Abstract
Stunting remains a significant public health challenge in Indonesia, particularly in underdeveloped regions like Central Sulawesi, where limited access to health information and services contributes to poor nutritional outcomes. This study evaluates the effectiveness of interventions in improving knowledge about stunting among four vulnerable groups: families with stunted children, pregnant women, couples of childbearing age (PUS), and female senior high school students in Central Sulawesi. Using a pre-and post-test design, the average knowledge scores on stunting increased from 14.12 to 50.95 among pregnant women, 28.57 to 58.43 among PUS, and 34.82 to 57.67 among female senior high school students. Correlation analysis revealed that sanitation, internal, and external factors were strongly associated with knowledge improvement (correlation values between 0.05% and 0.01%). These findings suggest that tailored, community-based educational approaches can significantly enhance awareness and knowledge of stunting, thereby contributing to long-term prevention efforts in underdeveloped regions.
References
Atamou, L., Rahmadiyah, D. C., Hassan, H., & Setiawan, A. (2023). Analysis of the Determinants of Stunting among Children Aged below Five Years in Stunting Locus Villages in Indonesia. Healthcare, 11(6), 810. https://doi.org/10.3390/healthcare11060810
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
Cumming, O., & Cairncross, S. (2016). Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications. Maternal & Child Nutrition, 12(S1), 91–105. https://doi.org/10.1111/mcn.12258
Kwami, C. S., Godfrey, S., Gavilan, H., Lakhanpaul, M., & Parikh, P. (2019). Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia. International Journal of Environmental Research and Public Health, 16(20), 3793. https://doi.org/10.3390/ijerph16203793
Mediani, H. S., Hendrawati, S., Pahria, T., Mediawati, A. S., & Suryani, M. (2022). Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary Healthcare, Volume 15(April), 1069–1082. https://doi.org/10.2147/JMDH.S356736
Muhamad, Z., Mahmudiono, T., Abihail, C. T., Sahila, N., Wangi, M. P., Suyanto, B., & Binti Abdullah, N. A. (2023). Preliminary Study: The Effectiveness of Nutrition Education Intervention Targeting Short-Statured Pregnant Women to Prevent Gestational Stunting. Nutrients, 15(19), 4305. https://doi.org/10.3390/nu15194305
Nasrul, N., Hafid, F., Faisal, T. I., Taufiqurrahman, T., & Ramadhan, K. (2024). Identifying risk factors and recommending interventions to reduce stunting in Sigi Regency. Nutrición Clínica y Dietética Hospitalaria, 44(3), 227–234. https://doi.org/10.12873/443nasrul
Ningsih, D. F., Ikhtiar, M., & Baharuddin, A. (2021). Community-Led Total Sanitation (CTLS) to Prevent Stunting among Toddlers in Indonesia. Journal of Aafiyah Health Research (JAHR) 2021, 2(2), 22–32. https://doi.org/10.52103/jahr.v2i2.706
Nurbaya, N., Bidayah, A., & Irwan, Z. (2023). Knowledge, Attitudes, and Practices of Complementary Feeding among Mothers at the Stunting Locus Area: A Cross-Sectional Study in West Sulawesi. Jurnal Bidan Cerdas, 5(2), 84–91. https://doi.org/10.33860/jbc.v5i2.2482
Rd. Halim, Rizqa Ichlasul Akhir, Evy Wisudariani, Muhammad Syukri, Icha Dian Nurcahyani, & Nurbaya, N. (2022). Kontribusi Pengetahuan Ibu dan Dukungan Petugas Kesehatan terhadap Praktik Pemberian ASI Eksklusif di Kota Batam. Poltekita : Jurnal Ilmu Kesehatan, 16(1), 59–66. https://doi.org/10.33860/jik.v16i1.976
Rizona, F., Appulembang, Y. A., Rahmawati, F., Citra, V. F., Saphira, Z., & Mursalinda, S. (2024). Effect of peer education on improving parental knowledge about nutrition in children. Healthcare in Low-Resource Settings, 12(1), 2–5. https://www.pagepressjournals.org/hls/article/view/13038
Serly Santiyah, S. S., Razak, R., Budiastuti, A., Sunarsih, E., & Ekasari, R. (2024). The Relationship between Personal Hygiene, Maternal Health Status, and History of Diarrhea to Stunting Cases in Indonesia: Systematic Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(12), 2886–2898. https://doi.org/10.56338/mppki.v7i12.6424
Soe, T. K., Laohasiriwong, W., Sornlorm, K., & Mahato, R. K. (2023). Safely managed sanitation practice and childhood stunting among under five years old children in Myanmar. PLOS ONE, 18(11), e0290600. https://doi.org/10.1371/journal.pone.0290600
Syam, D. M., & Bungawati, A. (2024). The effectiveness of community-led total sanitation cadre intervention in improving stunting knowledge and behavior. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13109
Tarigan, H. (2021). Relationship between Education , Mother ’ s Knowledge and Environmental Sanitation with Stunting for Toddlers in the Sarudik Primary Care Area Central Tapanuli Regency in 2020. Science Midwifery Journal, 10(1), 92–97. https://midwifery.iocspublisher.org/index.php/midwifery/article/view/135
Waghode, R. T., Yadav, S. S., Ghooi, R., Razak, S. A., & Menon, K. C. (2025). Work, Motherhood, and Nutrition: Investigating the Association of Maternal Employment on Child Nutritional Status in South Asia—A Systematic Review. Nutrients, 17(6), 1059. https://doi.org/10.3390/nu17061059
World Health Organization. (2018). Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. https://iris.who.int/bitstream/handle/10665/260202/9789241513647-eng.pdf

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