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The Effect of Growth Monitoring and Promotion (GMP) Program Counseling on Mothers’ Behavior in Monitoring the Growth of Malnourished Children Under Two Years Old Wulansari; Sutarto; Betta Kurniawan; Suharmanto; Khairun Nisa Berawi
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 2 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

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Abstract

Malnutrition in children under two years of age remains a public health problem that affects child growth and development. One of the interventions implemented to address this issue is the Growth Monitoring and Promotion (GMP) program accompanied by nutrition counseling for mothers. This study aimed to analyze the effect of GMP program counseling on maternal behavior in monitoring the growth of malnourished under-two children in the working area of the Margototo Public Health Center, East Lampung Regency. This study used a quantitative approach with a one-group pretest-posttest design. The sample consisted of 30 mothers who had malnourished under-two children, selected using a total sampling technique. Quantitative data were analyzed using the paired t-test. The results showed a significant improvement in mothers’ knowledge, attitudes, practices, and behaviors after GMP counseling (p < 0.001). In addition, there was an increase in children’s body weight after the intervention. In conclusion, GMP counseling was effective in improving maternal behavior in monitoring the growth of malnourished under-two children and supporting weight gain in children.
The Effectiveness of Posyandu Cadre Empowerment on Improving Knowledge, Attitudes, and Compliance of Mothers of Under-Five Children in Routine Growth Monitoring Tri Afrinia; Suharmanto; Susianti; Dyah Wulan Sumekar Rengganis; Betta Kurniawan
Jurnal Ilmiah STIKES Yarsi Mataram Vol. 16 No. 2 (2026): Jurnal Ilmiah STIKES Yarsi Mataram
Publisher : Institut Kesehatan YARSI Mataram

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Abstract

Routine child weighing at Posyandu is essential for monitoring growth and early detection of nutritional problems; however, maternal participation remains suboptimal due to inadequate knowledge, negative attitudes, and poor compliance. Although Posyandu cadres play a central role in community-based child health services, evidence regarding the effectiveness of cadre empowerment in improving maternal compliance remains limited. This study aimed to analyze the effectiveness of Posyandu cadre empowerment in improving mothers' knowledge, attitudes, and compliance with routine child weighing in the Pringsewu Community Health Center working area, Indonesia, in 2026. A quasi-experimental pretest–posttest control group design was conducted among 82 mothers of children under five selected using proportional stratified random sampling. Data were collected using a validated and reliable questionnaire and analyzed using paired t-tests and the McNemar test. The intervention significantly increased knowledge (mean difference = 5.67; 95% CI: 5.14–6.21; Cohen's d = 2.33; p < 0.001), attitudes (mean difference = 11.33; 95% CI: 10.93–11.73; Cohen's d = 6.16; p < 0.001), and compliance (p < 0.001; matched OR = 34.00; 95% CI: 4.65–248.38), whereas no significant changes were observed in the control group. These findings indicate that Posyandu cadre empowerment is an effective promotive and preventive strategy for strengthening maternal participation in routine child health monitoring