Maternal knowledge, education, and attitudes as determinants in preventing stunting: A case study from a rural area in South Sumatra.

Introduction: Stunting represents a critical global health challenge, particularly in low- and middle-income countries, due to its impact on child development and long-term economic productivity. Despite national efforts in Indonesia, stunting remains prevalent and necessitates localised studies to address this issue. This study aimed to examine factors associated with stunting in rural South Sumatra, Indonesia. Methods: A cross-sectional study involving 348 respondents was conducted across 11 villages in Musi Rawas Regency, South Sumatra. Data were analysed using logistic regression to identify the dominant risk factors. Results: Maternal knowledge during pregnancy was significantly associated with stunting prevention, with mothers having lower knowledge showing higher odds of poor preventive practices (OR=1.663; 95% CI=1.149-1.857; P=0.007). Postnatal maternal knowledge also remained a significant predictor (OR=1.479; 95% CI=1.036-2.112; P=0.031). In contrast, maternal attitudes during pregnancy (P=0.356) and after childbirth (P=0.109) were not significantly associated and were not retained as predictors in the final model. Conclusion: Maternal knowledge, education, and attitudes are pivotal in preventing stunting. Targeted interventions aimed at improving maternal education, awareness and attitudes are essential to mitigating stunting in rural South Sumatra.