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The Impact of Nutritional Education Interventions on Maternal Knowledge, Self-Monitoring, and Stunting Prevention among Children Under Five: A Literature Review Lindawati Lindawati; Herry Susanto; Sri Wahyuni; Nopi Nur Khasanah
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.670

Abstract

Stunting remains a major chronic nutritional problem among children under five in developing countries, including Indonesia. Low maternal knowledge and limited ability to monitor child nutrition are key contributing factors. Nutritional education interventions play an essential role in improving nutrition literacy, self-monitoring capacity, and stunting prevention practices among mothers of young children. This literature review aims to analyze the impact of nutritional education interventions on enhancing maternal knowledge and self-monitoring skills, as well as their effectiveness in preventing stunting among children under five, based on quasi-experimental and randomized controlled trial (RCT) studies. The review process followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles were retrieved from PubMed, ScienceDirect, Google Scholar, and Garuda (Garba Rujukan Digital) databases using the keywords: nutrition education, maternal knowledge, self-monitoring, stunting prevention, and children under five. The publication range included studies from 2020 to 2025. Out of 312 initially identified articles, duplicates were removed, and eligibility was assessed based on inclusion and exclusion criteria, resulting in 12 studies selected for in-depth analysis. Methodological quality was appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Tools. Inclusion criteria comprised: (1) quasi-experimental or RCT study design; (2) population of mothers with children under five; (3) interventions involving nutrition education, health promotion, or maternal empowerment programs related to child nutrition; (4) open-access full-text availability; and (5) publications in English or Indonesian. Exclusion criteria included review articles, case reports, descriptive studies without intervention, populations other than mothers, studies not assessing outcomes related to knowledge, behavior, or child nutritional status, and articles lacking peer review or full-text access. Analysis of the 12 selected studies revealed that nutritional education interventions consistently improved maternal knowledge, feeding behavior, and self-monitoring practices while reducing the prevalence of stunting. Interventions combining education with maternal empowerment and community-based mentoring demonstrated greater effectiveness compared to education-only approaches. Overall, nutritional education interventions are effective in improving maternal knowledge and self-monitoring skills, contributing to stunting prevention among children under five. Continuous, community-based education integrated into primary health services is recommended to strengthen maternal roles and enhance the effectiveness of stunting prevention programs.  
Health Belief Model–Based Health Education and Maternal Health Behaviors During Pregnancy: A Literature Review: A LITERATURE REVIEW Francisca de Jesus Liberato; Sri Wahyuni; Muh. Abdurrouf; Herry Susanto
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1340

Abstract

Maternal health behaviors are a critical determinant of successful maternal healthcare outcomes; however, adherence to recommended health behaviors during pregnancy remains a significant challenge. Health education based on the Health Belief Model (HBM) has been recognized as an effective approach for modifying health behaviors by addressing individual perceptions and motivational factors. This literature review aimed to synthesize empirical evidence on the effectiveness of Health Belief Model–based health education in improving maternal health behaviors during pregnancy. This study employed a systematic literature review in accordance with the PRISMA 2020 guidelines. Articles were retrieved from PubMed, ScienceDirect, Google Scholar, and national journal databases, covering publications from 2020 to 2025. A comprehensive literature search was conducted using predefined keywords, including Health Belief Model, Health Behaviors During Pregnancy, Health Education, and Pregnant Women. A total of 312 articles were identified, of which 72 duplicates were removed. The remaining 240 articles were screened based on titles and abstracts, resulting in the exclusion of 205 articles. Subsequently, 35 full-text articles were assessed for eligibility. Based on predefined inclusion and exclusion criteria, 10 open-access studies involving pregnant women, applying the Health Belief Model, and reporting maternal health behavior outcomes were included in the qualitative synthesis. Health Belief Model–based health education was found to significantly improve maternal health behaviors, including adherence to antenatal care (ANC) visits, nutritional practices, compliance with iron–folic acid supplementation, physical activity, and disease prevention behaviors. Health education grounded in the Health Belief Model is an effective and relevant approach for enhancing maternal health behaviors during pregnancy and warrants integration into evidence-based maternal healthcare services.