Analysis of Bad Nutritional Determinant Factors in Children in Kebong Community Health Center, Kalimantan, Indonesia

Background: Nutrition problems are among the complex public health problems that require solution. Protein energy malnutrition (PEM) is a major nutritional problem that is often found in infants which may result in negative impact on growth, intellectual development and productivity, and can lead to morbidity and death. The incidence of malnutrition in Kebong Puskesmas has been increasing in 2016. Purpose: This study aims to analyze the determinants of malnutrition in children under five in the area of Kebong Health Center, Kelam Permai, Sintang. Method: This study applied descriptive analytic research design with cross sectional approach involving 60 respondents who were selected using total sampling. The independent variables are toddler age, sex, birth weight, number of children, history of exclusive breastfeeding, history of infectious diseases, history of immunization, ethnicity, tradition, who care for toddlers, family heads, family forms, parental education, health services, water sources clean, local traditions and food availability. The dependent variable is poor nutritional status. Data obtained and then analyzed using logistic regression with the degree of significance α ≤ 0.05. Results: Poor nutritional status in infants has a significant relationship with infectious disease variables p = 0.024 OR = 0.218, tradition p = 0.024 OR = 0.002, water source p = 0.030 OR = 0.104, gender p = 0.041 OR 0.020 and ethnicity p = 0.041 OR 10.883. Conclusion: History of infection, family traditions or  habits, water sources, sex and ethnicity are the causes of malnutrition of children under five years.