113Mothers' Knowledge and Attitudes in the First 1,000 Days of Life (HPK) Regarding Stunting Prevention Behaviors
DOI:
https://doi.org/10.35451/6pctpj22Keywords:
knowledge; attitude; First 1000 Days of Life; behaviour; prevent; stuntingAbstract
Stunting is a public health problem caused by chronic malnutrition, particularly during the first 1,000 days of life (HPK). Maternal factors such as knowledge, attitudes, and behavior play a crucial role in stunting prevention efforts through appropriate feeding practices and utilization of health services. This quantitative research design employed a descriptive correlational approach and cross-sectional methods. The study location was the Kasih Ibu Galang Clinic, Deli Serdang Regency. The sample consisted of mothers with children aged 6–24 months, with 51 respondents selected using a purposive sampling technique. Data collection was conducted using a questionnaire. The results showed that 39.21% of respondents had good knowledge, 76.47% had positive attitudes, and 70.58% demonstrated good stunting prevention behaviors. Statistical analysis revealed a strong and significant relationship between knowledge and behavior (r=0.862; p=0.001) and between attitudes and behavior (r=0.727; p=0.002). There is a significant relationship between knowledge and attitudes during the first 1000 days of life (HPK) and stunting prevention behaviors. Improved health education and ongoing support are essential to support optimal feeding practices and reduce stunting prevalence.
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[1] Mutasa K, Tome J, Rukobo S, Govha M, Mushayanembwa P, Matimba FS, et al. Stunting Status and Exposure to Infection and Inflammation in Early Life Shape Antibacterial Immune Cell Function Among Zimbabwean Children. Front Immunol. 2022 Jun 13;13. doi:10.3389/fimmu.2022.899296 PubMed PMID: 35769481.
[2] Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, et al. Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica. 2021 Mar 5;92(1). doi:10.23750/abm.v92i1.11346 PubMed PMID: 33682846.
[3] Azriani D, Masita, Qinthara NS, Yulita IN, Agustian D, Zuhairini Y, et al. Risk factors associated with stunting incidence in under five children in Southeast Asia: a scoping review. Journal of Health, Population and Nutrition. BioMed Central Ltd; 2024. doi:10.1186/s41043-024-00656-7 PubMed PMID: 39468694.
[4] Nomura K, Bhandari AKC, Matsumoto-Takahashi ELA, Takahashi O. Risk Factors Associated with Stunting among Children Under Five in Timor-Leste. Ann Glob Health. 2023;89(1). doi:10.5334/aogh.4199 PubMed PMID: 37780840.
[5] Fewtrell M, Baumann U, Bronsky J, Haiden N, Hill S, Kivelä L, et al. World Health Organization (WHO) guideline on the complementary feeding of infants and young children aged 6−23 months 2023: A multisociety response. J Pediatr Gastroenterol Nutr. 2024 Jul 1;79(1):181–8. doi:10.1002/jpn3.12248 PubMed PMID: 38743631.
[6] Kepala Badan Kebijakan Pembangunan Kesehatan Asnawi Abdullah P, JAWAB Plt Kepala Pusat Kebijakan Upaya Kesehatan Dwi Puspasari P, dr Iwan Ariawan K, Razak Thaha dr A, Nur Indrawati Lipoeto dr, Witoelar F, et al. I TIM PENYUSUN SSGI 2024 DALAM ANGKA. Report.
[7] Presiden Penurunan Stu P, TENTANG PERCEPATAN BAB KETENTUAN UMUM Pasal VI. Menetapkan PRES!DEN REPUBLIK TNDONESIA-2. Report.
[8] Kependudukan K, Keluarga P, Kependudukan B, Keluarga D, Nasional B. Buku Panduan Pelaksanaan. Report.
[9] WHO Guideline FEEDING PRACTICE 6-23 MONTHS.
[10] Musheiguza E, Mahande MJ, Malamala E, Msuya SE, Charles F, Philemon R, et al. Inequalities in stunting among under-five children in Tanzania: decomposing the concentration indexes using demographic health surveys from 2004/5 to 2015/6. Int J Equity Health. 2021 Dec 1;20(1). doi:10.1186/s12939-021-01389-3 PubMed PMID: 33485344.
[11] Mporanyi T, Condo J, Absolomon G, Mporanyi M, Rubuga FK, Munyanshongore C. Influence of maternal knowledge of causes and consequences of stunting on infant and young child feeding practices in Rwanda. Sci Rep. 2025 Dec 1;15(1). doi:10.1038/s41598-025-28082-7 PubMed PMID: 41444291.
[12] Haryanti F, Hartini S, Akhmadi, Andarwati F, Risnawati H, Pratiwi AN, et al. Maternal knowledge on nutritional-focused nurturing care and associated factors among women with stunted children aged 6-23 months in Yogyakarta, Indonesia: A cross-sectional study. Belitung Nurs J. 2024 Jul 1;10(4):472–80. doi:10.33546/bnj.3481
[13] Rezaeizadeh G, Mansournia MA, Keshtkar A, Farahani Z, Zarepour F, Sharafkhah M, et al. Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine. 2024 May 1;71. doi:10.1016/j.eclinm.2024.102574
[14] Forh G, Apprey C, Frimpomaa Agyapong NA. Nutritional knowledge and practices of mothers/caregivers and its impact on the nutritional status of children 6–59 months in Sefwi Wiawso Municipality, Western-North Region, Ghana. Heliyon. 2022 Dec 1;8(12). doi:10.1016/j.heliyon.2022.e12330
[15] Faridah F, Anies A, Kartasurya MI, Widjanarko B. Online educational intervention: Improving maternal knowledge and attitudes in providing developmental stimulation for stunting toddlers. Narra J. 2024 Apr 1;4(1). doi:10.52225/narra.v4i1.591
[16] Pangan B, Bagi L, Hamil I, Balita D, Gizi P E T U N J U K T E K N I B, Revisi Ke- SE, et al. Pemberian Makanan Tambahan. 2025. Report.
[17] Fuadah F, Yogisutanti G, Saragih BD. The effectiveness of digital media in improving menstrual hygiene knowledge among adolescent girls: a study in junior high schools in Bandung regency. BMC Public Health. 2026 Dec 1;26(1). doi:10.1186/s12889-025-24967-4 PubMed PMID: 41327256.
[18] Gizaw AT, Sopory P, Sudhakar M. Determinants of knowledge, attitude and self-efficacy towards complementary feeding among rural mothers: Baseline data of a cluster-randomized control trial in South West Ethiopia. PLoS One. 2023 Nov 1;18(11 November). doi:10.1371/journal.pone.0293267 PubMed PMID: 38015909.
[19] Soofi SB, Khan A, Kureishy S, Hussain I, Habib MA, Umer M, et al. Determinants of Stunting among Children under Five in Pakistan. Nutrients. 2023 Aug 1;15(15). doi:10.3390/nu15153480 PubMed PMID: 37571417.
[20] Khadija U, Mahmood S, Ainee A, Quddoos MY, Ahmad H, Khadija A, et al. Nutritional health status: association of stunted and wasted children and their mothers. BMC Pediatr. 2022 Dec 1;22(1). doi:10.1186/s12887-022-03309-y PubMed PMID: 35524191.
[21] Seretew WS, Tesema GA, Yirsaw BG, Argaw GS. Prevalence of stunting and associated factors among under-five children in sub-Saharan Africa: Multilevel ordinal logistic regression analysis modeling. PLoS One. 2024 Jun 1;19(6 June). doi:10.1371/journal.pone.0299310 PubMed PMID: 38870141.
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Copyright (c) 2026 Diah Evawanna Anuhgera, Yohana Putri Apryanti, Lidia Lusinta
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