Posyandu Cadres Research Articles

Program Pendampingan Keluarga Anak Baduta stunting: Implementasi Interprofesional Collaboration (IPC) di Desa Beka, Marawola, Kabupaten Sigi

Stunting remains a serious public health issue in Indonesia. The Family Assistance Program for Stunted Children under two years old with the Implementation of Interprofessional Collaboration in Beka Village, Marawola, Sigi District aims to implement Family Assistance for Stunted Children within the context of Interprofessional Collaboration to reduce stunting prevalence in Beka Village, Sigi District. Partners in this community service initiative include the Beka Village Head, Posyandu Cadres, Midwives, Nutritionists, and Marawola Community Health Center Doctors. Community service methods involve collaboration among various healthcare professions Midwives, Nurses, Sanitarians, Nutritionists, Doctors and community members such as Cadres, PKK Mothers, and Village Officials. Implemented in Beka Village, Marawola District, Sigi District, from January 10-31, 2024. It began with a Focus Group Discussion between the Service Providers from the Health Polytechnic of the Ministry of Health in Palu and the Beka Village Head, followed by education for 20 mothers of stunted children and 10 Posyandu cadres, and a 15-day Family Assistance for Stunted Children. The Service Providers handed over 2 anthropometric measuring tools and healthy snack bars to the Beka Village Government. Results of community service showed increased knowledge and healthy behaviors among toddler families and a decrease in stunting rates in Sigi District. The conclusion of this program is that Interprofessional Collaboration can be an effective model in addressing stunting at the community level.

Empowerment Posyandu cadres in the transfer of spinach-based technology for early stunting prevention

The issue of nutritional health among toddlers has become a concern for the Indonesian government. The aim of this initiative is twofold: firstly, to prevent and early detect stunting in toddlers by leveraging local food resources through spinach-based technology, and secondly, to enhance the skills of Posyandu health cadres in spinach-based technology and improve their knowledge on stunting prevention. The service team will provide health education on stunting prevention using lecture and discussion methods and conduct anthropometric measurements. Practical or demonstration methods will be used to make cakes and jelly candies. The next stage is evaluation. Findings from the community empowerment evaluation show that health cadres are able to make jelly candy and spinach biscuits. The level of knowledge and skills of cadres on early stunting prevention and anthropometric measurements increased compared to before community empowerment. The evaluation results for knowledge and skill levels after training were 79.4 versus 66.5 before training. Paired t-test analysis found that the p-value was 0.002, so it was concluded that there was a significant increase in knowledge and skills scores in transferring spinach technology before and after training.

Gerakan Sweeping Kunjungan Rumah Ibu Hamil Di Wilayah Kerja Puskesmas Sungai Turak

A country's success in improving maternal health can be seen from the reduction in maternal and infant mortality rates. Empowering posyandu cadres and community leaders plays an important role in improving the health of pregnant women and reducing MMR. Based on an analysis of the situation in society, there are still pregnant women who do not have their pregnancies checked early at the Community Health Center or Posyandu. The proposed solution is to carry out sweeping home visits for pregnant women, who are recorded as not having made ANC visits to health services. The home visit method is carried out to provide education and facilitate access to services and information to families and/or relatives about pregnancy health. From the activity steps, it was found that there were 3 pregnant women who had not made a K2 return visit to the Puskesmas, and 1 pregnant mother who had not made a K3 visit. Sweeping visits to pregnant women's homes were carried out in January 2024. The visits were carried out by midwives, together with cadres, on 4 pregnant women.

IMPLEMENTATION OF A TRAINING PROGRAM TO DETERMINE NUTRITIONAL STATUS FOR POSYANDU CADRES BASED ON TECHNOLOGY AND INFORMATICS DEVELOPMENT

This study aims to explore the potential implementation of a training program in determining the nutritional status of Posyandu cadres by leveraging technological and informatics developments. The developed training program involves aspects of technological and informatics development, including the use of mobile applications, specialized software, and online resources. The research results indicate that the implementation of this training program positively contributes to enhancing the knowledge of Posyandu cadres in determining the nutritional status of children and mothers. Furthermore, the integration of technology and informatics facilitates the collection, analysis, and reporting of nutritional data, improving the efficiency and accuracy of information. The implementation of this training program is expected to serve as a model applicable to various Posyandu, utilizing technological advancements to enhance the quality of community health services. Practical implications of this research include the enhancement of skills and knowledge among Posyandu cadres, as well as the increased effectiveness of nutritional monitoring programs. Thus, this study provides a foundation for further development in utilizing technology and informatics to improve the nutritional status of communities at the local level.

PEMBERIAN EDUKASI TENTANG PROSES LAKTASI IBU MENYUSUI PADA KADER POSYANDU SEBAGAI UPAYA PENCEGAHAN STUNTING

Breast milk is the perfect and best food because it contains the nutritional elements needed for the optimal growth and development of babies. Breastfeeding is an important component in efforts to prevent stunting in toddlers. The prevalence of stunting in Karawang Regency in 2021 was 20.6%, in 2022 and only decreased to 12.9% in 2023. Several reasons, including a lack of understanding about the lactation or breastfeeding process cause mothers who do not provide exclusive breastfeeding. Posyandu cadres are one of the drivers of improving maternal and child health. Therefore, community service has been carried out in the form of cadre training through providing education about the lactation process and lactation management practices in Cadaskertajaya Village, Telagasari District, Karawang Regency to prevent stunting. The result was an increase in respondents' knowledge after receiving education. So it will be useful for cadres to increase the knowledge of breastfeeding mothers to increase the success of mothers providing exclusive breastfeeding.

Pemberdayaan Kader Posyandu Upaya Deteksi Dini Komplikasi Kehamilan Penggunakan Community Screening Card Pada Ibu Hamil di Desa Penfui Timur Kabupaten Kupang

One of the causes of maternal mortality is undetected high-risk pregnancies. Since the Covid-19 pandemic, motherhood classes in Kupang Regency have been postponed. By carrying out routine and regular Antenatal Care (ANC) through examination of the condition of the mother and fetus, you can detect any risks that may arise during pregnancy. So that pregnancy complications can be recognized by cadres and pregnant women, it is necessary to train cadres in self-screening for pregnancy complications. One effort that can be done is by using a Community Screening Card. The aim of this activity is to empower posyandu cadres in carrying out early pregnancy detection using the Community Screening Card. The community service method uses steps: counseling, cadre training, demonstrations/simulations using Community Screening Cards directly to pregnant women. and mentoring. This activity requires the activeness of pregnant women and midwives in the mentoring process using a community screening card (consultation with a midwife). The results of the activity showed that there was an increase in understanding after the training was held, namely that training participants who had a good level of understanding increased from 0% to 85%. Of the total participants, there were still 15% who understood quite well. Conclusion: increasing the role of health cadres in early detection and referral efforts for maternal and child health cases, especially in cases of referral for childbirth in the context of preparedness and preparedness for complications for mothers and newborns, is expected to reduce maternal and child mortality rates.

PERAN KADER POSYANDU DALAM MENINGKATKAN STATUS GIZI ANAK STUNTING MELALUI PIJAT TUINA DAN PMBA CURUP TENGAH

Stunting must be a priority because its impact is very broad. Stunting has an impact on increasing the risk of morbidity and death, delayed motor development and hampered mental growth, increasing the risk of overweight and obesity, increasing the risk of degenerative diseases. The nutritional needs of toddlers will not be met if toddlers experience problems with eating and feeding children. One way to overcome this is through community service activities to empower posyandu cadres in the form of training to increase knowledge and skills in performing tuina massage and feeding babies and children. The target of the activity was 35 posyandu cadres in the District Work Area of Rejang Lebong in 2021. Training activities were carried out offline. The results of the participants' pretest and posttest showed an increase in knowledge of 27.0 and the results of the skills assessment using the checklist obtained an average score of 87. The community service activities by empowering posyandu cadres through training and mentoring can increase the knowledge and skills of posyandu cadres in carrying out tuina massage and IYCF.

EFFECTIVENESS OF E-POSYANDU HEALTH (EPOK) APPLICATION ON KNOWLEDGE AND SKILLS OF POSYANDU CADRES IN MONITORING GROWTH AND DEVELOPMENT OF TODDLERS

Posyandu cadres are community elements that play an important role in the implementation of Posyandu activities. The cadre’s role includes monitoring the growth and development of children under the age of five. To do their job effectively, they must have strong monitoring knowledge and skills in order to detect complications or problems in toddlers early on. So that appropriate intervention and counseling can begin immediately. The ePoK application is an innovative smartphone application that helps cadres monitor the growth and development of toddlers. The objective of this study was to determine the effectiveness of the ePoK application in terms of posyandu cadres’ knowledge and skills in monitoring toddler growth and development. This study was a quasi-experiment with a one-group pretest and posttest design. This study was carried out in Tanjungpinang City. A total of 60 posyandu cadres responded. Respondents were given the ePoK Application to use for one month. Knowledge was assessed using a questionnaire, and skills were assessed using a checklist. The results showed that respondents’ knowledge and skills increased both before and after using the application (11.55 and 5.78, respectively). There was also a significant difference in the knowledge and monitoring skills of respondents before and after using the ePoK Application with a p value <0.05 (0.000<0.05). The conclusion of this study is that the use of the ePoK application is proven to increase the knowledge and skills of posyandu cadres on monitoring the growth and development of toddlers.

HUMAN RESOURCES DEVELOPMENT IN CHILDREN EYE HEALTH SERVICES IN SOUTH SULAWESI

Introduction: Children eye health are one of the most common problems in ophthalmology that are getting attention globally and nationally especially in South Sulawesi. To optimize its services quality and quantity of human resources are required. This study aims to report the human resources development in children eye health services in South Sulawesi.
 Methods: Surveys were carried out in several districts to assess the availability of human resources in children eye health services. Creating collaborations with several institutes such as Faculty of Medicine, Hasanuddin University and related professional organizations. Conducting several trainings in provinces, districts, subdistricts, village, and urban village.
 Results: Preparation and dissemination of materials and media on prevention of blindness in children, improvement of human resources in the form of District Trainer training in 24 districts that recruited 98 people who were ready to become trainers. For 2 years conducting tiered training at 24 districts, they produced human resources of 1,395 officers at the Puskesmas, 11,145 posyandu cadres, and 3,826 teachers. The results of this built system revealed that 3,248 paediatric patients were screened with vision problems, 3,528 toddlers in Integrated Health Centre were screened and referred to Health Centre as many as 426 toddlers, and at the School Health Unit it was recorded that 173,778 children were screened and there were 28,845 (17%) children who had visual disturbances.
 Conclusion: Development of human resources in children eye health in Indonesia was not only the responsibility of the government and the health sector but also need cross-sectoral roles.

SITUATIONAL ANALYSIS OF EYE CARE SERVICES IN SOUTH SULAWESI

Introduction & ObjectivesGlobal initiative, also known as “VISION 2020: the Right to Sight”, suggested that determining thenational target of human resources in eye health substantially reduces avoidable blindness andvisual impairment. Shortage of human resources is currently recognized as one of the mainproblems in achieving progress in eye health services to attain the global initiative. The purpose ofthis study is to analyze the situation of eye services in South Sulawesi.
 MethodsA descriptive study with a qualitative and quantitative approach was performed through aquestionnaire to ophthalmologists in South Sulawesi Districts and also secondary data fromophthalmologists, ophthalmic nurses, the Indonesian Ophthalmologists Association committee,provincial and district health office staffs Hospital in 2022.
 ResultsThe total population of South Sulawesi Province in 2022 was 9.07 million people. Human resourcedata showed 116 ophthalmologists (ratio 1:250,000 population), 108 trained ophthalmic nurses(ratio of 10 nurses per 1 million population), 1536 trained instructors, 10.918 posyandu cadres, 5trained eye cadres, and 71 refractionists/optometrists (ratio is 20 persons per 1 million people).There were 7 of 24 regencies/cities that have complete mandatory diagnostic examinationequipment.
 ConclusionThe ophthalmologist ratio in South Sulawesi is normal, however, their distribution is uneven,necessitating a rise in the number of nurses and optometrists with a balanced distribution.

Monitoring Kesehatan Warga Desa Sidodadi Ramunia Melalui Pemberdayaan Kader Posyandu Berbasis Cloud Computing

Empowering village residents requires support from network infrastructure and devices, software, digital literacy and assistance. Posyandu plays a role in helping the Village Government (Pemdes) improve basic health and social services. Problems that arise are that Posyandu cadres. IT skills need to be trained so that reporting from the field can be directly connected to village reports. The solutions provided through PKM activities are increasing the participation of mothers and toddlers, the elderly in posyandu and increasing the IT skills of Posyandu cadres. Community empowerment activities produce digital applications. during eight months service activity resulted in a health monitoring application system aimed at facilitating monitoring of posyandu activities in Ramunia Village.

Penguatan Praktik Pemberian Makanan pada Bayi dan Anak (PMBA) Melalui Simulasi dan Demonstrasi Pemberian MP-ASI

West Sulawesi Province is the highest province with stunting above the WHO cut-off (20%), where the incidence of stunting in West Sulawesi is 39.7%. One of the causes of growth and development disorders for babies and children aged 6 to 23 months in Indonesia is the low level of knowledge and practice of providing exclusive breastfeeding, the low quality of complementary feeding. This activity aimed to train and strengthen the practice of giving complementary foods to toddlers by simulating and demonstrating giving complementary foods in accordance with WHO standards. The methods used are counseling, simulation and demonstration of complementary feeding patterns. The target was 30 mothers of toddlers and 5 posyandu cadres. There was an increase in participants' knowledge from 60% to 97% and participants were able to demonstrate the practice of providing MP-ASI based on local food well. It is important to frequently refresh the pattern of giving complementary foods to mothers in groups so that mothers can share knowledge and support each other in practicing the right pattern of giving complementary foods.

EDUKASI GIZI SEBAGAI UPAYA PENCEGAHAN BALITA STUNTING DI KELURAHAN MUJA MUJU TAHUN 2023

ABSTRACK Yesterday's Covid-19 pandemic caused an increased risk of stunting prevalence in toddlers. One of the efforts that can be made to prevent stunting is through continuous education. The purpose of this community service activity (PKM) is to increase the knowledge and attitudes of posyandu cadres regarding the message of balanced nutrition which is carried out through outreach to the community in Muja Muju Village, Yogyakarta City District. The method used in this PKM activity is through socialization by conveying education to the community with, 4 (four) pillars of balanced nutrition which includes 1) consumption of a variety of foods, 2) Clean and Healthy Behavior (PHBS), 3) weight monitoring , and 4) physical activity. Messages were given to 17 posyandu cadres from the Muja Muju Village. The educational results showed that there was an increase in the average knowledge score regarding balanced nutrition related to the prevention of stunting in toddlers from 77.52 ± 10.82 SD during the pre-test to 82.19 ± 9.93 SD during the posttest. In addition, the average attitude score also increased from 40.21 ± 6.67 SD to 44.48 ± 5.44 SD. Posyandu cadres are expected to become agents of change in stunting prevention behavior through educating parents of toddlers to prevent stunting.

PRIMARY PREVENTION OF CERVICAL CANCER WITH VIDEO MEDIA FOR POSYANDU CADRES

Cervical cancer is one of the malignancies of the female reproductive organs with a long pathophysiology. Early detection with Visual Acetate Inspection (VIA) and Pap Smear can prevent poor prognosis. However, the evaluation of the coverage of the achievement of the program is still low. The study aimed to analyze the effectiveness of primary prevention education on cervical cancer using video media to increase the knowledge of posyandu cadres. Type of experimental research categorical paired. The sample was 56 posyandu cadres who were selected by purposive sampling. Knowledge data collection was done with pretest and posttest questionnaires. Data analysis was performed with Wilcoxon (ρ=0.005). The results showed an increase in the median value of knowledge pretest 65.00 to the posttest median of 85.00. Video media effectively increases the knowledge of posyandu cadres about the early detection of cervical cancer (ρ=0.000). Health education with video media proved effective in increasing the knowledge of posyandu cadres about the primary prevention of cervical cancer. It is hoped that this study can contribute to improving the ability of human resources in promotive efforts through interactive media-based health promotion.

Pemberdayaan Ibu Kader PKK dalam Upaya Pencegahan Stunting di Desa Sari Gadung Kabupaten Tanah Bumbu Kalimantan Selatan

In South Kalimantan, the stunting incidence rate in 2022 will be 24.6%, more significant than the national prevalence rate of 21.6%. Tanah Bumbu is one of the districts located in South Kalimantan Province, with the incidence of stunting in Tanah Bumbu district, according to SSGI data, reaching 16.1%. Sari Gadung Village is one of the villages in Simpang Empat District, Tanah Spice Regency. This village has a potentially productive group, namely Posyandu Cadres. Data on the incidence of stunting in Tanah Spice Regency reached 16.1%. Providing health supplements to the community is needed to improve community health in Sari Gadung village and prevent stunting. This community service activity aims to prevent stunting by providing health checks, including checking Hb, glucose, uric acid, and blood pressure, and providing blood supplements. The method is that adult female patients are given drug information regarding the use of iron and folic acid drugs, and then their Hb, glucose, uric acid, and blood pressure are checked. The results of this activity showed that the number of patients who took part in the activity was 37, the average Hb value was 15.9 g/dL, the average uric acid was 8.6 mg/dL, the mean glucose was 112.5 mg/dL, and the blood pressure was 122/82 mmHg. The conclusion is that the results of the health examination at the posyandu in Sari Gadung village are still in the normal category.

Syndicate Group Method for Newborn Care with the Knowledge of Posyandu Cadres in the Working Area of the Tamalanrea Health Center, Makassar City

Learning methods are the methods used by teachers in carrying out their functions as a tool to achieve learning goals. The PAI learning method is more procedural in nature. “There is a method for everything, and the method of entering heaven is knowledge. Newborn babies have a high risk of death. The reason is that knowledge and simple care practices such as preventing hypothermia, giving colostrum and exclusive breastfeeding are still very lacking. Cadres are one of the closest people who can influence changes in the behavior of BBL mothers, so that cadres can provide correct information and influence the knowledge of mothers and families if the cadre's knowledge is good. This research aims to obtain information from the analysis of the influence of newborn care education using the Syndicate Group method on the knowledge of posyandu cadres in the working area of the Tamalarea Community Health Center. The method used in this research was a pre-experiment with a one group pretest-posttest approach with a sample of 24 posyandu cadres in the Tamalarea posyandu working area registered by the village midwife. Before the intervention, 58.3% of posyandu cadres were classified as having sufficient knowledge and 66.7% of posyandu cadres were classified as good knowledge after the intervention. Hypothesis analysis using the Wilcoxon Signed Rank Test with α = 0.05 obtained p value = 0.001, which shows that there is a significant influence of newborn care education using the Syndicate Group method on the knowledge of posyandu cadres. It is hoped that the community health center and village midwives can continue efforts to increase cadre knowledge using interactive methods such as Syndicate Groups and other methods, so that the role of cadres becomes more optimal.

The Influence of Holistic Health Services by Posyandu Cadres in Increasing Aspects of Mothers' Knowledge Regarding Optimal Baby Care at Posyandu Rajawali, Maniis Village, Maniis District, Purwakarta Regency, Indonesia

Holistic health services are health services that include physical, mental, social and spiritual aspects. This service can be provided by posyandu cadres through posyandu activities, such as counseling, counseling and health checks. The aim of this research is to determine the effect of holistic health services by posyandu cadres in increasing aspects of maternal knowledge regarding optimal care for babies at Posyandu Rajawali, Maniis Village, Maniis District, Purwakarta Regency, Indonesia. This research uses quantitative methods with a pre-post test research design with control group. The research population was mothers who had babies aged 0-6 months at Posyandu Rajawali. The research sample consisted of 60 mothers, with 30 mothers as the experimental group and 30 mothers as the control group. The experimental group received holistic health services for 6 months, while the control group did not receive holistic health services. Maternal knowledge was measured before and after the intervention. The results showed that there was a significant difference between the knowledge of mothers in the experimental group and the control group after the intervention (p < 0.05). The knowledge of mothers in the experimental group increased by 15.8%, while the knowledge of mothers in the control group increased by 5.3%. Based on the results of this research, it can be concluded that holistic health services by posyandu cadres can increase aspects of maternal knowledge regarding optimal baby care.

FOSTERING A PROSPEROUS FAMILY, HEALTHY, AND FREE OF STUNTING IN CENTRAL JAVA: EMPIRICAL STUDY IN TINGKIR SALATIGA

Stunting is a condition when a toddler has a minimum height or body length compared to their age. Factors that influence the occurrence of stunting in children under five in rural and urban areas are mother's education, family income, mother's knowledge of nutrition, exclusive breastfeeding, age at which MP-ASI is given, zinc and iron adequacy levels, history of infectious diseases and genetic factors (Kemenkes, 2023). Activity objectives The output targets of this community service activity are increasing awareness of stunting prevention through improving parenting, understanding the role of housewives, increasing knowledge about financial literacy in the family, and understanding the nutritional needs of pregnant women. Community service activities were carried out in the Tingkir Tengah Village meeting room with the target of involving 45 representatives from 10 RW. Participants consisted of Posyandu cadres, PKK cadres, dashat cadres, and Pregnant Women. Community service activities went well according to plan. The event was attended by more than 80% of invited participants consisting of posyandu cadres, dashat cadres, and pregnant women. This activity is expected to increase knowledge so that reduction and prevention of stunting can be implemented.

SOSIALISASI PENCEGAHAN STUNTING UNTUK MENGURANGI JUMLAH ANAK STUNTING DI DESA TAMIAJENG

Stunting is a serious problem that can affect children's growth and development and have an impact on the development of human resources (HR) in the future. This study aims to increase community understanding of stunting through socialisation and distribution of UHT milk in Tamiajeng Village. The activities were carried out by KKN-P Group 36 Year 2024 by involving Posyandu Cadres, Village Midwives, and other Health Officers. The methods used include observation, making work programs, and permission from related parties, with activities that include face-to-face socialisation of stunting, as well as assistance in Posyandu activities. The results of the activity show that parents who have toddlers understand the impact of stunting on children. So this activity is expected to provide effective education to parents, help reduce the risk of stunting, and build a healthier generation in Tamiajeng Village.

Perancangan Aplikasi Edukasi Gizi sebagai Upaya Pencegahan Stunting pada Balita di Kegiatan Posyandu

Stunting is one of the issues in the health sector that is the focus of government programs. This is an urgent need for efforts to prevent stunting through nutritional education. Until now, the form of health service at posyandu is still just measuring height and weight, even though improving posyandu services can be done more than that, especially in preventing stunting through nutrition education. The service aims to improve posyandu health services. Improving services also requires tools that make it easier to provide nutrition education which will be carried out by posyandu cadres by designing an Android-based nutrition education application. The stages of implementing the nutrition education service are: (1) assisting cadres and parents so that this nutrition education can be implemented at Posyandu Melati 3 Baturejo Village and (2) creating a nutrition education application according to needs that make it easier for posyandu cadres and parents as a form of help Posyandu service facilities. The nutrition education application makes it easier for posyandu cadres and parents because the application only needs to input height and weight then the nutritional status will appear and nutrition education will appear in the form of food recommendations that match nutritional status. This application can improve health by preventing stunting.