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Ahmad Fikri
Politeknik Kesehatan Kemenkes Tanjung Karang
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Journal : Journal of Public Health Concerns

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Peningkatan kemampuan kader dalam pendampingan ibu hamil hingga menyusui dua tahun berbasis buku KIA dan media edukasi booklet Indrasari, Nelly; Fikri, Ahmad; Rahmadi, Antun; Khoiriyah, Yustin Nur
JOURNAL of Public Health Concerns Vol. 5 No. 11 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i11.2158

Abstract

Background: The period from pregnancy to two years of age is a crucial phase in preventing stunting and improving maternal and child health. Community health cadres play a strategic role in supporting pregnant and breastfeeding mothers; however, their capacity to utilize the Maternal and Child Health Handbook (KIA) and educational media remains limited. Purpose: To improve the knowledge and role of Posyandu cadres in supporting pregnant mothers through the age of two through the use of the KIA handbook and educational booklets. Method: This community service activity was conducted in Sukamaju Village, Abung Semuli District, North Lampung Regency in 2025. The target group included Posyandu cadres, pregnant mothers, breastfeeding mothers, and families of toddlers. The activity involved 30 Posyandu cadres, 30 pregnant mothers, 30 breastfeeding mothers, and was also attended by representatives from the village government, community health centers, and village midwives. The program employed a community-based, participatory approach focused on increasing the capacity of cadres in supporting pregnant mothers through the first two years of breastfeeding through the use of the Maternal and Child Health Handbook (KIA) and educational booklets. Summative evaluation was conducted at the end of the program through observation, interviews, and assessment of changes in knowledge, attitudes, and practices of cadres and targets. Evaluation activities were conducted in the prenatal classes and integrated health posts (Posyandu) in Sukamaju Village. Results: Cadres' understanding of breastfeeding techniques increased from 22.9% before training to 88.6% after training. Cadres' ability to explain Early Initiation of Breastfeeding (IMD) increased from 31.4% to 91.4%, while their ability to conduct breastfeeding counseling based on the Maternal and Child Health (KIA) Handbook and educational media increased from 17.1% to 82.9%. Implementation results showed that 30 pregnant women received education on breastfeeding preparation for up to two years, 11 mothers received IMD assistance during delivery, and 30 breastfeeding mothers reported successful latching after counseling by the cadres. In addition, 19 mothers began practicing breast milk expression and storage according to guidelines, and 30 babies' growth monitoring was recorded in the KIA Handbook. Conclusion: Community service activities through empowering cadres to accompany pregnant women up to two years of breastfeeding based on the Maternal and Child Health (KIA) Handbook and educational media booklets have proven effective in increasing cadre capacity, as well as increasing knowledge and practices among pregnant and breastfeeding mothers. Empowering cadres based on the KIA Book is a relevant and applicable strategy in supporting stunting prevention efforts at the community level. Suggestion: It is hoped that cadre mentoring will continue and be routinely integrated into integrated health post (Posyandu) activities and prenatal classes. It is also recommended that future community service activities be longer-term and involve a wider target group so that the long-term impact on stunting prevention can be evaluated more comprehensively. Keywords: Cadre empowerment; Health education; KIA handbook; Pregnant women; Stunting prevention Pendahuluan: Periode sejak kehamilan hingga anak berusia dua tahun merupakan fase krusial dalam pencegahan stunting dan peningkatan derajat kesehatan ibu dan anak. Kader kesehatan masyarakat memiliki peran strategis dalam mendampingi ibu hamil dan menyusui; namun, kapasitas kader dalam memanfaatkan Buku Kesehatan Ibu dan Anak (KIA) serta media edukasi masih terbatas. Tujuan: Untuk meningkatkan pengetahuan dan peran kader Posyandu dalam pendampingan ibu hamil hingga anak berusia dua tahun melalui pemanfaatan buku KIA dan media edukasi booklet. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan di Desa Sukamaju, Kecamatan Abung Semuli, Kabupaten Lampung Utara pada tahun 2025. Sasaran kegiatan meliputi kader Posyandu, ibu hamil, ibu menyusui, serta keluarga balita. Kegiatan ini melibatkan 30 kader posyandu, 30 ibu hamil, 30 ibu menyusui dan dihadiri juga dari pemerintah desa, puskesmas, dan bidan desa. Program dilakukan dengan pendekatan community-based participatory approach yang difokuskan pada peningkatan kapasitas kader dalam pendampingan ibu hamil hingga menyusui dua tahun melalui pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) dan media edukasi booklet. Evaluasi sumatif dilaksanakan pada akhir program melalui observasi, wawancara, serta penilaian perubahan pengetahuan, sikap, dan praktik kader dan sasaran. Kegiatan evaluasi dilakukan pada kelas ibu hamil dan posyandu di Desa Sukamaju. Hasil: Pemahaman kader terhadap teknik menyusui meningkat dari 22.9% sebelum pelatihan menjadi 88.6% setelah pelatihan. Kemampuan kader dalam menjelaskan IMD meningkat dari 31.4% menjadi 91.4%, sedangkan kemampuan melakukan konseling ASI berbasis Buku KIA dan media edukasi meningkat dari 17.1% menjadi 82.9%. Hasil implementasi menunjukkan bahwa 30 ibu hamil memperoleh edukasi persiapan menyusui hingga dua tahun, 11 ibu mendapatkan pendampingan IMD saat persalinan, dan 30 ibu menyusui melaporkan keberhasilan pelekatan (latch-on) setelah konseling oleh kader. Selain itu, 19 ibu mulai menerapkan praktik memerah dan menyimpan ASI sesuai panduan, serta 30 bayi tercatat lengkap pemantauan pertumbuhannya dalam Buku KIA. Simpulan: Kegiatan pengabdian kepada masyarakat melalui pemberdayaan kader pendamping ibu hamil hingga menyusui dua tahun berbasis Buku Kesehatan Ibu dan Anak (KIA) dan media edukasi booklet terbukti efektif dalam meningkatkan kapasitas kader serta pengetahuan dan praktik pada ibu hamil dan ibu menyusui. Pemberdayaan kader berbasis Buku KIA merupakan strategi yang relevan dan aplikatif dalam mendukung upaya pencegahan stunting di tingkat komunitas. Saran: Diharapkan, agar pendampingan kader dilanjutkan dan diintegrasikan secara rutin dalam kegiatan posyandu dan kelas ibu hamil. Kegiatan pengabdian selanjutnya juga disarankan memiliki durasi yang lebih panjang dan melibatkan jumlah sasaran yang lebih luas agar dampak jangka panjang terhadap pencegahan stunting dapat dievaluasi secara lebih komprehensif.
Co-Authors Abdul Basit Abdul Muid Achmad Noerkhaerin Putra Adeko, Riang Adi Setiawan Afifah, Yuliana Agam Muarif Agus Adi Nursalim Ahmad Afandi Aini, Jannatul Alfriyanto, Mochammad Bimo Aliyanto, Warjidin Alwan, Muhammad Amalia, Nabila Amalia, Nabuia Ameliani, Eka Amin, Muhammad Nor Aminah Zb amnah amnah Amrina, Amrina Anggraini, Meli Ani Firda, Ani Aniati Murni Anita Anita Anjani, Rani Ar Razi Ardinal, Eva Arif Fadhilah, Arif Aris Munandar Armida Armida Aryo Seno Ashari, Muhammad Rayhan Aslamiyah, Mujadiddah Aspendi, Ronal Atika Atika Aulia Rahman Aulia, Rauzatul Azhari Muslim Aziz, Mahbub Humaidi Azliani, Mayaza Bambang Purwanto Basri Basri Bur, Suhatri BUSTIAN, BUSTIAN Cecep Abdul Cholik Danial - Dayanti, Putri Dedi Fariadi Desy Desy, Desy Dewi Purwaningsih Diana, Rahmi Dini Rizki Fachry Abda El Rahman Faisal Faisal Fathan, Yogi Arif fatimah Fatimah Fauzan Sulman Fazira, Zetta Ferizal Masra Fikri Ulul Albab Firda, Hanisyah Ginting, Daria Hadi, Al Amin Hanif Hanif Harfi, Muhammad Harisah Harisah, Harisah Haryadi, Rendi Hasirah Hasirah Hasirah, Hasirah Hasnah, Nor Hastuti, Retno Puji Herdiana, Ria Ibrahim, Ishak Idarianty idarianty Ilmi, Jainal INDRASARI, NELLY Ismail Fahri Izza, Nurul Jaenal Gopur Asmanul Salam Jajat Imanudin Jalaluddin Jalaluddin Jamrizal, Jamrizal Jubaidi Jubaidi Jufri Karbito Karbito, Karbito Khairul Anshar Khairul Anshar Kiamuddin, Muhammad Kurniawati Kurniawati Kurniawati Lena, Mahda Linda, Nita Liyana, Khaila Egi Lukmanul Hakim M Ridwan M. Yahuda Maaggazing, Fernand Faktur Daeng Mahroja, Siti Mahyuzar Mahyuzar Mainisa, Mainisa Maisah Maisah Maizuar Maizuar Malintang, Jimmy Manurung, Melin Nekawati Masrullita, Masrullita Medyan Riza Mei Ahyanti Mila, Apryza Monika, Sintia Agnes MS, Uyun Nafiah Muhammad Johan Alibasa muhammad rizky, muhammad Muhyi Mohas Multama, Ilham Mulyawan, Rizka Munir, Moh. Murniyati, Murniyati murwanto, bambang Musli Musyaffa, Muhammad Hariq Nanda, Rizki Aulia Neneng Hasanah Neolaka, Aglom Mel Yoksam Noor, Ade Surya Jaya Novi Sylvia Noza Aflisia Noza Aflisia, Noza Nurhaliza, Rada Nurhamidah Nurhamidah Nurlaila, Rizka Nurmalita Nurmalita Nurmansyah Nurmansyah, Nurmansyah Nys Arfa Oktavia, Riski Amelia Prayudhy Yushananta Prianto, Nawan Purnama, Kiki Riiski Qori'ah, Maria Rafzan, Rafzan Rahmadi, Antun Rahman, Anggun Nata Utami Ramadhani, Sulis Ramadhano, Yanri Raudhatul Jannah Razi, Ar Reka Lagora Marsofely Restiani, Devi Indah Retno Puji Hastuti Retnowulan, Sri Rahayu Rijal Firdaus Rika Febriani, Rika RINI RINI RISA WAHYUNI EDT Rizano, Zulfan Farikh Rizka Mulyawan Rizki, Dini rohani, aceng asnawi Rozanna Dewi Safitri, Resdiana Sakinah Sakunti, Sri Ramdayeni Salahuddin Santosa, Iman Saputra, Aditia Saputri, Renika Dwi Sari, Mona Linda Novita Sari, Sarmila Puspita Sarip Usman Sarip Usman Sarlinda, Febrina Shalihah, Imraatus Shalihah, Maratun Sidon, Bey siregar, annisa febrianti Sitepu, Rizki Ramadhan Siti Nurjannah Sri Juwita, Sri sri sudiarti Sri Widowati SUDARMONO SUDARMONO Sugiarti Sugiarti Suhilmiati, Endhang Sulastri Sulastri Sulastri Sulastri Sulastri Sulastri Sulhatun Sulhatun Sururuddin Sururuddin, Sururuddin Suryatman Desri SUSANTI, ZUYUN SITI NURFINA Syahrani, Irma Syahrizal Syahrizal Syamsiar, Syamsiar Syamsul Bahri Syanqaiti, Muhammad Tanjung, Risky Marchel Taqwa, Muhammad Reyza Arif Taufik, Kemal Thalib, Supriadi Ulfa, Raudhatul Ulfa, Srimaria Usman Usman Usman, Sarip Wiansyah, Adif Wildania, Distiara Witro, Doli Wulandjani, Harimurti Yanti, Putri Novi Yuli Afiatul, Elsa Vanny Yulia Putri Yulisda, Desvina Yusraini yusraini Yusrizal Yusrizal Yusrizal Yusrizal Yustin Nur Khoiriyah Zainuddin Ginting Zamani, Nor Hafiz Zenni Puspitarini Zidan, Muhammad Zufina, Rezki Zulnazri Zulnazri, Z