Education on the Utilization of Herbal Phytotherapy Moringa Aloifera as an Alternative Nutritional Intervention for the Prevention of Stunting in Toddlers
Keywords:
stunting, prospective bride, phytotherapy, Moringa oleifera, preconception nutritionAbstract
Stunting remains a major chronic nutritional issue in Indonesia, including the Yogyakarta region. One preventive approach is nutrition education during the pre-marital period. Moringa oleifera is recognized as a highly nutritious local plant with potential in preventing stunting. This study employed a double-blind randomized controlled trial design involving 46 prospective brides in Yogyakarta. The intervention group received herbal phytotherapy education through an online pocketbook focused on the benefits of Moringa oleifera, while the control group received standard education from the Religious Affairs Office (KUA). Knowledge levels were assessed before and after the intervention using a structured questionnaire. There was a significant increase in knowledge scores in the intervention group (pre-test: 48.55 ± 0.93; post-test: 75.09 ± 0.95; p = 0.016), while the increase in the control group was not statistically significant. An independent t-test showed a significant difference in post-test scores between the two groups (p = 0.003). Online pocketbook-based education on Moringa oleifera herbal phytotherapy effectively increased knowledge of stunting prevention among prospective brides. This approach has strong potential as a community intervention strategy that is locally sourced, low-cost, accessible, and sustainable.
References
Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, Soliman N (2021) Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica. https://doi.org/10.23750/ABM.V92I1.11346
Safira S, Putri I, Tirtayanti S, Pujiana D, Studi P, Keperawatan I, Palembang IM (2023) HUBUNGAN PEMBERIAN ASI EKSKLUSIF DAN MPASI DENGAN KEJADIAN STUNTING. MOTORIK Jurnal Ilmu Kesehatan 18:7–14
Arifuddin A, Prihatni Y, Setiawan A, Wahyuni RD, Nur AF, Dyastuti NE, Arifuddin H (2023) EPIDEMIOLOGICAL MODEL OF STUNTING DETERMINANTS IN INDONESIA. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) 9:224–234
Wardita Y, Suprayitno E, Kurniyati EM (2021) Determinan Kejadian Stunting pada Balita. Journal Of Health Science (Jurnal Ilmu Kesehatan) 6:7–12
Ode Salma W, Alifariki LO, Siagian HJ, Gizi D, Masyarakat K (2022) Study Retrospektif Kejadian Stunting Pada Balita. HEALTH CARE: JURNAL KESEHATAN 11:215–224
Sari GM (2021) Early Stunting Detection Education as an Effort to Increase Mother’s Knowledge about Stunting Prevention. Folia Medica Indonesiana 57:70
Santosa A, Arif EN, Ghoni DA (2022) Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clin Exp Pediatr 65:90
Syahruddin AN, Ningsih NA, Amiruddin F, et al (2024) EDUKASI PEMBERIAN ASI EKSKLUSIF SEBAGAI UPAYA PENCEGAHAN STUNTING. Martabe : Jurnal Pengabdian Kepada Masyarakat 7:389–394
Astuti NI, Martanti LE, Ariyanti I, Semarang PK, Agung T, Semarang PB (2020) The Maternal Nutrition and Knowledge Level in Stunting Children. Journal of Midwifery Science: Basic and Applied Research 2:33–37
Hanifa D, Rahayu S, Nugrahaeni IK, Rahardjo Putri N, Putri NR (2021) Herbal Lactagogum And Breastfeeding Mother’s Breast Milk Production: A Sistematic Review. Journal of Midwifery Science: Basic and Applied Research 3:55–68
Afriza ZN, Muhani N, Sari N, Sari FE (2023) Use of Moringa Leaves to Meet Toddler Nutrition in The Prevention of Stunting. Jurnal Penelitian Pendidikan IPA 9:11333–11341
Idawati, Syafrina, safitri H, juwita R, realita S (2023) Potential of drinking Moringa leaves to increase breast milk production in post partum mothers. International Journal on ObGyn and Health Sciences 1:109–116
Budiman A, Lucky Radi R, Permata Sari D, Taufik N (2022) DIVERSIFICATION PRODUCTION AND CONSUMPTION OF MORINGA OLEIFERA BECOMING MORINGA LEAF EXTRACT CAPSULES AS AN ALTERNATIVE FOR FOOD RESILIENCE. PICS-J Pasundan International of Community Service Journal 4:21–29
Suwardi S, Yulianti R, Harahap NR, Sari ID, Puri AI (2025) THE EFFECT OF MORINGA LEAF TEA ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS. Jurnal SMART Keperawatan 12:113–116
Dwi N, Budiono P, Faqihatus D, Has S (2025) The effectiveness of moringa leaves extract to prevent stunting at toddlers aged 23-59 months. Science Midwifery 13:67–73
Wahyuningsih W, Bukhari A, Juliaty A, Erika KA, Pamungkas RA, Siokal B, Saharuddin S, Amir S (2022) Stunting Prevention and Control Program to Reduce the Prevalence of Stunting: Systematic Review Study. Open Access Maced J Med Sci 10:190–200
Fouad HM, Yousef A, Afifi A, et al (2023) Prevalence of malnutrition & anemia in preschool children; a single center study. Ital J Pediatr 49:1–11
Efendi S, Sriyanah N, Suci Cahyani A, Hikma S, Ilmu Keperawatan P, Tinggi Ilmu Kesehatan Makassar S (2021) Pentingnya Pemberian Asi Eksklusif Untuk Mencegah Stunting Pada Anak. Idea Pengabdian Masyarakat 1:107–111
Husada S, Rilyani R, Wandini R, Lestari WD (2021) Exclusive Breastfeeding with the Incidence of Stunting in Toddlers. Jurnal Ilmiah Kesehatan Sandi Husada 10:1–6
Saleh A, Syahrul S, Hadju V, Andriani I, Restika I (2021) Role of Maternal in Preventing Stunting: a Systematic Review. Gac Sanit 35:S576–S582
Revinel R, Fatimah F, Jamil SN, Khoiriyah NN (2023) ANALISIS PEMBERIAN ASI EKSKLUSIF, BATITA BEBAS STUNTING. Jurnal Ilmiah Kesehatan 12:238–247
Penelitian Pendidikan IPA J, Syah N, Yuniarti E (2024) The Relationship Between Maternal Education Level and Stunting: Literature Review. Jurnal Penelitian Pendidikan IPA 10:704–710
Adam A, Amir A, Islam D, Imran A (2022) Knowledge and Attitude Students Through Nutrition Health Education with E-Modul “Against Stunting.” Indonesian Journal of Global Health Research 4:203–210
Wahyu D, Sulistyowati W, Sa’diyah H, Islamiah A (2023) The Effect of Stunting Prevent Card (SPC) Games on Adolescent Knowledge in Stunting Prevention. 44–53
Masitah OR (2022) PENGARUH PENDIDIKAN GIZI TERHADAP PENGETAHUAN IBU BERKAITAN DENGAN STUNTING, ASI EKSLUSIF DAN MPASI. Journal of Innovation Research and Knowledge 2:673–678
Prastyoningsih A, Santoso J, Pratiwi EN, Rohmatika D, Maharani A, Prastika DA (2022) Formulation Of Instant Moringa Oleifera Combination Dates (Phoenix Dactylifera L.) As Galactogogues. Interest : Jurnal Ilmu Kesehatan 10:225–230
Afriza ZN, Muhani N, Sari N, Sari FE (2023) Use of Moringa Leaves to Meet Toddler Nutrition in The Prevention of Stunting. Jurnal Penelitian Pendidikan IPA 9:11333–11341
Putra AIYD, Setiawan NBW, Sanjiwani MID, Wahyuniari IAI, Indrayani AW (2021) Nutrigenomic and biomolecular aspect of moringa oleifera leaf powder as supplementation for stunting children. J Trop Biodivers Biotechnol. https://doi.org/10.22146/jtbb.60113
Brar S, Haugh C, Robertson N, Owuor PM, Waterman C, Fuchs GJ, Attia SL (2022) The impact of Moringa oleifera leaf supplementation on human and animal nutrition, growth, and milk production: A systematic review. Phytotherapy Research 36:1600–1615
Nastiti AD, Puspitasari RAH, Handayani D, Irwansyah FR (2025) The Effect of Moringa Leaf Fortification on Improving the Nutritional Status of Stunting Toddlers in Coastal Areas. Health and Technology Journal (HTechJ) 3:180–188
Haseeb Zia M, Asif A, Ur Rehman A (2021) Nutritional Intervention Based on Moringa Leaf Flour to Prevent Stunting in First 1000 Days of Life (1000 HPK): Review Articles.
Katmawanti S, Supriyadi, Mariroh F (2021) Is instant porridge with a high calcium content based on Moringa oleifera as an alternative baby food to prevent stunting in Indonesia? J Public Health Res. https://doi.org/10.4081/JPHR.2021.2233
Basri H, Hadju V, Zulkifli A, Syam A, Indriasari R (2021) Effect of Moringa Oleifera Supplementation during Pregnancy on the Prevention of Stunted Growth in Children between the Ages of 36 to 42 Months. J Public Health Res. https://doi.org/10.4081/JPHR.2021.2207
Cahyaningsih O, Trihastuti O, Retnaningrum D, Zulaika C (2025) The Utilization of Moringa Leaves (Moringa Oleifera) as a Nutritional Supplement in Preventing Stunting in Toddlers: Nutrition Study and the Impact of Routine. Proceedings of International Conference on Health Science, Practice, and Education 956–968
Putri W, Widayani W, Ulfah K, Studi P, Profesi P, Kemenkes B, Bandung P, Kemenkes JK, Kebidanan J, Poltekkes Bandung K (2024) THE EFFECT OF MORINGA OLEIFERA L EVIDENCE BASED CASE REPORT (EBCR): PENGARUH EKSTRAK DAUN KELOR (MORINGA OLEIFERA) TERHADAP PRODUKSI ASI DAN PENINGKATAN BERAT BADAN BAYI. Jurnal Kesehatan Siliwangi 5:642–649
Sunarsih NK, Mastiningsih P, Putu P, Ekajayanti N, Bina S, Bali U (2022) The Effectiveness of Moringa Leaf Simplicia on the Adequacy of Breast Milk in Babies Less Than 6 Months Old In Terms Of the Baby’s Weight at the Health Center. Journal of Ageing And Family 2:136–143
Ramadhan K, Entoh C, Nurfatimah N (2022) Peran Kader dalam Penurunan Stunting di Desa : The Role of Cadres in Decreasing Stunting in the Village. Jurnal Bidan Cerdas 4:53–61
Downloads
Published
Issue
Section
License
Copyright (c) 2025 vinilia ihramatul muhlida, Erna Yovi Kurniawati
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
