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All Journal JMM (Jurnal Masyarakat Mandiri) Poltekita: Jurnal Pengabdian Masyarakat Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Pengabdian Masyarakat Lentora Lentora Nursing Journal Jurnal Kesehatan dr. Soebandi Poltekita: Jurnal Ilmu Kesehatan Salando Health Journal Poltekita: Jurnal Pengabdian Masyarakat
Ra'bung, Alfrida Semuel
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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

Abstract

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

Abstract

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

Abstract

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

Abstract

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

Abstract

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.
Pencegahan Kurang Energi Kronik pada Ibu Hamil melalui Edukasi dan Pelatihan Kader Kesehatan di Desa Buntuna, Tolitoli Hasni, Hasni; Ra'bung, Alfrida Semuel; Saman, Saman; Evie, Sova; Putri, Novica Arianti; Suswinarto, Dwi Yogyo; Kurniawan, Rahmat; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i2.4257

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a serious public health challenge due to its impact on both maternal and fetal health, ranging from delivery complications and anemia to the risk of low birth weight (LBW) and stunting. Data from the Tolitoli District Health Office in 2023 reported 406 cases of CED among pregnant women, with the highest prevalence (19.2%) found in Baolan Subdistrict. This condition highlights the need to strengthen the role of community health cadres in early detection and nutritional support for pregnant women. This Community Service Program aimed to improve cadres’ knowledge and skills in monitoring maternal nutritional status through simple anthropometric measurements (Mid-Upper Arm Circumference, body weight, and height). The activity was conducted in Buntuna Village, within the working area of Baolan Health Center, Tolitoli District, on July 30, 2025, involving 18 health cadres. The methods included education using presentations and booklets, a question-and-answer session, and hands-on practice of anthropometric measurements. Knowledge was assessed using pre- and post-tests with questionnaires, while skills were observed using a checklist-based assessment. The post-test results indicated a significant improvement in knowledge from 40% to 86%, while skills increased from 11% to 100%. Prior to the intervention, only two cadres were skilled, but after training, all participants were able to perform measurements accurately. These findings demonstrate that practice-based training is effective in strengthening cadre capacity and has the potential to enhance the effectiveness of CED prevention programs at the community level.
Smoking, Obesity, Hypertension, and Lifestyle are Associated with Coronary Heart Disease: A Cross-Sectional Study in Central Sulawesi, Indonesia Ra'bung, Alfrida Semuel; Suswinarto, Dwi Yogyo; Akbar Nur; I Kadek Swarjana; Nurarifah, Nurarifah; Wartana, I Kadek; Sova Evie; Helena Pangaribuan; Kadar Ramadhan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8583

Abstract

Introduction: Cardiovascular disease is the leading cause of death globally, with 17.9 million deaths in 2019, of which 85% were caused by stroke and coronary heart disease (CHD). In Indonesia, CHD accounts for 26.4% of all deaths; therefore, controlling risk factors is a priority. This study aimed to analyze the relationship between modifiable risk factors (smoking, obesity, hypertension, and lifestyle) and the incidence of CHD. Methods: This analytical study used a cross-sectional design with accidental sampling and was conducted at the Heart Polyclinic of the Undata Hospital, Central Sulawesi, in August 2025. A total of 112 respondents aged ?35 years who sought treatment were included in this study. Data were collected through direct measurements (blood pressure, height, and weight) and questionnaires assessing smoking habits, lifestyle, and medical histories. Ethical approval was obtained from the Health Research Ethics Committee of Poltekkes Kemenkes Palu. Data analysis included univariate, chi-squared (95% CI), and logistic regression tests. Results: Among 112 respondents, 56 (50%) were diagnosed with CHD. There was a significant association between CHD and smoking (p < 0.001), obesity (p = 0.004), hypertension (p = 0.001), and lifestyle habits (p = 0.031). Logistic regression analysis identified smoking as the strongest predictor of CHD (odds ratio [OR] = 16.626; p = 0.009). Conclusion: Smoking, obesity, hypertension, and lifestyle were significant risk factors for CHD, with smoking emerging as the main determinant. Preventive strategies should prioritize smoking cessation, weight control, hypertension management, and promotion of healthy lifestyles.
EDUKASI DAN PELATIHAN KADER KESEHATAN UNTUK PENCEGAHAN PENYAKIT TIDAK MENULAR DAN PENINGKATAN PRAKTIK IMD SERTA ASI EKSKLUSIF Ra'bung, Alfrida Semuel; Hasni, Hasni; Hartini, Diah Ayu; Sakti, Putri Mulia
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 5 (2025): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i5.34713

Abstract

Abstrak: Kasus Penyakit Tidak Menular (PTM) seperti hipertensi dan diabetes melitus terus meningkat di Kelurahan Baiya. Rendahnya pengetahuan masyarakat mengenai gaya hidup sehat dan deteksi dini, serta terbatasnya peran kader kesehatan, memperburuk situasi ini. Selain itu, cakupan Inisiasi Menyusu Dini (IMD) dan pemberian ASI eksklusif masih rendah karena kurangnya edukasi bagi ibu hamil. Kegiatan pengabdian ini bertujuan meningkatkan kapasitas kader kesehatan dalam skrining PTM dan memperkuat pengetahuan ibu hamil terkait IMD. Metode yang digunakan meliputi sosialisasi, penyuluhan interaktif, dan pelatihan praktik bagi 20 warga usia ≥35 tahun, 5 pemuda, dan 10 ibu hamil. Evaluasi dilakukan melalui pre-test dan post-test. Hasil menunjukkan peningkatan pengetahuan PTM pada masyarakat dari 36% menjadi 88%, pengetahuan IMD/ASI eksklusif pada ibu hamil meningkat dari 50% menjadi 100%, serta 100% kader mampu melakukan skrining tekanan darah dan perhitungan IMT. Intervensi ini terbukti meningkatkan kesadaran kesehatan dan keterampilan kader secara signifikan.Abstract: Cases of Non-Communicable Diseases (NCDs) such as hypertension and diabetes mellitus continue to increase in Baiya Village. The low public knowledge about healthy lifestyles and early detection, as well as the limited role of health cadres, exacerbate this situation. In addition, the coverage of Early Breastfeeding Initiation (IMD) and exclusive breastfeeding is still low due to the lack of education for pregnant women. This service activity aims to increase the capacity of health cadres in NCD screening and strengthen pregnant women's knowledge related to IMD. The methods used included socialization, interactive counseling, and practical training for 20 residents aged ≥35 years, 5 youth, and 10 pregnant women. Evaluation is carried out through pre-test and post-test. The results showed an increase in NCD knowledge in the community from 36% to 88%, exclusive knowledge of IMD/ASI in pregnant women increased from 50% to 100%, and 100% of cadres were able to conduct blood pressure screening and BMI calculations. This intervention has been shown to significantly increase health awareness and skills of cadres.
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

Abstract

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.
Effectiveness of Growth and Development Screening and Stimulation Methods among Toddlers in Central Sulawesi, Indonesia: a Quasi-Experimental Study Mbaloto, Freny Ravika; Mua, Estelle Lilian; Sekeon, Robi Adikari; Ra'bung, Alfrida Semuel
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4270

Abstract

Background: Stunting remains a major public health problem in Indonesia. The 2023 Indonesian Health Survey reported a stunting prevalence of 27.2% in Central Sulawesi, exceeding the national average of 21.5%. Stunting adversely affects early childhood development, yet developmental delays often go undetected due to limited developmental screening and inadequate training of health workers. This study evaluated the effectiveness of developmental screening and stimulation using the Denver Developmental Screening Test (DDST) and the Pre-Screening Developmental Questionnaire (KPSP). Methods: A quasi-experimental study with a pretest–posttest non-equivalent control group design was conducted among toddlers (n = 34). Nutritional status was assessed using anthropometric z-scores, while child development was evaluated using the DDST and KPSP instruments. Children who were ill, had physical disabilities, or had diagnosed developmental disorders were excluded. Data were analyzed using Pearson chi-square, Mann–Whitney, and Wilcoxon tests. Results: A significant difference in nutritional status proportions between groups was identified based on anthropometric screening (p = 0.036). Developmental screening scores differed significantly between DDST and KPSP assessments (p = 0.001), with higher mean ranks observed for KPSP. Post-stimulation analysis demonstrated a significant improvement in KPSP scores compared to pre-stimulation results (p = 0.009), indicating the positive effect of developmental stimulation. Conclusion: Developmental screening and stimulation significantly improved developmental outcomes in toddlers. The KPSP demonstrated higher sensitivity in detecting developmental changes compared to the DDST, supporting its use in community-based child development monitoring.
Co-Authors Aiman, Ummu Akbar Nur Aminuddin Azwar Azwar Bahja Dg. Mangemba Dwi Yogyo Suswinarto, Dwi Yogyo Enggar, Enggar Evie, Sova Fitriani Fitriani Gustini Gustini Hairil Akbar Hartini, Diah Ayu Hasni Hasni I Kadek Swarjana I Kadek Wartana Kadar Ramadhan Kriswanto Lenny, Lenny Made Agus Nurjana Mangemba, Dg. Metungku, Fany Mua, Estelle Lilian Munirah Munirah Nikmah Utami Dewi Nur, Akbar Nurarifah Nurarifah Nurmiaty, Nurmiaty Pangaribuan, Helena Putri Mulia Sakti Putri, Novica Arianti Rahmat Kurniawan Rina Tampake Safitri, Zahra Saleng, Sri Rahayu Saman, Saman Sari, Niluh Desy Purnama Sekeon, Robi Adikari Yasmin Yasmin