Abstract:

Stunting is a type of malnutrition condition that occurs due to insufficient nutrient intake in the past. It is considered a chronic nutritional issue that can lead to an increased risk of pain and death, sub-optimal brain and delayed motor development. This study aims to construct a model of maternal behaviour in the prevention of stunting in Bangkalan, Indonesia. The cross-sectional technique combined with analytical observational research methodology was used in this study. The moms who have children under five make up the research population. Techniques for sampling use multistage random sampling. A large sample of 280 mothers with children aged two to five. Instrument research using a questionnaire. Data analysis using SEM PLS 3. Research has found several things: A substantial correlation was seen between the mother's intentions and perceived control (p-value = 0.000), as well as between self-effectiveness and intention (p-value = 0.000) and intention and behaviour (p-value = 0.000). Your motivation to engage in stunting prevention will increase with higher goals, and the likelihood that you won't engage in stopping prevention activities will decrease with lower intentions. The approach of stopping prevention efforts through increased intention, perceived control, and efficaciousness of mothers about the importance of staking prevention in the first 1000 days of a child's life as a critical phase of the child's development, shows that intention is directly influenced by perceived control and self-efficaciousness and it directly affects stunting prevention behaviour.

References:

[1].   Kemenkes, R. I., 2018. Buletin Stunting (Jakarta, Indonesia: Kementerian Kesehatan RI).

[2].   Yasin, Z., Nawawi, A., Sofiyana, A. A., Febriyanti, E., 2024. Handling nutrition in stunted children through education and family education in Madura, Indonesia. Health Dynamics, 1(1), 15–21. doi:10.33846/hd10104

[3].   Fitriani, Farisni, T. N., Syahputri, V. N., Lestary, L. A., 2020. Helmyati S. Implementing precede-proceed model toward the mothers’ perception on the importance of feeding of home-made complementary food to wasting and stunting toddlers. Current Research in Nutrition and Food Science, 8(2), 489–495. doi:10.12944/CRNFSJ.8.2.14

[4].   Dewey, K. G., Begum, K., 2011. Long-term consequences of stunting in early life. Maternal and Child Nutrition, 7(Suppl 3), 5–18. doi:10.1111/j.1740-8709.2011.00349.x

[5].   Walker, S. P., Chang, S. M., Powell, C. A., Simonoff, E., 2007. Grantham-McGregor SM. Early childhood stunting is associated with poor psychological functioning in late adolescence and effects are reduced by psychosocial stimulation. The Journal of Nutrition, 137(11), 2464–2469. doi:10.1093/jn/137.11.2464

[6].   Wardani, N. E. K., Harumi, A. M., Yuniarti, A. M., 2022. Culture of diet and utilization of health services on stunting cases in children aged 2-5 years in Bangkalan East Java. Proceedings of the 3rd International Scientific Meeting on Public Health and Sports, Malang, Indonesia, pp. 16-19.

[7].   Kementerian Kesehatan RI, 2021. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, Kabupaten/Kota Tahun 2021. (Jakarta, Indonesia: Kementerian Kesehatan RI).

[8].   Chaizuran, M., Muammar, M., 2022. Perception of pregnant women to the application of mee bu tradition as stunting prevention effort. Journal of Healtcare Technology and Medicine, 8(2), 1211-1218.

[9].   Asmin, E., Abdullah, M. R., 2021. ASI eksklusif dan imunisasi berhubungan dengan kejadian stunting pada anak usia 9-24 bulan di Puskesmas Rumah Tiga, Ambon. Poltekita : Jurnal Ilmu Kesehatan, 15, 196–201. doi:10.33860/jik.v15i2.487

[10].  Leroy, J. L., Frongillo, E. A., 2019. Perspective: What does stunting really mean? A critical review of the evidence. Advances in Nutrition, 10, 196–204. doi:10.1093/advances/nmy101

[11].  Illahi, R. K., Muniroh, L., 2018. Gambaran sosio budaya gizi etnik madura dan kejadian stunting balita usia 24–59 bulan di Bangkalan. Media Gizi Indonesia, 11, 135. doi:10.20473/mgi.v11i2.135-143

[12].  Noviana, U., Hasinuddin, M., Ekawati, H., Haris, M., 2023. Analisis Faktor Kemandirian Keluarga Dalam Pencegahan Stunting Pada 1000 Hari Pertama Kehidupan Anak Madura Berdasarkan Teori Transkultural Nursing. Nursing Update, 14(1), 134-141.

[13].  Bélanger, M., Dugas, C., Perron, J., St-Yves, A., 2023. Rancourt-Bouchard M, John Weisnagel S, et al. Intention to adopt a healthy diet among women with and without a history of gestational diabetes: Constructs and beliefs from the theory of planned behavior. Prev Med Rep, 35, 102328. doi:10.1016/j.pmedr.2023.102328

[14].  Ekawati, T., 2020, Kajian faktor-faktor yang mempengaruhi niat beli produk organik. Journal of Business and Information Systems, 2, 32–45. doi:10.36067/jbis.v2i1.35

[15].  Glanz, K., Barbara, K., Rimer, K., et al., 2008. Health Behavior and Health Education: Theory, Research, and Practice. (4th ed.). Jossey-Bass. Available at: https://books.google.co.id/books/about/Health_Behavior_and_Health_Education.html?hl=id&id=1xuGErZCfbsC&redir_esc=y (Accessed: 2 November 2024).

[16].  Maulida, H., Jatimi, A., Heru, M. J. A,, Munir, Z., Rahman, H. F., 2020. Depresi pada komunitas dalam menghadapi pandemi COVID-19: A systematic review. Jurnal Sains dan Kesehatan, 2, 122–128. Available: https://jsk.farmasi.unmul.ac.id/index.php/jsk/article/view/201/157

[17].  Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., et al., 2020. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet, 395, 507–513. doi:10.1016/S0140-6736(20)30211-7

[18].  Pertiwi, M. R., Lestari, P., Ulfiana, E., 2019. Relationship between parenting style and perceived information sources with stunting among children. International Journal of Nursing and Health Services, 2, 273. doi:10.35654/ijnhs.v2i4.150

[19].  Wilkerson, A. H., Sharma, M., Davis, R. E., Stephens, P. M., Kim, R. W., Bhati, D., et al., 2023. Predisposing, enabling and reinforcing factors associated with opioid addiction helping behaviour in tri-state Appalachian counties: Application of the PRECEDE-PROCEED model-cross-sectional analysis. BMJ Open, 13. doi:10.1136/bmjopen-2022-066147

[20].  Wardani, N. E. K., Harumi, A. M., Yuniarti, A. M., 2022. Culture of diet and utilization of health services on stunting cases in children aged 2-5 years in Bangkalan East Java. Proceedings of the 3rd International Scientific Meeting on Public Health and Sports, Malang, Indonesia, pp. 16-19.

[21].  Wilde, N., Hsu, A., 2019. The influence of general self-efficacy on the interpretation of vicarious experience information within online learning. International Journal of Educational Technology in Higher Education, 16. doi:10.1186/s41239-019-0158-x

[22].  Shufiana, A., Sulhaini, S., Saufi, A., 2021. The Influence of Attitude (ATTD), Subjective Norm (SN), Perceived Behavioral Control (PBC), And Self-Efficacy (SE) on Purchase Intentions (INT) And Behavior (BHV) Using E-Commerce. International Journal of Multicultural and Multireligious Understanding, 8, 123. doi:10.18415/ijmmu.v8i12.3187

[23].  Ong, A. K. S., Prasetyo, Y. T., Lagura, F. C., Ramos, R. N., Salazar, J. M. L., Sigua, K. M., et al., 2023. Determination of factors influencing young adults’ intention to have COVID-19 vaccine in the Philippines: An integration of Health Belief Model and the Theory of Planned Behavior. Public Health in Practice, 5, 100359. doi:10.1016/j.puhip.2023.100359

[24].  Kidwell, B., Jewell, R. D., 2010. The motivational impact of perceived control on behavioral intentions. Journal of Applied Social Psychology, 40(9), 2407–2433. doi: 10.1111/j.1559-1816.2010.00664.x

[25].  Yusrina, A., Rukmini, S., 2016. Faktor yang mempengaruhi niat ibu memberikan asi eksklusif di Kelurahan Magersari, Sidoarjo. Jurnal Promkes, 4(1), 11-21. doi: 10.20473/jpk.V4.I1.2016.11-21

[26].  Kronborg, H., Foverskov, E., Væth, M., Maimburg, R. D., 2018. The role of intention and self-efficacy on the association between breastfeeding of first and second child, a Danish cohort study. BMC Pregnancy Childbirth, 18, 454. doi:10.1186/s12884-018-2086-5

[27].  Matare, C. R., Mbuya, M. N. N., Pelto, G., Dickin, K. L., Stoltzfus, R. J., 2015. Assessing maternal capabilities in the SHINE Trial: Highlighting a hidden link in the causal pathway to child health. Clinical Infectious Diseases, 61, S745–S751. doi:10.1093/cid/civ851

[28].  Rahmania, N., Rizkillah, R., Musthofa, 2022. Self-efficacy, emotion regulation, and resilience of formal working mothers during the COVID-19 pandemic. Journal of Child, Family, and Consumer Studies, 1, 185–195. doi:10.29244/jcfcs.1.3.185-195

[29].  Najafi, S., Mohammadkhah, F., Harsin,i P. A., Sohrabpour, M., Jeihooni, A. K., 2023. Effect of educational intervention based on theory of planned behaviour on promoting preventive behaviours of oral cancer in rural women. BMC Womens Health, 23, 249. doi:10.1186/s12905-023-02411-2

[30].  Sobaih, A. E. E., Algezawy, M., Elshaer, I. A., 2023. Adopting an extended theory of planned behaviour to examine buying intention and behaviour of nutrition-labelled menu for healthy food choices in quick service restaurants: Does the culture of consumers really matter? Int J Environ Res Public Health, 20, 4498. doi:10.3390/ijerph20054498

[31].  Karuniawati, N., Masnilawati, A., Hardianti Saputri, L., 2020. Pengaruh niat ibu, kondisi masa nifas, kelancaran produksi asi terhadap keputusan untuk menyusui. Window of Midwifery Journal, 1–13. doi:10.33096/wom.vi.8