SI-GEMBUL: A Mobile Nutrition Information System to Strengthen Early Childhood Stunting Detection in Indonesia

Authors

DOI:

https://doi.org/10.26877/asset.v8i4.2883

Keywords:

toddler, stunting , detection, nutritional status, cadre

Abstract

Delays in reporting anthropometric data from integrated health posts (Posyandu) to community health centers (Puskesmas) remain a major challenge in Indonesia’s nutrition surveillance system. Existing national applications, such as e-PPGBM and WHO AnthroPlus, are limited to Puskesmas users, restricting early stunting detection at the community level. This study aimed to develop and evaluate a toddler integrated nutrition information system (SI-GEMBUL) as an Android-based application to improve timeliness and accuracy of data reporting. This research employed the Analysis, Design, Development, Implementation, and Evaluation (ADDIE) model. Stakeholders included Posyandu cadres, nutrition officers, and system developers. The application’s functionality was validated through Black-Box Testing, while user implementation involved 44 cadres across several Posyandu within the Halmahera Health Center area of Semarang. The SI-GEMBUL application was successfully developed with four core features: anthropometric data entry, automatic Z-score calculation based on WHO standards, stunting education modules, and direct data transfer to Puskesmas. Implementation demonstrated 100% functional validity and improved reporting timeliness from an average of one week to less than one day. SI-GEMBUL provides an effective, community-based digital solution to strengthen early detection of stunting. 

Author Biographies

  • Vilda Ana Veria Setyawati, Universitas Dian Nuswantoro

    Public Health Undergraduate Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Eti Rimawati, Universitas Dian Nuswantoro

    Public Health Undergraduate Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Agung Wardoyo, Universitas Dian Nuswantoro

    Medical Record Undergraduate, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Ririn Nurmandhani, Universitas Dian Nuswantoro

    Public Health Undergraduate Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Muhammad Iqbal, Universitas Dian Nuswantoro

    Public Health Undergraduate Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Sylvia Anjani, Universitas Dian Nuswantoro

    Public Health Undergraduate Program, Faculty of Health Sciences, Universitas Dian Nuswantoro, St. Imam Bonjol No. 207, Semarang

  • Bambang Agus Herlambang, Universitas Persatuan Guru Republik Indonesia Semarang

    2Faculty of Engineering and Informatics, Universitas PGRI Semarang, Jl. Sidodadi-Timur No.24 Semarang, Central Java 50232, Indonesia

  • Vetriselvan Subramaniyan, Sunway University

    Faculty of Medical and Life Science, Sunway University, Jl. Universiti No.5, Bandar Sunway (Petaling Jaya) 47500, Selangor Darul Ehsan, Malaysia

References

[1] A. K. Manggala, K. W. M. Kenwa, M. M. L. Kenwa, A. A. G. D. P. J. Sakti, and A. A. S. Sawitri, “Risk factors of stunting in children aged 24-59 months,” Paediatr. Indones., vol. 58, no. 5, pp. 205–12, 2018, doi: https://doi.org/10.14238/pi58.5.2018.205-12.

[2] WHO, Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. 2018. [Online]. Available: https://www.who.int/publications/i/item/9789241513647%0AAccessed on 18th February 2022

[3] F. R. Rinawan et al., “Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build ‘a bridge’ from the community to the national scale.,” BMC Public Health, vol. 21, no. 1, p. 1024, May 2021, doi: https://doi.org/10.1186/s12889-021-11035-w.

[4] S. D. Meilinda, A. Utami, - Yulianto, and A. Cahyaningtias, “Posyandu During the COVID-19 Pandemic: Diversification and Participation,” J. Sumbangsih, vol. 1, no. 1, pp. 167–175, 2020, doi: https://doi.org/10.23960/jsh.v1i1.61.

[5] R. A. D. Mardani, K. Wetasin, and W. Suwanwaiphatthana, “the Predicting Factors Affecting the Occurrence of Stunting in Children Under Five Years of Age,” J. Kesehat. Masy., vol. 11, no. 1, p. 1, 2015, doi: https://doi.org/10.15294/kemas.v11i1.3927.

[6] K. K. R. Indonesia, Regulation of The Minister of Health of The Republic Indonesia, vol. 7, no. 2. 2020, pp. 33–48. [Online]. Available: http://repository.radenintan.ac.id/11375/1/PERPUS PUSAT.pdf%0Ahttp://business-law.binus.ac.id/2015/10/08/pariwisata-syariah/%0Ahttps://www.ptonline.com/articles/how-to-get-better-mfi-results%0Ahttps://journal.uir.ac.id/index.php/kiat/article/view/8839

[7] R. Srivastava, S. Kushwaha, P. Khanna, M. Gupta, B. Bharti, and R. Jain, “Comprehensive overview of smartphone applications delivering child nutrition information,” Nutrition, vol. 103–104, p. 111773, 2022, doi: https://doi.org/10.1016/j.nut.2022.111773.

[8] T. M. Garvin et al., “Cooking Matters Mobile Application: a meal planning and preparation tool for low-income parents.,” Public Health Nutr., vol. 22, no. 12, pp. 2220–2227, Aug. 2019, doi: https://doi.org/10.1017/S1368980019001101.

[9] J. V. Freitas, S. P. Crispim, and M. C. Araujo, “Development of a mobile application to assess Brazilian schoolchildren’s diet: CADE - food consumption at home and at school.,” J. Nutr. Sci., vol. 11, p. e27, 2022, doi: https://doi.org/10.1017/jns.2022.25.

[10] M. I. Alhari, W. Febriyani, W. T. Jonson, and A. A. N. Fajrillah, “Designing a Smart Village Educational Application Platform for Stunting Alleviation and Monitoring the Health of Pregnant Women,” J. Ilm. Teknol. Inf. Asia, vol. 15, no. 1, p. 51, 2021, doi: https://doi.org/10.32815/jitika.v15i1.562.

[11] A. Sriatmi, S. P. Jati, A. Suryoputro, and E. Y. Fatmasari, “Stakeholder Mapping Analysis on the Scaling-Up Nutrition Movement during the 1000 Days of Life between the Urban and Rural Government Areas,” Unnes J. Public Heal., vol. 10, no. 1, pp. 68–77, 2021, doi: https://doi.org/10.15294/ujph.v10i1.38029.

[12] S. Anjani, F. D. P. Anggraini, V. A. V. Setyawati, A. Aprianti, and A. N. Indriati, “The Effectiveness of Mobile Edu App-Based Educational Methods as an Intervention Program to Reduce Stunting with the Nurture, Love, and Stimulation Approach,” J. Eduscience, vol. 9, no. 1, pp. 143–151, 2022, doi: https://doi.org/10.36987/jes.v9i1.2559.

[13] S. A. Prabhu, N. K. Shukla, and S. R. Mandala, “‘Assessment of Nutritional Status of Rural Children (0-18 years) in Central India Using World Health Organization (WHO) Child Growth Standards 2007’.,” Indian J. community Med. Off. Publ. Indian Assoc. Prev. Soc. Med., vol. 45, no. 3, pp. 323–327, 2020, doi: https://doi.org/10.4103/ijcm.IJCM_348_19.

[14] L. Prapkree, M. Sadjadi, F. Huffman, and C. Palacios, “Development and pilot testing of the snackability smartphone application to identify healthy and unhealthy snacks,” Healthc. Inform. Res., vol. 25, no. 3, pp. 161–172, 2019, doi: https://doi.org/10.4258/hir.2019.25.3.161.

[15] L. Prapkree, C. Palacios, M. Sadjadi, and F. Huffman, “Development and Pilot Testing of the Snackability Smartphone Application to Identify Healthy and Unhealthy Snacks (P04-185-19),” Curr. Dev. Nutr., vol. 3, p. 3131833, 2019, doi: https://doi.org/10.1093/cdn/nzz051.p04-185-19.

[16] R. Munoo and R. Abdullah, “Chapter 27 - Adding ADDIE to the Library Orientation Program at Singapore Management University Libraries,” K. Bailin, B. Jahre, and S. B. T.-P. L. O. Morris, Eds., Chandos Publishing, 2018, pp. 263–271. doi: https://doi.org/10.1016/B978-0-08-102171-2.00027-1.

[17] P. W. Rob Pooley, Applying UML, Advanced Application, !!St. Edinburgh: Heriot-Watt University, 2003.

[18] M. Siebenhaller and M. Kaufmann, “Drawing activity diagrams,” Proc. - SOFTVIS 06 ACM Symp. Softw. Vis., pp. 159–160, 2006, doi: https://doi.org/10.1145/1148493.1148523.

[19] R. A. Latif and M. Z. M. Nor, “Using the addie model to develop a rusnani concept mapping guideline for nursing students,” Malaysian J. Med. Sci., vol. 27, no. 6, pp. 115–127, 2020, doi: https://doi.org/10.21315/mjms2020.27.6.11.

[20] R. I. Mentri Kesehatan, “Regulation of the Minister of Health of the Republic of Indonesia Number 2 of 2020 concerning Child Anthropometric Standards,” Menteri Kesehat. Repubik Indones., vol. 2507, no. February, pp. 1–78, 2020.

[21] M. N. Santi, R. Nurmandhani, V. A. V. Setyawati, E. Rimawati, A. Wardoyo, and M. Iqbal, “Penerapan Model Utaut 2 Untuk Mengetahui Minat Penggunaan Aplikasi Si-Gembul Pada Kader Posyandu Di Puskesmas Halmahera Semarang,” VISIKES J. Kesehat. Masy., vol. 21, no. 2, 2022, doi: https://doi.org/10.33633/visikes.v21i2supp.6675.

[22] L. D. Zanetta et al., “The use of food delivery apps during the COVID-19 pandemic in Brazil: The role of solidarity, perceived risk, and regional aspects.,” Food Res. Int., vol. 149, p. 110671, Nov. 2021, doi: https://doi.org/10.1016/j.foodres.2021.110671.

[23] J. Gausman, R. Kim, and S. V Subramanian, “Stunting trajectories from post-infancy to adolescence in Ethiopia, India, Peru, and Vietnam.,” Matern. Child Nutr., vol. 15, no. 4, p. e12835, Oct. 2019, doi: https://doi.org/10.1111/mcn.12835.

[24] J. Castro-Bedriñana, D. Chirinos-Peinado, and G. De La Cruz-Calderón, “Predictive model of stunting in the Central Andean region of Peru based on socioeconomic and agri-food determinants.,” Public Heal. Pract. (Oxford, England), vol. 2, p. 100112, Nov. 2021, doi: https://doi.org/10.1016/j.puhip.2021.100112.

[25] A. Deshpande and R. Ramachandran, “Early childhood stunting and later life outcomes: A longitudinal analysis.,” Econ. Hum. Biol., vol. 44, p. 101099, Jan. 2022, doi: https://doi.org/10.1016/j.ehb.2021.101099.

[26] C. Scheffler, B. Bogin, and M. Hermanussen, “Catch-up growth is a better indicator of undernutrition than thresholds for stunting.,” Public Health Nutr., vol. 24, no. 1, pp. 52–61, Jan. 2021, doi: https://doi.org/10.1017/S1368980020003067.

[27] H. Khoeroh, O. W. K. Handayani, and D. R. Indriyanti, “Evaluasi Penatalaksanaan Gizi Balita Stunting Di Wilayah Kerja Puskesmas Sirampog,” Unnes J. Public Heal., vol. 6, no. 3, p. 189, 2017, doi: https://doi.org/10.15294/ujph.v6i3.11723.

[28] H. Schumer, C. Amadi, and A. Joshi, “Evaluating the dietary and nutritional apps in the google play store,” Healthc. Inform. Res., vol. 24, no. 1, pp. 38–45, 2018, doi: https://doi.org/10.4258/hir.2018.24.1.38.

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2026-10-28

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Vol. 8 No. 4 (2026): August-October

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