and latrine sanitation, strengthening parenting practices, optimizing health services, and monitoring high-risk groups.

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