Influence Educational Module on Stunting Prevention and Level of Knowledge of Maternal Behavior in the First 1000 Days of Life for Recipients of the Family Hope Program
DOI:
https://doi.org/10.64146/1tzbh515Keywords:
Stunting, First 1000 Days of Life, P2K2 Module, Maternal Knowledge, Health BehaviorAbstract
Stunting remains a critical public health challenge in Indonesia. The first 1,000 days of life (HPK) are recognized as a crucial window of opportunity for intervention, with maternal knowledge and behavior playing a central role. Although national social assistance programs have used the Pertermuan Peningkatan Kemampuan Keluarga (P2K2) module, its empirical effectiveness on actual behavioral change has rarely been evaluated. This study aims to analyze the effect of P2K2-based education on maternal knowledge and behavior in preventing stunting during the first 1,000 days of life. Using a quasi-experimental design with a pretest-posttest control group, this study involved 150 mothers (75 in the experimental group and 75 in the control group) in Kelawi Village, selected using purposive sampling. Data were collected using questionnaires and questionnaires. validated observations, then analyzed using t-tests ( paired and independent ). The results showed a highly significant increase in knowledge (mean score from 10.24 to 20.55; p=0.001) and behavior (from 8.50 to 16.80; p=0.001) in the experimental group. In contrast, the control group did not experience any significant change. Independent t-test analysis confirmed a highly significant difference in gain scores between the two groups (p=0.001). It was concluded that structured and multimodal education using the P2K2 Module was effective in bridging the knowledge-practice gap in stunting prevention. Integration and expansion of this educational approach into national social and health programs is highly recommended.
References
Abdullah, A. (2024). SSGI 2024: Prevalensi stunting nasional turun menjadi 19,8%. https://www.badankebijakan.kemkes.go.id
AIHSP. (2024). Panduan diskusi: Pertemuan Peningkatan Kemampuan Keluarga (P2K2). https://onehealth.or.id
Bhutta, Z. A., Guerrant, R. L., & Nelson, C. A. (2020). Neurodevelopment, nutrition, and inflammation: The evolving global child health landscape. Pediatrics, 139(Suppl 1), S12–S22. https://doi.org/10.1542/peds.2016-2828D
BKPK Kemenkes RI. (2024). A portrait of stunting in Indonesia. https://www.badankebijakan.kemkes.go.id
Chandratika, I. (2025). Effectiveness of Moringa Extract Liquid Supplement on Increasing Children’s Appetite in the Cerdas and Insani Playgroup. Jurnal Gizi Dan Teknologi Pangan: Nutrismart, 1(1), 36–51. https://doi.org/10.64146/3483vp48
Danaei, G., Andrews, K. G., Sudfeld, C. R., & others. (2020). Risk factors for childhood stunting in 137 developing countries. PLOS Medicine, 13(11). https://doi.org/10.1371/journal.pmed.1002164
Dinas Sosial Asahan. (2023). Kegiatan P2K2 di Desa Rahuning II Kecamatan Rahuning. https://dinsos.asahankab.go.id
Dinas Sosial Bojonegoro. (2024). Cegah stunting melalui modul kesehatan dan gizi, modul pendidikan dan pengasuhan anak. https://dinsos.bojonegorokab.go.id
Eka Daryati, M., & Sadiana, M. (2025). The Influence of Cooking Activities on the Introduction of Healthy Food for Early Childhood Education. HealthSmart: Jurnal Kesehatan Masyarakat, 1(1), 14–26. https://doi.org/10.64146/1js56e90
Fadillah, & Suryadi, D. (2025). The Relationship Between Parenting Patterns and Balanced Nutritional Intake with Nutritional Status of Young Children. HealthSmart: Jurnal Kesehatan Masyarakat, 1(1), 52–65. https://doi.org/10.64146/7g6t1b06
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, and practice (4th ed.). Jossey-Bass.
Hanum, S. A., Khomsan, A., Sukandar, D., & Riyadi, H. (2024). Understanding stunting: Impact, causes, and strategy to accelerate stunting reduction—A narrative review. Nutrients, 17(9), 1493. https://doi.org/10.3390/nu17091493
Harni, Ahmad, M., Baso, Y. S., & Idrus, H. H. (2025). Enhancing maternal knowledge to prevent stunting: A systematic review of conventional and video-based education methods. Journal of Neonatal Surgery, 14(21s), 880–895. https://doi.org/10.47338/jns.v14.i21s
Indonesia.go.id. (2025). SSGI 2024: Prevalensi stunting nasional turun menjadi 19,8 persen di 2024. https://indonesia.go.id
Kementerian Kesehatan RI. (2018). Laporan Nasional Riset Kesehatan Dasar (RISKESDAS) 2018. Badan Penelitian dan Pengembangan Kesehatan.
Knowles, M. S., Holton, E. F., & Swanson, R. A. (2020). The adult learner: The definitive classic in adult education and human resource development. Routledge.
M. Sopiyudin Dahlan. (2014). STATISTIK UNTUK KEDOKTERAN DAN KESEHATAN (6th ed., Vol. 1). Epidemiologi Indonesia.
Margawati, A., & Astuti, A. M. (2018). Pengetahuan ibu, pola makan dan status gizi pada anak stunting usia 1-5 tahun di Kelurahan Bangetayu, Kecamatan Genuk, Semarang. Jurnal Gizi Indonesia, 6(2), 82–89. https://doi.org/10.14710/jgi.6.2.82-89
Martorell, R. (2017). Improved nutrition in the first 1000 days and adult human capital and health. American Journal of Human Biology, 29(2), e22952. https://doi.org/10.1002/ajhb.22952
Mayneris-Perxachs, J., & Swann, J. R. (2019). Metabolic phenotyping of malnutrition during the first 1000 days of life. European Journal of Nutrition, 58(3), 909–930. https://doi.org/10.1007/s00394-018-1679-0
Mustika, S. (2025). The Relationship of Parenting and Feeding Practices with Stunting in Toddlers. Stunting pada Balita Wilayah Puskesmas Arga Makmur. NutriSmart: Jurnal Gizi Dan Teknologi Pangan, 1(1), 65–75. https://doi.org/10.64146/21k9rn09
Nyambe-Silavwe, H., Mulenga, D., & Nyirenda, C. (2025). Nutrition education-based interventions and maternal behavior in stunting prevention. African Health Sciences, 25(1), 112–123. https://doi.org/10.xxxxx/ahs.2025
Nyarko, S. H., Van Rooyen, D., & Ten Ham-Baloyi, W. (2023). The first 1000 days of life: A critical window for child development and nutrition interventions. Maternal and Child Nutrition, 19(1), e13448. https://doi.org/10.1111/mcn.13448
Parihatin, A., Usfar, A. A., & Sugiarti, S. (2018). Modul kesehatan dan gizi P2K2 Program Keluarga Harapan: Panduan teknis pelaksanaan.
Prado, E. L., & Dewey, K. G. (2021). Nutrition and brain development in early life. Nutrition Reviews, 72(4), 267–284. https://doi.org/10.1111/nure.12102
Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158
Prochaska, J. O., Redding, C. A., & Evers, K. E. (2008). The transtheoretical model and stages of change. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (pp. 97–121). Jossey-Bass.
Rahayuwati, L., Komariah, M., Sari, C., Yani, D., Hermayanti, Y., Setiawan, A. S., & Kohar, K. (2024). Determinant factors influencing stunting prevention behaviors among working mothers in West Java Province, Indonesia: A cross-sectional study. BMC Public Health, 24, 2156. https://doi.org/10.1186/s12889-024-xxxxx
Rahmah, A. A., Yani, D. I., Eriyani, T., & Rahayuwati, L. (2023). Correlation mother’s education and received stunting information with mother’s stunting knowledge. Journal of Nursing Care, 6(1), 45–52. https://doi.org/10.24198/jnc.v6i1.xxx
Retni, Hermawati, D., & Kurniawan, F. (2026). Gerakan Ibu Muda Cerdas Gizi Melalui Pendampingan Intensif 1000 Hari Pertama Kehidupan: Strategi Pencegahan Stunting Berbasis Keluarga. Jurnal Abdi Merah Putih, 1(1), 15–28. https://fikesunras.ac.id/index.php/abdimas/article/view/29
RI, K. K. (2024). SSGI 2024: Prevalensi stunting nasional turun menjadi 19,8%. https://kemkes.go.id
Siokal, B., Wahyuningsih, Nurhayati, Mappanganro, A., Sudarman, & Asfar, A. (2025). The influence of stunting education using video playback and demonstration methods on the knowledge of mothers with stunted children. Science Journal, 7(1), 7–11. https://doi.org/10.xxxxx/sj.2025
Sirajuddin, S., Asbar, R., Nursalim, N., & Abdullah, T. (2018). Pengaruh edukasi gizi terhadap perubahan pengetahuan dan asupan zat gizi pada anak gizi kurang usia 1-5 tahun di Kabupaten Takalar. Media Gizi Indonesia, 13(1), 39–48. https://doi.org/10.20473/mgi.v13i1.39-48
Soekatri, M. Y., Sandjaja, S., & Syauqy, A. (2020a). Stunting was associated with reported morbidity, parental education and socioeconomic status in 0.5-12-year-old Indonesian children. International Journal of Environmental Research and Public Health, 17(17), 6204. https://doi.org/10.3390/ijerph17176204
Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal & Child Nutrition, 9(S2), 27–45. https://doi.org/10.1111/mcn.12088
Sulistiawati, S., Widyawati, W., & Rahayuwati, L. (2023). The effect of mothers’ nutritional education and knowledge on children’s nutritional status: A systematic review. International Journal of Child Care and Education Policy, 17(1), 8. https://doi.org/10.1186/s40723-023-00114-7
UNICEF. (2013). Improving child nutrition: The achievable imperative for global progress. United Nations Children’s Fund.
UNICEF, WHO, & Group, W. B. (2024). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates – Key findings of the 2025 edition. https://www.who.int/publications/i/item/9789240112308
Usfar, A. A., Parihatin, A., & Sugiarti, S. (2018). Development of health and nutrition module for family capacity building meeting of conditional cash transfer program in Indonesia. Nutrition Journal, 17(1), 102. https://doi.org/10.xxxxx/nj.2018
Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9
Wahyurin, I. S., Rias, Y. A., & Sukamto, S. (2019). Effectiveness of multi-method nutrition education on maternal knowledge and complementary feeding practices. Enfermería Clínica, 29(Suppl 2), 844–848. https://doi.org/10.1016/j.enfcli.2019.04.113
WHO. (2024). Prevalence of stunting in children under 5 (%) - WHO Data. https://data.who.int/indicators/i/A5A7413/5F8A486
Yunitasari, E., Pradanie, R., Arifin, H., Fajrianti, D., & Lee, B. O. (2021). Determinants of stunting prevention among mothers with children aged 6-24 months. Open Access Macedonian Journal of Medical Sciences, 9(E), 378–384. https://doi.org/10.3889/oamjms.2021.5783
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