Riwayat imunisasi dasar dan kejadian stunting pada balita usia 12-24 bulan
DOI: https://doi.org/10.33024/hjk.v20i7.3961
Basic Immunization Nutritional Status Public Health Stunting
Abstract
Background: Stunting remains a significant public health problem in toddlers that has not been completely resolved. In South Minahasa Regency, stunting prevalence increased significantly from 19.2% in 2022 to 28.1% in 2024. Complete basic immunization is a key preventive measure, yet regional coverage remains below the 90% national target.
Purpose: This study analyzed the relationship between basic immunization history and stunting among toddlers aged 12–24 months.
Method: An observational analytic study with a cross-sectional design was conducted in February 2026. The study included 60 toddlers from four villages: Pondang, Pinaling, Lopana Satu, and Maliku Satu, selected using total sampling. Data were collected using the 2023 Indonesian Health Survey (SKI) questionnaire, maternal and child health (KIA) records, and infantometer measurements. Data were analyzed using Fisher’s Exact Test.
Results: Incomplete basic immunization was found in 43.3% of toddlers, while 16.7% were stunted (11.7% stunted and 5.0% severely stunted). A significant relationship was found between basic immunization history and stunting (p=0.015). Toddlers with incomplete immunization were more likely to experience linear growth failure.
Conclusion: There is a significant relationship between basic immunization history and stunting.
Suggestion: Future studies should examine multisectoral factors, increase sample sizes, and expand geographic coverage to improve generalizability.
Keywords: Basic Immunization; Nutritional Status; Public Health; Stunting.
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References
Asmin, E., & Abdullah, M. R. (2021). ASI eksklusif dan imunisasi berhubungan dengan kejadian stunting pada anak usia 9-24 bulan di Puskesmas Rumah Tiga, Ambon. Poltekita: Jurnal Ilmu Kesehatan, 15(2), 196–201.
Badan Pusat Statistik. (2024). Persentase balita yang sudah mendapatkan imunisasi lengkap menurut Kabupaten/Kota di Provinsi Sulawesi Utara (Persen), 2023. Diakses dari: https://sulut.bps.go.id/id/statistics-table/2/MTMzNCMy/percentage-of-toddlers-who-have-received-complete-immunization-according-to-regencies-cities-in-north-sulawesi-province.html
Deswita, Yeni, F., & Sari, I. M. (2023). Kenali Stunting dan Pencegahannya. Jawa Barat: Penerbit Adab.
Endrinikapoulos, A., Afifah, D. N., Mexitalia, M., Andoyo, R., Hatimah, I., & Nuryanto, N. (2023). Study of the importance of protein needs for catch-up growth in Indonesian stunted children: a narrative review. SAGE Open Medicine, 11, 20503121231165562.
Fitriyani, F., Kusumajaya, H., & Maryana, M. (2024). Faktor-faktor yang berhubungan dengan meningkatnya imunisasi lengkap pada anak di wilayah kerja Puskesmas Tamansari tahun 2024. Jurnal Penelitian Keperawatan, 10(2), 313–327.
Indriani, E., Kaunang, W. P. J., & Mantjoro, E. M. (2025). Analisis faktor-faktor yang mempengaruhi kejadian stunting di wilayah kerja Puskesmas Tuminting Kota Manado. Jurnal Promotif Preventif, 8(2), 326−336.
Kementerian Kesehatan Republik Indonesia. (2022). Strategi Komunikasi Nasional Imunisasi 2022-2025. Diakses dari: https://kemkes.go.id/id/buku-strategi-komunikasi-nasional-imunisasi-2022-2025
Kementerian Kesehatan Republik Indonesia. (2025). Survei Status Gizi Indonesia (SSGI) 2024. Diakses dari: https://layanandata.kemkes.go.id/katalog-data/ssgi/ketersediaan-data/ssgi-2024
Lowe, C., Tsheten, T., Wagnew, F., Sarma, H., Ancha, A., Gray, D., & Kelly, M. (2025). Biomarkers of environmental enteric dysfunction associated with the linear growth of children 0-5 years in low-and middle-income countries: a systematic review. Nutrition Research Reviews, 39, e3.
Modjo, D., Sudirman, A. A., & Kilo, E. (2024). Determinan stunting pada balita berdasarkan status imunisasi dan asi eksklusif di Wilayah Kerja Puskesmas Tilango Kabupaten Gorontalo. Jurnal Keperawatan, 12(1), 70–80.
Nalle, M., Nur, M. L., Aspatria, U., & Jutomo, L. (2025). Gambaran pola asuh dan status gizi balita dari ibu yang bekerja di wilayah kerja Puskesmas Oepoi Kota Kupang. Afiasi: Jurnal Kesehatan Masyarakat, 10(2), 78–88.
Nopitasari. (2024). Bagaimana Imunisasi Berperan dalam Pencegahan Stunting. Jakarta Pusat: Penebar Plus.
Oktavia, A., Punuh, M. I., & Sanggelorang, Y. (2025). Hubungan riwayat imunisasi dasar dengan status gizi pada balita di Wilayah Kerja Puskesmas Remboken. Prepotif: Jurnal Kesehatan Masyarakat, 9(2), 5563−5570.
Pohan, I., Harahap, A., & Hadi, A. J. (2023). Faktor yang berhubungan dengan imunisasi dasar lengkap pada bayi di wilayah kerja Puskesmas Padangmatinggi Kota Padang Sidempuan. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(8), 1668–1677.
Purwanti, E. D., Masitoh, S., & Ronoatmodjo, S. (2025). Association between basic immunization status and stunting in toddlers aged 12-59 months in Indonesia. Journal of Preventive Medicine and Public Health, 58(3), 298.
Rochmawati. (2025). Systematic literature review: Riwayat penyakit infeksi dan stunting pada balita. Jurnal Ilmu Kebidanan, 14(1), 1–10.
Syahniar, R., & Amelia, R. N. (2023). Hubungan tingkat pengetahuan ibu dengan kelengkapan imunisasi dasar. E-Jurnal Medika Udayana, 12(10), 83–87.
United Nations Children’s Fund. (2025). Levels and Trends in Malnutrition 2025. Diakses dari: https://data.unicef.org/resources/jme/
Wanda, Y. D., Elba, F., Didah, D., Susanti, A. I., & Rinawan, F. R. (2021). Riwayat status imunisasi dasar berhubungan dengan kejadian balita Stunting. JKM (Jurnal Kebidanan Malahayati), 7(4), 851–856.
World Health Organization. (2024). Malnutrition. Diakses dari: https://www.who.int/health-topics/malnutrition#tab=tab_1
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