Traffic Card Media with Jigsaw Method: Improving Knowledge, Attitude, and Sanitation Hygiene for Stunting Prevention
Abstract
Indonesia continues to face significant challenges in reducing stunting rates, particularly in rural areas. The primary contributing factors include a lack of parental knowledge, unsupportive lifestyle attitudes, and poor environmental sanitation. Nutrition education plays a crucial role in raising mothers' awareness of stunting. This study sought to evaluate mothers’ knowledge, attitudes, and sanitation hygiene practices regarding toddlers aged 24 to 60 months while incorporating traffic card media and the jigsaw method in group discussions to strengthen these factors for effective stunting prevention. It adopts a quantitative research design with a one-group pretest-posttest approach. The study was conducted in the working area of the Wapunto Health Center from July to October 2023. A simple random sampling technique was used, involving 21 respondents. Data were analyzed using a non-parametric Wilcoxon test. The pretest and posttest average scores for each variable were as follows: knowledge (67.95 to 81.95), attitude (61.43 to 80.05), and sanitation hygiene (80.95 to 90.95), indicating an overall improvement. The p-values were < 0.05 for all variables, with knowledge and attitude each at p = 0.000 and sanitation hygiene at p = 0.002, demonstrating a significant effect of the intervention. Traffic card media proves to be an effective educational tool for increasing public awareness of stunting prevention by improving knowledge, attitudes, and sanitation hygiene practices.
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Alkaff, R., Amran, Y., Rosad, M. N., & Nurmeilis, N. (2022). Intervensi Promosi Kesehatan Melalui Edukasi Gizi Oleh Kader Desa Dalam Pencegahan Stunting. Shihatuna: Jurnal Pengabdian Kesehatan Masyarakat, 2(1), 23-33. http://dx.doi.org/10.30829/shihatuna.v2i1.11652
Amador, J. A., & Mederer, H. (2013). Migrating successful student engagement strategies online: Opportunities and challenges using jigsaw groups and Problem-Based Learning. Journal of Online Learning and Teaching, 9, 89-105.
Apriyani, A., Suwignyo, S., Kusumawati, R. M., & Wulandari, K. (2023). Hubungan sanitasi terhadap kejadian stunting pada anak usia dini di Kota Samarinda. Jurnal Ilmu Kedokteran dan Kesehatan, 10(12), 3564-3568. https://doi.org/10.33024/jikk.v10i12.12449
Aramico, B., Huriyati, E., & Dewi, F. S. T. (2020, November). Determinant factors of stunting and effectiveness of nutrition, information, education interventions to prevent stunting in the first 1000 days of life: A systematic review. In The International Conference on Public Health Proceeding (Vol. 5, No. 01, pp. 285-300). https://doi.org/10.26911/the7thicph.03.15
Ariani, A. (2017). Nutrition Science Equipped with Nutritional Status Assessment Standards and Food Composition List. Nuha Medika.
Arnita, S., Rahmadhani, D. Y., & Sari, M. T. (2020). Hubungan pengetahuan dan sikap ibu dengan upaya pencegahan stunting pada balita di wilayah kerja Puskesmas Simpang Kawat Kota Jambi. Jurnal Akademika Baiturrahim Jambi, 9(1), 7. https://doi.org/10.36565/jab.v9i1.149
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X
Brillianti, N. K. B., Sipahutar, I. E., & Ribek, I. N. (2022). Efektivitas Edukasi Stunting dengan Media Whatsapp terhadap Tingkat Pengetahuan Orang Tua yang Memiliki Balita Stunting. Jurnal Gema Keperawatan, 15(2), 247-261. https://doi.org/10.33992/jgk.v15i2.2182
Dahlan, M. (2014). Besar Sampel dalam Penelitian Kedokteran dan Kesehatan. Epidemiologi Indonesia.
De Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal & Child Nutrition, 12, 12-26. https://doi.org/10.1111/mcn.12231
Dearden, K., Mulokozi, G., Linehan, M., Cherian, D., Torres, S., West, J., Crookston, B., & Hall, C. (2023). The impact of a large-scale social and behavior change communication intervention in the Lake Zone Region of Tanzania on knowledge, attitudes, and practices related to stunting prevention. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20021214
Ernawati, A. (2022). Media Promosi Kesehatan Untuk Meningkatkan Pengetahuan Ibu Tentang Stunting. Jurnal Litbang: Media Informasi Penelitian, Pengembangan Dan IPTEK, 18(2), 139–152. https://doi.org/10.33658/jl.v18i2.324
Global Nutrition Report. (2020). 2020 Global Nutrition Report. Global Nutrition Report. https://globalnutritionreport.org/reports/2020-global-nutrition-report/
Indah, P., & Malik, M. F. (2024). Pengaruh pemberian asi eksklusif, pola komsumsi, dan pendapatan keluarga terhadap kejadian stunting pada balita di wilayah kerja Puskesmas Tondasi Kabupaten Muna Barat tahun 2024. Jurnal Penelitian Sains dan Kesehatan Avicenna, 3(3), 267-275. https://doi.org/10.69677/avicenna.v3i3.109
Jatmaika, S. E. D. (2019). Textbook of Health Promotion Media Development. K Media.
Komang, I. Y., Ashar, K., & Syafitri, W. (2023). The effect of food ingredients containing protein on stunting cases in East Java. Journal of International Conference Proceedings, 6(1), 368-375. https://doi.org/10.32535/jicp.v6i1.2312
Kurniati, P. T. (2022). Hubungan tingkat pengetahuan dan sikap ibu terhadap kejadian stunting pada balita di Puskesmas Sungai Durian Kabupaten Sintang tahun 2021. Jurnal Medika Usada, 5(1), 58-64. https://doi.org/10.54107/medikausada.v5i1.128
Kusuma, A. W. (2018). Meningkatkan kerjasama siswa dengan metode Jigsaw. Konselor, 7(1), 26-30. https://doi.org/10.24036/02018718458-0-00
Maliga, I., Hasifah, H., Antari, G. Y., Rafi’ah, R., & Lestari, A. (2022). Pengaruh indeks risiko sanitasi terhadap kejadian stunting di Kecamatan Moyo Utara. Jurnal Kesehatan Lingkungan Indonesia, 21(1), 50-58. https://doi.org/10.14710/jkli.21.1.50-58
Margawati, A., & Astuti, A. M. (2018). Pengetahuan ibu, pola makan dan status gizi pada anak stunting usia 1-5 tahun di Kelurahan Bangetayu, Kecamatan Genuk, Semarang. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 6(2), 82-89. https://doi.org/10.14710/jgi.6.2.82-89
Ministry of Communication and Digital Affairs of Indonesia. (2021, December 14). Penanganan Stunting Tentukan Masa Depan Bangsa. Komdigi. https://www.komdigi.go.id/berita/berita-pemerintahan/detail/penanganan-stunting-tentukan-masa-depan-bangsa
Nasution, I. S., & Susilawati, S. (2023). Faktor Water, Sanitation, dan Hygiene (WASH) dengan kejadian stunting pada balita di kawasan pesisir. Health Information: Jurnal Penelitian.
Notoatmodjo, S. (2010). Pendidikan dan Perilaku Kesehatan. Rineka Cipta.
Olo, A., Mediani, H. S., & Rakhmawati, W. (2021). Hubungan faktor air dan sanitasi dengan kejadian stunting pada balita di Indonesia. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 5(2), 1113-1126.
Prasetyo, A., & Asfur, R. (2021). Gambaran sanitasi lingkungan pada stunting di Desa Secanggang Kabupaten Langkat. Jurnal Ilmiah Kohesi, 5(2), 14-23.
Rahmawati, N. F., Fajar, N. A., & Idris, H. (2020). Faktor sosial, ekonomi, dan pemanfaatan posyandu dengan kejadian stunting balita keluarga miskin penerima PKH di Palembang. Jurnal Gizi Klinik Indonesia, 17(1), 23–33. https://doi.org/10.22146/ijcn.49696
Raodah, R., Djannah, S. N., & Hadayani, L. (2023). Efektivitas Media Edukasi Booklet terhadap Pengetahuan dan Sikap Ibu Balita Stunting Aceh. Media Publikasi Promosi Kesehatan Indonesia, 6(5), 931-937. https://doi.org/10.56338/mppki.v6i5.3153
Rokhaidah, R. (2021). Pengaruh edukasi kesehatan dengan media audiovisual terhadap pengetahuan ibu tentang stunting pada balita di Posyandu Melati 1 Kelurahan Pisangan Timur, Jakarta Timur. Jurnal Keperawatan Widya Gantari Indonesia, 5(2), 58-64. https://doi.org/10.52020/jkwgi.v5i2.3173
Rokom, R. (2023, January 25). Prevalensi Stunting di Indonesia Turun ke 21,6% dari 24,4%. Sehat Negeriku. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20230125/3142280/prevalensi-stunting-di-indonesia-turun-ke-216-dari-244/
UNICEF. (2023, May). Child Malnutrition. UNICEF. https://data.unicef.org/topic/nutrition/malnutrition/
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. The American journal of clinical nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
Zairinayati, Z., & Purnama, R. (2019). Hubungan hygiene dan sanitasi lingkungan dengan kejadian stunting pada balita. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 10(1).
DOI: https://doi.org/10.32535/apjme.v8i1.3790
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