Implementation of Nutrition Education and High-Calcium Supplementary Feeding Demonstration in Stunting Prevention: Knowledge Level and Satisfaction of Mothers with Toddlers
DOI:
https://doi.org/10.35568/abdimas.v7i4.5454Keywords:
Stunting, Nutrition education, PosyanduAbstract
Stunting is a critical global health issue, with Indonesia experiencing high prevalence rates, particularly in regions like West Kalimantan, where the rate reached 26.6% in 2018. Despite some progress in reducing stunting rates, urgent interventions are necessary, particularly through government initiatives focused on improving nutritional status among pregnant women and young children, as well as comprehensive nutritional education programs to raise awareness and promote healthier dietary practices. The purpose of this community service activity is to enhance the knowledge of mothers with toddlers and improve their dietary intake, particularly focusing on foods rich in calcium to support the physical growth of children. The study utilized a quantitative approach with a quasi-experimental design, specifically a pretest-posttest format without a control group, to assess the impact of educational interventions on mothers' knowledge of stunting and calcium-rich foods. Participants included 25 mothers of toddlers from Posyandu Berdikari, who were engaged through interactive lectures and cooking demonstrations over two months. Knowledge was measured using pretest and posttest questionnaires, while satisfaction with food products was evaluated through a 5-point Likert scale. Data analysis included the Wilcoxon Rank Test for knowledge changes and descriptive statistics to assess satisfaction and organoleptic preferences. The community service program resulted in a significant increase in knowledge among 19 out of 25 respondents, with an average improvement of 25 points and statistical significance (P = 0.00). Additionally, 80% of participants expressed high satisfaction with the calcium-rich Nugget products, while 96% of mothers felt prepared to practice the PMT recipes at home. This indicates a positive impact on both knowledge and acceptance of nutritional education and products. The nutrition education program significantly improved mothers' knowledge about stunting, leading to high satisfaction with calcium-rich products and readiness to implement PMT recipes at home.
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References
Ambarwati, E. R. (2023). Effect of Multiple Micronutrient Supplementation in Pregnant Women on Infant Birth Weight. Action Aceh Nutrition Journal, 8(4), 579. https://doi.org/10.30867/action.v8i4.1210
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A Review of Child Stunting Determinants in Indonesia. Maternal and Child Nutrition, 14(4). https://doi.org/10.1111/mcn.12617
Christy, J., & Simanjuntak, E. (2023). The Relationship Between the Nutritional Status of Pregnant Women, Infant Birth Weight and Stunting Incidence in Toddlers. Contagion Scientific Periodical Journal of Public Health and Coastal Health, 5(1), 23. https://doi.org/10.30829/contagion.v5i1.14952
Elvionita, C. (2023). Hubungan Pemberian Makanan Mengandung Kalsium Dan Vitamin D Secara Rutin Oleh Ibu Dengan Kejadian Stunting Pada Balita Di Kabupaten Sijunjung–Sumatera Barat. Jops (Journal of Pharmacy and Science), 7(1), 105–113. https://doi.org/10.36341/jops.v7i1.4073
Fauziah, Y., Serudji, J., -, M., Lipoeto, N. I., Nurdin, A., & Endrinaldi, E. (2023). Analysis of the Characteristics of Stunting Toddler Mothers in the Working Area of the Anak Air Health Center in Padang City. Contagion Scientific Periodical Journal of Public Health and Coastal Health, 5(1), 57. https://doi.org/10.30829/contagion.v5i1.14971
Gella, N. J. M. (2023). Pelatihan Pembuatan Abon Ikan Lele Bagi Masyarakat Desa. Gervasi Jurnal Pengabdian Kepada Masyarakat, 7(2), 961–974. https://doi.org/10.31571/gervasi.v7i2.5722
Haq, I., Hossain, M. I., Parvin, M. M., Saleheen, A. A. S., Habib, M. J., & Chowdhury, I. A. (2021). Gender Differences in Child Nutrition Status of Bangladesh: A Multinomial Modeling Approach. Journal of Humanities and Applied Social Sciences, 4(5), 379–392. https://doi.org/10.1108/jhass-02-2021-0030
Hendraswari, C. A., Purnamaningrum, Y. E., Maryani, T., Widyastuti, Y., & Harith, S. (2021). The Determinants of Stunting in 24-59 Month-Old Children in Kulon Progo District 2019. Kesmas National Public Health Journal, 16(2). https://doi.org/10.21109/kesmas.v16i2.3305
Hijja, N., Agrina, & Kurniawan, D. (2022). Hubungan Praktik Pemberian Makan Dengan Kejadian Picky Eater Pada Anak Usia Toddler. Jurnal Vokasi Keperawatan (Jvk), 5(2), 85–92. https://doi.org/10.33369/jvk.v5i2.24177
Hisanah, R. (2023). Pengaruh Edukasi Gizi Melalui Permainan Ular Tangga Dan Booklet Terhadap Pengetahuan, Sikap, Dan Praktik Pencegahan Anemia Pada Remaja Putri. Journal of Nutrition College, 12(4), 301–310. https://doi.org/10.14710/jnc.v12i4.39995
Iqbal, T., Khan, J. I., & Malik, M. A. (2023). Decomposing Acute Malnutrition by Educational Inequality of Mother’s Among Under Five Children in Jammu and Kashmir. Scientific Reports, 13(1). https://doi.org/10.1038/s41598-023-37587-y
Isma, A. (2023). Pemberdayaan IRT Berbasis Mompreneurs Melalui Pembuatan Abon Ikan Bandeng Kemasan Siap Jual. J. Kemitraan Responsif Untuk Aksi Inovatif Dan Pengabdi. Masy., 15–24. https://doi.org/10.61220/kreativa.v1i1.20233
Kasmiati, K., Ekantari, N., Asnani, Suadi, S., & Husni, A. (2020). Mutu Dan Tingkat Penerimaan Konsumen Abon Ikan Layang (Decapterus Sp.). Jurnal Pengolahan Hasil Perikanan Indonesia, 23(3), 470–478. https://doi.org/10.17844/jphpi.v23i3.32700
Kia, A. A., Goodarzi, S., Asadi, H., Khosravi, A., & Rezapour, A. (2019). A Decomposition Analysis of Inequality in Malnutrition Among Under-Five Children in Iran: Findings From Multiple Indicator Demographic and Health Survey, 2010. Iranian Journal of Public Health. https://doi.org/10.18502/ijph.v48i4.1009
Kpewou, D. E., Poirot, E., Berger, J., Som, S. V, Laillou, A., Belayneh, S. N., & Wieringa, F. (2020). Maternal Mid‐upper Arm Circumference During Pregnancy and Linear Growth Among Cambodian Infants During the First Months of Life. Maternal and Child Nutrition, 16(S2). https://doi.org/10.1111/mcn.12951
Kragel, E. A., Merz, A., Flood, D. M. N., & Haven, K. (2020). Risk Factors for Stunting in Children Under the Age of 5 in Rural Guatemalan Highlands. Annals of Global Health, 86(1). https://doi.org/10.5334/aogh.2433
Kurniyawan, E. H. (2023). The Role of Parents in Fulfilling Nutrition and Respiratory Health for Children in Agricultural Area: Literature Review. Nursing and Health Sciences Journal (Nhsj), 3(4), 417–425. https://doi.org/10.53713/nhsj.v3i4.284
Larasati, M. D., Susiloretni, K. A., Mintarsih, S. N., & Setiadi, Y. (2023). Pemanfaatan Ikan Rucah: Mempersiapkan Wirausaha Baru Dalam Produksi Abon Ikan “Bon-Bon” Sebagai Alternatif Pemberian Makanan Tambahan (PMT) Lokal. Abdimas Universal, 5(1), 68–74. https://doi.org/10.36277/abdimasuniversal.v5i1.263
Marsellinda, E. (2023). Hubungan Asupan Kalsium Dan Vitamin D Pada Anak Stunting Dan Tidak Stunting Usia 12-59 Bulan Di Kabupaten Sijunjung. Medfarm Jurnal Farmasi Dan Kesehatan, 12(2), 202–208. https://doi.org/10.48191/medfarm.v12i2.240
Muhamad, Z. (2023). Preliminary Study: The Effectiveness of Nutrition Education Intervention Targeting Short-Statured Pregnant Women to Prevent Gestational Stunting. Nutrients, 15(19), 4305. https://doi.org/10.3390/nu15194305
Mukodri, D. M. L. (2023). Upaya Pencegahan Stunting Melalui Pemberdayaan Kader Serta Edukasi Ibu Hamil Dan Ibu Balita Tentang Pencegahan Stunting. Segantang, 1(2), 78–85. https://doi.org/10.53579/segantang.v1i2.142
Mutiarasari, D., Miranti, M., Fitriana, Y., Pakaya, D., Sari, P., Bohari, B., Sabir, M., Wahyuni, R. D., Ryzqa, R., & Hadju, V. (2021). A Determinant Analysis of Stunting Prevalence on Under 5-Year-Old Children to Establish Stunting Management Policy. Open Access Macedonian Journal of Medical Sciences, 9(B), 79–84. https://doi.org/10.3889/oamjms.2021.5622
Mutmainnah, & Musni. (2023). Development of E-Module to Prevent and Early Detection OF Stunting Against Knowledge of Pregnant Woman. Comprehensive Health Care, 7(1), 50–59. https://doi.org/10.37362/jch.v7i1.905
Novianti, N. P. J., & Mahyuni, L. P. (2021). Pembuatan Abon Ikan Untuk Peningkatan Nilai Tambah Hasil Tambak Ikan Di Desa Songan, Kecamatan Kintamani, Bali. Dinamisia Jurnal Pengabdian Kepada Masyarakat, 5(4). https://doi.org/10.31849/dinamisia.v5i4.6222
Nur, A., Nita, M. H. D., & Nenotek, C. R. (2022). Pemberdayaan Istri Nelayan Melalui Pelatihan Pengolahan Abon Ikan Aneka Rasa Di Kelurahan Oesapa, Kota Kupang. Jurnal Kreativitas Pengabdian Kepada Masyarakat (Pkm), 5(11), 3762–3772. https://doi.org/10.33024/jkpm.v5i11.7363
Nurkholik, D. (2023). Cooking Class Contoh Protein Hewani Terhadap Pola Asuh Ibu Dalam Menyajikan Makanan Anak Stunting. Jurnal Keperawatan Silampari, 6(2), 1362–1370. https://doi.org/10.31539/jks.v6i2.5445
Payu, C. S. (2023). Pemberdayaan Ibu Rumah Tangga Melalui Pembuatan Cemilan Tulang Ikan Mengandung Kalsium Dan Protein Tinggi Sebagai Home Industri Dalam Meningkatkan Ekonomi Di Desa Biga Kecamatan Walea Besar Kabupaten Tojo Una-Una. Jurnal Sibermas (Sinergi Pemberdayaan Masyarakat), 12(2), 178–188. https://doi.org/10.37905/sibermas.v12i2.17556
Permatasari, T. A. E., Rizqiya, F., Kusumaningati, W., Suryaalamsah, I. I., & Hermiwahyoeni, Z. (2021). The Effect of Nutrition and Reproductive Health Education of Pregnant Women in Indonesia Using Quasi Experimental Study. BMC Pregnancy and Childbirth, 21(1). https://doi.org/10.1186/s12884-021-03676-x
Pratiwi, Y. F., & Puspitasari, D. I. (2017). Efektivitas Penggunaan Media Booklet Terhadap Pengetahuan Gizi Seimbang Pada Ibu Balita Gizi Kurang Di Kelurahan Semanggi Kecamatan Pasar Kliwon Kota Surakarta. Jurnal Kesehatan, 10(1), 58. https://doi.org/10.23917/jurkes.v10i1.5493
Rachmah, Q., Astina, J., Atmaka, D. R., & Khairani, L. (2023). The Effect of Educational Intervention Based on Theory of Planned Behavior Approach on Complementary Feeding: A Randomized Controlled Trial. International Journal of Pediatrics, 2023, 1–11. https://doi.org/10.1155/2023/1086919
Rahmad, A. H. A., Khazanah, W., Erwandi, E., Novita, R., Iskandar, I., & Hijriah, U. (2022). Media Booklet Sebagai Media Edukasi Gizi Terhadap Peningkatan Perilaku Ibu Dalam Penanganan Bayi Berat Badan Lahir Rendah. Ghidza Jurnal Gizi Dan Kesehatan, 6(1), 47–55. https://doi.org/10.22487/ghidza.v6i1.370
Rahman, A. (2023). Program Edukasi Kesadaran Dan Pengetahuan Stunting Masyarakat Desa Meunasah Rayeuk Aceh Utara. Jurnal Pengabdian Masyarakat Bangsa, 1(10), 2423–2433. https://doi.org/10.59837/jpmba.v1i10.529
Rusnaini, R., Qonita, R. A., & Yuliandari, E. (2020). Pelatihan Pembuatan Abon Ikan Air Tawar Untuk Memberdayakan Masyarakat Di Desa Sidoarum. E-Dimas Jurnal Pengabdian Kepada Masyarakat, 11(4), 525–530. https://doi.org/10.26877/e-dimas.v11i4.4819
Segapangamianu, Y. (2023). Pengaruh Edukasi Terhadap Pengetahuan Dan Sikap Ibu Balita Tentang PHBS Di Posyandu Suka Maju Desa Kandui Kecamatan Gunung Timang. Jurnal Ilmu Kesehatan Bhakti Husada Health Sciences Journal, 14(02), 346–351. https://doi.org/10.34305/jikbh.v14i02.796
Siagian, D. S., Sidoretno, W. M., & Kartini, S. (2020). Utilization of Patin Bone Flour (Pangasius Hypopthalmus Sp.) as an Additional Biscuit for Stunting Children. Jurnal Aisyah Jurnal Ilmu Kesehatan, 5(2), 199–203. https://doi.org/10.30604/jika.v5i2.367
Skolmowska, D., Głąbska, D., Kołota, A., & Guzek, D. (2022). Effectiveness of Dietary Interventions in Prevention and Treatment of Iron-Deficiency Anemia in Pregnant Women: A Systematic Review of Randomized Controlled Trials. Nutrients, 14(15), 3023. https://doi.org/10.3390/nu14153023
Suastini, N. W., & Sumada, I. M. (2022). Character Education in School Based on Local Wisdom. The Social Perspective Journal, 1(2). https://doi.org/10.53947/tspj.v1i2.106
Sundari, R. S., Kusmayadi, A., & Fitriadi, B. W. (2021). Teknologi Pembuatan Abon Ikan Lele Bebas Bau Amis (Penyuluhan Dan Implementasi). JPM (Jurnal Pemberdayaan Masyarakat), 6(1), 546–553. https://doi.org/10.21067/jpm.v6i1.5004
Sutanto, E. B., Rahmasari, R., Mugilaksana, C., Hastuti, S. M., Handoko, A. R. P., & Kurnianingtyas, I. (2022). Peningkatan Praktik Kebersihan Diri Dan Lingkungan Pada Populasi Rentan: Preliminary Study. Jurnal Pranata Biomedika, 1(1), 1–10. https://doi.org/10.24167/jpb.v1i1.3713
Sutyawan, S., Khomsan, A., & Sukandar, D. (2019). Pengembangan Indeks Ketahanan Pangan Rumah Tangga Dan Kaitannya Dengan Tingkat Kecukupan Zat Gizi Dan Status Gizi Anak Balita. Amerta Nutrition, 3(4), 201. https://doi.org/10.20473/amnt.v3i4.2019.201-211
Suwarsito, S., Mustafidah, H., & Kartikawati, R. (2018). Peningkatan Pengetahuan Dan Ketrampilan Kelompok Wanita Tani Dalam Mengolah Variasi Produk Ikan Lele Melalui Program Kuliah Kerja Nyata Pembelajaran Pemberdayaan Masyrakat. JPPM (Jurnal Pengabdian Dan Pemberdayaan Masyarakat), 2(2), 327. https://doi.org/10.30595/jppm.v2i2.3340
Tasabaramo, I. A. (2023). PELATIHAN PENGOLAHAN ABON IKAN BERBAHAN DASAR IKAN PADANG LAMUN (KATAMBA (Lethrinus Lentjan)) PADA KOPERASI PRODUSEN PESISIR NELAYAN SEJAHTERA KECAMATAN TANGGETADA, KABUPATEN KOLAKA. Jurnal Abdi Insani, 10(4), 2429–2437. https://doi.org/10.29303/abdiinsani.v10i4.1200
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in Childhood: An Overview of Global Burden, Trends, Determinants, and Drivers of Decline. American Journal of Clinical Nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
Warsidah, W. (2024). Peningkatan Keterampilan Dan Perekonomian Masyarakat Desa Mekar Baru Melalui Pelatihan Pengolahan Ikan Nila. Journal of Community and Development, 4(3), 213–221. https://doi.org/10.47134/comdev.v4i3.179
Yanti, S. (2023). The Effectiveness of a Nutritional Education-Based Module for Pregnant Women in Preventing Stunting. Journal of Applied Nursing and Health, 5(2). https://doi.org/10.55018/janh.v5i2.165
Z, S. R. D. D. R. D. S. N. (2014). The Influence of Iron Supplementation in Pregnant Women to the Occurrence of Low Birth Weight (LBW) Babies in Palu, Central Sulawesi. Journal of the Medical Sciences (Berkala Ilmu Kedokteran), 46(01), 41–51. https://doi.org/10.19106/jmedscie004601201406
Zakiyuddin, Z. (2023). Risk Factors for Stunting in Toddlers Aged 24-59 Months With Stunting Events in Padang Village Manggeng District of Southwest Aceh Regency. J-Kesmas Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health), 10(1), 30. https://doi.org/10.35308/j-kesmas.v10i1.7479