Hrev_master Healthcare in Low-resource Settings 2025; volume 13:13897 Effectiveness of guidance on feeding rules by Posyandu Pintar applica- tion on eating behavior in toddlers: a quasi-experimental study Putu Ayu Ratna Darmayanti,1 I Kadek Budi Sandika,2 Nadya Treesna Wulansari3 1Bachelor of Midwifery, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Bali; 2Faculty of Technology and Informatics, Institute Business and Technology Indonesia, Denpasar, Bali; 3Faculty of Technology, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia Abstract Collaboration is required among various stakeholders to address stunting, starting with monitoring the nutritional status of children through assistance with feeding rules. In this context, Health Service Integrated Post Cadres should enhance service delivery supported by digitalization. Therefore, this research aimed to analyze the effectiveness of guidance on feeding rules by Posyandu Pintar application on eating behavior in toddlers sup- ports Forming SIGAP (Siaga Gagal Pertumbuhan) Villages toward a stunting-free Indonesia. The study employed a quasi- experimental with repeated treatment research design. The sub- jects in this study were toddlers aged 6-72 months in Karangasem Regency of Bali from July to September 2024. The number of respondents was 160 toddler, selected by Stratified Random Sampling. feeding rules mentoring were analyzed using Repeated Measures Analysis Of Variance (ANOVA). Based on the results of the ANOVA repeated measure test, showed that there was an improvement in good feeding behavior between the intervention group from the first to the fifth measurement p<0.001, which means it is less than 0.05. This indicates that H0 is rejected. Then it can be concluded that the guidance on feeding rules by Posyandu Pintar application has been proven to have an effect on toddlers eating behavior. Based on the description, this research could assist healthcare professionals, and policymakers in adap- ting prevention and treatment efforts for stunting. Introduction The global prevalence of stunting in children was reported to be 149.2 million in 2020.1 In this condition, children have a height lesser than the age indicating long-term malnutrition and motor impairment.2 Stunting decreased to 21.6% by 2022 but 16 provin- ces remained below the national average.3 Therefore, different efforts must be carried out to reduce the national prevalence of the condition towards the Indonesia Emas 2045.4 Stunting can also lead to decreased intellectual ability, mental retardation, and chro- nic diseases.5 Although Bali is not a stunting area nationally, stunt- ing cases have also been found in Bali Province and are important to note. In Bali Province, four out of nine districts/cities still have a below-average prevalence for children under five, with eastern Bali Karangasem Regency ranking first at 22.9%.6 The number of stunted children in Karangasem Regency and Kubu District was 1,467 (7% of the total population) and 284 (17.9%) from nine vil- lages, respectively.7 The causes are nutritional intake, access to preventive services, and incorrect eating behavior.8 This lack of nutritional intake is caused by toddlers who do not want to eat, or have a poor appetite and have difficulty eating. If this is left alone by parents, the toddler’s nutritional intake will not meet nutritional needs according to age. The mother’s habit of waiting for toddlers to ask for food is also a factor in stunting.9 Toddlers tend to prefer playing so they forget to eat. The lack of variation in providing food can also result in stunting, for exam- ple, toddlers are only given a monotonous menu of food that they like without any snacks from vegetables, other proteins, and fruits.10 Inappropriate feeding patterns that are not in accordance with the age of the toddler can result in nutritional deficiencies that put the toddler at risk of infection. Nutrition plays an impor- Correspondence: Putu Ayu Ratna Darmayanti, Bachelor of Midwifery, Faculty of Health, Institute of Technology and Health Bali, Denpasar, Bali, Indonesia. E-mail: darmayantiratna@gmail.com Key words: feeding rules, application, Posyandu Pintar, eating behavior, stunting. Contributions: PARD was involved in conceptualizing the research topic, methodology, data collection, and data analysis. IKBS is involved in application development, surveys, supervision, monitoring, and review. NTW was involved in the formal analysis, writing, reviewing, and edit- ing. Conflict of interest: the authors declare no conflict of interest. Ethics approval and consent to particpate: Ethical approval was obtained from the Ethics Commission of the Institute of Technology and Health Bali on June 7, 2024. 04.0268/KEPITEKES-BALI/VI/2024. Consent was obtained from the subjects in line with the principles of the Declaration of Helsinki. Availability of data and materials: all data generated or analyzed during this study are included in this published article. Acknowledgements: the authors are grateful to all participants for enabling a smooth process, as well as the Ministry of Education, Culture, Research, and Technology (KEMDIKBUDRISTEK)/ 0667/E5/ AL.04/2024 for funding the research. Received: 16 April 2025. Accepted: 15 September 2025. Early access: 15 October 2025. This work is licensed under a Creative Commons Attribution 4.0 License (by-nc 4.0). ©Copyright: the Author(s), 2025 Licensee PAGEPress, Italy Healthcare in Low-resource Settings 2025; 13:13897 doi:10.4081/hls.2025.13897 Publisher's note: all claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organiza- tions, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its man- ufacturer is not guaranteed or endorsed by the publisher. [Healthcare in Low-resource Settings 2025;13:13897] [page 219] tant role in a child’s appetite. If the eating pattern is not achieved properly during the growth and development period, it can have an impact on the child such as a thin body and stunting. Inappropriate feeding patterns and nutritional intake that does not meet the child’s body needs can also hinder future development.11 Parenting patterns in providing food that include providing breast milk and providing nutritious complementary foods, healthy eating habits, and implementing feeding rules can improve the nutritional status of toddlers.12 Interventions to prevent stunting include addressing feeding practice mistakes, anxiety about portion sizes, eating difficulties, and inappropriate feeding practices.13 Feeding rules include imple- menting regulations for meals, including times, nutrition, and eating procedures.14 Every child needs high-quality food and opti- mal nutrition to support growth and development, and parents should ensure appetite is not lost by implementing feeding rules.15 Research in Lhokseumawe showed a good correlation between the application of feeding rules and the nutritional status of children aged 6-24 months (p=0.001).16 Previous research stated that 219 (97.7%) mothers who improperly applied feeding rules had chil- dren experiencing a mouth closure disorder (p=0.000).17 The appli- cation of Basic Feeding rules can create an accurate MP-ASI fee- ding behavior, which improves the nutrition and growth of chil- dren.18 Previous government efforts have conducted health counse- ling on stunting, antomometric examinations, and supplementary feeding as short-term efforts. The implementation of feeding rules requires nutritional status control, hence Health Service Integrated Post-cadres play a crucial role in ensuring reasonable control. Posyandu is the main frontline for maintaining the wellbeing of mothers and children.17 The pre- vention of stunting must be supported by digitalization to facilitate the tracing and reporting of nutritional status. Digitalization can be realized by developing an integrated Posyandu Pintar application for health centers and departments. The Posyandu Pintar assists Posyandu cadres in documentation and reporting. The utilization is crucial since research on «Ghosting» android-based application and «Si Jaks» has proven effective in reducing stunting.19,20 Based on the description above, cooperation is required to address stunting from various stakeholders, including healthcare professionals, Posyandu cadres, and village officials. Posyandu cadres and village officials, being closest to the community, act as an extension of healthcare workers in addressing maternal and child health issues and provide strategic solutions.21 Intervention with village cadres and officials as stunting prevention agents needs to be carried out because there is limited knowledge and awareness of village communities, especially cadres and officials, regarding stunting prevention.22 In addition, the performance of information systems can increase the effectiveness of nutritional health in primary services that provide various kinds of informa- tion, such as history, general information on stunting, development records, data monitoring, and health services.23 In Indonesia, health service activities through Posyandu are recording, recap- ping, and reporting data manually, allowing service activities to last for a long time. The Posyandu Pintar application containing health information, early detection of stunting, services such as vaccination, and child reporting facilitates tracing and treatment of stunted children to move towards a stunting-free country. The implementation of SIGAP (Siaga Gagal Pertumbuhan) Village is expected to build and empower self-reliant communities. The SIGAP Village must be thoughtfully implemented to maximize information and education on stunting issues. The members and mobilization teams focus on optimizing stunting eradication, star- ting from the village. There is no previous research focused on village innovation through Posyandu by providing feeding rules, assistance interven- tions, and smart application to prove the effectiveness in reducing stunting. Interventions to handle incorrect eating behavior and application are not intended for Posyandu cadres in villages to conduct tracing and treatment since stunting events remain unpre- ventable. Based on problems such as the high incidence of children with difficulty eating, the absence of Posyandu digitalization, and the lack of tracing are the causes of high stunting. The priority of solving the problem is the formation of SIGAP Village Innovation (Preparedness for Growth Failure) through mentoring feeding rules, and Posyandu Pintar application. This innovation is also expected to improve future health conditions suitable for specific situations and targets. Therefore, this research aimed to form and obtain the effectiveness of guidance on feeding rules by Posyandu Pintar application on eating behavior in toddlers supports forming SIGAP Villages towards a stunting-free Indonesia in Karangasem Regency of Bali. Materials and Methods Research design This research using a quasi-experimental method with repeated treatment research design to analyze effectiveness of guidance on feeding rules by Posyandu Pintar application on eating behavior in toddlers (Figure 1). Population, sample and sampling The population in this study was 2184 toddlers aged 6-72 months in Karangasem Regency, Bali Province, Indonesia. The sample size was determined using G-Power with a significance level of 0.05 and a power of 85%, yielding 146 subjects.24 To avoid dropout, the sample size was increased by 10% to become 160 samples, which were then divided into two groups, namely the intervention group of 80 people and the control group of 80 people. The sampling technique was carried out using Stratified Random Sampling, with the inclusion criteria for the sample being toddlers aged 6 to 72 months without congenital abnormalities such as cleft lip, esophageal atresia, or congenital heart disease. Exclusion cri- teria were digestive disorders, respiratory disorders, and tuberculo- sis. This research was carried out in nine villages in Kubu sub-dis- trict, Karangasem Regency, Bali Province, Indonesia from July to September 2024. Instruments The Posyandu Pintar application has been developed in three steps. Step 1-The development of the Posyandu Pintar application to simplify, report data, as well as trace and treat stunted children includes the following activities 1.1 Reviewing the literature on Posyandu services, stunting, and Posyandu Pintar application. 1.2 This application has been consulted and declared usable by com- puter science experts and medical doctors who handle stunting cases in community health centers. 1.3 Revising the appearance and content of the Posyandu Pintar application in line with expert recommendations. Step 2- The Posyandu Pintar application is developed with a customized display for Android granting easy access to Posyandu cadres. Step 3- The application was implemen- ted on 219 Posyandu cadres for three weeks. In week 1, a pretest was conducted about Posyandu services were provided without an application and the procedures for using Posyandu Pintar was also explained. The Posyandu cadres use Posyandu Pintar application Advancing Nursing Education and Practice for Future Global Health [page 220] [Healthcare in Low-resource Settings 2025;13:13897] for health services in week 2. Meanwhile, post-test measurements of health services were carried out in week 3. This Posyandu Pintar application contains features for infor- mation on service participants, early detection of growth, namely the results of measuring weight and height, toddler health reports, health services that have been obtained during the implementation of the posyandu, and health information about eating behavior. Literature studies have been conducted to develop the instru- ments in this study. The instruments that have been developed have been tested for validity and reliability with the results of the valid- ity and reliability tests carried out using SPSS at a significance level of α =5% (r table for alpha 5% and df =30 is 0.361). The reli- ability test shows data processing at a significance level of α =5% (Cronbach’s alpha α =0.908> 0.06; reliable). The instrument con- sists of three parts. Part 1 contains questions about the characteris- tics of age, gender, weight, height, BMI, maternal age, number of children, religion, education, occupation, family income, and health history. Part 2 contains feeding rules. Part 3 contains ques- tions about eating behavior.17 Data collection The stages of collection in this study were carried out in sever- al stages, namely pretest, implementation, and posttest. The pre- test measurement assessed eating behavior before treatment. Participants subjected to the pre-test stage were given the interven- tion of mentoring feeding rules for one day, accompanying chil- dren during meal schedules in the first week. The implementation in this study was to provide Feeding Rules Assistance by posyandu pintar application for children aged 6-72 months which was car- ried out for one month. The intervention provided was mentoring feeding rules four times with a one-week interval from one treat- ment to another. Each treatment comprised mentoring the feeding rules at the meal schedule of morning, afternoon, and evening for 30 min. The outcome variable measurement was performed five times (pre-test, post-test 1, 2, 3, and, 4). The research data were collected by 219 posyandu cadres in Karangasem Regency, Bali Province, Indonesia with duration of being a Posyandu cadre is 4- 7 years. The first post-test measurement was performed on the last day of the first week. The subjects were given the intervention of mentoring feeding rules in the second, third, fourth weeks, follo- wed by post-test 2, 3, and 4 measurements on the last day. A total of five measurements were conducted on each subject during the research. Meanwhile, the intervention for control group was pro- vide Feeding Rules Assistance by Posyandu cadres using leaflets about feeding rules for children aged 6-72 months which was car- ried out for one month. Data analysis Data were analyzed using IBM SPSS Statistics 26 software. The characteristics of the subjects are presented as frequency (n) and percentage (%), but for eating behavior variables before and after the intervention, are presented with mean and standard devi- ation. To determine the level of significance, this research used an α of 0.05, with a confidence level of 95%. In this study, eating behavior was summarized and presented as numerical data. The analysis was carried out using Repeated Measures Analysis Of Variance (ANOVA) to prove the effectiveness of mentoring feed- ing rules over time. There are three prerequisites that are carried out before testing the hypothesis, namely the normality test, the homogeneity test and the sphericity test. This study, the normality test uses the skewness value, the homogeneity test uses the Levene test. While the sphericity test uses the Greenhouse-Geyser test. Ethical clearance Confidentiality and integrity were ensured to protect the priva- cy of participants and comply with ethical standards. Furthermore, consent was obtained from the subjects in line with the principles of the Declaration of Helsinki. Ethical approval was obtained from the Ethics Commission of the Institute of Technology and Health Bali on June 7, 2024. 04.0268/KEPITEKES-BALI/VI/2024. Results Table 1 shows that the 160 subjects were divided into the control and intervention groups. In the control group, the majority were aged 6-11 months (16.9%), females (32.5%), and first-time children (16.9%). Most participants were mothers aged 20-35 years (38.1%), Hindu (48.1%), with the last education level of Junior High School (19.4%), housewives (35.6%), and income < Rp. 750,000 (38.1%). In the Intervention group, the majority were Advancing Nursing Education and Practice for Future Global Health [Healthcare in Low-resource Settings 2025;13:13897] [page 221] Figure 1. Posyandu Pintar application. aged 6-11 months (21.3%) (p=0.348), females (31.9%) (p=0.105), and first-time children (18.1%) (p=0.338). Most participants were mothers aged 20-35 years (36.3%) (p=0.607), Hindu (48.1%) (p=0.241), with the last education level of Senior High School (18.8%) (p=0.635), as housewives (31.3%) (p=0.058). The majority of the income was < IDR 750,000 (33.2%) (p=0.253). The results of the equality test show that all respondents character- istics have a p> 0.05, which indicates that the characteristics of respondents in the intervention group and control group are homo- geneous or equal. As presented in Table 1. Table 2 shows the mean score of eating behavior during the pretest in the control group of 6.25, slightly increasing in posttest 1 to 6.71, slightly increasing in posttest 2 to 8.08, slightly increas- ing in posttest 3 to 9.41, but becoming 9.31 in posttest 4. Meanwhile, in the intervention group, the mean score of eating behavior continued to experience a significant increase, at pretest of 6.49 which increased to 7.51 at posttest 1, increased at posttest 2 to 9.06, increased at posttest 3 to 10.08, and increased at posttest 4 to 10.41. Normality and homogeneity of variance test results Testing data normality and homogeneity were the two prerequisites met before conducting statistical tests. The normality test using skewness values compared to the standard error indicated normally distributed data. During the pre-test, post-test stage 1, post-test stage 2, post-test stage 3, and post-test stage 4, the control and intervention groups had a value of (0.345 and -0.665), (1.282 and -0.475), (-0.211 and -1.133), (-0.252 and -0.672), and (- 0.516 and 0.048), respectively. The homogeneity of variance test results using the Levene Statistic Value showed a p of >0.05. Therefore, the eating behavior data is homogeneous. Advancing Nursing Education and Practice for Future Global Health Table 1. Subject's characteristics on feeding rules research (n=160). Variable Control (n=80) Intervention (n=80) Equal test n (%) n (%) Age (month) 6-11 27 (16.9) 34 (21.3) 0.348 12-23 23 (14.4) 24 (15.0) 24-35 12 (7.5) 10 (6.3) 36-47 8 (5.0) 5 (3.1) 48-59 month 4 (2.5) 3 (1.9) 60-72 month 6 (3.8) 4 (2.5) Gender Male 28 (17.5) 29 (18.1) 0.105 Female 52 (32.5) 51 (31.9) Born 1 27 (16.9) 29 (18.1) 0.338 2 26 (16.3) 23 (14.4) 3 21 (13.1) 16 (10.0) 4 6 (3.8) 8 (5.0) 5 0 (0.0) 4 (2.5) Mother's age (years) <20 14 (8.8) 10 (6.3) 0.607 20-35 61 (38.1) 58 (36.3) >35 5 (3.1) 12 (7.5) Religion Hinduism 77 (48.1) 77 (48.1) 0.241 Catholic 1 (0.6) 1 (0.6) Muslim 2 (1,3) 2 (1,3) Mother's education Not attend any school 0 (0.0) 4 (2.5) 0.635 Elementary school 8 (5.0) 12 (7.5) Junior high school 31 (19.4) 21 (13.1) Senior high school 30 (18.8) 30 (18.8) Diploma 8 (5.0) 8 (5.0) University 3 (1.9) 5 (3.1) Mother's occupation Housewife 57 (35.6) 50 (31.3) 0.058 Trader 4 (2.5) 0 (0.0) Farmer 4 (2.5) 0 (0.0) Entrepreneur 12 (7.5) 26 (16.3) Civil servant 3 (1.9) 4 (2.5) Families' income < IDR 750.000 61 (38.1) 53 (33.2) 0.253 IDR 1.000.000-3.000.000 16 (10.0) 25 (15.6) IDR 3.000.000-5.000.000 3 (1.9) 2 (1.3) [page 222] [Healthcare in Low-resource Settings 2025;13:13897] Sphericity test results SPSS produces a test known as the Mauchly test for the sphericity assumption. The results of the Mauchly test in this study showed a significance value of <0,001 (p<0.05), with the assump- tion of sphericity not being met so that conclusions were drawn using Greenhouse and Geisser corrections as alternatives. The results of the hypothesis test show a significance value of <0.001 (p<0.05), so it can be concluded that 𝐻𝑎 is accepted and 𝐻0 is rejected. Table 3 provides information on the average increase in feeding behavior of toddlers for each measurement. The feeding pattern pre-test compared to post-test stage 1 showed an average increase in scores of 0.744 and the difference in the application was significant because the Sig. value of <0.001 <0.05. Meanwhile, the feeding pattern pre-test compared to post-test stage 2 reported an average increase in the scores of 2.2 and the difference in the application was significant because the Sig. value was <0.001 <0.05. The pre-test compared to post-test stage 3 also suggested an average increase in scores of 3.375, and the difference in the application was significant because the Sig. value was <0.001 <0.05. The feeding behavior pre-test compared to post-test stage 4, post-test stage 1 compared to post-test stage 2, post-test stage 1 compared to post-test stage 3, and post-test stage 1 compared to post-test stage 4 showed an average increase in scores of 3.494, 1.456, 2.631, and 2.750, respectively, The difference in the application was significant because the Sig. value was <0.001 < 0.05. Furthermore, the feeding pattern post-test stage 2 compared to post-test stage 3, post-test stage 2 compared to post-test stage 4, and stage 3 compared to post-test stage 4 showed an average increase in scores of 1.175, 1.294, and 0.119, respectively. Figure 2 reports the average sharpness of the increase in good feeding behavior between the intervention groups from the first to the fifth measurement. Discussion The first stage of the research on feeding rules involves mothers, with the majority aged 20-35 years, who are categorized as fertile. Young mothers tend not to understand the correct feeding practices for toddlers fully. Parental education is one of the factors influencing a mother’s behavior toward her child, indicating that good attitudes can arise when someone has good knowledge. Maternal knowledge related to nutrition and feeding behavior is the ability and skill of mothers to understand and act on matters related to nutritious food and feeding rules crucial for a child’s Advancing Nursing Education and Practice for Future Global Health Table 2. Mean eating behavior in both groups. Control Group Intervention Group Mean Std. Deviation Mean Std. Deviation Pretest 6.25 1.886 6.49 1.842 Postest stage 1 6.71 2.051 7.51 2.193 Postest stage 2 8.08 2.401 9.06 2.252 Postest stage 3 9.41 2.067 10.08 1.986 Postest stage 4 9.31 1.940 10.41 1.429 [Healthcare in Low-resource Settings 2024;12:xxx][Healthcare in Low-resource Settings 2025;13:13897] Table 3. Pairwise comparisons test on the improvement of feeding patterns at each measurement over time. Time (I) Time (J) Mean Difference (I-J) (95% CI) Pretest Posttest stage 1 -0.744* (-1.115, -.0373) Posttest stage 2 -2.200* (-2.801, -1.599) Posttest stage 3 -3.375* (-3.951, -2.799) Posttest stage 4 -3.494* (-4.031, -2.957) Posttest stage 1 Pretest 0.744* (0.373, 1.115) Posttest stage 2 -1.456* (-2.031, -0.882) Posttest stage 3 -2.631* (-3.248, -2.014) Posttest stage 4 -2.750* (-3.334, -2.166) Posttest Stage 2 Pretest 2.200* (1.599, 2.801) Posttest stage 1 1.456 (0.882, 2.031) Posttest stage 3 -1.175* (-1.648, -0.702) Posttest stage 4 -1.294* (-1.766, -0.822) Posttest Stage 3 Pretest 3.375* (2.799, 3.951) Posttest stage 1 2.631* (2.014, 3.248) Posttest stage 2 1.175* (0.702, 1.648) Posttest stage 4 -0.119* (-0.274, 0.036) Posttest Stage 4 Pretest 3.494* (2.957, 4.031) Posttest stage 1 2.750* (2.166, 3.334) Posttest stage 2 1.294* (0.822, 1.766) Posttest stage 3 0.119* (-0.036, 0.274) *p<0.001. growth.25 The majority of mothers in this study have a Senior High School education. Education plays a significant role in the success of the feeding rules program as an effort to prevent stunting problems. This is evidenced by the success of feeding rules in this study. The level of education influences knowledge, where the better the education someone has, the easier it is to receive and understand the information obtained.26 Feeding rules mentoring involves implementing meal rules; hence, children can consume food regularly with good nutrient absorption. In this study, the majority of mothers are housewives. Non-working mothers have more time to manage their child’s feeding patterns and ensure their child’s nutritional intake.27 Feeding rules mentoring includes the implementation of meal rules, enabling children to consume food regularly with good nutrient absorption. Previous research stated that decision-making in nutrition provision was crucial in solving stunting.28 Policy makers in health services are expected to provide educational programs on the introduction of nutritious food according to the meal schedule by paying attention to nutritional content. In line with research in Myanmar, most children under two years old experiencing stunting are in families with low income (<25 percentile / <60 dollars).29 The results provided for one month showed improvement in good feeding behavior between the intervention group from the first to the fifth measurements, with a p-value of <0.001. Feeding rules mentoring has been effective in improving the behavior of toddlers. The rules consisted of three components, namely regular feeding schedule, the environment, and the feeding procedure. The regular feeding schedule showed three main meals and two snack times. In the environment, parents or caregivers are expected to create a pleasant eating atmosphere without distractions from gadgets, toys, or television. In the context of the child feeding procedure, parents or caregivers should allow the children to eat independently for no more than 30 minutes. Parents should avoid using force or intimidation when a child refuses to eat and food should be presented in a neutral manner. After 10–15 minutes of continued refusal, concluding the mealtime is recommended.30 Research in Thailand showed that parenting patterns of six-month- old children such as sleep quality and feeding rules affect nutrition- al status and development in the first year of life.31 Improved feeding behavior can enhance nutritional status to reduce the prevalence of stunting. Conversely, inappropriate feeding activities lead to eating disorders in children.32 Research in Thailand states that parental behavior plays a significant role in feeding practices, where parents serve as figures or examples to be imitated, influencing the eating behavior of children.33 Ongoing socialization efforts and periodic evaluations of feeding rule implementation can shape good eating habits, meet nutritional needs, and address issues.34 Posyandu is a key pillar for preventing stunting in rural areas. This pillar is essential for the search and identification of stunting cases. Posyandu cadres are trained volunteers to provide basic health services and are well acquainted with the conditions of the community, especially those of pregnant women and children. These individuals play a crucial role in improving community health, particularly in the early detection of stunting to prevent and reduce the condition. In this context, Posyandu Pintar is a digital- based application that uses mobile phones or computers. This application is adopted by cadres and the community to access Posyandu services. The utilization of technology in tracing, treatment, and reporting of stunting incidents is crucial for increas- ing the reduction in stunting prevalence. The Posyandu Pintar application can enhance Posyandu services, particularly in preventing and identifying stunting. The results show that Posyandu cadres feel supported by the application, and the community easily access schedules and services. The use of mobile-based digital application in reporting is a digital solution that simplifies the recording, monitoring, and reporting processes. The application supports a more structured, accurate, and fast data- management process in reporting.35 Concerning the strength of the experimental research, the analysis was carried out for the first time by forming a SIGAP village providing assistance interventions, feeding rules, and the Posyandu Pintar application. In the context of the limitation, variables, such as the type of food given to children when feeding rules assistance interventions are carried out cannot be controlled. A larger sample can be used by controlling the type of food given to the children during the research. Advancing Nursing Education and Practice for Future Global Health Figure 2 Plots profile of the increase in feeding behavior. [page 224] [Healthcare in Low-resource Settings 2025;13:13897] Conclusions In conclusion, there was an increase in good feeding behavior between the intervention group from the first to the fifth measurement. Feeding rules assistance by Posyandu Pintar Application has been proven to have an impact on good eating behavior in toddlers in Karangasem Regency, Bali. The results were important for preventing and overcoming stunting and malnutrition in children, starting from regulating good eating behavior and establishing appropriate procedures or schedules. In addition, the Posyandu Pintar application for volunteers of the Health Service Integrated Service Post improved the service system. This research was expected to assist healthcare professionals and policymakers in adapting prevention and treatment efforts for relevant stunting. Recommendations Stunting management policies may need to be developed to analyze current child feeding issues. In addition, feeding rules assistance must be implemented to address the problem of children having difficulty eating and the presence of Posyandu Pintar appli- cation to improve technological progress at the basic service level. References 1. UNICEF. 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