Community Insights on Ethnomedicine Use for Stunting Prevention: Evidence from Gorontalo, Indonesia

Teti Sutriyati Tuloli, Madania Madania, Nur Ain Thomas, Faramita Hiola, Fatma Azzahra Lukum

Abstract


This cross-sectional observational study investigates community perceptions of stunting, its prevention, and the use of ethnomedicine in Huyula Village, Mootilango District, Gorontalo Regency, Indonesia. Stunting remains a major public health concern due to its long-term impact on child development and productivity. In rural areas, ethnomedicine traditional health practices rooted in cultural beliefs continues to be widely practiced and may influence public responses to child nutrition and health interventions. Data were collected from 246 community members selected through purposive sampling using a structured questionnaire that had been tested for validity and reliability. The instrument assessed perceptions in three key domains: understanding of stunting, support for prevention strategies, and beliefs regarding ethnomedicine. Univariate descriptive analysis was used to interpret the data. The findings indicated that 69.9% of respondents had a positive perception of stunting as a health issue, 80.5% supported prevention efforts such as early complementary feeding and hygiene practices, and 74.4% held favorable views toward the use of ethnomedicine in addressing child growth problems. Analysis also revealed perceptual differences based on demographic factors including gender, education level, and occupation. These results reflect the coexistence of biomedical awareness and traditional health belief systems in the community. The study underscores the importance of integrating culturally sensitive approaches into public health education. It is recommended that stunting prevention programs engage traditional health actors, enhance community-level communication, and promote collaboration between modern and traditional systems to improve acceptance and effectiveness of interventions in rural Indonesian settings.

Keywords


Stunting; Ethnomedicine; Community Perception; Stunting Prevention; Gorontalo

Full Text:

PDF

References


Trihono et al., PENDEK (Stunting) di Indonesia, Masalah dan Solusinya, vol. 11, no. 1. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2015. [Online]. Available: https://www.litbang.kemkes.go.id/ebook/pendek-di-indonesia/

I. Olofin et al., “Associations of suboptimal growth with all-cause and cause-specific mortality in children under five years: A pooled analysis of ten prospective studies,” PLoS ONE, vol. 8, no. 5, pp. 1–12, 2013. [Online]. Available: https://doi.org/10.1371/journal.pone.0064636

Kementerian/Lembaga Pelaksana Program/Kegiatan Pencegahan Anak Kerdil (Stunting), Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting), Tim Nasional Percepatan Penanggulangan Kemiskinan, vol. 11, no. 1, pp. 1–14, 2018. [Online]. Available: https://stunting.go.id/stranas-p2k

I. Slunjski, “Ecological perceptual holism – Unity of the individual and the environment in perception,” Holistic Approach to Environment, vol. 12, no. 3, pp. 94–101, 2022. [Online]. Available: https://doi.org/10.33765/thate.12.3.1

I. Hasibuan and P. Prihanani, “Socialization of stunting prevention through training in the preparation of various healthy foods based on moringa in Sidomulyo Sub-district, Bengkulu City,” Abdimas Altruis: Jurnal Pengabdian Kepada Masyarakat, vol. 5, no. 2, pp. 151–158, 2022. [Online]. Available: https://doi.org/10.24071/aa.v5i2.5065

R. Sumanti, “Education on stunting and its prevention in toddlers in Kincang Village, Banjarnegara Regency,” Jurnal Pengabdian Masyarakat – PIMAS, vol. 1, no. 2, pp. 67–72, 2022. [Online]. Available: https://doi.org/10.35960/pimas.v1i2.775

T. P. Handayani, T. Wahyuni, E. R. Suazini, L. Humaeroh, and R. Alvia, “Education for parents and early detection of stunting in preschool children at TPQ Ar Roza, Garut City Sub-District, Garut Regency,” Jurnal Pengabdian Masyarakat DEDIKASI, vol. 3, no. 2, pp. 99–105, Dec. 2022. [Online]. Available: https://doi.org/10.33482/ddk.v3i02.64

J. Zangirolami-Raimundo, J. de O. Echeimberg, and C. Leone, “Research methodology topics: Cross-sectional studies,” Journal of Human Growth and Development, vol. 28, no. 3, pp. 356–360, 2018. [Online]. Available: https://doi.org/10.7322/jhgd.152198

E. M. Assefa, “Knowledge, attitude and practice (KAP) of health providers towards safe abortion provision in Addis Ababa health centers,” BMC Women’s Health, vol. 19, no. 1, pp. 1–10, 2019. [Online]. Available: https://doi.org/10.1186/s12905-019-0835-x

M. D. C. Tongco, “Purposive sampling as a tool for informant selection,” Ethnobotany Research and Applications, vol. 5, pp. 147–158, 2007. [Online]. Available: https://doi.org/10.17348/era.5.0.147-158

J. Arias-Gómez, M. Á. Villasís-Keever, and M. G. Miranda-Novales, “The research protocol III: The study population,” Revista Alergia México, vol. 63, no. 2, pp. 201–206, May 2016. [Online]. Available: https://doi.org/10.29262/ram.v63i2.181

S. Silvia, N. Ratnaningsih, and A. Martiani, “Misconceptions of mathematical problem-solving ability based on Polya’s steps in algebra material,” Prosiding Seminar Nasional & Call for Papers, no. 2014, pp. 532–538, 2019. [Online]. Available: https://jurnal.unsil.ac.id/index.php/sncp/article/view/1092

Z. S., L. Yasyifa, R. Ghozi, E. Harahap, F. Badruzzaman, and D. Darmawan, “Processing and analyzing quantitative data using SPSS application,” Teknologi Pendidikan, vol. 4, no. 1, pp. 3–12, 2022. [Online]. Available: https://doi.org/10.31980/TP.V4I1.529

M. Yusup, R. Syauqi Naufal, and M. Hardini, “Management of utilizing data analysis and hypothesis testing in improving the quality of research reports,” Aptisi Transactions on Management (ATM), vol. 2, no. 2, pp. 159–167, 2019. [Online]. Available: https://doi.org/10.33050/atm.v2i2.789

C. Nguyen and K. Prussia, “And Now, Presenting... Histogram of Numeric Data Distribution from the UNIVARIATE Procedure,” in Proceedings of the NESUG 2007 Conference, King of Prussia, PA, 2007, pp. 1–7. [Online]. Available: https://www.lexjansen.com/nesug/nesug07/np/np12.pdf

S. Canova, D. L. Cortinovis, and F. Ambrogi, “How to describe univariate data,” Journal of Thoracic Disease, vol. 9, no. 6, pp. 1741–1743, 2017. [Online]. Available: https://doi.org/10.21037/jtd.2017.05.80

S. Canova, D. L. Cortinovis, and F. Ambrogi, “How to describe univariate data,” Journal of Thoracic Disease, vol. 9, no. 6, pp. 1741–1743, 2017. [Online]. Available: https://doi.org/10.21037/jtd.2017.05.80

D. S. Naga, “Inaccuracy in the use of item validity and reliability coefficient in educational and psychological research,” Jurnal Ilmu Pendidikan, vol. 11, no. 2, pp. 99–106, Jun. 2004. [Online]. Available: https://doi.org/10.17977/jip.v11i2.90

A. L. Bruckner et al., “Reliability and validity of the instrument for scoring clinical outcomes of research for epidermolysis bullosa (iscorEB),” British Journal of Dermatology, vol. 178, no. 5, pp. 1128–1134, 2018. [Online]. Available: https://doi.org/10.1111/bjd.16350

A. Basu, “Open Peer Review on Qeios Cronbach’s alpha,” Qeios, no. 1951, pp. 3–4, 2021. [Online]. Available: https://doi.org/10.5116/ijme.4dfb.8dfd.Qeios

T. van der Lippe, “Time Use and Gender,” International Encyclopedia of the Social & Behavioral Sciences: Second Edition, vol. 16, no. 2, pp. 369–372, 2015. [Online]. Available: https://doi.org/10.1016/B978-0-08-097086-8.25040-X

J. I. Giménez and J. A. Molina Chueca, “The Gender Gap in Time Allocation in Europe,” SSRN Electronic Journal, no. 13461, 2021. [Online]. Available: https://doi.org/10.2139/ssrn.3648801

K. R. Jonsson, G. Oberg, F. Samkange-Zeeb, and N. K. Adjei, “Determinants and impact of role-related time use allocation on self-reported health among married men and women: a cross-national comparative study,” BMC Public Health, vol. 20, no. 1, pp. 1–15, 2020. [Online]. Available: https://doi.org/10.1186/s12889-020-09306-z

J. Schulenberg, “The transition to adulthood across time and space: overview of Special Section,” Longitudinal and Life Course Studies, vol. 3, no. 2, pp. 164–172, 2012. [Online]. Available: https://doi.org/10.14301/llcs.v3i2.194

L L. A. Menard, “Age and Time Population Differences: Young Adults, Gen Xers, and Millennials,” Online Submission, 2013. [Online]. Available: ERIC ED563491 (https://eric.ed.gov/?id=ED563491)

I. Wahyuningsih and S. Ramdana, “Knowledge and behavior of high school students on safety riding,” Holistik Jurnal Kesehatan, vol. 14, no. 4, pp. 564–572, 2021. [Online]. Available: https://doi.org/10.33024/hjk.v14i4.3502

T. Angkawijaya and Y. Sugiarti, “The influence of student background on academic performance of accounting students at a private university in Surabaya,” Jurnal Ilmu Pendidikan, vol. 20, no. 1, pp. 1–8, 2014. [Online]. Available: https://doi.org/10.17977/jip.v20i1.4372

T. Mulyaningsih, Y. Purwaningsih, and K. Anggun, “The monetary value of market-replaceable household production: An empirical study of the economic significance of housewives’ roles,” Makara Human Behavior Studies in Asia, vol. 22, no. 1, p. 43, 2018. [Online]. Available: https://doi.org/10.7454/hubs.asia.2280518

D. Ayu and L. Dewi, “The role of housewives in the family economy: A case study in Gunem Village, Gunem Sub-district, Rembang Regency,” Buletin Bisnis & Manajemen, vol. 1, no. 1, pp. 38–45, Feb. 2015. [Online]. Available: https://doi.org/10.47686/bbm.v1i02.112

A. Sharma, M. Kaur, P. Sharma, S. K. Saini, M. Pebma, and M. Kaur, “Personal, family problems and challenges faced by working women vs. housewives,” International Journal of Indian Psychology, vol. 6, no. 4, 2018. [Online]. Available: https://doi.org/10.25215/0604.018

J. M. Perkins et al., “Marital status, widowhood duration, gender and health outcomes: A cross-sectional study among older adults in India,” BMC Public Health, vol. 16, no. 1, pp. 1–12, 2016. [Online]. Available: https://doi.org/10.1186/s12889-016-3682-9

L. K. Soulsby and K. M. Bennett, “Marriage and psychological wellbeing: The role of social support,” Psychology, vol. 6, no. 11, pp. 1349–1359, 2015. [Online]. Available: https://doi.org/10.4236/psych.2015.611132

E. Ndayambaje, B. Nkundimana, A. C. Pierewan, E. Nizeyumukiza, and Y. Ayriza, “Marital status and subjective well-being: Does education level take into account?,” Cakrawala Pendidikan, vol. 39, no. 1, pp. 120–132, 2020. [Online]. Available: https://doi.org/10.21831/cp.v39i1.29620

P. M. Krueger, D. P. Jutte, L. Franzini, I. Elo, and M. D. Hayward, “Family structure and multiple domains of child well-being in the United States: A cross-sectional study,” Population Health Metrics, vol. 13, no. 1, 2015. [Online]. Available: https://doi.org/10.1186/s12963-015-0038-0

L. Afifah, “Relationship between income, energy and carbohydrate intake levels and nutritional status of children aged 2–5 years in poverty areas,” Amerta Nutrition, vol. 3, no. 3, p. 183, 2019. [Online]. Available: https://doi.org/10.20473/amnt.v3i3.2019.183-188

R. K. Nagari and T. S. Nindya, “Adequacy of energy, protein and household food security status related to the nutritional status of children aged 6–8 years,” Amerta Nutrition, vol. 1, no. 3, p. 189, 2017. [Online]. Available: https://doi.org/10.20473/amnt.v1i3.6245

D. Sukandar, “Socioeconomic profile and nutritional status of farmers in Central Lombok, West Nusa Tenggara,” Jurnal Gizi dan Pangan, vol. 2, no. 3, p. 44, 2007. [Online]. Available: https://doi.org/10.25182/jgp.2007.2.3.44-47

S. Iqbalwanty and M. Daulay, “Correlation of family economic status with stunting in the working area of Puskesmas Sambau, Batam City,” Zona Kedokteran, vol. 11, no. 1, pp. 35–41, Jan. 2021. [Online]. Available: https://doi.org/10.37776/zked.v11i1.533

E. B. Tameno, M. S. Junias, and S. M. Toy, “Determinants of malnutrition among children under five in Oesapa Subdistrict, Kupang City,” Malahayati Nursing Journal, vol. 5, no. 5, pp. 1461–1471, 2023. [Online]. Available: https://doi.org/10.33024/mnj.v5i5.8620

A. Nurmayasanti and T. Mahmudiono, “Socioeconomic status and food diversity among stunted and non-stunted toddlers aged 24–59 months in the working area of Wilangan Public Health Center, Nganjuk District,” Amerta Nutrition, vol. 3, no. 2, pp. 114–121, 2019. [Online]. Available: https://doi.org/10.2473/amnt.v3i2.2019.114-121

T. Hidayati and R. C. D. Pratiwi, “The correlation between feeding patterns and the incidence of stunting in children aged 0–59 months,” Journal of Health Sciences, vol. 15, no. 2, pp. 126–131, 2022. [Online]. Available: https://doi.org/10.33086/jhs.v15i02.2732

D. J. Hermawan and H. Hermanto, “The importance of parenting patterns in improving nutrition to prevent early stunting in Brumbungan Lor Village, Gending Subdistrict, Probolinggo Regency,” Jurnal Abdi Panca Mara, vol. 1, no. 1, pp. 6–8, 2020. [Online]. Available: https://doi.org/10.51747/abdipancamarga.v1i1.636

N. Geresomo, E. K. Mbuthia, J. W. Matofari, and A. M. Mwangwela, “Risk factors associated with stunting among infants and young children aged 6–23 months in Dedza District of Central Malawi,” African Journal of Food, Agriculture, Nutrition and Development, vol. 17, no. 4, pp. 12854–12870, 2017. [Online]. Available: https://doi.org/10.18697/ajfand.80.16730




DOI: https://doi.org/10.37311/jsscr.v7i2.31584

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Journal Syifa Sciences and Clinical Research

EDITORIAL OFFICE OF JOURNAL SYIFA SCIENCES AND CLINICAL RESEARCH
  Department of Pharmacy, Gorontalo State University
Jl. Jenderal Sudirman No.6, Kota Gorontalo, Provinsi Gorontalo 96128, Indonesia
 Email: [email protected]
Google Scholar : JOURNAL SYIFA SCIENCES AND CLINICAL RESEARCH

Creative Commons License

Journal Syifa Sciences and Clinical Research (JSSCR) is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

doi.apji

doi.apji

doi.apji

doi.apji

doi.apji

doi.apji

slot qris 5000
https://arborshieldroofing.com/roof-replacement-ann-arbor-mi/
slot
slot deposit qris
slot
slot qris
slot qris
slot88
slot qris