Implementation of Educative Boardgame to Improve Knowledge, Attitude and Practice of Complementary Feeding in Stunting Locus at Central Lombok

Abstract

Complementary feeding practice (CFP) contributes to high incidence of stunting in West Nusa Tenggara especially in Central Lombok. The complementary feeding program for infants and children was launched by government as a strategy to combat stunting in order to realize the Generasi Emas NTB 2025. For this reason, the provision of complementary feeding has been introduced into maternal and child health book (MCH), but has not met all WHO recommendations. This interventional, quasi experimental, pre-post test design study, aimed to develop board game as an educational media about stunting and CFP and to assess its effectiveness to increase parents' knowledge, attitude and practice (KAP) regarding CFP in Central Lombok as stunting locus. This study located at Sukadana village that was selected randomly. Subjects were parents of children aged 6-12 months old whom met inclusion and exclusion criteria. KAP assessment was conducted by using validated questionnaire, which was carried out before and after GiMPASI intervention, educational game. From 42 subjects involved in this study we found significant differences both in knowledge scores about complementary food (CF) feeding pre and post intervention (3.43±1.70 vs 4.83±1.64; p=0.001) and in attitude scores (10.55±2.77 vs. 12.33±2.67; p=0.002). Likewise, there was an increase in CFP score between pretest (25.90±4.75) and post test (26.12±4.74), but didnt different significantly in paired t-test analysis (p=0.79). GiMPASI can be used as an effective educational media to increase parents' knowledge and attitude regarding stunting and CFP. GiMPASI can be developed as part of infant and child complementary feeding against stunting.