The influence of education by using 5J pregnancy nutrition guidebook for the prevention of fetal growth restriction and maternal nutritional sufficiency
Abstract
Background: Stunting is a growth and development disorder experienced by children due to poor nutrition, recurring infections, and inadequate psychosocial stimulation. If not addressed with proper nutrition, it can lead to reduced child growth. According to the Indonesian Ministry of Health, stunting is influenced by several factors, including maternal, infant, and toddler factors, as well as social, economic, and environmental conditions. According to Global Nutrition, by 2025, it is estimated that children aged ≤ 5 years will experience stunting, with an increase of 171-314 million individuals worldwide, with 90% originating from countries in Africa and Asia. The province of Lampung has shown improvement, with a stunting prevalence of 15.2% in 2022, aiming to reach the national target of around 14%. Based on nutritional status monitoring in 2017, the prevalence of stunting was 35.20%, and according to the Indonesia Nutrition Status Study (INSS) and Community-Based Nutrition Recording and Reporting (CBNRP), the prevalence of stunting in Pesawaran in 2022 was 3.50%.
Purpose: To determine the impact of using the 5J Pregnancy Nutrition Guidebook in educating pregnant mothers about preventing fetal growth restriction on the knowledge, attitudes, and behaviors of mothers in the working area of Gedong Tataan Community Health Center, Pesawaran, Lampung.
Method: This quantitative research employed an analytical survey design with a quasi-experimental one-group pretest-posttest method. The dependent variables in this study were the level of knowledge, attitude, and behavior of mothers, while the independent variable was education using the 5J guidebook. The research was conducted in the Gedong Tataan Community Health Center, Pesawaran, Lampung in August 2023 with a sample size of 30 using total sampling technique, and a paired sample t-test was performed.
Results: Knowledge improved by 2.37 points after receiving education, with an increase difference of 1.24, and the Wilcoxon statistical test yielded a p-value of 0.000 (<0.05). Respondents' attitudes increased by 1.93 points after receiving education, although this value was in the low range, it saw a rise with a difference of 0.9, and the p-value was 0.000 (<0.05). Behavior after receiving education increased to 1.23 with an increase difference of 0.2, and the Wilcoxon statistical test showed an improvement with a p-value of 0.000 (<0.05). The test results indicate the influence of education using the 5J guidebook on maternal knowledge, attitude, and behavior.
Conclusion: Educational media using the 5J guidebook has a significant influence on maternal knowledge, attitude, and behavior regarding nutrition management in the prevention of stunting.
Keywords
References
Ali, B., Dhillon, P., & Mohanty, S. K. (2020). Inequalities in the utilization of maternal health care in the pre-and post-National Health Mission periods in India. Journal of Biosocial Science, 52(2), 198-212.
Anita, S., Novita, N., & Vasra, E. (2023). Factors Associated with Stunting Incidents in Toddlers. Journal of Maternal and Child Health Sciences (JMCHS), 3(1), 287-294.
Anjani, S., Anggraini, F. D. P., Setyawati, V. A. V., Aprianti, A., & Indriati, A. N. (2022). Efektivitas metode edukasi berbasis Mobile Edu App sebagai upaya intervensi penurunan stunting dengan pendekatan asuh, asih, asah. Jurnal Eduscience, 9(1), 143-151.
Aramico, B., Huriyati, E., & Dewi, F. S. T. (2020). Determinant Factors of Stunting and Effectiveness of Nutrition, Information, Education Interventions to Prevent Stunting in the First 1000 Days of Life: A Systematic Review. In The International Conference on Public Health Proceeding (Vol. 5, No. 01, pp. 285-300).
Asri, A., Sorachmmad, Y., Reski, R., & Ashari, M. S. (2023). Analisis determinan kejadian stunting pada balita di wilayah kerja puskesmas kecamatan Campalagian kabupaten Polewali Mandar. J-kesmas: Jurnal Kesehatan Masyarakat, 8(2), 170-181.
Fazrin, I., Anggraeni, S., Saputro, H., & Yalestyarini, E. A. (2021). Edukasi gizi, tumbuh kembang, pijat anak menggunakan metode demonstrasi audiovisual pada kader masa pandemi Covid19 (monograf). Strada Press.
Kirana, R., Aprianti, A., & Hariati, N. W. (2022). Pengaruh Media Promosi Kesehatan Terhadap Perilaku Ibu Dalam Pencegahan Stunting Di Masa Pandemi Covid-19 (Pada Anak Sekolah Tk Kuncup Harapan Banjarbaru). Jurnal Inovasi Penelitian, 2(9), 2899-2906.
Komalasari, K., Supriati, E., Sanjaya, R., & Ifayanti, H. (2020). Faktor-Faktor Penyebab Kejadian Stunting Pada Balita. Majalah Kesehatan Indonesia, 1(2), 51-56.
Lestari, W. O. S. W., Syarif, S., Hidayanty, H., Aminuddin, A., & Ramadany, S. (2021). Nutrition education with android-based application media to increase knowledge, attitudes, and behaviors of pregnant women about chronic energy deficiency (KEK). International Journal of Health and Medical Sciences, 4(1), 15-22.
Lestiarini, S., & Sulistyorini, Y. (2020). Perilaku Ibu pada Pemberian Makanan Pendamping ASI (MPASI) di Kelurahan Pegirian. Jurnal Promkes, 8(1), 1.
Maita, L., Saputri, E. M., & Husanah, E. (2019). Gizi Kesehatan Pada Masa Reproduksi. Yogyakarta. CV. Budi Utama.
Marshall, N. E., Abrams, B., Barbour, L. A., Catalano, P., Christian, P., Friedman, J. E., & Thornburg, K. L. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. American journal of obstetrics and gynecology, 226(5), 607-632.
Meidiana, R., Simbolon, D., & Wahyudi, A., (2018). Pengaruh Edukasi melalui Media Audio Visual terhadap Pengetahuan dan Sikap Remaja Overweight. Jurnal Kesehatan Politeknik Kesehatan Tanjung Karang. 9(3), 478-484.
Mertens, A., Benjamin-Chung, J., Colford Jr, J. M., Coyle, J., van der Laan, M. J., Hubbard, A. E., & Arnold, B. F. (2023). Causes and consequences of child growth faltering in low-resource settings. Nature, 1-9.
Ministry of Health of the Republic of Indonesia (2022). Hasil Survei Status Gizi Indonesia (SSGI). Accessed link https://upk.kemkes.go.id/new/kementerian-kesehatan-rilis-hasil-survei-status-gizi-indonesia-ssgi-tahun-2022
Ministry of Health of the Republic of Indonesia. (2018). Pengaruh Masalah Gizi pada Ibu Hamil. Accessed link https://yankes.kemkes.go.id/view_artikel/1464/pengaruh-masalah-gizi-pada-ibu-hamil
Nengsih, Y., & Warastuti, D. (2020). Faktor Risiko Kejadian Stunting Pada Bayi Dan Balita Di Desa Ciambar Kecamatan Ciambar Kabupaten Sukabumi Tahun 2019. Jurnal Ilmiah Kesehatan dan Kebidanan Sekolah Tinggi Ilmu Kesehatan Mitra RIA Husada, 9(1).
Ningrum, N. P., Hidayatunnikmah, N., & Rihardini, T. (2020). Cegah stunting sejak dini dengan makanan bergizi untuk ibu hamil. E-Dimas: Jurnal Pengabdian Kepada Masyarakat, 11(4), 550-555.
Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: PT. Rineka Cipta.
Nurdianti, D., Kurniawati, A., & Windiyani, W. (2020, March). The application design of nifasku based on android for postpartum care and newborn. In Journal of Physics: Conference Series (Vol. 1477, No. 6, p. 062015). IOP Publishing.
Porter, L., Cox, J. S., Wright, K. A., Lawrence, N. S., & Gillison, F. B. (2022). The impact of COVID-19 on the eating habits of families engaged in a healthy eating pilot trial: a thematic analysis. Health psychology and behavioral medicine, 10(1), 241-261.
Quraisy, C. C. R. S. A., Sineri, D. I., Haruni, D. S., & Puteri, H. S. (2022). Peningkatan Pengetahuan Ibu Hamil: Penyuluhan Gizi dengan Media Kalender Makanan “Steril KEK”. Magistrorum et Scholarium: Jurnal Pengabdian Masyarakat, 2(3), 488-503.
Rilyani, R., Wandini, R., & Lestari, W. D. (2021). Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita. Jurnal Ilmiah Kesehatan Sandi Husada, 10(1), 1-6.
Scheffler, C., Hermanussen, M., Bogin, B., Liana, D. S., Taolin, F., Cempaka, P. M. V. P., & Pulungan, A. (2020). Stunting is not a synonym of malnutrition. European Journal of Clinical Nutrition, 74(3), 377-386.
Smid, M. C., Stone, N. M., Baksh, L., Debbink, M. P., Einerson, B. D., Varner, M. W., & Clark, E. A. (2019). Pregnancy-associated death in Utah: contribution of drug-induced deaths. Obstetrics & Gynecology, 133(6), 1131-1140.
Suprapto, S., Mulat, T. C., & Hartaty, H. (2022). Edukasi Gizi Seimbang Menggunakan Media Video terhadap Pengetahuan dan Sikap Mahasiswa di Masa Pandemi Covid-19. Jurnal Keperawatan Profesional (KEPO), 3(1), 96-102.
Tampah-Naah, A. M., Kumi-Kyereme, A., & Amo-Adjei, J. (2019). Maternal challenges of exclusive breastfeeding and complementary feeding in Ghana. PloS one, 14(5), e0215285.
Tekile, A. K., Woya, A. A., & Basha, G. W. (2019). Prevalence of malnutrition and associated factors among under-five children in Ethiopia: evidence from the 2016 Ethiopia Demographic and Health Survey. BMC research notes, 12(1), 1-6.
Umiyah, A., & Hamidiyah, A. (2021). Karakteristik Anak Dengan Kejadian Stunting. Oksitosin: Jurnal Ilmiah Kebidanan, 8(1), 66-72.
United Nations Children’s Fund. (2007). The State of the World’s Children 2007. Diakses https://www.unicef.org/reports/state-worlds-children-2007
Utama, U. L. G., Yuliantini, E., Natan, O., Rizal, A., & Wahyudi, A. (2021). Pengaruh Media Vidio pada Tingkat Pengetahuan, Sikap dan Perilaku Ibu tentang Balita Stunting di Wilayah Kerja Puskesmas Tanjung Harapan Kecamatan Ulok Kupai Tahun 2021 (Doctoral dissertation, Poltekkes Kemenkes Bengkulu).
Wawan, A., & Dewi, M., (2011). Teori & Pengukuran,Sikap,dan Perilaku Manusia. Yogyakarta: Nuha Medika
Wondemagegn, A. T., & Mulu, A. (2022). Effects of Nutritional Status on Neurodevelopment of Children Aged Under Five Years in East Gojjam, Northwest Ethiopia, 2021: A Community-Based Study. International Journal of General Medicine, 5533-5545.
Zairinayati, Z., & Purnama, R. (2019). Hubungan hygiene dan sanitasi lingkungan dengan kejadian stunting pada balita. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 10(1).
DOI: https://doi.org/10.33024/minh.v6i4.12820
Refbacks
- There are currently no refbacks.
Copyright (c) 2023 Malahayati International Journal of Nursing and Health Science
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.