Optimizing the First 1000 Days of Life Through Stunting Prevention Education

Imella Annisah; Yasinta Dewi Kristianti; Dwi Wahyuningsih; Rosa Susanti

doi:10.34306/adimas.v6i2.1459

Authors

Imella Annisah Universitas Bhakti Pertiwi Indonesia https://orcid.org/0009-0008-9609-4027
Yasinta Dewi Kristianti Universitas Bhakti Pertiwi Indonesia https://orcid.org/0000-0002-2760-8548
Dwi Wahyuningsih Universitas Bhakti Pertiwi Indonesia https://orcid.org/0009-0000-4558-6939
Rosa Susanti Universitas Bhakti Pertiwi Indonesia https://orcid.org/0000-0002-1540-0942

DOI:

https://doi.org/10.34306/adimas.v6i2.1459

Keywords:

Stunting, 1000 HPK, Posyandu Cadres, PRA, Nutrition

Abstract

Stunting is one of the most critical nutritional problems in Indonesia, significantly affecting children's physical and cognitive development. According to national data, the prevalence of stunting in rural areas remains relatively high. In Kasomalang Kulon Tourism Village, Subang Regency, West Java, the issue is exacerbated by the limited capacity of posyandu cadres in conducting anthropometric measurements, low community nutrition literacy, and the underutilization of abundant local food resources. These challenges hinder optimal stunting prevention efforts, especially during the first 1000 days of life (HPK), a crucial window for child development. This community service program aims to optimize the role of posyandu cadres in preventing stunting through targeted education and empowerment on the first 1000 days of life (HPK) in Kasomalang Kulon Tourism Village. The program applied a community empowerment approach using the Participatory Rural Appraisal (PRA) method combined with the Triple-A framework (Assessment, Analysis, and Action). The activities consisted of social mapping, participatory workshops, intensive training on anthropometric measurements (weight, height, and head circumference), nutrition education, demonstrations of local food-based complementary feeding (MP-ASI), and regular monitoring and evaluation using pre-test and post-test questionnaires. The program involved 25 posyandu cadres and community members over a three-month period. The results demonstrated significant improvements in cadres knowledge (from 62% to 89%), skills in anthropometric measurements, and confidence in delivering nutrition counseling. In addition, the program successfully increased awareness and utilization of local food resources for nutritious MP-ASI. The participatory approach also strengthened community engagement and ownership in stunting prevention initiatives. This study concludes that community-based empowerment interventions using participatory methods are highly effective in enhancing the capacity of posyandu cadres and supporting sustainable stunting prevention efforts. Strengthening cadre roles through education on the first 1000 days of life can serve as a strategic model for similar programs in other rural areas.

Downloads

Download data is not yet available.

References

[1] M. N. Yudhistirana and M. Susanti, “Tinjauan literatur: Determinan stunting pada 1000 hari pertama kehidupan anak,” Jurnal Riset Rumpun Ilmu Kedokteran (JURRIKE), pp. 452–458, 2025.

[2] S. Sauri, N. Nurhayati, S. Sulistia, P. S. Pratiwi, N. Fiqroh et al., “Sosialisasi pentingnya pencegahan stunting untuk mewujudkan generasi emas 2045 di desa cikalong kecamatan cibitung pandeglang,” KALANDRA Jurnal Pengabdian Kepada Masyarakat, vol. 3, no. 1, pp. 44–52, 2024.

[3] A. Vriarindani, “Faktor-faktor pencegahan stunting dengan mempersiapkan 1000 hpk (hari pertama kehidupan): Systematic review,” Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), vol. 9, no. 3, pp. 313–321, 2023.

[4] T. S. Goh, J. Suteja, E. Erika, A. Simanjuntak, A. H. A. N. Karsa, and M. Angel, “Bibliometric analysis of the role of strategic management in food sustainability towards sdg2: Insights of free lunch program,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 1, pp. 13–25, 2025.

[5] N. A. Fajar et al., “Analisis stunting pada 1000 hari pertama kehidupan dalam aspek sosial budaya: Systematic review,” Jurnal Kesehatan, vol. 12, no. 1, pp. 35–46, 2023.

[6] J. F. Maharani and L. Najwa, “Pelatihan kapasitas kader tumbuh kembang anak (1000 hpk, parenting & screening ddtk),” Jurnal Dedikasi Madani, vol. 2, no. 2, pp. 111–115, 2024.

[7] R. E. Sari, I. N. Ibnu, and A. Ramadhani, “Implementasi pemantauan ibu hamil kurang energi kronik dalam upaya percepatan perbaikan 1000 hari pertama kehidupan,” Poltekita: Jurnal Ilmu Kesehatan, vol. 16, no. 1, pp. 80–88, 2022.

[8] N. F. Bilqisthi and M. Falah, “Efektivitas program 1000 hari pertama kehidupan (hpk) dalam menurunkan prevalensi stunting pada balita: Literature review,” Jurnal Multidisiplin Ilmu Akademik, vol. 2, no. 6, pp. 1058–1063, 2025.

[9] A. I. Al-Fadhilah, “Pengaruh edukasi gizi berbasis instagram dan zoom meeting terhadap pengetahuan dan sikap tentang 1000 hari pertama kehidupan (1000 hpk) pada remaja usia 13-18 tahun di kabupaten lamongan,” Jurnal Gizi dan Kesehatan Nusantara, vol. 3, no. 2, pp. 306–312, 2023.

[10] D. M. Tarwiyah and A. Faridi, “Hubungan pengetahuan dan sikap tentang 1000 hpk dengan persepsi 1000 hpk di kantor urusan agama kecamatan jiput,” Jurnal Pustaka Padi (Pusat Akses Kajian Pangan dan Gizi), vol. 3, no. 3, pp. 67–71, 2024.

[11] A. A. Muis, D. Kurniawan, F. Ahmad, and T. A. Pamungkas, “Rancangan meja pengatur ketinggian otomatis menggunakan pendekatan antropometri dengan metode quality function deployment (qfd),” Jurnal Teknologi dan Manajemen Industri Terapan, vol. 1, no. 2, pp. 114–122, 2022.

[12] T. K. Andiani and O. Jayanagara, “Effect of workload, work stress, technical skills, self-efficacy, and social competence on medical personnel performance,” Aptisi Transactions on Technopreneurship (ATT), vol. 5, no. 2, pp. 118–127, 2023.

[13] P. A. Sunarya, U. Rahardja, S. C. Chen, Y.-M. Lic, and M. Hardini, “Deciphering digital social dynamics: A comparative study of logistic regression and random forest in predicting e-commerce customer behavior,” Journal of Applied Data Sciences, vol. 5, no. 1, pp. 100–113, 2024.

[14] W. Hadikurniawati, K. D. Hartomo, and I. Sembiring, “Spatial clustering of child malnutrition in central java: A comparative analysis using k-means and dbscan,” in 2023 International Conference on Modeling & E-Information Research, Artificial Learning and Digital Applications (ICMERALDA). IEEE, 2023, pp. 242–247.

[15] UNICEF Indonesia, “Gizi,” 2026, accessed: 2026-05-28. [Online]. Available: https://www.unicef.org/indonesia/id/gizi

[16] Kementerian Kesehatan Republik Indonesia, “Masalah gizi dalam daur hidup,” 2022, accessed: 2026-05- 28. [Online]. Available: https://keslan.kemkes.go.id/view artikel/1676/masalah-gizi-dalam-daur-hidup

[17] ——, “Protein hewani efektif cegah anak alami stunting,” 2023, accessed: 2026-05-28. [Online]. Available: https://kemkes.go.id/id/protein-hewani-efektif-cegah-anak-alami-stunting

[18] X. Lin, O. Sivarak, T.-H. Chou, Y.-T. Lin, U. Rahardja, A. Ruangkanjanases, Y.-C. Lin, and S.-C. Chen, “Exploring the effect of team-environment fit in the relationship between team personality, job satisfaction, and performance,” Frontiers in Public Health, vol. 10, p. 897482, 2022.

[19] N. A. Fajar, M. Zulkarnain, R. Taqwa, K. Sulaningsi, E. S. Ananingsih, R. D. Rachmayanti, and S. C. Sin, “Family roles and support in preventing stunting: A systematic review,” Jurnal Promosi Kesehatan Indonesia, vol. 19, no. 1, pp. 50–57, 2023.

[20] S. N. Mintarsih, R. Ambarwati, Z. Ismawanti, S. Sunarto, M. Mardiana, and A. A. Wijayanti, “Enhancing anthropometric skills and nutrition counseling through mentoring for adolescent posbindu cadres,” AcTion: Aceh Nutrition Journal, vol. 10, no. 2, pp. 324–333, 2025.

[21] C. Lukita, N. Lutfiani, A. R. S. Panjaitan, U. Rahardja, M. L. Huzaifah et al., “Harnessing the power of random forest in predicting startup partnership success,” in 2023 Eighth International Conference on Informatics and Computing (ICIC). IEEE, 2023, pp. 1–6.

[22] P. N. Cahyawati and P. A. N. K. Permatananda, “Pendampingan kader posyandu desa kerta dalam penerapan gizi seimbang dan pemantauan tumbuh kembang anak,” Warmadewa Minesterium Medical Journal, vol. 1, no. 3, pp. 56–61, 2022.

[23] Y. Z. Basri, W. Arafah et al., “Muslim consumers’ preferences on interest in buying halal food and beverage products with moderating variables of gender and education in dki jakarta,” APTISI Transactions on Management, vol. 7, no. 2, pp. 110–121, 2023.

[24] Y. Rohali, Y. Z. Basri, R. Ismail, and R. A. D. Septian, “Factors affecting the decision-making of indonesian sharia banking companies,” ADI Journal on Recent Innovation, vol. 4, no. 1, pp. 13–25, 2022.

[25] U. Rahardja, Q. Aini, A. S. Bist, S. Maulana, and S. Millah, “Examining the interplay of technology readiness and behavioural intentions in health detection safe entry station,” JDM (Jurnal Dinamika Manajemen), vol. 15, no. 1, pp. 125–143, 2024.

[26] N. Julianti, “Penerapan terapi akupresure terhadap produksi asi pada ibu menyusui 0-6 bulan di desa bantarjaya kecamatan pebayuran kabupaten bekasi tahun 2023,” SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan, vol. 7, no. 3, p. 2102, 2023.

[27] S. Sukmawati, Y. Hermayanti, E. Fadlyana, I. Maulana, and H. S. Mediani, “Health cadres’ experiences in detecting and preventing childhood stunting in indonesia: a qualitative study,” BMC Public Health, vol. 25, no. 1, p. 2987, 2025.

[28] T. Pujiati, H. Setiyowati, B. Rawat, N. P. L. Santoso, and M. G. Ilham, “Exploring the role of artificial intelligence in enhancing environmental health: Utaut2 analysis,” Sundara Advanced Research on Artificial Intelligence, vol. 1, no. 1, pp. 37–46, 2025.

[29] H. Hamdan, E. A. Nabila, R. A. Gunawan, A. P. Valentie, and C. Perez, “Digitalization of financial literacy and social media as a sustainable economic strategy in food & beverages: Digitalisasi literasi keuangan dan media sosial sebagai strategi ekonomi berkelanjutan pada food & beverages,” ADI Bisnis Digital Interdisiplin Jurnal, vol. 6, no. 1, pp. 99–107, 2025.

[30] Z. Zainol, N. N. A. Wahab, S. M. Shokory, and P. Harianto, “Healthy spending habits as drivers of technopreneurial and financial outcomes,” Aptisi Transactions on Technopreneurship (ATT), vol. 7, no. 3, pp. 823–834, 2025.

[31] Y. Hidayat, D. Nurmala, and V. Susanti, “Analisis dampak pemberian mp-asi dini terhadap pertumbuhan bayi 0-6 bulan,” Plamboyan Edu, vol. 1, no. 2, pp. 198–207, 2023.

[32] M. W. Manoppo, “Faktor-faktor yang mempengaruhi pemberian mp-asi pada anak usia 6-24 bulan,” Nutrix Journal, vol. 7, no. 2, pp. 193–203, 2023.

[33] A. Sumanri, M. Mansoer, U. A. Matin et al., “Exploring the influence of religious institutions on the implementation of technology for stunting understanding,” Aptisi Transactions on Technopreneurship (ATT), vol. 6, no. 1, pp. 1–12, 2024.

[34] R. Kurniaji, N. Azizah, and M. Yusup, “The influence branding of social media to improve digital business in training and consulting on instagram,” Startupreneur Business Digital (SABDA Journal), vol. 3, no. 2, pp. 171–180, 2024.

[35] J. Seiler, T. E. Libby, E. Jackson, J. Lingappa, and W. Evans, “Social media–based interventions for health behavior change in low-and middle-income countries: systematic review,” Journal of medical Internet research, vol. 24, no. 4, p. e31889, 2022.

[36] M. H. R. Chakim, P. A. Sunarya, V. Agarwal, I. N. Hikam et al., “Village tourism empowerment against innovation, economy creative, and social environmental,” Aptisi Transactions on Technopreneurship (ATT), vol. 5, no. 2sp, pp. 162–174, 2023.

[37] S. H. H. Khotimah et al., “Hubungan pengetahuan ibu yang memiliki balita tentang gerakan 1000 hari pertama kehidupan (hpk) dengan kejadian stunting pada balita di posyandu pakuhaji kabupaten tangerang:(the relationship between mothers’ knowledge of toddlers about the first 1000 days of life (hpk) movement and stunting incidents in toddlers at posyandu pakuhaji, tangerang regency,” Indonesian Scholar Journal of Nursing and Midwifery Science, vol. 3, no. 02, pp. 1115–1122, 2023.

[38] W. Hadikurniawati, K. D. Hartomo, I. Sembiring, H. D. Purnomo, A. Iriani et al., “Triangular fuzzy numbers-based madm for selecting pregnant mothers at risk of stunting,” Jurnal RESTI (Rekayasa Sistem dan Teknologi Informasi), vol. 7, no. 3, pp. 579–585, 2023.

[39] S. C. Azhari, C. Saepulmilah, and A. H. Juhaeni, “Pelatihan pembuatan pupuk organik hasil fermentasi (porasi) untuk mempromosikan sdgs dalam model pertanian berkelanjutan,” ADI Pengabdian Kepada Masyarakat, vol. 4, no. 1, pp. 27–32, 2023.

[40] A. Verma, T. Nguyen, A. Purty, N. Pradhan, A. Husan, P. Zambrano, Z. Mahmud, S. Ghosh, R. Mathisen, and T. Forissier, “Changing maternal and child nutrition practices through integrating social and behavior change interventions in community-based self-help and support groups: literature review from bangladesh, india, and vietnam,” Frontiers in Nutrition, vol. 11, p. 1464822, 2024.

[41] L. Newson and J. Abayomi, “Reframing interventions for optimal child nutrition and childhood obesity: the importance of considering psychological factors,” Proceedings of the Nutrition Society, vol. 84, no. 1, pp. 53–64, 2025.

[42] T. Hidayat, D. Manongga, Y. Nataliani, S. Wijono, S. Y. Prasetyo, E. Maria, U. Raharja, I. Sembiring et al., “Performance prediction using cross validation (gridsearchcv) for stunting prevalence,” in 2024 IEEE International Conference on Artificial Intelligence and Mechatronics Systems (AIMS). IEEE, 2024, pp. 1–6.