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Relationship of History of Exclusive Breastfeeding with Stunting Incidence in Toddlers 24 – 59 Months in the Marawola Health Center Work Area Ra'bung, Alfrida Semuel; Kriswanto; Metungku, Fany; Nurarifah, Nurarifah; Dg. Mangemba; aminuddin
Lentora Nursing Journal Vol. 2 No. 1 (2021): Oktober
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/lnj.v2i1.830

Salah satu masalah kesehatan yang mengancam anak Indonesia bahkan dunia adalah stunting. Prevalensi kejadian stunting di Sulawesi tengah sebesar 21,4% dimana Kabupaten Sigi berada diurutan tertinggi ke tiga dengan prevalensi stunting 24,6%, setelah Kabupaten Donggala 34,9% dan Kabupaten Tojo Una-una 26,6%. Sebanyak 63 balita dari 463 balita usia 24-59 bulan mengalami stunting diwilayah kerja Puskesmas Marawola Kecamatan Sigi. Penelitian ini bertujuan untuk mengetahui hubungan riwayat pemberian ASI eksklusif dengan kejadian stunting pada balita usia 24-59 bulan di Wilayah Kerja Puskesmas Marawola Kabupaten Sigi. Jenis penelitian analitik dengan rancangan penelitian case control. Populasi dalam penelitian ini adalah balita stunting dan tidak stunting usia 24-59 bulan Teknik pengambilan sampel menggunakan metode proporsional random sampling. Sampel sebanyak 39 balita stunting dan 39 balita tidak stunting jadi total sampel sebanyak 78 balita berusia 24-59 bulan. Analisa data menggunakan uji Chi Square. Ada hubungan riwayat pemberian ASI eksklusif dengan kejadian stunting pada balita usia 24-59 bulan di wilayah kerja puskesmas marawola kabupaten sigi dengan nilai P=0,023 (P<0,05) nilai OR=2,875. Riwayat pemberian ASI eksklusif berhubungan dengan kejadian stunting pada balita usia 24-59 bulan diwilayah kerja Puskesmas Marawola Kecamatan Sigi. Perlu dilakukan pemberian edukasi tentang pentingnya pemberian ASI ekslusif untuk pecegahan stunting.

Revitalisasi Posyandu Lansia Nalu Di Kelurahan Nalu Wilayah Kerja Puskesmas Baolan Kabupaten Tolitoli: Revitalization of Nalu Elderly Posyandu in Nalu Village Baolan Community Health Center Working Area Tolitoli Regency Suswinarto, dwi yogyo; Hasni, Hasni; Yasmin, Yasmin; Evie, Sova; Saman, Saman; Azwar, Azwar; Ra'bung, Alfrida Semuel
Jurnal Pengabdian Masyarakat Lentora Vol. 4 No. 1 (2024): September 2024
Publisher : Jurusan Keperawatan Politeknik Kesehatan Kementerian Kesehatan Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jpml.v4i1.4080

ABSTRAK Pendahuluan: Posbindu lansia memiliki peran dalam melakukan kegiatan Promotif dan preventif dimana kegiatan ini terbukti dapat meningkatkan kualitas hidup lansia. Namun pelaksanaan posyandu lanjut usia mengalami berbagai kendala. Demikian halnya yang terjadi pada Posbindu Nalu II di Keluarahan Nalu Kecamatan Baolan Tolitoli. Kegiatan Posyandu setiap Bulan dilaksanakan, namun kegiatan hanya berupa pemeriksaan Tekanan darah, penimbangan berat badan dan pemeriksaan kesehatan dan pemberian obat sederhana. Kehadiran Lansia rata-rata 20-25 orang, padahal anggotanya sebanyak 173 orang. Peran kader belum optimal hal ini dibuktikan setiap bulan kegiatan yang aktif adalah petugas dari Puskesmas dan tidak adanya catatan yang hasil kegiatan yang diarsipkan di Posyandu. Tujuan Kegiatan adalah melaksanakan revitalisasi Posyandu sehingga posbindu dapat berfungsi secara optimal. Metode Kegiatan telah dilaksanakan pada tanggal 26-28 April 2024, tempat di Gedung Gereja GPIBT Jemaat Paulus Dinopi Kelurahan Nalu Sebagai Pihak Pemrakarsa Posbindu Nalu II. Jenis kegiatan pengabmas berupa pelatihan 10 kader posyandu lansia, demonstrasi operasional Posyandu lansia sistem 5 meja, pengembangan kegiatan diantaranya Ibadah bersama, pemberian makanan tambahan dan senam bersama, bekerjasama dengan pihak Puskesmas Baolan untuk menerbitkan sertifikat bagi para kader. Hasil Setelah dilakukan pengabmas, pemahaman kader tentang ; Kebijakan upaya kesehatan lansia, Lansia dan perubahan perubahannya, Manajemen dan Administrasi Posyandu Lansia. Serta keterampilan mengoperasionalkan Posyandu semakin meningkat. Hal ini dibuktikan hasil Pretest sebelum pelatihan rata-rata nilai yang didapat para kader adalah 53 point, setelah pelatihan rata-rata nilai post test sebesar 83 terjadi peningkatan sebesar 30 Point. Pada akhir pelatihan, Kader mampu berperan dan menjalankan pelayanan di masing-masing meja pada sistem 5 meja dalam Posyandu, demikian juga dalam hal membuat catatan dan pelaporan hasil kegiatan. Kader dibantu team juga mampu mengadakan kegiatan pengembangan diantaranya kegiatan Ibadah bersama, kegiatan senam jasmani bersama dan Pemberian makanan tambahan (PMT). Kesimpulan dengan kegiatan revitalisasi Posyandu lansia dihasilkan peningkatan pemahaman kader tentang Posyandu lansia, peningkatan keterampilan kader, adanya kegiatan pengembangan di Posyandu lansia, Saran Kiranya Pihak Pemrakarsa terus mendukung program yang dijalankan dan terus termotivasi untuk pengembangannya, dan Pendampingan terus dari pihak Puskesmas.

Factors Associated with Nurse Preparedness in Handling Disaster Victims in Central Sulawesi Ra'bung, Alfrida Semuel; Tampake, Rina; Lenny, Lenny; Wartana, I Kadek
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i2.3031

Several factors influence nurses' preparedness in handling disaster victims. This study aims to identify the factors associated with nurses' preparedness to manage Central Sulawesi disaster victims. Conducted between April and July 2023, this cross-sectional quantitative study involved 124 nurses from Undata Hospital, Anutapura Hospital, Madani Hospital, Bhayangkara Hospital, and Dr. Sindhu Trisno Hospital, selected through total sampling. Preparedness was measured using the Disaster Preparedness Evaluation Tool (DPET). At the same time, knowledge, attitudes, and experiences in disaster management were assessed with the Knowledge, Attitude, and Practices of Disaster Management (KAP DM) questionnaire. Data were analyzed using chi-square and linear regression tests. The chi-square results indicated significant relationships between preparedness and knowledge (p=0.004), attitude (p=0.045), length of service (p=0.037), participation in disaster training (p=0.004), and experience in disaster management (p=0.028). At the same time, education level showed no significant relationship (p = 0.075). Linear regression revealed that knowledge had the strongest influence on preparedness. The study concludes that knowledge, attitudes, length of service, disaster training, and disaster management experience are key factors affecting nurses' preparedness. It is recommended that emergency nurses regularly participate in disaster-related training to enhance their ability to provide timely medical assistance, thereby reducing disaster-related mortality.

Effectiveness of Early Detection Using KSDS in Pregnant Women Against Preeclampsia at the Managaisaki City Health Center, Tolitoli Regency Hasni, Hasni; Saman, Saman; Evie, Sova; Ra'bung, Alfrida Semuel; Suswinarto, Dwi Yogyo; Enggar, Enggar
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 4 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i4.3890

Preeclampsia is a leading cause of maternal mortality, second only to hemorrhage. Early detection of preeclampsia risk during pregnancy is crucial for timely prevention and treatment. The Dhiana Setyorini Scorecard (KSDS) is a simple tool that health professionals and the general public can use to identify preeclampsia risk in pregnant women. This study aimed to evaluate the effectiveness of KSDS for early detection of preeclampsia in pregnant women at the Managaisaki City Health Center in Tolitoli Regency. A non-experimental cohort design was employed, with a sample of 86 second-trimester pregnant women selected using accidental sampling. The KSDS was used as the research instrument, and data were analyzed using Fisher's test. The results showed that no cases of preeclampsia were observed among women in the low-risk group. In contrast, 7 out of 14 pregnant women with high-risk factors experienced preeclampsia (p<0.05), indicating a significant association between risk factors and preeclampsia incidence. The study concludes that KSDS is effective in the early detection of preeclampsia risk. Integrating KSDS into prenatal screening protocols and training healthcare workers on its use and interpretation can improve maternal and infant safety during pregnancy. Further research should consider the potential impact of confounding variables and increase the sample size for more comprehensive findings.

The Relationship Between Cigarette Smoke Exposure, Nutritional Status, and Preschool Children's Development Hasni, Hasni; Evie, Sova; Nurmiaty, Nurmiaty; Enggar, Enggar; Ra'bung, Alfrida Semuel; Saman, Saman; Suswinarto, Dwi Yogyo; Azwar, Azwar
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i1.3878

Pre-school age children are an important period, because this period is the basis that determines a child's future development. Therefore, it is important to pay attention to the nutritional status of pre-school children. Proper and balanced nutritional intake will affect children's development, growth and intelligence. Likewise, exposure to cigarette smoke can result in loss of appetite in children, which has a negative impact on child development, including increasing the risk of stunting. The aim of this study was to determine the relationship between exposure to cigarette smoke, nutritional status and development of preschool children. The aim of this study was to determine the relationship between exposure to cigarette smoke and nutritional status on the development of preschool children. This research uses a correlational analytical design with a cross sectional approach, to see the relationship between the independent variables, namely exposure to cigarette smoke and nutritional status, to the dependent variable, namely the development of preschool children, using the chi-square test. In 76 samples, the period from February to March 2024. The results of the correlation test show that there is a significant relationship between the independent variable, namely exposure to cigarette smoke and nutritional status, to the dependent variable, namely the development of preschool children. This is indicated by a smaller significant value (p-value). from a significance level of 5%. Conclusion: There is a significant relationship between cigarette smoke exposure and the nutritional status and development of preschool children. It is important for parents to pay attention to their children's nutritional intake and for the Regional Government to consider establishing a Smoke-Free Area.

Edukasi Gizi Seimbang untuk Pencegahan Stunting pada Anak Prasekolah di Wilayah Kerja Puskesmas Dungingis Evie, Sova; Azwar, Azwar; Ra'bung, Alfrida Semuel; Hasni, Hasni; Saman, Saman; Suswinarto, Dwi Yogyo
Poltekita: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v5i2.3727

During its progression, a stunted kid will have challenges with cognitive development and educational failure, which slows down the child's capacity to absorb knowledge and, eventually, leads to low productivity as an adult. The nutritional health of pre-school children should be carefully monitored since this era is crucial as it sets the stage for a child's future growth. Educating parents of preschool-aged children on the need of a healthy diet in warding off stunting is the overarching goal of this community service (Pengabmas) project. Lectures, Q&A sessions, and group discussions were the means of instruction for this task. Fifty participants from the working area of the Dungingis Health Center in Tolitoli Regency who are parents of preschool-aged children will be the focus of this program. Knowledge increased from 38% to 85% according to the findings of the post-test that was administered. Parents' understanding of the need of a healthy diet for pre-schoolers has grown as a result of this educational activity. The goal of the nutrition program at the Dungingis Community Health Center is to help parents better understand how to meet their pre-school children's nutritional needs by educating them about balanced nutrition at least once every three months.

Pemberdayaan Kader dalam Pemantauan Gizi pada Ibu Hamil dengan Kurang Energi Kronik (KEK) di Puskesmas Kota Managaisaki, Tolitoli Hasni, Hasni; Saman, Saman; Ra'bung, Alfrida Semuel; Evie, Sova; Suswinarto, Dwi Yogyo; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.3808

Chronic Energy Deficiency (CED) is a nutritional deficiency issue that frequently occurs among pregnant women in Indonesia. The purpose of this Community Service activity was to improve the knowledge and skills of health cadres in monitoring the nutritional status of pregnant women with CED through the measurement of body weight (BW) and mid-upper arm circumference (MUAC), thereby enabling effective monitoring of nutritional intake during pregnancy.This activity was conducted using lecture methods with the aid of media such as PowerPoint presentations and LCD projectors, along with Q&A sessions, discussions, and simulations. It was carried out from March 13 to June 25, 2024. The target participants were maternal health cadres in the working area of the Managaisaki City Public Health Center (Puskesmas), Tolitoli, totaling eight individuals.Post-test results indicated an increase in knowledge from 43% to 86%, and an improvement in skills from 60% to 100%. Furthermore, after three months of monitoring, the number of pregnant women with CED decreased from 16 to 14.It can be concluded that this educational activity successfully improved pregnant women’s nutritional awareness for CED prevention and enhanced the cadres' skills in measuring MUAC and BW. It is recommended that the Managaisaki City Health Center schedule annual training for health cadres who have not yet received any, as an effort to provide updated information or continued coaching for trained cadres, and to reinforce previously delivered training materials.

Pembentukan Kelompok Siaga Bencana Banjir Sebagai Upaya Mengurangi Resiko Bencana Evie, Sova; Suswinarto, Dwi Yogyo; Ra'bung, Alfrida Semuel; Hasni, Hasni; Saman, Saman; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.3863

Bencana banjir bukan suatu persoalan yang baru di Indonesia, bahkan kurun waktu 5 tahun terakhir, sering terjadi setiap tahun di beberapa wilayah Indonesia. Peristiwa bencana merupakan kejadian yang tak terduga, baik dari segi waktu, tempat, dan tingkat kerusakan yang di timbulkan. Banjir merupakan suatu bencana yang mengganggu kehidupan manusia, yang dapat menyebabkan kerugian berupa materi maupun terburuknya adalah merenggut nyawa. Upaya mengantisipasi bencana banjir dilakukan dengan mempersiapkan masyarakat tanggap terhadap bencana banjir. Tujuan dari kegiatan Pengabdian Masyarakat (Pengabmas) ini adalah Untuk membentuk Kelompok Siaga Banjir sebagai upaya mengurangi resiko bencana di Kecamatan Dakopamean Kabupaten Tolitoli. Kegiatan ini dilaksanakan melalui metode musyawarah membentuk dan memberdayakan kelompok siaga bencana banjir. Sasaran dari kegiatan ini adalah masyarakat di Desa Galumpang Kecamatan Dakopamean Kabupaten Tolitoli, yang berjumlah 60 orang. Dapat disimpulkan bahwa terbentuknya kelompok siaga bencana banjir melalui pemberdayaan masyarakat. Diharapkan kepada pihak Pemerintah Desa maupun BPBD untuk menindaklanjuti pada evaluasi jangka panjang, untuk tetap membina kelompok siaga bencana banjir yang telah terbentuk.

Simulasi CPR Masyarakat Awam di Kabupaten Tolitoli Evie, Sova; Hasni, Hasni; Ra'bung, Alfrida Semuel; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 4 (2023): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i4.2266

Cardiac arrest is an emergency condition that can be life-threatening and result in death if not treated immediately. Cardiac arrest can occur in various locations, from those that cannot be anticipated (outside the hospital) to those that can be anticipated (for example; intensive care room). When there is a victim of cardiac arrest, people who are near the victim have a very big role in carrying out CPR quickly. Cardiopulmonary resuscitation is an important determinant in the survival of cardiac arrest victims. This is the basis that everyone must know and understand the basic life support needed if a cardiac arrest occurs. This community service activity aims to increase the readiness of the cloud community to carry out basic life support/cardiopulmonary resuscitation. Using lecture methods, question and answer, discussion and simulation. The target of this community service activity is ordinary people in Tolitoli Regency, totaling 65 people. From the results of the post-test carried out, there was an increase in knowledge from an average score of 25 during the pre-test, increasing to 75 during the post-test. It can be concluded that there is an increase in knowledge and skills in ordinary people after education and simulations are carried out.

CEGAH STUNTING MELALUI OPTIMALISASI PERAN REMAJA PUTRI DAN PEMANFAATAN PEKARANGAN RUMAH SEBAGAI KEBUN GIZI Hartini, Diah Ayu; Bahja, Bahja; Sakti, Putri Mulia; Ra'bung, Alfrida Semuel; Dewi, Nikmah Utami; Aiman, Ummu
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 1 (2026): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i1.36466

Abstrak: Stunting tetap menjadi masalah kesehatan masyarakat yang persisten di Indonesia dan sangat terkait dengan anemia pada remaja putri serta terbatasnya akses rumah tangga terhadap pangan bergizi. Program pengabdian masyarakat ini bertujuan untuk memperkuat peran remaja putri dalam pencegahan stunting dengan meningkatkan pengetahuan kader kesehatan dan kader remaja serta mendorong pemanfaatan pekarangan rumah sebagai sumber pangan bergizi. Kegiatan ini dilaksanakan di Kota Palu, dengan melibatkan 29 peserta dan menggunakan metode edukasi interaktif yang didukung oleh leaflet. Tingkat pengetahuan diukur melalui pre-test dan post-test. Hasil menunjukkan adanya peningkatan signifikan pengetahuan kader mengenai anemia, stunting, dan pemanfaatan pekarangan rumah (p = 0,001). Program ini juga mendorong kader untuk menghidupkan kembali kebun gizi keluarga guna meningkatkan ketersediaan pangan kaya zat gizi. Temuan ini menunjukkan bahwa edukasi terstruktur secara efektif meningkatkan kapasitas masyarakat dalam pencegahan stunting dan menekankan pentingnya keberlanjutan program melalui pendampingan serta implementasi praktik di lapangan.Abstract: Stunting remains a persistent public health issue in Indonesia and is closely linked to anemia among adolescent girls and limited household access to nutritious foods. This community engagement program aimed to strengthen the role of adolescent girls in stunting prevention by improving the knowledge of health and youth cadres and promoting the use of home gardens as nutrition sources. Conducted in Palu City, the program involved 29 participants and utilized interactive education supported by leaflets. Knowledge levels were assessed using pre- and post-tests. Findings showed a significant improvement in cadre knowledge regarding anemia, stunting, and home garden utilization (p = 0.001). The program also encouraged cadres to revitalize home gardens to increase the availability of nutrient-rich foods. These results demonstrate that structured education effectively enhances community capacity for stunting prevention and underscores the importance of sustaining such initiatives through continued mentoring and practical implementation.

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