Maswati
Universitas Muhammadiyah Parepare, Sulawesi Selatan; Indonesia

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Evaluation of the Early Childhood Health and Nutrition Program: Current Issues at the Tajuncu Community Health Center, Soppeng Regency Santri Leztari; Erni Angraeni; Sukmawati; Eny Pharamitha; Maswati; Mirnawati; Ayu; Rahmasari; Yul Inggriani
Journal of Creative Power and Ambition (JCPA) Vol. 4 No. 01 (2026): Journal of Creative Power and Ambition (JCPA)
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/jcpa.v4i01.1174

Abstract

Health and nutrition of early childhood are fundamental pillars supporting physical growth, cognitive development, and long-term child well-being. This study aims to comprehensively evaluate the implementation of health and nutrition programs for early childhood at Puskesmas Tajuncu, Donri-Donri District, Soppeng Regency, South Sulawesi, and identify current issues emerging in field implementation. The study employed a qualitative descriptive approach with data collection through in-depth interviews with the Head of Nutrition at Puskesmas Tajuncu, field observation, and documentation of child growth data from Posyandu Kemiri 1 as source triangulation. Data were analyzed using interactive analysis techniques involving data reduction, data presentation, and conclusion drawing. Results show that health and nutrition programs have been routinely implemented through monthly Posyandu activities and early detection of growth and development at PAUD/TK. Programs implemented include anthropometric monitoring (weight, height, head circumference, upper arm circumference), local supplementary food provision for 90 days, vitamin distribution, immunization, and parental nutrition counseling. Posyandu Kemiri 1 data over three months (January-March 2026) showed gradual improvement in all growth indicators. However, current issues identified include: only 50% of children achieved standard weight gain per month; 96 children with stunting and 12 with undernourishment; and inconsistent child attendance at Posyandu. Determinant factors include parenting patterns, socioeconomic conditions, and environmental sanitation. Community participation rate of 80% constitutes significant social capital. This study concludes that strengthening multisectoral collaboration among Puskesmas, Posyandu, PAUD, families, and local government is the key strategy for sustainably optimizing early childhood health and nutrition.
Balanced Nutrition and Nutritional Status of Early Childhood: A Descriptive Study at the Integrated Health Post (Posyandu) in Aka-Akae Village, Sidenreng Rappang Regency Maswati; Nurbaya; Rahayu; Mayani; Nurmiati; Harisma; Sumiati Kadir; Siti Nur Hasanah; Asnadia
Journal of Creative Power and Ambition (JCPA) Vol. 4 No. 01 (2026): Journal of Creative Power and Ambition (JCPA)
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Early childhood is a critical and sensitive golden period for meeting nutritional needs. Balanced nutrition during this phase serves as the primary foundation for optimal physical growth, cognitive development, intelligence, and long-term health. This study aims to analyze the application of balanced nutrition principles in early childhood, identify factors influencing nutritional status, and describe nutritional status development of young children at Posyandu Mattirowali E, Aka-Akae Village, Watang Sidenreng District, Sidenreng Rappang Regency (Sidrap). The research employed a descriptive design with a mixed-method approach (qualitative and quantitative). Data were collected through participant observation, semi-structured in-depth interviews with 7 parents and 2 Posyandu cadres, and anthropometric measurements (weight, height, and head circumference). Data were analyzed using Z-scores based on WHO growth standards for TB/U, BB/U, and BB/TB indicators. Results revealed that all 7 children born in 2023 (100%) fell under the short or very short category based on TB/U. The BB/U indicator showed 57.2% had low or very low weight, while 85.7% showed good nutritional status based on BB/TB. Weight growth trend data for 16 children born in 2024 showed 83.3% gained weight in May 2026, indicating nutritional improvement. Key factors affecting children's nutritional status include maternal knowledge of balanced nutrition, feeding practices, family socioeconomic conditions, access to nutritious food, and infection frequency. Sustained nutrition education through Posyandu and cross-sector support are critical to achieving optimal early childhood growth and health.
Determinants of Early Childhood Health and Nutrition: an Evidence-Based Integrative Study to Strengthen Holistic Integrative Preschool Services in Soppeng District Mutmainnah; Aisyah; Nurfadillah; Nurfiani; Giska Aruni; Arviani Susandi; Rohana Ibrahim; Maswati
Journal of Creative Power and Ambition (JCPA) Vol. 4 No. 01 (2026): Journal of Creative Power and Ambition (JCPA)
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/jcpa.v4i01.1176

Abstract

Early childhood health and nutrition are the primary foundations for developing quality human resources, directly determining children's cognitive, physical, socio-emotional development capacity, and future productivity. This study aims to analyze the multidimensional determinants of early childhood health and nutrition, identify the current nutritional status and influencing factors, and examine the implementation and effectiveness of the Holistic Integrative Early Childhood Education (PAUD Holistik Integratif) approach in improving children's health and nutrition at Posyandu Apel, Pising Village, Donri-Donri District, Soppeng Regency. The research employed a qualitative descriptive approach adopting evidence-based integrative review principles, combining field data with comprehensive scientific literature analysis. Data were collected through participant observation, semi-structured in-depth interviews, and documentation during Posyandu activities, with thematic analysis involving source triangulation to ensure validity. Results show that most children have normal nutritional status based on BB/U and BB/TB indicators, but cases of undernutrition and stunting requiring serious attention were still found. Five key determinants identified include: (1) individual factors (low birth weight history and disease history); (2) family factors (parental nutrition knowledge and socioeconomic conditions); (3) environmental factors (sanitation and clean water access); (4) behavioral factors (dietary patterns and clean healthy behavior); and (5) service access factors (Posyandu participation and PAUD involvement). The Holistic Integrative PAUD approach proved relevant in integrating health, nutrition, education, and parenting services, but still faces challenges in cross-sector coordination, resource limitations, and uneven community participation. The study concludes that strengthening multisectoral synergy among families, Posyandu, PAUD institutions, and village government is the key strategy for stunting prevention and sustainable optimization of early childhood development.
Analysis of The Implementation of The Early Child Growth and Nutrition Detection Program Based on PAUD at The Leppangan Public Health Center Sastri; Melisyah; Jumriani; Sri Istiana Marsuki; Maswati; Eka Sapira; Rezki; Nurul Izza
Journal of Creative Power and Ambition (JCPA) Vol. 4 No. 01 (2026): Journal of Creative Power and Ambition (JCPA)
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/jcpa.v4i01.1177

Abstract

The early detection program for growth and nutrition in early childhood is a strategic effort in preventing nutritional problems, particularly stunting. This study aims to analyze the implementation of the PAUD-based early detection program for growth and nutrition in Leppangan Community Health Center. This study used a qualitative descriptive approach with data collection techniques through in-depth interviews with health workers and documentation of child growth and development monitoring results. The results showed that the program has been implemented through integrated health service posts (Posyandu), visits to PAUD, and community health center services using standard anthropometric indicators (weight/age, height/age, weight/height, BMI/age). The monitoring results showed that the majority of children were in the well-nourished category, but cases of malnutrition and stunting were still found. The main obstacles include limited resources and family economic factors. Efforts made include education, providing supplementary food, home visits, and strengthening the role of Posyandu cadres. This study concluded that the program has been running structurally, but not optimally functionally, so that strengthening cross-sector collaboration and a family-based approach is needed.
Common Diseases in Early Childhood and Their Prevention Strategies: A Posyandu-Based Observational Study In Parepare City Hardiana; Asmita; Suarna; Rosita; Canni; Nurdiana; Janu Lena Geken; Nurinaya Suleman; Maswati
Journal of Creative Power and Ambition (JCPA) Vol. 4 No. 01 (2026): Journal of Creative Power and Ambition (JCPA)
Publisher : CV Edujavare Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70610/jcpa.v4i01.1178

Abstract

Background: Early childhood (0–6 years) represents the most vulnerable population for infectious diseases due to an incompletely developed immune system. The high incidence of diseases such as acute respiratory infections (ARI), diarrhea, fever, chickenpox, and skin diseases constitutes a significant public health problem in Indonesia, including in Parepare City, South Sulawesi. The role of integrated health posts (posyandu) as the frontline of primary healthcare services is crucial in monitoring the health status of early childhood. Objective: This study aimed to identify the most common diseases in early childhood, analyze their risk factors, and describe prevention strategies implemented at posyandu. Methods: This study employed a posyandu-based descriptive observational design using a mixed-method concurrent triangulation approach. Quantitative data were obtained through direct observation of Posyandu Damai activities on April 11, 2026 and review of visit records from January to April 2026, while qualitative data were collected through semi-structured interviews with posyandu cadres, a community health center midwife, and attending parents or guardians. The units of analysis included 93 registered children, 65 children attending the observation session, and 87 disease-case records documented in the visit recapitulation. Data were analyzed using descriptive statistics to calculate frequencies and percentages, and thematic analysis to interpret risk factors and prevention strategies. Results: Findings indicated that 65 of 93 registered children attended the observation session, while the health-status recapitulation showed that 88 children were healthy and 5 experienced health problems. The most frequently encountered diseases included fever (32.4%), cough and common cold/ARI (28.7%), diarrhea (18.5%), intestinal worms (12.1%), and allergies (8.3%). Key risk factors identified were nutritional imbalances, poor environmental sanitation, inadequate handwashing habits, and low parental knowledge about balanced nutrition. Prevention strategies implemented by posyandu include nutritional counseling, vitamin and supplement distribution, immunization, and Clean and Healthy Living Behavior (PHBS) education. Conclusion: Posyandu plays a strategically vital role in improving the health status of early childhood. Synergy among posyandu cadres, healthcare workers, and parents is the key to successful disease prevention in early childhood. Enhanced community-based education programs and promotional-preventive approaches need to be continuously strengthened to reduce disease incidence in children