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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

Abstract

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

Abstract

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

Abstract

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 Couple Classes in Increasing Breastfeeding Rates and Preventing Breast Engorgement Ayesha Hendriana Ngestiningrum; Nuryani Nuryani
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s05

Abstract

Background: Exclusive breastfeeding (EBF) faces significant barriers, particularly in the first 7 days postpartum, primarily due to a lack of knowledge and skills about lactation among mothers and their partners. Couple classes have been proposed as a potential solution, as they provide lactation education to both mothers and their partners from pregnancy onward. This study aimed to evaluate the effectiveness of couple classes in enhancing breastfeeding rates and preventing breast milk stagnation during the early postpartum period. Methods: A quasi-experimental design with a posttest control group was used, targeting third-trimester pregnant women. The sample consisted of pregnant women who met the inclusion criteria, along with their husbands, who lived together and consented to participate. Exclusion criteria included husbands who worked out of town, those who did not attend all sessions, and those who experienced emergencies during pregnancy, childbirth, or postpartum. A total of 25 participants were assigned to each group through simple random sampling. The intervention group received couple class education, which was delivered online via WhatsApp Groups, along with direct assistance within the first 7 days postpartum. This support lasted for one month. The control group received standard care according to the PMB’s (Praktik Mandiri Bidan or Independent Midwife Practices) SOP (Standard operational procedure). Posttests were conducted on the seventh day postpartum. Breastfeeding rates and the occurrence of breast milk engorgement were assessed using a checklist. Statistical analysis was performed using the chi-square test to compare differences between the groups. Results: A significant difference in breastfeeding rates during the first 7 days was observed between the two groups (p = 0.034). Additionally, there was a significant difference in the prevention of breast milk engorgement (p = 0.017). Conclusions: Couple classes effectively increase breastfeeding rates and prevent breast engorgement, with online materials providing an efficient and impactful method of support.
Kehamilan Resiko Tinggi pada Ibu Primitua Sekunder Usia 38 Tahun: A Case Report Dhita Amalya Reivanda; Nuryani Nuryani; Tutiek Herlina; Teta Puji Rahayu
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2320

Abstract

High-risk pregnancy is a pregnancy with one or more risk factors that may increase maternal and fetal complications. One of the major risk factors is maternal age ≥35 years with a pregnancy interval of more than 10 years (secondary primiparity). This case report aimed to describe comprehensive midwifery care for Mrs. W, a 38-year-old G3P2A0 woman with a high-risk pregnancy at PMB Bidan "J", Lembeyan, Magetan. This study employed a case report approach using midwifery management with SOAP documentation. The Poedji Rochjati Score Card (KSPR) assessment showed a score of 10, indicating a high-risk pregnancy. Midwifery care included regular antenatal monitoring, education on pregnancy danger signs, implementation of the Birth Planning and Complication Prevention Program (P4K), and postpartum family planning counseling. Throughout the period of care, both maternal and fetal conditions remained stable without complications. Comprehensive midwifery care accompanied by early risk detection using the KSPR contributed to maintaining favorable maternal and fetal outcomes in this high-risk pregnancy.
Asuhan Kebidanan pada Ibu Primi Gravida Usia Remaja di TM II Sebagai Kehamilan Risiko Tinggi: Laporan kasus Rina Cahya Nurani; Nuryani .; Suparji .
Jurnal Ilmu Psikologi dan Kesehatan | E-ISSN : 3063-1467 Vol. 3 No. 2 (2026): Juli - September
Publisher : CV. ITTC INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62379/jipk.v3i2.2342

Abstract

Introduction: Pregnancy in adolescence (<20 years) is a high-risk pregnancy due to biological and psychosocial immaturity that can increase the risk of maternal and perinatal complications, such as anemia, preeclampsia, preterm labor, and low birth weight babies. This condition requires early detection and comprehensive midwifery care to optimize maternal and fetal health. The purpose of this study is to describe the implementation of comprehensive midwifery care for adolescent primigravida pregnant women in the second trimester with high-risk pregnancies. Methods: Using a design (case report) on Mrs. "N" aged 15 years G1P0A0 gestational age 23–24 weeks with a high-risk pregnancy. The assessment was analyzed using midwifery care management according to Varney, then documented using the SOAP method (Subjective, Objective, Assessment, and Management).  Results and Discussion: The mother had a height of ≤145 cm, BMI 23.3 kg/m², MUAC 24.8 cm, and MAP 93.3 mmHg. Her weight increased to 52 kg. Fetal growth was in accordance with gestational age, and no danger signs or complications were found in the mother and fetus. Conclusions: There was an increase in the mother's weight after this care, vital signs and DJJ remained normal, and no danger signs or complications were found.
The Influence of TikTok Audiovisual on Caregivers' Knowledge of Picky Eaters in Toddlers in the Work Area of the Parang Health Center Galuh Nirmala; Tutiek Herlina; Nuryani Nuryani; Sunarto Sunarto
International Journal of Advanced Health Science and Technology Vol. 6 No. 4 (2026): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i4.638

Abstract

 Picky Eater in toddlers is characterized by behaviors such as choosing certain foods, limiting food variations, and refusingto try new foods, which can affect nutritional status. Limited caregiver knowledge can exacerbate this condition. Health education deliveredthrough the audiovisual platform TikTok represents an innovative and accessible approach. Methods: This study used a pre-experimentaldesign with a One-Group Pretest-Posttest approach, which was conducted in the working area of the Parang Health Center, Magetan Regencybetween March and May 2026. A total of 43 caregivers of toddlers aged 1-5 years with malnutrition were selected using simple randomsampling. Knowledge of picky eating was assessed using a 20-item questionnaire before and after TikTok's audiovisual educationintervention, which was administered twice a day for three consecutive days. Data were analyzed using the Wilcoxon Signed-Rank Test.Results: Before the intervention, 69.8% of caregivers had good knowledge, while 30.2% had reasonable knowledge. After the intervention,all caregivers (100%) showed good knowledge. The Wilcoxon Signed-Rank test yielded a p value of <0.001 (Z = -3.606), indicating asignificant effect of TikTok's audiovisual education on caregiver knowledge. Conclusion: TikTok audiovisual education is effective inincreasing caregivers' knowledge about picky eating in toddlers. This medium serves as an engaging, interactive, and accessible alternativeto health promotion, helping to improve caregivers' understanding of healthy eating habits for young children
DETERMINAN KESEHATAN MENOPAUSE PADA WANITA USIA PARUH BAYA: IMPLIKASI BAGI PENGEMBANGAN KELOMPOK PENDUKUNG KESEHATAN REPRODUKSI Astin Nur Hanifah; Nana Usnawati; Nuryani Nuryani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 5 (2026): MAJU : Indonesian Journal of Community Empowerment, September 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i5.2887

Abstract

Menopause is a natural stage in a woman's life that is often accompanied by physical and psychological changes resulting from decreased estrogen levels. Limited knowledge of the factors influencing menopause may reduce women's readiness to cope with this transitional period. This community service program aims to improve women's knowledge and promote healthy lifestyle practices through research-based health education on the determinants of menopause. The methods employed include interactive health education sessions, group discussions, menopause exercise demonstrations, healthy nutrition education, distribution of educational leaflets, and the involvement of community health volunteers (Posyandu cadres) as facilitators. Program evaluation is conducted using pre-test and post-test questionnaires to assess participants' knowledge improvement. The expected outcomes include increased knowledge among menopausal women, the availability of sustainable educational materials for Posyandu cadres, and the establishment of a menopause support group to strengthen community empowerment.
Case Report: Midwifery Care with Local Food-Based Intervention Improves Nutritional Status in a Primigravida with Chronic Energy Deficiency and Emesis Gravidarum Novia Fitriani; Nana Usnawati; Nuryani Nuryani; Suparji Suparji
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 8 (2026): August 2026
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha70804

Abstract

Pregnancy is a critical period requiring adequate nutrition to maintain maternal and fetal health. Chronic Energy Deficiency (CED) remains a major maternal health problem in Indonesia, often worsened by emesis gravidarum. This case report describes midwifery care in a primigravida woman with CED and persistent emesis gravidarum during the second trimester. A descriptive case report was conducted at Plaosan Primary Health Center, Magetan District, Indonesia, from March 1–15, 2026. The subject was a 23-year-old primigravida at 21 weeks of gestation. Data were collected through interviews, physical examinations, supporting investigations, and documentation review using the SOAP approach. Interventions included nutritional counseling, recommendations for small frequent meals, monitoring of weight and Mid-Upper Arm Circumference (MUAC), supplementation with multiple micronutrients (MMS), and provision of 200 g/day of boiled purple sweet potato for 14 days as a locally sourced supplementary food. The patient’s MUAC was 20 cm, confirming CED, while hemoglobin levels were 12 g/dL, indicating no anemia. After two weeks of intervention with three follow-up visits, improvements were observed: reduced frequency of nausea and vomiting, increased appetite, improved dietary patterns, and enhanced nutritional adequacy. Maternal weight gain was achieved, serving as an indicator of improved nutritional status. CED in this case was influenced by irregular pre-pregnancy dietary habits and reduced intake due to prolonged emesis gravidarum. The management strategy was consistent with evidence-based practice, as purple sweet potato supplementation provided essential nutrients and antioxidants that improved maternal nutritional status. The success of care was supported by adherence to nutritional counseling, supplementation compliance, family support, and continuous midwifery monitoring. Comprehensive midwifery careintegrating nutritional education, supplementation, local food-based interventions, and ongoing monitoring-proved effective in managing CED and emesis gravidarum. This approach improved maternal nutritional status, reduced pregnancy-related complaints, and minimized the risk of complications, supporting maternal and fetal health.
Perbaikan Kadar Hemoglobin Pada Ibu Hamil Anemia Dengan KEK Dan ANC Tidak Adekuat Nur Khoirin Diah Kumalasari; Nana Usnawati; Nuryani; Suparji
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1244

Abstract

Kekurangan Energi Kronis (KEK), anemia, dan antenatal care (ANC) yang tidak adekuat dapat meningkatkan risiko komplikasi pada ibu dan janin, terutama apabila baru terdeteksi pada trimester III. Laporan kasus ini bertujuan menggambarkan perubahan kondisi ibu hamil setelah asuhan kebidanan komprehensif. Subjek adalah Ny. “N”, 34 tahun, G3P2A0, usia kehamilan 35 minggu, dengan LILA 21 cm, hemoglobin 9,40 g/dL, keluhan pusing dan mudah lelah, serta riwayat ANC yang baru dimulai pada trimester III. Asuhan dilakukan di wilayah kerja PMB Ny. “I”, Kabupaten Magetan, pada 2–14 Maret 2026 menggunakan pendekatan SOAP. Intervensi meliputi edukasi gizi, peningkatan frekuensi makan, tablet Fe 2 kali sehari, Multiple Micronutrient Supplementation (MMS) 1 kali sehari, PMT, sari kacang hijau 2 × 250 mL per hari, pemantauan berat badan, LILA, tanda vital, dan kesejahteraan janin. Setelah 13 hari, kadar hemoglobin meningkat menjadi 11,0 g/dL, berat badan naik dari 51,70 kg menjadi 53,20 kg, serta keluhan berkurang. LILA tetap 21 cm sehingga KEK belum teratasi. Asuhan komprehensif menunjukkan respons klinis yang baik terhadap anemia, tetapi perbaikan tersebut tidak dapat dikaitkan dengan satu intervensi karena seluruh tindakan diberikan secara bersamaan dan masa pemantauan singkat. Pemantauan nutrisi dan ANC berkelanjutan tetap diperlukan.