A Community-Based Participatory Approach to Stunting Prevention through Maternal and Child Health Education in Central Java
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Behavioral Change, Community-Based Approach, Central Java
Abstract
Background. Stunting is a major public health problem in Indonesia, especially in Central Java, where socioeconomic gaps and limited maternal health education persist. Low nutritional knowledge among pregnant women and caregivers delays early prevention, affecting child growth. Community participation is increasingly viewed as a key strategy to strengthen health literacy.
Purpose. To evaluate the effectiveness of a community-based participatory approach in improving maternal knowledge, feeding practices, and early caregiving behaviors related to stunting prevention.
Method. A mixed-methods design was used, combining surveys and focus group discussions with 65 pregnant women and caregivers in three Central Java districts. The intervention involved collaborative health education led by midwives, health workers, and local women leaders. Quantitative data were analyzed descriptively and with paired t-tests; qualitative data were thematically coded.
Results. Maternal health knowledge increased significantly (p < .001), and complementary feeding practices improved in line with national guidelines. Participants also reported higher confidence in monitoring growth and understanding nutrition. Qualitative data showed that collective learning strengthened social support for early stunting prevention.
Conclusion. Participatory education builds community ownership, supports behavioral change, and improves the sustainability of maternal and child health programs. Scaling this model may contribute to national efforts to reduce stunting and enhance child well-being.
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References
Anthonj, C., Setty, K., Hoeser, C., Brown, J., Ihnacik, L., & Poague, K. (2025). Assessing water and health insecurity in informal settlements: Bringing Europe’s invisible, marginalized Roma communities into focus. A systematic scoping review. Social Science & Medicine, 384, 118526. https://doi.org/10.1016/j.socscimed.2025.118526
Ashar, H., Rahfiludin, M. Z., Nugraheni, S. A., Tjandrarini, D. H., Murwani, A., Supadmi, S., Yunitawati, D., Kusumawardani, H. D., Musoddaq, M. A., & Latifah, L. (2025). A qualitative study in Magelang Central Java Indonesia: Mothers’ knowledge, parenting styles and national priority programs managing of stunting in toddlers. Social Sciences & Humanities Open, 12, 101874. https://doi.org/10.1016/j.ssaho.2025.101874
Astuti, S. J. W., Suindyah Dwiningwarni, S., & Atmojo, S. (2025). Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia. Dialogues in Health, 6, 100206. https://doi.org/10.1016/j.dialog.2025.100206
Atkinson, S. H., Suchdev, P. S., Bode, M., Carducci, B., Cerami, C., Mwangi, M. N., Namaste, S., Winichagoon, P., Leung, S., Mutua, A. M., Abuga, K. M., Angeles-Agdeppa, I., Blythe, R., Carvalho, N., Cepeda-Lopez, A., Cross, J. H., de Pee, S., Di Ruggiero, E., Fanzo, J., … Pasricha, S.-R. (2025). Getting back on track to meet global anaemia reduction targets: A Lancet Haematology Commission. The Lancet Haematology, 12(9), e717–e767. https://doi.org/10.1016/S2352-3026(25)00146-2
Batool, A., & Byun, Y.-C. (2025). Revolutionizing plant disease diagnosis through vision-based intelligence and next-generation computing. Computers and Electrical Engineering, 128, 110695. https://doi.org/10.1016/j.compeleceng.2025.110695
Bhandari, D., Robinson, E., Pollock, W., Watterson, J., Su, T. T., & Lokmic-Tomkins, Z. (2025). Mapping multilevel adaptation response to protect maternal and child health from climate change impacts: A scoping review. iScience, 28(3), 111914. https://doi.org/10.1016/j.isci.2025.111914
Bhattacharjee, S., Hossain, M. I., & Ferdous, M. N. (2025). Exploring the spatial Nexus of wash and child health in Khulna using geospatial techniques. City and Environment Interactions, 28, 100256. https://doi.org/10.1016/j.cacint.2025.100256
Bose, D., Bhattacharya, R., Kaur, T., Banerjee, R., Bhatia, T., Ray, A., Batra, B., Mondal, A., Ghosh, P., & Mondal, S. (2024). Overcoming water, sanitation, and hygiene challenges in critical regions of the global community. Water-Energy Nexus, 7, 277–296. https://doi.org/10.1016/j.wen.2024.11.003
Carroll II, D. A., Wilson, K. R., Rogers, B. L., Coates, J., & Griffin, T. S. (2025). Appeals to environmental protection and farmer adoption of sustainable natural resource management – A case study of Kaya, Burkina Faso. Journal of Environmental Management, 376, 124415. https://doi.org/10.1016/j.jenvman.2025.124415
Cuenca, M. H., Proaño, G. V., McDermid, J. M., Badreldin El Shikieri, A., Steeves, E. A., Carrillo-Alvarez, E., Fracassi, P., Garelick, D. S., Brewer, J., Kazimierczuk, F. K., & Steiber, A. (2024). Advancing Nutrition and Dietetics Research in Global Food and Nutrition Security: A Roundtable Meeting Report. Journal of the Academy of Nutrition and Dietetics, 124(1), 102–122. https://doi.org/10.1016/j.jand.2023.09.022
Das, A. (2025). Water quality assessment and geospatial techniques for the delineation of surface water potential zones: A data-driven approach using machine learning models. Desalination and Water Treatment, 324, 101461. https://doi.org/10.1016/j.dwt.2025.101461
Das, J. K., Salam, R. A., Padhani, Z. A., Rizvi, A., Mirani, M., Jamali, M. K., Chauhadry, I. A., Sheikh, I., Khatoon, S., Muhammad, K., Bux, R., Naqvi, A., Shaheen, F., Ali, R., Muhammad, S., Cousens, S., & Bhutta, Z. A. (2025). An innovative Community Mobilisation and Community Incentivisation for child health in rural Pakistan (CoMIC): A cluster-randomised, controlled trial. The Lancet Global Health, 13(1), e121–e133. https://doi.org/10.1016/S2214-109X(24)00428-5
Dutta, A., Sultana, N., Mandal, R., Dey, R., Panja, R., Mondal, S., Pramanik, M., Alkhuraiji, W. S., & Zhran, M. (2025). Optimizing afforestation space for soil erosion control using fuzzy analytical hierarchical modelling and advanced remote sensing techniques. Physics and Chemistry of the Earth, Parts A/B/C, 141, 104163. https://doi.org/10.1016/j.pce.2025.104163
Entsuah-Boateng, N., Nguyen, M. P., Khatibi, P., & Abdo, C. (2024). Culturally competent approaches in addressing hypertension control disparities in African Americans: The pharmacist’s perspective. Journal of the American Pharmacists Association, 64(6), 102217. https://doi.org/10.1016/j.japh.2024.102217
Escher, N. A., Andrade, G. C., Ghosh-Jerath, S., Millett, C., & Seferidi, P. (2024). The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries: A systematic review. The Lancet Global Health, 12(3), e419–e432. https://doi.org/10.1016/S2214-109X(23)00562-4
Field, E., & Maffioli, E. M. (2025). Are Behavioral Change Interventions Needed to Make Cash Transfer Programs Work for Children? Experimental Evidence from Myanmar. Economic Development and Cultural Change, 73(3), 1187–1220. https://doi.org/10.1086/730631
Grabowski, P., Slater, D., Gichohi-Wainaina, W., Kihara, J., Chikowo, R., Mwangwela, A., Chimwala, D., & Bekunda, M. (2024). Research agenda for holistically assessing agricultural strategies for human micronutrient deficiencies in east and southern Africa. Agricultural Systems, 220, 104094. https://doi.org/10.1016/j.agsy.2024.104094
Gupta, S. K., Rawal, T., & Arora, M. (2025). Healthy choices, healthy futures: Promoting healthy nutrition to curb non-communicable diseases. Trends in Endocrinology & Metabolism, 36(6), 497–501. https://doi.org/10.1016/j.tem.2025.04.004
Hao, Z., & Lun, Y. (2024). Using traditional knowledge to reduce disaster risk—A case of Tibetans in Deqen County, Yunnan Province. International Journal of Disaster Risk Reduction, 108, 104492. https://doi.org/10.1016/j.ijdrr.2024.104492
Jeong, J., McCann, J., Bhojani, A., Joseph, J., Sangarara, G., & Joachim, D. (2025). Co-designing “Familia Bora”: A father-inclusive parenting intervention for couples with young children in Mwanza, Tanzania. SSM - Mental Health, 8, 100499. https://doi.org/10.1016/j.ssmmh.2025.100499
Keller, H., Kulyk, A., Ford, K. L., & Gramlich, L. (2025). Chapter 3—Malnutrition in vulnerable populations: Older adults. In T. A. Mikhailov & R. C. Sachdeva (Eds.), Patient Safety and Health Care Quality in Vulnerable Hospitalised Populations (pp. 65–103). Academic Press. https://doi.org/10.1016/B978-0-443-28963-7.00003-6
Khaing, C. T., Li, H., Yusuf, D. A., Mou, L., & Pasha, S. M. M. (2025). Urban regeneration strategy for shrinking neighborhoods: A case study of Gyo-Byu water pipeline, Yangon. Habitat International, 160, 103400. https://doi.org/10.1016/j.habitatint.2025.103400
Kianfar, E. (2025). Current situation and future outlook petroleum hydrocarbons in marine systems: A review. Environmental Technology & Innovation, 40, 104572. https://doi.org/10.1016/j.eti.2025.104572
Kobilke, L., & Markiewitz, A. (2024). Understanding youth participation in social media challenges: A scoping review of definitions, typologies, and theoretical perspectives. Computers in Human Behavior, 157, 108265. https://doi.org/10.1016/j.chb.2024.108265
Kumar, N., Raghunathan, K., Quisumbing, A., Scott, S., Menon, P., Thai, G., Gupta, S., & Nichols, C. (2024). Women improving nutrition through self-help groups in India: Does nutrition information help? Food Policy, 128, 102716. https://doi.org/10.1016/j.foodpol.2024.102716
Nyarko, M. J., ten Ham-Baloyi, W., & van Rooyen, D. (R. M. ). (2024). Qualitative Exploration of Health Professionals’ Perceptions of Addressing Malnutrition Within the First 1,000 Days. Journal of Nutrition Education and Behavior, 56(7), 442–451. https://doi.org/10.1016/j.jneb.2024.03.010
Phulkerd, S., Samsiripong, W., Borazon, E. Q., Teh, W. S., Saptari, A. F., Sameeha, M. J., Fitri, A. A., Trisnasari, S., Farrell, P., Thow, A.-M., Koon Poh, B., Saptari, A. F., Rachmi, C. N., Jusril, H., Fitri, A. A., Trisnasari, S., Wahyuningsih, W., Arifa, Z. I., Utami, E. S., … Swart, R. (2025). A comparative analysis of food retail policy landscape in four Southeast Asian countries. The Lancet Regional Health - Southeast Asia, 43, 100691. https://doi.org/10.1016/j.lansea.2025.100691
Prayitno, G., Zuhriyah, L., Efendi, A., Arifin, S., Rahmawati, Auliah, A., & Subagiyo, A. (2025). Community-powered environmental pathways to reduce stunting: Food security, social capital, and open innovation in semi-urban Indonesia. Environmental Challenges, 21, 101350. https://doi.org/10.1016/j.envc.2025.101350
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
Rakha, A., Jabbar, A., Rasheed, H., Tul-Muntaha, S., Munir, A., Fatima, A., Anwar, R., Sohail, M., & Aadil, R. M. (2025). Nutrition crisis management after floods: A multisectoral perspective. International Journal of Disaster Risk Reduction, 116, 105141. https://doi.org/10.1016/j.ijdrr.2024.105141
Ranjan, A. (2024). Chapter 8—The psychosocial correlates of alterations in climate among children. In M. Garg, D. Kumar, D. Samanta, & A. Sathiyaseelan (Eds.), Impact of Climate Change on Social and Mental Well-Being (pp. 125–136). Academic Press. https://doi.org/10.1016/B978-0-443-23788-1.00008-7
Rimba, A. B., Sato, I., & Endo, K. (2025). Localization and its impact on achieving SDGs and transitioning to post-SDGs in Indonesia. Environmental and Sustainability Indicators, 28, 100926. https://doi.org/10.1016/j.indic.2025.100926
Saville, N. M., Dulal, S., Miller, F., Schoenaker, D., Chowdhury, R., Hazra, A., Hirst, J., Murira, Z., & Sethi, V. (2025). Effects of preconception nutrition interventions on pregnancy and birth outcomes in South Asia: A systematic review. The Lancet Regional Health - Southeast Asia, 36, 100580. https://doi.org/10.1016/j.lansea.2025.100580
Setianti, Y., Dida, S., Damayanti, T., & Priyatna, C. C. (2025). Public perception of health information, treatment beliefs, and disease in Indonesia: Effective health promotion strategies. Social Sciences & Humanities Open, 11, 101639. https://doi.org/10.1016/j.ssaho.2025.101639
Sofiyah, E. S., Suhardono, S., Lee, C.-H., Ridhosari, B., & Koko Suryawan, I. W. (2025). Gendered importance-performance perspective on sanitation resilience programs. Health & Place, 95, 103530. https://doi.org/10.1016/j.healthplace.2025.103530
Supranoto, Sasmito, L., Indriastuti, S., Prayitno, H., & Sawir, M. (2025). From parallel to partnership governance: Strengthening institutional synergy for stunting reduction in decentralized Indonesia. Social Sciences & Humanities Open, 12, 102051. https://doi.org/10.1016/j.ssaho.2025.102051
Tewodros, T., Escobar, C. X., Berra, L. S., & Webb Girard, A. (2024). Effectiveness of Elements of Social Behavior Change Activities in Nutrition-Sensitive Agriculture Programs: A Systematic Review. Current Developments in Nutrition, 8(8), 104420. https://doi.org/10.1016/j.cdnut.2024.104420
Thwaites, H. J., Hume, I. V., & Cavagnaro, T. R. (2025). The case for urban agriculture: Opportunities for sustainable development. Urban Forestry & Urban Greening, 110, 128861. https://doi.org/10.1016/j.ufug.2025.128861
Tito, V. R., Kazem, H., Kadia, S.-O., & Paquito, B. (2024). A systematic review of mental health and climate change in the Philippines. Asian Journal of Psychiatry, 101, 104191. https://doi.org/10.1016/j.ajp.2024.104191
Tomlinson, M., Marlow, M., Stewart, J., Makhetha, M., Sekotlo, T., Mohale, S., Lombard, C., Murray, L., Cooper, P. J., Morley, N., Rabie, S., Gordon, S., van der Merwe, A., Bachman, G., Hunt, X., Sherr, L., Cluver, L., & Skeen, S. (2024). A community-based child health and parenting intervention to improve child HIV testing, health, and development in rural Lesotho (Early Morning Star): A cluster-randomised, controlled trial. The Lancet HIV, 11(1), e42–e51. https://doi.org/10.1016/S2352-3018(23)00265-5
Tontisirin, K., & Bhattacharjee, L. (2025). Community-Based Nutrition Programmes: Selected Lessons From Asia. In S. R. Quah (Ed.), International Encyclopedia of Public Health (Third Edition) (pp. 309–318). Academic Press. https://doi.org/10.1016/B978-0-323-99967-0.00012-0
Widiastuti, T., Al-shami, S. A., Mawardi, I., Zulaikha, S., Haron, R., Kasri, R. A., Mustofa, M. U. A., & Dewi, E. P. (2024). Capturing the barriers and strategic solutions for women empowerment: Delphy analytical network process. Journal of Open Innovation: Technology, Market, and Complexity, 10(3), 100345. https://doi.org/10.1016/j.joitmc.2024.100345
Woehrle, L. M., & Schmidt, K. J. (2024). Nursing in a culture of peace. Nursing Outlook, 72(6), 102298. https://doi.org/10.1016/j.outlook.2024.102298
Wong, L. P., Lee, H. Y., Alias, H., Lachyan, A., Nguyen, D. K., Seheli, F. N., Ahmed, J., Hu, Z., & Lin, Y. (2025). Knowledge, experience, and willingness to vaccinate against intestinal parasitic infections: A multi-country study in Asia. Journal of Infection and Public Health, 18(4), 102689. https://doi.org/10.1016/j.jiph.2025.102689
Yang, K. P., Bray, T. M., Chaudhuri, A., Syam, S. B., & Khanna, S. K. (2025). Barriers to child nutrition in Bengaluru slums: Caregiver insights from the SCOPE strategy. Evaluation and Program Planning, 111, 102612. https://doi.org/10.1016/j.evalprogplan.2025.102612
Zhang, L., Yang, C., Wang, P., Xie, G., & Wang, W. (2025). Climate change and geographic barriers exacerbate the spread and threat of Psacothea hilaris (Pascoe, 1857) in China: Insights from ensemble model, geographic barrier simulations, and niche analysis. Science of The Total Environment, 994, 180032. https://doi.org/10.1016/j.scitotenv.2025.180032
Zhao, J., Qiu, Y., & Wang, H. (2025). Nutritional risk screening and nutritional assessment for children with cerebral palsy: A review of the current research status and future directions. Clinical Nutrition ESPEN, 65, 382–389. https://doi.org/10.1016/j.clnesp.2024.12.018
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Copyright (c) 2025 Wahju Dyah Laksmi Wardhani, Nong Chai , Chai Pao, Ton Kiat
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