Strengthening Stunting Prevention Education Based on Local Wisdom for Mothers Under Five in Coastal Areas
DOI:
https://doi.org/10.61099/jpmei.v3i2.368Keywords:
coastal communities, local wisdom, maternal knowledge, stunting preventionAbstract
Introduction: Stunting remains a major public health concern in Indonesia, particularly in coastal communities where socio-cultural factors and limited access to continuous health education influence nutritional practices. Maternal knowledge plays a critical role in shaping child feeding practices and preventing stunting. This study aimed to strengthen stunting prevention education among mothers of children under five through a local wisdom-based approach in a coastal area.
Methods: A community-based intervention was conducted on March 5, 2026, involving 35 mothers of children under 5 years old. The program integrated culturally adapted educational materials with participatory learning methods, including interactive sessions, group discussions, and demonstrations. Data were collected using pre-test and post-test questionnaires to assess changes in knowledge.
Results: The intervention led to a significant improvement in maternal knowledge. The mean score increased from 56.8 ± 10.4 in the pre-test to 82.3 ± 8.7 in the post-test, with an average increase of 25.5 points. This improvement indicates that the intervention was effective in enhancing understanding of balanced nutrition and appropriate feeding practices.
Conclusion: The local wisdom-based educational approach proved effective in improving maternal knowledge related to stunting prevention. Integrating cultural values with evidence-based health education can enhance program acceptance and effectiveness, particularly in coastal communities. This approach has the potential to be adapted and implemented in similar settings to support sustainable stunting prevention efforts.
Downloads
References
Abdullah, A., Emery, C., Xu, Y., & Mensah, F. (2025). Associations between child neglect, informal interventions in food neglect, and child stunting: Evidence from the Ghana families study. Children and Youth Services Review, 172, 108273. https://doi.org/10.1016/j.childyouth.2025.108273
Arief, Y. S., Yunita, F. C., Efendi, F., Murti, F. A. K., Pradipta, R. O., & McKenna, L. (2025). Social and Environmental Determinants of Childhood Stunting in Indonesia: National Cross-Sectional Study. JMIR Pediatrics and Parenting, 8, e68918–e68918. https://doi.org/10.2196/68918
Arqam, M. L., Firdaus, A. A., Atmojo, A. M., Saputri, G. Z., Furizal, Palahuddin, & Sirnopati, R. (2026). Integrating education-based interventions and machine learning for stunting prevention: A case study in East Lombok, Indonesia. Dialogues in Health, 8, 100264. https://doi.org/10.1016/j.dialog.2025.100264
Asefa, A., Girma, D., Kaso, A. W., Ferede, A., Agero, G., & Beyen, T. K. (2024). Prevalence of stunting and associated factors among under-five children in Robe Woreda, Arsi zone, Ethiopia. International Journal of Africa Nursing Sciences, 21, 100782. https://doi.org/10.1016/j.ijans.2024.100782
Ashar, H., Rahfiludin, M. Z., Nugraheni, S. A., Tjandrarini, D. H., Murwani, A., Supadmi, S., Yunitawati, D., Kusumawardani, H. D., Musoddaq, M. A., & Latifah, L. (2025). A qualitative study in Magelang Central Java Indonesia: Mothers’ knowledge, parenting styles and national priority programs managing of stunting in toddlers. Social Sciences & Humanities Open, 12, 101874. https://doi.org/10.1016/j.ssaho.2025.101874
Astuti, S. J. W., Suindyah Dwiningwarni, S., & Atmojo, S. (2025). Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia. Dialogues in Health, 6, 100206. https://doi.org/10.1016/j.dialog.2025.100206
Bhutta, Z. A., Islam, M., Gaffey, M. F., Victora, C. G., Menon, P., Katz, J., Horton, S. E., Yearwood, J., & Black, R. E. (2025). What works for reducing stunting in low-income and middle-income countries? Cumulative learnings from the Global Stunting Exemplars Project. The American Journal of Clinical Nutrition, 121, S113–S128. https://doi.org/10.1016/j.ajcnut.2025.03.004
Erfina, E., Hariati, S., Tawali, S., Nurmaulid, N., Safari, K., & McKenna, L. (2025). Development and evaluation of blended interventions to prevent stunting in children of adolescent mothers: A mixed methods study. Journal of Pediatric Nursing, 85, 697–705. https://doi.org/10.1016/j.pedn.2025.10.003
Erika, K. A., Fadilah, N., Latif, A. I., Hasbiah, N., Juliaty, A., Achmad, H., & Bustamin, A. (2024). Stunting Super App as an Effort Toward Stunting Management in Indonesia: Delphi and Pilot Study. JMIR Human Factors, 11, e54862–e54862. https://doi.org/10.2196/54862
Hadush, B., Fikru, C., Kebede, G., Guesh, S., Kassaye, E., Redae, G., Amenu, K., Cavalerie, L., & Mor, S. M. (2026). Knowledge, attitudes, and practices of women related to human and animal feces management in Ethiopia: Evidence for strengthening water, sanitation, and hygiene (WaSH) initiatives. One Health, 22, 101311. https://doi.org/10.1016/j.onehlt.2025.101311
Jalloh, U. H., Koroma, A. S., Gaffey, M. F., Confreda, E., Peterson, S., Kargbo, A., Islam, M., Keats, E. C., Bhutta, Z. A., & Juneja, S. (2025). A mixed-methods study of the drivers of stunting reduction among children under-5 in Sierra Leone, 2005–2017. The American Journal of Clinical Nutrition, 121, S106–S112. https://doi.org/10.1016/j.ajcnut.2025.02.015
Lubis, N. D. A., Julianti, E., Sinaga, H., & Ichwan, M. (2025). Stunting, oxidative stress, and neurogenesis potential of β-carotene and α-tocopherol: a mechanistic review. Pharmacia, 72, 1–14. https://doi.org/10.3897/pharmacia.72.e171479
Mizawati, A., Effendi, N., Sulastri, D., & Sastra Purna, R. (2026). Developing an integrated model for anemia prevention in prospective brides: A qualitative exploration of multisectoral collaboration in bengkulu city of Indonesia. Clinical Epidemiology and Global Health, 37, 102252. https://doi.org/10.1016/j.cegh.2025.102252
Pasha, M., Shimul, M. M. H., Hossain, R., Khandker, S., Khan, S., & Mehriban, N. (2025). Nutritional status and determinants of malnutrition among under-five children in a specialized hospital in Bangladesh during the COVID-19 pandemic. Clinical Nutrition Open Science, 64, 192–202. https://doi.org/10.1016/j.nutos.2025.10.008
Pauzi, R. Y., Ilmi, A. N., & Kumaratih, L. W. (2025). Gut microbiota dysbiosis and probiotic interventions in childhood stunting: Mechanistic insights and therapeutic potential. Medicine in Microecology, 26, 100152. https://doi.org/10.1016/j.medmic.2025.100152
Prayitno, G., Zuhriyah, L., Efendi, A., Arifin, S., Rahmawati, Auliah, A., & Subagiyo, A. (2025). Community-powered environmental pathways to reduce stunting: Food security, social capital, and open innovation in semi-urban Indonesia. Environmental Challenges, 21, 101350. https://doi.org/10.1016/j.envc.2025.101350
Rialihanto, M. P., Siswati, T., Iswanto, I., & Ardiyanto, F. (2025). Developing a Digital Anthropometry Device Using IoT-Based Sensors for Monitoring Small Babies. The Open Public Health Journal, 18(1). https://doi.org/10.2174/0118749445406189250623053039
Rosyada, D. F., Sudargo, T., & Murni, I. K. (2026). Altitude of area of residence as a risk factor for stunting in children aged 0–60 months: A systematic review and meta-analysis. Dialogues in Health, 8, 100268. https://doi.org/10.1016/j.dialog.2025.100268
Sentika, R., Setiawan, T., Kusnadi, Rattu, D. J., Yunita, I., Basrowi, R. W., Masita, B. M., & Makrufardi, F. (2024). Expert Consensus on Interprofessional Collaboration (IPC) Guidelines on Stunting Management in Indonesian Primary Healthcare (Puskesmas). The Open Public Health Journal, 17(1). https://doi.org/10.2174/0118749445352608241119164446
Setiawan, A., Syamsir, S. B., Rahmadiyah, D. C., Astuti, Atamou, L., Talilah, R., & Shorey, S. (2026). Effects of family-based nursing interventions on mothers’ knowledge, attitudes, and self-efficacy related to stunting prevention in Indonesia: A quasi-experimental study. International Journal of Nursing Sciences, 13(2), 113–121. https://doi.org/10.1016/j.ijnss.2026.02.008
Soofi, S. B., Khan, G. N., Sajid, M., Hussainyar, M. A., Shams, S., Shaikh, M., Ouma, C., Azami, S., Naeemi, M., Hussain, A., Umer, M., Hussain, I., Ahmed, I., & Ariff, S. (2024). Specialized nutritious foods and behavior change communication interventions during the first 1000 d of life to prevent stunting: a quasi-experimental study in Afghanistan. The American Journal of Clinical Nutrition, 120(3), 560–569. https://doi.org/10.1016/j.ajcnut.2024.07.007
Supadmi, S., Laksono, A. D., Kusumawardani, H. D., Ashar, H., Nursafingi, A., Kusrini, I., & Musoddaq, M. A. (2024). Factor related to stunting of children under two years with working mothers in Indonesia. Clinical Epidemiology and Global Health, 26, 101538. https://doi.org/10.1016/j.cegh.2024.101538
Supranoto, Sasmito, L., Indriastuti, S., Prayitno, H., & Sawir, M. (2025). From parallel to partnership governance: Strengthening institutional synergy for stunting reduction in decentralized Indonesia. Social Sciences & Humanities Open, 12, 102051. https://doi.org/10.1016/j.ssaho.2025.102051
Suprapto. (2026). Stunting Policy Implementation in Indonesia: A Primary Health Care Perspective. Jurnal Ilmiah Kesehatan Sandi Husada, 15(1), 347–361. https://doi.org/10.35816/jiksh.v15i1.302
Taofik, M. J., Satispi, E., & Hadi, M. (2026). Cultural governance and policy implementation in public health: Accelerating stunting reduction in East Lombok through social integration and institutional capacity. Social Sciences & Humanities Open, 13, 102360. https://doi.org/10.1016/j.ssaho.2025.102360
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2026 Yoga Tri Wijayanti, Yunita Kristina, Ari Setiawati, Viyan Septiyana Achmad, Astuti Astuti

This work is licensed under a Creative Commons Attribution 4.0 International License.
















