Integration of Health Education Technology to Improve Mothers' Understanding of Toddler Nutrition in the Ciputat Timur Community Health Center Area, South Tangerang
Abstract
Purpose of the study: This study aimed to analyze the effectiveness of integrating health education media in improving maternal knowledge regarding toddler nutrition in the working area of the Ciputat Timur Community Health Center, South Tangerang.
Methodology: A quantitative study with a quasi-experimental design using a non-equivalent control group approach was conducted. The study involved 36 mothers of toddlers, consisting of 9 mothers of underweight toddlers (intervention group) and 27 mothers of well-nourished toddlers (control group). Data were collected using a structured questionnaire measuring maternal knowledge before and after the educational intervention. The intervention included health education using flipchart media and video-based educational materials, while the control group received education using flipchart media only.
Main Findings: The results showed a significant improvement in maternal knowledge after the educational intervention. In the underweight toddler group, the median knowledge score increased from 65.00 to 80.00 (p = 0.007). In the well-nourished toddler group, the median knowledge score increased from 70.00 to 80.00 (p < 0.001). Furthermore, the proportion of mothers with knowledge scores above 70 increased from 0% to 66.7% in the underweight group and from 48.1% to 85.2% in the well-nourished group.
Novelty/Originality of this study: The novelty of this study lies in the integration of multiple health education media, including flipcharts and video-based learning, within a community-based nutrition education intervention at the primary health care level, providing a more interactive and effective approach to improving maternal nutrition literacy.
References
M. C. da C. Carvalho, S. A. Ribeiro, L. S. de Sousa, A. Â. M. Lima, and B. L. L. Maciel, “Undernutrition and intestinal infections in children: A narrative review,” Nutrients, vol. 17, no. 9, p. 1479, Apr. 2025, doi: 10.3390/nu17091479.
D. J. Momberg et al., “Water, sanitation and hygiene (WASH) in sub-Saharan Africa and associations with undernutrition, and governance in children under five years of age: a systematic review,” J. Dev. Orig. Health Dis., vol. 12, no. 1, pp. 6–33, Feb. 2021, doi: 10.1017/S2040174419000898.
S. Triunfo and A. Lanzone, “Impact of maternal under nutrition on obstetric outcomes,” J. Endocrinol. Invest., vol. 38, no. 1, pp. 31–38, 2015, doi: 10.1007/s40618-014-0168-4.
M. M. D. Wahyuni et al., “Epidemiological surveillance on diarrheal diseases at pasir panjang primary health care center 2025,” J. Widya Med., vol. 11, no. 2, pp. 100–110, Aug. 2025, doi: 10.33508/jwm.v11i2.7508.
O. J. Sumampouw, J. E. Nelwan, F. V. Kuhon, O. R. Pinontoan, E.. C. Musa, and J. Tahulending, “The determinants of the incidence of diarrhea in underfive children in Urban coastal areas: A Cross-sectional study,” Int. J. Nat. Heal. Sci., vol. 4, no. 1, pp. 37–50, Jan. 2026, doi: 10.59890/ijnhs.v4i1.147.
Dewi Suparti, E. C. Situmorang, R. Hasugian, R. Situmorang, and F. Diniarti, “Diarrhea prevention and treatment counseling In Suka Maju Village, penarik district, Mukomuko regency,” J. Inov. Kerja Nyata, vol. 1, no. 1, pp. 51–56, Jul. 2025, doi: 10.70963/jikn.v1i1.833.
K. I. Krisnadewi, S. A. Kristina, T. M. Andayani, and D. Endarti, “Implementation preventive program for diabetic mellitus (PROLANIS) at Community Health Center in Indonesia: A qualitative study,” J. Appl. Pharm. Sci., vol. 15, no. 01, pp. 153–161, 2024, doi: 10.7324/JAPS.2024.194416.
E. Mantzourani, R. Deslandes, K. Hodson, A. Evans, L. Taylor, and C. Lucas, “Community Pharmacists’ Views on the Early Stages of Implementation of a National Pilot Independent Prescribing Service in Wales: A Qualitative Study,” Integr. Pharm. Res. Pract., vol. 12, no. 1, pp. 11–23, 2023, doi: 10.2147/iprp.s395322.
M. A. Valerio et al., “Comparing two sampling methods to engage hard-to-reach communities in research priority setting,” BMC Med. Res. Methodol., vol. 16, no. 1, pp. 1–11, 2016, doi: 10.1186/s12874-016-0242-z.
A. K. Andersen, “Educating free citizens for the 21st century: On innovation in education,” IUL Res. Open J. IUL Univ., vol. 1, no. 1, pp. 8–23, 2022, doi: 10.57568/iulres.v1i1.53.
N. Tor and G. Gordon, “Digital interactive quantitative curiosity assessment tool: Questions worlds,” Int. J. Inf. Educ. Technol., vol. 10, no. 8, pp. 614–621, 2020, doi: 10.18178/ijiet.2020.10.8.1433.
I. Demchenko, B. Maksymchuk, V. Bilan, I. Maksymchuk, and I. Kalynovska, “Training future physical education teachers for professional activities under the conditions of inclusive education,” Brain. Broad Res. Artif. Intell. Neurosci., vol. 12, no. 3, pp. 191–213, 2021, doi: 10.18662/brain/12.3/227.
T. Wardlaw, D. You, L. Hug, A. Amouzou, and H. Newby, “UNICEF report: Enormous progress in child survival but greater focus on newborns urgently needed,” Reprod. Health, vol. 11, no. 1, p. 82, Dec. 2014, doi: 10.1186/1742-4755-11-82.
C. K. Lutter et al., “Undernutrition, poor feeding Practices, and low coverage of key nutrition interventions,” Pediatrics, vol. 128, no. 6, pp. 1418–1427, Dec. 2011, doi: 10.1542/peds.2011-1392.
N. Wulandari, A. Margawati, and Z. Rahfiludin, “The implementation of nutrition improvement programs for underweight children, wasting and stunting in the department of health, central buton district, Southeast Sulawesi,” J. Gizi Indones. (The Indones. J. Nutr., vol. 9, no. 2, pp. 86–96, 2021, doi: 10.14710/jgi.9.2.86-96.
A. Setiawan and Y. Christiani, “Integrated health post for child health (Posyandu) as a community-based program in Indonesia: An exploratory study,” J. Keperawatan Indones., vol. 21, no. 3, pp. 150–158, Nov. 2018, doi: 10.7454/jki.v21i3.600.
S. N. Kazmi, A. Ali, and M. Issa, “Tunes of traditions in folk songs: Unravelling balti society’s fabrics through thematic analysis,” J. Soc. Res. Dev., vol. 5, no. 2, pp. 55–69, May 2024, doi: 10.53664/JSRD/05-02-2024-05-55-69.
A. S. Theobold, M. H. Wickstrom, and S. A. Hancock, “Coding code: Qualitative methods for investigating data science skills,” J. Stat. Data Sci. Educ., vol. 32, no. 2, pp. 161–173, 2024, doi: 10.1080/26939169.2023.2277847.
M. Kh. A. D. R. Gustiasari, “Analysis of the meaning of hate speech in the instagram account @ lambe _ turah ( pragmatic study ),” vol. 1, no. 1, pp. 176–183, 2025.
R. A. J. Borst, R. Wehrens, and R. Bal, “Sustaining knowledge translation practices: A critical interpretive synthesis,” Int J Heal. Policy Manag, vol. 11, no. 12, pp. 793–2804, Feb. 2022, doi: 10.34172/ijhpm.2022.6424.
K. N. Sawyer et al., “Sudden Cardiac Arrest Survivorship: A Scientific Statement From the American Heart Association,” Circulation, vol. 141, no. 12, pp. e654–e685, Mar. 2020, doi: 10.1161/CIR.0000000000000747.
S. Yulando, S. Sutopo, and T. Franklin Chi, “Electronic Module Design and Development: An Interactive Learning,” Am. J. Educ. Res., vol. 7, no. 10, pp. 694–698, 2019, doi: 10.12691/education-7-10-4.
M. M. Goraya, M. U. Mehmood, N. Iftikhar, and A. U. R. Bhatti, “The role of folk narratives in moral education: An interdisciplinary approach,” J. Polit. Stab. Arch., vol. 3, no. 2, pp. 186–205, Apr. 2025, doi: 10.63468/jpsa.3.2.10.
H. Mohajan, “Quantitative rresearch: A successful investigation in natural and social sciences,” J. Econ. Dev. Environ. People, vol. 9, no. 4, pp. 52–79, 2020.
M. Haq, “A comparative analysis of qualitative and quantitative research methods and a justification for adopting mixed methods in social research . the university of bradford institutional repository,” Annu. PhD Conf. Univ. Bradford Sch. Manag., pp. 1–22, 2023.
E. Daniel, “The usefulness of qualitative and quantitative approaches and methods in researching problem-solving ability in science education curriculum,” J. Educ. Pract., vol. 7, no. 15, pp. 91–100, 2016, doi: 2222-288X.
Y. M. Al-Worafi, “Nursing Education, Practice, and Research in South Africa BT - Handbook of Medical and Health Sciences in Developing Countries: Education, Practice, and Research,” Cham: Springer International Publishing, 2023, pp. 1–33. doi: 10.1007/978-3-030-74786-2_527-1.
F. Mulisa, “Sampling techniques involving human subjects: Applications, pitfalls, and suggestions for further studies,” Int. J. Acad. Res. Educ., vol. 8, no. 1, pp. 75–84, 2022, doi: 10.17985/ijare.1225214.
Asrulla, Risnita, M. S. Jailani, and F. Jeka, “Populasi dan sampling (Kuantitatif), serta pemilihan informan kunci (Kualitatif) dalam pendekatan praktis,” J. Pendidik. Tambusai, vol. 7, no. 3, pp. 26320–26332, 2023.
H. Zhan, K. M. Cheng, L. Wijaya, and S. Zhang, “Investigating the mediating role of self-efficacy between digital leadership capability, intercultural competence, and employability among working undergraduates,” High. Educ. Ski. Work. Learn., vol. 14, no. 4, pp. 796–820, Jul. 2024, doi: 10.1108/HESWBL-02-2024-0032.
J. O. L. A. Literacy Education 1 Citation, S. P. Clark, and B. A. Marinak, “Courageous conversations: Inviting valued texts into the classroom,” J. Lang. Lit. Educ., vol. 7, no. 1, pp. 1–12, 2011.
C. Colucci et al., “Indexes, models and IT systems for frailty healthcare process management: An innovative case study,” Knowl. Process Manag., vol. 33, no. 1, pp. 25–48, 2026, doi: 10.1002/kpm.70005.
P. G. Fitchett and T. L. Heafner, “Teacher Quality or Quality Teaching? Eighth Grade Social Studies Teachers’ Professional Characteristics and Classroom Instruction as Predictors of U.S. History Achievement,” RMLE Online, vol. 41, no. 9, pp. 1–17, 2018, doi: 10.1080/19404476.2018.1514826.
R. E. Black, C. Levin, N. Walker, D. Chou, L. Liu, and M. Temmerman, “Reproductive, maternal, newborn, and child health: key messages from Disease Control Priorities 3rd Edition,” The Lancet.
K. Udomtaku and K. Konharn, “Energy expenditure and movement activity analysis of sepaktakraw players in the Thailand league,” J. Exerc. Sci. Fit., vol. 18, no. 3, pp. 136–141, 2020, doi: 10.1016/j.jesf.2020.04.001.
M. Valentini, C. Bernardini, A. Beretta, and G. Raiola, “Movement and language development as an early childhood twin strategy: A systematic review,” Sport Mont, vol. 16, no. 3, pp. 107–112, 2018, doi: 10.26773/smj.181019.
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