Pos Pelayanan Terpadu Research Articles

Effects of Family Income and Maternal Education on the Risk of Low Birth Weight

Background: LBW babies are still a problem, especially in developing countries. Family income and maternal education are factors that influence health service outcomes, including preventing low birth weight babies. The aim of this study was to analyze the influence of family income and maternal education on the risk of low birth weight babies. Subject and Methods: Observational analytical research design with a cross sectional approach. The sampling technique is random sampling. The research was conducted in Blora Regency, Central Java with a sample size of 200 mothers with newborn babies. The dependent variable is low birth weight. The independent variables consist of exposure to cigarette smoke, maternal age, family income, pos pelayanan terpadu strata and maternal education. The study instrument used was a questionnaire. Data were analyzed using path analysis with STATA 13. Result: The results of the path analysis explain that the risk of low birth weight babies is directly influenced by family income and this influence is statistically significant. Pregnant women with high family income have a risk of giving birth to babies with low birth weight 0.5 times compared to low family income (OR= 0.52; 95% CI= 0.27 to 1.00; p= 0.050). There was no significant effect of pos pelayanan terpadu strata or exposure to cigarette smoke on the risk of babies with low birth weight (LBW). Family income is influenced by the mother's education and this influence is statistically significant. The higher the mother's education, the higher the family income (OR= 2.35; 95% CI= 1.32 to 4.21; p = 0.004). There is a relationship between maternal age and maternal education and this relationship is statistically significant. Older mothers on average had lower education (OR= 0.43; 95% CI= 0.24 to 0.77; p = 0.004). Conclusion: There is a direct influence between family income, pos pelayanan terpadu strata and exposure to cigarette smoke on the risk of LBW babies. There is an indirect effect between maternal education on family income, and maternal age on maternal education.

Access and utilization of health services improved by trained posyandu cadres in rural Indonesia

Abstract Posyandu stands for ‘Pos Pelayanan Terpadu’ in Bahasa, meaning ‘Integrated Service Post,’ a community-based health center to provide a range of services for mothers and under five children in Indonesia. Each Posyandu center s served by five posyandu cadres who are community-based health workers and responsible to deliver essential health services and counseling to their communities. In Central Lombok district, Indonesia, we facilitated building capacity and skill of posyandu cadres for counseling and health education and to encourage the community to attend Posyandu center as well as to seek care from nearby Puskesmas and Polindes (other community based static health facilities). During January - August 2022, we trained 1100 posyandu cadres and equipped them with pictorial cards with health education and counseling messages. We retrieved monthly attendance and care seeking data from Puskesmas, Polindes and Posyandu centers through routine health management information system for January 2022 to February 2023 and we compared pre-training (January-August 2022) and post-training (September 2022-February 2023) data. Monthly average number of pregnant women and sick children who were brought to nearby Puskesmas and Polindes for care during pre-training period was 1553 which was significantly increased to 1844 during post-training period (p < 0.001). We also observed statistically significant ((p < 0.001) increase in average monthly attendance of mothers and children at Posyandu centres (from 12,751 in pre-training period to 14,677 in post-training period). This incremental attendance at Posyandu centers and increased care seeking from Puskesmas and Polindes can potentially be attributable to counseling-education session by trained and skilled posyandu cadres and it reconfirms the worthiness of additional investment for capacity and skill building of posyandu cadres to improve community health in rural Indonesia. Key messages • Posyandu cadres have potential strength to make significant improvement in community health care service delivery by educating and counseling communities in rural Indonesia. • Investment on capacity building and training of posyandu cadres can pay off by improving access and utilization of health care services by pregnant women and children.

Understanding Participation in Value Co-Creation and Acceptance of iPosyandu by Extending UTAUT among Community Health Workers

Digitalization is inevitable, including in the health sector. The iPosyandu, a mobile digital platform, is introduced to help the report of Community Health Workers (CHWs) and monitor the Pos Pelayanan Terpadu (Posyandu - Integrated Healthcare Center) data online. Unfortunately, CHWs still report data manually using paper, which takes a long time to store because some are still reluctant to change to digital services. Therefore, it is necessary to study CHWs’ intention to create new values and accept technology to sustain the application. The research aims to determine the factor influencing the intention to participate in value co-creation and use iPosyandu by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) among CHW. A Partial Least Square-Structural Equation Modelling (PLS-SEM) is conducted with a cross-sectional survey involving 222 CHWs in Purwakarta, Indonesia. The research finds that effort expectancy and perceived policy support significantly affect the intention to participate in value co-creation and usage of iPosyandu. The findings highlight that the critical role of intention to participate in value co-creation significantly affects the intention to use iPosyandu. The findings also suggest that policymakers and application developers should increase the use of iPosyandu by improving the effort systems, providing policy support, and facilitating CHWs to cocreate the value of the application to encourage them to use iPosyandu.

Relationship Between Weaning Age and Nutritional Status of 2-Year-Old Toddlers

Weaning is the process of stopping breastfeeding gradually or all at once. The weaning process is recommended around the age of 2 years on the grounds that breastfeeding for more than 2 years has reduced nutrition. The research aims to identify the relationship between weaning age and the nutritional status of 2-year-old toddlers This research is a descriptive-analytic study, while the research design is cross-sectional. The data were taken from the data form of mothers and children who visited the integrated health service in the village, Pos Pelayanan Terpadu (Posyandu) Melati, Pasirian Village, Lumajang which was held on August 9, 2022, with a total population of 50 toddlers, the sample studied was 50 toddlers (Total Sampling). The data in this study were analyzed by univariate analysis and bivariate analysis using the Chi-Square Tests with a value obtained p=0.000, which means that there is a relationship between weaning age and the nutritional status of toddlers aged 2 years at Posyandu Melati, Pasirian Village, Lumajang Regency. So improper weaning results in low nutritional intake received by children aged 2 years. Likewise, children who have started to be weaned must pay special attention so that the nutrition that the child gets is sufficient.

Overview of Factors Affecting the Implementation of Integrated Healthcare Center (Posyandu)

<p><strong>Background:</strong> One of the health facilities provided by the government is integrated health center in the village or <em>Pos Pelayanan Terpadu</em> or <em>Posyandu</em>. The impact of <em>posyandu</em> that does not run smoothly will result in a decline in the quality of public health. The purpose of this study is to provide an overview of the factors that influence the implementation of <em>posyandu</em> in Kaliboto Lor Village, Jatiroto District, in 2020.</p><p><strong>Method:</strong> The research was carried out with descriptive observation and also qualitative design. The sampling technique used is snowball sampling with a total sample of 6 people. The research was conducted from October to November 2021.</p><p><strong>Result:</strong> The research found that the implementation of <em>posyandu</em> in Kaliboto Lor Village, Jatiroto District could not be carried out every month due to restrictions on activities and the application of health protocols. There are supporting factors, including parties’ participation, infrastructure facilities, good coordination, the existence of coaching, and evaluation of activities. Inhibiting factors include non-optimal use of the forum, limited <em>posyandu</em> targets, lack of commitment from parties, and an unsupportive environment. The efforts made are counseling, home visits, appointments, and monitoring of periodic evaluations. There is no significant difference between the implementation of <em>posyandu</em> with the previous year.</p><p><strong>Conclusion</strong>: In general, the implementation of <em>posyandu</em> is still not optimal due to the constrained method and the need for a follow-up plan from the <em>puskesmas</em>. The research results obtained can be used as a reference in improving the performance of <em>posyandu</em>.</p>

THE RELATIONSHIP BETWEEN KNOWLEDGE AND FAMILY SUPPORT WITH ANXIETY IN PREMENOPAUSAL WOMEN AT PEKIK NYARING COMMUNITY HEALTH CENTRE CARE, CENTRAL BENGKULU REGENCY, IN 2022

The percentage of the incidence of anxiety experienced by premenopausal women worldwide is still relatively high (77%). About 25% of anxiety occurs during menopause, with various symptoms caused by individuals, depending on psychological and emotional. This study aimed to determine the relationship between knowledge and family support with anxiety incidence in premenopausal women at the Pekik Nyaring Community Health Centre, Central Bengkulu Regency, in 2022. The research design used a cross-sectional approach. The population in this study were all women aged 45-55 years in 12 Integrated Post for Non-Communicable Diseases or Pos Pelayanan Terpadu Penyakit Tidak Menular (Posbindu PTM ) Pekik Nyaring Community Health Centre, totalling 981 people. The sample in this study was 78 respondents taken by purposive sampling, and the number of samples distributed in each Posbindu was not equal. Data analysis using univariate and bivariate analysis using Chi-Square. The results showed that 78 premenopausal women (53.8%) experienced moderate and severe anxiety, (59%) had poor knowledge, and (65.4%) had poor family support. There was a relationship between knowledge and anxiety in premenopausal women with p=0.002 < 0.05 and OR = 5.0. It means that premenopausal women with poor knowledge were 5 times more likely to experience moderate and severe anxiety. There was a relationship between family support and premenopausal women's anxiety, p=0.000 < 0.05 and OR = 8.4. It means that premenopausal women who receive family support were at least 8 times more likely to experience moderate and severe anxiety. Suggestions for the Community Health Centre, in this case, the Head of the Community Health Centre, can optimise health workers to create innovative programs related to women's preparation for menopause
 

FACTORS AFFECTING THE LOW IMPLEMENTATION OF STIMULATION DETECTION OF EARLY GROWTH AND DEVELOPMENT INTERVENTIONS (SDIDTK) IN COMMUNITY HEALTH CENTRE IN BENGKULU CITY

The early intervention detection stimulation program for Stimulation, Detection, and Early Intervention of Growth and Development or Stimulasi, Deteksi dan lntervensi Dini Tumbuh Kembang Anak (SDIDTK) is a comprehensive and quality child development program. SDIDTK success indicator in Bengkulu city is still 70.07%, which is not sufficient to achieve the indicator applied by the Indonesian Ministry of Health, which is 90% of the total population. This study aimed to determine the factors that influence the low implementation of SDIDTK at the Community Health Centre in Bengkulu City. This study used a qualitative research method with in-depth interviews. Informants were the head of the community health centres or Pusat Kesehatan Masyarakat (Puskesmas), coordinator midwives, and midwives who handled the SDIDTK program at the Penurunan, Anggut Atas, and Lingkar Barat Community Health Centre. This study found that the number of health workers in 1 puskesmas was lacking, SDIDTK program holders in 2 Puskesmas had not received training, in 2020, 2 puskesmas did not run integrated healthcare centres or Pos Pelayanan Terpadu (Posyandu) and SDIDTK due to COVID-19. The availability of facilities and infrastructure was quite good, but it had not been used optimally by health workers. There was already a budget from the Health Operational Assistance or Bantuan Operasional Kesehatan (BOK) for health workers' transportation when they visited the field. It is expected that puskesmas will provide opportunities for health workers, especially midwives, to receive training in the implementation of SDIDTK.
 

Breast Cancer Prevention through SADARI Intervention in Women of Reproductive Age in Loa Bakung

Background: Cancer is a non-communicable illness brought on by the unnatural and unchecked proliferation of bodily tissue cells. A malignant tumor of the breast or one of the breasts is breast cancer in and of itself. Aim: The purpose of this activity is to educate through BSE (Breast Self-Examination, SADARI) socialization as the first step in preventing breast cancer and increasing the participation of the community, especially women of reproductive age, in carrying out early detection of breast cancer prevention. Method: To delve further into this subject, the researchers adopted a qualitative technique. The researchers sought to learn more about residents' awareness about breast cancer and its prevention, particularly SADARI, by initial observation and interviews. The researchers analyzed and organized the data they had gathered in order to come up with a reliable conclusion. Findings: In terms of knowledge, before being given health education by Posyandu (Integrated Healthcare Center, Pos Pelayanan Terpadu) cadres most of the knowledge of women of reproductive age about SADARI was in the sufficient category as many as 18 respondents (45.%) and after being given health education there was an increase where most of the women of reproductive age’s knowledge (80%) became good. Meanwhile, for the attitude before being given health education by Posyandu cadres, some of women of reproductive age had a negative attitude towards SADARI (12.5%), and after being given There was an increase in health education by cadres, namely the majority of respondents 39 respondents (97%) had a positive attitude towards SADARI.

Hearing Profile of Children Below Three Years Old at Jatinangor Integrative Health Care Center, West Java, Indonesia

Background: Hearing function is one of the most important factors affecting children’s development process. The first three years of life is a golden period of growth and development of children. This study was conducted to investigate the hearing profile of children below three years old at Jatinangor Integrative Health Care Center (Pos Pelayanan Terpadu, Posyandu), West Java, Indonesia. Methods: An observational cross-sectional study was conducted to 86 children below three years old who was selected by using multistage cluster sampling at 12 Posyandu in Jatinangor sub-district by using in-depth interview related to hearing loss risk factors, reaction test, and tympanometry test. Results: The hearing loss prevalence of children below three years old in the Jatinangor sub-district was 7.0%. Of the 86 children, there were 2.3% (n=2) children with moderate conductive hearing loss, 1.2% (n=1) children with moderate sensorineural hearing loss, and 3.5% (n=3) children with very severe sensorineural hearing loss. Fifty percent of children with sensorineural hearing loss were discovered without any risk factor. Conclusions: The prevalence of hearing loss in children under three years old at the Jatinangor Integrative Health Care Center is slightly higher than the national prevalence. Fifty percent of children are found without risk factors, therefore Universal Newborn Hearing Examination (UNHS) needs to be implemented at the national level in accordance with the guidelines of the Joint Committee for Infant Hearing (JCIH) in which are integrated with primary health care units, tertiary health care centers otorhinolaryngology, and also the audiological center.

Enhancing Mother’s Knowledge about Preventing Stunting in Toddlers through Counseling on the Use of Local Food Ingredients

Stunting has been a problem in Sendoyan Village, with its prevalence rate exceeding 30%. Nevertheless, handling stunting is not easy in that it requires an integrated approach, including how to increase the knowledge of mothers and families about stunting. This community service aimed to enhance the knowledge of mothers with stunted children regarding their parental roles and the proper disposal of feces. The program commenced with initial surveys and counseling at the posyandu (pos pelayanan terpadu), followed by several home visits involving health cadres. The preliminary findings showed that mothers with stunted toddlers were not able to choose the proper food for their toddlers and that there were still families who did not defecate in proper places. The counseling at the posyandu appeared to benefit the participating mothers even though they had to juggle with their responsibility of caring for their toddlers. Accordingly, the home visits, when conducted properly, could be an effective way to deliver the knowledge to the mothers. The public health centers (puskesmas) should also equip the health cadres with sufficient knowledge in childcare, making them ready to transfer the knowledge in stunting prevention to the mothers.

INCREASING PARENT PARTICIPATION IN EARLY DETECTION AND DEVELOPMENT STIMULATION IN CHILDREN AGED 12-36 MONTHS

Good quality children are closely related to optimal growth and development, especially in the three first years of life (toddler). The Covid-19 pandemic condition affects the level of parental visits to health facilities, thereby reducing the frequency of monitoring of child development by health workers. This condition increases the risk of delaying the discovery of a child's developmental disorder. The porpose of our community service activity is carried out to increase parental participation in screening and stimulating child development independently. The activity was carried out at the Delima Posyandu (Pos Pelayanan Terpadu) in the Puskesmas Gribig, area of Malang City in October 2021. The children involved in this activity were 12-36 months old, accompanied by parents or primary caregivers, and in healthy condition. Children suffering from acute illnesses such as fever, cough, diarrhea were not included in this activity. The activities consist of screening children's development with the Developmental Pre-Screening Questionnaire (KPSP) instrument and providing education with booklet media to parents on how to screen and stimulate development independently. Education was conducted on 24 parents individually and the results of developmental examinations showed that the majority of children had normal development or appropriate with their age, but more than a third of children had a doubt and delayed development. These results need to be a concern for health workers and “kader” to monitor the development of children in the area, especially those who have been detected had a doubt and delayed development.

FACTORS AFFECTING THE ROLE OF MOTHERS IN POSYANDU ACTIVITIES DURING THE COVID-19 PANDEMIC IN SEUNEUBOK ACEH VILLAGE PEUSANGAN DISTRICT BIREUEN REGENCY ACEH

Posyandu (pos pelayanan terpadu) is the government's effort to facilitate the Indonesian people in obtaining maternal and child health services. The main goal of posyandu is to prevent an increase in maternal and infant mortality during pregnancy, childbirth, or afterward through community empowerment. The purpose of opening a posyandu during the pandemic is to become a reference for relevant stakeholders and service providers in implementing health efforts at Posyandu in adapting new habits. The purpose of this study was to determine the relationship between the factors that influence the role of mothers in posyandu activities during the pandemic. The design of this research is associative, namely the type of research that uses a cross sectional approach, the research instrument uses a questionnaire, and the sampling technique uses a total population method. The results of the education variable obtained a p value of 0.009 which means that there is a relationship between the level of education and the role of the mother in posyandu activities. From the age variable, a p value of 0.015 was obtained, meaning that there was a relationship between age and the role of the mother in posyandu activities. For the knowledge variable, a p value of 0.033 was obtained, meaning that there was a relationship between the knowledge factor and the mother's role in posyandu activities. Meanwhile, for the family support variable, a p value of 0.002 was obtained, meaning that there was a relationship between family support factors and the role of mothers in posyandu activities. It can be concluded that there is a relationship between education, age, knowledge, and family support factors with the role of mothers in posyandu activities during the COVID-19 pandemic.

The Effectiveness of Murrotal Al-Quran in Third Trimester Pregnant with Maternal Mental Disorder

BACKGROUND: Pregnant women experience physiological and psychological changes during pregnancy. Psychological changes experienced by pregnant women show symptoms of anxiety, worry, and depression. The use of Al-Quran therapy by means of Murottal Al-Quran is one of an intervention for mental health problems of pregnant women. AIM: This research was carried out by aimed to determine the effect of the murottal Al-Quran on pregnant women who experience Maternal Mental Disorder (MMD). METHODS: This was a quantitative study using design pre and post experimental testing without control group. The participants in this study were 25 respondents aged 15-21 years, on the 3rd trimester of pregnancy, are able to read the Al-Quran, routinely carry out pregnancy checks at the health center or posyandu (pos pelayanan terpadu) (integrated healthcare, willing to become respondents, and her ANRQ score which was ≥ 23. Respondents were asked to listen to the murottal every day for 30 minutes on 05.00 and 20.00 WIB for 2 weeks. After two weeks, the respondents were checked for their mental condition using the ANRQ questionnaire through the google form application. The bivariate analysis used was the Wilcoxon test. RESULT: Most of the pregnant women experienced MMD as many as 76% while after being given the intervention, most of the pregnant women who did not experience MMD were 72%. Median pretest 24,76 and posttest 21,88. Giving Murottal Al-Quran therapy to pregnant women in the third trimester had an influence on their MMD status (p < 0.000). CONCLUSIONS: Chanting holy verses that are played can stimulate the hypothalamus to produce endorphins, cortisone, and catecholamine, thus making pregnant women relax. Murottal Al-Quran treatment can be utilized to help pregnant women with mental health issues.

Socialization And Training Of Web-Based Cendana Posyandu Information System In Kahuripan Village, Tasikmalaya City

Information system is an integrated system that provides information or data to support various operational activities, management, and decision-making functions of an organization or company. Information systems are needed in an organization because what determines the running of an organization is the information it has, such as in making reports given to the leadership, depending on whether the information is accurate or not. As is the case in non-profit organizations in the community, namely Posyandu. Posyandu (Pos Pelayanan Terpadu) is a form of Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) carried out by, from and with the community, to empower and provide convenience to the community to obtain health services for mothers, infants and toddlers. The implementation of the Posyandu which is routinely carried out every month is carried out by health cadres whose workforce is voluntary and is chosen by local residents and is tasked with fostering the community. The purpose of this community service program is to provide knowledge and understanding to Posyandu cadres so that they can provide maximum health services to the community, especially health service administration during registration, recording and reporting, namely by providing socialization of the use of the Web-Based Posyandu Information System for Cendana Posyandu cadres in Kahuripan Village, Tasikmalaya City. It is hoped that with this socialization, the cadres can use the Posyandu Information System properly so that the health services provided can run optimally. Features that exist in the Posyandu Information System include recording of mother's d

Sistem Monitoring Tumbuh Kembang Balita/Batita di Tengah Covid-19 Berbasis Mobile

The Corona virus is growing rapidly throughout the world, including in Indonesia. The development of the virus causes many activities related to humans to be stopped first. One of the activities that is not allowed is Posyandu (Pos Pelayanan Terpadu), even though posyandu is very important to do. Due to the importance of the posyandu, the posyandu cadres conduct a mobile posyandu (sweeping). The problem that arises from sweeping is that people who have toddlers are not at home. Even though they are at home, they usually don't want to meet with posyandu cadres because they are afraid of the spread of the Corona Virus. Technological developments can help prevent the spread of the Corona Virus to humans. Any activity related to other people can be done online. In this study, trying to design a system that can monitor the growth of toddlers without having to meet directly with posyandu cadres. The system design is also expected to help Poskeskel (Pos Kesehatan Kelurahan) and Puskesmas (Pusat Kesehatan Masyarakat) to view and print weighing reports without having to ask for monthly weighing data reports for toddlers to Posyandu in Bandar Lampung. In addition, this system is expected to make it easier for posyandu cadres to report every posyandu activity and to report the growth and development of toddlers who are registered at the Flamboyan 9 Posyandu.

Correlation between Birth Length, Growth, and Development among Children in Rempoah Village Banyumas, Central Java, Indonesia

Background : The first 1,000 days of life are the foundation for growth and development of children in the next period. Birth length may represent growth and development during the intrauterine life. This study aimed to explore the correlation of birth length, growth, and development in children. Methods : This was analytic observational study with a cross-sectional design. Total sampling was taken, obtaining 368 children aged 6−60 months in several Integrated Service Post (Pos Pelayanan Terpadu, Posyandu), conducted from October to November 2018. Data were gathered from the book of Maternal and Child Health (Kesehatan Ibu dan Anak, KIA), including birth length, body length/height, and nutritional status using weight-for-length/height index. Data were analyzed by Spearman and Eta test. Results : Birth length was not correlated with nutritional status (p=0.108, r=0.084), but had a good correlation with body length/height (p=0.027, r=0.115) and development based on the KIA book (F calculated > F table, Ƞ=0.245). Conclusions : There is a correlation between birth length and body length/height as well as a correlation between birth length and development based on the KIA book. It is important for the community and health workers to monitor growth and development of children, by maximizing the use of KIA book.

Factors that Associated with Stunting Cases in Children Under Two at The Working Area of Wonokusumo Health Center

Background: Stunting is one of the nutritional problems experienced by toddlers, nowadays. Based on data from Global Nutrition Reports in 2014, three million children under five in the world are malnourished every year, and globally, the bad impact of diseases caused by malnutrition reaches billions of dollars. This situation can be prevented by improving nutrition in the first thousand days of life which begins during mothers’ pregnancy until the children age two years. Currently, According to data from riskesdas, Stunting in Surabaya increases rapidly. In 2013, the number of children diagnosed with stunting was 21 % and got its peak by 29% in 2018. Purpose: The study aims to identify the risk factors of stunting in children, especially in their two-year age or under, in a working area of Wonokusumo Health Center. Method: This research is an analytic observational study with a cross-sectional design. The sampling technique that is used is a non-probability sampling technique with a consecutive sampling method, totaling 56 children. Primary data were obtained by measuring the height of the children using microtoise, and interviewing the mothers using a questionnaire. Data analysis was performed using the chi-square test through the Epi Info 7.0 application. Result: The obtained-result of the research was a significant relationship between the inactivity of attending an integrated service post (posyandu: Pos Pelayanan Terpadu) with the stunting (P = 0.03; PR = 0.21). There was also no significant relationship between the number of children, the level of maternal knowledge, the state of mother's employment, the states of exclusive breastfeeding, the complete state of basic immunizations, and the history of infectious diseases (P> 0.05) with stunting. Conclusion: the absence of attending an integrated service post (posyandu: Pos Pelayanan Terpadu) is a factor that has a significant relationship with stunting among children under two in the working area of The Wonokusumo Health Center.

Understanding mobile application development and implementation for monitoring Posyandu data in Indonesia: a 3-year hybrid action study to build \u201ca bridge\u201d from the community to the national scale

BackgroundLimited information is available on how mobile health (mHealth) application (app) technology on mother and child health (MCH) is developed. This research aimed (a) to explore the process of developing mobile apps for MCH community-based services in the Indonesian setting of Pos Pelayanan Terpadu (Posyandu/Integrated Health Service Post), (b) to determine the feasibility of using the app by community health workers (CHWs), and (c) to evaluate the scalability of the mobile app at the national level in Indonesia.MethodsA hybrid method was used to synergistically combine the action research principles and mixed methods comprising qualitative and quantitative methods. This study was conducted in the Pasawahan District, Purwakarta, Indonesia, from 2017 to 2019. Content analysis, coding, and categorizing were performed using NVivo 12 Pro for transcribed data. The Wilcoxon test (2018 and 2019) was conducted using STATA 15 Special Edition.Results(1) The use of a CHW notebook for data entry into the Posyandu Information System book delayed the data reporting process, resulting in the need to develop a mobile app. (2) There were significant differences in CHWs’ knowledge (p = 0.000) and skills (p = 0.0097) on training (2018) and Posyandu phases (2019). (3) A total of 964 Posyandu have been registered in the Posyandu mobile app from almost all provinces in Indonesia.ConclusionsThe three-year hybrid approach includes the crucial phases that are necessary to develop a mobile app that is more user-friendly and can act as a substitute for CHWs’ book. Hence, its implementation is promising for use at the national level.

COMMUNITY EMPOWERMENT REGARDING “ONE HOUSE ONE JUMANTIK” PROGRAM IN KARANG BESUKI SUB-DISTRICT, MALANG CITY

In 2016, Indonesia has been launching the “Indonesia Sehat'' program which the strategy used is to strengthen health services through a family approach. According to the 2016 Ministry of Health technical guidelines, the larva inspector, also known as Juru Pemantau Jentik (Jumantik), is involved in Jumantik participating by each family. Their role is the same as 3M plus actions including in the inspection, monitoring, and eradication of mosquito larvae for controlling infectious diseases, especially Dengue Fever. The purpose of these activities was to increase community participation to conduct a “one house one Jumantik'' program. The study was the quasi-experimental post-test only design that was located in Karangbesuki sub-district, Malang City from August until September 2017. One cluster Rukun Warga (RW) from the Karangbesuki sub-district that consisted of 9 Rukun Tetangga (RT) was chosen as the location. The intervention was in collaboration with Mulyorejo Public Health Center (Pusat Kesehatan Masyarakat / Puskesmas) in Malang. The methods used were ovitrap utilization training and focus group discussion (FGD), health promotion and "one-house one-Jumantik'' training program, also the contest to choose the best RT. The results of this activity succeeded in establishing a Jumantik team in each RT although there was one RT that has not yet succeeded in forming a team. Furthermore, for the sustainability of the program, it is hoped that this program could be improved by collaborating with Mulyorejo Puskesmas staff who monitor activities routinely through the integrated service post (Pos Pelayanan Terpadu / Posyandu).

Implementation of the Simple Multi Attribute Rating Technique Method (SMART) in Determining Toddler Growth

Toddler nutritional status is an important factor in efforts to reduce child mortality. The development of community nutrition can be monitored through the results of recording and reporting of community nutrition improvement programs reflected in the results of weighing infants and toddlers every month at the Pos Pelayanan Terpadu (Posyandu/ Integrated Service Post) , where these efforts aim to maintain and improve health and prevent and cope with the emergence of public health problems, especially aimed at toddlers. However, in carrying out the health service activities of Medical Officers, faced with an important problem that is still difficult in providing information related to the results of monitoring the growth and development of infants, because information on growth and development of infants owned is obtained from the data collection done manually such as; make records and calculations to find out the condition of a toddler declared good, less, or bad. Implementation of the SMART method in Toddler's growth and development, this method can be used based on the weights and criteria that have been determined. The criteria used are based on the Anthropometric index assessment criteria. The results of the analysis are the results of ranking the greatest value to be used as the material in the decision-making process.