Exploration of Mother’s Perception of Toddlers About Stunting: Qualitative Study
Abstract
Introduction: Stunting is a significant health issue in Southeast Asia, commonly resulting from chronic malnutrition. Mothers play a crucial role in their children’s growth, development, and stunting prevention. Perceptions shape maternal attitudes and behaviors, influencing care for toddlers. This study aims to explore mothers’ perceptions of stunting in the Martapura 1 Health Center work area
Methods: A qualitative study with a descriptive phenomenological approach was conducted. Sixteen mothers of stunted toddlers were selected using purposive sampling. Data were collected through observation, interviews, documentation, and audio recordings. Ethical approval was obtained from the Health Research Ethics Commission of the Stikes Intan Martapura.
Results: Five themes emerged regarding mothers' perceptions of stunting: Definition of Stunting: Mothers associated stunting with genetic conditions, malnutrition, underweight, short stature, stunted growth and small body size; Causes of Stunting: Perceptions included many factors, malnutrition, cultural beliefs like "buyu" (a local term), and adequate food intake; Symptoms of Stunting: Mothers identified underweight, short stature, delayed development, small body size, and frequent illness; Prevention of Stunting: Properly fed, regular meal schedules, milk provision, attending posyandu (community health services), and provide vitamins; Handling of Stunting: Mothers mentioned consulting healthcare providers, providing nutritious food, improving dietary patterns, providing vitamins, and ensuring adequate sleep.
Conclusion: The study provides insights into maternal perceptions of stunting, covering definitions, causes, symptoms, prevention, and management. The study highlights the influence of sociocultural beliefs on maternal perceptions of stunting, which may contribute to misunderstandings and ineffective prevention strategies. Findings emphasize the need for culturally tailored health education to correct misconceptions and promote evidence-based stunting prevention practices. Strengthening community engagement and healthcare interventions is crucial for enhancing maternal awareness and ensuring the successful implementation of stunting prevention programs. Future research should explore broader populations to capture diverse sociocultural perspectives and their impact on child health.
References
Jokhu LA, Syauqy A, Lin LY, Dieny F, Rahadiyanti A. Determinants of stunting among children 6–23 months: a population-based study in Indonesia. Nutr Food Sci. 2024;30(1).
UNICEF East Asia and the Pacific Regional Office. Southeast Asia Regional report on maternal nutrition and complementary feeding. Bangkok; 2021.
World Health Organization. Joint Child Malnutrition Estimates [Internet]. 2023. Available from: https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb
Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Survei Status Gizi Indonesia (SSGI) 2022 [Internet]. 2023. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/09fb5b8ccfdf088080f2521ff0b4374f.pdf
Badan Kebijakan Pembangunan Kesehatan. Survei Kesehatan Indonesia (SKI) 2023 dalam angka [Internet]. Indonesia; 2024. Available from: https://drive.google.com/file/d/1rjNDG_f8xG6-Y9wmhJUnXhJ-vUFevVJC/view
Ikasari FS, Pusparina I, Irianti D. Media Video Animasi Meningkatkan Sikap Remaja tentang Gizi Seimbang dalam Rangka Mencegah Stunting. Media Publ Promosi Kesehat Indones. 2024;7(1):185–93.
Astuti Y, Paek SC, Meemon N. Analysis of traditional feeding practices and stunting among children aged 6 to 59 months in Karanganyar District, Central Java Province, Indonesia. BMC Pediatr. 2024;24(9).
Bertalina B, P.R A. Hubungan Asupan Gizi, Pemberian Asi Eksklusif, dan Pengetahuan Ibu dengan Status Gizi (Tb/U) Balita 6-59 Bulan. J Kesehat. 2018;9(1):117.
Noor RI, Muniroh L. Hubungan antara persepsi ibu dengan kejadian stunting berdasarkan teori Health Belief Model. J Kesehat Tambusai. 2023;4(3).
Swarjana IK. Konsep pengetahuan, sikap, perilaku, persepsi, stres, kecemasan, nyeri, dukungan sosial, kepatuhan, motivasi, kepuasan, pandemi Covid-19, akses layanan kesehatan – lengkap dengan konsep teori, cara mengukur variabel, dan contoh kuesioner. Yogyakarta: CV Andi Offset; 2022.
Indah R. Pola asuh dan persepsi ibu di pedesaan terhadap kejadian stunting pada balita. HIGEIA (Journal Public Heal Res Dev. 2020;4(Special 3):671–81.
Zahari SP. Hubungan Persepsi Ibu Dengan Kejadian Stunting Di Puskesmas Taman Bacaan. Universitas Sriwijaya; 2022.
Elfeshawy R, Sobky FA El, Amer SAM, Alzahrani SHA. The effect of mothers’ nutritional education based on health belief model to prevent stunting among young children. Egypt J Heal Care. 2022;13(2):886–95.
Noviaming S, Takaeb A, Ndun H. Persepsi ibu balita tentang stunting di Wilayah Puskesmas Tarus Kabupaten Kupang. Media Kesehat Masy. 2022;4(1):44–54.
Hapzah, Asmuni, Nurbaya. Stunting itu bukan hanya pendek: Studi kualitatif persepsi ibu tentang stunting dan faktor penyebabnya. J Kesehat Masy Indones. 2023;18(3):28–35.
Sutrio, Rahmadi A, Nugroho A, Muliani U, Mulyani R. Persepsi ibu balita tentang stunting di wilayah kerja Puskesmas Candramukti Kab.Tulang Bawang Barat. PREPOTIF. 2024;8(3):5195–20.
Samba H. Persepsi ibu balita penderita stunting tentang stunting (studi di Desa Oelomin wilayah kerja Puskesmas Oemasi Kabupaten Kupang. Undana; 2024.
World Health Organization. Child malnutrition: Stunting among children under 5 years of age [Internet]. 2024. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/72
Alyafei A, Easton-Carr R. The Health Belief Model of Behavior Change [Internet]. StatPearls Publishing. Treasure Island (FL): StatPearls Publishing LLC; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK606120/?report=printable
Sekretariat Tim Percepatan Penurunan Stunting Provinsi Kalimantan Selatan. Laporan Percepatan Penurunan Stunting Semester I Tahun 2024. Banjarmasin; 2024.
Yani DI, Rahayuwati L, Sari CWM, Komariah M, Fauziah SR. Family household characteristics and stunting: An update scoping review. Nutrients. 2023;15(1):233.
Nengsih SW. Sakit akibat melanggar pamali Banjar dalam kepercayaan masyarakat Banjar. Kementeri Pendidik dan Kebud. :79–90.
Riwu H, Karolin A, Gracia JH, Puspita ANR, Mahendra S, Prakoso Y. Inovasi bisnis dan citra merek kuliner keripik tulang ayam “aneka rasa Mr. Bones.” Juwira J Kewirausahaan Bukit Pengharapan. 2022;15–23.
Cipta DA, Andoko D, Theja A, Utama AVE, Hendrik H, William DG, et al. Culturally sensitive patient-centered healthcare: a focus on health behavior modification in low and middle-income nations—insights from Indonesia. Front Med [Internet]. 2024;1–7. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11047771/pdf/fmed-11-1353037.pdf
Mustakim MRD, Irwanto, Irawan R, Irmawati M, Setyoboedi B. Impact of stunting on development of children between 1-3 years of age. Ethiop J Heal Sci. 2022;32(3):569–78.
Hasanah R, Aryani F, Effendi B. Pemberdayaan masyarakat dalam pencegahan stunting pada anak balita. J Masy Madani Indones. 2023;2(1).
Ikasari FS, Maria I, Chrisnawati, Nugraha FS, Abdillah AR, Kirana CIA, et al. Mother’s experience of caring for children with stunting in the riverside of Banjar Regency. Media Publ Promosi Kesehat Indones. 2024;7(11):2666–82.
Imam A, Hassan-Hanga F, Sallahdeen A, Farouk ZL. Cross-sectional study of prevalence and risk factors for stunting among under-fives attending acute malnutrition treatment programmes in north-western Nigeria: Should these programmes be adapted to also manage stunting? Int Health. 2020;13(3):262–71.
Xu YY, Sawadogo?Lewis T, King SE, Mitchell A, Roberton T. Integrating nutrition into the education sector in low? and middle?income countries: A framework for a win–win collaboration. Matern Child Nutr [Internet]. 2021; Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8189246/
Wijaya MI. Social Ecological Approach to Combating Stunting in Kintamani, Bali, Indonesia. Univers J Public Heal. 2024;12(5):799–810.
Copyright (c) 2025 Media Publikasi Promosi Kesehatan Indonesia (MPPKI)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Media Publikasi Promosi Kesehatan Indonesia 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 Media Publikasi Promosi Kesehatan Indonesia.
-
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.