Social Behavior Changes Communication Intervention for Stunting Prevention: A Systematic Review


  • Ahmad Darajat Department of Health, Banten Provincial Health Office, Banten Province Central Government Area, Serang, Indonesia
  • Tukimin Sansuwito Department of Nursing and Public Health, Lincoln University College Malaysia, Kota Bharu, Malaysia
  • Mayasyanti Dewi Amir Department of Fundamental Nursing, Sekolah Tinggi Ilmu Kesehatan Sukabumi, Sukabumi, Indonesia
  • Hendri Hadiyanto Department of Community Nursing, Universitas Muhammadiyah Sukabumi, Sukabumi, Indonesia
  • Dessy Abdullah Department of Pharmacology, Universitas Baiturrahmah, Padang, Indonesia
  • Nadia Purnama Dewi Department of Pharmacology, Universitas Baiturrahmah, Padang, Indonesia
  • Ernawati Umar Department of Nursing, Universitas Sulta Ageng Tirtayasa, Banten, Indonesia



Social behavior changes, Communication intervention, For stunting prevention, Review


Purpose: T Social and behaviour change approach most used, and the only one used without other communication interventions was interpersonal communication and media and community/social mobilization. The current review sought to to review and synthesize the current literature regarding social and behavior communication change intervention at community-based programs, summarize treatment models and outcome measures, and evaluate the evidence.

Methods: We searched Medline, PsychINFO, and PubMed (January 2000 and December 2020) and conducted ancestral and online searches in peer-reviewed, English language journals for eligible studies. Results: A total of 5 articles were included in review. All studies reported that SBCC was feasible to increased expenditures on eggs and flesh foods, minimum dietary diversity, early initiation of breastfeeding (EIBP, exclusive breastfeeding (EBP), knowledge and practices towards infant and youth complementary feeding (IYCF) , and reduced stunting prevalence.

Conclusion: Future studies could be re-tested using more sample size in different place or region of others countries with relatively high prevalence of stunting.


Download data is not yet available.


Metrics Loading ...

Plum Analytics Artifact Widget Block


Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta ZA. Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. Am J Clin Nutr. 2020;112(Suppl 2):777S-91S. DOI:

UNICEF W and the WB. UNICEF-WHOWorld Bank Joint Child Malnutrition Estimates. Geneva, Washington, DC: The World Bank; 2014.

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England). 2013;382(9890):427-51. DOI:

Galasso E, Umapathi N. Improving nutritional status through behavioural change: lessons from Madagascar. J Dev Eff. 2009;1:60-85. DOI:

Dukhi N. Global Prevalence of Malnutrition: Evidence from Literature. London: IntechOpen; 2020. Available from: [Last accessed on 2020 Dec 17]. DOI:

Olofin I, McDonald CM, Ezzati M, Flaxman S, Black RE, Fawzi WW, et al. Associations of suboptimal growth with all-cause and cause-specific mortality in children under five years: A pooled analysis of ten prospective studies. PLoS One. 2013;8(5):e64636. PMid: 23734210 DOI:

Martorell R, Horta BL, Adair LS, Stein AD, Richter L, Fall CH, et al. Weight gain in the first two years of life is an important predictor of schooling outcomes in pooled analyses from five birth cohorts from low- and middle-income countries. J Nutr. 2010;140(2):348-54. PMid:20007336 DOI:

Hoddinott J, Ahmed I, Ahmed A, Roy S. Behavior change communication activities improve infant and young child nutrition knowledge and practice of neighboring non-participants in a cluster-randomized trial in rural Bangladesh. PLoS One. 2017;12(6):e0179866. PMid:28636674 DOI:

Rahman MS, Howlader T, Masud MS, Rahman ML. Association of low-birth weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLoS One. 2016;11(6):e0157814. PMid:27355682 DOI:

Kim SS, Nguyen PH, Tran LM, Sanghvi T, Mahmud Z, Haque MR, et al. Large-scale social and behavior change communication interventions have sustained impacts on infant and young child feeding knowledge and practices: Results of a 2-year follow-up study in Bangladesh. J Nutr. 2018;148(10):1605-14. PMid:30169665 DOI:

Saaka M, Larbi A, Mutaru S, Hoeschle-Zeledon I. Magnitude and factors associated with appropriate complementary feeding among children 6-23 months in Northern Ghana. BMC Nutr. 2016;2(1):1-8. DOI:

Gyampoh S, Otoo G, Aryeetey R. Child feeding knowledge and practices among women participating in growth monitoring and promotion in Accra, Ghana. BMC Pregnancy Childbirth. 2014;14:180. PMid:24886576 DOI:

Frempong RB, Annim SK. Dietary diversity and child malnutrition in Ghana. Heliyon. 2017;3(5):e00298. PMid:28503669 DOI:

Bhutta ZA, Das JK, Rizvi A, Gaffey MF, Walker N, Horton S, et al. Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? Lancet (London, England). 2013;382(9890):452-77. PMid:23746776 DOI:

Giugliani ER, Horta BL, de Mola CL, Lisboa BO, Victora CG. Effect of breastfeeding promotion interventions on child growth: A systematic review and meta-analysis. Acta Paediatr. 2015;104(467):20-9. PMid:26361071 DOI:

Sinha B, Chowdhury R, Sankar J, Martines J, Taneja S, Mazumder S, et al. Interventions to improve breastfeeding outcomes: systematic review and meta analysis. Acta Paediatr. 2015;104(467):114-34. PMid:26183031 DOI:

Kim SS, Rawat R, Mwangi EM, Tesfaye R, Abebe Y, Baker J, et al. Exposure to large-scale social and behavior change communication interventions is associated with improvements in infant and young child feeding practices in Ethiopia. PLoS One. 2016;11(10):e0164800. PMid:27755586 DOI:

Menon P, Nguyen P, Saha K, Khaled A, Sanghvi T, Baker J, et al. Combining intensive counseling by frontline workers with a nationwide mass media campaign has large differential impacts on complementary feeding practices but not on child growth: Results of a cluster-randomized program evaluation in Bangladesh. J Nutr. 2016;146(10):2075-84. PMid:27581575 DOI:

Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008;4 Suppl 1:24-85. PMid:18289157 DOI:

Graziose MM, Downs SM, O’Brien Q, Fanzo J. Systematic review of the design, implementation and effectiveness of mass media and nutrition education interventions for infant and young child feeding. Public Health Nutr. 2018;21(2):273-87. PMid:29081315 DOI:

Heidkamp RA. Evidence for the Effects of Complementary Feeding Interventions on the Growth of Infants and Young Children in Low and Middle-Income Countries. Nestlé Nutrition Institute Workshop Series; 2016. p. 89-102. DOI:

Lamstein S, Stillman T, Koniz-Booher P, Aakesson A, Collaiezzi B, Williams T, et al. Evidence of effective approaches to social and behavior change communication for preventing and reducing stunting and anemia: Report from a systematic literature review. USAID/Strengthening Partnerships, Results, Innovations in Nutrition Globally (SPRING) Project Arlington, VA; 2014. p. 116. Available from: [Last accessed on 2020 Dec 17].

Lassi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA. Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: A systematic review. BMC Public Health. 2013;13 Suppl 3:S13. PMid:24564534 DOI:

JHBSPH/CCP, World Cancer Research Fund/American Institute for Cancer Research, Suryakantha A, Suryakantha A, Foundation P, “ชูวงศ์ฉายะจินดา,” et al. Social and behavior change interventions landscaping study: A global review social & behavior change interventions landscaping study: A global review center for communication programs Johns Hopkins bloomberg school of public health. Community Med Recent Adv. 2016;(1):1-4.

Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health. 2011;11(Suppl 3):138. DOI:

Renfrew MJ, McCormick FM, Wade A, Quinn B, Dowswell T. Support for healthy breastfeeding mothers with healthy term babies. Cochrane database Syst Rev. 2012;5(5):CD001141. PMid:28244064 DOI:

Jolly K, Ingram L, Khan KS, Deeks JJ, Freemantle N, MacArthur C. Systematic review of peer support for breastfeeding continuation: Metaregression analysis of the effect of setting, intensity, and timing. BMJ. 2012;344:d8287. PMid:22277543 DOI:

Aidam BA, Pérez-Escamilla R, Lartey A. Lactation counseling increases exclusive breast-feeding rates in Ghana. J Nutr. 2005;135(7):1691-5. PMid:15987851 DOI:

Walker N, Fischer-Walker C, Bryce J, Bahl R, Cousens S. Standards for CHERG reviews of intervention effects on child survival. Int J Epidemiol. 2010;39 Suppl 1:i21-31. PMid:20348122 DOI:

Uc E, Doerschug K, Magnotta V, Dawson J, Thomsen T, Kline J, et al. Phase I/II randomized trial of aerobic exercise in parkinson disease in a community setting. Neurology. 2014;83:413-25. PMid:24991037 DOI:

Olney DK, Pedehombga A, Ruel MT, Dillon A. A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in burkina faso reduces anemia, wasting, and diarrhea in children 3-12.9 months of age at baseline: A cluster-randomized controlled trial. J Nutr. 2015;145(6):1317-24. PMid:25904734 DOI:

Ota E, Tobe-Gai R, Mori R, Farrar D. Antenatal dietary advice and supplementation to increase energy and protein intake. Cochrane database Syst Rev. 2012;9:CD000032. PMid:22972038 DOI:

Gogia S, Sachdev HS. Home visits by community health workers to prevent neonatal deaths in developing countries: A systematic review. Bull World Health Organ. 2010;88(9):658-66B. PMid:20865070 DOI:

Hall J. Effective community-based interventions to improve exclusive breast feeding at four to six months in low- and low-middle-income countries: A systematic review of randomised controlled trials. Midwifery. 2011;27(4):497-502. PMid:20471732 DOI:

Lassi ZS, Haider BA, Bhutta ZA. Community-based intervention packages for reducing maternal and neonatal morbidity and mortality and improving neonatal outcomes. Cochrane Database Syst Rev. 2010;11:CD007754. PMid:21069697 DOI:

Guyon AB, Quinn VJ, Hainsworth M, Ravonimanantsoa P, Ravelojoana V, Rambeloson Z, et al. Implementing an integrated nutrition package at large scale in Madagascar: The essential nutrition actions framework. Food Nutr Bull. 2009;30(3):233-44. PMid:19927603 DOI:

Ndiaye M, Siekmans K, Haddad S, Receveur O. Impact of a positive deviance approach to improve the effectiveness of an iron-supplementation program to control nutritional anemia among rural Senegalese pregnant women. Food Nutr Bull. 2009;30(2):128-36. PMid:19689091 DOI:

Sun X, Guo Y, Wang S, Sun J. Social marketing improved the consumption of iron-fortified soy sauce among women in China. J Nutr Educ Behav. 2007;39:302-10. PMid:17996625 DOI:

Adhikari K, Liabsuetrakul T, Pradhan N. Effect of education and pill count on hemoglobin status during prenatal care in Nepalese women: A randomized controlled trial. J Obstet Gynaecol Res. 2009;35(3):459-66. PMid:19527383 DOI:

Risonar MG, Rayco-Solon P, Tengco LW, Sarol JN, Paulino LS, Solon FS. Effectiveness of a redesigned iron supplementation delivery system for pregnant women in Negros Occidental, Philippines. Public Health Nutr. 2009;12(7):932-40. PMid:18752691 DOI:

Omer K, Mhatre S, Ansari N, Laucirica J, Andersson N. Evidence-based training of frontline health workers for door-to-door health promotion: A pilot randomized controlled cluster trial with Lady Health Workers in Sindh Province, Pakistan. Patient Educ Couns. 2008;72(2):178-85. PMid:18395396 DOI:




How to Cite

Darajat A, Sansuwito T, Amir MD, Hadiyanto H, Abdullah D, Dewi NP, Umar E. Social Behavior Changes Communication Intervention for Stunting Prevention: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2022 Jan. 3 [cited 2023 Dec. 6];10(G):209-17. Available from:



Nursing Informatics


Most read articles by the same author(s)