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All Journal ABDIMAS Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Kholilah Lubis
Prodi Sarjana Kebidanan, Fakultas Kebidanan, Universitas Prima Nusantara Bukittinggi
Education Health Professions Mechanical Engineering Medicine & Pharmacology Nursing Public Health Veterinary Other

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IMPLEMENTASI EDUKASI GIZI DAN PENGUKURAN ANTROPOMETRI SEBAGAI KUNCI PENCEGAHAN MALNUTRISI PADA BALITA Kholilah Lubis; Zilfi Yola Pitri; Indah Putri Ramdhanti; Desri Nova H
Jurnal Pengabdian Masyarakat Vol 4 No 1 (2026): Jurnal Pengabdian Masyarakat (ABDIMAS)
Publisher : STIKES Garuda Putih

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52741/abdimas.v4i1.134

Abstract

Background: Malnutrition among toddlers remains a significant public health problem that affects the quality of human resources in the future. Nutrition education is one of the important promotive and preventive interventions in improving parents’ knowledge regarding the fulfillment of children's nutritional needs. Objective: This community service activity aims to improve parents’ knowledge regarding the prevention of malnutrition among toddlers in the working area of Gulai Bancah Public Health Center, Bukittinggi City. Methods: The method used was an educational approach aimed at assessing changes in participants’ knowledge levels before and after the nutrition education intervention among 18 respondents. The intervention was conducted through counseling using presentation media, leaflets, and demonstrations of toddler growth measurement. Results: The results showed an increase in the mean knowledge score from 53.44 to 73.28, with a p-value of 0.001 (p < 0.05), indicating a significant difference after the intervention. Thus, nutrition education has been proven effective in improving parents’ knowledge as an effort to prevent malnutrition among toddlers and should be implemented continuously. Keywords: Nutrition education, Malnutrition, Toddlers, Knowledge, Prevention
The Impact of Digital Animated Flipbook on Knowledge and Adherence to Iron Supplementation: A Pre-Experimental Study Among Anemic Adolescent Girls Indah Putri Ramadhanti; Desri Nova H; Kholilah Lubis; Debby Ratno Kustanto; Aini Mulia Hidayat
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p183-194

Abstract

Anemia remains a significant public health problem among adolescent girls in Indonesia, with low adherence to weekly iron-folic acid supplementation (IFAS) programs. Innovative educational strategies are needed to improve both knowledge and adherence to supplementation. This study aimed to examine the effect of CEMARA animated flipbook education on knowledge and weekly iron supplement adherence among anemic adolescent girls. A pre-experimental one-group pretest-posttest design was used. The study involved 68 ninth-grade anemic girls from SMPN 03 Bukittinggi, Indonesia. Consecutive sampling was applied to recruit participants. The intervention consisted of the CEMARA animated flipbook, which was delivered over one month. During this period, the girls also received weekly monitoring of their iron tablet intake. Knowledge and adherence were measured using structured questionnaires, both of which had acceptable reliability (Cronbach's alpha = 0.812 for knowledge and 0.803 for adherence). Data analysis was performed using the Wilcoxon signed-rank test and Spearman's rank correlation test. The mean knowledge score increased from 12.90 ± 2.306 to 19.13 ± 1.683 (p < 0.001). The mean adherence score increased from 3.56 ± 1.028 to 5.84 ± 1.016 (p < 0.001). However, the correlation between knowledge improvement and adherence was weak and not statistically significant (r = 0.171; p = 0.162). CEMARA animated flipbook education significantly improved knowledge and weekly iron supplement adherence among anemic adolescent girls. However, increased knowledge was not significantly associated with adherence, indicating that behavioral and contextual factors may also influence supplementation practices.
The Impact of Digital Animated Flipbook on Knowledge and Adherence to Iron Supplementation: A Pre-Experimental Study Among Anemic Adolescent Girls Indah Putri Ramadhanti; Desri Nova H; Kholilah Lubis; Debby Ratno Kustanto; Aini Mulia Hidayat
Journal of Ners and Midwifery Vol 13 No 2 (2026)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk..v13i2.ART.p183-194

Abstract

Anemia remains a significant public health problem among adolescent girls in Indonesia, with low adherence to weekly iron-folic acid supplementation (IFAS) programs. Innovative educational strategies are needed to improve both knowledge and adherence to supplementation. This study aimed to examine the effect of CEMARA animated flipbook education on knowledge and weekly iron supplement adherence among anemic adolescent girls. A pre-experimental one-group pretest-posttest design was used. The study involved 68 ninth-grade anemic girls from SMPN 03 Bukittinggi, Indonesia. Consecutive sampling was applied to recruit participants. The intervention consisted of the CEMARA animated flipbook, which was delivered over one month. During this period, the girls also received weekly monitoring of their iron tablet intake. Knowledge and adherence were measured using structured questionnaires, both of which had acceptable reliability (Cronbach's alpha = 0.812 for knowledge and 0.803 for adherence). Data analysis was performed using the Wilcoxon signed-rank test and Spearman's rank correlation test. The mean knowledge score increased from 12.90 ± 2.306 to 19.13 ± 1.683 (p < 0.001). The mean adherence score increased from 3.56 ± 1.028 to 5.84 ± 1.016 (p < 0.001). However, the correlation between knowledge improvement and adherence was weak and not statistically significant (r = 0.171; p = 0.162). CEMARA animated flipbook education significantly improved knowledge and weekly iron supplement adherence among anemic adolescent girls. However, increased knowledge was not significantly associated with adherence, indicating that behavioral and contextual factors may also influence supplementation practices.
Co-Authors Aini Mulia Hidayat Debby Ratno Kustanto Desri Nova H Indah Putri Ramdhanti Ramadhanti, Indah Putri Zilfi Yola Pitri