Relationship of Knowledge and Attitude about Stunting with Stunting Evidence

Introduction: Stunting is an abnormal growth of children that occurs in toddlers due to lack of nutrition from the womb until birth. Children who experience stunting have impaired growth and development. The objectives of the study was to measure the relationship between knowledge and attitudes about stunting with the incidence of stunting. Methods: The research approach used a descriptive study with a cross sectional design. The respondents in this study were all mothers that had toddlers. The sample of the study were mothers who had children aged 0 – 59 months as many as 48 mothers. Analysis of univariate with frequency distribution and bivariate analysis with Chi-Square. Results: Based on the results of the research, knowledge about stunting was good, namely 37 (77.1%), and mother's attitude about stunting was positive at 40 (83.3%) and stunting incidence was 62.5%. The findings with the Chi-Square test analysis revealed a significant effect between knowledge, attitudes about stunting and the incidence of stunting where knowledge with prevalence values and confidence intervals is 7.2 (1.59 – 32, 67) and attitudes with prevalence values and confidence intervals of 7, 0 (1.23 – 39.78). Conclusion: The study declares that mothers with good knowledge effect signifantly toward incidence of stunting. Mothers with positive attitudes effect significantly toward stunting incidences.


INTRODUCTION
Stunting is lack of success to thrive in children less than 2 years of age due to lack of nutrition from the womb until birth. This will be clearly seen when a 2-year-old child who has the characteristics of his/her height growth is not the same as children his/her age [1]. Children who experience stunting of growth and development make them disturbed which can cause abnormalities. Decreased productivity, increased disease, and low birth rates are direct impacts of stunting. Indirectly, the impact experienced in the long term on the family can increase poverty so that health status decreases [2].
Stunting can be caused not only from poor nutritional status, but it can also be influenced by other factors, such as child care patterns, lack of understanding of pregnant women about nutrition during pregnancy, during childbirth and breastfeeding and babies who do not get exclusive breastfeeding, namely from 0 to 6 months of age. Furthermore, the impact of stunting on children can be long term to adults and the elderly [3]. This stunting condition, if not handled properly, will disrupt Indonesia Development [7].
Based on the research survey, it was found that parents have a very important role in fulfilling children's nutrition. If parents' knowledge regarding nutrition is not sufficient, then the fulfillment and selection of food will have a bad impact on children.
Therefore, this will affect attitudes and behavior in providing nutrition [8].
Therefore, the study aimed at revealing and determining the relationship of knowledge and attitudes about stunting to the incidence of stunting in the Slukatan Village.

METHODS
This study is a descriptive study with a cross sectional approach [9]    can also provide the necessary nutrition for their child. If the mother's education is low, it will affect the incidence of stunting.
Knowledge of mothers with low education will affect the incidence of stunting where mothers do not know how to take care of children and provide good food for them [12] Based on the age data of the respondents, Low socioeconomic conditions can also be related to the incidence of stunting or related to health. Low socioeconomic status can be measured by income in the family. This is also a need to provide nutritious food for children to become a prosperous family, so that for the prevention of stunting, sufficient family income is needed for their daily needs [11].

Attitude and stunting evidence
Based on table 2, it is stated that the mother's attitude towards the incidence of stunting has an influence, namely 40 (83.3%). This positive attitude is shown from the respondents' answers where they respond to strongly agree to the questionnaire. The questionnaire asked that every month the mother diligently weighs the child's weight and height at the posyandu. And the response is positive (70.8%). A positive mother's attitude is based on experiences that have been formed.
Attitudes can also be influenced by local culture where the incidence of stunting is also from the process of toddlers nutrition supply and the surrounding environment that supports them in carrying out positive activities [2]. Health behavior can be influenced by the attitude of the mother who is not good in fulfilling nutrition in children. This kind of thing can cause stunting. Mother's ignorance in child nutrition can be caused by several factors. These factors, for example, a mother has limited information or she does not have sufficient experience so that the quality of nutrition that was given to children is under the child's need [11].