Impact of SIMPATIK Educational Intervention on Nutritional Behavior and Dietary Diversity in Toddlers: A Quasy Experimental
DOI:
https://doi.org/10.56294/saludcyt20252346Keywords:
Intervention, Diet, Toddlers, Postpartum Mothers, Nutrition EducationAbstract
Introduction: malnutrition in toddlers remains a public health concern in Indonesia, including Jambi City, where the prevalence still exceeds the national target. Inadequate maternal knowledge and limited dietary diversity are among the key factors contributing to nutritional problems in early childhood. Digital-based education platforms offer new opportunities to improve maternal knowledge and child feeding practices, yet their application in Indonesia is still limited.
Objective: this study aimed to evaluate the effectiveness of the SIMPATIK Educational Intervention on Nutritional Behavior and Dietary Diversity in Toddlers
Methods: this study employed a quasi-experimental design with a pretest-posttest approach, without a control group, involving 60 mothers of toddlers from the Talang Banjar Health Center area in 2024. Data were collected using validated questionnaires to assess maternal knowledge and 24-hour food recalls to measure dietary diversity, supported by the SIMPATIK web-based educational platform. Statistical analysis was performed using the Wilcoxon test with a 95 % confidence interval.
Results: the mean maternal knowledge score increased from 8,17 ± 3,40 to 10,77 ± 2,81 (p = 0,001; 95 % CI: 2,136–1,130), while the mean dietary diversity score rose from 5,08 ± 1,80 to 6,71 ± 2,71 (p = 0,001; 95 % CI: 3,352–1,847) between the pre-intervention and post-intervention phases.
Conclusion: the SIMPATIK program enhances both maternal knowledge and dietary diversity among children under five in Jambi City, demonstrating its effectiveness as a digital tool for delivering nutrition education within the community.
References
1. Kemenkes. Laporan Riskesdas 2023 [Internet]. April 2024. 2023. Available from: https://www.badankebijakan.kemkes.go.id/laporan-hasil-survei/
2. Kementerian Kesehatan. Profil Kesehatan Indonesia [Internet]. Jakarta: Depkes RI; 2021. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-indonesia-2019.pdf. Last accessed: 19 July 2022.
3. Røed M, Hillesund ER, Vik FN, Van Lippevelde W, Øverby NC. The Food4toddlers study-study protocol for a web-based intervention to promote healthy diets for toddlers: a randomized controlled trial. BMC Public Health. 2019;19:1–11.
4. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr [Internet]. 2018 Oct 1;14(4):e12617. Available from: https://doi.org/10.1111/mcn.12617
5. Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Complementary feeding practices and nutritional status of children 6–23 months old: formative study in Aceh, Indonesia. Nutr Res Pract. 2018;12(6):512–20.
6. Al Rahmad AH, Iskandar I, Fadjri TK, Hadi A. Utilization of the Growth Chart module in Increasing Mother’s Knowledge to Monitor the Grow up of Toddlers. Kesmas Indones. 2022;14(1):110–20.
7. Paul P, Arra B, Hakobyan M, Hovhannisyan MG, Kauhanen J. The determinants of under-5 age children malnutrition and the differences in the distribution of stunting–A study from Armenia. PLoS One. 2021;16(5):e0249776.
8. Arini HRB, Hadju V, Thomas P, Ferguson M. Nutrient and food intake of Indonesian children under 5 years of age: a systematic review. Asia Pacific J Public Heal. 2022;34(1):25–35.
9. Talib Eidan A, Hussein Shawq A. Effect of a Nutritional Education Program on Mother Knowledge Regarding Their Children Nutritional Status. J Obstet Gynecol Cancer Res. 2024;9(5):522–31.
10. Kulwa KBM, Verstraeten R, Bouckaert KP, Mamiro PS, Kolsteren PW, Lachat C. Effectiveness of a nutrition education package in improving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: rationale, design and methods of a cluster randomised trial. BMC Public Health. 2014;14(1):1–16.
11. Yani A. Utilization of technology in the health of community health. Promot J Kesehat Masy. 2018;8(1):97–103.
12. Schneider L, Ollila S, Kimiywe J, Lubeka C, Mutanen M. Is competence enough to enable Kenyan mothers to make good infant and young child feeding decisions? Matern Child Nutr. 2017;13(4):e12422.
13. Duffy EW, Kay MC, Jacquier EF, Catellier D, Hampton J, Anater AS, et al. Trends in food consumption patterns of US infants and toddlers from Feeding Infants and Toddlers Studies (FITS) in 2002, 2008, 2016. Nutrients. 2019;11(11):2807.
14. Janmohamed A, Sohani N, Lassi ZS, Bhutta ZA. The effects of community home visit and peer group nutrition intervention delivery platforms on nutrition outcomes in low and middle-income countries: a systematic review and meta-analysis. Nutrients. 2020;12(2):440.
15. Yeshaneh A, Mulu T, Gasheneit A, Adane D. Prevalence of wasting and associated factors among children aged 6-59 months in Wolkite town of the Gurage zone, Southern Ethiopia, 2020. A cross-sectional study. PLoS One. 2022;17(1):e0259722.
16. Biks GA, Tariku A, Wassie MM, Derso T. Mother’s Infant and Young Child Feeding (IYCF) knowledge improved timely initiation of complementary feeding of children aged 6–24 months in the rural population of northwest Ethiopia. BMC Res Notes. 2018;11:1–7.
17. Miles G, Siega-Riz AM. Trends in food and beverage consumption among infants and toddlers: 2005–2012. Pediatrics. 2017;139(6).
18. Henström M, Duncanson K, Collins CE, Ashton LM, Davidson E, Ball R. Online reach and engagement of a child nutrition peer-education program (PICNIC): insights from social media and web analytics. BMC Public Health. 2022;22(1):836.
19. Pavithra G, Kumar SG, Roy G. Effectiveness of a community-based intervention on nutrition education of mothers of malnourished children in a rural coastal area of South India. Indian J Public Health. 2019;63(1):4–9.
20. Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101(Supplement_2):539–49.
21. Van Grieken A, Vlasblom E, Wang L, Beltman M, Boere-Boonekamp MM, L’Hoir MP, et al. Personalized web-based advice in combination with well-child visits to prevent overweight in young children: cluster randomized controlled trial. J Med Internet Res. 2017;19(7):e268.
22. Røed M. Fostering healthy dietary habits through targeting toddlers’ food and eating environment: The Food4toddlers study. BMC Public Health. 2021;19(2):563.
23. Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One. 2022;17(7):e0271509.
24. Dibley M, Thow AM, Devkota M, Gaidhane A, Godakandage SSP, Hazir T, et al. Opportunities for strengthening infant and young child feeding policies in South Asia: Insights from the SAIFRN policy analysis project. BMC Public Health. 2017;17(2):404.
25. Dias M, Agante L. Can advergames boost children’s healthier eating habits? A comparison between healthy and non‐healthy food. J Consum Behav. 2011;10(3):152–60.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Junita, Rusmimpong, Egy Sunanda Putra (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
 
							
