GEOSPATIAL ANALYSIS OF STUNTING INCIDENTS IN TODDLERS IN TULANG BAWANG DISTRICT LAMPUNG PROVINCE

Abstract

This study aimed to analyze the geospatial distribution of stunting among children aged 0–59 months in Tulang Bawang Regency, Lampung Province, Indonesia, in 2024, focusing on the role of water, sanitation, and hygiene (WASH) factors. Using secondary data from e-PPGBM and Family Data Collection 2024 (n = 1,418 stunted toddlers after exclusion), coordinates were geocoded via Google Earth and analyzed in ArcGIS Pro 3.2. Prevalence reached 18.3%, with significant hotspots identified in Menggala Timur, Banjar Baru, and Banjar Agung sub-districts using Getis-Ord Gi*. Global Moran’s I indicated a random pattern overall, yet local clusters persisted in western low-lying areas. Sub-districts with poor access to safe drinking water and proper sanitation (Banjar Margo, Dente Teladas, Menggala) consistently showed higher stunting rates. Kernel density estimation confirmed highest concentrations in Banjar Margo and Menggala. Area-based WASH interventions are urgently needed to accelerate stunting reduction.