Enhancing mothers’ understanding of sanitation and nutrition for stunting prevention through a participatory approach in Palembang

Authors

  • Annisa Kemala Tasya UIN Raden Fatah
  • Delia Yusfarani Biologi Fakultas Saintek, UIN Raden Fatah Palembang
  • Andi Saputra Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Siti Soleha Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Anita Restu Puji Raharjeng Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Fitri Juneli Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Vega Putri Masdalena Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Gusti Aryanti Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Naomi Puspita Dewi Biologi Fakultas Saintek UIN Raden Fatah Palembang
  • Nur Azizah Biologi Fakultas Saintek UIN Raden Fatah Palembang

DOI:

https://doi.org/10.12928/jpm.v9i2.14988

Keywords:

Stunting Prevention, Sanitation, Nutrition

Abstract

Stunting in Indonesia is closely linked to inadequate sanitation and maternal health literacy. This community service program aimed to improve mothers’ knowledge and sanitation practices for stunting prevention through a Participatory Action Research (PAR) approach in Palembang. The program involved 39 mothers of stunted children across four public health centers. Evaluation was conducted using pre–post KAP questionnaires, household observations, and environmental measurements. The results showed that 82% of participants improved their knowledge scores compared to baseline, with average scores increasing from low to good levels. Observable behavioral changes included proper handwashing, improved waste management, safer water storage, and better home ventilation. Coliform contamination in drinking water decreased from 58.2 to 5.13 CFU/100 mL, indicating a positive improvement trend, although not yet meeting WHO standards. The formation of the “Ibu Peduli Sanitasi” group strengthened sustainability through peer education and community monitoring. This program demonstrates that participatory community empowerment effectively enhances maternal capacity and promotes sustainable sanitation behavior in stunting prevention

References

Y. Yusriadi, S. Sugiharti, Y. Ginting, G. Sandra, and A. Zarina, “Preventing stunting in rural Indonesia: A community-based perspective,” African J. Food, Agric. Nutr. Dev., vol. 24, no. 9, pp. 24470–24491, Oct. 2024, doi: 10.18697/ajfand.134.24820.

N. L. Sitorus, “The Significance of Tackling Stunting for The Economic Prosperity of A Nation – A Narrative Review,” J. Indones. Spec. Nutr., vol. 1, no. 4, pp. 131–137, Jun. 2024, doi: 10.46799/jisn.v1i4.23.

E. Lestari, A. Siregar, A. K. Hidayat, and A. A. Yusuf, “Stunting and its association with education and cognitive outcomes in adulthood: A longitudinal study in Indonesia,” PLoS One, vol. 19, no. 5, p. e0295380, May 2024, doi: 10.1371/journal.pone.0295380.

S. J. W. Astuti, S. Suindyah Dwiningwarni, and S. Atmojo, “Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia,” Dialogues Heal., vol. 6, p. 100206, Jun. 2025, doi: 10.1016/j.dialog.2025.100206.

Atalia Pili Mangngi, “Childhood Stunting as a Public Health Problem and its Prevention Interventions: A Literature Review,” Int. J. Heal. Med., vol. 3, no. 1, pp. 39–48, Jan. 2026, doi: 10.62951/ijhm.v3i1.595.

A. T. Mulyani, M. A. Khairinisa, A. Khatib, and A. Y. Chaerunisaa, “Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction—A Narrative Review,” Nutrients, vol. 17, no. 9, p. 1493, Apr. 2025, doi: 10.3390/nu17091493.

A. Ali, “Current Status of Malnutrition and Stunting in Pakistani Children: What Needs to Be Done?,” J. Am. Coll. Nutr., vol. 40, no. 2, pp. 180–192, Feb. 2021, doi: 10.1080/07315724.2020.1750504.

T. A. E. Permatasari, Y. Chadirin, Ernirita, F. Elvira, and B. A. Putri, “The association of sociodemographic, nutrition, and sanitation on stunting in children under five in rural area of West Java Province in Indonesia,” J. Public health Res., vol. 12, no. 3, pp. 1–14, Jul. 2023, doi: 10.1177/22799036231197169.

M. N. Tang, S. Adolphe, S. R. Rogers, and D. A. Frank, “Failure to Thrive or Growth Faltering: Medical, Developmental/Behavioral, Nutritional, and Social Dimensions,” Pediatr. Rev., vol. 42, no. 11, pp. 590–603, Nov. 2021, doi: 10.1542/pir.2020-001883.

S. Budge, A. H. Parker, P. T. Hutchings, and C. Garbutt, “Environmental enteric dysfunction and child stunting,” Nutr. Rev., vol. 77, no. 4, pp. 240–253, Apr. 2019, doi: 10.1093/nutrit/nuy068.

R. Campos and L. Fernandes, “Health Education for Awareness and Behavioral Change and Influence,” Springer, Cham, 2020, pp. 304–316, doi: 10.1007/978-3-319-95681-7_99.

M. L. Alzúa, H. Djebbari, and A. J. Pickering, “A Community-Based Program Promotes Sanitation,” Econ. Dev. Cult. Change, vol. 68, no. 2, pp. 357–390, Jan. 2020, doi: 10.1086/701214.

M. Nyambura, “Sanitation and hygiene interventions in low-resource communities: A comprehensive review of community health nursing approaches,” J. Hyg. Community Heal. Nurs., vol. 2, no. 1, pp. 01–07, Jan. 2025, doi: 10.33545/30789109.2025.v2.i1.A.6.

M. Cashmore, A. Bond, and D. Cobb, “The role and functioning of environmental assessment: Theoretical reflections upon an empirical investigation of causation,” J. Environ. Manage., vol. 88, no. 4, pp. 1233–1248, Sep. 2008, doi: 10.1016/j.jenvman.2007.06.005.

A. O’Mara-Eves, G. Brunton, S. Oliver, J. Kavanagh, F. Jamal, and J. Thomas, “The effectiveness of community engagement in public health interventions for disadvantaged groups: a meta-analysis,” BMC Public Health, vol. 15, no. 1, p. 129, Dec. 2015, doi: 10.1186/s12889-015-1352-y.

S. E. Collins et al., “Community-based participatory research (CBPR): Towards equitable involvement of community in psychology research.,” Am. Psychol., vol. 73, no. 7, pp. 884–898, Oct. 2018, doi: 10.1037/amp0000167.

C. F. Gonzales-Ortiz, A. Rodríguez-Gonzales, K. Radon, and M. T. Solís-Soto, “Development of a Project to Strengthen Environmental Education in Educational Institutions in Bolivia: ‘Environmental Care with a One Health Approach,’” Sustainability, vol. 17, no. 8, p. 3464, Apr. 2025, doi: 10.3390/su17083464.

M. F. Ramadhan, H. Dimiati, H. Hidayaturrahmi, and R. Indah, “The Correlation between Stunting, Maternal Knowledge, and Nutritional Care in Aceh, Indonesia,” Amerta Nutr., vol. 8, no. 4, pp. 513–518, Nov. 2024, doi: 10.20473/amnt.v8i4.2024.513-518.

L. Rahayuwati et al., “Exploring the relationship between maternal education, parenting practice, and stunting among children under five: Findings from a cross-sectional study in Indonesia,” F1000Research, vol. 12, p. 722, Jun. 2023, doi: 10.12688/f1000research.133916.1.

J. H. Rah, S. Sukotjo, N. Badgaiyan, A. A. Cronin, and H. Torlesse, “Improved sanitation is associated with reduced child stunting amongst Indonesian children under 3 years of age,” Matern. Child Nutr., vol. 16, no. S2, p. e12741, Oct. 2020, doi: 10.1111/mcn.12741.

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Published

2025-08-18

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