Primary healthcare physicians’ readiness in addressing child stunting: a review of knowledge, attitudes, and practices in Aceh Province

Tita Menawati Liansyah* -  Departemen Family Medicine Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Abiarso Widoseno -  Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Iflan Naufal -  3Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Syiah Kuala, Indonesia
Zahratulaini Zahratulaini -  Departemen Family Medicine Fakultas Kedokteran, Universitas Syiah Kuala., Indonesia
Ika Waraztuty -  Bagian Anatomi - Histologi Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Tilaili Ibrahim -  Departemen Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Vera Dewi Mulia -  Departemen Patologi Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Winda Yulia -  Departemen Mikrobiologi, Kedokteran Tropis, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Visa Yunanda -  Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Derevie Hendryan Moulina -  Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Fitra Fitra -  Fakultas Kedokteran, Universitas Syiah Kuala/ RSUDZA Banda Aceh, Indonesia
Ari Bandana Tasrif -  Departemen Neurologi, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
Ariza Farizca -  Departemen Kedokteran Jiwa, Fakultas Kedokteran, Universitas Syiah Kuala, Indonesia
DOI : 10.30867/action.v10i2.2670

Stunting remains a significant chronic nutritional problem in Indonesia, including the province of Aceh. The lack of data on the knowledge, attitudes, and practices (KAP) of primary healthcare physicians regarding stunting prevention represents a critical gap that warrants investigation. This study aimed to evaluate the levels of knowledge, attitudes, and practices of public health center (PHC) physicians in addressing childhood stunting in Aceh Province. A descriptive-quantitative design was employed involving 143 physicians from 39 PHC located in Banda Aceh and Aceh Besar. This study was conducted between April 2022 and January 2023. Data were collected using a validated and reliable questionnaire and analyzed using univariate statistics. The majority of the respondents were female (89,5%). A total of 67,8% of respondents demonstrated good knowledge, 86% exhibited positive attitudes, and 82% reported engaging in stunting prevention practices aligned with standard guidelines. In conclusion, PHC physicians in the study area displayed strong readiness to support stunting prevention efforts. Continued capacity-building interventions and sustainable support systems are essential for reinforcing their strategic role in primary healthcare services.

 

Keywords : KAP study, malnourished children, stunting, primary healthcare physicians, primary health

  1. Bukit, D. S., Keloko, A. B., & Ashar, T. (2021). Dukungan tenaga kesehatan dalam pencegahan stunting di Desa Tuntungan 2 Kabupaten Deli Serdang. Tropical Public Health Journal, 1(2), 67–71. https://doi.org/10.32734/trophico.v1i2.7264
  2. Carolina, O. (2021). Analisis pelayanan intervensi gizi spesifik integratif stunting di wilayah kerja puskesmas kecamatan pademangan jakarta utara. Jurnal Medika Hutama, 3(1), 1372–1379.
  3. El-Rafie, M., Nesreen, M., & Shamaila, M. (2018). Knowledge, attitude and practice of health care providers at primary health care setting regarding stunting among Egyptian under five years. The Medical Journal of Cairo University, 86(March), 265–273. https://doi.org/10.21608/mjcu.2018.55097
  4. Erawati, N. K. (2020). Literatur review: Program mother smart grounding (MSG) dalam penanganan gizi stunting. Jurnal Kesehatan Dr. Soebandi, 8(1), 10–17. https://doi.org/10.36858/jkds.v8i1.157
  5. Jannah, M., & Diba, F. (2022). Hubungan pengetahuan, sikap dan tindakan pegawai dengan status gizi balita di Fakultas Kedokteran Universitas Islam Sumatera Utara. Ibnu Sina: Jurnal Kedokteran Dan Kesehatan-Fakultas Kedokteran Universitas Islam Sumatera Utara, 21(1), 1–8. https://doi.org/10.30743/ibnusina.v21i1.139
  6. Kalla, M. J. (2017). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting) (1st ed., pp. 5–7). Sekretariat Wakil Presiden Republik Indonesia.
  7. Kebede, G. G., Dawed, Y. A., & Seid, K. A. (2022). Child growth monitoring and promotion practice and associated factors among health care workers at public health facilities in south Wollo Zone, Northeast Ethiopia: a facility-based cross-sectional study. BMC Nutrition, 8(1), 99. https://doi.org/10.1186/s40795-022-00597-6
  8. Kemenkes RI. (2021). Buku Saku: Hasil Studi Status Gizi Indonesia (SSGI) tahun 2021 (Edisi 1). Kementerian Kesehatan Republik Indonesia.
  9. Kodish, S. R., Farhikhtah, A., Mlambo, T., Hambayi, M. N., Jones, V., & Aburto, N. J. (2021). Leveraging the Scaling Up Nutrition Movement to Operationalize Stunting Prevention Activities: Implementation Lessons From Rural Malawi. Food and Nutrition Bulletin, 43(1), 104–120. https://doi.org/10.1177/03795721211046140
  10. Ma, L., Xu, H., Zhang, Z., Li, L., Lin, Z., & Qin, H. (2023). Nutrition knowledge, attitudes, and dietary practices among parents of children and adolescents in Weifang, China: A cross-sectional study. Preventive Medicine Reports, 35, 102396. https://doi.org/https://doi.org/10.1016/j.pmedr.2023.102396
  11. Mahmoud Ahmed, N., Mohamed Sobhy Elsayed, D., & Mohamed AbdElrahman, B. (2023). Awareness of Maternal and Child Health Centers Nurses regarding Stunting among Children under Five Years. Journal of Nursing Science Benha University, 4(1), 577–590.
  12. Mangundap, S. A., Amyadin, A., Tampake, R., Umar, N., & Iwan, I. (2022). Health Cadre Education on Providing Stunting Risk Family Assistance toward Children. Open Access Macedonian Journal of Medical Sciences, 10(G), 306–310. https://doi.org/10.3889/oamjms.2022.8548
  13. Miranda, A. V., Sirmareza, T., Nugraha, R. R., Rastuti, M., Syahidi, H., Asmara, R., & Petersen, Z. (2023). Towards stunting eradication in Indonesia: Time to invest in community health workers. Public Health Challenges, 2(3), e108. https://doi.org/https://doi.org/10.1002/puh2.108
  14. Muhdar, M., Rosmiati, R., Tulak, G. T., Saputri, E., & Susanti, R. W. (2022). Peran Petugas Kesehatan dalam Pencegahan dan Penanganan Stunting di Kabupaten Kolaka. Jurnal Kesehatan Andalas, 11(1), 32–38. https://doi.org/10.25077/jka.v11i1.1930
  15. Reñosa, M. D., Dalglish, S., Bärnighausen, K., & McMahon, S. (2020). Key challenges of health care workers in implementing the integrated management of childhood illnesses (IMCI) program: a scoping review. Global Health Action, 13(1), 1732669. https://doi.org/10.1080/16549716.2020.1732669
  16. Sari, G. M. (2021). Early stunting detection education as an effort to increase mother’s knowledge about stunting prevention. Folia Medica Indonesiana, 57(1), 70–75. https://doi.org/10.20473/fmi.v57i1.23388
  17. Shakhshir, M., & Alkaiyat, A. (2023). Healthcare providers’ knowledge, attitude, and practice on quality of nutrition care in hospitals from a developing country: a multicenter experience. Journal of Health, Population and Nutrition, 42(1), 15. https://doi.org/10.1186/s41043-023-00355-9
  18. Welter, Christina, Jarpe-Ratner, Elizabeth, Bonney, Tessa, Pinsker, Eve, Fisher, Elizabeth, Deb, Nandini, Yankelev, Anna, Kapadia, Devangna, Love, Marsha, & Zanoni, Joseph. (2022). Evaluation Results From the Healthy Work Collaborative: A Cross-Sectoral Capacity Building Partnership to Address Precarious Employment. Health Promotion Practice, 23(5), 793–803. https://doi.org/10.1177/15248399211069099
  19. Zamir, S., Sarwar, R., Ahmed, S., Ali, S., & Tariq, U. (2021). Stunting Amongst Pakistani Children Under Five: Status of Knowledge, Attitude and Practice of Health Care Workers at Basic Health Units and Rural Health Centers in Raiwind, Lahore. Journal of Sheikh Zayed Medical College, 12(3), 22–27.

Open Access Copyright (c) 2025 Tita Menawati Liansyah, Abiarso Widoseno, Iflan Naufal, Zahratulaini Zahratulaini, Ika Waraztuty, Tilaili Ibrahim, Vera Dewi Mulia, Winda Yulia, Visa Yunanda, Derevie Hendryan Moulina, Fitra Fitra, Ari Bandana Tasrif, Ariza Farizca
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

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