Community Movement Assistance to Prevent Stunting in Wonoayu Village, Sidoarjo
DOI:
https://doi.org/10.35882/ficse.v5i3.154Keywords:
Stunting Prevention, Community Empowerment, Health Cadres, Adolescent Education, Nutritional KnowledgeAbstract
Stunting, a condition of impaired linear growth caused by chronic nutritional deficiency during the first 1,000 days of life, remains a major public health problem in Indonesia, with long-term consequences that include reduced cognitive capacity and increased risk of non-communicable diseases. In Wonoayu Village, Sidoarjo, stunting prevalence reached 18.7% in 2024, exceeding the national target of 14%. This situation was attributed to limited maternal knowledge of balanced nutrition, underutilized local food sources, and insufficient involvement of adolescents and health cadres in community education. This community service program aimed to improve knowledge of stunting prevention among adolescents, posyandu cadres, and community members through community empowerment. Over two months, a counseling-based approach was implemented at the Wonoayu Village Hall and posyandu, comprising training for 25 cadres, counseling for pregnant women, breastfeeding mothers, mothers of toddlers, and women of reproductive age, and the formation and mentoring of a stunting prevention group. Effectiveness was evaluated using pre-tests and post-tests, observation, and interviews. The mean knowledge score increased from 62 to 88, and 90% of trained participants expressed readiness to serve as peer educators. Seventy-eight percent of mothers could name the four pillars of stunting prevention, and complementary feeding practices improved. The stunting prevention group held four meetings and identified seven toddlers at risk of stunting, who were referred to the health center. Overall, knowledge increased by 96%, positive attitudes by 75%, and nutritional practices by 70%. These findings indicate that cadre-centered education combined with community-based mentoring effectively strengthens knowledge, attitudes, and practices related to stunting prevention. Continued cadre mentoring, follow-up support from the health center, and integration with routine posyandu activities are recommended to sustain progress toward zero stunting.
References
L. A. Jokhu, A. Syauqy, L. Y. Lin, F. F. Dieny, and A. Rahadiyanti, “Determinants of stunting among children 6–23 months: A population-based study in Indonesia,” Nutrition and Food Science, vol. 54, no. 8, pp. 1369–1382, 2024. DOI: 10.1108/NFS-01-2024-0025.
I. Siramaneerat et al., “Examining determinants of stunting in urban and rural Indonesian: A multilevel analysis using the population-based Indonesian Family Life Survey (IFLS),” BMC Public Health, vol. 24, Art. no. 1371, 2024. DOI: 10.1186/s12889-024-18824-z.
G. Gusnedi et al., “Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis,” Asia Pacific Journal of Clinical Nutrition, vol. 32, no. 2, pp. 184–195, 2023. DOI: 10.6133/apjcn.202306_32(2).0001.
T. A. E. Permatasari, Y. Chadirin, Ernirita, F. Elvira, and B. A. Putri, “The association of sociodemographic, nutrition, and sanitation on stunting in children under five in rural area of West Java Province in Indonesia,” Journal of Public Health Research, vol. 12, no. 3, 2023. DOI: 10.1177/22799036231197169.
A. D. Laksono et al., “Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: A secondary data analysis of the 2022 Indonesian national nutritional status survey,” BMJ Open, vol. 14, no. 9, Art. no. e089531, 2024. DOI: 10.1136/bmjopen-2024-089531.
S. Nurokhmah, L. Middleton, and A. Hendarto, “Prevalence and predictors of complementary feeding practices among children aged 6–23 months in Indonesia,” Journal of Preventive Medicine and Public Health, vol. 55, no. 6, pp. 549–558, 2022. DOI: 10.3961/jpmph.22.199.
R. F. Pranita, D. Briawan, I. Ekayanti, and A. Triwinarto, “Minimum acceptable diet and its associated factors among children aged 6–23 months in Indonesia,” Jurnal Gizi dan Pangan, vol. 18, no. 1, pp. 1–10, 2023. DOI: 10.25182/jgp.2023.18.1.1-10.
O. B. Samosir, D. S. Radjiman, and F. Aninditya, “Food consumption diversity and nutritional status among children aged 6–23 months in Indonesia: The analysis of the results of the 2018 Basic Health Research,” PLOS ONE, vol. 18, no. 3, Art. no. e0281426, 2023. DOI: 10.1371/journal.pone.0281426.
P. Lestari et al., “Low dietary diversity is associated with stunting among children aged 8–23 months in stunting locus area, Yogyakarta, Indonesia,” Indonesian Journal of Nutrition and Dietetics, vol. 12, no. 5, pp. 387–396, 2024. DOI: 10.21927/ijnd.2024.12(5).387-396.
S. Fahmida et al., “Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia,” PLOS ONE, vol. 19, no. 12, Art. no. e0314552, 2024. DOI: 10.1371/journal.pone.0314552.
A. Beatty, E. Borkum, W. Leith, C. Null, and W. Suriastini, “A cluster randomized controlled trial of a community-based initiative to reduce stunting in rural Indonesia,” Maternal & Child Nutrition, vol. 20, no. 1, Art. no. e13593, 2024. DOI: 10.1111/mcn.13593.
A. V. Miranda, T. Sirmareza, R. R. Nugraha, M. Rastuti, and H. Syahidi, “Towards stunting eradication in Indonesia: Time to invest in community health workers,” Public Health Challenges, vol. 2, no. 3, Art. no. e108, 2023. DOI: 10.1002/puh2.108.
R. Sentika et al., “The importance of interprofessional collaboration (IPC) guidelines in stunting management in Indonesia: A systematic review,” Healthcare, vol. 12, no. 22, Art. no. 2226, 2024. DOI: 10.3390/healthcare12222226.
D. Simbolon, D. Suryani, H. Dayanti, A. Setia, and T. Hasan, “Infant and young child feeding (IYCF) practices in rural and urban regions of Indonesia,” Advances in Public Health, vol. 2024, Art. no. 6658959, 2024. DOI: 10.1155/2024/6658959.
Evawaty, K. Harli, W. A. Adhisty, Fauziah, Nurwahita, and Immawanti, “Enhancing maternal competence in preventing stunting through local food-based complementary feeding: A quasi-experimental study in West Sulawesi, Indonesia,” Jurnal Kesehatan Manarang, vol. 11, no. 2, pp. 201–213, 2025. DOI: 10.33490/jkm.v11i2.2024.
P. Parwoto, S. H. Wahyuningsih, and B. E. Susyanto, “Strengthening the capacity of Sumber Waras Posyandu cadres in stunting prevention,” Community Empowerment, vol. 7, no. 9, pp. 1509–1517, 2022. DOI: 10.31603/ce.7864.
A. K. Wardani, D. N. Hikmah, S. S. Pratiwi, Y. A. Hikmareza, and S. F. Nurmalasari, “Quality improvement of Posyandu cadres in optimizing stunting prevention in toddlers and adolescent women,” Community Empowerment, vol. 8, no. 3, pp. 401–406, 2023. DOI: 10.31603/ce.8768.
A. Fidian, A. Oftifyani, A. S. Rahayu, N. Fatmawati, and Y. Rahmatin, “Education to increase the role of Posyandu cadres in efforts to reduce stunting in Krajan Hamlet, Magelang,” Community Empowerment, vol. 7, no. 5, pp. 894–898, 2022. DOI: 10.31603/ce.6649.
I. Indarwati, T. Susilowati, and A. Andriyani, “Empowerment of Posyandu cadres in creating healthy villages free of stunting,” Community Empowerment, vol. 9, no. 12, pp. 1877–1884, 2024. DOI: 10.31603/ce.12201.
N. Najib, S. R. Giyarsih, U. Listyaningsih, and N. Nawawi, “Impact sanitation, childbearing age, number of children, mother's age with the risk of stunting in children,” Jurnal Kesehatan Masyarakat, vol. 20, no. 2, 2024. DOI: 10.15294/kemas.v20i2.50327.
A. Beatty, E. Borkum, W. Leith, C. Null, and W. Suriastini, “A cluster randomized controlled trial of a community-based initiative to reduce stunting in rural Indonesia,” Maternal & Child Nutrition, vol. 20, no. 1, Art. no. e13593, 2024. DOI: 10.1111/mcn.13593.
R. A. D. Mardani, W. R. Wu, Z. Hajri, Z. Thoyibah, H. Yolanda, and H. C. Huang, “Effect of a nutritional education program on children's undernutrition in Indonesia: A randomized controlled trial,” Journal of Pediatric Health Care, vol. 38, no. 4, pp. 552–563, 2024. DOI: 10.1016/j.pedhc.2024.02.006.
D. Sutinbuk, S. A. Nugraheni, M. Z. Rahfiludin, and Y. Setyaningsih, “Effectiveness of ERKADUTA model to increase stunting prevention behaviors among mothers with toddlers in Indonesia: A quasi-experiment,” Narra Journal, vol. 4, no. 1, Art. no. e688, 2024. DOI: 10.52225/narra.v4i1.688.
R. Widiasih, D. K. Sunjaya, L. Rahayuwati, B. Rusyidi, Ermiati, C. W. M. Sari, Mardani, Rusdi, and S. E. H. Tung, “Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia,” Belitung Nursing Journal, vol. 11, no. 3, pp. 330–339, 2025. DOI: 10.33546/bnj.3722.
Parwoto, S. H. Wahyuningsih, and B. E. Susyanto, “Strengthening the capacity of Sumber Waras Posyandu cadres in stunting prevention,” Community Empowerment, vol. 7, no. 9, pp. 1509–1517, 2022. DOI: 10.31603/ce.7864.
A. Beatty, E. Borkum, W. Leith, C. Null, and W. Suriastini, “A cluster randomized controlled trial of a community-based initiative to reduce stunting in rural Indonesia,” Maternal & Child Nutrition, vol. 20, no. 1, Art. no. e13593, 2024. DOI: 10.1111/mcn.13593.
D. Sutinbuk, S. A. Nugraheni, M. Z. Rahfiludin, and Y. Setyaningsih, “Effectiveness of ERKADUTA model to increase stunting prevention behaviors among mothers with toddlers in Indonesia: A quasi-experiment,” Narra Journal, vol. 4, no. 1, Art. no. e688, 2024. DOI: 10.52225/narra.v4i1.688.
R. A. D. Mardani, W. R. Wu, Z. Hajri, Z. Thoyibah, H. Yolanda, and H. C. Huang, “Effect of a nutritional education program on children's undernutrition in Indonesia: A randomized controlled trial,” Journal of Pediatric Health Care, vol. 38, no. 4, pp. 552–563, 2024. DOI: 10.1016/j.pedhc.2024.02.006.
E. P. Astuti, K. M. Wati, M. E. Syah, E. F. A. Shanti, T. Sunarsih, P. Astuti, S. Sarmin, A. Astuti, and C. M. Airin, “Community empowerment in handling stunting through technology supporting food security and health,” Community Empowerment, vol. 9, no. 7, pp. 1078–1086, 2024. DOI: 10.31603/ce.11389.
A. K. Wardani, D. N. Hikmah, S. S. Pratiwi, Y. A. Hikmareza, and S. F. Nurmalasari, “Quality improvement of Posyandu cadres in optimizing stunting prevention in toddlers and adolescent women,” Community Empowerment, vol. 8, no. 3, pp. 401–406, 2023. DOI: 10.31603/ce.8768.
Rospiati, D. P. Era, and E. E. Urnia, “The effectiveness of Posyandu cadre empowerment in enhancing Posyandu cadre's knowledge as a stunting prevention effort,” International Journal of Nursing and Midwifery Science, vol. 7, no. 2A, 2023. DOI: 10.29082/IJNMS/2023/Vol7/Iss2A/510.
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