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Pelatihan Keterampilan Ibu untuk Deteksi Perkembangan Anak Prasekolah Menggunakan Kuesioner Pra Skrining Perkembangan Siti Yulaidah; Ayesha Hendriana Ngestiningrum; Tutiek Herlina; Astin Nur Hanifah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 14, No 1 (2023): Januari 2023
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf14nk341

Monitoring the development of pre-school children during the Covid-19 pandemic cannot take place optimally, so parents can be trained to do this. The purpose of this study was to analyze the effectiveness of the “Bulan Si Kembang” (Smart Mothers in Development Detection) training to improve mothers' skills in early detection of child development using KPSP (Child Development Pre Screening Questionnaire). The research design was one group pre-test and post-test. The samples were 42 guardians of pre-school children, who were selected by simple random sampling technique. The independent variable was the "Bulan Si Kembang" training, while the dependent variable is the mother's skill in detecting child development. Data collection was carried out using KPSP. Then an analysis of the differences in the skills of the mothers between before and after the training was carried out, using a paired sample t-test, because they were normally distributed. The results showed that the average skill before training = 66.07, while after training = 81.14. The p value of the t test results = 0.000, so it was interpreted that there is a significant difference in the skills of the mothers before and after the training. It was further concluded that the "Month of the Flower" training was effective in increasing mothers' skills in detecting child developmentKeywords: preschoolers; progress detection; mother; training ABSTRAK Pemantauan perkembangan anak pra sekolah selama masa pandemi Covid-19 tidak dapat berlangsung dengan optimal, maka orang tua dapat dilatih untuk melakukannya. Tujuan penelitian ini adalah menganalisis efektivitas pelatihan “Bulan Si Kembang” (Ibu Lancar Deteksi Perkembangan) untuk meningkatkan keterampilan ibu dalam deteksi dini perkembangan anak menggunakan KPSP (Kuesioner Pra Skrining Perkembangan Anak). Rancangan penelitian ini adalah one group pre-test and post-test. Sampel adalah 42 ibu wali murid anak pra sekolah, yang dipilih dengan teknik simple random sampling. Variabel bebas adalah pelatihan “Bulan Si Kembang”, sedangkan variabel terikat adalah keterampilan ibu dalam melakukan deteksi perkembangan anak. Pengumpulan data dilakukan menggunakan KPSP. Selanjutnya dilakukan analisis perbedaan keterampilan ibu antara sebelum dan sesudah pelatihan, menggunakan paired sample t-test, karena berdistribusi normal. Hasil penelitian menunjukkan rerata keterampilan sebelum pelatihan = 66,07, sedangkan sesudah pelatihan = 81,14. Nilai p dari hasil uji t = 0,000, sehingga diinterpretasikan bahwa ada perbedaan keterampilan ibu secara signifikan antara sebelum dan sesudah pelatihan. Selanjutnya disimpulkan bahwa pelatihan “Bulan Si Kembang” efektif untuk meningkatkan keterampilan ibu dalam deteksi perkembangan anakKata kunci: anak prasekolah; deteksi perkembangan; ibu; pelatihan

Pemberdayaan Masyarakat Dalam Bentuk Kelas Ibu Balita Di Desa Krowe Lembeyan Magetan Tahun 2020 Tutiek Herlina; Nurweningtyas Wisnu; Nuryani
Health Community Engagement Vol. 4 No. 2 (2022): Mei-Agustus
Publisher : Poltekkes Kemenkes Surabaya

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

Latar belakang: program kesehatan yang diharapkan menurunkan angka kesakitan dan kematian anak balita adalah buku KIA. Upaya strategis desentralisasi untuk meningkatkan kemandirian keluarga dan masyarakat dalam memelihara kesehatan anak adalah mengembangkan model peningkatan penggunaan buku KIA oleh masyarakat melalui Kelas Ibu Balita (1). Desa Krowe Kecamatan Lembeyan Kabupaten Magetan belum melaksanakan program kelas ibu balita sampai dengan tahun 2020. Hal ini dikarenakan kader belum memahami program kelas ibu balita. Kader beranggapan kelas ibu balita dapat dilaksanakan bersamaan Posyandu. Kegiatan rutin posyandu hanya penimbangan, imunisasi, belum ada penyuluhan khusus terkait perawatan anak. Penyuluhan diberikan bersifat individu apabila ada anak yang bermasalah. Tujuan: Pengetahuan kader posyandu tentang pelaksanaan kelas ibu balita dan perawatan anak meningkat setelah mengikuti kegiatan sosialisasi kelas ibu balita. Kader menindaklanjuti melaksanakan kelas ibu balita dengan pendampingan dari tenaga kesehatan. Metode: Peserta 36 kader Posyandu. Fasilitator adalah dosen, mahasiswa, bidan puskesmas, bidan desa. Metode pembelajaran ceramah, demonstrasi, dan praktek. Media pembelajaran lembar balik kelas ibu balita, buku KIA, food model, model gigi, alat permainan edukatif, LCD. Tempat pelaksanaan di Balai Desa Krowe. Waktu pelaksanaan tujuh pertemuan. Evaluasi dilakukan dengan pre tes dan pos tes setiap materi. Hasil: ada peningkatan rata-rata nilai post tes dibandingkan pretes. Kesimpulan: ada peningkatan pengetahuan kader tentang pelaksanaan kelas ibu balita dan perawatan bayi dan balita setelah mengikuti kelas ibu balita. Kader diharapkan dapat menindaklanjuti melaksanakan kelas ibu balita dengan pendampingan tenaga kesehatan.

Trend Determinan Penyebab Kematian Bayi di Kabupaten Magetan tahun 2020-2022 Wahyu Fitri Yuliasih; Nani Surtinah; Tutiek Herlina; Tinuk Esti Handayani
GLOBAL HEALTH SCIENCE Vol 8, No 2 (2023): Juni 2023
Publisher : Communication and Social Dinamics (CSD)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/ghs8203

Angka kematian bayi adalah masalah yang krusial, faktual, dan esensial. Kematian Bayi yang tidak teratasi akan menjadi ancaman bagi pembangunan sumber daya manusia di Indonesia. Angka Kematian Bayi di Kabupaten Magetan mengalami kenaikan pada tahun 2022. Tujuan penelitian ini untuk mengetahui trend determinan penyebab kematian bayi di Kabupaten Magetan tahun 2020-2022. Penelitian ini adalah deskriptif dengan pendekatan retrospektif. Populasi adalah data seluruh kematian bayi tahun 2020-2022 di Kabupaten Magetan. Sample berjumlah 193. Variabel penelitian adalah umur ibu, umur kehamilan ibu, paritas, umur bayi, berat badan lahir bayi, jenis kelamin, dan jenis persalinan. Instrumen. Pengambilan data dilakukan melalui data sekunder yaitu aplikasi Maternal Neonatal Death Notification. Analisa menggunakan statistik sederhana distribusi frekuensi. Penyajian data dalam bentuk grafik. Trend faktor penyebab kematian bayi terbanyak adalah umur ibu tidak beresiko, umur kehamilan ibu prematur, ibu multipara, neonatus dini, berat badan lahir rendah, jenis kelamin laki-laki, dan jenis persalinan normal. Trend kenaikan dari tahun 2021 ke tahun 2022 meliputi faktor umur ibu tidak berisiko, umur kehamilan normal, umur kehamilan postterm, ibu multipara, neonatus dini, neonatus lanjutan, berat badan lahir rendah, berat badan lahir normal, bayi dengan jenis kelamin perempuan, persalinan induksi, persalinan Seksio Secaria. Hasil penelitian menyimpulkan bahwa determinan penyebab trend kenaikan kematian bayi meliputi faktor umur ibu tidak berisiko, umur kehamilan normal, umur kehamilan postterm, ibu multipara, neonatus dini, neonatus lanjutan, berat badan lahir rendah, berat badan lahir normal, bayi dengan jenis kelamin perempuan, persalinan induksi, persalinan Seksio Secaria. Oleh karena itu dinas kesehatan, fasilitas pelayanan kesehatan, dan bidan diharapkan bekerjasama dalam pelayanan ibu hamil, ibu bersalin dan bayi baru lahir dengan peningkatan kualitas pelayanan sesuai regulasi dan memperbaiki sistem rujukan terintegrasi sehingga trend penyebab kematian bayi bisa diturunkan. Kata kunci: kematian bayi; determinan; kecenderungan

Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.

PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI) DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Astin Nur Hanifah; Agung Suharto; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
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 Agung Suharto; Astin Nur Hanifah; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
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.

STIMULASI DETEKSI INTERVENSI DINI TUMBUH KEMBANG ANAK BAGI GURU PAUD/RA KABUPATEN MAGETAN Tinuk Esti Handyani; Agung Suharto; Tutiek Herlina; Nana Usnawati; Nuryani Nuryani; Astuti Setiyani; Sulikah Sulikah; Astin Nur Hanifah; Nurlailis Sa’adah; Rahayu Sumaningsih; Nurweningtyas Wisnu; Triana Septianti Purwanto; Teta Puji Rahayu
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 4 (2026): MAJU : Indonesian Journal of Community Empowerment, Juli 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i4.2842

Background: Stimulation, Early Detection, and Early Intervention for Child Growth and Development (SDIDTK) is an essential strategy for identifying developmental deviations at an early stage, enabling timely intervention. Early childhood teachers play a strategic role in implementing SDIDTK but require adequate competency through technical training. Objective: To analyze the effectiveness of SDIDTK Technical Guidance (Bimbingan Teknis/Bimtek) in improving the knowledge of PAUD/RA teachers in Magetan Regency. Methods: A one-group pretest–posttest design was conducted involving 71 PAUD/RA teachers participating in a two-day technical training. Data were analyzed descriptively and using the Wilcoxon Signed Rank Test. Results: The proportion of participants with good knowledge increased from 5.64% to 63.38%, while poor knowledge decreased from 74.64% to 0%. Overall, 92.96% of participants demonstrated improved scores, with a statistically significant difference (p < 0.001). Conclusion: SDIDTK technical training effectively improved teachers' knowledge and has the potential to strengthen SDIDTK implementation and early identification of child growth and developmental disorders.

Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.

Relationship Between Diet Patterns and Anemia in Female Adolescents Setya Widhawati; Suparji Suparji; Tinuk Esti Handayani; Tutiek Herlina
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10805

Background: In the process of becoming a mother, a young woman must prepare herself, especially in meeting nutritional needs to prevent anemia, in order to ensure a quality next generation of the nation. Anemia can cause fatigue, decreased productivity, and disorders in cognitive and motor development in children. This study aims to determine the relationship between diet and the incidence of anemia in young women. Methods: The research design used was cross-sectional to examine the relationship between diet and anemia status. The population in this study were 127 students of grade VII of SMP Negeri 5 Ponorogo, with samples taken using a total sampling of 127 students. The independent variable in this study was diet, while the dependent variable was anemia. The instruments used included questionnaires and hemoglobin (Hb) level examination tools. Data collection was carried out through Hb level screening and filling out questionnaires distributed via Google Form. Data analysis used cross-tabulation and Chi-square test. Results: The results showed that 75.59% of adolescents had good diets, while 24.41% had poor diets. Anemia status showed that 79.53% did not have anemia and 20.47% had anemia. The Chi-square test showed the analysis result p = 0.017, which indicated a significant relationship between diet and the incidence of anemia in adolescent girls. Conclusion: This study shows a significant relationship between diet and the incidence of anemia in adolescent girls. Adolescents with good diets tend to have a lower risk of anemia. It is recommended that adolescent girls continue to maintain a good diet to prevent anemia, which can affect their overall health, including productivity and cognitive development.

Effectiveness of the NETES (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) Program to Prevent Stunting Tutiek Herlina; Nurweningtyas Wisnu; Dian Maheru Robbi; Yuanita Sinar Yuliati; Rahma Anindita
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11202

Background: Stunting was described as a toddler whose height was lower than the standard height for children of the same age, which was a characteristic that indicates repeated and long-term nutritional problems. The negative impact in the long term was decreased cognitive ability and learning achievement, body immunity, and a high risk of diabetes, obesity, heart and blood vessel disease, cancer, stroke, and disability in old age. The prevalence of stunting in Plaosan Subdistrict increased from 2021 by 7.54%, in 2022 by 7.91% and in 2023 by 8.52%. The "NETES" (Niat Engsun Tuntas cEgah Stunting/My Intention to Prevent Stunting Completely) program was one of the stunting management programs in Plaosan Subdistrict, implemented by giving one egg every day for 90 days to children under five at risk of stunting. This research aims to determine effectiveness of the NETES program to prevent stunting. Methods: Research design was ex post facto. The population were all children under five years old who were at risk of stunting, sample size 90 taken by total population. The independent variable was the NETES program and the dependent variable was stunting. The instruments used Endo brand stadiometer and Endo brand infantometer, observation sheets for egg feeding and body height. Analysis by the Wilcoxon Signed Rank test. Results: The results showed median HAZ value before the NETES program was –2.3 and after the NETES program was -1.8. Z value = 3.8541 and p value = 0.0001162 so it can be concluded that there is a difference HAZ value between before and after the implementation of the NETES program. Conclusions: Giving one egg a day for 90 days is effective to prevent stunting. It is recommended that the implementation of the NETES program can be continued and be applied in other areas.

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