Innovation of Prototype of Stunting Health Information System and 3D Pageflip E-Module on Stunting Preventive Knowledge and Attitude in South Tangerang
Abstract
According to an analysis conducted by the World Bank Group, WHO, and UNICEF, around 144 million children who are under the age of five (21.3%) were affected by stunting worldwide in 2019. By 2022, this figure had risen to an estimated 148.1 million children (22.3%). This study aims to evaluate the health promotion interventions utilizing a prototype of a stunting health information system and a 3D pageflip e-module in enhancing attitudes and knowledge for the prevention of stunting in South Tangerang. This study applied a quantitative approach combined with a quasi-experimental design, utilizing a two-group design with a pretest and post-test measurements framework. A total of 106 individuals surveyed were included, divided equally into two groups: one group received the prototype stunting health information system intervention, and the other was provided with the 3D Pageflip e-module, comprising 53 participants for every group. The Wilcoxon test showed the prototype of the stunting health information system group showed a significant difference for knowledge (p = 0.046) and attitude (p = 0.025), and the 3D pageflip e-module group showed a significant difference in knowledge and attitude (p = 0.000). The Mann-Whitney test showed that there was a significant difference for knowledge (p = 0.000) and for attitude (p = 0.042). The effect size test for knowledge is 1.06 and for attitude 0.27. It can be concluded that the prototype of the stunting health information system and the 3D pageflip e-module effectively increase mothers' knowledge and attitudes regarding stunting prevention.
Keywords: Prototype, Stunting Health Information System, 3D Pageflip E Module, Knowledge, Preventive, Attitude
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Abdussamad, Z., Rosita, E., Alfianto, A. G., Pramana, C., Kristianto, B., Wicaksono, K. E., Solehah, E. L., Wahyuni, W., Linadi, K. E., & Prasetyo, B. (2021). Promosi Kesehatan: Program Inovasi dan Penerapan. Media Sains Indonesia.
Adam, A., Amir, A., Islam, D., & Imran, A. (2022). Knowledge and attitude students through nutrition health education with e-Modul “Against Stunting.” Indonesian Journal of Global Health Research, 4(1), 203–210. https://doi.org/10.37287/ijghr.v4i1.911
Adelbertha, A., Devi, N. C., Harahap, R. O., & Ningrum, A. G. (2022). The association of adolescent pregnancy with stunting incidence in child under five years old. Jurnal Sosial Dan Sains (SOSAINS), 2(11).
Anggraeni, R., Sansuwito, T. Bin, Aljaber, M. A. A., & Nambiar, N. (2022). Effect of preventive modul to improve knowledge and attitude toward stunting prevention among mothers: Literature review. Al Insyirah International Scientific Conference on Health, 3(1), 274–281.
Arias López, M. del P., Ong, B. A., Borrat Frigola, X., Fernández, A. L., Hicklent, R. S., Obeles, A. J. T., Rocimo, A. M., & Celi, L. A. (2023). Digital literacy as a new determinant of health: a scoping review. PLOS Digital Health, 2(10), e0000279. https://doi.org/10.1371/journal.pdig.0000279
Budhathoki, S. S., Bhandari, A., Gurung, R., Gurung, A., & Kc, A. (2020). Stunting among under 5-year-olds in Nepal: trends and risk factors. Maternal and Child Health Journal, 24, 39–47. https://doi.org/10.1007/s10995-019-02817-1
Bukari, M., Abubakari, M. M., Majeed, M., Abizari, A.-R., Wemakor, A., & Atosona, A. (2020). Effect of maternal growth monitoring knowledge on stunting, wasting and underweight among children 0-18 months in Tamale metropolis of Ghana. BMC Research Notes, 13(1), 45. https://doi.org/10.1186/s13104-020-4910-z
Chowdhury, T. R., Chakrabarty, S., Rakib, M., Winn, S., & Bennie, J. (2022). Risk factors for child stunting in Bangladesh: an analysis using MICS 2019 data. Archives of Public Health, 80(1), 126. https://doi.org/10.1186/s13690-022-00870-x
Côté, J., Rouleau, G., Ramirez-Garcia, M. P., Auger, P., Thomas, R., & Leblanc, J. (2020). Effectiveness of a web-based intervention to support medication adherence among people living with HIV: web-based randomized controlled trial. JMIR Public Health and Surveillance, 6(2), e17733. https://doi.org/10.2196/17733
Doharey, R. K., Verma, A., Verma, K., & Yadav, V. (2023). Education : Meaning, definition & Types (pp. 1–6).
Fitriami, E., & Galaresa, A. V. (2022). Edukasi pencegahan stunting berbasis aplikasi android dalam meningkatkan pengetahuan dan sikap ibu. Citra Delima Scientific Journal of Citra Internasional Institute, 5(2), 78–85.
Fitriani, F., & Darmawi, D. (2022). Hubungan Pengetahuan dan Sikap Ibu dengan Kejadian Stunting pada Balita di Desa Arongan Kecamatan Kuala Pesisir Kabupaten Nagan Raya. Jurnal Biology Education, 10(1), 23–32. https://doi.org/10.32672/jbe.v10i1.4114
Gejir, I. N., Kencana, I. G. S., Artawa, I. M. B., & Suanda, I. W. (2021). Implementasi Proses Pembelajaran dalam Penyuluhan Kesehatan Bagi Tenaga Kesehatan. Media Nusa Creative (MNC Publishing).
Girma, D., Teshome, D., Kaso, A. W., & Kaso, M. (2023). Growth monitoring and promotion services utilization and associated factors among children less than two years of age in Digelu Tijo district, south central Ethiopia. Clinical Epidemiology and Global Health, 19, 101203.
Gustina, M., Yorita, E., Sari, A. K., Utama, F., & Haryono, H. (2025). The Android mobile application to assess mothers’ knowledge, attitudes, and behaviors related to the prevention of stunting in children under two years old. Malahayati International Journal of Nursing and Health Science, 8(10), 1327–1335.
Hulu, V. T., Pane, H. W., Tasnim, T., Zuhriyatun, F., Munthe, S. A., Hadi, S., Salman, S., Sulfianti, S., Hidayati, W., & Hasnidar, H. (2020). Promosi kesehatan masyarakat. Yayasan Kita Menulis.
Kemenkes RI. (2023). Survei kesehatan Indonesia. Survei Kesehatan Indonesia.
Korkmaz, G., & Toraman, C. (2021). Exploring medical students’ readiness for e-learning and knowledge sharing behaviors in emergency remote learning environments during Covid-19. Journal of Education in Science Environment and Health, 7(3), 259–268. https://doi.org/10.21891/jeseh.960141
Kristiyanti, R., Khuzaiyah, S., & Susiatmi, S. A. (2021). Mother’s knowledge and attitude about stunting prevention. Siklus: Journal Research Midwifery Politeknik Tegal, 10(1), 49–52. https://doi.org/10.30591/siklus.v10i1.2229
Kurniawati, A., & Saputro, N. T. (2022). Association of maternal age during pregnancy with stunting in children age 2-3 years. Informasi Dan Promosi Kesehatan, 1(2), 52–63.
Lailiyah, N., Ariestiningsih, E. S., & Supriatiningrum, D. N. (2021). Hubungan pengetahuan ibu dan pola pemberian makan dengan kejadian stunting pada balita (2-5 tahun). Ghidza Media Jurnal, 3(1), 226–233. https://doi.org/10.30587/ghidzamediajurnal.v3i1.3086
Marlinawati, D. A., Rahfiludin, M. Z., & Mustofa, S. B. (2023). Effectiveness of media-based health education on stunting prevention in adolescents: a systematic review. AgriHealth: Journal of Agri-Food, Nutrition and Public Health, 4(2), 102–111. https://doi.org/10.20961/agrihealth.v4i2.71357
Muche, A., & Dewau, R. (2021). Severe stunting and its associated factors among children aged 6–59 months in Ethiopia; multilevel ordinal logistic regression model. Italian Journal of Pediatrics, 47, 1–10. https://doi.org/10.1186/s13052-021-01110-8
Octaviani, I., Palimbo, A., Suhartati, S., Yuliana, F., & Jannah, R. (2025). Assosiation of maternal factors on stunting incidence in toddlers at Cempaka Inpatient Health Center, Banjarbaru. Health Sciences International Journal, 3(2), 168–181.
Patel, A. B., Kuhite, P. N., Khan, S. S., Puranik, A., Alam, A., & Dibley, M. J. (2024). M-SAKHI – Mobile health solutions to help community providers promote maternal and infant nutrition and health: a description of development of the Program Impact Pathway using Theory of Change. Public Health Nutrition, 27(1), e217. https://doi.org/DOI: 10.1017/S1368980024001265
Pratiwi, R. D., Azahra, J. N., Kasumawati, F., Romlah, S. N., & Poddar, S. (2025). Effectiveness of Health Promotion Through Animation Video On Knowledge And Attitudes In Stunting Prevention Among Mothers in the Baduy Tribe. Window of Health: Jurnal Kesehatan, 346-355. https://doi.org/10.33096/woh.vi.2681.
Pusmaika, R., Novfrida, Y., Simatupang, E. J., Djami, M. E. U., & Sumiyati, I. (2022). Hubungan Usia Ibu Saat Hamil dengan Kejadian Stunting Pada Balita di Kabupaten Tangerang. Indonesian Health Issue, 1(1), 49–56.
Saadah, N., Khasanah, U., & Yulianto, B. (2024). Prevention and Intervention of Stunting Through Mother’s Empowerment. Proceeding International Conference on Health Polytechnic Ministry of Health Surabaya.
Simamora, D. N., Lumbantoruan, N., Siregar, N. S. N., & Simamora, M. F. (2023). Increasing Mothers’ Knowledge, Attitudes, and Actions through Stunting-Based Prevention Education AECAS App. Jurnal EduHealth, 14(04), 346–353.
UNICEF, & WHO, W. (2020). Levels and trends in child malnutrition: key findings of the 2020 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization, 24(2), 1–16.
Utaminingtyas, F., Wahyuni, I., Mufidaturrosida, A., & Maria, A. (2023). Edukasi kesehatan dengan media e-booklet terhadap pengetahuan dan sikap ibu hamil tentang pencegahan stunting. Jurnal Ilmiah Kesehatan Ar-Rum Salatiga, 8(1), 58–64.
Wanimbo, E., & Wartiningsih, M. (2020). Hubungan karakteristik ibu dengan kejadian stunting baduta (7-24 bulan).
Windasari, D. P., Syam, I., & Kamal, L. S. (2020). Faktor hubungan dengan kejadian stunting di Puskesmas Tamalate Kota Makassar. AcTion: Aceh Nutrition Journal, 5(1), 27–34. https://doi.org/10.30867/action.v5i1.193
World Health Organization. (2023). UNICEF/WHO/The World Bank: Joint child malnutrition estimates (JME). World Health Organization.
Yunitasari, E., Pradanie, R., Arifin, H., Fajrianti, D., & Lee, B.-O. (2021). Determinants of stunting prevention among mothers with children aged 6–24 months. Open Access Macedonian Journal of Medical Sciences, 9(B), 378–384.
DOI: http://dx.doi.org/10.30829/contagion.v8i1.26767
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