Local Fish-Based Nutritious Menu Innovation for Stunting Prevention through Posyandu Cadre Capacity Strengthening in Sungai Piring
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Food Innovation,
Nutrition Education
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Yessi Alza
Roziana Roziana
Abstract
Background: Stunting remains a significant global public health challenge. In 2024, an estimated 23.2% of children under five, approximately 150.2 million globally, were affected by stunting, defined as height-for-age below −2 standard deviations of the WHO Child Growth Standards. Although Indonesia has demonstrated a downward trend in stunting prevalence, declining from 24.4% in 2021 to 21.6% in 2022 and 19.8% in 2024, the rate remains above the national target of 14% for accelerated stunting reduction, indicating the need for sustained multisectoral interventions. Strengthening community-based strategies that utilize locally available animal protein sources, such as fish, is essential. Posyandu cadres play a strategic role in delivering nutrition education and influencing child feeding practices at the grassroots level.
Aims: This community engagement program aimed to strengthen posyandu cadres’ capacity in stunting prevention through nutrition education and innovation of nutrient-dense local fish–based complementary food (fish floss/abon ikan).
Methods: The program was conducted on 20 September 2025 at Posyandu Durian, Tasik Raya Village (Sungai Piring Health Center area), involving 20 cadres. Activities included structured nutrition education and a hands-on demonstration of fish floss preparation. Knowledge improvement was assessed using pre- and post-tests.
Results: The average knowledge score increased from 65 (pre-test) to 84 (post-test), representing a 29% improvement. Cadres acquired practical skills in processing locally available fish into an acceptable complementary food, which was well received by mothers and toddlers.
Conclusion: Integrating participatory education with practical food innovation effectively strengthened cadres’ competencies and demonstrates potential as a sustainable community-driven strategy for supporting long-term stunting prevention
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References
Asare, H., Rosi, A., Faber, M., Smuts, C. M., & Ricci, C. (2022). Animal-Source Foods as a Suitable Complementary Food for Improved Physical Growth in 6 to 24-Month-Old Children in Low- and Middle-Income Countries: a Systematic Review and Meta-Analysis of Randomised Controlled Trials. British Journal of Nutrition, 128(12), 2453–2463. https://doi.org/10.1017/S0007114522000290
Bustami, B., Junita, D., & Yunianto, A. E. (2023). Fish-Based Complementary Feeding Practices Increasing Macro and Micro Nutrition Intake and Hemoglobin Levels in Anemia Toddlers. Media Gizi Indonesia ( National Nutrition Journal), 18(3), 175–181. https://doi.org/10.20473/mgi.v18i3.175-181
Byrd, K. A., Shieh, J., Mork, S., Pincus, L., O’Meara, L., Atkins, M., & Thilsted, S. H. (2022). Fish and Fish-Based Products for Nutrition and Health in the First 1000 Days: A Systematic Review of the Evidence from Low and Middle-Income Countries. Advances in Nutrition, 13(6), 2458–2487. https://doi.org/10.1093/advances/nmac102
Durrance-bagale, A., Marzouk, M., Tung, L. S., Agarwal, S., Aribou, Z. M., Ibrahim, N. B. M., Mkhallalati, H., Newaz, S., Omar, M., Ung, M., Zaseela, A., Nagashima-hayashi, M., & Howard, N. (2022). Community Engagement in Health Systems Interventions and Research in Conflict-Affected Countries : a Scoping Review of Approaches. Global Health Action, 15(1). https://doi.org/10.1080/16549716.2022.2074131
Febria, C., Andriani, L., & Sukmawati, Y. (2024). Pencegahan Stunting Melalui Program Gemarikan Oleh Posyandu di Nagari Balingka Kabupaten Agam. Jik Jurnal Ilmu Kesehatan, 8(2), 282. https://doi.org/10.33757/jik.v8i2.1077
Jamilah, J., Toaha, A., Novaria, A. A., & Wahyutri, E. (2023). The Effect of Cadre Training on the Knowledge and Skills of Integrated Healthcare Center Cadres in Monitoring the Growth of Toddlers. Journal of Health and Nutrition Research, 2(3), 190–199. https://doi.org/10.56303/jhnresearch.v2i3.185
Kementerian Kesehatan Republik Indonesia. (2023). Hasil Survei Status Gizi Indonesia (SSGI) 2022. file:///C:/Users/Acer/Downloads/files46531._MATERI_KABKPK_SOS_SSGI.pdf
Knowles, M., Crowley, A. P., Vasan, A., & Kangovi, S. (2023). Community Health Worker Integration with and Effectiveness in Health Care and Public Health in the United States. Annu.Rev. Public Health, 44, 363–381. https://doi.org/10.1146/annurev-publhealth-071521-031648
Mediani, H. S., Hendrawati, S., Pahria, T., Mediawati, A. S., & Suryani, M. (2022). Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary, 15(May), 1069–1082. https://doi.org/10.2147/JMDH.S356736
Ngaisyah, R. D., & Rohman, A. (2019). Effect of Fish Consumption as a Local Food Alternative for the Reduction of Stunting in Toddlers. Pakistan Journal of Nutrition, 18(5), 496–500. https://doi.org/10.3923/pjn.2019.496.500
Nicholas, S. W. (2011). Community- Based Interventions. American Journal of Public Health, 93(4), 529–533. https://doi.org/10.2105/AJPH.93.4.529
Nida, S., Tyas, A. S. A., Putri, N. E., Larasanti, A., Widoyopi, A. A., Sumayyah, R., Listiana, S., & Espressivo, A. (2024). A Systematic Review of the Types, Workload , and Supervision Mechanism of Community Health Workers : Lessons Learned for Indonesia. BMC Primary Care, 1–14. https://doi.org/10.1186/s12875-024-02319-2
Parikh, P., Semba, R., Manary, M., Swaminathan, S., Udomkesmalee, E., Bos, R., Koon, B., Nipa, P., Geurts, J., & Nga, T. T. (2021). Animal Source Foods ,Rich in Essential Amino Acids , are Important for Linear Growth and Development of Young Children in Low- and Middle-Income Countries. Matern Child Nutr, July, 1–12. https://doi.org/10.1111/mcn.13264
Prayitno, G., Zuhriyah, L., Efendi, A., Arifin, S., Rahmawati, R., Auliah, A., & Subagiyo, A. (2025). Community-Powered Environmental Pathways to Reduce Stunting : Food Security , Social Capital , and Open Innovation in Semi-Urban Indonesia. Environmental Challenges, 21(August), 101350. https://doi.org/10.1016/j.envc.2025.101350
Salsabella, D. F., Lestari, A., & Mulyani, S. (2025). Complementary Feeding Practice and Geography of Residence Among Stunting Children. Jurnal Gizi Dan Dietetik Indonesia, 13(3), 203–212. https://doi.org/10.21927/ijnd.2025.13(2).203-212
Sefrina, L. R., Kurniasari, R., Elvandari, M., Utami, A. R., & Abioga, A. M. (2023). Upaya Penanganan Stunting Melalui Pendidikan Gizi Kepada Kader Posyandu di Pesisir Pantai Karawang. Aplikasi Ipteks Untuk Masyarakat, 12(1), 84–88. https://doi.org/10.24198/dharmakarya.v12i1.37284
Semba, R. D., Shardell, M., Sakr, F. A., Moaddel, R., Trehan, I., Maleta, K. M., Ordiz, M. I., Kraemer, K., Khadeer, M. A., Ferrucci, L., & Manary, M. J. (2016). Child Stunting is Associated With Low Circulating Essential Amino Acids. EBioMedicine, 6, 246–252. https://doi.org/10.1016/j.ebiom.2016.02.030
Shi, L., Zhang, J., Wang, Y., Caulfield, L. E., & Guyer, B. (2009). Effectiveness of an educational intervention on complementary feeding practices and growth in rural China : a cluster randomised controlled trial. Publich Health Nutrition, 13(4), 556–565. https://doi.org/10.1017/S1368980009991364
Siswati, T., Iskandar, S., Pramestuti, N., Raharjo, J., Rialihanto, M. P., Rubaya, A. K., & Wiratama, B. S. (2022). Effect of a Short Course on Improving the Cadres ’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta , Indonesia. Enviromental Research and Public Health, 19(16), 1–10. https://doi.org/10.3390/ijerph19169843
Srivarathan, A., Jensen, A. N., & Kristiansen, M. (2019). Community-Based Interventions to Enhance Healthy Aging in Disadvantaged Areas : Perceptions of Older Adults and Health Care Professionals. BMC Health Services Research, 6, 1–9. https://doi.org/10.1186/s12913-018-3855-6
Sukmawati, S., Hermayanti, Y., Fadlyana, E., Maulana, I., & Mediani, H. S. (2025). Health Cadres ’ Experiences in Detecting and Preventing Childhood Stunting in Indonesia : a Qualitative Study. BMC Public Health, 25, 1–10. https://doi.org/10.1186/s12889-025-24192-z
Tampake, R., Arianty, R., Mangundap, S. A., Emy, B., & Sasmita, H. (2021). The Effectiveness of Training on Improving the Ability of Health Cadres in Early Detection of Stunting in Toddlers. Macedonian Journal of Medical Sciences, 9(E), 373–377. https://doi.org/10.3889/oamjms.2021.6067
UNICEF, World Health Organization, & World Bank Group. (2025). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates: key findings of the 2025. https://www.who.int/publications/i/item/9789240112308
Weningtyas, A., Ma’rufa, P. L., & Fauziah, D. (2023). The Effect of Short Course Intervenstions to Improve Knowledge of Posyandu (Integrated Service Post) Cadres in Early Detection of Stunting. The Indonesia Journal of Public Health, 18(3), 530–539. https://doi.org/10.20473/ijph.vl18i3.2023.530-539
Werfalli, M., Raubenheimer, P. J., Engel, M., Musekiwa, A., Bobrow, K., Peer, N., Hoegfeldt, C., Kalula, S., Kengne, A. P., & Levitt, N. S. (2020). The Effectiveness of Peer and Community Health Worker-Led Self-Management Support Programs for Improving diabetes health-related outcomes in adults in low- and-middle-income countries : a systematic review. Systematic Reviews, 9(1), 133. https://doi.org/10.1186/s13643-020-01377-8