STUNTING PREVENTION THROUGH STRENGTHENING MOTHER’S KNOWLEDGE AND SELF-EFFICACY WITH HEALTH COACHING BASED ON FAMILY EMPOWERMENT

Authors

  • Arsita Eka Prasetyawati Universitas Sebelas Maret, Surakarta, Indonesia
  • Salma Kassaundra Universitas Sebelas Maret, Surakarta, Indonesia
  • Dwi Surya Supriyana Universitas Sebelas Maret, Surakarta, Indonesia

DOI:

https://doi.org/10.34011/jmp2k.v35i2.2710

Keywords:

efikasi diri, ibu balita, pemberdayaan keluarga, pengetahuan, stunting

Abstract

Stunting merupakan masalah kesehatan serius di Indonesia, khususnya di Surakarta, Jawa Tengah, dengan angka 20,7% pada tahun 2023, seringkali disebabkan oleh kurangnya pengetahuan dan efikasi diri. Penelitian ini bertujuan untuk mengetahui peran pembinaan kesehatan berbasis pemberdayaan keluarga dalam meningkatkan pengetahuan dan efikasi diri ibu serta menggali persepsi ibu terhadap stunting. Penelitian dilakukan di wilayah kerja Puskesmas Gilingan Surakarta. Metode penelitian adalah mixed method, penelitian quasi eksperimental dan deskriptif kualitatif untuk menggali persepsi ibu terhadap stunting. Subyek penelitian kuasi eksperimen adalah 84 orang ibu yang memiliki balita usia 24-59 bulan yang ditentukan dengan menggunakan purposive sampling. Subjek mendapatkan intervensi penyuluhan tentang ruang lingkup stunting dan pentingnya dukungan keluarga dalam pengasuhan anak. Sedangkan penelitian kualitatif melibatkan dua orang ibu yang memiliki balita stunting, dua orang ibu yang memiliki balita non stunting, satu orang kader kesehatan masyarakat, dan satu orang koordinator program penanganan stunting. Instrumen yang digunakan adalah kuesioner pengetahuan mandiri dan efikasi diri. Data kualitatif diperoleh dengan cara wawancara mendalam dengan seluruh responden. Analisis data menggunakan uji Wilcoxon dan analisis tematik, memastikan pemeriksaan data yang teliti dan menyeluruh. Hasil penelitian menunjukkan bahwa pembinaan kesehatan berbasis pemberdayaan keluarga secara signifikan meningkatkan pengetahuan dan efikasi diri ibu (p<0,05), serta terdapat hubungan yang kuat antara pembelajaran dengan efikasi diri dalam upaya pencegahan stunting, persepsi ibu terhadap faktor kerentanan, pola asuh, dan tantangan menghindari stunting. Pengetahuan dan efikasi diri yang baik terbukti berkontribusi signifikan dalam mencegah stunting. Diperlukan upaya pencegahan stunting berbasis pemberdayaan keluarga yang komprehensif dan kolaboratif untuk meningkatkan pengetahuan dan diri ibu.

References

N. Nadirawati, C. Suryaningsih, A. Virgona Bangun, and R. D. Dela Rosa, “Prevention and Intervention of Stunting in Indonesia: a Scoping Review,” J. Sci. Heal., vol. 2, no. 1, pp. 14–28, 2023, doi: 10.56943/jsh.v2i1.219.

R. Nailuvar and I. Laily Hilmi, “Analysis of Factors Affecting Stuting Incidence in Indonesia : Literature riview,” J. eduhealth, vol. 13, no. 02, p. 1099, 2022, [Online]. Available: http://ejournal.seaninstitute.or.id/index.php/healt.

UNICEF, WHO, and WORLD BANK, “Level and trend in child malnutrition,” World Heal. Organ., p. 4, 2023, [Online]. Available: https://www.who.int/publications/i/item/9789240073791.

A. Komarulzaman et al., “Achieving zero stunting: A Sustainable Development Goal Interlinkage Approach at District Level,” Sustain., vol. 15, no. 11, 2023, doi: 10.3390/su15118890.

T. A. Agri, T. Ramadanti, W. A. Adriani, J. N. Abigael, F. S. Setiawan, and I. Haryanto, “Menuju Pertumbuhan Seimbang dalam Tantangan SDGs 2 dalam Penanggulangan Kasus Stunting di Indonesia,” Peran Perguru. Tinggi dalam Aktual. Bela Negara “Melalui Perumusan Kebijak. Sekt. Lingkung. Hidup dalam Pencapaian SDGs,” pp. 114–130, 2024, [Online]. Available: https://conference.upnvj.ac.id/index.php/ncols/article/view/2972.

M. A. D. Prabasari, D. S. Lubis, and N. K. Sutiari, “Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District,” Public Heal. Prev. Med. Arch., vol. 9, no. 2, pp. 100–107, 2021, doi: 10.15562/phpma.v9i2.293.

H. O. N. Kitu, Y. K. Syamruth, and S. Purnawan, “Factors Associated with Stunting in Toddlers Under the Service Area of Bakunase Primary Health Center in Kupang City,” J. Public Heal. Trop. Coast. Reg., vol. 6, no. 2, pp. 37–48, 2023, doi: 10.14710/jphtcr.v6i2.18034.

A. Soliman et al., “Early and long-term consequences of nutritional stunting: From childhood to adulthood,” Acta Biomed., vol. 92, no. 1, pp. 1–12, 2021, doi: 10.23750/abm.v92i1.11346.

S. S. Halli, R. A. Biradar, and J. B. Prasad, “Low Birth Weight, the Differentiating Risk Factor for Stunting among Preschool Children in India,” Int. J. Environ. Res. Public Health, vol. 19, no. 7, 2022, doi: 10.3390/ijerph19073751.

S. Scaglioni, V. De Cosmi, V. Ciappolino, F. Parazzini, P. Brambilla, and C. Agostoni, “Factors influencing children’s eating behaviours,” Nutrients, vol. 10, no. 6, pp. 1–17, 2018, doi: 10.3390/nu10060706.

L. Mahmood, P. Flores-Barrantes, L. A. Moreno, Y. Manios, and E. M. Gonzalez-Gil, “The influence of parental dietary behaviors and practices on children’s eating habits,” Nutrients, vol. 13, no. 4, pp. 1–13, 2021, doi: 10.3390/nu13041138.

L. G. Pradnyawati, K. T. Kartinawati, and D. A. P. Ratna Juwita, “Parenting pattern of feeding in stunting toddlers at the working area of Tegallalang I Primary Health Centre,” J. Community Empower. Heal., vol. 2, no. 2, p. 208, 2019, doi: 10.22146/jcoemph.47019.

BPS, “Survei Kesehatan Indonesia (SKI) dalam Angka,” 2023.

P. Fristiwi, S. A. Nugraheni, and A. Kartini, “Effectiveness of Stunting Prevention Programs in Indonesia : A Systematic Review,” J. Penelit. Pendidik. IPA, vol. 9, no. 12, pp. 1262–1273, 2023, doi: 10.29303/jppipa.v9i12.5850.

N. Saadah, U. Hasanah, and B. Yulianto, “Mother Empowerment Model in Stunting Prevention and Intervention through Stunting Early Detection Training,” Open Access Maced. J. Med. Sci., vol. 10, no. G, pp. 649–655, 2022, doi: 10.3889/oamjms.2022.8759.

N. D. P. Putri, V. Hadju, R. Indriasari, H. Hidayanty, and M. A. Mansur, “Description of Mother’S Self Efficacy in Complementary Feeding and Stunting Among Children,” J. Indones. Community Nutr., vol. 12, no. 1, pp. 27–37, 2023.

D. Arini, Faridah, and I. Nuraini, “The Relationship of Mother’s Self Efficacy with Cognitive Development and Age of Stunting Children in the Area of Kalirungkut Puskesmas City, Surabaya,” Malaysian J. Nurs., vol. 14, no. 2, pp. 55–59, 2022, doi: 10.31674/mjn.2022.v14i02.010.

S. K. Abreha, S. Z. Walelign, and Y. A. Zereyesus, “Associations between women’s empowerment and children’s health status in Ethiopia,” PLoS One, vol. 15, no. 7, pp. 1–24, 2020, doi: 10.1371/journal.pone.0235825.

L. Annisa and S. Sulistyaningsih, “The Empowerment of Family in Effort to Reduce Stunting in Under-Five Children: A Scoping Review,” J. Aisyah J. Ilmu Kesehat., vol. 7, no. 2, pp. 451–460, 2022, doi: 10.30604/jika.v7i2.1006.

I. M. Apriliani, N. P. Purba, L. P. Dewanti, H. Herawati, and I. Faizal, “Stunting Risk Factors in Children Under Five in Indonesia: A Scoping Review,” Indones. J. Heal. Promot., vol. 5, no. 6, pp. 654–661, 2022.

K. N. Graves and T. L. Shelton, “Family empowerment as a mediator between family-centered systems of care and changes in child functioning: Identifying an important mechanism of change,” J. Child Fam. Stud., vol. 16, no. 4, pp. 556–566, 2007, doi: 10.1007/s10826-006-9106-1.

R. Aprillia et al., “Community Empowerment with Stunting Risk Factors Based on Home visit Approach: Scoping Review,” Women, Midwives and Midwifery, vol. 3, no. 1, pp. 61–76, 2023, doi: 10.36749/wmm.3.1.61-76.2023.

A. Bahar, “The Role of Family Care in Providing Nutrition for Children with Stunting: Literature Review. The Role of Family Care in Providing Nutrition for Children with Stunting: Literature Review under a Creative Commons Attribution-Non Commercial 4.0 Internationa,” J. Eduhealt, vol. 14, no. 04, p. 2023, 2023, [Online]. Available: http://ejournal.seaninstitute.or.id/index.php/healt.

D. Syahputra, I. Yustina, N. Nurmaini, K. Rochadi, and F. Zuska, “the Correlation of Mother’S Knowledge and Mother’S Behavior in Stunting Prevention Efforts in Tuntungan Village 2 Deli Serdang Regency,” Int. J. Midwifery Res., vol. 3, no. 1, pp. 31–39, 2023, doi: 10.47710/ijmr.v3i1.48.

Z. Drezner and O. Turel, “Normalizing variables with too-frequent values using a Kolmogorov-Smirnov test: A practical approach,” Comput. Ind. Eng., vol. 61, no. 4, pp. 1240–1244, 2011, doi: 10.1016/j.cie.2011.07.015.

E. D. Olsa, D. Sulastri, and E. Anas, “Hubungan Sikap dan Pengetahuan Ibu Terhadap Kejadian Stunting pada Anak Baru Masuk Sekolah Dasar di Kecamanatan Nanggalo,” J. Kesehat. Andalas, vol. 6, no. 3, p. 523, 2018, doi: 10.25077/jka.v6i3.733.

P. P. Basuki and T. Uminingsih, “Kontribusi Karakteristik Ibu Terhadap kejadian Stunting Pada Anak Usia 24-36 Bulan Di Sleman Yogyakarta,” J. Kesehat. Masy., vol. 12, no. 02, 2019, doi: 10.47317/jkm.v12i02.191.

N. Burah, S. Reski, D. R. Wahyunigrum, and J. Cahyono, “The Effectiveness of Nutrition Education about Stunting Using Video Media on The Knowledge and Attitudes of Mothers of Toddlers,” J. Heal. Nutr. Res., vol. 3, no. 1, pp. 74–82, 2024, doi: 10.56303/jhnresearch.v3i1.202.

L. Kretschmer et al., “Gender differences in the distribution of children’s physical activity: evidence from nine countries,” Int. J. Behav. Nutr. Phys. Act., vol. 20, no. 1, pp. 1–10, 2023, doi: 10.1186/s12966-023-01496-0.

M. Oukheda et al., “Association between nutritional status, body composition, and fitness level of adolescents in physical education in Casablanca, Morocco,” Front. Nutr., vol. 10, no. November, 2023, doi: 10.3389/fnut.2023.1268369.

F. D. Rufaida, A. M. Raharjo, and A. Handoko, “The correlation of family and household factors on the incidence of stunting on toddlers in three villages Sumberbaru Health Center Work Area of jember,” J. Agromedicine Med. Sci., vol. 6, no. 1, pp. 1–10, 2020.

S. Patimah, S. H. Khalid, A. Asrina, and Septiyanti, “Stunting Perception Among Stakeholders: a Qualitative Study,” Media Gizi Indones., vol. 19, no. 2, pp. 206–215, 2024, doi: 10.20473/mgi.v19i2.206-215.

E. Plys and O. Desrichard, “Associations Between Positive and Negative Affect and the Way People Perceive Their Health Goals,” Front. Psychol., vol. 11, no. March, pp. 1–15, 2020, doi: 10.3389/fpsyg.2020.00334.

Wulandari, I. Budiastutik, and D. Alamsyah, “Hubungan karakteristik sosial ekonomi dan pola asuh pemberian makan terhadap kejadian stunting pada balita di Puskesmas Ulak Muid Kabupaten Melawi,” J. Mhs. dan Peneliti Kesehat., vol. 3, no. 2, pp. 1–76, 2016.

N. Safaah, E. Yunitasari, F. Efendi, S. Sunanita, and S. Suhartono, “Relationship between exclusive breastfeeding and stunting among children aged 2-5 years in Indonesia,” Gac. Med. Caracas, vol. 130, no. Supl 5, pp. S1019–S1024, 2022, doi: 10.47307/GMC.2022.130.s5.21.

R. Suriany Simamora and P. Kresnawati, “Pemenuhan Pola Makan Gizi Seimbang Dalam Penanganan Stunting Pada Balita Di Wilayah Puskesmas Kecamatan Rawalumbu Bekasi,” J. Bid. Ilmu Kesehat., vol. 11, no. 1, pp. 34–45, 2021, doi: 10.52643/jbik.v11i1.1345.

S. M. Goudet, B. A. Bogin, N. J. Madise, and P. L. Griffiths, “Nutritional interventions for preventing stunting in children (Birth to 59 months) living in urban slums in low-and middle-income countries (LMIC),” Cochrane Database Syst. Rev., vol. 2019, no. 6, 2019, doi: 10.1002/14651858.CD011695.pub2.

H. Andriani, E. Friska, M. Arsyi, A. E. Sutrisno, A. Waits, and N. D. Rahmawati, “A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys,” BMC Public Health, vol. 23, no. 1, pp. 1–16, 2023, doi: 10.1186/s12889-023-16728-y.

T. R. P. Lestari, “Stunting In Indonesia : Understanding The Roots of The Problem and Solutions,” Info Singk., vol. XV, no. 14, pp. 21–25, 2023, [Online]. Available: https://berkas.dpr.go.id/puslit/files/info_singkat/Info Singkat-XV-14-II-P3DI-Juli-2023-196-EN.pdf.

T. Vaivada, N. Akseer, S. Akseer, A. Somaskandan, M. Stefopulos, and Z. A. Bhutta, “Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline,” Am. J. Clin. Nutr., vol. 112, pp. 777S-791S, 2020, doi: 10.1093/ajcn/nqaa159.

H. Tong, F. Qiu, and L. Fan, “Characterising common challenges faced by parental caregivers of children with type 1 diabetes mellitus in mainland China: A qualitative study,” BMJ Open, vol. 12, no. 1, pp. 1–9, 2022, doi: 10.1136/bmjopen-2021-048763.

Downloads

Published

2025-06-13

How to Cite

Prasetyawati, A. E., Kassaundra, S., & Supriyana, D. S. (2025). STUNTING PREVENTION THROUGH STRENGTHENING MOTHER’S KNOWLEDGE AND SELF-EFFICACY WITH HEALTH COACHING BASED ON FAMILY EMPOWERMENT. Media Penelitian Dan Pengembangan Kesehatan, 35(2), 637–652. https://doi.org/10.34011/jmp2k.v35i2.2710