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All Journal International Journal of Midwifery Research Journal of Health and Nutrition Research
Herani, Zahara
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Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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NUTRITION FLIPBOOK -BASED EDUCATION ON PREGNANT WOMEN'S ATTITUDES TO PREVENT STUNTING Simarmata, Mesrida; Agussamad , Indra; Srininta; Herani, Zahara
INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH Vol. 5 No. 2 (2025): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/6bk32y97

Abstract

Background​ : Nutrition for 1,000 lives First will filled since child in content until child 2 years old . Negative attitude so inhibitor Because Mother pregnant No know nutrition . Flipbook : information media interesting audio and visual . Objectives : For know effectiveness education based flipbook  1,000 days of nutrition First life to attitude Mother pregnant in prevention stunting . Method : Type of research quantitative , design quasi- experiment t design two group pre post test design . Population: 50 pregnant women undergoing antenatal care at the Medan Denai Community Health Center from January to March 2025. The sample is an inclusion of gestational age <32 weeks, willing to be respondents as many as 40 people. Total sampling technique : A sample of 40 pregnant women was divided into 2 groups: treatment and control using simple random sampling . Research location: Medan Denai Community Health Center. Time: June-September 2025. Pre and post data analysis: Wilcoxon test , for comparison of treatment and control after education using the Mann Whitney test . Results : Treatment: before min- max 13-28 mean 20.90, after min -max 30-35 mean 32.40. Wilcoxon test 0.000. Group control before min- max 12-26 mean 18.45 after min- max 14-27 mean 20.35 Wilcoxon test 0.001. Comparison after the second Mann test group Whitney significant value 0.000 < 0.05 then change attitude group treatment more tall than group control . Conclusion . Education based flipbook effective to change attitude Mother pregnant become positive in prevention stunting
Flipbook-Based Nutrition Education: A Strategy to Improve Self-Efficacy for Stunting Prevention Among Pregnant Women During the First 1,000 Days of Life Simarmata, Mesrida; Agussamad, Indra; Seriati Situmorang, Tetti; Br Ginting, Astaria; Herani, Zahara; Herawati, Fahrunnisa
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.836

Abstract

Maternal self-efficacy is a critical determinant in the application of nutritional knowledge to prevent stunting during the first 1,000 days of life. Innovative educational tools are needed to bolster pregnant women's confidence in managing their nutritional needs. This study aimed to evaluate the effectiveness of a flipbook-based nutritional education intervention on pregnant women's self-efficacy in preventing stunting. This quantitative study employed a quasi-experimental design with a two-group pre-post test. A total of 40 pregnant women at the Medan Denai Health Center were selected using total sampling and randomly assigned into two groups: a treatment group (n=20) receiving flipbook-based education and a control group (n=20) receiving education without flipbooks. Self-efficacy was measured using a validated 15-item questionnaire. Data analysis was performed using the Wilcoxon and Mann-Whitney tests due to the non-normal distribution of the data. In the treatment group, self-efficacy scores significantly improved from a pre-test mean of 35.75 to a post-test mean of 51.05 (Wilcoxon test, p=0.000). The control group showed a minimal increase from 35.35 to 36.25 (Wilcoxon test, p=0.041). A comparison between the two groups revealed that the treatment group achieved a significantly higher mean rank (29.88) compared to the control group (11.13). The Mann-Whitney test confirmed a significant difference (p<0.001), indicating that the flipbook intervention was more effective in increasing maternal self-efficacy than conventional methods. Flipbook-based educational innovation is an effective and promising tool for enhancing the self-efficacy of pregnant women in practicing stunting prevention during the first 1,000 days of life.
Co-Authors Agussamad , Indra Agussamad, Indra Br GINTING, ASTARIA Herawati, Fahrunnisa Seriati Situmorang, Tetti Simarmata, Mesrida srininta