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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.
Impact of Menopause Counselling on Maternal Anxiety in Gebyog Village, Magetan, Indonesia Putri Indriyani Renti Chotijah; Astin Nur Hanifah; Tinuk Hesti Handayani; Suparji Suparji
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10704

Abstract

Background: Menopause signifies the end of menstruation and ovarian follicle activity in women. It is diagnosed after 12 consecutive months of amenorrhea without other causes. Typically occurring between 40 and 50 years, menopause often induces anxiety, especially among women with limited knowledge. To address this, the government promotes health counseling to improve women's understanding and management of menopause. Methods: This study utilized a pre-experimental design involving 63 respondents fromGebyog Village, Magetan, Indonesia, selected by simple random sampling. The study examined two variables: the independent variable (counseling) and the dependent variable (anxiety level). Data was collected using the Hamilton Rating Scale for Anxiety (HARS) questionnaire, administered both before and after counseling sessions. Descriptive analysis was conducted using frequency distribution, and the Mann-Whitney U test was used for inferential analysis. Results: The counseling intervention led to a significant reduction in anxiety levels among the participants. The Mann-Whitney U test results indicated a P value of 0.000, demonstrating a statistically significant effect of counseling on reducing anxiety levels (P = 0.000 < α = 0.05). Conclusion: Counseling effectively reduces anxiety in women facing menopause. It is recommended that health workers enhance their efforts in providing menopause-related counseling, particularly through village health posts like posbindu and poslansia, to support women during this transition.
Orchestrating the Six Pillars of Healthcare Transformation to Combat Catastrophic Diseases Suryaningsih Suryaningsih; Astin Nur Hanifah
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/hd202s01

Abstract

Not mandatory
The Effect of the Implementation of the Supplementary Feeding Consumption Compliance Card on the Compliance Level Among Pregnant Women at the North Ponorogo Health Center Azkia Izzatun Nadifah; Heru Santoso Wahito Nugroho; Astin Nur Hanifah; Nurlailis Saadah
Health Dynamics Vol 1, No 6 (2024): June 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10606

Abstract

Background: Chronic Energy Deficiency (CED) is the cause of non-obstetric medical complications in pregnancy that occurs over a long period of time. The Providing Additional Food (PAF) program for vulnerable pregnant women is a supplementation strategy in overcoming nutritional problems, but the program has not been able to run well, based on observations made and also interviews with officers, it is known that some pregnant women have not been regular in consuming PAF biscuits. Researchers want to know the effect of implementing the PAF consumption compliance card on the level of compliance of CED pregnant women at the North Ponorogo Community Health Center. Methods: This study uses an experimental research method. The research design with a pre-experimental approach is in the form of a one-group pretest-posttest design. The sample was taken using the total population sampling technique. The independent variable in this study was the implementation of the PAF consumption compliance card while the dependent variable was the level of compliance of CED pregnant women consuming PAF. Data collection uses interviews and obedient cards as instruments. Data analysis was carried out by normality test and the result of a p value of > 0.05 could be carried out, then the Paired Sample t-Test could be carried out to find out if there was a difference. Results: The results of the Paired samples t-test showed that there was a difference in the compliance of CED pregnant women before and after being given an obedience card, which can be seen at the value of p = 0.0001473. Conclusions: It can be concluded that compliance cards have proven effective in increasing the compliance of CED pregnant women in consuming PAF. Therefore, it is recommended to implement compliance cards as a reminder and monitor for pregnant women regarding PAF consumption.
Enhancing Knowledge and Compliance in Anemia Treatment Through a WhatsApp Group at SMPN 1 Karangrejo, Magetan, Indonesia Devi Kristyani; Astin Nur Hanifah; Heru Santoso Wahito Nugroho; Suparji Suparji
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10705

Abstract

Background: The prevalence of anemia in adolescents in East Java in 2018 was 50-60%. Anemia can be caused by various factors, including iron deficiency, vitamin B12 deficiency, folate deficiency, infectious diseases, congenital factors, and bleeding. The Indonesian government has intensified the anemia prevention and control program in adolescent girls and women of childbearing age by prioritizing the provision of iron tablets, one tablet per week, to reduce the prevalence of anemia in this group by 2025. In the millennial era, many adolescents and the community use WhatsApp as a means of communication. For promotional media, researchers chose WhatsApp media and it is hoped that health promotion efforts and the movement to drink TTD (iron supplement) together through WhatsApp media can increase the knowledge and compliance of rheumatology specialist doctors in consuming TTD. Method: This study is included in pre-experimental research using one group pretest and posttest by conducting a pretest before being given treatment and then conducting a posttest after being given treatment. The sample in this study was adolescent girls at Junior High School 1 Karangrejo Magetan Indonesia as many as 92 respondents. The independent variables are health promotion and the movement to drink TTD together through Whatsapp Group. The deeper variable in this study is knowledge about anemia. Results: The results showed a significant difference between knowledge about anemia and compliance in taking iron tablets before and after the intervention, with a p-value of 0.000 (≤ 0.05). This shows that health promotion and the movement to drink iron tablets together through WhatsApp Group are effective in increasing knowledge and compliance. Conclusion: Health promotion and the movement to drink blood tablets together through WhatsApp Group are effective in increasing knowledge and compliance and there is an increase in knowledge and compliance scores after health promotion.
Early Marriage Age Trends in Magetan Regency, Indonesia: A Review of 2021-2023 Rifky Ayu Kusumaningtias; Tinuk Esti Handayani; Suparji Suparji; Astin Nur Hanifah
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/hd10806

Abstract

Background: Early marriage is a significant women's reproductive health issue, especially because of its association with the risk of abortion, stunting, malnutrition and infection in infants. The aim of the study was to describe the age trend of early marriage in Magetan Regency from 2021 to 2023. Methods: This type of research is descriptive quantitative with the population of all couples who married in Magetan Regency during the period. The sample of this study included all married individuals with a total of 12,772 people. The main variable was age at marriage. Data were collected through a documentation study of age of marriage reports recorded at the PPKBPP and PA Office of Magetan Regency using a data recapitulation table. Data analysis was conducted with descriptive statistics, in the form of frequency distribution and percentage. Results: The results showed an increasing trend of early marriage in most sub-districts, with a predicted prevalence that tends to increase until the end of 2024. Between 2021 and 2023, the trend of early marriage age in Magetan Regency showed a varied pattern, with some years increasing and others decreasing. The main factors influencing this trend include economic factors, education, and local policies. The impacts of early marriage include challenges in health and education, which require continued attention in mitigation and response efforts. Conclusion: The conclusion of this study is that there is a need for serious attention to this problem, including prevention efforts through education, counseling, and improving the quality of education and policies to prevent early marriage from the government and related institutions.
Factors Influencing Nutrition and Blood Supplement Tablet Consumption Among Prospective Brides Armedya Labiba Athayalillah; Heru Santoso Wahito Nugroho; Astin Nur Hanifah; Nurlailis Saadah
Health Dynamics Vol 1, No 6 (2024): June 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10605

Abstract

Background: Anemia is a condition where the number of red blood cells or the capacity of red blood cells to carry oxygen is not sufficient to meet physiological needs. Factors that influence anemia are nutritional patterns where poor eating habits can cause iron deficiency. Lack of awareness or compliance with the consumption of blood supplement tablets can also predispose someone to anemia. The Health Belief Model (HBM) is a health behavior model that is used to predict behavior. HBM consists of perceived susceptibility, perceived benefits, perceived barriers, perceived severity, perceived self-efficacy and cues to action. The aim of this research is to determine the factors that influence the behavior of consuming nutrition and blood supplement tablets to prevent anemia in bridesmaids in Religious Affairs Office (KUA), Maospati District, Magetan Regency in 2024. Method: This is an observational analytical quantitative research with a sample of 31 prospective brides and grooms at religious affairs office Maospati in 2024. This research was measured using a health belief model questionnaire by distributing questionnaires to prospective brides and grooms. Data analysis uses primary data which is tested with descriptive analysis, classical assumption tests and linear regression tests. Results: Of the 6 behavioral factors studied include perceived susceptibility, perceived benefits, perceived barriers, perceived severity, perceived self-efficacy and cues to action, which is only perceived self-efficacy with a p-value of 0.000. Conclusion: The factors that influence the behavior of consuming nutrition and blood supplement tablets among prospective brides at the Maospati religious affaris office, only self-efficacy has an influence. Therefore, perceived self-efficacy needs to be prioritized.
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( In Press)
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: Post-Cesarean Section Wound Dehiscence in a Postpartum Woman with Obesity Rheinanda Inez Syagita Cinantya; Triana Septianti Purwanto; Sulikah Sulikah; Astin Nur Hanifah
Aloha International Journal of Health Advancement (AIJHA) Vol 7, No 9 (2026): September 2026 (In Production)
Publisher : Alliance oh Health Activists (AloHA)

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

Abstract

Wound dehiscence is a postoperative complication of cesarean section that may delay wound healing and increase the risk of infection. Obesity is a major contributing risk factor because impaired tissue perfusion reduces oxygen and nutrient delivery to the wound, resulting in slower healing. This case report aimed to describe the implementation of comprehensive midwifery care for a postpartum woman with obesity who developed post-cesarean section wound dehiscence. This study employed a descriptive case report design involving a 41-year-old multiparous postpartum woman (P20002) with Grade II obesity who presented with wound dehiscence on the 20th day following cesarean section. Midwifery care was provided at Taji Community Health Center, Magetan Regency, Indonesia, from January 31 to February 9, 2026. The care consisted of one initial assessment followed by three home visits using Varney’s Midwifery Management Approach, with all findings documented using the SOAP format. The interventions included aseptic wound care, education on self-wound care, a high-protein nutritional plan, gradual mobilization, body mechanics education, non-pharmacological pain management, breastfeeding position counseling, and regular wound assessment using the REEDA scale and the Numeric Rating Scale (NRS). The patient's condition improved progressively throughout the course of care. The REEDA score decreased from 4 to 0, while the pain intensity measured by the NRS decreased from 4 to 0. The wound healed completely without signs of infection. In addition, the patient demonstrated improved adherence to wound care practices, nutritional recommendations, and other self-care instructions provided during the postpartum period. This case suggests that comprehensive midwifery care may contribute to successful healing of post-cesarean section wound dehiscence in women with obesity through appropriate wound management, continuous health education, adequate nutritional support, gradual mobilization, and regular monitoring, thereby promoting optimal recovery during the postpartum period. Keywords: Cesarean section, Midwifery care, Obesity, Postpartum period, Wound dehiscence
Co-Authors Achmad, Viyan Septiyana Adisty Dwi Treasa Agustina Abuk Seran Arie Anggraini Armedya Labiba Athayalillah Ashriady, Ashriady Asmin, Risna Yunita Astuti Setiyani, Astuti Astuti, Fanni Ayesha Hendriana Ngestiningrum Ayesha Hendriana Ngestiningrum Azkia Izzatun Nadifah Bela Purnama Dewi Belva Azzahra Syafiqni Bertolomeus Elis Rimba Boimau, Adriana M. Cakrawati Cakrawati Cakrawati R Cakrawati R Devi Kristyani Dewi Parwati Dewi, Chitra eka rahmawati ERMA PUSPITA SARI Fitri Andriani Fitri Andriani, Fitri Halitopo, Yoel Handayani, Tinuk Esti Harfika, Meiana Herlina, Tutiek Heru Santoso Wahito Nugroho Hilmiah, Hilmiah Hitijahubessy, Christy Natalia Magdalena Huru, Matje Meriaty Idris Idris Ike Mutiarasari Ismiyanti H. Achmad Juliana, Mutia Kariyadi, Kariyadi Karnely, Karnely Lenny Nainggolan LESTARI, FIKA lidia fitri, lidia Limbong, Kori Lubis, Halimatussakdiyah Lumastari Ajeng Wijayanti Mamoh, Kamilus Markus Wibowo Masding, Masding Muh. Yunus Nana Usnawati Nari, Jois Ngestiningrum, Ayesha Hendriana Novita, Nesi Nur, Armiyati Nurhaedah Nurhaedah Nurlaeli, Nurlaeli nurlailis saadah Nurlailis Sa’adah Nurmiati Nurmiati Nurtatik Nurweningtyas Nurweningtyas Nuryani Nuryani Nuryani Nuryani Nuryani, Nuryani Odi Lodya Namangdjabar Pannyiwi, Rahmat Purwanto, Triana Septianti Putri Indriyani Renti Chotijah Qamarya, Nurul RACHMAT RAMLI Radiah Ilham Rahayu Sumaningsih Rahmat, Rezqiqah Aulia Rahmawati, Agustini Liviana Dwi Ratulangi, Jeane Irene Levy Reffita, Lea Ingne Rejeki, Irma Sri Rezqiqah Aulia Rahmat Rezqiqah Aulia Rahmat Rezqiqah Aulia Rahmat Rheinanda Inez Syagita Cinantya Rifky Ayu Kusumaningtias Rihi, Pryati Ririn Widyastuti Risma Risma Rizki Amalia Rosida Rosida Sambo, Sri Wahyuni Santosa, Budi Joko Sapitri, Ana Saputra, M. Khalid Fredy Sari, Wulan Citra SENDY PRATIWI RAHMADHANI Septiana, Maria Serlyansie V. Boimau Siti Yulaidah Sri Wahyuni Suabey, Suningsih Suharto, Agung Sulikah Sulikah Sulikah, Sulikah Sunarto, Sunarto Sundari Sundari Suparji Suparji Surtikanti Surtikanti Surtikanti Surtikanti Surtikanti Surtikanti Suryaningsih Suryaningsih Syahda Febby Kuswantri Syahda Febby Kuswantri Tenny Tarnoto Teta Puji Rahayu Thalib, Kiki Uniatri Tinuk Esti Handyani Tinuk Hesti Handayani Tirza Vivianri Isabela Tabelak Tondok, Santalia Banne Treasa, Adisty Dwi tri wahyuni Triana Septianti Triana Septianti Purwanto Wahyuni Anwar Wahyuni, Ria Wijayanti, Lumastari Ajeng Wisnu, Nurwening Tyas Wulandari, Bayu Larasati Yarnita Yarnita Yufuai, Agustina R Yuliana Dafroyati