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Stunting Super App as an Effort Toward Stunting Management in Indonesia: Delphi and Pilot Study
Kadek Ayu Erika1, Nur Fadilah1, Aulia Insani Latif1
1Faculty of Nursing, Hasanuddin University, Jl. Perintis Kemerdekaan Kampus Tamalanrea Km.10, Makassar, 90245, Indonesia, 62 81342129855.
Insights
A new app, SEHATI, was developed to combat childhood stunting in Indonesia. The app effectively increased mothers' knowledge of stunting prevention, offering a valuable tool for maternal and child health.
Area of Science:
- Public Health
- Digital Health
- Pediatrics
Background:
- Globally, 30 million children suffer from acute malnutrition, with 8 million severely underweight.
- Childhood stunting remains a significant public health challenge, particularly in Indonesia.
Purpose of the Study:
- To develop a comprehensive mobile application, the "stunting super app," to prevent and manage childhood stunting in Indonesia.
- To create an accessible, one-stop digital resource for parents and caregivers.
Main Methods:
- A three-stage approach was employed, beginning with a 3-round Delphi study involving 12 experts.
- An Android application, SEHATI (Sistem Evaluasi Kesehatan Anak Tumbuh Ideal), was developed by experts and a parent of a child with stunting.
- A pilot study with a control group assessed the app's impact on parental knowledge of stunting prevention.
Main Results:
- The Delphi study yielded 11 consensus statements on maternal, child, and environmental health education, forming the basis of the SEHATI app.
- The SEHATI app demonstrated high content validity with ≥80% cumulative agreement.
- A pilot study revealed a statistically significant increase (P=.001) in mothers' knowledge regarding stunting prevention post-intervention.
Conclusions:
- The SEHATI app effectively delivers educational content on stunting prevention.
- The study highlights the potential of digital health interventions to improve maternal knowledge and contribute to stunting reduction efforts.
Background:
Currently, 30 million children are experiencing acute malnutrition, and 8 million children are severely underweight.
Objective:
This study aimed to develop a stunting super app, a one-stop app designed to prevent and manage stunting in Indonesia.
Methods:
This study consisted of three stages. Stage 1 used a 3-round Delphi study involving 12 experts. In stage 2, 4 experts and a parent of children with stunted growth created an Android app containing stunting educational materials. In stage 3, a pilot study involving a control group was conducted to evaluate parents' knowledge about stunting prevention through the app and standard interventions.
Results:
In the Delphi study, 11 consensus statements were extracted; arranged in three major themes, including maternal health education, child health education, and environmental education; and applied in the form of the Sistem Evaluasi Kesehatan Anak Tumbuh Ideal (SEHATI) app. This app was assessed using a content validity index, with a cumulative agreement of ≥80% among the 5 individuals. The pilot study showed an increase in the knowledge of mothers of toddlers with stunted growth before and after the educational intervention (P=.001).
Conclusions:
The SEHATI app provides educational content on stunting prevention that can increase the knowledge of mothers of toddlers with stunted growth.

