Nurhalimah Batubara
Department of Public Health, Faculty of Health, Universitas Aufa Royhan, Padangsidimpuan, North Sumatera, Indonesia

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Stunting Prevention Behavior for Children Under Five Years of Age Based on Integrated Nutrition Education with Local Culture MARTABE: A Quasi Experiment Yuli Arisyah Siregar; Nurhalimah Batubara; Anto J. Hadi; Haslinah Ahmad
Journal of Public Health and Pharmacy Vol. 5 No. 3 (2025)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i3.6675

Abstract

Introduction: Stunting is a serious problem in public health, especially in children under five years old. The nutrition education program integrated with the local culture of MARTABE Batak Angkola Tribe can effectively prevent stunting in children under five years old. This study aims to assess the influence of nutrition education programs integrated with local culture on stunting prevention behavior. Methods: The study was conducted with a quasi-experimental design. Sampling was carried out by purposive sampling. The sample was divided into two groups: the intervention group that will be given the MARTABE local cultural integrated nutrition education program and the control group that did not receive the intervention. The intervention group was given a MARTABE local cultural integrated nutrition education program as a module, while the control group only received ordinary education through a leaflet. The local culture-based nutrition education program was carried out for 6 weeks, which included counseling on balanced nutrition, the benefits of local food, and ways to prevent stunting. Data was collected through questionnaires and observations. Data analysis used statistical techniques such as paired t-test, chi-square, and hoteling test. Results: The results showed that both the intervention and control groups had a significant influence on knowledge (p=0.002), attitude (p=0.000), action (p=0.001), and behavior (p=0.000) after being given nutrition education integrated with MARTABE's local culture. Hotelling's Trace values for overall behavior change showed significant results (F=5794,811, p=0.000). This shows a significant difference in the behavior of caregivers under five between before and after the intervention. In other words, local culture-based nutrition education programs effectively influence changes in the behavior of caregivers under five years old. Conclusion: Nutritional education integrated with local culture improves knowledge, attitudes, actions, and behaviors concerning stunting prevention in children under five. Therefore, this approach can be used as an intervention model in stunting prevention in Indonesia.
Stunting Prevention of Elementary School Children Based on Nutrition Education Peer Group: A Quasy Experimental Nurhalimah Batubara; Yuli Arisyah Siregar; Anto J. Hadi; Haslinah Ahmad; Adi Antoni; Abdullah A.A
Journal of Public Health and Pharmacy Vol. 5 No. 3 (2025)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v5i3.6683

Abstract

Introduction: Stunting in elementary school children is a nutritional problem that impacts physical and cognitive development. One of the main factors causing stunting is the lack of knowledge, attitudes, and appropriate actions in maintaining children's nutrition. Objective: This study aims to evaluate the effectiveness of peer group-based nutrition education in preventing stunting in elementary school children. Methods: A type of quantitative research with a quasi-experimental design with experimental and control groups in two primary schools. The sample was selected by purposive sampling consisting of a treatment group and a control group of 30 samples each. The intervention was carried out for three months and was carried out in 6 meeting sessions for 3 weeks. Each session is held for 60 minutes and is guided by a facilitator who is trained through a nutrition education program carried out by peer students with materials that include the importance of nutritious diets, healthy living behaviors, and stunting with the media of nutrition posters and leaflets, every month children are monitored using modified food recalls. Data were analyzed using paired t-test and chi-square test to compare the difference before and after the intervention. Results: This study found a significant improvement in nutrition-related knowledge, attitudes, and actions in the experimental group compared to the control group (p=0.001<0.05). Conclusion: This study proves that peer group-based nutrition education programs effectively increase knowledge, attitudes, and actions that can prevent stunting in elementary school children. Based on these findings, it is recommended to expand the application of similar interventions in schools to reduce the prevalence of stunting.