The Effect of Nutrition Literacy Intervention on Maternal Behavior in Providing Local Food-Based Complementary Feeding in Children Aged 6-24 Months
DOI:
https://doi.org/10.22437/jkmj.v10i2.53460Keywords:
Complementary Feeding, Educational Flyer, Isi Piringku, Mothers of Toddlers, Nutrition LiteracyAbstract
Proper complementary feeding for children aged 6–24 months is essential to meet nutritional needs beyond breast milk. Maternal nutrition literacy plays an important role in improving knowledge, attitudes, and practices related to providing local complementary feeding. This study aimed to analyze the effect of an “Isi Piringku”-based nutrition literacy intervention delivered through educational flyers on maternal knowledge, attitudes, and practices in providing local food-based complementary feeding for children aged 6–24 months. This study employed a quasi-experimental design with a pretest–posttest control group approach. The research was conducted in the working area of Sawah Lebar Health Center, Bengkulu City, from May to June 2024. A total of 60 mothers with children aged 6–24 months were selected through purposive sampling and divided into an intervention group (n=30), which received educational flyers, and a control group (n=30), which received leaflets. Data on knowledge, attitudes, and practices were collected using structured questionnaires before and after the intervention. Statistical analysis was performed using the Wilcoxon Signed Rank Test and Mann-Whitney U Test at a 0.05 significance level. Results showed significant improvements in knowledge, attitudes, and practices in both groups after the intervention (p<0.05). However, the intervention group demonstrated significantly higher post-test scores compared to the control group across all variables. Educational flyers were more effective in enhancing maternal nutrition literacy and improving local complementary feeding practices and can be recommended as a community-based nutrition education strategy.
References
1. Ministry of Health of the Republic of Indonesia. Thematic Report on the 2023 Indonesian Health Survey. 2023.
2. Bappenas. Presidential Regulation Number 18 of 2020 concerning the National Medium-Term Development Plan 2020–2024. National Medium-Term Development Plan 2020–2024. 2019;313.
3. Rismayani, Sari F, Rismawati R, Hermawati D, Arlenti L. Education on complementary foods as an effort to increase the immune system of toddlers at the Pematang Balam.2023;2(1):27-36 https://journal.bengkuluinstitute.com/index.php/jurnalbesemahBI
4. Kurniawan R, Parnawi A. The Benefits of Literacy to Improve the Quality of Education. [Internet]. 2023;2(1):184–95. Available from: https://doi.org/10.55606/jpbb.v2i1.1148
5. Suryaningsih EK, Masri NI, Zahra DA, Nur N. Implementation of supplementary feeding ( PMT ) and education programs in efforts to prevent stunting in toddlers in RW 03 Notoprajan. In: Proceedings International Conference on Health Science and Technology [Internet]. 2025. p. 1065–9. Available from: https://proceeding.unisayogya.ac.id/index.php/proichst/article/view/1575
6. Inayati L, Latip A, Indrayanti. The Relationship Between Complementary Food Provision Patterns and Mothers’ Nutritional Knowledge and the Nutritional Status of Toddlers Aged 6-59 Months in the Kalitidu Community Health Center Work Area, Bojonegoro Regency. Gema Bidan Indones. 2022;11(3):125–32. https://repo.poltekkes-surabaya.ac.id/6156/
7. Sihite NW, Rotua M, Cintiya A, Annisa R, Grese OT. Effectiveness of Nutrition Education Through Media Booklets About Provision of Supplementary Food (PMT) in Wasting Toddlers. Randang Tana - J Pengabdi Masy. 2023;6(2):172–9.
8. Rusdi D, Syah N, Yuniarti E. The Relationship Between Maternal Education Level and Stunting : Literature Review. J Res Sci Educ [Internet]. 2024;10(10):704–10. Available from: https://doi/org/10.29303/jppipa.v10i10.9495
9. Achmad W, Nurwati N, Fedryansyah M, Sumadinata RWS. Malnutrition, Parenting, Poverty: Construction and Stunting Phenomena in Indonesia. Russ Law J [Internet]. 2023;11(2):101–7. Available from: https://cyberleninka.ru/article/n/malnutrition-parenting-poverty-construction-and-stunting-phenomena-in-indonesia
10. Rizqi NP. Exploring the Relationship of Nutritional Status and Parenting Styles with Child Development in the First Two Years of Life : A Literature Review. Midwifery Res J [Internet]. 2025;3(1):11–5. Available from: https://jurnal.cakrabirawamedia.com/index.php/mrj/
11. Krisdianti, Suminar IT. The relationship of mothers’ s knowledge in providing MP-ASI with the nutritional status of children aged 6-24 months : literature review. In: Proceedings of the National Seminar on Research and Community Service [Internet]. LPPM Universitas ‘Aisyiyah Yogyakarta; 2024. p. 162–9. Available from: https://proceeding.unisayogya.ac.id/index.php/prosemnaslppm/article/view/476
12. Wiliyanarti PF, Nasruallah D, Salam R, Cholic I. Education of Additional Feeding Based on Local Materials for Stunting Toddlers with Animation. Media Gizi Indones (National Nutr Journal) [Internet]. 2022;SP(1):104–11. Available from: https://doi.org/10.20473/mgi.v17i1SP.104–111
13. Wahyuni, Najihah K, Yuniarti, Dwijayanti N. Factors Affecting the Growth of Children in Gampong Cot Mesjid Lhueng Bata Banda Aceh City. [Internet]. 2021;5(2):36–44. Available from: https://doi.org/10.22437/jkmj.v5i2.14358
14. Saifa M, Arnisam. Impact of Poster-Based Counseling on Maternal Knowledge of High–Animal–Protein Complementary Feeding among Toddlers Aged 6 – 24 Months. J Appl Nutr Diet [Internet]. 2025;5(2):55–61. Available from: https://doi.org/10.30867/jand.v5i2.940
15. Pusmaika R, Novfrida Y, Nurbayani R. Educational Guidelines for Eating “Fill My Plate” for Balanced Nutrition in Toddlers. 2024;5(1):83–90. Available from: https://doi.org.10.37402/abdimaship.vol5.iss2.332
16. Nurrika D, Nofita R, Septiyani RA, Febriyanti H. Effect of A Booklet Media on Increasing the Knowledge of Complementary Feeding among Mothers in South Tangerang, Indonesia. J Nurs Pract [Internet]. 2025;9(1):145–53. Available from: https://doi.org/10.30994/jnp.v9i1.914
17. Samsinar, Nurcahyani ID, Masithah S, Yusuf K, Rahmaniar A. J Kesehat Tambusai. 2025;6(4):18580–8. https://doi.org/10.31004/jkt.v6i4.54937
18. Najmi N, Lisdayanti E, Rahmawati, Afriandi F, Abdillah L. Effectiveness of Information and Education on Mangrove Forest Management for the Kuala Langsa Community. J Bakti Kita [Internet]. 2024;5(1):69–81. Available from: https://doi.org/10.52166/baktikita.v5i1.6212
19. Fryonanda H, Rotama H, Dewi MR. Making Flyers and Labels for MSME Products in Limau Manih Village, Padang City. ABDI J Pengabdi Kpd Masy [Internet]. 2023;4(1):62–6. Available from: https://doi.org/10.53008/abdimas.v4i1.2101
20. Nurkhayati E, Yunarsih N, Sari F, Octamelia M, Argaheni NB. The Use of Leaflets as a Health Education Media in Increasing the Knowledge of Complementary Feeding for Breastfeeding Mothers. J Aisyah J Ilmu Kesehat [Internet]. 2022;7(1):141–6. Available from: https://doi.org.10.30604/jika.v7iS1.1213
21. Silva P, Araújo R, Lopes F, Ray S. Nutrition and Food Literacy: Framing the Challenges to Health Communication. Nutrients. 2023;15(22):1–25. https://doi.org.10.3390/nu15224708
22. Angeles-Agdeppa I, Monville-Oro E, Gonsalves JF, Capanzana M V. Integrated school-based nutrition programme improved the knowledge of mothers and schoolchildren. Matern Child Nutr. 2019;15(S3). https://doi.org/10.1111/mcn.12794
23. Prasetyo YB, Permatasari P, Susanti HD. The effect of mothers’ nutritional education and knowledge on children’s nutritional status: a systematic review. Int J Child Care Educ Policy [Internet]. 2023;17(1):1–16. Available from: https://doi.org/10.1186/s40723-023-00114-7
24. Hemati M, Toori MA, Shams M, Behroozpour A. Effect of an educational intervention on nutrition literacy in teachers: a short communication. Malays J Nutr [Internet]. 2020;26(3):495–500. Available from: https://doi.org/10.31246/MJN-2020-0014
25. Maftuchah, Setyaningsih F, Nurhayati S. Effect of Leaflets and Balanced Menu Videos on Knowledge, Attitudes and Behaviors among Undernourished Toddlers’ Mothers. PLACENTUM J Ilm Kesehat dan Apl [Internet]. 2023;11(2):150–4. Available from: https://jurnal.uns.ac.id/placentum
26. Abderbwih E, Mahanani MR, Deckert A, Antia K, Agbaria N, Dambach P, et al. The Impact of School-Based Nutrition Interventions on Parents and Other Family Members: A Systematic Literature Review. Nutrients [Internet]. 2022;14(12):1–14. Available from: https://doi.org/10.3390/ nu14122399
27. Aulia A. The Effectiveness of Providing Education about Complementary Feeding Using Booklets and Videos on the Level of Knowledge and Actions of Mothers of Babies Aged 6-12 Months [Internet]. 2024;2(1):18–27. Available from: https://doi.org/10.62527/jakia.1.2.16
28. Puspa D, Handayani D, Kusumastuty I. The Effect of Nutritional Education with Leaflet and Diet Application on Nutritional Status Changes in Obese College Students. Unnes J Public Heal [Internet]. 2021;10(2):162–8. Available from: https://doi.org/10.15294/%0Aujph.v10i2.43150
29. Muluye SD, Lemma TB, Diddana TZ. Effects of Nutrition Education on Improving Knowledge and Practice of Complementary Feeding of Mothers with 6- to 23-Month-Old Children in Daycare Centers in Hawassa Town, Southern Ethiopia : An Institution-Based Randomized Controlled Trial. J Nutr Metab [Internet]. 2020;6571583,:1–10. Available from: https://doi.org/10.1155/2020/6571583
30. Raut S, Kc D, Singh DR, Dhungana RR, Man P, Pradhan S, et al. Effect of nutrition education intervention on nutrition knowledge, attitude, and diet quality among school-going adolescents: a quasi-experimental study. BMC Nutr [Internet]. 2024;10(35):1–10. Available from: https://doi.org/10.1186/s40795-024-00850-0
31. Shuremu M, Hassen K, Tefera A. Effect of nutrition education intervention to improve dietary diversity practice and nutritional status of the older people : A cluster randomized controlled trial. Food Sci Nutr [Internet]. 2023;11:7383–95. Available from: https://doi.org.10.1002/fsn3.3667
32. Wardhina F, Rahmadiliyani N, Suryani N. MP-ASI Education with Local Food to Increase the Knowledge of Mothers of Toddlers at Posyandu. Maj Cendekia Mengabdi [Internet]. 2026;4(1):25–30. Available from: https://doi.org/10.63004/mcm.v4i1.942
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Demsa Simbolon, Faza Yuranti (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
Proposed Creative Commons Copyright Notices
1. Proposed Policy for Journals That Offer Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Proposed Policy for Journals That Offer Delayed Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication, with the work [SPECIFY PERIOD OF TIME] after publication simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).



p-ISSN :
e-ISSN : 


