Mothers Of Toddlers Research Articles

STUNTING PREVENTION WITH CONTENTS OF "ISI PIRINGKU" IN DAGEN HAMLET, POLOKARTO DISTRICT

Background: According to SSGI data (2019-2021), the risk of stunting can manifest before birth and reaches its peak between 6 months (13.8%) and 12 months (27.2%) of age. Community nutrition interventions, particularly during the first thousand days of life, emphasize the consumption of animal protein to expedite the reduction of stunting. In Sukoharjo Regency, based on simultaneous weighing conducted in 2022, the highest prevalence of stunting cases was recorded in Polokarto District at 13.6%. Government initiatives to combat stunting include programs such as "Isi Piringku". Objective: This study aimed to assess the increase in respondents' knowledge through pre-test and post-test evaluations. Method: This activity comprises three stages: pre-test, implementation, and post-test. Questionnaire data obtained will be analyzed to evaluate the effectiveness of knowledge transfer. Results: Overall, there was a 42.61% increase in knowledgerelated outcomes following the service intervention. The attendance target for service activities was achieved, with 80% participation from all participants. Conclusion: The implementation of the service intervention has provided significant benefits for mothers of toddlers attending Posyandu programs and is anticipated to be sustained in the long term.

The Efforts of Toddler Integrated Healthcare Center Cadres in Increasing Mother Visits to Integrated Healthcare Center Kartini Bandungrejosari

Introduction: One of the factors causing stunting is that the utilization rate of healthcare by mothers of toddlers in Indonesia is low, while in healthcare there is a lot of education about maintaining the health of toddlers and providing additional food for toddlers. This is proven by the average percentage of toddlers who are weighed at the healthcare is still below the target, where the target for toddlers who are weighed is 85%. There are still many healthcare that do not meet coverage shows that the role of toddler healthcare cadres in increasing mother’s visit to the healthcare less than optimal or not in accordance with their duties. Objective: The purpose of this study was to determine the efforts of healthcare toddler cadres in increasing maternal visits to the healthcare. Method: This study used qualitative methods and took 13 responden, consisting of 7 healthcare cadres, 5 mothers who have toddlers, and 1 health worker. Data collection techniques using interviews, observation, documentation. Data validity used is data triangulation and method triangulation. Result: The results show that the implementation of healthcare service activities is still not optimal, this is evidenced by the non-implementation of one of the healthcare service activities. Conclusion: The conclusion is that the efforts of cadres in increasing the visit of mothers of toddlers to Healthcare Kartini in Bandungrejosari Village, Sukun Subdistrict. still not implemented optimally. It is recommended for cadres to improve health service activities, namely counseling to mothers of toddlers, and making new innovations to increase the interest of mothers to bring their toddlers to the healthcare.

Penyuluhan Mengenai Pemberian MP-ASI Tinggi Protein Hewani Untuk Pencegahan Stunting

Stunting is a condition of failure to thrive in children under five (for babies under five years of age) which is caused by chronic malnutrition so that the child is too short for his age. Stunting causes children to not reach their maximum height and disrupts brain development which will affect cognitive abilities. One in five children in Indonesia is reported to be stunted. The long-term impact of stunting will cause children to have difficulty receiving lessons, decreased learning achievement, decreased work productivity, low income and minimal participation in community activities. The cause of stunting in toddlers is often the result of many factors related to poverty, including poor diet, health, hygiene and the environment. The current effort being made is to provide education about high protein foods. The education provided aims to enable mothers of toddlers to play a role in providing a healthy, high-protein menu so that it can prevent the incidence of stunting. This community service is carried out with the aim of increasing the knowledge and understanding of mothers of toddlers regarding providing MP-ASI high in animal protein to prevent stunting. It is hoped that after participating in this service activity, mothers of toddlers will be able to provide MP-ASI high in animal protein for toddlers to support their children's height growth.

Pengetahuan dan Sikap Ibu Tentang Pemberian Makanan Bergizi Berkorelasi dengan Perkembangan Kognitif Balita di Desa Bale Busu, Kec. Mutiara Barat, Kab. Pidie

Background: Cases of deviations in the cognitive development of toddlers in Indonesia are still very high. The latest data shows that around 62.02% of toddlers experience this problem. One of the causes is a lack of nutritious food intake and of course this is influenced by the parenting style given by mothers of toddlers, including the mother's level of knowledge and attitudes regarding providing nutritious food. Purpose: To determine the relationship between mothers' knowledge and attitudes about providing nutritious food on the cognitive development of toddlers Methods: This research is a quantitative and cross-sectional design. The study population consists of households with children under five years old and a sample of 45. The search ran from December 2022 to January 2023 in Bale Busu Village. Data analysis using Chi-Square Test includes primary data and secondary data. Results: Based on the research results, it was found that knowledge had a p-value of 0.025, while the attitude p-value was 0.023. Both values are <0.05, so there is a relationship between mother's knowledge and attitudes about providing nutritious food on the cognitive development of toddlers. Conclusion: : There is a relationship between maternal knowledge and attitudes about the provision of nutritious food to early childhood cognitive development.

The satisfaction levels on cadre performance in providing maternal and child health service in Sragen, Central Java

Background: One of the efforts made by the government to realize health development is to create public health services that are managed by, for and with the community with the aim of empowering the community and making it easier for people to obtain or access health services. Purpose: To determine the relationship between the performance of community health center cadres and the level of satisfaction of mothers of toddlers. Method: Correlation analytical research with quantitative methods uses a cross sectional approach. This research was conducted at the Flamboyan integrated service post, Tanggan Village, the working area of the Gesi Health Center. Data collection was carried out in November 2023. Sampling used a total sampling technique so that a total of 32 people were obtained with the inclusion criteria including mothers of toddlers who lived around the research location, came to the integrated service post, and were willing to become respondents. The independent variable in this research is the performance of integrated service post cadres for toddlers, while the dependent variable is the level of satisfaction of mothers of toddlers. Results: The majority of respondents were very satisfied with the performance of cadres with results of 13 (65.0%). The results of the Spearman Rank correlation test obtained a p-value of 0.002 (< 0.005) and a correlation coefficient value of 0.528, so that H0 was rejected and H1 was accepted, meaning that there is a relationship between cadre performance and the satisfaction of mothers of toddlers using integrated service posts. Conclusion: There is a relationship between cadre performance and the level of satisfaction of mothers of toddlers using integrated service posts. Suggestion: Cadres are expected to be the driving force of community health center activities to improve service quality and optimize the implementation of planned activities.

Simulation-Based Teaching in Increasing Knowledge of Expressed Breast Milk Management in Baby Mothers

Exclusive breastfeeding had many benefits for mothers and babies. Maternal employment was one of the factors that was closely related to the decline in exclusive breastfeeding coverage. Therefore, there was a need for education for mothers of toddlers to continue providing breast milk even though they are working. Objective of this research was to analyze the effect of simulation-based teaching on about the management of expressed breast milk on the mother's knowledge of the baby in Toddler Posyandu in Pelem Village, Bendo Community Health Center. The method was research quantitative. The reasearch was carried out at the Posyandu Balita in Pelem Village, Bendo Community Health Center on Saturday, January, 20th 2024. This activity was attended by 40 mothers of toddlers. There was an influence of health education using the simulation-based teaching method on the mother's knowledge about the management of expressed breast milk with a wilcoxon test result of 0.002.

Women's Welfare, Stunting, and Access to Reproductive Rights: An Overview of The Situation in Indonesia

Stunting, as a global issue, has become a primary concern in Indonesia, with a declining trend in prevalence but still predominant indirect interventions for children under five years old. However, the impact of stunting on pregnant women or mothers of toddlers, who are the closest caregivers to stunted children, is often overlooked. Throughout the pregnancy and child-rearing periods, many reproductive rights of women remain unfulfilled, leading to suboptimal health conditions for both the mother and child. This research aims to describe sexual health rights, gender justice, and their relation to the stunting issue in Indonesia. The research method employed was a literature review accessing online databases, including Google Scholar, using keywords such as “stunting,” “women's rights,” “gender,” and “reproductive health rights.” Out of 700 articles identified, a reselection was conducted using the VoSViewer software to obtain literature relevant to the research theme. This article emphasizes that many health services in Indonesia are not optimal in fulfilling women's rights. Conversely, some health services are even challenging for women to access, indicating the government's negative contribution to fulfilling women's rights. Therefore, preventing stunting requires a broader and more integrative approach, including women's empowerment, reconstructing social norms regarding reproductive health, and strengthening health services that favor women. Consequently, the Indonesian government needs to intensify efforts to ensure the fulfillment of women's reproductive health rights as a strategic step in preventing stunting issues in the future.

Uncovering Stunting Prevention through the Important Role of Posyandu Cadres

This study analyzes the role of posyandu cadres in preventing stunting in Cangkring Village, Malang, Beji District, Pasuruan Regency, using a descriptive qualitative approach. Data were gathered through interviews, observation, and documentation from village heads, posyandu cadres, midwives, and mothers of toddlers. Utilizing Lawrence Green's framework, the findings reveal that stunting prevention is hindered by limited parental knowledge (Predisposing Factors), inadequate health facilities (Enabling Factors), and low community awareness (Reinforcing Factors). The research highlights the need for better education, improved facilities, and stronger community and governmental support to enhance posyandu effectiveness in stunting prevention. Highlights: 1. Knowledge Gap: Parental knowledge about stunting is insufficient.2. Infrastructure: Health facilities are inadequate and poorly maintained.3. Community Support: Low public awareness reduces posyandu effectiveness. Keywords: Posyandu cadres, stunting prevention, rural health, qualitative research, community health

Peningkatan Pengetahuan Dan Praktik Ibu Balita Tentang Komposisi Dan Informasi Nilai Gizi Makanan Kemasanan

Public awareness and ability to read food labels is still very low. A National Consumer Protection Agency survey stated that 6.7% of people in Indonesia pay attention to the completeness of food labels. One of the Messages of Balanced Nutrition is reading food labels. S1 Nutrition Study Program STIK Sint Carolus together with Nutritionists from the Galur Supporting Community Health Center provided counseling to mothers of toddlers on the topic "Let's Check the Coins (Composition and Nutritional Value Information) on Food Packaging" to 20 mothers of toddlers who visited the Posyandu. Counseling participants are given an identity and pretest form to fill out. The first session included material on definitions and food labels, and the second session provided material on how to read composition and nutritional value information. The third session involved practicing reading packaged food and conducting questions and answers and filling in the posttest form. After 3 days of providing material, monitoring and evaluation was carried out via Whatsapp. Based on the results of statistical analysis, 55% of mothers were classified as lacking knowledge during the pretest. However, it increased after nutrition education was carried out to 95% of mothers who were classified as well informed. The results of the Wilcoxon analysis show that there is a difference in knowledge between before and after counseling with p-value = 0.007. The results of monitoring and evaluation from 5 mothers, 100% of mothers had paid attention to food labels on packaging, especially composition and nutritional information. There has been a change in practice in reading food labels. Keywords: food labels; knowledge; nutrition information; nutrition counseling

Knowledge and Attitude of Cadres in the Prevention and Treatment of Diarrhea At Home Among Mothers of Toddlers

This study aims to determine the knowledge and attitudes of cadres in preventing and treating diarrhea at home among mothers who have toddlers at home. This research uses a quantitative type of research with a Quasi Experimental design in the intervention and control groups. The design used is pre-test and post-test. The results of the research showed that pre-test knowledge for the intervention and control groups was cadres aged 57 years (95%), adults, 59 people (98.3%) had higher education, 44 people (73.3%) had been a cadre for a long time. Pre knowledge with pvalue 0.257, post pvalue 0.000 and attitude pre pvalue 0.379 post pvalue 0.160. The conclusion, was that cadres' knowledge was good after health education and cadres' attitudes were poor after health education in preventing and treating diarrhea at home for mothers with toddlers. Keywords: Knowledge, Attitude, Cadre, Prevention, Treatment, Diarrhea

Promotive Activities through Counseling on Immunization as an Effort to Manage Stunting

Immunization is an effort to actively create/increase a person's immunity against a disease so that if one day they are exposed to the disease they will not become sick or will only experience mild illness. By providing timely immunization, the community can remain protected and VPD outbreaks can be prevented. Diseases that can be prevented by immunization currently still threaten the world because they can cause death and disability. Based on this, it is very necessary to take preventive and promotive actions related to the importance of immunization. The method used in this activity is through socialization and discussions involving expert speakers in their fields with participants consisting of 67 mothers of toddlers. Participants came from three villages in Jatigede sub-district, Sumedang.

Monitoring Child Growth and Development and Providing Healthy Food for Toddlers

Posyandu units are generally organized at the Rukun Warga or Hamlet level, according to the conditions of each area. Posyandu activities are carried out once a month in collaboration with the local Community Health Center to monitor the growth and development of toddlers and provide nutritious food for toddlers. Community service at Posyandu Margo Kencono VII, Kersan Hamlet, Sidorejo Village, is focused on socializing the use of Posyandu to monitor children's growth and development, prevent malnutrition and obstacles to children's growth and development. This community service also provides information about healthy, nutritionally balanced food for toddlers. , providing healthy food by mothers easily and cheaply using various ingredients that are available and easily obtained in the local community. Implementation of community service is carried out in a humane manner, by sitting together and discussing with mothers while waiting for their turn to weigh toddlers, record weight, height, arm circumference and head circumference, with material delivered on the use of Posyandu to monitor children's growth and development and provide food which is nutritious and mothers of toddlers are very enthusiastic about the posyandu activities.

Utilization of Fine Motor Stimulation Media "Activity Book" for Stunting Toddlers

Stunting conditions in toddlers affect physical performance and mental and intellectual functions to be disrupted. One of the efforts to avoid developmental delays in stunted toddlers requires an active role by the toddler's mother in providing stimulation. This study aimed to analyze the differences in toddlers' fine motor development before and after stimulation using activity book media. This study used a one-group pretest-postest design. The population in the study were toddlers who had been diagnosed with stunting in Sambas Regency, West Kalimantan, totaling 374 toddlers. Samples were taken using a cluster sampling technique in the Working Area of Puskesmas Tebas and Puskesmas Sekura, a total of 60 toddlers aged 24-36 months diagnosed with stunting. The research instrument was an "activity book" with 12 exercises. Hypothesis testing using the Wilcoxon Test after obtaining an abnormal data distribution in the data normality test. The findings of this study received the results p-value (0.000) <0.05. There were differences in the fine motor skills of stunted toddlers before and after being given stimulation using activity books.

Carving Positive Changes: Knowledge and Attitudes of Mothers of Toddlers through Nutrition Counseling

Complementary Feeding is food and drinks given to babies who have reached the age of 6 months and above to fulfill their nutritional needs. Therefore Complementary Feeding is only introduced to babies after they reach the age of 6 months or older. Complementary Feeding represents the transitional stage from breastfeeding to family foods gradually, both in terms of types and frequency of provision, portion sizes, and the form of food that is suitable for the age and digestive capacity of the baby. The purpose of this study is to identify the impact of counseling on MP-ASI on the knowledge and attitudes of mothers of toddlers aged 0-24 months at Nurtiana Ginting Clinic from December 2023 to March 2024. This research method uses an experimental approach with a pre-experimental design known as the one-group pretest-posttest design. In this approach, before counseling, respondents were asked to fill out questionnaires before (pretest) and after (posttest) counseling. Subsequently, the researcher compared the results of the pretest with the posttest. The research sample consisted of 38 mothers who had toddlers aged 0-24 months. Bivariate data analysis used the Wilcoxon test because the data were not normally distributed. Initially, only 5 respondents (13%) had good knowledge. However, after counseling, the number of respondents with good knowledge increased to 34 people (89%). The attitudes of mothers before counseling showed that 11 respondents (29%) had good attitudes, while after counseling, the number of respondents with good attitudes increased to 32 people (84%). The results of bivariate analysis using the Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating the rejection of the null hypothesis (Ho) and acceptance of the alternative hypothesis (Ha). Thus, it can be concluded that there is a significant influence on the knowledge and attitudes of mothers of toddlers after counseling. These findings indicate that nutrition counseling is effective in carving positive changes in the knowledge and attitudes of mothers of toddlers. The implication of this research is the need for broader and more focused nutrition counseling programs to support the health and nutrition of toddlers.

EDUKASI PENCEGAHAN DAN PENANGANAN STUNTING

Abstract The first thousand days of life (1000 HPK) are very important in human growth and development. About 80% of the development of the brain and body organs occurs during the golden period (1000 HPK). Missing the opportunity to grow optimally during this period can cause stunting with long-lasting impacts. Education for mothers of toddlers includes improving nutrition, monitoring routine growth every month, and monitoring development regularly at least once every 3 months. The activity was carried out with the aim of increasing community knowledge about stunting in Oesusu Village, Kupang Regency in September 2023. Implementation used the "group counseling" method. Where, all communities are given counseling with the aim that they can understand, change their daily culture regarding the problem of stunting and all the causes and impacts related to the problem of stunting. The evaluation process was carried out before and after the activity to measure the abilities and changes in attitudes of 50 participants consisting of family mothers, posyandu cadres, and Oesusu Village officials, Kupang Regency regarding the counseling material. The pre-tesresults found that the majority (89.8%) of the counseling participants did not understand stunting, its causal factors and impact on children's growth and the quality of human resources. However, after confirmation of the results of the counseling, it was discovered that 100% of the counseling participants could understand and be able to answer questions about the counseling material. This means that it is still very important to continue providing education to the community, cadres and village officials in order to support efforts to accelerate stunting reduction. Keywords: community participation, clean and healthy living practices, prevention and management of stunting, Oesusu village, Kupang district

Effectiveness of ERKADUTA model to increase stunting prevention behaviors among mothers with toddlers in Indonesia: A quasi-experiment.

Stunting, a persistent nutritional issue arising from prolonged inadequate nutrient intake, poses substantial risks such as heightened morbidity, mortality, and compromised cognitive, psychomotor, and verbal development. In Indonesia, addressing stunting in children under two necessitates urgent community empowerment, given its multifaceted nature. The aim of this study was to assess the effects of an intervention targeting mothers of toddlers, called RT kawal baduta (ERKADUTA) model, a local community-based assistance for babies under two years old. A quasi-experiment using pre-test and post-test with a control group design was conducted. Employing a quantitative analytic approach with 112 respondents, the effectiveness of ERKADUTA model to improve the knowledge, attitude, and practice of stunting prevention among mothers with child under two years old was assessed. ERKADUTA program was run for three months. The Wilcoxon test was used to determine score changes before and after program in both groups, while the Mann-Whitney test was used to analyze the score differences of knowledge, attitude and practice between intervention and control groups. Our data indicated that there were changes in knowledge, attitudes, and practices in preventing stunting in both the intervention and control groups. There are significant differences in knowledge (p<0.001, effect size=-0.855), attitude (p<0.001, effect size=-0.864), and practice score (p<0.001, effect size=-0.924) between the intervention and control groups after the intervention. This study highlights that the ERKADUTA model emerged as a potent catalyst in improving stunting prevention behaviors among mothers with toddlers and this model holds promise for addressing the complexities of stunting in Indonesia.

Hubungan kualitas diet dengan kejadian stunting pada anak 2-5 tahun di Kota Bengkulu

Background: The quality of children's diet needs attention because it is often low in the nutrients needed to support growth. This means that the practice of poor quality diet given to children will provide an opportunity for stunting to occur.Objective: This study aims to determine the relationship between diet quality and the incidence of stunting in children aged 2-5 years at the Sawah Lebar Community Health Center, Bengkulu City in 2023.Method: Observational research with a cross sectional approach was conducted on 54 mothers of toddlers at the Sawah Lebar Community Health Center, Bengkulu City in May-June 2023. Sampling used a simple random sampling technique. The instrument of this research is the SQ-FFQ (semi quantitative food frequency questionnaire) questionnaire by asking about food ingredients consumed in the past month. Diet quality is divided into 4 categories, namely variety, adequacy, moderation and balance. Diet quality is low if less than ≤60 and height &gt;60. The test used is the chi-square test with a significance level of α=0,05.Results: The results of this study show high levels of varied consumption and low levels of adequacy, moderation and overall balance that the majority (54,7%) have low diet quality. In contrast to the incidence of stunting, it shows that the majority (77,8%) have normal nutritional status (HFA). There is no relationship between diet quality and the incidence of stunting in children aged 2-5 years at the Sawah Lebar Community Health Center, Bengkulu City (p= 0,084).Conclusion: The majority of children have low diet quality, however the majority have normal nutritional status (HFA). The quality of diet in toddlers is not related to the incidence of stunting in children aged 2-5 years at the Sawah Lebar Community Health Center, Bengkulu City.

The Effect of Exclusive Breastfeeding Education on Changes in Knowledge and Attitudes of Toddler Mothers

Optimal breastfeeding practices contribute greatly to the quality of a child's growth and development. Breast milk is considered a golden feeding of nutrients in infants. Mothers have a big role in improving the quality of their children's health. This study aims to determine the effect of exclusive breastfeeding education on the knowledge and attitudes of mothers of toddlers in the working area of the Tiong Ohang Health Centre. The research is a quasi-experiment with a design with a two-group pretest and posttest approach conducted in July 2023 in the working area of the Tiong Ohang Health Center, East Kalimantan, Indonesia. The sample of this study was 36 under five mothers. The data is then collected and then analyzed with the Wilcoxon test. Results show that the effect of exclusive breastfeeding education using leaflet media on increasing knowledge of mothers under five (p = 0.000). There is an influence of exclusive breastfeeding education using brochure media on increasing the knowledge of mothers of toddlers (p = 0.002). There is an influence of exclusive breastfeeding education using leaflet media on changes in the attitudes of mothers under five (p = 0.001). There is no effect of exclusive breastfeeding education using brochure media on changes in the knowledge of mothers under five (0.132). Leaflet media is more effective to use than brochure media. This finding is empirical evidence that nutrition education is needed to continue to be encouraged, especially in remote areas

The Effectiveness of Nutrition Education about Stunting Using Video Media on The Knowledge and Attitudes of Mothers of Toddlers

Stunting is still a global health emergency, threatening children's health and productivity in the future. Stunting in children begins in the family environment. Mothers contribute fully to optimal child growth and development. This study aims to determine the effectiveness of nutrition education about stunting using video media on the knowledge and attitudes of mothers under five. A quasi-experimental study with a pre-post test approach with a control group design was conducted in February – April 2023 at the Teluk Lingga Sangatta Health Center, East Kutai, East Kalimantan. A total of 36 samples were involved in this study by purposive sampling by taking into account inclusion and exclusion criteria. Data were analysed using paired t-tests and independent t-tests. There were differences in knowledge before and after being given nutrition education videos with a value of p-0.000 and differences in attitudes before and after being given nutrition education videos with a value of p-0.000. There are differences in knowledge before and after nutrition education with leaflet p-0.000. There are differences in the attitude of mothers of toddlers before and after nutrition education with leaflet p-0.000. Nutrition education videos are more effective in increasing knowledge compared to the p-0.000 leaflet. Nutrition education videos are more effective in improving attitudes compared to leaflet p-0.001. Nutrition education videos about stunting are more effective in increasing knowledge and attitudes about stunting.

Pelatihan Pemberian Makanan Tambahan dalam Pencegahan Stunting melalui Edukasi Cara Produksi Pangan Olahan yang Baik (CPPOB)

Stunting is a common nutritional problem caused by various risk factors and is considered a chronic nutritional problem because it occurs over a short period of time. Several farmers in Maesan District, especially in Sumberanyar Village, grow various types of food crops, including dragon fruit, which is rarely used for making food. processed. For this reason, training and education on the use of local materials is carried out with a community empowerment approach. This activity aims to spread knowledge about nutrition and equip mothers with young children and cadres with skills in providing additional feeding (PMT) based on local food, namely dragon fruit pudding. Participants consisted of 18 people, including mothers of toddlers and Posyandu cadres, which was held at the Sumberanyar village hall. This community service consists of two activities, namely CPPOB education and training. It can be seen from the pretest results that 61% of posyandu cadres and mothers of toddlers had a good level of knowledge and 39% had sufficient abilities before participating in training activities. Furthermore, the posttest results after carrying out training in providing additional food in preventing stunting through education on Good Processed Food Production Methods (CPPOB) showed that the number of posyandu cadres and mothers of toddlers who had a good level of knowledge increased to 89% and the level of sufficient knowledge became 11%. The pretest and posttest results show that on average the training participants experienced an increase in knowledge about CPPOB. Research and community service to utilize local ingredients as a solution to nutritional problems through a community empowerment approach. And it can increase the skills of posyandu cadres and mothers of toddlers in preparing additional feeding (PMT) based on local food, namely dragon fruit pudding.