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Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia. The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.

The low non-compliance to the consumption of Iron Tablets in pregnant women is an obstacle in the implementation of government programs to prevent and overcome the anemia problems in pregnant women. This study was conducted to determine the probability of non-compliance of pregnant women in the consumption of iron tablets in Indonesia.A cross-sectional study using the 2017 IDHS data. The sample was 12,466 women of childbearing age 15-49 years in Indonesia who consumed Iron Tablets during their last pregnancy. Univariate analysis used proportion measure, the bivariate analysis using chi-square test and multivariate used binary logistic regression test. Statistical analysis using SPSS-26 software.The level of non-compliance to the consumption of Iron Tablets during pregnancy in Indonesia is only 48.47%. The risk factors for quantity (p = 0.000, OR 2.085), and quality (p = 0.000, OR 1.655) Antenatal Care (ANC) was not good, examiners were pregnancy not health workers (p = 0.000, OR 1.816), residence in rural areas (p = 0.000, OR 1.262), and very poor socioeconomic status (p value = 0.000, OR 2.041) were significantly related to non-compliance with Iron Tablets consumption. The probability of non-compliance to the consumption of Iron Tablets in pregnant women with risk factors is 88%.Quantity of ANC and socioeconomic have a high influence on compliance to consumption of iron tablets, so it is important to bring nutrition workers at ANC activities to educate pregnant women about the benefits, side effects, and ways of consumption of iron tablets, reactivate supervisors for consumption of iron tablets, increase access health services in rural areas and families with low socioeconomic status, as well as providing free health care programs for the poor.

Prevalensi panjang badan lahir pendek di Indonesia masih tinggi dan menjadi masalah kesehatan masyarakat yang disebabkan oleh pelbagai faktor secara langsung dan tidak langsung serta berdampak luas dan berkelanjutan dalam siklus kehidupan. Penelitian menggunakan data Riset Kesehatan Dasar (Riskesdas) 2013 dengan pendekatan potong lintang bertujuan mengetahui mekanisme hubungan berbagai variabel laten terhadap prevalensi panjang badan lahir pendek. Sampel adalah 497 kabupaten yang diagregat dari data individu, yaitu anak lahir dari ibu berusia 15 hingga 49 tahun dengan kriteria anak kandung dan lahir tunggal. Pemodelan menggunakan Structural Equation Modelling. Kehamilan berisiko tinggi berhubungan positif langsung dengan prevalensi panjang badan lahir pendek (r = 0,279; nilai p = 0,014). Pemanfaatan pelayanan kesehatan berhubungan positif tidak langsung dengan prevalensi panjang badan lahir pendek melalui kehamilan berisiko tinggi (r = 0,135; nilai p = 0,029). Sosial ekonomi tidak berhubungan signifikan dengan prevalensi panjang badan lahir pendek (r = -0,087; nilai p = 0,156), namun akan berhubungan bila melalui mekanisme hubungan pemanfaatan pelayanan kesehatan (r = 0,653; nilai p = 0,0001) dan kehamilan berisiko tinggi (r = 0,759; nilai p = 0,0001). Upaya intervensi perlu difokuskan pada pencegahan kehamilan berisiko tinggi melalui perbaikan status gizi dan kesehatan ibu sejak usia remaja untuk menurunkan prevalensi panjang badan lahir pendek. Mechanism of Socio-Economic, Health Services Use and High Risk Pregnancy Relations to The Prevalence of Short Birth LengthThe prevalence of short birth length in Indonesia still high and it becomes a public health problem caused by any direct and indirect factors as well as having a wide and sustainable effect in life cycle. The study used Basic health system (Riskesdas) 2013 data with a cross-sectional approach aiming to find out the mechanism of the relation between any latent variables to the short birth length prevalence. Samples were 497 districts aggregated from individual data that were children children born by 15 - 49 year-old mothers with biological children and single birth criteria. The modelling used Structural Equation Modeling. High-risk pregnancy had a direct positive relation with the prevalence of short birth length (r = 0.279; p value= 0.014). The use of health services had an indirect positive relation with short birth length prevalence through high-risk pregnancy (r = 0.135; p value= 0.029). Social economy did not have any significant relation with the prevalence of short birth length (r = -0.087; p value = 0.156), but would be related if through the mechanism of health service use (r = 0.653 ; p value = 0.0001) and high-risk pregnancy (r = 0.759 ; p value = 0.0001). Efforts of intervention need to be focused on prevention of high-risk pregnancy through improvement of nutritional and health status of mothers since teenager in order to reduce short birth length prevalence.

CEDs in pre-pregnancy and pregnant women have an impact on the birth of Intra Uterine Growth Retardation ( IUGR) children, Low Birth Weight (LBW) and stunting, so that SEZ problems in pregnant women need to be improved through nutritional assistance. The study aims to prove the effect of nutritional assistance on CED pregnant women on changes in knowledge, attitudes and actions in fulfilling nutrition. The study was carried out in the cities of Bengkulu and Bandar Lampung with a quasi-experimental design carried out by health cadres who had been trained to assist pregnant women with CED to carry out health promotion and monitor consumption of Supplementary Feeding Programme (SFP) and Fe Tablet consumption for 3 months. Changes in knowledge, attitudes and actions in nutritional fulfillment were analyzed by different mean and independent samples. The results of the study found that effective nutrition assistance to increase knowledge, positive attitudes and actions of CED pregnant women in fulfilling nutrition. After mentoring there was a significant increase in the average knowledge score, attitudes and actions of CED pregnant women in both the City of Bengkulu and in Bandar Lampung. Need continuous nutrition assistance for CED pregnant women so that behavioral changes and fulfillment of balanced nutrition occur during pregnancy and postpartum.

Stunting is a cumulative process and is caused by insufficient intake of nutrients or recurrent infectious diseases or both. Stunting can also occur before birth and is caused by very poor nutritional intake during pregnancy, eating patterns that are very lacking, low quality of food in line with the frequency of infectious diseases so that it can inhibit growth (UNICEF, 2012). This type of research was descriptive analytic. The study design was cross-sectional consisting of 58 samples of toddlers 24-59 months in the work area of Sumber Urip Health Center Rejang Lebong Regency in 2018. Data were collected in the form of nutritional status data TB/U using microtoice tools, energy intake, macro and micronutrients using questionnaires 2x24 hour recall. Toddlers 24-59 months who experienced stunting were 17 people (29.3%) and normal ones were 41 people (70.7%). The incidence of stunts was largely due to a lack of energy intake, and zinc. The results of this study indicate that there was a significant relationship between energy intake, macronutrients, and zinc with the incidence of stunting in infants.