Effective stunting prevention: Empowering maternal nutrition education in rural Indonesia through AKUR PENTING intervention

Pencegahan stunting yang efektif: Pemberdayaan pendidikan gizi ibu di pedesaan Indonesia melalui intervensi AKUR PENTING

Authors

  • Putri Yuliantie Department of Midwifery, Faculty of Health, Sari Mulia University, Banjarmasin, Indonesia
  • Novalia Widiya Ningrum Department of Midwifery, Faculty of Health, Sari Mulia University, Banjarmasin, Indonesia
  • Istiqamah Department of Midwifery, Faculty of Health, Sari Mulia University, Banjarmasin, Indonesia

Keywords:

Maternal education, Complementary feeding, Rural healthcare, Nutritional intervention, Stunting prevention

Abstract

Background: Stunting remains a significant public health issue in Indonesia, particularly in rural regions such as Bangun Harjo Village, Central Kalimantan. Stunting affects not only physical growth but also cognitive development, leading to long-term impacts on productivity, health, and quality of life. Despite various government interventions, stunting continues to prevail due to poor maternal nutrition knowledge, inadequate feeding practices, and socio-economic challenges.

Case presentation: In Bangun Harjo Village, high stunting rates among toddlers are largely attributed to improper complementary feeding (MPASI) and limited maternal understanding of nutrition. The Kupang Island Health Center initiated a community service intervention called "AKUR PENTING" (Stunting Prevention Kitchen Action) aimed at educating postpartum mothers and mothers of toddlers about proper feeding practices using locally available, nutrient-rich foods. The program included cooking demonstrations, distribution of educational materials, and active involvement of local healthcare workers.

Discussion: The intervention significantly improved maternal knowledge about nutrition, with participants showing enthusiasm and engagement in learning how to prepare balanced meals. However, sustained behavior change and addressing broader socio-economic issues such as poverty and food insecurity remain challenges. Community-based interventions, combined with government support and policies, are critical to ensuring long-term success in reducing stunting.

Conclusion: The AKUR PENTING intervention demonstrated the importance of maternal education and community engagement in stunting prevention. While the program successfully increased awareness and practical skills, comprehensive, multi-sectoral efforts are necessary to address the root causes of stunting, including socio-economic disparities and food insecurity.

References

Alviodinasyari, R., Pribadi, E. S., & Soejoedono, R. D. (2019). Kadar Protein Terlarut dalam Albumin Ikan Gabus (Channa striata dan Channa micropeltes) Asal Bogor SOLUBLE ROTEIN CONCENTRATION IN SNAKEHEAD FISH ALBUMIN BOGOR ORIGIN (CHANNA STRIATA AND CHANNA MICROPELTES). Jurnal Veteriner, 20(3), 436. https://doi.org/10.19087/jveteriner.2019.20.3.436

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M., Walker, N., Horton, S., Webb, P., Lartey, A., & Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Maternal and Child Nutrition, 382(9890), 452–477.

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Byrd, K. A., Shieh, J., Mork, S., Pincus, L., O’Meara, L., Atkins, M., & Thilsted, S. H. (2022). Fish and Fish-Based Products for Nutrition and Health in the First 1000 Days: A Systematic Review of the Evidence from Low and Middle-Income Countries. Advances in Nutrition (Bethesda, Md.), 13(6), 2458–2487. https://doi.org/10.1093/advances/nmac102

Chowdhury, T. R., Chakrabarty, S., Rakib, M., Winn, S., & Bennie, J. (2022). Risk factors for child stunting in Bangladesh: an analysis using MICS 2019 data. Archives of Public Health = Archives Belges de Sante Publique, 80(1), 126. https://doi.org/10.1186/s13690-022-00870-x

Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 7 Suppl 3(Suppl 3), 5–18. https://doi.org/10.1111/j.1740-8709.2011.00349.x

Goudet, S. M., Bogin, B. A., Madise, N. J., & Griffiths, P. L. (2019). Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low- and middle-income countries (LMIC). The Cochrane Database of Systematic Reviews, 6(6), CD011695. https://doi.org/10.1002/14651858.CD011695.pub2

Indonesian Ministry of Health. (2020). Basic health research 2020: National report.

Indonesian Ministry of Health-UNICEF. (2021). Toward a future in Indonesia without child undernutrition. Indonesian Ministry of Health-UNICEF.

Kang, Y., Aguayo, V. M., Campbell, R. K., & West, K. P. (2018). Association between stunting and early childhood development among children aged 36-59 months in South Asia. Maternal & Child Nutrition, 14 Suppl 4(Suppl 4), e12684. https://doi.org/10.1111/mcn.12684

Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PloS One, 17(7), e0271509. https://doi.org/10.1371/journal.pone.0271509

Pasaribu, Y. P., Buyang, Y., Suryaningsih, N. L. S., Dirpan, A., & Djalal, M. (2020). Effect of steaming and pressurized boiling process to the nutrient profile of Papuan cork fish Channa striata as potential protein-rich food to prevent stunting. Medicina Clínica Práctica, 3, 100120. https://doi.org/10.1016/j.mcpsp.2020.100120

Prachom, N., Yuangsoi, B., Pumnuan, J., Ashour, M., Davies, S. J., & El-Haroun, E. (2023). Effects of Substituting the Two-Spotted Cricket (Gryllus bimaculatus) Meal for Fish Meal on Growth Performances and Digestibility of Striped Snakehead (Channa striata) Juveniles. Life (Basel, Switzerland), 13(2). https://doi.org/10.3390/life13020594

Sari, M., de Pee, S., Bloem, M. W., Sun, K., Thorne-Lyman, A. L., Moench-Pfanner, R., Akhter, N., Kraemer, K., & Semba, R. D. (2010). Higher household expenditure on animal-source and nongrain foods lowers the risk of stunting among children 0-59 months old in Indonesia: implications of rising food prices. The Journal of Nutrition, 140(1), 195S-200S. https://doi.org/10.3945/jn.109.110858

United Nations Children’s Fund (UNICEF), World Health Organization (WHO), & International Bank for Reconstruction and Development/The World Bank. (2023). Levels and trends in child malnutrition: UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates: Key findings of the 2023 edition. UNICEF & WHO.

Utomo, B. S. (2018). Bersama cegah stunting. WartaKesmas-Ministry of Health, 6–7.

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Published

2024-08-31

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How to Cite

Yuliantie, P., Ningrum, N. W., & Istiqamah. (2024). Effective stunting prevention: Empowering maternal nutrition education in rural Indonesia through AKUR PENTING intervention: Pencegahan stunting yang efektif: Pemberdayaan pendidikan gizi ibu di pedesaan Indonesia melalui intervensi AKUR PENTING. Health Sciences International Journal, 2(2), 183-190. https://hsij.anandafound.com/journal/article/view/44

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