Digital Education as an Innovative Strategy for Stunting Prevention: A Literature Review
Abstract
Stunting is a public health problem that is still high in Indonesia and other developing countries. Prevention efforts require an innovative approach, one of which is through digital education that is able to reach targets quickly and effectively. This article aims to examine the various digital education interventions used in stunting prevention and analyze their effectiveness based on evidence from original research. This study is a review of the narrative literature on 11 original research articles published between 2020–2025. A total of 372 articles were initially identified through database searches (PubMed, ScienceDirect, Google Scholar, Garuda, and ResearchGate). After applying the inclusion and exclusion criteria and removing duplicates, 11 articles met the eligibility criteria and were included in the analysis. Article selection follows the PICOS criteria and the PRISMA process. Digital education in the form of mobile applications, voice and text messages, and online media has been proven to improve nutrition knowledge, change feeding behavior, and improve children's nutritional status. The effectiveness of interventions is greatly influenced by consistent message exposure, support of health cadres, and readiness of digital infrastructure. Digital education is a relevant and adaptive strategy in stunting prevention. Integration with community and cross-sector approaches is critical to ensuring the success and sustainability of the program.
References
Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. EClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
Amalia, I. D., Lubis, D. P. U., & Khoeriyah, S. M. (2021). Hubungan Pengetahuan Ibu Tentang Gizi Dengan Kejadian Stunting Pada Balita. Jurnal Kesehatan Samodra Ilmu, 12(2), 146–154. https://doi.org/10.55426/jksi.v12i2.153
Arefi, Z., Sadeghi, R., Shojaeizadeh, D., Yaseri, M., & Shahbazi Sighaldeh, S. (2022). The effect of educational intervention on nutritional behavior in pregnant women based on social cognitive theory. The Journal of Maternal-Fetal & Neonatal Medicine, 35(25), 9724–9729. https://doi.org/10.1080/14767058.2022.2050901
Asosiasi Penyedia Jasa Internet Indonesia (APJII). (2024). Survei Penetrasi Internet Indonesia. https://survei.apjii.or.id/survei/group/9
Astatkie, A. (2020). Dynamics of stunting from childhood to youthhood in Ethiopia: Evidence from the Young Lives panel data. PLoS ONE, 15(2), 1–20. https://doi.org/10.1371/journal.pone.0229011
Ayuningtyas, D., Hapsari, D., Rachmalina, R., Amir, V., Rachmawati, R., & Kusuma, D. (2022). Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia. Nutrients, 14(4), 1–17. https://doi.org/10.3390/nu14040843
Azimi, N. A., Hakim, B. N. A., Mohamed, H. J. J., Ismail, T. A. T., Yusoff, H., Zabidi-Hussin, Z., Kueh, Y. C., Sukeri, S., & Mohamad, P. (2024). Development and Effectiveness of a Mobile Health-based Nutrition Education Intervention on Maternal, Infant and Young Child Nutrition to Prevent Stunting in Kelantan: A Study Protocol. Malaysian Journal of Medicine and Health Sciences, 20(3), 349–355. https://doi.org/10.47836/mjmhs.20.3.46
Centis, M. C. L., Trisnawati, R. E., Dewi, I. R., & Bandur, P. M. . (2024). Pengaruh Pola Asuh Orang Tua terhadap Kejadian Stunting Pada Balita di Desa Pong Murung. MAHESA : Malahayati Health Student Journal, 4(11), 4820–4827. https://doi.org/10.33024/mahesa.v4i11.15470
Choudhury, A., & Choudhury, M. (2022). Mobile for Mothers mHealth Intervention to Augment Maternal Health Awareness and Behavior of Pregnant Women in Tribal Societies: Randomized Quasi-Controlled Study. JMIR MHealth and UHealth, 10(9), e38368. https://doi.org/10.2196/38368
Dessie, G., Li, J., Nghiem, S., & Doan, T. (2025). Child stunting, thinness, and their academic performance in Ethiopia: A longitudinal study. Social Science and Medicine, 373(September 2024), 118050. https://doi.org/10.1016/j.socscimed.2025.118050
Downs, S. M., Gueye, D., Sall, M., Ndoye, B., Sarr, N. N., Sarr, M., Mboup, S., Alam, N. A., Diouf, A., Merchant, E. V., & Sackey, J. (2023). The impact and implementation of an mHealth intervention to improve infant and young child feeding in Senegal: IIMAANJE protocol for a cluster randomized control trial. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1258963
Erika, K. A., Fadilah, N., Latif, A. I., Hasbiah, N., Juliaty, A., Achmad, H., & Bustamin, A. (2024). Stunting Super App as an Effort Toward Stunting Management in Indonesia: Delphi and Pilot Study. JMIR Human Factors, 11, 1–11. https://doi.org/10.2196/54862
Ernawati, F., Syauqy, A., Arifin, A. Y., Soekatri, M. Y. E., & Sandjaja, S. (2021). Micronutrient deficiencies and stunting were associated with socioeconomic status in indonesian children aged 6–59 months. Nutrients, 13(6). https://doi.org/10.3390/nu13061802
Fan, S., Jain, R. C., & Kankanhalli, M. S. (2024). A Comprehensive Picture of Factors Affecting UserWillingness to Use Mobile Health Applications. ACM Transactions on Computing for Healthcare, 5(1), 1–30. https://doi.org/10.1145/3626962
Faridah, F., Anies, A., Kartasurya, M. I., & Widjanarko, B. (2024). Online educational intervention: Improving maternal knowledge and attitudes in providing developmental stimulation for stunting toddlers. Narra J, 4(1), 1–9. https://doi.org/10.52225/narra.v4i1.591
Ferdous, T. E., Jaman, M. J., Siddique, A. B., Sultana, N., Hossain, T., Arifeen, S. El, & Billah, S. M. (2024). Feasibility of Employing mHealth in Delivering Preventive Nutrition Interventions Targeting the First 1000 Days of Life: Experiences from a Community-Based Cluster Randomised Trial in Rural Bangladesh. Nutrients , 16(20), 1–20. https://doi.org/10.3390/nu16203429
George, C. M., Monira, S., Zohura, F., Thomas, E. D., Hasan, M. T., Parvin, T., Hasan, K., Rashid, M. U., Papri, N., Islam, A., Rahman, Z., Rafique, R., Islam Bhuyian, M. S., Saxton, R., Labrique, A., Alland, K., Barman, I., Jubyda, F. T., Afroze, F., … Alam, M. (2021). Effects of a Water, Sanitation, and Hygiene Mobile Health Program on Diarrhea and Child Growth in Bangladesh: A Cluster-randomized Controlled Trial of the Cholera Hospital-based Intervention for 7 Days (CHoBI7) Mobile Health Program. Clinical Infectious Diseases, 73(9), E2560–E2568. https://doi.org/10.1093/cid/ciaa754
Haile, Y. T., & Legisso, T. Z. (2024). Trends and determinants of child stunting in Ethiopia: a longitudinal analysis of sociodemographic factors and regional disparities. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-20962-3
Hojati, A., Alesaeidi, S., Izadi, S., Nikniaz, A., & Farhangi, M. A. (2023). MyKid’sNutrition mobile application trial: a randomized controlled trial to promote mothers’ nutritional knowledge and nutritional status of preschool children with undernutrition—a study protocol. Trials, 24(1), 1–10. https://doi.org/10.1186/s13063-023-07503-w
Islam, K. F., Awal, A., Mazumder, H., Munni, U. R., Majumder, K., Afroz, K., Tabassum, M. N., & Hossain, M. M. (2023). Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon, 9(4), e14889. https://doi.org/10.1016/j.heliyon.2023.e14889
Jeihooni, A. K., Mohammadkhah, F., Razmjouie, F., Harsini, P. A., & Sedghi Jahromi, F. (2022). Effect of educational intervention based on health belief model on mothers monitoring growth of 6–12 months child with growth disorders. BMC Pediatrics, 22(1), 1–11. https://doi.org/10.1186/s12887-022-03593-8
JME. (2025). Joint child malnutrition estimates (JME) (UNICEF-WHO-WB).
Kemenkes. (2025). SSGI 2024- Survei Status Gizi Indonesia (SSGI) Dalam Angka. http://dx.doi.org/10.1016/j.bpj.2015.06.056%0Ahttps://academic.oup.com/bioinformatics/article-abstract/34/13/2201/4852827%0Ainternal-pdf://semisupervised-3254828305/semisupervised.ppt%0Ahttp://dx.doi.org/10.1016/j.str.2013.02.005%0Ahttp://dx.doi.org/10.10
Kusumawati, P. D., Nurhidayah, R., & Kurniasari, D. (2025). The effectiveness of integrating the Lumbung Hidup and Nutritional Rangers mobile applications in preventing stunting among underprivileged families in Kediri Regency. Healthcare in Low-Resource Settings, 13(1), 13–17. https://doi.org/10.4081/hls.2024.13258
Lowe, C., Kelly, M., Sarma, H., Richardson, A., Kurscheid, J. M., Laksono, B., Amaral, S., Stewart, D., & Gray, D. J. (2021). The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia. The Lancet Regional Health - Western Pacific, 14, 100205. https://doi.org/10.1016/j.lanwpc.2021.100205
Marta, A. S., Favara, M., Sheridan, M., & Behrman, J. (2022). DISCUSSION PAPER SERIES How Early Nutrition and Foundational Cognitive Skills Interconnect ? Evidence from Two Developing Countries How Early Nutrition and Foundational Cognitive Skills Interconnect ? Evidence from Two Developing Countries.
Matrutty, V. M., KHOERIYAH, S. M., Rosyad, Y. S., Monika, R., KORA, F. T., & Ratri, T. H. (2024). Analisa Pemberian Asupan Protein Dan Asupan Zinc Pada Balita Stunting. Informasi Dan Promosi Kesehatan, 2(2), 180–186. https://doi.org/10.58439/ipk.v2i2.167
Milwan, & Sunarya, A. (2023). Stunting Reduction in Indonesia: Challenges and Opportunities. International Journal of Sustainable Development and Planning, 18(7), 2223–2231. https://doi.org/10.18280/ijsdp.180727
Miranda, A. V., Sirmareza, T., Nugraha, R. R., Rastuti, M., Syahidi, H., Asmara, R., & Petersen, Z. (2023). Towards stunting eradication in Indonesia: Time to invest in community health workers. Public Health Challenges, 2(3), 1–6. https://doi.org/10.1002/puh2.108
Moise, I. K., Ivanova, N., Wilson, C., Wilson, S., Halwindi, H., & Spika, V. M. (2023). Lessons from digital technology-enabled health interventions implemented during the coronavirus pandemic to improve maternal and birth outcomes: a global scoping review. BMC Pregnancy and Childbirth, 23(1), 1–21. https://doi.org/10.1186/s12884-023-05454-3
Nenobais, D. I., & Katmini, K. (2021). Application of Health Belief Model Theory on Prevention of Stunting in Toddlers Through Nutritional Behavior. Journal for Quality in Public Health, 5(1), 27–34. https://doi.org/10.30994/jqph.v5i1.244
Nurcahyani, L., Widiyastuti, D., Estuti, W., Iman, A. T., Fitrianingsih, Y., & Hafid, F. (2024). Design of Stunting Prevention Education Media Package Based on Technology and Local Wisdom. Amerta Nutrition, 8(2SP), 9–14. https://doi.org/10.20473/amnt.v8i2SP.2024.9-14
Pandey, S., Hapsari, P., Nurhasanah, R., Ratih, S. P., Moeis, F. R., & Satrya, A. (2020). Alleviating Stunting in Southeast Asia, Response to Post COVID-19 Era. vol. 1 1. https://library.seameo-recfon.org/index.php?p=show_detail&id=36&keywords=magazine
Permatasari, T. A. E., Chadirin, Y., Ernirita, E., Syafitri, A. N., & Fadhilah, D. A. (2025). The accuracy of a novel stunting risk detection application based on nutrition and sanitation indicators in children aged under five years. BMC Nutrition, 11(1). https://doi.org/10.1186/s40795-025-01074-6
Rahmadani, R. A., Setiawati, A., Aris, I., Lontaan, A., & Prasetyowati, P. (2025). Effectiveness of nutrition education on stunting prevention behavior in mothers under five. Jurnal Edukasi Ilmiah Kesehatan, 3(1), 01–08. https://doi.org/10.61099/junedik.v3i1.68
Riazi, S., Ghavami, V., Sobhani, S. R., Shoorab, N. J., & Mirzakhani, K. (2024). The effect of nutrition education based on the Health Belief Model (HBM) on food intake in pregnant Afghan immigrant women: a semi-experimental study. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06728-0
Safitri, T., & Mukodri, D. M. L. (2024). Utilization of the Android Application “Bocesting” in Enhancing Knowledge for Mothers of Children Under Five Years About Stunting Prevention. International Journal of Social Science, 3(5), 635–640. https://doi.org/10.53625/ijss.v3i5.7418
Sarwuna, O., & Khoeriyah, S. M. (2024). Hubungan Pola Asuh dan Sanitasi Lingkungan dengan Kejadian Stunting Pada Balita di Kelurahan Sawahan. Jurnal Kesehatan Samodra Ilmu, 15(01), 37–41. https://doi.org/https://doi.org/10.55426/jksi.v15i01.300
Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in Urban and Rural Indonesian: a multilevel analysis using the population-based Indonesian family life survey (IFLS). BMC Public Health, 24(1), 1–13. https://doi.org/10.1186/s12889-024-18824-z
Sosanya, M. E., Samuel, F. O., Bashir, S., Omoera, V. O., & Freeland-Graves, J. H. (2024). A Mobile Gaming App to Train Teenage Mothers on Appropriate Child Feeding Practices: Development and Validation Study. Journal of Medical Internet Research, 26, e53560. https://doi.org/10.2196/53560
Sudiati, L. E., Aditama, W., & Puryono, D. A. (2023). IoT-based Stunting Education and Early Detection System for Stunting-Free Indonesia. East Asian Journal of Multidisciplinary Research, 2(12), 4855–4866. https://doi.org/10.55927/eajmr.v2i12.6767
Suryana, E. A., & Azis, M. (2023). the Potential of Economic Loss Due To Stunting in Indonesia. Jurnal Ekonomi Kesehatan Indonesia, 8(1), 52. https://doi.org/10.7454/eki.v8i1.6796
UNICEF. (2025). Child Malnutrition).
WHO. (2021). Global strategy on digital health 2020-2025. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. In Who. http//apps.who.int/iris
WHO. (2025). Joint child malnutrition estimates (p. 2025).
Widiyawati, A. T. (2023). Implementation of Government Policy in the Context of Accelerating the Reduction of Stunting Through Analysis of Health Literacy Level to Stunting (Nutrition Inadequate) in the District Semanding, Regency Tuban, East Java, Indonesia. Atlantis Press SARL. https://doi.org/10.2991/978-2-38476-082-4_4
World Bank. (2020). Spending Better to Reduce Stunting in Indonesia. Spending Better to Reduce Stunting in Indonesia. https://doi.org/10.1596/34196
World Bank. (2024). Prevalence of stunting, height for age (modeled estimate, % of children under 5). The World Bank IBRID IDA, 2024. https://data.worldbank.org/indicator/SH.STA.STNT.ME.ZS?type=shaded&view=map&year=2022
Yenita, R. N., Anggraini, V., Islami, A., & Ansyari, K. (2025). Anaceting Mobile Health Application : An Innovative Digital Solution for Early Stunting Detection in Indonesian Children. 11(6), 698–708. https://doi.org/10.29303/jppipa.v11i6.11923
Yulnefia, S. M. (2021). Hubungan riwayat penyakit infeksi dengan kejadian stunting pada balita usia 24-36 bulan di wilayah kerja Puskesmas Tambang Kabupaten Kampar. Jurnal Kebidanan Malahayati, 7(2), 200–206.
Zaleha, S., & Idris, H. (2022). Implementation of Stunting Program in Indonesia: a Narrative Review. Indonesian Journal of Health Administration, 10(1), 143–151. https://doi.org/10.20473/jaki.v10i1.2022.143-151
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