Spatial Autocorrelation Between Poverty Factors and Exclusive Breastfeeding Intake with Stunting in West Java Province at 2018 - 2020
Abstract
Stunting is a condition of growth failure in toddlers that leads to reduced productivity and susceptibility to degenerative diseases. The prevalence of stunting in West Java Province was the highest on the island of Java in 2018-2020. The objective of this study was to analyze the distribution map and spatial autocorrelation for stunting prevalence in West Java Province, with considering the spatial effects. The present study employed an ecological design with a spatial approach. The research data was obtained from Open Data Jabar, which is freely accessible via the website. The analysis was conducted using GeoDa software. The results indicate an increase in the areas demonstrating spatial effects between stunting and breastfeeding each year (2018–2020). Concurrently, the spatial implications of poverty on stunting necessitate further examination in the western region of West Java Province, particularly in Sumedang, Tasikmalaya, and Indramayu.
References
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
Astutik, Rahfiludin, M. Z., & Aruben, R. (2018). Faktor Risiko Kejadian Stunting Pada Anak Balita Usia 24-59 Bulan (Studi Kasus Di Wilayah Kerja Puskesmas Gabus II Kabupaten Pati Tahun 2017). Jurnal Kesehatan Masyarakat (e-Journal), 6(1), 409–418.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617
Berger, M. M., Shenkin, A., Schweinlin, A., Amrein, K., Augsburger, M., Biesalski, H.-K., … Cuerda, C. (2022). ESPEN micronutrient guideline. Clinical Nutrition, 41(6), 1357–1424. https://doi.org/10.1016/j.clnu.2022.02.015
BioMedware. (2014). BioMedware Space Stata Help.
Devi, Y. P., Herdayati, M., Makful, M. R., Muthmainnah, M., Ekoriano, M., Ruwandasari, N., & Mardiah, K. (2025). Spatial Analysis of Stunting Prevalence According to Family Data Collection Indicators in Indonesia. Media Publikasi Promosi Kesehatan Indonesia, 8(3), 210–220. https://doi.org/10.56338/mppki.v8i3.6931
Dinas Kesehatan Provinsi Jawa Barat. (2021). Persentase Stunting Balita di Kabupaten/Kota Provinsi Jawa Barat Tahun 2019-2020.
Fanny, L., Wirjatmadi, B., Merryadriania, Sirajudin, Hendrayati, & Rauf, S. (2016). Obstacles of Breastfeeding Contributed to Stunted Children Status in Barru Regency, South Sulawesi. Biochemistry & Physiology: Open Access, 29(1), 112–123. https://doi.org/10.4172/2168-9652.s5-004
Fauziyyah, R. L., Dewi, Y. L. R., Wekadigunawan, C., & Adriani, R. B. (2019). Path Analysis on the Life-Course Biopsychosocial Determinants of Stunting in Children Under Five Years of Age in Karawang, West Java. Journal of Maternal and Child Health, 04(01), 25–35. https://doi.org/10.26911/thejmch.2019.04.01.04
Fikadu, T., Assegid, S., & Dube, L. (2014). Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: a case-control study. BMC Public Health, 14(800), 1–7. https://doi.org/10.4314/ajfand.v9i4.43872
Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Ischaq Nabil Asshiddiqi, M., … Gittelsohn, J. (2021). Exclusive breastfeeding protects young children from stunting in a low‐income population: A study from eastern indonesia. Nutrients, 13(12), 1–14. https://doi.org/10.3390/nu13124264
Kementerian Kesehatan RI. (2025). SSGI 2024 : Survei Status Gizi Indonesia Dalam Angka. Jakarta.
Kumar, A., & Singh, V. K. (2015). A Study of Exclusive Breastfeeding and its impact on Nutritional Status of Child in EAG States. Journal of Statistics Applications & Probability An International Journal, 4(3), 435.
Laksono, A. D., & Kusrini, I. (2020). Ecological analysis of stunted toddler in Indonesia. Indian Journal of Forensic Medicine and Toxicology, 14(3), 1685–1691. https://doi.org/10.37506/ijfmt.v14i3.10666
Lestari, W., Margawati, A., & Rahfiludin, M. Z. (2014). Faktor risiko stunting pada anak umur 6-24 bulan di kecamatan Penanggalan kota Subulussalam provinsi Aceh. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 3(1), 37–45. https://doi.org/10.14710/jgi.3.1.126-134
Nathalia, A., Rahmawati, D., Nastiti, K., & Salmarini, D. D. (2024). Factors influencing the occurrence of exclusive breastfeeding failure in six-month-old infants. Health Sciences International Journal, 2(2), 96–103. https://doi.org/10.71357/hsij.v2i2.31
Ni’mah, K., & Nadhiroh, S. R. (2015). Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita. Media Gizi Indonesia, 10(1), 13–19. https://doi.org/10.36341/jomis.v6i1.1730
Nurmayasanti, A., & Mahmudiono, T. (2019). Status Sosial Ekonomi dan Keragaman Pangan Pada Balita Stunting dan Non-Stunting Usia 24-59 Bulan di Wilayah Kerja Puskesmas Wilangan Kabupaten Nganjuk. Amerta Nutrition, 3(2), 114–121. https://doi.org/10.2473/amnt.v3i2.2019.114-121
Pramoedyo, H., Mudjiono, M., Fernandes, A. A., Ardianti, D., & Septiani, K. (2020). Determination of Stunting Risk Factors Using Spatial Interpolation Geographically Weighted Regression Kriging in Malang. Mutiara Medika: Jurnal Kedokteran Dan Kesehatan, 20(2), 98–103. https://doi.org/10.18196/mm.200250
Probohastuti, N. F., & Rengga, A. (2019). Implementasi kebijakan intervensi gizi sensitif penurunan stunting di Kabupaten Blora. Journal of Public Policy and Management Review, 8(4), 1–16.
Puri, P., Khan, J., Shil, A., & Ali, M. (2020). A cross-sectional study on selected child health outcomes in India: Quantifying the spatial variations and identification of the parental risk factors. Scientific Reports, 10(1), 1–15. https://doi.org/10.1038/s41598-020-63210-5
Rahma, I. M., & Mutalazimah, M. (2022). Correlation between Family Income and Stunting among Toddlers in Indonesia: A Critical Review. Proceedings of the International Conference on Health and Well-Being (ICHWB 2021), 49(Ichwb 2021), 78–86. https://doi.org/10.2991/ahsr.k.220403.011
Ratnawati, & Rahfiludin, M. Z. (2020). Faktor Risiko Determinan Yang Konsisten Berhubungan dengan Kejadian Stunting Pada Anak Usia 6-24 Bulan: Tinjauan Pustaka. Amerta Nutrition, 4(2), 85. https://doi.org/10.20473/amnt.v4i2.2020.85-94
Saputri, R. A., & Tumangger, J. (2019). Hulu-Hilir Penanggulangan Stunting Di Indonesia. Journal of Political Issues, 1(1), 1–9. https://doi.org/10.33019/jpi.v1i1.2
Senghore, T., Omotosho, T. A., Ceesay, O., & Williams, D. C. H. (2018). Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: A cross-sectional study. International Breastfeeding Journal, 13(1), 1–8. https://doi.org/10.1186/s13006-018-0154-0
Simbolon, D., & Putri, N. (2024). Pencegahan Stunting melalui Pemberian ASI Eksklusif di Indonesia: Pendekatan Meta-Analisis. Amerta Nutrition, 8(1SP), 105–112. https://doi.org/10.20473/amnt.v8i1sp.2024.105-112
Sipahutar, T. (2020). Pemodelan Determinan Kejadian Stunting Untuk Percepatan Pencegahan Stunting Di Indonesia : Analisis Spasial. Universitas Indonesia.
Sipahutar, T., & Eryando, T. (2019). Does Stunting Randomly Occured in Indonesia: Spatial Analysis of Indonesia’ s Basic Survey 2018. Indian Journal of Public Health Research & Development, 10(10), 345–349.
Souris, M. (2019). Epidemiology and Geography: Principles, Methods and Tools of Spatial Analysis. https://doi.org/10.1002/9781119528203
Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2013). Original Article Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition, 9, 27–45. https://doi.org/10.1111/mcn.12088
UNICEF. (2020). COVID-19 dan Anak-Anak di Indonesia Agenda Tindakan untuk Mengatasi Tantangan Sosial Ekonomi (Vol. 2).
WHO. (2014). Global Nutrition Target 2025: Stunting Policy Brief. Geneva.
Yaqub, A., & Gul, S. (2013). Reasons for failure of exclusive breastfeeding in children less than six months of age. Journal of Ayub Medical College, Abbottabad : JAMC, 25(1–2), 165–167.
Yudono, A., Purnomo, J., & Damayanti, R. (2021). Geographical Weighted Regression of Risk Factor of Stunting in Malang Regency, Indonesia. Forum Geografi, 35(1), 1–13. https://doi.org/10.23917/forgeo.v35i1.12273
Copyright (c) 2025 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



