https://doi.org/10.4081/hls.2025.13697
Health education and interprofessional collaboration to improve maternal knowledge on stunting prevention
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Published: 26 August 2025
Stunting is characterized by growth failure due to chronic malnutrition. A health education initiative utilizing an interprofessional collaboration approach is needed to decrease incidents of stunting. This study aimed to analyze the impact of health education with interprofessional collaboration on mothers’ knowledge about stunting. It used a quasi-experimental design with a pretestposttest control design. The research was conducted at a public health center, involving 230 mothers with children aged 0-24 months. Data analysis was performed using the Wilcoxon test. According to the findings, the majority of mothers lacked knowledge before the IPC intervention, accounting for 83.5%. However, this improved significantly afterward, with 70.4% demonstrating good knowledge. Statistical analysis revealed a significant increase in maternal knowledge (p=0.000). The IPC program positively influenced maternal knowledge about stunting. It is hoped that policymakers will collaborate with health workers through IPC programs to reduce the prevalence of stunting.
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1. Has EMM, Krisnana I, Efendi F. Enhancing maternal caregiving capabilities model to prevent childhood stunting: a UNICEF-inspired model. SAGE Open Nurs 2024;10:23779608231226060.
2. Surani E, Susilowati E. The relationship between fulfilment of basic needs with the incidence of stunting in toddlers. Jurnal Ners 2020;15:26-30.
3. Noviana U, Devy SR, Indriani D, Yasin Z. Determining factors affecting mother’s behaviour in stunting prevention in rural Madura, Indonesia. Afr J Reprod Health 2024;28:100-10.
4. Rahimi BA, Khalid AA, Lali WM, et al. Prevalence and associated risk factors of stunting, wasting/thinness, and underweight among primary school children in Kandahar city, Afghanistan: a cross-sectional analytical study. BMC Public Health 2024;24:2321.
5. Siramaneerat I, Astutik E, Agushybana F, 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 2024;24:1371.
6. Filiya AN, Ultasari AP, Putri NA, Afifah A. Correlation between exclusive breastfeeding, frequency and quantity of complementary feeding with stunting among toddler in Puru Village, Suruh District, Trenggalek Regency. Malays J Med Health Sci 2024;20.
7. Amaliyah E, Mulyati M. Empowerment for children aged less than 5 years with stunting: a quasi-experimental design. Jurnal Ners 2020;15:173.
8. Beal T, Tumilowicz A, Sutrisna A, et al. A review of child stunting determinants in Indonesia. Matern Child Nutr 2018;14:1-10.
9. Değer VB, Ertem M. The effect of socioeconomic factors on malnutrition in Syrian children aged 0-6 years living in Turkey: A cross-sectional study. BMC Public Health 2024;24:2472.
10. WHO. Malnutrition. World Health Organization. 2024.
11. Ministry of Health of the Republic of Indonesia. Laporan Nasional Riset Kesehatan Dasar [National Report on Basic Health Research]. 2018. Available from: https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan%20Riskesdas%202018%20Nasional.pdf
12. WHO. Malnutrition. World Health Organization. 2024.
13. Munira SL. Hasil Survei Status Gizi Indonesia (SSGI) 2022 [Results of the 2022 Indonesia Nutrition Status Survey (SSGI)]. Jakarta: Ministry of Health of the Republic of Indonesia; 2023. p. 77. Available from: https://ayosehat.kemkes.go.id/pub/files/files46531._MATERI_KABKPK_SOS_SSGI.pdf
14. Tarmizi S. Prevalensi Stunting di Indonesia Turun ke 21,6% dari 24,4% [Prevalence of stunting in Indonesia drops from 24.4% to 21.6%]. Sehat Negeriku. 2023. Available from: https://kemkes.go.id/id/prevalensi-stunting-di-indonesia-turun-ke-216-dari-244
15. Manalu LO, Melaniani S, Efendi F. Research trends in increasing cadre capacity in efforts to reduce stunting in Indonesia: A review. Afr J Reprod Health 2024;28:368-75.
16. Regita SG, Sulistyaningsih S. Interprofessional collaboration practices in stunting management during Covid-19 pandemic: a scoping review. Women Midwives Midwifery 2022;2:64-74.
17. Sulistyaningsih S, Aprillia R, Annisa L, Febrianti CP. The effectiveness of interprofessional collaboration practice to reduce the risk of stunting: an integrative review. Jurnal Aisyah: Jurnal Ilmu Kesehatan 2023;8.
18. Astuti AB, Mulyanti S. The Effectiveness of the interprofessional collaboration (IPC) program on the attitude of mothers and health cadres on stunting at Puskesmas Karanganom Klaten Central Java Republic of Indonesia. Electron J Gen Med 2021;18.
19. Riyadi AANK, Agustikawati N, Yuliastuti LP, Setianingsih F. Efektivitas Penanggulangan Stunting Melalui Pendampingan Kelas Gizi dengan Pendekatan Interprofesional Collaboration (IPC) [Effectiveness of stunting prevention through nutrition class mentoring with an interprofessional collaboration (IPC) approach]. Jurnal Ilmu Kesehatan Masyarakat 2023;12:296-303.
20. Fauziah Fatah V, Ariyanti M, Susanti S. “Generation Z prevent stunting” early stunting prevention movement through education for adolescents in Bandung. Proceeding of the 4 th International Conference on Interprofessional Health Collaboration and Community Empowerment. 2021;249–52. Available from: https://conference.juriskes.com/index.php/IC/article/view/164/116
21. Utami S, Susilaningrum R, Taufiqurrahman, Nursalam. Analisis Factor Situasional Tentang IPC (InterProfesional Collaboration) Terhadap Penanganan Stunting Pada Anak [Factors associated with interprofessional collaboration for handling stunting in children]. J Glob Pharma Technol 2019;11:262-7.
22. Mulyanti S, Astuti AB. Upaya Penurunan Risiko Stunting Melalui Pendekatan Interproffesional Collaboration (IPC) [Efforts to reduce stunting risk through the interprofessional collaboration (IPC) approach]. JKG 2020;5:64-73.
23. Umar E, Darajat A. Factors affecting the management of stunting in Banten Province. KnE Life Sci 2022;2022:380-93.
24. Alligood M. Nursing Theorist and Their Work. 8th ed. Alligood M, editor. USA: Elsevier.Inc; 2014.
25. Yunitasari E, Pradanie R, Arifin H, et al. Determinants of stunting prevention among mothers with children aged 6–24 months. Open Access Maced J Med Sci 2021;9:378-84.
26. Laksono AD, Muis EW, Wulandari RD. Policy to reduce under two stunting in East Java Region, Indonesia: Who is the right target? Indones J Public Health 2024;19:263-75.
27. Estiwidani D, Hernayanti MR. Interprofessional collaborative practice is an effort to increase behavior prevention of stunting in families with the first 1000 days of life. Jurnal Kesehatan Ibu Dan Anak 2022;15:148-56.
28. Susilaningrum R, Utami S, Taufiqurrahman T, Nursalam N. Development of interprofessional collaboration model to manage stunting in toddler. Int J Psychosoc Rehabil 2020;24:7494-502.
29. Utami S, Susilaningrum R. Factors associated with interprofessional collaboration for handling stunting in children. J Glob Pharma Technol 2019;11:262-7.
30. Hafid F, Adhyanti A, Cahyani YE, et al. Program Pendampingan Keluarga Anak Baduta stunting: Implementasi Interprofesional Collaboration (IPC) di Desa Beka, Marawola, Kabupaten Sigi: Family Assistance Program for Stunted Children: Implementation of Interprofessional Collaboration (IPC) in Beka V. Jurnal Pengabdian Masyarakat: Svasta Harena 2024;3:44-50.
31. Mar’Ah Has EM, Sabela A, Qona’ah A, et al. Maternal caregiving capabilities are associated with energy-protein adequacy of children with stunting in Central Java, Indonesia. Curr Res Nutr Food Sci 2024;12:157-65.
32. Fristiwi P, Nugraheni SA, Kartini A. Effectiveness of stunting prevention programs in indonesia: a systematic review. Jurnal Penelitian Pendidikan IPA 2023;9:1262-73.
33. Sormin REM. Peran Bidan Desa DalamPencegahan StuntingPada Puskesmas di Kabupaten Timor Tengah Selatan [The role of village midwives in stunting prevention at community health centers in Timor Tengah Selatan District]. Jurnal Administrasi dan Demokrasi 2023;2:70-5.
34. Maulina R, Qomaruddin MB, Prasetyo B, Indawati R. Maternal complications during pregnancy and risk factors for stunting. Iran J Nurs Midwifery Res 2024;29:309-13.
35. Andini UH. Hubungan Peran Bidan Terhadap Strategi Pencegahan Stunting Di Wilayah Puskesmas Kedungrejo Banyuwangi [The relationship between the role of midwives and stunting prevention strategies in the Kedungrejo Banyuwangi Community Health Center area]. Jurnal Ilmiah Obsgin 2023;15:436-44.
36. Mustari, Risnah, Irwan M, Arafah S. Interprofessional Collaboration dalam Upaya Pencegahan Stunting di Pelayanan Kesehatan [Interprofessional Collaboration in Effort Prevention of Stunting in Health Services]. Jurnal Kolaboratif Sains 2023;6:942-9.
37. Hanifah QA, Pasune D, Runtunuwu KS. Starategi pencegahan stunting dengan mengoptimalkan Perawat : Studi Literatur [Stunting prevention strategies by optimizing nurses: a literature study]. AL-ASALMIYA 2023;12:64-73.
38. Nengsih NA, Sudirman RM, Khamaludin K. Peran Perawat Educator Dan Motivator Pada Balita Stunting Di Kabupaten Kuningan Tahun 2023 [The role of nurses as educators and motivators for stunted toddlers in Kuningan Regency in 2023]. National Nursing Conference 2023;1:138-50.
39. Rachmawati PD, Triharini M, Suciningtyas PD. The contribution of family functions, knowledge and attitudes in children under five with stunting. Enfermeria Clinica 2021;31:S296-300.
40. Salsabila N. Faktor-Faktor yang Berhubungan dengan Sanitasi Pasar Raya Padang Tahun 2023 [Factors related to sanitation at Pasar Raya Padang in 2023]. Andalas University; 2023.
41. Adzura M, Yulia Y, Fathmawati F. Hubungan sanitasi, air bersih dan mencuci tangan dengan kejadian stunting pada balita di Indonesia [The relationship between sanitation, clean water, and handwashing with stunting incidence in toddlers in Indonesia]. Media Komunikasi Sivitas Akademika dan Masyarakat 2021;21:79-89.
42. Samsuddin NA, Isaura ER, Sumarmi S. Relationship of former history of diarrhea and sanitation with the prevalence of stunting among children aged 1–5 years in Sidotopo Wetan, Surabaya. Media Gizi Indonesia 2021;16:248-55.
43. Putri NM, Oktavira AI, Putri ST. Peran Zat Gizi untuk Mencegah Terjadinya Stunting pada Anak [The role of nutrients in preventing stunting in children]. Prosiding Seminar Nasional Biologi 2022;2:849-54.
44. Masriadi, Mahmud NU, Javid N, et al. Increased incidents of stunting in Majene District West Sulawesi. Indones J Public Health 2024;19:211-25.
45. Rikayoni R, Rahmi D. Hubungan Status Gizi Ibu Selama Hamil Dengan Kejadian Stunting Pada Bayi Usia 0-36 Bulan Di Wilayah Kerja Puskesmas Sijunjung Tahun 2022 [The relationship between maternal nutritional status during pregnancy and stunting incidence in infants aged 0–36 months in the Sijunjung Community Health Center work area in 2022]. Menara Ilmu 2023;17:97-106.
46. Putri PM, Shafira AS, Mahardhika GS. Stunting reduction strategy in Indonesia: maternal knowledge aspects. Indones J Public Health 2024;19:329-43.
47. Ruslianti D. Gizi dan Kesehatan Anak Prasekolah [Nutrition and health of preschool children]. Jakarta: PT Remaja Rosdikarya; 2015. Available from: https://perpustakaan.jakarta.go.id/book/detail?cn=INLIS000000000795078
48. Widyastutik O, Pratiwi Y, Abrori, Ratna. Lactation management against nutritional status in infant in Sungai Raya Dalam Primary Healthcare Center, Kubu Raya Regency, West Kalimantan. IJPH 2021;16:156-65.
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