The Relationship Between Maternal Compliance and Atti-tude in Iron-Folic Acid Supplementation During Pregnancy and the Incidence of Stunting Among Toddlers

Authors

  • Louise Kartika Indah Universitas Kristen Indonesia
  • Wiradi Suryanegara Universitas Kristen Indonesia
  • Frisca Ronauli Batubara Universitas Kristen Indonesia

DOI:

https://doi.org/10.55606/ijhs.v6i2.7153

Keywords:

Iron-Folic Acid Supplementation, Maternal Attitude, Maternal Compliance, Stunting, Toddlers

Abstract

Stunting remains a critical public health issue in Indonesia, reflecting chronic nutritional deficiencies during the crucial first 1,000 days of life. This study focuses on the UPTD Puskesmas Warung Jambu in Bogor, where 123 children were recorded as stunted in 2024. The research addresses the problem of whether maternal compliance and attitudes toward Iron-Folic Acid (IFA) or Tablet Tambah Darah (TTD) consumption during pregnancy are linked to stunting outcomes in toddlers. The primary objective is to analyze the relationship between these maternal factors and the incidence of stunting in this specific population. Using a cross-sectional analytical survey method, data were collected from 69 mothers between November 17 and November 20, 2025, using questionnaires and anthropometric measurements processed via WHO Anthro software. Univariate analysis revealed a high stunting prevalence of 56.5%, while 68.1% of mothers were compliant with IFA consumption and held positive attitudes. Bivariate Chi-square analysis demonstrated a significant relationship (p=0.000) between maternal compliance and stunting, as well as between maternal attitudes and stunting (p=0.000). These findings synthesize the idea that consistent IFA intake (at least 90 tablets) and a proactive maternal mindset are vital for preventing growth failure. In conclusion, poor compliance and negative attitudes significantly increase the risk of stunting, highlighting the need for collaborative educational interventions by health workers and the government to ensure optimal nutrition during pregnancy.

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References

Achmad, L. N., Aritonang, J. M., Puspitasari, F., & Pariama, G. (2026). Profile of patients with multidrug-resistant pulmonary tuberculosis at Merauke Regional General Hospital, Merauke Regency, South Papua, January 2021–December 2024. Journal of Innovation Research and Knowledge, 5(8), 5–8.

Amirulloh, M. R. (2021). Implementasi kebijakan penanggulangan stunting oleh Dinas Kesehatan di Kabupaten Sukabumi. Jurnal Ilmiah Muqoddimah: Jurnal Ilmu Sosial, Politik dan Humaniora.

Anitya, P. C., Senjaya, A. A., & Somoyani, N. K. (2023). Hubungan status gizi ibu saat hamil dengan kejadian stunting di wilayah kerja Unit Pelaksana Teknis Puskesmas Kintamani VI tahun 2022. Jurnal Ilmiah Kebidanan (The Journal of Midwifery), 11(1), 1–8.

Asih, A. K., Wahyudi, A., & Rahutami, S. (2023). Analisis kejadian stunting pada balita usia 24–59 bulan di wilayah kerja Puskesmas Mariana Kabupaten Banyuasin tahun 2023. Jurnal Kesehatan Saelmakers PERDANA (JKSP), 6(2), 261–271.

Batubara, F. R., Patriawati, K. A., & Sisthaningrum, N. M. E. V. (2025). The relationship between body image, eating behavior, and physical activity on the nutritional status of adolescents among medical students. KESANS: International Journal of Health and Science, 5(1), 125–131.

Dewi, E. K., & Nindya, T. S. (2017). Hubungan tingkat kecukupan zat besi dan seng dengan kejadian stunting pada balita 6–23 bulan. Amerta Nutrition, 1(4), 361–368.

Gultom, A., Sisthaningrum, N. M. E. V., & Prihantini, N. N. (2025). G2P1A0 37–38 weeks pregnant with cephalopelvic disproportion, previous caesarean section scar and anemia: Risk factors, prevention and management—Case report. KESANS: International Journal of Health and Science, 5(1), 107–112.

Harahap, A., Mahadewi, E. P., Ahmadi, D., Tj, H. W., Ganiem, L. M., Rafika, M., & Hartanto, A. (2021). Monitoring of macroinvertebrates along streams of Bilah River, North Sumatra, Indonesia. International Journal of Conservation Science, 12(1), 247–258.

Hatijar, H. (2023). The incidence of stunting in infants and toddlers. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 224–229.

Hidayati, D. U., Yulastini, F., & Fajriani, E. (2022). Pengaruh edukasi 1000 hari pertama kehidupan (HPK) terhadap pengetahuan dan sikap wanita usia subur (WUS). Holistic Nursing and Health Science, 5(2), 169–177.

Kementerian Kesehatan Republik Indonesia. (2018). Laporan nasional RISKESDAS 2018.

Tim Nasional Percepatan Penanggulangan Kemiskinan, & Sekretariat Wakil Presiden Republik Indonesia. (2017). 100 kabupaten/kota prioritas untuk intervensi anak kerdil (stunting) (Vol. 1).

Kharisma, B., Anwar, A., Puspitarini, A. W., Amalia, F., Jumsaddin, J., Yosephine, M. K., ... & Nurvia, S. N. (2026). Pengaruh kemiskinan terhadap prevalensi stunting di Kota Cirebon. Jurnal Syntax Imperatif: Jurnal Ilmu Sosial dan Pendidikan, 6(6), 1616–1634.

Kusdalinah, K., & Suryani, D. (2021). Asupan zat gizi makro dan mikro pada anak sekolah dasar yang stunting di Kota Bengkulu. AcTion: Aceh Nutrition Journal, 6(1), 93–99.

Langi, L. A., & Tanggo, C. R. (2025). The relationship between compliance of jumantik cadres in larvae eradication and the incidence of dengue hemorrhagic fever (DHF). KESANS: International Journal of Health and Science, 5(3), 540–548.

Luhulima, D. E. J., & Sirait, B. I. (2026). D-dimer in pregnancy. International Journal of Health, Engineering and Technology (IJHET), 4(6), 2673–2679.

Luhulima, D. E. J., Tanggo, C. R., & Amelia, R. (2026). Laboratory examination of hemolytic disease in neonates due to rhesus incompatibility. Journal of Innovation Research and Knowledge, 5(8), 9111–9116.

Maksum, T. S., & Hulinggi, P. (2022, December). Penilaian asupan zat besi dan asam folat pada ibu hamil. In Prosiding Seminar Nasional Mini Riset Mahasiswa (Vol. 1, No. 2, pp. 67–71).

Marlina, L., Tiroy Sari B, S., & Adur, M. M. B. (2025). Relationship between personal audio system use and tinnitus among medical students. International Journal of Health Engineering and Technology (IJHET), 4(4), 869–875.

Menteri Kesehatan Republik Indonesia. (2022). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1928/2022 tentang pedoman nasional pelayanan kedokteran tatalaksana stunting.

Menteri Kesehatan Republik Indonesia. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang standar antropometri anak.

Munira, S. L. (2023). Hasil survei status gizi Indonesia (SSGI) 2022.

Munirah, L., Sumarmi, S., & Isaura, E. R. (2023). Relationship between iron tablets consumption adherence and middle-upper arm circum-ference of pregnant women with stunting in East Nusa Tenggara Province. Media Gizi Kesmas, 12(2), 698–703.

Nadeak, B., Manik, J., & Destine, D. (2025). The effectiveness of managerial approaches in promoting adolescent healthy lifestyles: A qual-itative study at HKBP Gedong Church. Asian Journal of Basic Science & Research, 7(2), 119–128.

Nina, F., Formaida, T., & Daniel, G. (2022). Stunting, pemeriksaan kehamilan dan konsumsi tablet tambah darah ibu hamil di Indonesia: Analisis data Riskesdas 2013. Jurnal Keperawatan Suaka Insan.

Novelyn, S., Sidauruk, M. N., & Christine, R. N. (2026). Association between formaldehyde vapor exposure and eye irritation and upper respiratory tract irritation during anatomy laboratory sessions. Journal of Innovation Research and Knowledge, 5(8), 9149–9160.

Poluan, F. H., Simanjuntak, E. G. M., & Lele, J. A. J. M. N. (2025). Case report: Otitis media supuratif kronik auricula dekstra type benigna. International Journal of Health and Pharmaceutical, 5(4), 639–643.

Rahayu, A., Yulidasari, F., Putri, A. O., & Anggraini, L. (2018). Study guide-stunting dan upaya pencegahannya. Buku Stunting dan Upaya Pencegahannya.

Rahman, H., Rahmah, M., & Saribulan, N. (2023). Upaya penanganan stunting di Indonesia: Analisis bibliometrik dan analisis konten. Jurnal Ilmu Pemerintahan Suara Khatulistiwa, 8(1), 44–59.

Rawas, M. (n.d.). Hubungan antara karakteristik anak dengan defisiensi zat besi pada anak sekolah dasar di kabupaten.

Reviani, N., & Tampubolon, C. H. (2025). The relationship between mothers’ frequency of visits to the posyandu and the nutritional status of toddlers in Jemah Village, West Java, Indonesia. KESANS: International Journal of Health and Science, 5(3), 549–556.

Rochmawati, L., Kuswanti, I., & Melina, F. (2023). Edukasi dan pemantauan pertumbuhan pada balita sebagai upaya deteksi dini risiko stunting melalui pendampingan di posyandu. Pengabdian Masyarakat Cendekia (PMC), 2(2), 48–51.

Sanggul, A. R., & Patriawati, K. A. (2025). Determining factors of typhoid fever among elementary school children in Cijeungjing Village, Sumedang Regency, West Java. International Journal of Integrated Science and Technology (IJIST), 3(12), 2463–2484.

Sihombing, J. A., Maharani, M. E. S., & Hendrika, W. (2026). The correlation between dietary patterns and physical activity with body mass index among Faculty of Medicine UKI students class of 2022 in 2024. KESANS: International Journal of Health and Science, 5(6), 1065–1073.

Sijabat, I. Y. B. (2021). Literatur review: Hubungan karakteristik ibu, asupan zat besi dan zink selama hamil dengan kejadian stunting pada anak balita.

Silaban, H., Tennes, J. G., & Simarmata, V. P. A. (2025). The relationship between knowledge, attitude, and practice of iron supplementation and the incidence of anemia. KESANS: International Journal of Health and Science, 5(3), 532–539.

Sirait, B. I., Angreni, F., & Hutahaean, I. N. (2026). Factors associated with pregnancy outcomes after intrauterine insemination. International Journal of Health, Engineering and Technology (IJHET), 4(6), 2557–2564.

Sirait, B. I., Eunike, G., & Novelyn, S. (2025). Fertilization and embryogenesis success rates in patients with polycystic ovary syndrome undergoing in vitro fertilization. KESANS: International Journal of Health and Science, 5(1), 113–118.

Suryanegara, W., & Ronny, R. (2025). Factors associated with the incidence of dengue hemorrhagic fever in the Warung Jambu Community Health Center area, West Java. International Journal of Integrated Science and Technology (IJIST), 3(12), 2449–2462.

Suryanih, A., Yanti, S. I., & Shoaliha, M. (2024). Hubungan pengetahuan dengan sikap penggunaan tablet Fe pada wanita dalam pencegahan stunting di RW 012 Desa Sukamekar. JIFI (Jurnal Ilmiah Farmasi Imelda), 7(2), 78–85.

Tanggo, C. R., Bontong, K. D., & Sihombing, J. A. (2026). Characteristics and comorbidities in patients with urinary tract infections (UTI). International Journal of Health, Engineering and Technology (IJHET), 4(6), 2565–2572.

Tarigan, N., Sitompul, L., & Zahra, S. (2021). Asupan energi, protein, zat besi, asam folat dan status anemia ibu hamil di wilayah kerja Puskesmas Petumbukan.

Utomo, T. Y., Constantin, N., & Pariama, G. (2025). The relationship between sleep quality and cephalalgia among medical students. In-ternational Journal of Health Engineering and Technology (IJHET), 4(4), 876–880.

Wellina, W. F., Kartasurya, M. I., & Rahfiludin, M. Z. (2016). Faktor risiko stunting pada anak umur 12–24 bulan. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 5(1), 55–61.

Wija, I. B. E. U., & Sihombing, J. A. (2026). Management of food allergy in children. KESANS: International Journal of Health and Science, 5(6), 1056–1064.

Wija, I. B. E. U., Gunawan, A., & Reviani, N. (2025). The relationship between leukopenia and dengue fever in child patients. International Journal of Health, Engineering and Technology (IJHET), 4(4), 747–750.

Yudawijaya, A., Londo, A. B. S., & Aritonang, C. R. L. (2025). Clinical profile of primary headache patients. KESANS: International Journal of Health and Science, 5(1), 119–124.

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Published

2026-05-07

How to Cite

Louise Kartika Indah, Wiradi Suryanegara, & Frisca Ronauli Batubara. (2026). The Relationship Between Maternal Compliance and Atti-tude in Iron-Folic Acid Supplementation During Pregnancy and the Incidence of Stunting Among Toddlers. International Journal Of Health Science, 6(2), 131–140. https://doi.org/10.55606/ijhs.v6i2.7153

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