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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.

Covid-19 Vaccine Acceptance and its Influencing Factors Through a Cross-Sectional Study Wartana, I Kadek; Gustini, Gustini; Nurjana, Made Agus; Mua, Estelle Lilian; Sari, Niluh Desy Purnama; Fitriani, Fitriani; Ra'bung, Alfrida Semuel; Akbar, Hairil
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 2 (2025): February 2025
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i2.6480

Background: The rise in Covid-19 related deaths has led to the implementation of vaccination. Despite this effort, some of the population remains reluctant to get vaccinated, citing various reasons for their hesitation. The objective of this research was to examine the various factors affecting covid-19 vaccination acceptance. Methods: This study adopted a cross-sectional design and was conducted between October and December 2022. This study looked at various independent variables such as sex, education, occupation, family income, health insurance, social assistance, history of Covid-19 infection, and information from the health worker. The main variable of interest was vaccination acceptance. The research involved a group of 133 people. Research data is collected by sending surveys to participants while adhering to Covid-19 health guidelines. The research data was examined using chi square test and logistic regression. This study received ethical approval from the Ethics Committee at Palu Health Polytechnic, Ministry of Health in Indonesia number: 0089/KEPK-KPK/VI/2022. Results: Most of the individuals were involved in favor of accepting the Covid-19 vaccine, with a percentage of 83.5%, whereas only 16.5% declined it. Among the different factors considered, age was found to be the most significant in determining vaccine acceptance compared to having social assistance and information from health workers. Conclusion: Vaccine acceptance varied by age, prioritizing older individuals due to their heightened vulnerability to the Covid-19 virus. It is crucial to further investigate how different factors such as socio-demographic characteristics, vaccine’ knowledge, and trust in the healthcare system interact with each other.

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.

PEMBERDAYAAN KOMUNITAS MELALUI EDUKASI TERINTEGRASI UNTUK MENCEGAH PERNIKAHAN DINI Sakti, Putri Mulia; Hartini, Diah Ayu; Ra'bung, Alfrida Semuel
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 4 (2025): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i4.32761

Abstrak: Tingginya angka pernikahan dini di Indonesia menjadi perhtaian serius karena berdampak pada Kesehatan reproduksi dan masa depan remaja. Di Kelurahan Baiya, kasus pernikahan dini menunjukkan fluktuasi selama tiga tahun terakhir, namun upaya pencegahan masih bersifat sektoral dan tidak terintegrasi. Kegiatan pengabdian ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader Kesehatan serta kelompok komunitas dalam memberikan edukasi pencegahan pernikahan dini melalui penyusunan dan implementasi modul terintegrasi. Metode pelaksanaan meliputi ceramah, Focus Group Discussion (FGD), penyusunan modul secara partisipatif, serta pendampingan praktik edukasi. Mitra kegiatan ini meliputi 30 orang, terdiri dari 15 orang kader Kesehatan, 2 orang anggota PKK, 8 orang perwakilan Yayasan Wahana Visi Indonesia, dan 5 petugas Kesehatan dari Puskesmas Pantoloan. Evaluasi dilakukan melalui pre-test dan post-test menggunakan kueioner serta observasi langsung terhadap kemampuan kader dalam menyampaikan edukasi. Hasil evaluasi menunjukkan peningkatan kader sebesar 74,9% terkait pernikahan dini dan peningkatan keterampilan remaja sebesar 56% dalam komunikasi efektif dan pengambilan keputusan. Modul edukasi yang telah disusun diaplikasikan secara aktif oleh kader dalam sesi edukasi kelompok remaja dan orang tua di wilayah binaan.Abstract: The high prevalence of early marriage in Indonesia had become a serious concern due to its impact on reproductive health and the future of adolescents. In Baiya Subdistrict, early marriage cases had fluctuated over the past three years, yet preventive efforts remained sectoral and unintegrated. This community service activity aimed to improve the knowledge and skills of health cadres and community groups in providing education for the prevention of early marriage through the development and implementation of an integrated educational module. The methods included lectures, Focus Group Discussions (FGDs), participatory module development, and mentoring for educational practice. The activity involved 30 participants, consisting of 15 health cadres, 2 PKK members, 8 representatives from Wahana Visi Indonesia Foundation, and 5 health workers from Pantoloan Public Health Center. Evaluation was conducted through pre-test and post-test using questionnaires, as well as direct observation of the cadres’ ability to deliver health education. The results showed an 85% improvement in the cadres’ communication and education skills related to early marriage prevention. The educational module developed during this activity was actively implemented by the cadres in education sessions targeting adolescents and parents in their respective communities.

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.

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