The Garpu Banting-Women’s Movement Program Prevent Stunting Increases Knowledge of Feeding Practices: Quasi-Experiment

https://doi.org/10.33860/jbc.v7i1.3848

Authors

  • Lulu Annisa Faculty of Health Science, ‘Aisyiyah University Yogyakarta, Yogyakarta, Indonesia
  • Djauhar Ismail Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia
  • Sulistyaningsih Faculty of Health Science, ‘Aisyiyah University Yogyakarta, Yogyakarta, Indonesia

Keywords:

Nutrition Education, Home Visits, Knowledge , Attitude, Practice, Stunting

Abstract

Background: The prevalence of stunting in Indonesia in 2022 was 21.6%, stunting can cause cognitive impairment, short stature, pain and even death. The aim is to determine the effect of the Garpu Banting Program on the mothers’ level of knowledge, attitudes, and practices in feeding. Methods: This study used a quasi-experimental design with pre-test, post-test and control group designs.The Sampling used experimental research standards (CONSORT) with a sample size of 50, namely 25 in the experimental group and 25 samples in the control group. Results: The findings revealed variations in the experimental group’s mothers’ knowledge (p=0.000), attitudes (p=0.000), and practices (p=0.000) regarding feeding before and after receiving the Garpu Banting Program’s nutrition education and home visits. In the control group, there were differences in the mean ratings of mothers' feeding knowledge (p=0.000), attitude (p=0.000), and practice (p=0.009). Logistic regression analysis found that education (OR=10.630 (0.820-0.140), source of information (OR=0.673 (0.177-2.555), and employment (OR=3.781 (0.754-18.949)) did not influence on mothers’ attitudes and practices in feeding. Conclusion: The Garpu Banting Program has a considerable impact on mothers’ knowledge, attitudes, and feeding patterns through nutritional education on complementary foods and home visits.

Downloads

Download data is not yet available.

References

Abiyu, C., Belachew, T. (2020). Level and predictors of mothers’ knowledge and attitude toward optimal complementary feeding in the West Gojjam zone, northwest Ethiopia. Nutrition and Dietary Supplements, Volume 12, 113–121. https://doi.org/10.2147/nds.s257206

Afework, E., Mengesha, S., Wachamo, D. (2021). Stunting and Associated Factors among Under-Five-Age Children in West Guji Zone, Oromia, Ethiopia. Journal of Nutrition and Metabolism, 2021. https://doi.org/10.1155/2021/8890725

Ahmed, M., Zepre, K., Lentero, K., Gebremariam, T., Jemal, Z., Wondimu, A., Bedewi, J., Melis, T., & Gebremeskel, A. (2022). The relationship between maternal employment and stunting among 6–59 months old children in the Gurage Zone Southern Nationality People’s region, Ethiopia: A comparative cross-sectional study. Frontiers in Nutrition, 9(October), 1–11. https://doi.org/10.3389/fnut.2022.964124

Alam, M.A., Richard, S. A., Fahim, S. M., Mahfuz, M., Nahar, B., Das, S., Shrestha, B., Koshy, B., Mduma, E., Seidman, J. C., Murray-Kolb, L. E., Caulfield, L. E., Lima, A. A. M., Bessong, P., Ahmed, T. (2020). Erratum: Impact of early onset persistent stunting on cognitive development at five years of age: Results from a multi-country cohort study . PLoS ONE, 15(2), 1–16. https://doi.org/10.1371/journal.pone.0229663

Aldossari, A., Alshehri, D., Alzahrani, G., Almasoud, S., Alaqeel, Y., Benajiba, N. (2019). Insights into knowledge, attitude and practices regarding early complementary feeding of infants among Saudi mothers. Malaysian Journal of Nutrition, 25(3), 377–391. https://doi.org/10.31246/mjn-2019-0072

Annisa, L. & Sulistyaningsih. (2022). The empowerment of family in an effort to reduce Stunting in Under- Five Children : a scoping review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(2), 451–460. https://doi.org/10.30604/jika.v7i2.1006

Aprillia, R., Astuti, A. W., Fatimah, S., Annisa, L., Pondawati, L. W. O., Zahra, T., Febrianti, C. P., and Arofah, T. H. (2023). Community Empowerment with Stunting Risk Factors Based on Home visit approach: acoping review. Women, Midwives and Midwifery, 3(1), 61–76. https://doi.org/10.36749/wmm.3.1.61-76.2023

Araujo, M. C., Dormal, M., Grantham-McGregor, S., Lazarte, F., Rubio-Codina, M., Schady, N. (2021). Home Visit at Scale and Child Development. Journal of Public Economics Plus, 2(April), 100003. https://doi.org/10.1016/j.pubecp.2021.100003

Assefa, D. G., Woldesenbet, T. T., Molla, W., Zeleke, E. D., Simie, T. G. (2021). Assessment of knowledge, attitude and practice of mothers/caregivers on infant and young child feeding in Assosa Woreda, Assosa Zone, Benshangul Gumuz Region, Western Ethiopia: A cross-sectional study. Archives of Public Health, 79(1), 1–10. https://doi.org/10.1186/s13690-021-00690-5

Bella, F. D., Fajar, N. A., and Misnaniarti, M. (2020). Hubungan pola asuh dengan kejadian stunting balita dari keluarga miskin di Kota Palembang. Jurnal Gizi Indonesia 8(1) 31. https://doi.org/10.14710/jgi.8.1.31-39

Binagwaho, A., Rukundo, A., Powers, S., Donahoe, K. B., Agbonyitor, M., Ngabo, F., Karema, C., Scott, K. W., & Smith Fawzi, M. C. (2020). Trends in burden and risk factors associated with childhood stunting in Rwanda from 2000 to 2015: policy and program implications. BMC Public Health 20(1), 1–9. https://doi.org/10.1186/s12889-020-8164-4

Bleiweiss-sande, R., Sama-miller, E., Chavez, C., Coughlin, R., & Esposito, A. M. (2022). Assessing Effectiveness of Early Childhood Home Visiting Models Implemented with Tribal Populations (Issue October). https://homvee.acf.hhs.gov/sites/default/files/2023-09/Tribal-Report-2022-Appendices_10.28.22.pdf

D’Alonzo, K. T., and Garsman, L. (2020). Impact of Childhood Growth Stunting and Post-Migration Dysbiosis on the Development of Metabolic Syndrome Among Indigenous Immigrant Mexican Women. Biological Research for Nursing, 22(4), 552–560. https://doi.org/10.1177/1099800420941599

De Jongh González, O., Tugault-Lafleur, C. N., O’Connor, T. M., Hughes, S. O., & Mâsse, L. C. (2021). Are fathers’ and mothers’ food parenting practices differentially associated with children’s eating behaviors? Appetite, 166, 1–8. https://doi.org/10.1016/j.appet.2021.105434

Ekholuenetale, M., Barrow, A., Ekholuenetale, C. E., & Tudeme, G. (2020). Impact of stunting on early childhood cognitive development in Benin: Evidence from the Demographic and Health Survey. Egyptian Pediatric Association Gazette 68(1). https://doi.org/10.1186/s43054-020-00043-x

Eldridge, S. M. Chan, C. L. Campbell, M. J.; Bond, C. M. Hopewell, S.; Thabane, L.; Lancaster, G. A.; O’Cathain, A.; Altman, D.; Bretz, F.; Campbell, M.; Cobo, E.; Craig, P.; Davidson, P.; Groves, T.; Gumedze, F.; Hewison, J.; Hirst, A.; Hoddinott, P.; Tugwell, P. (2016). CONSORT 2010 statement: Extension to randomized pilot and feasibility trials. Pilot and Feasibility Studies, 2(1), 1–32. https://doi.org/10.1186/s40814-016-0105-8

Eshete Tadesse, S., Chane Mekonnen, T., & Adane, M. (2020). Priorities for intervention in childhood stunting in northeastern Ethiopia: A matched case-control study. PloS One, 15(9), e0239255. https://doi.org/10.1371/journal.pone.0239255

Galasso, E., Weber, A. M., Stewart, C. P., Ratsifandrihamanana, L., Fernald, L. C. H. (2019). Effects of nutritional supplementation and home visits on growth and development in young children in Madagascar: A cluster-randomized controlled trial. The Lancet Global Health, 7(9), e1257–e1268. https://doi.org/10.1016/S2214-109X(19)30317-1

S. K. Jensen, M. Placencio, S. M. Murry, R. T. Brennan, S. Goshev, J. Farrari, A. Yousafzai, L. B. Rawlings, B. Wilson, E. Habyarimana, V. Sezibera and T. S. (2021). Effect of a home-visiting parenting program to promote early childhood development and prevent violence: A cluster-randomized trial in Rwanda. BMJ Global Health 6(1) 1–13. https://doi.org/10.1136/bmjgh-2020-003508

John W. Creswell. (2021). Research Design , Qualitative, Quantitative, and Mixed Methods Approaches (Cetakan, V). SAGE Publication. https://shorturl.at/U8Ypk

Julianti, E., & Elni, E. (2023). The intervention package increased the readiness of health post cadres to prevent stunting in children. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(1), 167–172. https://doi.org/10.30604/jika.v8i1.1409

Kahssay, M., Woldu, E., Gebre, A., & Reddy, S. (2020). Determinants of stunting among children aged 6 to 59 months in the pastoral community, Afar region, North East Ethiopia: Unmatched casecontrol study. BMC Nutrition, 6(1), 1–8. https://doi.org/10.1186/s40795-020-00332-z

Kamble, B. D., Kaur, R., Acharya, B. P., Gupta, M., & Batch, B. (2020). Infant and young child feeding practices among mothers of children aged 6 months ‑ 2 years in a rural area of Haryana : A qualitative study. 3–9. https://doi:10.4103/jfmpc.jfmpc_164_20

Kemenkes RI. (2017). Buku Panduan Penilaian Teknologi Kesehatan Efektivitas Klinis Buku Panduan Penilaian Teknologi Kesehatan Efektivitas Klinis. p 1-44. https://www.htaindonesia.id/detail-publikasi-regulasi/pedoman-penilaian-teknologi-kesehatan

Kementerian Kesehatan Republik Indonesia. (2022). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2022. Kemenkes RI, 1–14. https://www.litbang.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/

Kementerian Kesehatan RI. (2020). Indikator Program Kesehatan Masyarakat dalam RPJMN dan Rentra Kementerian Kesehatan 2020-2024. Katalog Dalam Terbitan. Kementerian Kesehatan RI 1–99. https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/ef5bb48f4aaae60ebb724caf1c534a24.pdf

Kementrian Kesehatan RI. (2020). Pedoman Pemberian Makan Bayi dan Anak. Kementrian Kesehatan Republik Indonesia. https://repository.kemkes.go.id/book/319

Koplin, J. J., Kerr, J. A., Lodge, C., Garner, C., Dharmage, S. C., Wake, M., Allen, K. J. (2019). Infant and young child feeding interventions targeting overweight and obesity: a narrative review. Obesity Reviews, 20(S1), 31–44. https://doi.org/10.1111/obr.12798

Masuke, R., Msuya, S. E., Mahande, J. M., Diarz, E. J., Stray-Pedersen, B., Jahanpour, O., and Mgongo, M. (2021). Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PloS One, 16(5), e0250562. https://doi.org/10.1371/journal.pone.0250562

Mistry, S. K., Hossain, M. B., and Arora, A. (2019). Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood in a post-program comparison study. Nutrition Journal 18(1) 47. https://doi.org/10.1186/s12937-019-0473-z

Moon, R. Y., Mathews, A., Oden, R., & Carlin, R. (2019). Mothers’ perceptions of the lnternet and social media as sources of parenting and health information: A qualitative study. Journal of Medical Internet Research 21(7); 1–9. https://doi.org/10.2196/14289

Muluye, S. D., Lemma, T. B., & Diddana, T. Z. (2020). Effects of Nutrition Education on Improving Knowledge and Practice of Complementary Feeding of Mothers with 6-to 23-Month-Old Children in Daycare Centers in Hawassa Town, Southern Ethiopia: An Institution-Based Randomized Control Trial. Journal of Nutrition and Metabolism 2020. https://doi.org/10.1155/2020/6571583

Nafista, U. F., Nurhaeni, N., & Waluyanti, F. T. (2023). Improvement in maternal knowledge, attitudes, and children’s weight with education on World Health Organization feeding recommendations. Pediatria Medica e Chirurgica, 45(S1), 11–16. https://doi.org/10.4081/pmc.2023.314

Naulia, R. P., Hendrawati, H.,Saudi, L. (2021). Pengaruh Edukasi Gizi Terhadap Pengetahuan dan Sikap Ibu dalam Pemenuhan Nutrisi Balita Stunting. Jurnal Ilmu Kesehatan Masyarakat, 10(02), 95–101. https://doi.org/10.33221/jikm.v10i02.903

Porter, C. M. (2016). Revisiting receipt precede proced: A leading model for ecological and ethical health promotion. Health Education Journal, 75(6), 753–764. https://doi.org/10.1177/0017896915619645

Purwanti, R., Margawati, A., Afifah, D. N., Noer, E. R., Wijayanti, H. S., Ayustaningwarno, F., Dieny, F. F., Fitranti, D. Y. (2022). Pendampingan Ibu Untuk Penurunan Angka Stunting Pada Masa Pandemi Covid-19. Pengabdian Masyarakat, 6(1), 81–88. DOI: https://doi.org/10.26714/jsm.6.2.2024.257-262

Rachman, R. Y., Nanda, S. A., Larassasti, N. P. A., Rachsanzani, M., Amalia, R. (2021). Hubungan Pendidikan Orang Tua Terhadap Risiko Stunting Pada Balita: a Systematic Review. Jurnal Kesehatan Tambusai, 2(2), 61–70. https://doi.org/10.31004/jkt.v2i2.1790

Rachmawati, P. D., Triharini, M., and Suciningtyas, P. D. (2021). The contribution of family functions, knowledge and attitudes in children under five years of stunting. Enfermeria Clinica 31, S296–S300. https://doi.org/10.1016/j.enfcli.2020.12.035

Rahman, M., Tariqujaman, M., Ahmed, T., Sarma, H. (2023). Effect of home visits by community health workers on complementary feeding practices among caregivers of children aged 6–23 months in ten districts of Bangladesh. Frontiers in Public Health 10. https://doi.org/10.3389/fpubh.2022.1014281

Rumicha, T. D., Gemede, H. F. (2021). Complementary Feeding Knowledge, Practice, Dietary Diversity and Associated Factors among mothers of Children 6-23 Months in Guto Gida District, Oromia, Ethiopia. J Nutr Food Sci, 11(8), 1–10. https://www.academia.edu/download/97871282/complementary_feeding_knowledge_practice_dietary_diversity_and_associatedfac.pdf

Saaka, M., Kizito, F., & Hoeschle-Zeledon, I. (2021). Effects of nutrition education on nutrition-related knowledge, attitudes, and consumption of diversified diets among families owning a home garden in northern Ghana. World Nutrition, 12(4), 15–31. https://doi.org/10.26596/wn.202112415-31

Sarma, H., Mbuya, M. N. N., Tariqujjaman, M., Rahman, M., Askari, S., Khondker, R., Sultana, S., Shahin, S. A., Bossert, T. J., Banwell, C., Neufeld, L. M., Ahmed, T., D’Este, C. (2021). Role of home visits by volunteer community health workers: To improve the coverage of micronutrient powders in rural Bangladesh. Public Health Nutrition, 24(S1), S48–S58. https://doi.org/10.1017/S1368980020000038

Schneider, L., Ollila, S., and Mutanen, M. (2022). Usefulness of nutrition and health videos displayed on mobile phones in rural Uganda: Experiences of community health workers and mothers. Maternal and Child Nutrition 18(2). https://doi.org/10.1111/mcn.13322

Siswati, T., Iskandar, S., Pramestuti, N., Raharjo, J., Rialihanto, M. P., Rubaya, A. K. Wiratama, B. S. (2022). Effect of a short course on improving cadres’ knowledge in the context of reducing stunting through home visits in Yogyakarta, Indonesia. International Journal of Environmental Research and Public Health 19(16), 1–11. https://doi.org/10.3390/ijerph19169843

Siswati, T., Iskandar, S., Pramestuti, N., Raharjo, J., Rubaya, A. K., and Wiratama, B. S. (2022). Impact of an Integrative Nutrition Package through Home Visit on Maternal and Child Outcomes: Findings from Locus Stunting in Yogyakarta, Indonesia. Nutrients, 14(16). https://doi.org/10.3390/nu14163448

Suharto, A. (2022). Mothers' Behavior on Knowledge and Attitudes Toward Child Nutritional Status in Magetan Regency, East Java, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(E), 555–559. https://doi.org/10.3889/oamjms.2022.8369

Trauner, F., Williams, J. S. (2021). Association between Women ’ s Empowerment and Childhood Undernutrition in Cambodia : Evidence from the 2014 Demographic Health Survey. 1–12. https://cjph.niph.org.kh/index.php/cjph/article/view/157/32

UNICEF,WHO, W. B. (2021). Levels and Trends in Child Malnutrition UNICEF/WHO/Word Bank Group Joint Child Malnutrition Estimates Key Findings of the 2021 edition. World Health Organization 1–32. https://www.who.int/publications/i/item/9789240025257

United Nations Children’s Fund. (2020). Situasi anak di indonesia-Tren, Peluang, dan Tantangan Dalam Memenuhi Hak-Hak Anak. https://www.unicef.org/indonesia/sites/unicef.org.indonesia/files/2020-07/Situasi-Anak-di-Indonesia-2020.pdf

Vazir, S., Engle, P., Balakrishna, N., Griffiths, P. L., Johnson, S. L., Creed-Kanashiro, H., Fernandez Rao, S., Shroff, M. R., & Bentley, M. E. (2013). Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers. Maternal and Child Nutrition, 9(1), 99–117. https://doi.org/10.1111/j.1740-8709.2012.00413.x

World Health Organization. (2018). Context, Causes, and Consequences. Stunted Growth and Development, 4. https://www.who.int/publications/m/item/childhood-stunting-context-causes-and-consequences-framework

Yaya, S., Odusina, E. K., Uthman, O. A., & Bishwajit, G. (2020). What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries. Global Health Research and Policy, 5(1), 1–11. https://doi.org/10.1186/s41256-019-0129-8

Zakria, N. M., Ismail, T. A. T., Wan Mansor, W. N. A., and Sulaiman, Z. (2019). Validation of infant and young child feeding questionnaire for the assessment of knowledge, attitudes and practices among child care providers: The IYCF-CCPQ. International Journal of Environmental Research and Public Health, 16(12), 1–18. https://doi.org/10.3390/ijerph16122147

Downloads

Published

2025-04-01

How to Cite

Annisa, L., Ismail, D., & Sulistyaningsih, S. (2025). The Garpu Banting-Women’s Movement Program Prevent Stunting Increases Knowledge of Feeding Practices: Quasi-Experiment. Jurnal Bidan Cerdas, 7(1), 49–60. https://doi.org/10.33860/jbc.v7i1.3848

Issue

Section

Articles