Intervensi edukasi worksheet-flashcard untuk meningkatkan asupan protein dan perilaku pemberian makan pada balita (3-5 tahun): Studi Quasi-Eksperimental
DOI: 10.30867/gikes.v6i3.2904Abstract
Background: Various government programs have been implemented to address stunting, but there is still a lack of interactive educational interventions based on worksheets and flashcards to stimulate protein intake and feeding behavior in toddlers, which is expected to reduce stunting rates.
Objectives: To assess the effect of educational media using worksheets and flashcards on protein intake and feeding behavior in toddlers (3-5 years old) in the Simbang Community Health Center (Puskesmas) working area, Maros Regency.
Methods: This study used a quasi-experimental design with a two-group pretest-posttest control design. The sample consisted of n = 50 mothers with children aged 3-5 years old, consisting of an intervention group (n = 25) and a control group (n = 25). The study was conducted for one month (July–August 2025). Data were processed using WHO-Antro 2005 and Nutrisurvey 2007. Statistical analysis used paired t-tests and Wilcoxon tests. Meanwhile, the difference or Δ post-pre scores between the two groups was analyzed using the Independent t-test and the Mann-Whitney test. Statistical significance was set at p<0,05.
Results: The results of the study showed that the intervention provided was proven effective in improving several indicators of child growth and nutrition, namely ∆ BB/A = 0,06 (Intervention) vs -0,04 (Control) p=0,014, ∆ TB/A = -0,03 (Intervention) vs -0,08 (Control) p=0,031, ∆ Median Knowledge = 4,0 (Intervention) vs 3,0 (Control) p=0,003, ∆ Median Attitude = 10,0 (Intervention) vs 3,0 (Control) p=0,012, ∆ Median Protein = 16,1 gr (Intervention) vs 3,3 gr (Control), p=0,030 (In the Intervention group), p=0,033 (Between groups ∆). However, the intervention did not have a significant effect on increasing energy intake. P=0,062.
Conclusion: This intervention is effective in improving child growth and nutrition.Keywords
Full Text:
PDFReferences
Akbar, R. R., Kartika, W., & Khairunnisa, M. (2023). The Effect of Stunting on Child Growth and Development. Scientific Journal, 2(4), 153–160. https://doi.org/10.56260/sciena.v2i4.118
Astyandini, B., & Isharyati, S. (2024). The Level of Education of Mothers in Carrying Out the Role of Preparing Protein Food for Toddlers. 2(9), 1293–1300.
Ayu Rahmadani, R., Setiawati, A., Aris, I., Lontaan, A., & Prasetyowati, P. (2025). Effectiveness of nutrition education on stunting prevention behavior in mothers under five. Jurnal Edukasi Ilmiah Kesehatan, 3(1), 01–08. https://doi.org/10.61099/junedik.v3i1.68
Babys, I. Y., Dewi, Y. L. R., & Rahardjo, S. S. (2022). Meta-Analysis the Effect of Complementary Feeding Practice on Stunting in Children Aged 6-59 Months. Journal of Maternal and Child Health, 7(4), 465–478. https://doi.org/10.26911/thejmch.2022.07.04.10
Banowo, A. S., & Hidayat, Y. (2021). Pengaruh Edukasi Gizi terhadap Praktik Pemberian Makan Pada Baduta Stunting di Kabupaten Bengkulu Utara. Jurnal Ilmiah Universitas Batanghari Jambi, 21(2), 765. https://doi.org/10.33087/jiubj.v21i2.1539
Djohar, Z., & Anggraini, I. R. (2025). Inovasi edukasi dengan media website dan flashcard tentang gizi seimbang pada anak usia 2 – 5 tahun. 5(6), 334–341.
Dwi Suryana, I., Mahmudah, U., Pusparini, P., & Agung Suprihartono, F. (2023). Pengaruh Penyuluhan Gizi Seimbang Dengan Media Sosial Instagram Terhadap Pengetahuan, Asupan Energi Dan Protein Pada Remaja Putri Sekolah Menengah Atas. Jurnal Gizi Dan Dietetik, 2(2), 55–68. https://doi.org/10.34011/jgd.v2i2.1802
Endrinikapoulos, A., Afifah, D. N., Mexitalia, M., Andoyo, R., Hatimah, I., & Nuryanto, N. (2023). Study of the importance of protein needs for catch-up growth in Indonesian stunted children: a narrative review. SAGE Open Medicine, 11. https://doi.org/10.1177/20503121231165562
Fikawati, S., Syafiq, A., Ririyanti, R. K., & Gemily, S. C. (2021). Energy and protein intakes are associated with stunting among preschool children in Central Jakarta, Indonesia: a case-control study. Malaysian Journal of Nutrition, 27(1), 81–91. https://doi.org/10.31246/MJN-2020-0074
Fitriyani. (2024). the Importance of Nutrition Education To Change Mother’S Knowledge and Behaviour in Achieving Adequate Nutrition for Toddler. Global Health Science Group, 5(1), 127–134. http://jurnal.globalhealthsciencegroup.com/index.php/PICNHS
Hardiyanti, S., Rekawati, E., Setiawan, A., & Rahmadiyah, D. C. (2024). Effectiveness of Family Nutrition Education on the Incidence of Stunting: Systematic Review. Indonesian Journal of Global Health Research, 6(3), 1231–1242.
Ilmiati, F., Syauqy, A., Noer, E. R., Margawati, A., & Kartini, A. (2024). Energy Intake, Protein Intake, and Toddler Hygiene with the Incidence of Stunting in 24-59 Months Toddlers in Mentawai Islands. Jurnal Info Kesehatan, 22(4), 724–734. https://doi.org/10.31965/infokes.vol22.iss4.1738
Irwan, I., Towapo, M., Kadir, S., & Amalia, L. (2020). Efektivitas Pemberian Pmt Modifikasi Berbasis Kearifan Lokal Terhadap Peningkatan Status Gizi Balita. Journal Health & Science: Gorontalo Journal Health and Science Community, 4(2), 59–67. https://doi.org/10.35971/gojhes.v4i2.7742
Kemenkes BKPK. (2023). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. In Kementrian Kesehatan Badan Kebijakan Pembangunan Kesehatan.
Kusuma, L., Aulia, V., Hadhikul, M., & Kardila, M. (2023). Risks of Stunting and Interventions to prevent Stunting. Journal of Community Engagement in Health, 6(2), 79–83. https://doi.org/10.30994/jceh.v6i2.528
Lestari, I. J., Effendy, D. S., & Jufri, N. (2025). Pengaruh Edukasi Gizi terhadap Pengetahuan Ibu, Asupan Zat Gizi Makro dan Peningkatan Status Gizi Anak Usia 6 - 24 Bulan di Wilayah Kerja Puskesmas Mata Kota Kendari. Jurnal Kendari Kesehatan Masyarakat (JKKM), 4(3).
Made, N., Rachel, A., Nuka, R., Andini, N., & Mahmudiono, T. (2024). Pengaruh Edukasi Gizi dengan Media Flashcard terhadap Perubahan Pengetahuan dan Frekuensi Sarapan di SD Muhammadiyah 4 Surabaya The Effect of Nutrition Education using Flashcards on Changes in Knowledge and Frequency of Breakfast in Muhammadiyah Elementar. 757–762.
Milhatul Azizah, & Rakhmat Susilo. (2025). Mini Poster Education on Toddler Nutrition Toward Mother’s Knowledge and Attitudes in Batusari Brebes Village. Jurnal Promkes, 13(1), 76–82. https://doi.org/10.20473/jpk.v13.i1.2025.76-82
Morales, F., Montserrat-de la Paz, S., Leon, M. J., & Rivero-Pino, F. (2024). Effects of Malnutrition on the Immune System and Infection and the Role of Nutritional Strategies Regarding Improvements in Children’s Health Status: A Literature Review. Nutrients, 16(1), 1–16. https://doi.org/10.3390/nu16010001
Muliawan, A., Fauziah, D. A., Nurdianyah, A., Dwi, A. S., & Sholihin, M. R. (2024). Handling Stunting as a Management Community Service. Journal of Loyality and Community Development, 1(1), 27–32. https://ejournal.mediakunkun.com/index.php/record
Napu, A., Irwan, I., Inaku, H., Pomalingo, A. Y., Salimi, Y. K., & Alimuddin, A. (2023). the influence of nutrition science learning on students on the consumption attitude of traditional gorontalo food (The Influence of Learnng Nutrition Sciences on Students to Attitudes of Gorontalo Tradisional Food Consumption). Jambura Journal of Health Sciences and Research, 5(1), 263–273. https://doi.org/10.35971/jjhsr.v5i1.17347
Nurpratama, W. L., Asmi, N. F., & Prakoso, A. D. (2024). Pengaruh intervensi pangan lokal dan konseling gizi terhadap stunting pada balita. Jurnal SAGO Gizi Dan Kesehatan, 5(3B), 1086. https://doi.org/10.30867/gikes.v5i3b.2177
Nurseha, Rofita, D., Nurulicha, Sari, N. P., Rismawan, M., & Mau, A. (2025). Pentingnya Pencegahan Stunting pada Anak (Y. K. Tumani (ed.); Pertama). PT Optimal untuk Negeri.
Ochi, A., & Saidi, Y. (2024). Socio-economic inequalities and their impact on children’s health and nutrition in Tunisia using generalized entropy measures. Regional Science Policy and Practice, 16(6), 100034. https://doi.org/10.1016/j.rspp.2024.100034
Permana, D., Anantanyu, S., & Priyatama, A. N. (2023). Stunting Incidence in Toddlers Aged 24-59 Months in Kuburaya District Viewed from Feeding Patterns. Proceedings of the International Conference on Nursing and Health Sciences, 4(1), 259–266. https://doi.org/10.37287/picnhs.v4i1.1808
Proaño, G. V., Rodriguez Moreno, L. M., Arciniegas, M. J., Sifre-Acosta, N., Espinal, C., Chowdhury, R., Hernández Flórez, L. J., & Palacios, C. (2024). Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in Colombia. The Lancet Regional Health - Americas, 29, 100656. https://doi.org/10.1016/j.lana.2023.100656
Qomariyah, Desi Soraya, & Linda Pramusinta. (2024). Pengaruh Intervensi Konseling Feeding Rules dan Massage Eating Difficulties terhadap Status Gizi pada Balita Stunting. Indonesian Journal of Midwifery (IJM), 7(1), 92–105. https://doi.org/10.35473/ijm.v7i1.2813
Rahayu, E., & Munjidah, A. (2020). the Relationship Between Selection of First Complementary Foods With Food Preferences in Infants and Toddlers. Siklus : Journal Research Midwifery Politeknik Tegal, 9(1), 66–72. https://doi.org/10.30591/siklus.v9i1.1670
Rahayu, E. P., Handayani, N., Delina, L., Ayu, T., & Laranti, A. (2021). Edukasi Feeding Rules Dan Distribusi Flashcard Affirmation Sebagai Upaya Mengatasi Masalah Makan. JMM (Jurnal Masyarakat Madani), 5(6), 3193–3202. http://download.garuda.kemdikbud.go.id/article.php?article=2731405&val=12056&title=Edukasi Feeding Rules Dan Distribusi Flashcard Affirmation Sebagai Upaya Mengatasi Masalah Makan Pada Balita
Sahroni, A., & Rachmawat, R. (2023). Pengaruh Edukasi dengan Metode Kelas Ibu terhadap Pengetahuan Pemberian Makanan Bayi dan Anak (PMBA), Praktik Pemberian MP-ASI dan Berat Badan Balita Underweight. NASUWAKES: Jurnal Kesehatan Ilmiah, 16(2), 144–154. https://doi.org/10.30867/nasuwakes.v16i2.425
Sari, M. P., Nathasaria, T., Majawati, E. S., & Pangaribuan, H. U. (2020). Soil-Transmitted Helminth Infections, Anemia, and Undernutrition Among School-Children in An Elementary School in North Jakarta, Indonesia. Majalah Kedokteran Bandung, 52(4). https://doi.org/10.15395/mkb.v52n4.2137
Sari, N. P., Syahruddin, A. N., Irmawati, I., & Irmawati, I. (2023). Asupan Gizi Dan Status Gizi Anak Usia 6-23 Bulan Di Kabupaten Maros. Jambura Journal of Health Sciences and Research, 5(2), 660–672. https://doi.org/10.35971/jjhsr.v5i2.18617
Sihombing, E. M. (2020). Hubungan Pengetahuan dan Sikap Ibu dengan Ketepatan Pemberian Makanan pada Bayi Umur 0-12 Bulan di Wilayah Kerja Puskesmas Sigompul Kecamatan Lintongnihuta Kabupaten Humbang Hasundutan. Evidance Bassed Journal (Ebj), I(1), 34–42.
Soviyati, E., Endang, S. S., Sugihardjo, I., & Budiyanti, W. (2023). Effect of applying the health promotion model in stunting prevention and behavior control in Indonesia. 1–6. https://doi.org/10.4103/jehp.jehp
SSGI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. In Kemenkes.
Sudigyo, D., Hidayat, A. A., Nirwantono, R., Rahutomo, R., Trinugroho, J. P., & Pardamean, B. (2023). Literature study of stunting supplementation in Indonesian utilizing text mining approach. Procedia Computer Science, 216(January 2023), 722–729. https://doi.org/10.1016/j.procs.2022.12.189
Supariasa, I. D. N., Arianto, A. N., Alfaini, A. M., & Adelina, R. (2024). Edukasi Gizi Seimbang dan Pemberian Makanan Tambahan (PMT) memperbaikiAsupanProtein, Seng, Berat Badan, dan Tinggi Badan Anak Stuntingdi Kabupaten Malang. Nutri-Sains: Jurnal Gizi, Pangan Dan Aplikasinya, 8(2), 81–94. https://doi.org/10.21580/ns.2024.8.2.16588
Syahruddin, A. N., Irmawati, I., & Sari, N. P. (2023). Water Sanitation and Hygiene (WASH) and feeding patterns: Linkages with stunting among children aged 6-23 months. AcTion: Aceh Nutrition Journal, 8(3), 466. https://doi.org/10.30867/action.v8i3.1007
Syamsiyah, N. (2013). Pengaruh Media Leaflet Terhadap Perubahan Pengetahuan Dan Intensi Pemberian Asi Eksklusif Pada Ibu Hamil Di Wilayah Puskesmas Kecamatan Pesanggrahan. UNIVERSITAS ISLAM NEGERI SYARIF HIDAYATULLAH JAKARTA.
Usdeka Muliani, Sumardilah, D. S., & Mindo Lupiana. (2023). Asupan Gizi Dan Pengetahuan Dengan Status Gizi Remaja Putri. Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja, 8(1), 35–42. https://doi.org/10.52235/cendekiamedika.v8i1.202
Voth-Gaeddert, L. E., Stoker, M., Cornell, D., & Oerther, D. B. (2018). What causes childhood stunting among children of San Vicente, Guatemala: Employing complimentary, system-analysis approaches. International Journal of Hygiene and Environmental Health, 221(3), 391–399. https://doi.org/10.1016/j.ijheh.2018.01.001
Wardani, N. E. K. (2022). the Effect of Stunting on the Level of Language Development in Toddlers. Jurnal Voice of Midwifery, 12(2), 61.
WHO. (2023). Stunting prevalence among children under 5 years of age (%) (model-based estimates. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence
Wijhati, E. R., Nuzuliana, R., & Pratiwi, M. L. E. (2021). Analisis status gizi pada balita stunting. Jurnal Kebidanan, 10(1), 1. https://doi.org/10.26714/jk.10.1.2021.1-12
Refbacks
- There are currently no refbacks.











