Optimalisasi Pencegahan Triple Burden pada Ibu Hamil Berbasis Flipbook Gizi 1.000 Hari Pertama Kehidupan di Desa Bangun Rejo
DOI:
https://doi.org/10.59024/jpma.v4i3.2395Keywords:
Anemia, Chronic Energy Deficiency, Malnutrition, Pregnant Women, Triple BurdenAbstract
Indonesia faces a triple burden of malnutrition, including anemia, chronic energy deficiency, and obesity among women. In 2024, anemia prevalence reached 30.7%, while SDG 2025 data reported that 28% of women experienced malnutrition. This study aimed to improve pregnant women’s knowledge of triple burden prevention through the "Nutrition for the First 1,000 Days of Life" flipbook in Bangun Rejo Village. A pre-experimental study was conducted from January to April 2026 involving 30 pregnant women selected through purposive sampling. The intervention consisted of socialization, training, technology implementation, mentoring, and evaluation. Knowledge was measured using a questionnaire and analyzed with the Wilcoxon Signed-Rank Test. Knowledge scores significantly improved after the intervention (p = 0.000; p < 0.05), demonstrating the effectiveness of the flipbook as a nutrition education medium. The flipbook effectively increased pregnant women’s knowledge regarding triple burden prevention. The flipbook should be utilized as an educational medium to improve maternal nutritional knowledge and support healthy pregnancy outcomes.
References
Adethia, K. A., Pangaribuan, I. K., Sari, D. M., & Rachmat, A. (2023). The influence of peer education on mother ’ s self efficacy in providing nutrition with the nutritional status of toddlers in the Sei Musam Langkat. Science Midwifery, 11(4). https://doi.org/https://doi.org/10.35335/midwifery.v11i4.1360
Amd, M., Pematang, K. E. B., Tahun, S., Simarmata, M., Barimbing, T., Siregar, E. P., & Purnamasari, E. (2023). ANALISIS KEJADIAN ANEMI PADA IBU HAMIL TRIMESTER III DI PMB J . secara statistik antara pengetahuan , pendidikan dengan kejadian anemi pada ibu hamil trimester III.
Astuti, T. Y., & Simarmata, M. (2021). THE RELATIONSHIP OF KNOWLEDGE WITH MOTHER ’ S ATTITUDES PREGNANT ABOUT GESTATIONAL DIABETES. International Journal of Midwifery Research. https://doi.org/https://doi.org/10.47710/ijmr.v4i2.84
Jurnal, C., Kesehatan, I., Kebidanan, K., Lestari, I. V., Jl, A., Sewo, H., Kel, N., Lalabata, K., Soppeng, K., & Selatan, S. (2025). Hubungan Pengetahuan , Umur , Pendidikan dan Status Gizi dengan Kejadian Anemia pada Ibu hamil di RSUD La Temmamala Akademi Kebidanan Menara Primadani , Sulawesi Selatan , Indonesia ITKes dan Bisnis Kurnia Jaya Persada Palopo , Sulawesi Selatan , Indonesi. Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan Dan Kebidanan, 3.
Kehamilan, M., Wilayah, D. I., Puskesmas, K., Kota, T., & Tahun, P. (2020). Tingkat pengetahuan ibu hamil tentang pentingnya gizi pada masa kehamilan di wilayah kerja puskesmas tipo kota palu tahun 2020. MEDIKA ALKHAIRAAT : JURNAL PENELITIAN KEDOKTERAN DAN KESEHATAN, 4(2), 68–75.
Kemenkes. (2023). BUKU SAKU PENCEGAHAN ANEMIA PADA IBU HAMIL DAN REMAJA PUTRI.
Nurmawan, S. (2022). Factors Related to the Satisfaction Level of Pregnant Mothers in Antanetal Care Services Hutabayu Puskesmas, Simalungun Regency in 2022. Science Midwifery, 10(4), 3440–3447. https://doi.org/10.35335/midwifery.v10i4.849
Parajuli, R., & Theron, W. O. (2025). A Growing Triple Burden of Malnutrition in South Asia Due to the Cumulative Effect of Double Burden of Malnutrition and Parasitic Infections in South Asian Low- and Middle-Income Countries : A Scoping Review. Nutrients. https://doi.org/https://doi.org/10.3390/nu17213494
Patimah, S., Masriadi, Abbas, H. H., & Sharief, S. A. (2025). Exploration of Strategies to Overcome Dual-Triple Burden of Malnutrition in Adolescent Girls Based on Local Wisdom : A Qualitative Study. Window of Health : Jurnal Kesehatan, 8(1), 59–72. https://doi.org/: https://doi.org/10.33096/woh.v8i1.2601
Pondaang, M. F., Kotarumalos, S. S., Satria, O., Hernawati, E., Zakiya, A., Munaf, T., & Hanifah, D. (2025). Bunga rampai Pengelolaan Keehatan Ibu Hamil Dengan Komplikasi.
Rambe, R. F., Simarmata, M., & Program, U. (2024). FACTORS INFLUENCING ANEMI IN PREGNANT WOMEN. 4(2).
Rohmawati, N., Ma’ruf, I., Rokhmah, D., Khoirun, Antika, R. bahyu, Aryatika, K., & Hidayati, M. N. (2019). Indonesia ’ s triple burden of malnutrition A call for urgent policy change.
Simarmata, M., Agussamad, I., & Herani, Z. (2025). Peningkatan Kadar Haemoglobin Ibu hamil Pembelajaran Gizi Modern Berbasis Flipbook. CV.AA.Rizky.
Simarmata, M., Agussamad, I., Herani, Z., Midwifery, U., & Program, S. (2025). NUTRITION FLIPBOOK -BASED EDUCATION ON PREGNANT WOMEN ’ S ATTITUDES TO PREVENT. International Journal of Midwifery Research, 5(2). https://doi.org/: https://doi.org/10.47710/6bk32y97
Simarmata, M., Agussamad, I., Nurmawan, S., Situmorang, T. S., & Br, A. (2026). Flipbook-Based Nutrition Education : A Strategy to Improve Self-Efficacy for Stunting Prevention Among Pregnant Women During the First 1 , 000 Days of Life. Journal of Health and Nutrition Research, 5(1). https://doi.org/, https://doi.org/10.56303/jhnresearch.v5i1.836
Simarmata, M., Agussamad, I., Nurmawan, S., Situmorang, T. S., Ginting, A. B., Srininta, Herani, Z., & Herawati, F. (2026). Flipbook-Based Nutrition Education for the First 1,000 Days of Life on Self-Efficacy for Stunting Prevention in Pregnant Women. LOA The Journal of Health and Nutrition Research, 8294.
Sinaga, R., Dewi, E. R., Pinem, S., Purnamasari, E., Sagala, R., Yun, D. C., Ertilida, Y., Pasaribu, N. E., & Gulo, M. (2024). The effect of beta vulgaris l juice on the acceleration of reducing the incidence of anemia in pregnant women. Science Midwifery, 12(5), 1666–1672. https://doi.org/10.35335/midwifery.v12i5.1742
Sinaga, R., Tampubolon, R., Susanti, E., & ... (2022). Penerapan Program Isi Piringku Untuk Mencegah Stunting Pada Balita Di Puskesmas Kokonao Distrik Mimika Barat Kabupaten Mimika …. Prosiding PKM-CSR, 5, 1–5. http://prosiding-pkmcsr.org/index.php/pkmcsr/article/view/1834%0Ahttps://prosiding-pkmcsr.org/index.php/pkmcsr/article/download/1834/979
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