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Effectiveness of Counseling in Increasing Mothers' Behavior (Knowledge and Attitudes) Regarding Post-Placental IUD Selection to Realize the SDG Goals of Good Health and Well-Being Suharto, Agung; Nur Hanifah, Astin; Nurtatik
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.44-50

Background: The low coverage of post-placenta IUDs is due to the non-optimal family planning counseling for third-trimester pregnant women. Aims: This study aims to analyze the effectiveness of ABPK and SKB counseling in increasing mothers' knowledge and attitudes about choosing a post-placenta IUD at Tawangrejo Health Center, Madiun City. Methods: This type of research is quasi quasi-experimental nonequivalent control group design. Data were analyzed using Marginal Homogeneity, Mann-Whitney, Mc Nemar, and Chi-Square. Results: The results showed that the Marginal Homogeneity test in the experimental group (SKB) obtained an increase in knowledge with a p-value of 0.000 (<0.05) and the control group (ABPK) obtained an increase in knowledge with a p-value of 0.000 (<0.05) so that it can be interpreted both effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The result of the McNemar test on the attitude of the ABPK group was 0.227 (> 0.05) and the attitude of the SKB group was 0.146 (> 0.05) so it can be interpreted that both were not effective in increasing the attitude of mothers about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The results of the Mann-Whitney test on knowledge after ABPK with knowledge after LCS show a p-value of 0.02 the mean rank at ABPK is 23 and the mean rank SKB is 28 meaning that there is a difference between ABPK counseling and SKB counseling in improving mothers' attitudes about choosing the Post Placenta IUD and counseling SKB is more effective. Conclusion: The conclusion of SKB counseling is more effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. Suggestions to further improve SKB counseling in Post Placenta IUD family planning services.

Integrative Empowerment Of Health Cadres In Efforts To Monitor Stunting Risk Through The Use Of Smartphone-Based Electronic Child Card Applications In Ngiliran Village, Panekan District, Magetan Regency Wisnu, Nurwening Tyas; Suharto, Agung; Purwanto, Triana Septianti; Herlina, Tutiek; Sumasto, Hery
Frontiers in Community Service and Empowerment Vol. 3 No. 3 (2024): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i3.68

ABSTRACT The Community Engagement activity, conducted from May to August 2024, aimed to empower various stakeholders, such as early childhood integrated health service cadres, prospective brides and grooms, pregnant women, and mothers of young children, in their endeavors to monitor early stunting effectively. It addressed the pressing issue of stunting prevalence in Ngiliran Village, which had reached an alarming 18.6%, surpassing the national target set for 2024, which is 14%. Partners, including integrated health service cadres, prospective brides and grooms, pregnant women, and mothers, faced challenges like limited knowledge in measuring children's nutritional status, inconsistent monitoring, and inadequate stunting prevention education. To address these issues, the activity utilized the Electronic Child Card (KARANEL) smartphone application. KARANEL accurately measured children's height and weight, stored data electronically, presented nutritional status visually, and offered guidance. It empowered partners to identify, prevent, and manage stunting effectively. The results demonstrated that KARANEL enhanced the knowledge, skills, and motivation of integrated health service cadres and partners. Conclusion: the smartphone-based KARANEL application proved highly beneficial for early stunting monitoring in Ngiliran Village, providing a practical solution to combat stunting

Community Empowerment in Efforts to Prevent Stunting Based on the Health Belief Model in Milangasri Village, Panekan District, Magetan Regency Suharto, Agung; Santosa, Budi Joko; Setiyani, Astuti
Frontiers in Community Service and Empowerment Vol. 3 No. 4 (2024): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i4.87

ABSTRACT Introduction, stunting is a disruption in the growth and development of children due to chronic malnutrition and recurrent infections, which is characterized by their body length or height being below standard. The number of stunted toddlers in Milangasri Village, Panekan District, Magetan Regency in 2022 will be 4 (four) toddlers. Milangasri Village, which is part of the Panekan sub-district, contributes around 4% of all malnourished children under five in Magetan Regency. Coverage of healthy living behavior at household level in Panekan sub-district is around 46%, this achievement is smaller than the national standard of 60%. Efforts to overcome stunting directly touch aspects of knowledge, attitudes, behavior and skills of families and communities through integrated community service activities and are carried out starting from monitoring from pregnancy until the child is at least two years old. Method, community service by providing education about stunting prevention using pre-test-posttest. Location of community service activities in Milangasri Village, Panekan District, Magetan Regency. Results. Characteristics of community service participants, most of whom are 31-35 years old, 38%, most of the participants' education is secondary (high school or equivalent) as much as 57% and the occupation of most of the community service participants is housewives, 35%. There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model. Conclusion: There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model.

Pemberian Makanan Pendamping Air Susu Ibu Terlalu Dini Sebagai Faktor Risiko Terjadinya Kekurangan Gizi pada Balita Febriana, Citra Nurwidya; Handayani, Tinuk Esti; Suparji, Suparji; Suharto, Agung
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14305

Most of the causes of under-five deaths are related to malnutrition due to improper feeding practices during infancy, for example giving complementary foods to breast milk that are too early or too late. This study aims to analyze the relationship between the provision of complementary foods for breast milk and the nutritional status of toddlers aged 6-36 months. This study applied a cross-sectional design, involving 88 toddlers aged 6-36 months, who were selected by simple random sampling technique. Data was collected by filling out questionnaires, weighing and measuring height. To analyze the relationship between the two variables, the Kendall's Tau correlation test was used. The results showed that the majority of children under five who were given complementary food to breast milk at the age of <6 months experienced nutritional problems. Meanwhile, the majority of toddlers who were given complementary food for breast milk ≥ 6 months had normal nutritional status. The Kendall's Tau test results showed p-value of 0.000. It could be concluded that there is a relationship between the age at first giving complementary foods for breast milk and the nutritional status of toddlers.Keywords: complementary food for breast milk; toddler; nutritional status ABSTRAK Sebagian besar penyebab kematian balita berkaitan dengan kekurangan gizi akibat praktik pemberian makan yang tidak benar pada masa bayi, misalnya pemberian makanan pendamping air susu ibu yang terlalu dini atau terlambat. Penelitian ini bertujuan untuk menganalisis hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi balita umur 6-36 bulan. Penelitian ini menerapkan rancangan cross-sectional, yang melibatkan 88 balita berumur 6-36 bulan, yang dipilih dengan teknik simple random sampling. Data dikumpulkan melalui pengisian kuesioner, penimbangan berat badan dan pengukuran tinggi badan. Untuk menganalisis adanya hubungan antara kedua variabel digunakan uji korelasi Kendall’s Tau. Hasil penelitian menunjukkan bahwa mayoritas balita yang diberi makanan pendamping air susu ibu pada umur <6 bulan mengalami masalah gizi. Sedangkan mayoritas balita yang diberi makanan pendamping air susu ibu ≥6 bulan memiliki status gizi normal. Hasil uji Kendall’s Tau menunjukkan nilai p = 0,000. Dapat disimpulkan bahwa ada hubungan antara umur pertama pemberian makanan pendamping air susu ibu dengan status gizi balita. Kata kunci: makanan pendamping air susu ibu; balita; status gizi

Faktor-Faktor yang Mempengaruhi Kejadian Stunting di Wilayah Kerja Pusat Kesehatan Masyarakat Panekan, Magetan Rahmawati, Debby; Handayani, Tinuk Esti; Suparji, Suparji; Suharto, Agung
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 3 (2024): Juli-September 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14301

Stunting is one of the nutritional problems that has not been resolved and the incidence rate is still quite high in Magetan Regency, especially in the Panekan Community Health Center working area, namely 49.1%. Toddlers with stunting have an impact on growth and development that is not optimal physically and psychomotorically. This research aimed to analyze the factors that cause stunting. This research was an analytical survey study with a cross-sectional design. The population was 251 toddlers in 17 villages in Panekan District. The sample size was 163 toddlers taken using proportional random sampling and simple random sampling techniques. Independent variables were gender, exclusive breastfeeding, history of LBW and parity; while the dependent variable was the incidence of stunting. Data collection was carried out using children's cohort book documentation and recapitulation data from the Panekan Community Health Center. The collected data was analyzed using a logistic regression test. The research results showed that the majority of toddlers with stunting were male, born LBW, not given exclusive breast milk, and born to mothers with grandemultiparous parity. The results of statistical analysis showed that factors that were significantly related to the incidence of stunting were gender (p = 0.033, OR = 1.84), history of low birth weight (p = 0.000, OR = 28.3), exclusive breastfeeding (p = 0.000, OR = 58.8) and parity (p = 0.002, OR = 6.49). It was concluded that the factors that contributed to the occurrence of stunting at the Panekan Community Health Center included gender, low birth weight, exclusive breastfeeding, and parity. The dominant factor causing stunting is breastfeeding.Keywords: exclusive breastfeeding; low birth weight; gender; parity; stuntingABSTRAK Stunting merupakan salah satu masalah gizi yang belum terselesaikan dan masih cukup tinggi angka kejadiannya di Kabupaten Magetan, khususnya di wilayah kerja Puskesmas Panekan yaitu sebesar 49,1%. Balita dengan stunting berdampak pada pertumbuhan dan perkembangan yang tidak optimal secara fisik dan psikomotorik. Penelitian ini bertujuan untuk menganalisis faktor-faktor penyebab terjadinya stunting. Penelitian ini merupakan studi survey analitik dengan desain cross-sectional. Populasi adalah 251 balita pada 17 desa di Kecamatan Panekan. Ukuran sampel 163 balita yang diambil dengan teknik proportional random sampling dan simple random sampling. Variabel independent adalah jenis kelamin, pemberian ASI eksklusif, riwayat BBLR dan paritas; sedangkan variabel dependent adalah kejadian stunting. Pengumpulan data dilakukan menggunakan dokumentasi buku kohort anak dan data rekapitulasi data Puskesmas Panekan. Data yang telah terkumpul dianalisis menggunakan uji regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar balita dengan stunting berjenis kelamin laki-laki, lahir dengan bayi berat lahir rendah, tidak diberikan ASI eksklusif, dan lahir dari ibu dengan paritas grandemultipara. Hasil analisis statistik menunjukkan bahwa faktor yang berhubungan secara signifikan dengan kejadian stunting adalah jenis kelamin (p = 0,033, OR = 1,84), riwayat BBLR (p = 0,000, OR = 28,3), pemberian ASI eksklusif (p = 0,000, OR = 58,8) dan paritas (p = 0,002, OR = 6,49). Disimpulkan bahwa faktor yang memberikan kontribusi terhadap terjadinya stunting di Puskesmas Panekan meliputi jenis kelamin, bayi berat lahir rendah, pemberian ASI eksklusif, dan paritas. Faktor dominan penyebab stunting adalah pemberian ASI.Kata kunci: ASI eksklusif; bayi berat lahir rendah; jenis kelamin; paritas; stunting

Behavior of Providing Additional Recovery Food to Increase Weight of Malnourished Toddlers Aged 24-59 Months at Magetan District Health Center Suharto, Agung; Harviandani, Berliana Septy
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1153

The percentage of under-five malnutrition problems in Indonesia was 17.8%, with 3.8% and 14% of under-five cases being malnutrition. The Magetan Health Service reports that as of 2021, there were 332 cases of undernourished toddlers; however, the Panekan Health Center reported 116 cases of undernourished toddlers in 2020 based on weight/body length data. The undernourished toddlers was defined as those who were between the ages of 24 and 59 months. This kind of study employs secondary data sources, an analytical approach, a quasi-experimental design, and a non-equivalent control group design. This study included 73 toddlers as subjects: 31 toddlers who did not receive any nutrition, 42 toddlers who did receive nutrition, and malnourished toddlers aged 24-59 months. Data collection uses data collection sheets. The Independent and Paired t-tests are the analysis methods employed. The average difference in body weight between the two groups was found to be 0.594 with a range of 0.0324 kilograms – 1.156 kilograms. The study's results were obtained using the Paired t-test with a p-value = 0.000 with a significance level of 0.05 and the independent t-test with a p-value = 0.038 with a significance level of 0.05. The study concludes that supplementary feeding has an impact on the weight of undernourished toddlers at the Panekan Health Center who are between the ages of 24 and 59 months. It is hoped that by continuing to supplement food, the recovery program may decrease the number of undernourished children under five.

PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI) DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Hanifah, Astin Nur; Suharto, Agung; SWN, Heru; Rahayu, Teta Puji; Sunarto, Sunarto; Sulikah, Sulikah; Nurweningtyas, Nurweningtyas; Handayani, Tinuk Esti; Herlina, Tutiek; Saadah, Nurlailis; Santosa, Budi Joko; Usnawati, Nana; Suparji, Suparji; Sumaningsih, Rahayu; Nuryani, Nuryani; Septianti, Triana; Setiyani, Astuti
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2050

The development of the health sector, as part of national development, is directed toward improving the quality of human resources. One of the indicators of successful health development is the reduction of infant mortality rates and the improvement of community nutritional status. Optimal nutritional status can only be achieved when good nutritional practices are implemented at every stage of life, including during infancy . Failures in breastfeeding often stem from a lack of information. The study by Ambarwati, Setiyani, and Usnawati (2017) indicates that breastfeeding discussion classes can improve breastfeeding practices among breastfeeding mothers (Ambarwati, Setiyani, and Usnawati, 2017). Parents’ Education has also been shown to be effective in improving the knowledge and attitudes of primigravida couples regarding exclusive breastfeeding. Efforts to enhance knowledge and attitudes toward exclusive breastfeeding must be continuously strengthened and followed by an evaluation of exclusive breastfeeding practices (Usnawati, 2017). Based on these findings, it is necessary to establish a Breastfeeding Support Group (KP-ASI) and implement breastfeeding assistance programs. The establishment of KP-ASI and the breastfeeding assistance program will be carried out through the following strategies: Phase 1: Issuance of an official request letter from Sumberdodol Village for the formation of a breastfeeding support group. Educational materials will be provided to third-trimester pregnant women and breastfeeding mothers. Phase 2: Delivery of educational materials to Posyandu cadres, third-trimester pregnant women, and breastfeeding mothers. The training session will be conducted once. The education session in the village is scheduled for Tuesday, September 9, 2025. Phase 3: Developing a meeting plan and activity schedule for the members and committee of the Breastfeeding Support Group (KP-ASI) for the following month.

REFRESING KADER POSYANDU TENTANG PENCEGAHAN DAN DETEKSI STUNTING DI DESA TAPAK KECAMATAN PANEKAN KABUPATEN MAGETAN Suharto, Agung; Hanifah, Astin Nur; SWN, Heru; Rahayu, Teta Puji; Sunarto, Sunarto; Sulikah, Sulikah; Nurweningtyas, Nurweningtyas; Handayani, Tinuk Esti; Herlina, Tutiek; Saadah, Nurlailis; Santosa, Budi Joko; Usnawati, Nana; Suparji, Suparji; Sumaningsih, Rahayu; Nuryani, Nuryani; Septianti, Triana; Setiyani, Astuti
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2227

Introduction: Posyandu cadres are community members who are involved in the community health center to manage the posyandu voluntarily. They are the main pillar and the front line of defense in improving the health status of the community because they are the ones who best understand the characteristics of the community in their area. Cadres also remind the community about the posyandu schedule, encourage pregnant women and parents of toddlers to come to the posyandu to monitor nutritional status and health. Objective: To determine the increase in knowledge of posyandu cadres in preventing stunting. Method: Conducting refresher posyandu cadres about prevention and detection of stunting in Tapak Village, the working area of the Panekan Community Health Center, Magetan Regency, including providing health information to cadres so that it can be passed on to the community. Training on measuring and determining nutritional status aims to enable cadres to determine the nutritional status of toddlers accurately and provide actual and accurate reports to the community health center. Results: Of the 18 Posyandu cadre participants who attended the Posyandu refreshing activity held on September 9, 2025 with material on stunting prevention and toddler growth detection at the Tapak Village Hall, Panekan District, Pre-test scores were obtained, a small portion received a score of 8, namely 11% and most received a score of 10, namely 44%. While the post-test results obtained a small portion received a score of 9, namely 28% and most received a score of 10, namely 72%. Conclusion: There was an increase from the pre-test results to the post-test of knowledge and skills about stunting prevention in Posyandu cadres.

Community Empowerment for Stunting Prevention: A Quasi-Experimental Study in Indonesia Suharto, Agung; Joko Santosa, Budi; Suparji, Suparji
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 2 (2026): February 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i2.8952

Introduction: Stunting remains a major public health challenge in Indonesia, with long-term consequences for human resource quality. Empowering Posyandu (integrated health post) cadres through theory-based approaches is considered a strategic intervention to strengthen prevention efforts.Objective:This study aimed to evaluate the effectiveness of a community empowerment model grounded in the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB) in improving preventive behaviors among Posyandu cadres. Methods: A quasi-experimental design with a non-equivalent control group and pretest–posttest approach was employed. The study was conducted in Magetan Regency, East Java Province, from January to September 2023. The intervention group was drawn from Panekan Sub-district and the control group from Plaosan Sub-district, with geographic separation used to minimize contamination. The study population comprised 400 cadres, from which 200 respondents were recruited proportionally and selected using random sampling within each sub-district (intervention = 100; control = 100). The intervention consisted of structured training modules integrating HBM and TPB constructs, including risk perception, benefits of prevention, self-efficacy, barrier reduction, and behavioral planning. Data were collected using a validated Likert-scale questionnaire measuring perceived susceptibility, perceived benefits, attitudes, intentions, subjective norms, and preventive behaviors. Analyses employed paired-samples t-tests for within-group comparisons and independent-samples t-tests for between-group differences, with significance set at p < 0.05. Results: The intervention group demonstrated statistically significant improvements across all measured variables (p < 0.001). Preventive behavior scores increased from 12.11 (SD = 1.06) at baseline to 21.10 (SD = 1.87) post-intervention. Between-group analyses confirmed higher posttest scores in the intervention group compared to controls (p < 0.001). Conclusion: Empowerment training based on HBM and TPB was effective in enhancing cadres’ cognitive and behavioral components related to stunting prevention. These findings provide preliminary evidence supporting the integration of theory-driven empowerment models into community health programs, while highlighting the need for sustained training and longer-term evaluation to ensure durability of behavioral change.

Community Empowerment to Create Healthy Villages Free of Stunting Through the Implementation of a Mobile Application to Monitor Breast Milk Expenditure and Adequacy for Babies Suharto, Agung; Usnawati, Nana; Nur Hanifah, Astin
Frontiers in Community Service and Empowerment Vol. 5 No. 1 (2026): March
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v5i1.114

Stunting is a condition of growth failure in children due to chronic malnutrition, especially in the first thousand days of life. Stunting affects brain growth and development. Reducing stunting requires integrated interventions including specific nutritional interventions, integrated pregnancy care, maternal nutrition monitoring, anemia monitoring, child growth and development monitoring, exclusive breastfeeding, provision of nutritionally adequate complementary foods, family empowerment to monitor the provision of Fe tablets for pregnant women, vitamin A for toddlers, PHBS, use of iodized salt, monitoring consumption of street snacks. This community service method is education about community empowerment to create a healthy village free from stunting through the implementation of a Mobile Application for monitoring breast milk expenditure and sufficiency for babies. The targets of this community service activity are breastfeeding mothers, posyandu cadres and community leaders. The results showed an increase in knowledge about stunting prevention. The results of statistical analysis obtained a p value = 0.000 (p <0.05) there was an increase in knowledge before and after being given education about the use of mobile applications to monitor breast milk expenditure and sufficiency proven effective in supporting stunting prevention. Conclusion: Community empowerment through the use of mobile applications to monitor breast milk expenditure and sufficiency has proven effective in supporting stunting prevention

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