Flip Chart-based Nutrition Education to Improve Knowledge and Attitude towards Stunting among Adolescent Girls in Sleman Regency
Abstract
Background: Adolescence is a critical stage requiring adequate nutrition for long-term health. Adolescent girls are particularly vulnerable to iron deficiency, which increases the risk of anemia and stunting. Enhancing adolescent girls' knowledge of nutrition through health education, which can be delivered using tools such as flipcharts, can prevent and address stunting.
Method: This quasi-experimental study involved 541 adolescent girls aged 12–18 years, with a purposive sample of 91 participants divided into an intervention group and a control group. The intervention group received flip chart-based education, while the control group did not. The study was conducted in Kalurahan Triharjo and Pandowoharjo, Sleman, DI Yogyakarta. Data were collected using validated pre- and post-intervention questionnaires and analyzed with Wilcoxon and paired t-tests.
Result: The intervention group showed significant improvements in knowledge and attitudes about nutrition. Knowledge scores increased from 14.42 ± 2.388 at pretest to 19.36 ± 0.883 at posttest (mean difference: 4.94, p = 0.001). Attitude scores rose from 59.04 ± 8.512 to 75.31 ± 2.410 (mean difference: 16.27, p = 0.001). In the control group, smaller increases were observed for both knowledge (mean difference: 0.73, p = 0.001) and attitudes (mean difference: 4.13, p = 0.036).
Conclusion: Flip chart-based education effectively improves adolescents’ knowledge and attitudes about nutrition for stunting prevention. However, external exposure to nutrition information in the control group was a limitation. Future research should minimize such exposure by limiting information to basic content for control groups.
References
World Health Organization. Soth-East Asia. 2024. Countries in WHO South-East Asia Region commit to adolescent responsive health systems.
Widyawaty, Lestari A. An Analysis of Macro Nutrition in Red Dragon Fruit (Hylocereus Polurhizus) Peel Dodol. J Public Heal Pharm. 2022;2(2):37–40.
Hasriantirisna. Relationship Between Knowledge and the Incidence of Chronic Energy Deficiency in Pregnant Women. J Public Heal Pharm. 2023;3(1):1–4.
Zulhijjani R, Afni N, Lestari A. Analysis of Vitamin A, C and Iron (Fe) Levels in Moringa Leaf-Based Pudding. J Public Heal Pharm. 2022;2(3):45–9.
Candra MA, Laenggeng AH, Lestari A. Relationship of Knowledge, Energy Intake and Family Income with Nutritional Status of the Elderly in Lambara Village, Tawaeli District, Palu City. J Public Heal Pharm. 2022;2(3):50–4.
Lestari E, Shaluhiyah Z, Adi MS. Use of Android-Based Flipbook Educational Media to Increase Knowledge, Beliefs, Attitudes, and Intentions of Prospective Brides in Stunting Prevention in Semarang City. J Promkes. 2024;12(1):54–63.
UNICEF. Undernourished and Overlooked A global nutrition crisis in adolescent girls and women. 2024.
Kementerian Kesehatan RI. Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes. Jakarta: Badan Penelitian Dan Pengembangan Kesehatan Republik Indonesia; 2018. p. hal 156.
Kementerian Kesehatan RI. Kenali Masalah Gizi yang Ancam Remaja Indonesia. 2018.
Rachmi CN, Wulandari E, Kurniawan H, Wiradnyani LAA, Ridwan R, Akib TC. Aksi Bergizi Hidup Sehat Sejak Sekarang untuk Remaja Kekinian Penanggung. Unicef. Jakarta Selatan: Kementerian Kesehatan RI; 2019. 1–188 p.
World Health Organization. Malnutrition. 2024.
Kementrian Kesehatan RI. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. Jakarta: Badan Kebijakan Pembangunan Kesehatan Kementerian Kesehatan RI; 2021.
Dinas Kesehatan Sleman. Promkes. 2024. Sleman Berhasil Turunkan Stunting.
Kementerian Kesehatan RI. Badan Kebijakan Pembangunan Kesehatan. 2023. Cegah Stunting, Kemenkes Fokuskan Pada 11 Program Intervensi.
Ningsih AP. Emotional Focus Coping on Early Childhood Marriage Actors in Selayar. J Public Heal Pharm. 2023;3(1):11–4.
Tarigan AHZ, Nugroho IP. Bagaimana Rasa Ingin Tahu Remaja Ditinjau Dari Keinginan Untuk Mengaktualisasikan Diri Dalam Ruang Lingkup Sekolah. J Bimbing Dan Konseling Ar-Rahman. 2019;5(1):24.
Pueyo-Garrigues M, Whitehead D, Pardavila-Belio MI, Canga-Armayor A, Pueyo-Garrigues S, Canga-Armayor N. Health education: A Rogerian concept analysis. Int J Nurs Stud. 2019;94:131–8.
Patimah S. Pendidikan Gizi & Promosi Kesehatan. Vol. 1. Yogyakarta: CV Budi Utama; 2022. 1–182 p.
Ernawati A. Media Promosi Kesehatan Untuk Meningkatkan Pengetahuan Ibu Tentang Stunting. J Litbang Media Inf Penelitian, Pengemb dan IPTEK. 2022;18(2):139–52.
Uliyanti U, Anggraini R. Pencegahan Stunting Melalui Penyuluhan Gizi Pada Ibu Dengan Menggunakan Flip Chart Di Kecamatan Benua Kayong. J Pangan Kesehat dan Gizi Univ Binawan. 2022;2(2):65–74.
Sutrisno S, Sinanto RA. Efektivitas Penggunaan Lembar Balik sebagai Media Promosi Kesehatan : Tinjauan Sistematis. J Kesehat Terpadu (Integrated Heal Journal). 2022;13(1):1–11.
Alviani FN, Dwianggitamawati MS. Flipchart Media And Video About Preventing Early Stunting In Improving Knowledge Of Moms In Integrated Healthcare Center Sempu Village Kediri Regency. Indones J Nutr Epidemiol Reprod. 2021;4(1):8–16.
Nugraheni R. Program Edukasi Gizi pada Remaja Putri untuk Mencegah Stunting: Tinjauan Literatur Nutrition Education Program for Adolescent Girls to Prevent Stunting: Literature Review. J Promot Prev. 2024;7(3):569–77.
Eva Lestari, Zahroh Shaluhiyah, Mateus Sakundarno Adi. Intervensi Pencegahan Stunting pada Masa Prakonsepsi : Literature Review. Media Publ Promosi Kesehat Indones. 2023;6(2):214–21.
Dela, Budiman, Eka. Study of Knowledge and Attitudes of Food Handlers in Food Processing at the Beach Pogaian Diner, Tomini Village, Tomini District of Parigi Moutong. J Public Heal Pharm. 2022;2(2):30–3.
Herawati, Baculu EPH. Correlation of Knowledge and Public Attitude With Vaccination Covid-19 Injection at Sub-Discrit Tuwelei of Tolitoli Regency. J Public Heal Pharm. 2022;2(3):55–8.
Rachmawati WC. Promosi Kesehatan dan Ilmu Perilaku. Malang: Wineka Media; 2019.
Sulistiani RP, Fitriyanti AR, Dewi L. Pengaruh Edukasi Pencegahan Anemia dengan Metode Kombinasi Ceramah dan Team Game Tournament pada Remaja Putri. Sport Nutr J. 2021;3(1):39–47.
Kementerian Kesehatan RI. Remaja 10-18 Tahun. 2024.
Juhari NHS, Suan WB. Mother’s Knowledge, Attitude and Practices and its Influence toward Nutritional Status of Children in Terengganu. J Gizi dan Pangan. 2024;19(Supp.1):137–44.
Senudin PK. Tingkat Pengetahuan Dan Sikap Ibu Balita Tentang Gizi Terhadap Kejadian Stunting Di Desa Belang Turi, Manggarai,NTT. J Kesehat Saelmakers PERDANA. 2021;4(1):2021.
Notoatmodjo S. Promosi Kesehatan dan Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta; 2014.
Juwita SD, Susiarno H, Sekarwana N. Perbandingan Pengaruh Media Promosi Kesehatan Leaflet dan Fliopchart terhadap Peningkatan Pengetahuan dan Sikap Ibu tentang Stunting pada 1.000 hari Pertama Kehidupan di Wilayah Puskesmas Cibarusah. Syntax Lit J Ilm Indones. 2022;7(9):15427–37.
Fauziatin N, Kartini A, Nugraheni S. Pengaruh Pendidikan Kesehatan dengan Media Lembar Balik Tentang Pencegahan Stunting Pada Calon Pengantin. J Kesehat Masy. 2019;18(2):224–33.
Yaturramadhan H, Syahdat A. Processing of Red Ginger Powder Drink to Improve the Immune System During the Covid-19 Pandemic. J Public Heal Pharm. 2021;1(3):46–8.
Fatimahi S, Miswan, Rismawati N. Analysis of Wastewater Management Systems at Bhayangkara Hospital, Palu. J Public Heal Pharm. 2021;1(1):1–5.
Al-Hamdi R, Efendi D, Kurniawan BD, Latief H. POLITIK INKLUSIF MUHAMMADIYAH: Narasi Pencerahan Islam untuk Indonesia Berkemajuan. Yogyakarta: UMY Press; 2019.
Copyright (c) 2024 Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Journal of Public Health and Pharmacy retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:
-
Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.
-
Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Journal of Public Health and Pharmacy.
-
License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.