Effectiveness of an Informative Website on Behavioral Determinants of Community-Based Total Sanitation for Stunting Prevention: A True Experiment
Abstract
Introduction: Stunting is a persistent nutritional problem that impacts children's growth and development, as well as the quality of future human resources. The stunting rate has not yet reached the national target. The informative website, the Libas Stunting Education System (SiEduk), focuses on implementing the five pillars of Community-Based Total Sanitation (STBM) to prevent stunting. This study aims to analyze the effectiveness of the informative website SiEduk Libas Stunting in Bandung Regency.
Methods: This quantitative research employed a purely experimental research design with a pretest-posttest control group design. The study was conducted from July to December 2025. The research sample consisted of 700 housewives and was taken randomly. Simple Random Sampling based on inclusion and exclusion criteria then divided into experimental group and control group. Data were collected from a questionnaire that had been tested for validity and reliability. Data analysis was performed using an independent t-test. Data came from pre-test and post-test questionnaires. Ethical approval from the ethics committee of Bhakti Kencana University with number 211/09.KEPK/UBK/VII/2025.
Results: There were significant differences between the intervention and control groups in all variables studied, with a P value <0.001. The knowledge variable showed the highest increase with an average difference of 0.771, followed by perception at 0.371, attitude at 0.314, and motivation at 0.257. These results indicate that digital education through the informative website SiEduk Libas Stunting is effective in increasing the understanding and implementation of Community-Based Total Sanitation.
Conclusion: Digital-based informative websites like SiEduk Libas Stunting have proven effective in improving the knowledge, attitudes, perceptions, and motivation of housewives to implement the Five Pillars of Community-Based Total Sanitation to prevent stunting. Support from the Health Office and cross-sectoral collaboration are needed to maximize public access to the informative website.
References
A. Muhawarman, “SSGI 2024: National Stunting Prevalence to Decrease to 19.8%,” Head of the Bureau of Communication and Public Information, Ministry of Health of the Republic of Indonesia, 2025. https://kemkes.go.id/id/ssgi-2024-prevalensi-stunting-nasional-turun-menjadi-198
R. Roediger, D. T. Hendrixson, and M. J. Manary, “A roadmap to reduce stunting,” Am. J. Clin. Nutr., vol. 112, pp. 773S-776S, Sep. 2020, https://doi.org/10.1093/ajcn/nqaa205
T. Mulyaningsih, I. Mohanty, V. Widyaningsih, T. A. Gebremedhin, R. Miranti, and V. H. Wiyono, “Beyond personal factors: Multilevel determinants of childhood stunting in Indonesia,” PLoS One, vol. 16, no. 11, p. e0260265, Nov. 2021, [Online]. Available: https://doi.org/10.1371/journal.pone.0260265
B. J. Akombi, K. E. Agho, J. J. Hall, D. Merom, T. Astell-Burt, and A. M. N. Renzaho, “Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis,” BMC Pediatr., vol. 17, no. 1, p. 15, 2017, https://doi.org/10.1186/s12887-016-0770-z
I. Mostafa, N. N. Naila, M. Mahfuz, M. Roy, A. S. G. Faruque, and T. Ahmed, “Children living in the slums of Bangladesh face risks from unsafe food and water and stunted growth is common,” Acta Paediatr., vol. 107, no. 7, pp. 1230–1239, Jul. 2018, https://doi.org/10.1111/apa.14281
T. Vaivada, N. Akseer, S. Akseer, A. Somaskandan, M. Stefopulos, and Z. A. Bhutta, “Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline,” Am. J. Clin. Nutr., vol. 112, pp. 777S-791S, 2020, https://doi.org/10.1093/ajcn/nqaa159
Suyanto Suyanto et al., “Understanding stunting risk factors in Kampar Regency: Insights from mothers with stunted children (qualitative study),” Sage Open Med., vol. 12, p. 20503121241244664, Apr. 2024, https://doi.org/10.1177/20503121241244662
L. Atamou, D. C. Rahmadiyah, H. Hassan, and A. Setiawan, “Analysis of the Determinants of Stunting among Children Aged below Five Years in Stunting Locus Villages in Indonesia,” Healthcare, vol. 11, no. 6. p. 810, 2023. https://doi.org/10.3390/healthcare11060810
G. Dunleavy, C. K. Nikolaou, S. Nifakos, R. Atun, G. C. Y. Law, and L. Tudor Car, “Mobile Digital Education for Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration,” J Med Internet Res, vol. 21, no. 2, p. e12937, 2019, https://doi.org/10.2196/12937
?. Bekta? and F. Yard?mc?, “The effect of web-based education on the self-confidence and anxiety levels of paediatric nursing interns in the clinical decision-making process,” J. Comput. Assist. Learn., vol. 34, no. 6, pp. 899–906, Dec. 2018, https://doi.org/10.1111/jcal.12298
N. Puri, E. A. Coomes, H. Haghbayan, and K. Gunaratne, “Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases,” Hum. Vaccin. Immunother., vol. 16, no. 11, pp. 2586–2593, Nov. 2020, https://doi.org/10.1080/21645515.2020.1780846.
R. Moffat et al., “A National Communications Campaign to decrease childhood stunting in Tanzania: an analysis of the factors associated with exposure,” BMC Public Health, vol. 22, no. 1, p. 531, 2022, https://doi.org/10.1186/s12889-022-12930-6
Bandung Regent Regulation, Bandung Regent Regulation Number 118 of 2025 concerning changes to the work plan of the Bandung Regency Housing, Residential Areas and Land Agency in 2025. 2025.
Y. Huang, Z. Zhang, B. Xu, X. Zhou, J. Zhai, and D. Gao, “Digital Learning Empowering Sustainable Education: Evidence from the Determinants of Chinese College Students’ Knowledge Innovation Capability,” Sustainability, vol. 17, no. 20. p. 9060, 2025. https://doi.org/10.3390/su17209060
D. Dushkova and O. Ivlieva, “Empowering Communities to Act for a Change: A Review of the Community Empowerment Programs towards Sustainability and Resilience,” Sustainability, vol. 16, no. 19. p. 8700, 2024. https://doi.org/10.3390/su16198700
D. Tao, C. LeRouge, K. J. Smith, and G. De Leo, “Defining Information Quality Into Health Websites: A Conceptual Framework of Health Website Information Quality for Educated Young Adults,” JMIR Hum Factors, vol. 4, no. 4, p. e25, 2017, https://doi.org/10.2196/humanfactors.6455
H. Wang et al., “Effect of Health Intervention via Web-Based Education on Improving Information-Motivation-Behavioral Skills Related to HPV Vaccination Among Chinese Female College Students.,” Int. J. Public Health, vol. 68, p. 1605596, 2023, https://doi.org/10.3389/ijph.2023.1605596
M. Atikuzzaman, “Evaluating information access and usability of a university website: a mixed-method study on students, experts and authority,” Inf. Discov. Deliv., Sep. 2025, https://doi.org/10.1108/IDD-11-2024-0177
B. T. Johnson, L. Martinez-Berman, and C. M. Curley, “Formation of Attitudes: How People (Wittingly or Unwittingly) Develop Their Viewpoints.” Oxford University Press, 2022. https://doi.org/10.1093/acrefore/9780190236557.013.812
X. Yang et al., “Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study,” vol. 8, no. January, pp. 475–481, 2020, https://doi.org/10.1016/S2213-2600(20)30079-5
D. Abun et al., “The effect of innovative work environment on the innovative work behavior of employees To cite this version: HAL Id : hal-04091739 Research in Business & Social Science The effect of innovative work environment on the innovative work behavior of employee,” Bus. Soc. Sci. IJRBS, vol. 12, no. 3, 2023, https://dx.doi.org/10.20525/ijrbs.v10i7.1459
S. Dukhnovsky, V. Mishchenko, and L. Belova, “Features Of Professional Self-Attitude In Subjects Experiencing ‘Adulthood Crisis,’” pp. 36–45, 2021, https://doi.org/10.15405/epsbs.2021.06.04.5
N. R. Suprobo et al., “Short Counselling Program Enhances Health Care Workers’ Knowledge and Attitude in Early Detection of Stunting in Children: Influencing Factors,” in Proceedings of the Malang International Conference in Medical and Health Sciences (MICROMEDHS 2024), 2025, no. Micromedhs 2024, pp. 100–109. https://doi.org/10.2991/978-94-6463-807-3_10
Y.-C. Lee, C.-H. Peng, C.-L. Sia, and W. Ke, “Effects of visual-preview and information-sidedness features on website persuasiveness,” Decis. Support Syst., vol. 188, p. 114361, 2025, https://doi.org/10.1016/j.dss.2024.114361
N. Mheidly and J. Fares, “Leveraging media and health communication strategies to overcome the COVID-19 infodemic,” J. Public Health Policy, vol. 41, no. 4, pp. 410–420, 2020, https://doi.org/10.1057/s41271-020-00247-w
S.-H. Oh, S. Y. Lee, and C. Han, “The Effects of Social Media Use on Preventive Behaviors during Infectious Disease Outbreaks: The Mediating Role of Self-relevant Emotions and Public Risk Perception,” Health Commun., vol. 36, no. 8, pp. 972–981, Jul. 2021, https://doi.org/10.1080/10410236.2020.1724639
H. S. Mediani, S. Hendrawati, T. Pahria, A. S. Mediawati, and M. Suryani, “Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia,” J. Multidiscip. Healthc., vol. 15, no. null, pp. 1069–1082, May 2022, https://doi.org/10.2147/JMDH.S356736
R. D. Kurniawati, R. L. Pratama, and Y. P. Lolan, “Prevention of Helminthiasis Through Increased Knowledge with Poster and Video Media: An Intervention Study,” Int. J. Med. Sci. Clin. Res. Stud., vol. 03, no. 11, pp. 2883–2888, 2023, https://doi.org/10.47191/ijmscrs/v3-i11-64
N. Nurhaeni et al., “Exploring the strategies and components of interventions to build adolescent awareness about stunting prevention in West Java: A qualitative study,” PLoS One, vol. 19, no. 12, p. e0314651, Dec. 2024, [Online]. Available: https://doi.org/10.1371/journal.pone.0314651
R. D. Kurniawati, M. Martini, N. E. Wahyuningsih, and D. Sutiningsih, “Integration of Dengue Fever Prevention into School Learning : An Experimental Study-Interactive Media for Dengue Fever Prevention,” Media Publ. Promosi Kesehat. Indones., vol. 8, no. 12, pp. 1590–1601, 2025, https://doi.org/10.56338/mppki.v8i12.8723.
T. Mathur and R. K. V V, “Human-Computer Interaction (HCI) in Banking: Users’ Website Usability Experience and Self-Confidence,” in 2024 International Seminar on Application for Technology of Information and Communication (iSemantic), 2024, pp. 174–177. https://doi.org/10.1109/iSemantic63362.2024.10762318.
P. Yurtsever Gök and E. Efe, “The effect of Web-based preterm infant care training on mothers’ self-confidence,” Health Care Women Int., pp. 1–13, Mar. 2022, https://doi.org/10.1080/07399332.2022.2039150.
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