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Prediction Model and Scoring System in Prevention and Control of Stunting Problems in Under Five-Year-Olds in Indonesia Simbolon, Demsa; Suryani, Desri; Yorita, Epti
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i2.13415

Abstract

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.
STATUS GIZI BERPENGARUH TERHADAP KEJADIAN PNEUMONIA PADA BALITA DI RSUD dr. M YUNUS BENGKULU TAHUN 2017 Wahyuni, Elly; Yorita, Epti; Anissa, Kintan
JURNAL MEDIA KESEHATAN Vol 12 No 1 (2019): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 12 No 1 Juni Tahun 201
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jmk.v12i1.380

Abstract

Abstract: Disease Pneumonia is an acute respiratory infection that attacks lung tissue, characterized by a cough accompanied by rapid breath or shortness of breath. Riskesdas in 2013 shows the incidence of pneumonia in Indonesia is 1.8% with a prevalence of 4.5%. If translated by number then at least from 23 infants who died every hour and 4 of them because of pneumonia and in 2015 there are 554,650 cases of reported pneumonia. This study aims to determine the relationship of nutritional status with the incidence of pneumonia in infants in hospitals dr. M Yunus Bengkulu Year 2017. The research method used is a quantitative survey with case control approach retrospectively. The number of samples for the case was 28 toddlers and for the control sample of 56 infants. The results of this study found that the variables of nutritional status and age there is a significant relationship with the incidence of pneumonia in toddlers with the value p = 0.00 OR = 9.2273 and p = 0.001 OR = 1.077. And there is no sex relationship with the incidence of pneumonia with p = 1.00. So the conclusion of this study is there is a significant relationship between nutritional status and age with the incidence of pneumonia in infants in hospitals dr. M Yunus Bengkulu where the variable age as an outside variable. The suggestion of this research is can be used as literature to increase the insight and information and health education, can increase the knowledge of health personnel to be more competent in handling the case of pneumonia, and hopefully the result of this research can be used as input or comparison material for subsequent researchers and Other researchers may develop research by linking other factors.
Pemberdayaan Kader Gemari dalam Meningkatkan Pengetahuan dan Sikap Ibu Usia Remaja terhadap Perencanaan Keluarga di Kabupaten Bengkulu Tengah Demsa Simbolon; Jumiyati Jumiyati; Lisma Ningsih; Epti Yorita; Frensi Riastuti
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.562 KB) | DOI: 10.22435/mpk.v30i1.434

Abstract

Abstract More than 50% of marriages in Bengkulu Province are adolescents marriages (less than 20 years). Adolescents marriage affects low levels of education, high incidence in the household, overcoming health problems, health problems in struggling children and psychological health of children because mothers of adolescents are less capable of planning a family. Therefore, community participation is needed to increase the knowledge and attitudes of adolescent mothers in family planning, namely through empowering Posyandu cadres and family planning cadres. The research design uses quasi experiment with pretest and posttest design with control group design. Research population is all married mothers aged 15-20 years. The sample is a teenage mother selected purposively by inclusion criteria of married mother, resident of settlement in Central Bengkulu Regency, able to communicate well and can read and write. Exclusion criterion is mother suffering from severe disease and not willing to follow the research process. The sample size is 60 people consist of 30 people of intervention group and 30 control group. The independent variable is empowerment of GEMARI cadres while dependent variable of knowledge and attitude of adolescent mother. Instruments using structured questionnaires. Data analysis technique using paired simple test and independent t-test. The results found in the intervention group there was an increase in knowledge scores before (61.67) and after (78.83) mentoring was carried out by GEMARI cadres (p = 0.001), but in the control group there was no difference in the average knowledge score before (66, 83) and after (64.67) intervention (p = 0.482). In the intervention group, there was an increase in the score of mothers’ attitudes about family planning before (78) and after (80.47) accompanied by GEMARI cadres (p = 0.036), while in the control group there was no difference in the average attitude score before (78, 33) and after (80.47) intervention (p = 0.114). Assistance of GEMARI cadres effectively improves knowledge and attitude of adolescent mother about family planning. Abstrak Lebih dari 50% pernikahan di Provinsi Bengkulu merupakan pernikahan usia remaja (kurang dari 20 tahun). Pernikahan usia remaja berdampak pada rendahnya tingkat pendidikan, tingginya angka kejadian kekerasan dalam rumah tangga, tingginya masalah kesehatan reproduksi, masalah kesehatan pada anak yang dilahirkan dan kesehatan psikologi anak karena ibu usia remaja kurang mampu merencanakan keluarga. Maka dari itu diperlukan partisipasi masyarakat untuk meningkatkan pengetahuan dan sikap ibu usia remaja dalam perencanaan keluarga, yaitu melalui pemberdayaan kader posyandu dan kader Keluarga Berencana. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test with control group design. Populasi penelitian adalah seluruh ibu menikah usia 15-20 tahun. Sampel adalah ibu usia remaja yang dipilih secara purposif dengan kriteria inklusi ibu sudah menikah, penduduk menetap di Kabupaten Bengkulu Tengah, dapat berkomunikasi dengan baik, serta dapat membaca dan menulis. Kriteria eksklusi adalah ibu menderita penyakit berat dan tidak bersedia mengikuti proses penelitian. Jumlah sampel sebanyak 60 orang, terdiri dari 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Variabel independen adalah pemberdayaan kader Gerakan Masyarakat Peduli (GEMARI) sedangkan variabel dependen pengetahuan dan sikap ibu usia remaja. Instrumen menggunakan kuesioner terstruktur. Analisis data menggunakan paired t-test dan independen t-test. Hasil penelitian menemukan pada kelompok intervensi terdapat peningkatan skor pengetahuan sebelum (61,67) dan sesudah (78,83) dilakukan pendampingan oleh kader GEMARI (p=0.001), namun pada kelompok kontrol tidak ada perbedaan rata-rata skor pengetahuan sebelum (66,83) dan sesudah (64,67) intervensi (p=0,482). Pada kelompok intervensi, terjadi peningkatan skor sikap ibu tentang perencanaan keluarga sebelum (78) dan setelah (80,47) dilakukan pendampingan oleh kader GEMARI (p=0,036), sementara pada kelompok kontrol tidak ada perbedaan rata-rata skor sikap sebelum (78,33) dan sesudah (80,47) intervensi (p=0,114). Pendampingan kader GEMARI dapat meningkatkan pengetahuan dan sikap ibu usia remaja tentang perencanaan keluarga.
PEMBINAAN KELOMPOK BINA KELUARGA REMAJA SEBAGAI UPAYA PENINGKATAN PENGETAHUAN REMAJA TENTANG PENDEWASAAN USIA PERKAWINAN : UPAYA PENINGKATAN PENGETAHUAN REMAJA TENTANG PENDEWASAAN USIA PERKAWINAN MELALUI KEGIATAN PEMBINAAN KELOMPOK BINA KELUARGA REMAJA DI WILAYAH KECAMATAN SUKARAJA KABUPATEN SELUMA PROPINSI BENGKULU TAHUN 2021 Ratna Dewi; Epti Yorita; Sri Yanniarti; Diah Eka Nugraheni; Eliana Eliana; Jumiaty Jumiaty
RAMBIDEUN : Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2022): Rambideun : Jurnal Pengabdian kepada Masyarakat
Publisher : LPPM Universitas Al Muslim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51179/pkm.v5i2.935

Abstract

Maturation of the age of marriage (PUP) through the youth family development program (BKR) which is intended for families with teenage children as a forum and source of information for parents and adolescents to gain knowledge about PUP. Therefore, it is necessary to develop a youth family development group as an effort to increase adolescents' understanding of PUP. This community service activity aims to increase adolescent knowledge through fostering adolescent family development groups as a forum for youth in Sukaraja District Seluma Regency. The community service method is through regional development with activity stages including identification of potential partners, identification of stakeholder involvement, preparation, implementation and evaluation stages as well as follow-up. The results of this activity resulted in an increase in the average score of knowledge and attitudes of adolescents towards the acceptance of the concept of maturation of marriage age in Sukaraja District Seluma Regency. The activity went smoothly with good support and 100% attendance. It is hoped that partners will continue the activities in the form of monitoring and evaluating cadres and parents who already have the ability by involving village midwives.
Hubungan Derajat Ruptur Perineum Dengan Kejadian Infeksi Nifas Di Rsud Dr. M. Yunus Bengkulu Tahun 2012 Sa’arfa Ayu; Epti Yorita; Kurniawati Arief; Kosma Heryati; Yuliana Lubis
Jurnal Kebidanan Manna Vol. 1 No. 1 (2022)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.806 KB) | DOI: 10.58222/jkm.v1i1.17

Abstract

The Bengkulu Capital City Mortality Rate in 2009 was recorded at 104.52 per 100,000 live births. The maternal mortality rate due to childbirth is still below the national death rate which reached 262 per 100,000 live births. One of the causes of maternal mortality is puerperal infection. Puerperal infection can be caused by perineal rupture. This study aims to determine the relationship between the degree of perineal rupture and the incidence of puerperal infection in dr. M. Yunus Hospital Bengkulu. This research is an analytic observation method with a case control design. The type of population in this study were all postpartum mothers who experienced perineal rupture at dr.M. Yunus Hospital Bengkulu in 2010-2011, totaling 1360 people with a sample of 148 people consisting of a case group, namely mothers with puerperal infection and a control group of mothers without postpartum infection taken with a random systematic technique. sampling. Comparison of case and control groups 1:1. Data were analyzed by descriptive statistics using t test with 95% confidence level (α = 0.05). The results of this study indicate that the average degree of perineal rupture in pregnant women is grade III. Almost all (90.5%) puerperal infections occurred in mothers with grade IV perineal rupture. There is a relationship between the degree of perineal rupture with puerperal infection in dr.M.Yunus Hospital Bengkulu in 2012 with a p value = 0.00 and a mean difference of 1.16. It is recommended for health workers to pay attention to nutrition in postpartum mothers so that they can increase body resistance and accelerate the wound healing process.
Upaya Peningkatan Pengetahuan dan Sikap Remaja Tentang Penerimaan Konsep Pendewasaan Usia Perkawinan melalui Pengembangan Model Adolescent Mobile Health Epti Yorita; Eliana Eliana; Yulinda Yulinda
Malahayati Nursing Journal Vol 4, No 9 (2022): Volume 4 Nomor 9 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v4i9.7003

Abstract

ABSTRACT Population is the basic capital and dominant factor of development that must be the central point in sustainable development. Therefore, it is necessary to prevent and control population impacts such as maternal and infant mortality due to pregnancy at a young age, through access to relevant information for adolescents with health promotion regarding Maturation of Marriage Age (PUP). Modification of PIK R based on counseling SMS and SMS remainder through the Adolescent Mobile Health (AdeM Health) program as a model for acceptance of the PUP concept by peer groups is expected to be a leverage for adolescents to increase knowledge and attitudes about PUP. This study aims to determine the effect through the Adolescent Mobile Health (AdeM Health) program on the acceptance of the PUP concept in peer groups in Central Bengkulu Regency in 2019. Research design quasi-experimental pre and post test without a control group. The intervention is in the form of adolescent health promotion through the acceptance model of the PUP concept with the AdeM Health Program in peer groups. The sample of this research is Junior High School Students in Central Bengkulu Regency. The results of the study found that there was an effect of the PUP acceptance model through peer counselors on the knowledge and attitudes of adolescents, there was a PUP acceptance model through the AdeM Health program that was more effective in increasing adolescent knowledge and attitudes than the approach using peer counselors. The development of a model of acceptance of the PUP concept is more effective when using the approach of peer counselors and AdeM Health. Keywords: Adolescents, PUP, AdeM Health, Peer Groups  ABSTRAK Penduduk merupakan modal dasar dan faktor dominan pembangunan yang harus menjadi titik sentral dalam pembangunan berkelanjutan. Oleh karena itu perlu dilakukan pencegahan dan pengendalian dampak kependudukan seperti kematian ibu dan bayi akibat hamil usia muda, melalui akses informasi yang relevan pada remaja dengan promosi kesehatan tentang Pendewasaan Usia Perkawinan (PUP). Modifikasi PIK R berbasis sms konseling dan SMS remainder melalui program Adolescnt Mobile Health (AdeM Health) sebagai model penerimaan konsep PUP oleh kelompok sebaya diharapkan mampu menjadi daya ungkit bagi remaja untuk  meningkatkan pengetahuan dan sikap tentang PUP. Penelitian ini bertujuan mengetahui pengaruh  melalui program Adolescnt Mobile Health (AdeM Health) terhadap penerimaan konsep PUP pada kelompok sebaya Di Kabupaten Bengkulu Tengah Tahun 2019. Desain penelitian quasi eksperimen pre dan post test tanpa kelompok kontrol. Intervensi berupa promosi kesehatan remaja melalui Model penerimaan konsep PUP dengan Program AdeM Health pada kelompok sebaya. Sampel penelitian ini adalah Remaja Siswa SMP di Kabupaten  Bengkulu Tengah. Hasil penelitian menemukan ada pengaruh model penerimaan PUP melalui konselor sebaya terhadap pengetahuan dan sikap remaja, ada model penerimaan PUP melalui program AdeM Health  lebih efektif untuk meningkatkan pengetahuan dan sikap remaja dibandingkan pendekatan menggunakan konselor sebaya. Pengembangan model penerimaan konsep PUP lebih efektif jika menggunakan pendekatan konselor sebaya dan AdeM Health. Kata Kunci: Remaja, PUP, AdeM Health, Kelompok Sebaya
Project Based Learning : Program Sehat dan Bugar terhadap Life Skill Kesehatan pada Masa Lanjut Usia Yulinda Yulinda; Asep Saepudin; Joni R Pramudya; Epti Yorita
Jurnal Pendidikan dan Konseling (JPDK) Vol. 5 No. 1 (2023): Jurnal Pendidikan dan Konseling
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jpdk.v5i1.11836

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Tujuan penelitian ini adalah Menerapkan konsep pembelajaran Project based learning pada Pusat Pembelajaran berbasis Masyarakat untuk meningkatkan kemampuan lansia agar tetap sehat dan bugar melalui kegiatan edukasi, senam sehat dan pemeriksaan fisik serta laboratorium. adalah 2) Pelaksanaan. Telah disepakati waktu kegiatan PjBL ini digelar pada tanggal 27 November dan 4 desember 2022 berlokasi di Pesantren Daarut Tauhid Bandung. Kegiatan project based learning di Pesantren masa lansia ini telah dilaksanakan melalui beberapa tahap kegiatan, yakni: 1) Persiapan dilakukan dengan menyampaikan tujuan PjBL ini kepada Pihak Pesantren Daarut Tauhid Bandung, selanjutnya dilakukan Koordinasi dan Sosialisasi program serta Kesepakatan pelaksanaan program, Metode yang digunakan pada kegiatan project based learning ini adalah diskusi dan tanya jawab, observasi dan latihan bersama. Hasil kegiatan menunjukkan bahwa sebagian besar sampel memiliki nilai IMT 25-29,9 yaitu sebanyak 10 orang (50%) memiliki status gizi obesitas sedang. Pada akhir kegiatan dilakukan Evaluasi kegiatan mengenai penyelenggaraan kegiatan, jumlah peserta yang hadir, antusias peserta serta keberlangsungan program (RTL). Peserta sebanyak 20 orang, menunjukkan bahwa sebagian besar sampel berada pada kelompok umur lebih dari 60 tahun (50%). Sebagian besar sampel memiliki nilai IMT 25-29,9 yaitu sebanyak 10 orang (50%) memiliki status gizi obesitas sedang. Pada uji Rank Spearman tersebut diperoleh hasil r = 0,123 dengan p-value 0,000 (p < 0,05) sehingga dapat disimpulkan tidak terdapat hubungan antara Indeks Massa Tubuh (IMT) dengan kadar gula darah penderita diabetes mellitus tipe 2. PjBL memberikan pengalaman belajar kepada peserta melalui team building, kolaborasi dan interaksi dengan masyarakat dan memberikan manfaat kepada para lansia untuk upaya promosi kesehatan.
Upaya Pencegahan Stunting melalui Pengolahan Makanan Berbasis Ikan pada Balita di Pulau Enggano, Kabupaten Bengkulu Utara Epti Yorita; Dahrizal Dahrizal; Sahidan Sahidan; Mely Gustina; Anang Wahyudi; Zamharira Muslim; Sandy Ardiansyah
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 1 (2023): Januari-Maret
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (592.964 KB) | DOI: 10.33860/pjpm.v4i1.1445

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Stunting in Indonesia is still high, including in Bengkulu Province with the locus on the outermost island, namely Meok Village, Enggano District. Stunting events affect the neurological development and cognitive abilities of children. Risk factors for stunting include education. knowledge, protein intake, infection, exclusive breastfeeding, fish food restriction culture. So that efforts are needed to increase the knowledge and ability of the community in processing local fish food ingredients as a food source for toddlers. The purpose of community service activities is to increase the knowledge and skills of mothers with toddlers in processing fish-based local food ingredients as an effort to prevent stunting in toddlers. The activity targets of mothers who have children under five are 35 people. Place of implementation Meok and Apoho Village, Enggano District, North Bengkulu Regency. Activities carried out in September-December 2021. The method of activity is the preparation, implementation, evaluation, follow-up plans. The result is an increase in the average score of knowledge about stunting prevention efforts from 11.09 before the activity to 18 after the activity. Mothers who have children under five are able to process fish-based food ingredients in the form of banana fish porridge and fish rollade. It can be concluded that this community service activity can increase the knowledge and ability of toddler mothers in processing fish-based food. It is suggested to health service providers to empower cadres in health promotion for stunting prevention through processing food menus in accordance with local wisdom.
EMPOWERMENT OF YOUTH CARE FOR REPRODUCTIVE HEALTH AND IMPLEMENTATION OF GERMAS THROUGH THE TEENAGE POSYANDU IN KABAWETAN DISTRICT, KEPAHYANG REGENCY Dino Sumaryono; Darwis Darwis; Linda Linda; Epti Yorita; Fatma Fatma
MADANI: Jurnal Pengabdian Kepada Masyarakat Vol 8 No 2 (2022): Madani : Jurnal Pengabdian Kepada Masyarakat
Publisher : LPPM UPN Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (865.185 KB) | DOI: 10.53834/mdn.v8i2.5182

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Adolescence is a period of storm and stress, they may have various problems. The purpose of this community service is to empower adolescents to support health programs. The health promotion method is integrated with several materials to direct adolescents by providing knowledge or information they can convey health messages to the public, materials about seven Germas activities with material preparation, promoters and media in the form of posters, leaflets covering, physical exercise, the dangers of smoking, eating vegetables and fruit, environmental health and simulated latrines outreach to the community on the environment and some houses that do not have latrines and houses that have latrines but according to observations do not meet the health requirements. Number of teenagers in Sidorejo village: 64 people, boys 29 girls 35 people The number of active people coming 10 to 15 people, teenagers who smoke 12 people (41%) after implementation of quitting smoking as many as 2 people (16.6%) had high blood pressure 2 people (6.9%). The empowerment carried out has the hope that it will continue and can be applied to other villages in the form of the formation of a youth posyandu developed in all villages in order to help the government to convey health messages to adolescents in particular and the community in general for the health and prosperity of the people.Keywords : Youth Empowerment, Reproductive Health, and Implementation of GERMAS
UPAYA MENINGKATKAN PENERIMAAN KONSEP PENDEWASAAN USIA PERKAWINAN MELALUI PEMBENTUKAN PUSAT INFORMASI KESEHATAN REMAJA DAN PENERAPAN MEDIA ULAR TANGGA Epti Yorita; Diah Ekanugraheni; Else Sri Rahayu; Sri Yanniarti
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 2 (2023): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i2.13949

Abstract

Abstrak: Kejadian stunting di Indonesia masih tinggi, dengan faktor risiko kehamilan usia muda. Sehingga diperlukan akses informasi yang relevan pada remaja tentang PendewasaanUsia Perkawinan (PUP). Pusat Informasi Kesehatan Remaja (PIK-R) dan media ular tanggamerupakan wadah dan media bagiremaja terkait penyampaian pesanPUP. Tujuan pengabdian masyarakat membentuk kelompok PIK-R dan menerapkan media ular tangga untuk meningkatkan pengetahuan, sikap dan kemampuan kelompok PIK R tentang PUP di SMP N 14 Kecamatan Singaran Pati Kota Bengkulu dengan mitra berjumlah 46 orang terdiri dari kelompok PIK R, Remaja siswa SMP guru sekolah, PLKB Kecamatan SIngaran Pati, Puskesmas Lingkar Timur. Metode kegiatan berupa pembentukan kelompok PIK R dan pelatihan PUP dengan tahapan yang terdiri dari persiapan pelaksanaan, evaluasi dan rencana tindak lanjut. Pasca kegiatanterdapat peningkatan pengetahuan kelompok PIK R dari rerata skor 8 menjadi 17, dan skor sikap dari 30 menjadi 52. Sebanyak 90% kelompok PIK R mampu melakukan edukasi PUP melalui penerapan media permainan ular tangga. Kesimpulan pembentukan kelompok PIK R dan penerapan media ular tangga meningkatkan pengetahuan, sikap, kemampuan edukasi tentang PUP pada kelompok PIK R. Diperlukanpendampingan mitra untuk keberlangsungan kelompok PIK R.Abstract: The incidence of stunting in Indonesia is still high, with a risk factor for young pregnancy. So that access to relevant information is needed for adolescents about Maturity of Marriage Age (PUP). The Adolescent Health Information Center (PIK R) and the snakes and ladders media are platforms and media for youth regarding the delivery of PUP messages. The purpose of community service is to form the PIK R group and apply snakes and ladders media to increase the knowledge, attitudes and abilities of the PIK R group regarding PUP at SMP N 14, Singaran Pati District, Bengkulu City with school teacher partners, PLKB SIngaran Pati District, the Lingkar Timur Health Center. Methods of activity include preparation for implementation, evaluation and follow-up plans. The results showed an increase in the knowledge of the PIK R group from an average score of 8 to 17, and an attitude score from 30 to 52. The PIK R group was able to conduct PUP education through the application of the snakes and ladders media game. The conclusion is that the formation of the PIK R group and the application of snakes and ladders media increases knowledge, attitudes, educational abilities about PUP in the PIK R group. Partner assistance is needed for the sustainability of the PIK R group. 
Co-Authors Ace Suryadi AFELA, INTAN Agung Riyadi AMELIA, ICE Anang Wahyudi Asep Saepudin Asih, Yusari Assyuro Cahya Pertiwi Marsal, Mulia Mustika Ningsih Marsal Baska, Dwie Yunita Basthari, Rosalia Rina CHOTIMAH, AYUDYA HUSNIL Dahrizal Dahrizal Darwis Darwis Demsa Simbolon Desi Widiyanti Desi Widiyanti Desri Suryani Dino Sumaryono Efriani, Rolita Ekanugraheni, Diah Eliana Eliana Eliana Eliana Elly Wahyuni Elly Wahyuni Elly Wahyuni Else Sri Rahayu Elvi Destariyani Erika Yulita Erika Yulita Ichwan Fatma Fatma Frensi Riastuti Gustina, Mely Indriany, Daffina Syazah Inne Delia A Istiarika Istiarika Joni R Pramudia Joni R Pramudya Juita Dian Anggraini Jumiaty Jumiaty Jumiyati Kosma Heryati Kurniawati Arief Lela Hartini Linda Linda Lisma Ningsih Lusi Andriani Lusi Andriani, Lusi Mariati Mariati Mely Gustina Mizawati, Afrina Nispi Yulyana Nugraheni, Diah Eka Pasaribu, Saur Sariaty Pramudia, Joni R Pramudia, Joni R. Pravita, Ayu Putii, Mezy Aullia Putri, Aprilia Dwi Ratna Dewi Ratna Dewi Rialike Burhan Rina Rina Rina Rina Rina, Rina Rosmala Aprelia Ruzita ABD Talib Saepudin , Asep Sahidan Sahidan Sandy Ardiansyah Saputra, Arie Ikhwan Sardin Sardin Sa’arfa Ayu Sella Dwi Oktaviani Sri Yanniarti Sri Yanniarti Sri Yanniarti Sri Yanniarti Susilo Damarini Susilo Damarini Talib, Ruzita ABD Teguh Budi Prijanto, Teguh Budi Tengku Sri Wahyuni UTARI, TRI INTAN Uyu Wahyudin Wewet Savitri Wewet Savitri Widiyanti, Desi Yanniarti, Sri Yanniarti, Sri Yuliana Lubis Yulinda Yulinda Yulinda Yulinda yulinda Yulinda Yulinda Yulinda, Yulinda Yuniarti Yuniarti Yuniarti Yuniarti Zamharira Muslim