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All Journal Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education 2-TRIK: TUNAS-TUNAS RISET KESEHATAN International Journal of Advanced Health Science and Technology Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Frontiers in Community Service and Empowerment Indonesian Journal of Community Empowerment Jurnal Info Kesehatan
Suharto, Agung
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Nursing Public Health Other

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Community Empowerment for Stunting Prevention: A Quasi-Experimental Study in Indonesia Suharto, Agung; Joko Santosa, Budi; Suparji, Suparji
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8952

Abstract

Introduction: Stunting remains a major public health challenge in Indonesia, with long-term consequences for human resource quality. Empowering Posyandu (integrated health post) cadres through theory-based approaches is considered a strategic intervention to strengthen prevention efforts.Objective:This study aimed to evaluate the effectiveness of a community empowerment model grounded in the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in improving preventive behaviors among Posyandu cadres. Methods: A quasi-experimental design with a non-equivalent control group and pretest–posttest approach was employed. The study was conducted in Magetan Regency, East Java Province, from January to September 2023. The intervention group was drawn from Panekan Sub-district and the control group from Plaosan Sub-district, with geographic separation used to minimize contamination. The study population comprised 400 cadres, from which 200 respondents were recruited proportionally and selected using random sampling within each sub-district (intervention = 100; control = 100). The intervention consisted of structured training modules integrating HBM and TPB constructs, including risk perception, benefits of prevention, self-efficacy, barrier reduction, and behavioral planning. Data were collected using a validated Likert-scale questionnaire measuring perceived susceptibility, perceived benefits, attitudes, intentions, subjective norms, and preventive behaviors. Analyses employed paired-samples t-tests for within-group comparisons and independent-samples t-tests for between-group differences, with significance set at p < 0.05. Results: The intervention group demonstrated statistically significant improvements across all measured variables (p < 0.001). Preventive behavior scores increased from 12.11 (SD = 1.06) at baseline to 21.10 (SD = 1.87) post-intervention. Between-group analyses confirmed higher posttest scores in the intervention group compared to controls (p < 0.001). Conclusion: Empowerment training based on HBM and TPB was effective in enhancing cadres’ cognitive and behavioral components related to stunting prevention. These findings provide preliminary evidence supporting the integration of theory-driven empowerment models into community health programs, while highlighting the need for sustained training and longer-term evaluation to ensure durability of behavioral change.
Co-Authors Astin Nur Hanifah Astuti Setiyani, Astuti Budi Joko Santoso Debby Rahmawati Febriana, Citra Nurwidya Handayani, Tinuk Esti Harviandani, Berliana Septy Herlina, Tutiek Joko Santosa, Budi MARIA OKTAVIANI Nana Usnawati Nur Hanifah, Astin nurlailis saadah Nurtatik Nurweningtyas, Nurweningtyas Nuryani Nuryani Purwanto, Triana Septianti Rahayu, Teta Puji Santosa Wahito Nugroho, Heru Santosa, Budi Joko Septianti, Triana Sulikah Sulikah Sumaningsih, Rahayu Sumasto, Hery Sunarto Sunarto Suparji Suparji Surtinah, Nani swastika, swastika SWN, Heru Wisnu, Nurwening Tyas