Efforts to Prevent Stunting by Enhancing Cadres Knowledge and Attitudes on Infant and Young Child Feeding
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Cadres,
Infant and Young Child Feeding,
Knowledge
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Ari Indra Susanti
Putri Argi Larasati
Tisnasari Hafsah
Dida Akhmad Gurnida
Abstract
Stunting is a global health issue that affects physical growth, cognitive development, and future productivity. WHO (2022) reported that 22.3% of children under five years old experience stunting worldwide, with a prevalence of 26.4% in Southeast Asia. In Indonesia, the stunting prevalence is 21.7%, while in Bandung City, it reaches 16.3% (Kemenkes, 2023). One of the efforts to prevent stunting is educating community health cadres on Infant and IYCF as agents of change in society. This study employed a descriptive method with a cross-sectional approach involving 400 community health cadres in Bandung City. The training was conducted using a blended learning approach, combining online and offline sessions over four stages. Evaluation was performed through pretest and posttest assessments to measure knowledge improvement and attitude changes among cadres. The results showed an increase in cadre knowledge from 49.7% before the training to 67.8% after the training. However, negative attitudes toward IYCF increased from 46.2% to 56.4%, likely due to implementation challenges in the field. These findings highlight that while training effectively enhances cadre knowledge, practical application in communities still faces obstacles. Therefore, policy support, cross-sectoral involvement, and more effective communication strategies are needed to enable cadres to optimize their role in stunting prevention.
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Copyright (c) 2025 Ari Indra Susanti, Putri Argi Larasati, Tisnasari Hafsah, Dida Akhmad Gurnida
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References
Anggerainy, S. W., Ikhsan, M., & Huda, S. N. (2024). Training on Infant and Young Child Feeding ( IYCF ) for Mothers in Sepan Lebang Village , Sintang Regency. 2(4), 194–200. https://doi.org/10.62568/jocs.v2i4.67
Anwar, K. K., Nurmiaty, N., Arum, D. N. S., Banudi, L., Yustiari, Y., & Arsulfa, A. (2024). The effect of cadre assistance on the knowledge and attitudes of mothers regarding breastfeeding, complementary feeding, and monitoring children’s growth. Journal of Public Health and Development, 22(2), 92–106. https://doi.org/10.55131/jphd/2024/220208
Ekasanti, E., Ryadinency, R., & Djano, N. A. R. (2023). The Relationship Between Anthropometry Training and the Improvement of the Village Health Workers’ (Cadres) Competence in Detecting Stunting in Wara Public Health Centre, Palopo City. Amerta Nutrition, 7(2), 255–261. https://doi.org/10.20473/amnt.v7i2.2023.255-261
Haryanti, F., Madyaningrum, E., & Sitaresmi, M. N. (2021). Effect of care for child development training on cadres’ knowledge, attitude, and efficacy in Yogyakarta, Indonesia. 7(18), 311–319. https://doi.org/10.33546/bnj.1521
Himmawan, L. S. (2020). Faktor Yang Berhubungan Dengan Pengetahuan Kader Posyandu Tentang 1000 Hari Pertama Kehidupan (Hpk). Jurnal Kesehatan, 11(1), 23–30. https://doi.org/10.38165/jk.v11i1.194
Irdawati, I., Arifah, S., Muhlisin, A., Kusumawati, Y., Siti Zulaekah, A., Nugrahwati, E., Putri, N. F., & Syaiful, A. A. (2024a). Efforts of Increase Cadre Capacity about Stunting Prevention. MethodsX, 13(April), 1–6. https://doi.org/10.1016/j.mex.2024.102720
Irdawati, I., Arifah, S., Muhlisin, A., Kusumawati, Y., Siti Zulaekah, A., Nugrahwati, E., Putri, N. F., & Syaiful, A. A. (2024b). Efforts of Increase Cadre Capacity about Stunting Prevention. MethodsX, 13(February), 1–6. https://doi.org/10.1016/j.mex.2024.102720
Jamilah, J., Toaha, A., Novaria, A. A., & Wahyutri, E. (2023). The Effect of Cadre Training on the Knowledge and Skills of Integrated Healthcare Center Cadres in Monitoring the Growth of Toddlers. Journal of Health and Nutrition Research, 2(3), 190–199. https://doi.org/10.56303/jhnresearch.v2i3.185
Kanu, I. M., Sule, P. C., Chukwurah, U. A., & Murtala, A. (2024). Enhancing health outcomes through community-based health education programs for underserved populations. World Journal of Advanced Research and Reviews, 24(03), 3260-3283. https://doi.org/10.30574/wjarr.2024.24.3.3928
Kemenkes. (2023). Survei Kesehatan Indonesia 2023 (SKI). Kemenkes, 235.
Kemenkes, P. K. (2024). The effectiveness of community-led total sanitation cadre intervention in improving stunting knowledge and behavior Dedi Mahyudin Syam , Andi Bungawati Correspondence : Dedi Mahyudin Syam , Politeknik Kesehatan Kemenkes Palu , Palu , Contributions : DMS . https://doi.org/10.4081/hls.2024.13109
Maidelwita, Y., Kesehatan, Y. A.-S. J. I., & 2021, undefined. (2021). Optimizing the Role of Cadres in Increasing Knowledge in the Early Detection of Malnutrition Cases in Toddlers. Sjik.Org, 10(1), 488–495. https://doi.org/10.30994/sjik.v10i1.660
Marlina, R., Raniati, R., Aprianto, R., Iswarawanti, D. N., & Mamlukah, M. (2022). Pemberdayaan Kader Tentang Pemberian Makanan Pendamping Asi (Mp-Asi) Yang Tepat & Aman Untuk Pencegahan Stunting Pada Balita. Jurnal Pemberdayaan Dan Pendidikan Kesehatan (JPPK), 2(01), 36–43. https://doi.org/10.34305/jppk.v2i01.527
Munir, I. (2024). Pelatihan Intensif Kader Kesehatan Sebagai Upaya Pencegahan Stunting Yang Efektif. Jig), 2(3), 42–48. https://doi.org/10.55606/jig.v2i3.3034
Murcittowati, P. A. S., Dharmawan, N. K. S., Kartika, I. G. A., Yunawati, N. P. L., & Perwira, K. Y. (2023). Nutrition Training Policy among Health Professionals in Community Health Centers and Sub-Centers in Indonesia. Jurnal Penelitian Pendidikan IPA, 9(12), 10923–10928. https://doi.org/10.29303/jppipa.v9i12.5721
Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019. (2019). Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019 tentang Angka Kecukupan Gizi. 1–23.
Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014. (2014). Peraturan Menteri Kesehatan Republik Indonesia Nomor 41 Tahun 2014 tentang Pedoman Gizi Seimbang. Procedia Manufacturing, 1(22 Jan), 1–17.
Pujihastuti, A. (2025). Improving Health Administration Capacity and Community Nutrition Education to Mitigate the Risk of Environmentally-Based Diseases. 01(2), 52–60. http://dx.doi.org/10.69855/samec.v1i2.91
Puspita, Y., Andini, I. F., Febrina, L., Esmiati, F., & Utario, Y. (2024). Peran Kader Posyandu dalam Meningkatkan Status Gizi Anak Stunting Melalui Pijat Tuina dan PMBA Curup Tengah. 7(1), 36–45. https://doi.org/10.51179/pkm.v7i1.1671
Ramli, R., Syafar, M., Hadju, V., Syam, A., & Mallongi, A. (2024). Cadre Assistance in Improving the Nutritional Status of Two Years Baby: A Literature Review. Pharmacognosy Journal, 16(4), 960–965. https://doi.org/10.5530/pj.2024.16.155
Sari, M. D. (2024). Policy analysis of nutrition education programs in Indonesia : A literature study on the nutrition-conscious family program ( Kadarzi ). 13(23), 3167–3174. http://dx.doi.org/10.30574/ijsra.2024.13.2.2539
Sudiyanti, N., Nailufar, F., Wahyunigrum, D. R., & Saraheni, S. (2023). The Effect of Infant and Young Child Feeding (IYCF) on the Knowledge and Attitudes of Integrated Healthcare Center Cadres. Journal of Health and Nutrition Research, 2(3), 172–180. https://doi.org/10.56303/jhnresearch.v2i3.177
Tarmizi, S. N. (2024). Membentengi anak dari stunting. 20.
Thapa, D. K., Frongillo, E. A., Suresh, S., Adhikari, R. P., Pun, B., Shakya, K. L., Mandal, R., Kole, S. K., & Cunningham, K. (2024). Impact of Suaahara, an at-scale multisectoral nutrition programme, on health workers’ maternal and child health, and nutrition knowledge and skills in Nepal. Maternal and Child Nutrition, March, 1–13. https://doi.org/10.1111/mcn.13669
Ti Ripan, R. A., Titin Dunggio, & Novian S. Hadi. (2021). the Role of Posyandu Cadres in Efforts To Improve the Nutritional Status of Toddlers in Suka Makmur Village, Patilanggio District. Journal of Health, Technology and Science (JHTS), 2(1), 37–43. https://doi.org/10.47918/jhts.v2i1.151
WHO. (2022). World Health Statistics. World Health, 1-177.