30 +JANH+V4N1+ce2+16-22

Journal of Applied Nursing and Health, Vol. 4, No.
1, June 2022 ©JANH 2022 p-ISSN: 2667-1609, e-ISSN: 2809-

3208
Original Article
Effectiveness of Nutritional Education on Knowledge and

Adolescent Attitudes About Stunting in High School
Sriwiyanti1,Sri Hartati1,Dodi Aflika F.1,Muzakar1
1
Poltekkes Ministry of Health Palembang, South Sumatra, Indonesia
ARTICLE INFO ABSTRACT
Article History: Background: According to the WHO, stunting prevention efforts can
Submit : Apr 15, 2022 Revised : May 20, 2022 Results: There is an increase in knowledge and
Accepted : May 24, 2022 Online : June 30, 2022 attitudes, there is an increase of good knowledge
Keywords: values after giving the intervention to 56%, and the
Nutrition Education, value of good attitude at 60%. So it can be concluded
Stunting, that there is an effect of providing nutrition education
Young Women, with booklet media on the knowledge and attitudes of
Knowledge, young women. Statistical tests were carried out using
Attitude the Paired Samples T-test, the value of p = 0.000
start from a young age. Young women can begin to be showed that the level of knowledge about Stunting
given knowledge and understanding about the before and after being given nutrition education
importance of fulfilling nutrition as a teenager. The through booklet media and showed that there was an
aim was to increase knowledge and attitude about effect of providing Nutrition Education through
stunting in adolescent girls at SMA Negeri 5 Manggul booklet media on the level of knowledge about
village, Lahat district. Stunting (p = 0.000).
Methods: The method is quantitative with a Quasy Conclusion: The Benefit is giving the effect of nutrition
Experimental One Group Pretest Posttest design, i.e., education with booklet media in increasing
before the intervention, a pretest is carried out, then knowledge and attitudes about stunting in adolescent
after the intervention, a posttest is carried out. The girls. With knowledge about stunting in young
Sampling is total Sampling. This research was women, they can change their behaviour in preparing
conducted at SMA N 5 Manggul village, Kab. Lahat themselves as prospective mothers to prevent
from July to December 2021. Stunting
Corresponding Autor : Sriwiyanti
Affiliation : Poltekkes Ministry of Health Palembang, South Sumatra, Indonesia Email :
swiyanti179@gmail.com
Cite this as : Sriwiyanti, Hartati, S., Aflika F, D., & Muzakar. (2022). Effectiveness of Nutritional Education
on Knowledge and Adolescent Attitudes
About Stunting in High School. Journal of Applied Nursing and
Health, 4(1), 16–22. https://doi.org/10.55018/janh.v4i1.30
Introduction million children under the age of five are

experiencing Stunting. It is estimated that
Stunting is one of the problems that in 2025 there are 127 million children
hinder human development globally. under the age of five will experience
Currently, around 162 Stunting, WHO, 2013;
the CC BY-SA lisense ( Creative Commons Attribution-Share Alike 4.0 International License.) janh.candle.or.id ©2022. Published
by Journal of Applied Nursing and Health. This is an open access article under
~ 16 ~
Journal of Applied Nursing and Health, Vol. 4, No. 1, June 2022 ©JANH 2022 p-ISSN: 2667-1609, e-ISSN: 2809-
3208
Nadya, 2018. According to UNICEF, 2016 women. Adolescent girls who will
Nadya 2018, 56% of stunting children experience menstruation can prevent
live in ASIA, and a third or 37% live in anemia from occurring. If anemia
Africa. Indonesia is still experiencing continues during pregnancy, it can cause
problems in terms of nutrition and child an unhealthy fetus. Adolescent health
development. UNICEF stated that around problems need attention from the
80% of stunting children are found in 24 Indonesian government, especially
developing countries in Asia and Africa. among young women. Adolescent girls
WHO, 2013, Indonesia is the fifth country are one of the groups prone to
with the highest prevalence of Stunting malnutrition, and the occurrence of
after India, China, Nigeria, and Pakistan. menstruation and infectious diseases in
Currently, the prevalence of stunting in young women is one of the causes.
children under five years in South Asia is Diseases caused by environmental factors
around 38%, UNICEF, 2014 in Nadya, and poor sanitation cause a decreased
2018 (WHO, 2017). immune system and stunted growth
The harmful impact caused by (Apriluana & Fikawati, 2018; Bhutta et
nutritional problems (Stunting) in the al., 2020; Vilcins et al., 2018). Lahat
short term is disruption of brain Regency, South Sumatra Province, is one
development and intelligence, impaired of the regencies in South Sumatra
physical growth, and metabolic disorders Province, which is included in the top five
in the body. Whereas in the long term, the high prevalence rates of Stunting in the
harmful consequences that can be caused last two years, the 2018 Rikesdas and
are decreased cognitive abilities and 2019 Rikesdas (Riskesdas, 2018).
learning achievement, decreased Knowledge results from "knowing,"
immunity so that it is easy to get sick, and which occurs after people have sensed a
a high risk for the emergence of diabetes, specific object. This sensing occurs
obesity, heart, and blood vessel disease, through the five human senses.
cancer, stroke, and disability in old age. Knowledge of cognition is a binding
Moreover, learning achievement and domain for forming one's actions.
decreased immunity make it easy to get Behavior
sick and a high risk for the emergence of based knowledge will be more lasting
diabetes, obesity, heart and blood vessel than behavior that is not based on
disease, cancer, stroke, and disability in knowledge (Nursalam, 2013). According
old age—moreover, uncompetitive work to (Notoatmodjo, 2014; Titaley et al.,
quality results in low economic 2019; Vaivada et al., 2020), attitude is
productivity, the Indonesian Ministry of how respondents' opinion about matters
Health, 2016. related to health, health, and factors
The problem of Stunting in related to risk factors. Attitude is a
Indonesia is currently being pursued to syndrome or collection of symptoms in
be implemented immediately. As response to a stimulus or object so that
prevention can be done early on, the attitude involves thoughts, feelings,
prevention can be started for young concerns, and other psychiatric
symptoms. According to WHO,
~ 17 ~
3208
stunting prevention efforts can start as begin to be given knowledge and

early as adolescence. Young women can understanding about the importance of
fulfilling nutrition as a teenager. By ethical tests. The sampling technique in
paying attention to the background of the this study is total Sampling. Data
problem above, the researchers are processing obtained univariate and
interested in examining the effect of bivariate using Paired Sample T-test
providing nutrition education on the level statistics.
of knowledge and attitudes in preventing
Stunting in adolescent girls at SMA Negeri Results
5 Manggul Village Lahat Regency. The
study aimed to increase knowledge and Analyzed univariately are presented
attitudes about stunting in adolescent in the following table
girls at SMA Negeri 5 Manggul village,
Lahat district. Specific objectives are to Table 1. Distribution of Respondents by
determine the effect of nutrition Age
education in increasing knowledge and
attitudes about stunting in adolescent Age Frequency Percent 15 years 7 14.0 16
girls and to find out the difference in years 15 30. 17 years 16 32.0 18 years 12 24.0
knowledge about Stunting before and Total 50 100.0
after nutrition education is carried out Based on the table above, the
with booklet media. respondents were 50 students consisting:
The lowest average age was 15 years: 7
Method students (14%), and the highest was 18
years: 12 students: (24%).
This research design is quantitative
with Quasy Experimental One Group Table 2. Occupational Distribution of
Pretest Posttest design, i.e., before Respondents' Parents
providing nutrition education using
booklet media is Frequency Percent Valid
variable is Knowledge, Adolescent Percent
Civil
Attitudes. Research has gone through
servant 18 36.0 36.0
carried out Pretest. After the posttest. The population is Noncivil
counseling intervention using the whole of the object Servant 32 64.0 64.0 Total 50 100.0
Booklet media is carried out Valid 100.0
of research or the object under study independent variable is nutrition

(Notoatmodjo, 2010). The research education, and the dependent
population was all the young women of The table above shows that most of the
SMA Negeri 05 Lahat. The research respondents' parental occupations are
sample amounted to 50 respondents. The Non-civil servants. As many as 32 (64%)
work as private laborers and farmers
~ 18 ~
3208
Table 3. Distribution of Respondents' Variable Category N %

Knowledge About Stunting Table 5. Effect of nutrition education on
knowledge deviation T Df. Sig
78
22
Mean Std
Before Enough less 39 11
Pair 1
Total 50 100 before 0,78 0,615 8.957 49 0.000
After Good Enough 28 22 56 44 After
Total 50 100 Based on the table above, it can be seen

that the level of knowledge about
Based on the table above, there is a stunting before and after being given
change in the category of knowledge nutrition education through booklet
value before and after giving the booklet media, a statistical test was carried out
media intervention. Before giving the using the T Paired Samples Test, the
intervention, the good category was 0%. value of p = 0.000 showed that there was
After the intervention, the excellent an effect of providing Nutrition Education
category became 56%. through booklet media on the level of
knowledge about Stunting.
Table 4. Distribution of Attitudes
about Stunting Table 6. The Effect of Nutrition
Education on Attitude
Variable Category N %
Before Good Enough 28 22 Mean SD T Df. Sig
Less 0 44
0 56 Pair 1
Total 50 100 Before 1,04 0,727 10,11 49 .000
After Good Enough 30 20 60 40 After
Total 50 100 were carried out using the Paired

Samples T-test, the value of p = 0.000
Based on the table above, there is a showed that there was an effect of
change in the category of Attitude values providing nutrition education through
before and after giving the booklet media booklet media on attitudes about
intervention. Before giving the Stunting
intervention, the attitude with a good
score category was 0%. After the Discussion
intervention, the attitude in the excellent
category increased to 60%.
Research respondents are young
Based on the table above. It can be seen women aged 15-18 years. The
that attitudes about Stunting before and characteristics of the most respondents
after being given nutrition education are 17 years old: 16 people (32%), and
through booklet media, statistical tests the lowest is 15
~ 19 ~
3208
years old: 7 people (14%); according to and error.

Suparno, 2001 in Hashanah, 2020, this is Hasanah, 2020 states that age can
a period of great curiosity that makes affect a person's knowledge because the
teenagers find out and will have an older he gets, his grasping power and
impact on their knowledge by using trial mindset grow (Hasanah, 2020). The
occupations of respondents' parents, education in adolescence (Beal et al.,
most of whom are non-civil servants, are 2018; De Onis et al., 2019; Leroy &
laborers and farmers. A parent's Frongillo, 2019).
occupation (economic status) can affect From the results of the T-Test
knowledge. Someone who has an Statistics for attitudes before and after
economic status below the average will the intervention, it is known that the
find it challenging to fulfill the facilities value of Sig. (2-tailed) of 0.000 < 0.05, so
needed to increase their knowledge we can conclude that there is a significant
(Linawati, 2017) in Hashanah 2020. From difference in attitudes about Stunting
the T-Test Statistics test results for before and after. Nutrition education with
pretest and posttest knowledge, it is booklet media has a significant influence
known that the value of Sig. (2- tailed) is on the attitudes of young women in high
0.000 < 0.05, so we can conclude that school, and this is in line with
there is a significant difference between Simanjuntak, 2019 which states that
the level of knowledge about stunting in providing interventions with booklet
the pretest and posttest data. Nutrition media can increase the value of
education with booklet media respondents' attitudes about 1000 HPK
significantly affects young women's to be good.
knowledge in SMA 05, Manggul Village, Attitude is a reaction that is still
Lahat Regency. This is in line with closed from a person to a stimulus or
research conducted by (Sriwiyanti, object. Attitude is just a person's
2021). Counseling using booklet media tendency to take action against an object
effectively increases respondents' or a method, so attitude is a view,
knowledge of balanced nutrition. opinion, response, or assessment, and
Hasanah, 2020 stated that health also a person's feelings towards a
education with booklet media stimulus or object accompanied by a
significantly affected high school tendency to act (Notoatmodjo, 2014).
students' knowledge in Probolinggo Nutrition education is part of health
Regency (Linawati, 2017). His research education, where health education is an
stated that several factors that affect a activity that helps individuals, groups,
person's level of knowledge are and communities to improve their
education, age, social, culture (tradition), abilities in the form of knowledge,
economy, and mass media and attitudes, and psychomotor to achieve
information that can optimal health degrees (Notoatmodjo,
have a short-term influence so that one's 2012).
knowledge can increase. The higher the According to WHO in Notoatmojo,
education a person gets, the easier it will 2013 one strategy for behavior change is
be for that person to get information; to provide information to
high school is the highest level of
~ 20 ~
3208
increase knowledge so that awareness education is inseparable from the

arises, and in the end, people will behave methods and media used. The method
according to their knowledge. One way to used is the method of giving media
provide information is to conduct booklets (Simanjuntak, 2019)
nutrition counseling in schools. The
provision of information in nutrition Conclusion
The provision of nutrition education Kendari Kota Kendari Provinsi
with booklet media shows a significant Sulawesi Tenggara. Poltekkes
effect on young women's level of Kemenkes Kendari.
knowledge and attitudes about Stunting. Notoatmodjo. (2010). Promosi Kesehatan
There are differences in the knowledge dan Ilmu Perilaku. Rineka Cipta.
and attitudes of young women before and Notoatmodjo. (2014). Ilmu Perilaku
after being given nutrition education with Kesehatan (Rineka Cip).
booklet media, as evidenced by the Nursalam. (2013). Konsep Penerapan
pretest and posttest scores. Metode Penelitian Ilmu Keperawatan.
Jakarta. Salmbe Medika.
References Riskesdas. (2018). Riset kesehatan dasar.
Badan penelitian dan pengembangan
Apriluana, G., & Fikawati, S. (2018). kesehatan. Kementrian kesehatan RI.
Analisis Faktor-Faktor Risiko Simanjuntak, A. R. (2019). Pengaruh
terhadap Kejadian Stunting pada
Balita (0-59 Bulan) di Negara
Berkembang dan Asia Tenggara.
Media Penelitian Dan Pengembangan
Kesehatan, 28(4), 247–256.
Beal, T., Tumilowicz, A., Sutrisna, A.,
Izwardy, D., & Neufeld, L. M. (2018).
A review of child stunting
determinants in Indonesia. Maternal
& Child Nutrition, 14(4), e12617.
Bhutta, Z. A., Akseer, N., Keats, E. C.,
Vaivada, T., Baker, S., Horton, S. E.,
Katz, J., Menon, P., Piwoz, E., &
Shekar, M. (2020). How
countries can reduce child stunting
at scale: lessons from exemplar
countries. The American Journal of
Clinical Nutrition,
112(Supplement_2), 894S-904S.
De Onis, M., Borghi, E., Arimond, M.,
Webb, P., Croft, T., Saha, K., De Regil,
L. M., Thuita, F., Heidkamp, R., &
Krasevec, J. (2019). Prevalence
thresholds for wasting, overweight,
and Stunting in children under five
years. Public Health Nutrition, 22(1),
175–179.
Hasanah, U. (2020). Pengaruh media
booklet terhadap pengetahuan
ramaja putri mengenai Stunting di
Kabupaten Probolinggo. Poltekkes
Jember.
Leroy, J. L., & Frongillo, E. A. (2019).
Perspective: what does Stunting
mean? A critical review of the
evidence. Advances in Nutrition,
10(2), 196–204.
Linawati. (2017). Hubungan Pengetahuan
dan sikap remaja putri Dengan
Penanganan Dismenorea si SMAN 10
~ 21 ~
3208
Pendidikan Gizi dengan Media Nutrients, 11(5), 1106.

Booklet terhadap Pengetahuan dan Vaivada, T., Akseer, N., Akseer, S.,
sikap remaja putri tentang 1000 Hari Somaskandan, A., Stefopulos, M., &
Pertama Kehidupan (HPK) di SMA RK Bhutta, Z. A. (2020). Stunting in
Serdang Murni Lubuk Pakam. childhood: an overview of global
Poltekkes Kemenkes Medan. burden, trends, determinants, and
Sriwiyanti. (2021). Effektifitas drivers of decline. The American
Penyuluhan dengan Menggunakan Journal of Clinical Nutrition,
Media Booklet Terhadap Tingkat 112(Supplement_2), 777S-791S.
Pengetahuan Gizi Seimbang pada Vilcins, D., Sly, P. D., & Jagals, P. (2018).
Anak SD Negeri 23 Pagar agung Environmental risk factors
Kabupaten Lahat. Strada Jurnal associated with child stunting: a
Kesehatan, 10(1). systematic review of the literature.
Titaley, C. R., Ariawan, I., Hapsari, D., Annals of Global Health, 84(4), 551.
Muasyaroh, A., & Dibley, M. J. (2019). WHO. (2017). Global Health Observatory
Determinants of the Stunting of (GHO) data. World Health
children under two years old in Organization.
Indonesia: a multilevel analysis of http://www.who.int/gho/ncd/ri
the 2013 Indonesia basic health sk_factors/bloaod_pressure_prev
survey. alence_text/en/
~ 22 ~

30 +JANH+V4N1+ce2+16-22

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

30 +JANH+V4N1+ce2+16-22

Uploaded by

Copyright:

Available Formats

Journal of Applied Nursing and Health, Vol. 4, No.

1, June 2022 ©JANH 2022 p-ISSN: 2667-1609, e-ISSN: 2809-

Effectiveness of Nutritional Education on Knowledge and

ARTICLE INFO ABSTRACT

Introduction million children under the age of five are

stunting prevention efforts can start as begin to be given knowledge and

of research or the object under study independent variable is nutrition

Table 3. Distribution of Respondents' Variable Category N %

Total 50 100 Based on the table above, it can be seen

Total 50 100 were carried out using the Paired

years old: 7 people (14%); according to and error.

increase knowledge so that awareness education is inseparable from the

Pendidikan Gizi dengan Media Nutrients, 11(5), 1106.

You might also like