Education on Stunting Prevention through the Piring Protein E-Book in Supporting Optimal Growth and Development of Toddlers in the Pondok Labu Community Health Center Working Area

Vini Yuliani; Sudiyati; Yunita Laila Astuti; Nurhayati; Vera Suzana Dewi Haris

Authors

Vini Yuliani Department of Midwifery, Poltekkes Kemenkes Jakarta I, Indonesia
Sudiyati Department of Midwifery, Poltekkes Kemenkes Jakarta I, Indonesia
Yunita Laila Astuti Department of Midwifery, Poltekkes Kemenkes Jakarta I, Indonesia
Nurhayati Department of Midwifery, Poltekkes Kemenkes Jakarta I, Indonesia
Vera Suzana Dewi Haris Department of Midwifery, Poltekkes Kemenkes Jakarta I, Indonesia

Keywords:

Development, E-Book, Growth, Stunting, Toddler

Abstract

Stunting at an early age risk reducing educational achievement, decreasing cognitive abilities, and lowering income when the child reaches adulthood. In the working area of the Pondok Labu Community Health Center, three toddlers were identified with stunting, partly due to limited maternal knowledge regarding essential nutrition, particularly animal protein intake. This community service program aimed to improve mothers’ knowledge, attitudes, and feeding practices to support optimal toddler growth and development through education using the Piring Protein E-book.The activity was conducted for three months at Posyandu Jeruk 2 in the working area of Pondok Labu Community Health Center, South Jakarta, involving 35 mothers of toddlers using quota sampling. The methods included interactive counseling, distribution of the Piring Protein E-book through digital media, and self-monitoring. Measurements were carried out using pre-test and post-test assessments. The variables measured were mothers’ knowledge and attitudes using questionnaires, daily protein intake using a 24-hour food recall, and toddler nutritional status based on the height-for-age Z-score (HAZ). Data were analyzed using a paired sample t-test.The results showed a significant increase (p < 0.001) in mothers’ knowledge and attitudes, with the average knowledge score rising from 55.2 to 88.9. Improvements were also observed in toddler nutritional status based on the HAZ score. Education using the Piring Protein E-book proved to be an effective intervention to improve maternal nutritional literacy and support optimal toddler growth and development.

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References

Azkia, B., & Setiarini, A. (2025). Effectiveness of Parental Nutrition Education to Prevent and Reduce Undernutrition among Children Under Five Aged : Literature Review. Mandalika Journal of Medical and Health Sciences, 3(2), 44–53.

Becker, M. H. (1974). The health belief model and sick role behavior. Health Education Monographs, 2(4), 409–419. https://www.jstor.org/stable/2953668

Berutu, R. E., Rosmiati, R., Emilia, E., Haryana, N. R., & Ingtyas, F. T. (2024). Maternal Knowledge of Balanced Nutrition and Maternal Feeding Practices Associated with Stunting in Children Aged 24-60 Months in the Puskesmas Siempat Rube Working Area. Media Publikasi Promosi Kesehatan Indonesia, 7(7), 1878–1883.

Dewi, M., & Aminah, M. (2016). Pengaruh Edukasi Gizi terhadap Feeding Practice Ibu Balita Stunting Usia 6-24 Bulan. Indonesian Journal of Human Nutrition, 3(1), 1–8.

Ginting, W. M., & Hutabarat, F. B. (2025). Penyuluhan Gizi dalam Meningkatkan Pengetahuan dan Perilaku Ibu dalam Mendukung Tumbuh Kembang Balita di Puskesmas Perawatan Kota Blangkejeren Nutrition Counseling to Improve Mothers ’ Knowledge and Behavior in Supporting Toddlers ’ Growth and Development. Jurnal Pengmas Kestra, 5(2), 270–275.

Grebmer, K. von, Bernstein, J., Wiemers, M., Schiffer, T., Hanano, A., Towey, O., Chéilleachair, R. N., Foley, C., Gitter, S., Ekstrom, K., Fritschel, H., Delgado, C., & Smith, D. (2021). Global Hunger Index.

Hasan, D. S., & Arief, Y. S. (2024). Mobile application intervention to improve nutritional literacy of mothers with stunting children : A systematic review. Pediomaternal Nursing Journal, 10(2), 70–75.

Headey, D., Hirvonen, K., & Hoddinott, J. (2018). A NIMAL S OURCED F OODS AND. American Journal of Agricultural Economics, 100(5), 1302–1319. https://doi.org/10.1093/ajae/aay053

Kementrian Kesehatan RI. (2021). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI).

Lestari, D. P., Popang, C. T., Sulistoyowati, A. N., Misiro, K., & Degei, A. (2026). Edukasi Mpasi Tepat Waktu dan Bergizi Seimbang Sebagai Upaya Peningkatan Pengetahuan dan Sikap Ibu. Journal of Community Development, 6(3), 1–13. https://doi.org/https://doi.org/10.47134/comdev.v6i3.1879

Lestari, E., Siregar, A., Hidayat, A. K., & Yusuf, A. A. (2024). Stunting and its association with education and cognitive outcomes in adulthood : A longitudinal study in Indonesia. Plos One, 19(5), 1–18. https://doi.org/10.1371/journal.pone.0295380

Majidah, N. M., & Paramashanti, B. A. (2021). Effect of Maternal Nutrition Education on Knowledge , Attitude , and Practice Related to Infant and Toddler Feeding. 5(2), 73–82. https://doi.org/10.21580/ns.2021.5.2.5245

Mawaddah, M., & Siregar, E. S. (2026). The Effect of Using A Digital Nutrition Application On the Knowledge and Attitudes of Mothers With Children Aged 1 – 5 Years Regarding Undernutrition. Jurnal Ners, 10, 2172–2178.

Mulyani, A. T., Khairinisa, M. A., & Khatib, A. (2025). Understanding Stunting : Impact , Causes , and Strategy to Accelerate Stunting Reduction — A Narrative Review.

Nafista, U. F., Nurhaeni, N., & Waluyanti, F. T. (2023). with education on World Health Organization feeding recommendations m er us e on on er al. La Pediatria Medica e Chirurgica, 45(s1), 11–16. https://doi.org/10.4081/pmc.2023.314

Parikh, P., Semba, R., Manary, M., Swaminathan, S., Udomkesmalee, E., Bos, R., Koon, B., Nipa, P., Geurts, J., & Nga, T. T. (2022). Animal source foods , rich in essential amino acids , are important for linear growth and development of young children in low- and middle-income countries. March 2021, 1–12. https://doi.org/10.1111/mcn.13264

Prasetyo, Y. B., Permatasari, P., & Susanti, H. D. (2023). The effect of mothers ’ nutritional education and knowledge on children ’ s nutritional status : a systematic review. International Journal of Child Care and Education Policy, 17(11), 1–16. https://doi.org/10.1186/s40723-023-00114-7

Rahmadani, R. A., Setiawati, A., Aris, I., & Lontaan, A. (2025). Effectiveness of nutrition education on stunting prevention behavior in mothers under five. Jurnal Edukasi Ilmiah Kesehatan, 3(1), 1–8. https://doi.org/https://doi.org/10.61099/junedik.v3i1.68

Simbolon, I., & Simbolon, D. (2025). Health Education Using E-Book Media and Maternal Literacy on Complementary Feeding in Children 6-23 Months. E-Learning Innovations Journal, 3(1), 48–65.

UNICEF. (2015). Child Stunting , Hidden Hunger and Human Capital in South Asia. https://www.unicef.org/rosa/media/1611/file/Child stunting%2C hidden hunger and human capital in South Asia.pdf

UNICEF. (2019). For every child , reimagine. UNICEF.

UNICEF. (2020). Situasi Anak di Indonesia.

Vasquez, N. A., & Daher, J. (2019). Do nutrition and cash-based interventions and policies aimed at reducing stunting have an impact on economic development of low-and-middle-income countries ? A systematic review. 1, 1–14.

World Health Organization. (2018). Child Growth Monitoring : A Technical Guide. World Health Organization.

World Health Organization. (2025). Global Nutrition Targets 2025: Stunting Policy Brief (Issue 9).

Yusnaini, Kartinazahri, Fitraniar, I., Yuniwati, C., & Miko, A. (2024). The influence of maternal behavior in infant and young child feeding with stunting Pengaruh perilaku ibu dalam pemberian makanan pada anak usia 3-4 tahun dengan kejadian stunting Abstrak. Aceh Nutrition Journal, 9(4), 713–720.

Zeldman, J., Kamuf, J., Varela, E. G., Gorin, A. A., Gans, K. M., Gurka, M. J., Bernier, A. V., & Mobleym, A. R. (2024). Stakeholder Perceptions of Digital Nutrition Education Modules on Infant Feeding in Home Visiting Programs. Journal of Nutrition Education and Behavior, 57(4), 326–337.https://doi.org/https://doi.org/10.1016/j.jneb.2024.12.008