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Pencegahan Stunting Melalui Pelatihan Senam Bayi (Baby Gym) di Wilayah Kerja Puskesmas Tipo: Prevention of Stunting Through Baby Gym Training in the Working Area of the Tipo Health Center Hastuti Usman; Sarliana Sarliana; Asri Widyayanti
Poltekita: Jurnal Pengabdian Masyarakat Vol. 3 No. 4 (2022): Oktober - Desember
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

The quality of children is determined by the continuity of the process of growth and development. One of the growth and development disorders is stunting which is caused by lack of nutritional intake for a long time, if monitoring and detection is not carried out early, it will have an impact on the physical and cognitive development of children in the future. The incidence of stunting in Donggala Regency was 29.5% and the Tipo Health Center contributed 44.4%. Interventions carried out in preventing stunting are varied, baby gymnastics can be an alternative to help stimulate the hypothalamic hunger center so as to trigger the desire of infants to breastfeed/eat. Baby gymnastics requires skill and knowledge. Analysis of the situation at the Tipo Health Center, the knowledge of the community, especially mothers, is still low, lack of skills and limited facilities and infrastructure. This activity aims to increase the knowledge and skills of mothers in infant gymnastics. This activity was carried out at the Tipo Health Center, with 20 respondents. The method used is lecture and discussion. Evaluation is done in the form of a pre-post test. The mean result of the pre-test score was 64.20 and an increase in the post-test score was 91.56, an increase in the score was 27.36. Giving baby gymnastics is very important to support the growth and development of babies which can prevent stunting ABSTRAK Kualitas anak ditentukan oleh keberlangsungan proses tumbuh-kembangnya. Salah satu gangguan tumbuh-kembang adalah stunting yang disebabkan kurangnya asupan gizi dalam waktu yang cukup lama, apabila tidak dilakukan pemantauan dan deteksi secara dini, akan berdampak pada perkembangan fisik dan kognitif anak di masa depan. Kejadian stunting Kabupaten Donggala 29,5% dan Puskesmas Tipo menyumbang sebesar 44,4%. Intervensi yang dilakukan dalam pencegahan stunting beragam, senam bayi dapat menjadi salah satu alternatif untuk membantu merangsang pusat lapar hipotalamus sehingga memicu keinginan bayi balita untuk menyusui/makan. Senam bayi memerlukan keterampilan dan pengetahuan. Analisis situasi di Puskesmas Tipo pengetahuan masyarakat terutama ibu masih rendah, kurangnya keterampilan dan terbatasnya sarana dan prasarana. Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu dalam senam bayi. Kegiatan ini dilaksanakan di Puskesmas Tipo, dengan 20 responden. Metode yang digunakan ceramah dan diskusi. Evaluasi dilakukan dalam bentuk pre-post test. Hasil rerata skor pre-test 64,20 dan terjadi peningkatan skor post-test 91,56, terjadi peningkatan skor sebanyak 27,36. Pemberian senam bayi sangat penting untuk mendukung tumbuh kembang bayi yang dapat mencegah terjadinya stunting.

Effect of Free-Range Chicken Eggs on Perineal Wound Healing among Postpartum Women Hastuti Usman; Muliani Muliani; Niluh Nita Silfia; Sarliana Sarliana
EMBRIO: Jurnal Kebidanan Vol 15 No 1 (2023): EMBRIO: Jurnal Kebidanan (MAY)
Publisher : Program Studi S1 Kebidanan - Fakultas Ilmu Kesehatan Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/embrio.v15i1.6994

10percent of maternal mortality during the postpartum period are caused by infection due to bleeding from tears in the birth canal (perineal wound). The wound healing process is influenced by the intake of protein-rich nutrients. Free-range chicken eggs from are a high source of protein (Komala, 2021). This study aims to determine the effect of free-range chicken eggs on perineal wound healing among postpartum women. This was a pre-experimental study with intact group comparison. There were 32 samples who were selected using purposive sampling technique. The samples were assigned into the Intervention Group (administered with free-range chicken eggs) and the Control Group (were not administered with free-range chicken eggs). Data collection was performed through direct observation of perineal wounds using the REEDA scale score. Data were analyzed using the Fisher Exact statistical test. The results showed that there was a faster wound healing process among respondents who were administered with free-range chicken eggs (81.2percent) compare to those who were not administered with free-range chicken eggs (25percent) with a p value of 0.002 less than 0.05. It can be concluded that the administration of free-range chicken eggs chicken eggs had an effect on perineal wound healing among postpartum women. It is expected that postpartum women who experience perineal wound starting from the second grade will consume boiled free-range chicken eggs to speed up the wound healing process.

Pengetahuan dan Minat berhubungan dengan Keikutsertaan Ibu Hamil dalam Program Vaksinasi Covid-19 Sumiaty Sumiaty; Hastuti Usman; Christina Entoh; Ni Ketut Hendriani; Sarliana Sarliana; Yuli Admasari
Jurnal Bidan Cerdas Vol. 5 No. 1 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i1.1666

Introduction: Pregnant women infected with Covid-19 are at risk of experiencing miscarriage and preterm birth. From a total of 232 pregnant women, 8 individuals (3.4%) have been vaccinated against Covid-19 at Kinovaro Primary Health Center. Objective: To identify factors associated with the participation of pregnant women in the Covid-19 vaccination program. Method: This study employed an analytical research design with a Cross-Sectional approach. The population consisted of all pregnant women in the working area of Kinovaro Primary Health Center. The sample size was 43 respondents, selected using consecutive sampling technique. The research instrument was a questionnaire, and data analysis included univariate and bivariate analyses using the chi-square test. Results: There is a significant association between knowledge and interest with the participation of pregnant women in the Covid-19 vaccination program (p value 0.000). There is no association between residential distance and the participation of pregnant women in the Covid-19 vaccination program (p value 0.56). Conclusion: There are two factors (knowledge and interest) that are associated with the participation of pregnant women in the Covid-19 vaccination program, and one factor (distance) that is not associated. Recommendations: Healthcare professionals are encouraged to enhance their efforts in providing effective education to individuals and families, especially pregnant women, to maintain a positive mindset and seek information about health, particularly regarding Covid-19 vaccination.

PEMBERDAYAAN KADER DAN ORANG TUA MELALUI EDUKASI SERTA PELATIHAN DETEKSI DINI TUMBUH KEMBANG BALITA SEBAGAI UPAYA PENCEGAHAN STUNTING Sarliana Sarliana; Hastuti Usman; Yuli Admasari
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 5 (2023): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i5.16593

Abstrak: Salah satu gangguan dalam pertumbuhan anak adalah stunting. Keterbatasan tenaga kesehatan menyebabkan daya cakup pelayanan kesehatan khususnya dalam penanganan stunting masih belum optimal. Jumlah kasus stunting terbanyak di Sulawesi Tengah terjadi di Kabupaten Donggala mencapai 6977 balita. Dibutuhkan optimalisasi pengetahuan dan ketrampilan kader untuk melakukan deteksi dini tumbuh kembang (DDTK) balita. Kegiatan pengabdian ini bertujuan untuk meningkatkan ketrampilan kader dan orang tua dalam melakukan DDTK di Desa Guntarano sebagai salah satu desa lokus stunting dan daerah binaan Poltekkes Kemenkes Palu. Mitra pengabdian masyarakat ini adalah pemerintah dan bidan Desa Guntarano. Kegiatan ini dilaksanakan di Balai Desa dan Posyandu Desa Guntarano pada tanggal 17-18 April 2023 yang diikuti oleh 31 peserta terdiri dari kader dan orang tua balita. Metode pengabdian berupa ceramah, demonstrasi dan praktik langsung. Evaluasi kegiatan dilakukan dengan penilaian ketrampilan DDTK menggunakan Kuesioner Pra Skrining Perkembangan (KPSP). Hasil evaluasi menunjukan bahwa 74% peserta memiliki ketrampilan baik setelah dilakukan pengabdian.Abstract: One of the disturbances in children's growth is stunting. The limited number of health workers means that the coverage of health services, especially in treating stunting, is still not optimal. The highest number of stunting cases in Central Sulawesi occurred in Donggala Regency reaching 6977 toddlers. Optimization of the knowledge and skills of cadres is needed to carry out early detection of growth and development (DDTK) for toddlers. This service activity aims to improve the skills of cadres and parents in conducting DDTK in Guntarano Village as one of the stunting locus villages and the assisted areas of the Health Ministry Polytechnic of Palu. The community service partners are the government and the Guntarano village midwife. This activity was carried out at the Guntarano Village Hall and Posyandu on 17-18 April 2023 which was attended by 31 participants consisting of cadres and parents of toddlers. Methods of devotion in the form of lectures, demonstrations, and direct practice. Evaluation of activities is carried out by assessing DDTK skills using the Developmental Pre Screening Questionnaire (KPSP). The evaluation results showed that 74% of participants had good skills after serving.

Knowledge and Attitudes of Young Women about Early Detection of Breast Cancer through Breast Self-Examination (BSE) Siska Farlina; Muliani Muliani; Lili Suryani; Sarliana Sarliana; Nurfatimah Nufatimah; Sumiaty Sumiaty
Napande: Jurnal Bidan Vol. 2 No. 1 (2023): April
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v2i1.2057

Background: Breast cancer is the most common cancer in women, is a malignant tumor that grows in breast tissue. Data from the Health Office of Central Sulawesi, the percentage of tumors/lumps in 2018 was 0.18%. in 2019 0.2%. in 2020 increased 0.4%. One of the efforts to detect breast cancer early is BSE. Purpose To know the effect of health education on the level of knowledge and attitudes of young women about early detection of breast cancer through Breast Self Examination in the Huntap Tondo area. Methods The type of research is quasi-experimental with one group pretest-posttest design. The research sample was young women aged 14-19 years totaling 55 respondents taken by purposive sampling. The research instrument used a standardized questionnaire with a total of 20 knowledge questions and 10 attitudes. The research was conducted on 2-5 July in Huntap Tondo. The analysis used the Wilcoxon signed rank test. Results showed that the knowledge of young women with a mean pretest value of 9.6 and a mean posttest value of 17.3 (p = 0.000 <0.05). The attitude of young women with a mean pretest value of 20.8 and a mean posttest value of 35.7 (p = 0.000 <0.05). Conclusion There is an effect of health education on the knowledge and attitudes of young women about early detection of breast cancer through Breast Self-Examination. It is expected that young women in the Huntap Tondo area will continue to improve their knowledge and attitudes toward preventing breast cancer by participating in counseling and being active in youth Posyandu activities.

OPTIMALISASI GIZI 1000 HARI PERTAMA KEHIDUPAN MELALUI PEMBENTUKAN, PELATIHAN DAN PENDAMPINGAN KELOMPOK PENDUKUNG ASI Mercy Joice Kaparang; Yuli Admasari; Sarliana Sarliana
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 4 (2024): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i4.23962

Abstrak: 1000 Hari Pertama Kehidupan (HPK) merupakan masa krusial yang berdampak pada tumbuh kembang dan kesehatan anak di masa depan. Memberikan Air Susu Ibu (ASI) secara eksklusif merupakan satu langkah penting untuk optimalisasi gizi 1000 HPK. Cakupan terendah pemberian ASI eksklusif di Sulawesi Tengah adalah Kabupaten Poso sebesar 34,9%. Pembentukan kelompok pendukung ASI (KP-ASI) dapat menjadi solusi efektif untuk mengatasi berbagai kendala dalam pemberian ASI eksklusif. Desa Boe salah satu desa di Kecamatan Pamona Selatan Kabupaten Poso yang belum terbentuk KP ASI. Kegiatan pengabdian ini bertujuan untuk membentuk, melatih dan mendampingi KP-ASI. Pemerintah dan bidan Desa Boe merupakan mitra dalam pengabdian masyarakat. Tiga puluh peserta, termasuk kader dan ibu hamil, mengikuti program yang berlangsung di Balai Desa Boe pada tanggal 20–22 Mei 2024. Cara pelayanannya melalui ceramah dan sesi tanya jawab. Penilaian pengetahuan mengenai ASI eksklusif digunakan untuk mengevaluasi kegiatan. Berdasarkan temuan evaluasi, Desa Boe telah membentuk KP-ASI, dan setelah dilakukan pengabdian, 80% peserta memiliki pengetahuan yang kuat.Abstract: The First 1000 Days of Life (HPK) is a crucial period that has an impact on children's future growth and development and health. Providing breast milk (ASI) exclusively is an important step to optimize 1000 HPK nutrition. The lowest coverage of exclusive breastfeeding in Central Sulawesi is Poso Regency at 34.9%. The formation of a breastfeeding support group (KP-ASI) can be an effective solution to overcome various obstacles in providing exclusive breastfeeding. Boe Village is one of the villages in South Pamona District, Poso Regency where KP ASI has not yet been formed. This service activity aims to form, train, and assist KP-ASI. The government and the midwives of Boe Village are the partners in community service. Thirty participants, including cadres and expectant mothers, participated in this program, which took place in the Boe Village Hall on May 20–22, 2024. The way the service is provided is through lectures and Q&A sessions. The assessment of knowledge regarding exclusive breastfeeding is used to evaluate the activities. According to the evaluation's findings, Boe Village has established KP-ASI, and following the service, 80% of participants had strong knowledge.

The Giving of Stunting Pocketbooks as a Health Education Tool for Women of Childbearing Age in an Effort to Prevent Stunting S Sarliana; Henrietta Imelda Tondong; Mercy Joice Kaparang; Hastuti Usman
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 1: March 2023
Publisher : Universitas Aisyah Pringsewu

Stunting is a chronic nutritional problem that can increase morbidity and mortality. Indonesia has a stunting rate of 24.4%, far from the government's target of 14% in 2024. Central Sulawesi Province is one of the regions with a high stunting rate (29.7%) and Enu Village contributes 41% as the stunting locus. Stunting prevention efforts must be carried out from an early age, especially for women of childbearing age as prospective brides and prospective mothers, who need to be equipped with good knowledge of stunting. This study aims to prove the effectiveness of giving a stunting pocketbook as a means of health education for women of childbearing age to prevent stunting. The research method used is a Pre-Experiment with one group pretest-posttest design. it was implemented in June 2022 in Enu Village, the working area of the Toaya Health Center. A sample of 36 people was taken using a purposive sampling technique, data analysis using univariate analysis and bivariate analysis using paired t-test. The results showed an increase in the average knowledge before and after treatment of 14.72 with p-value = 0.001. Giving a stunting pocketbook as an educational tool has proven to increase the knowledge of women of childbearing age. It is hoped that education with pocketbooks can be given to teenagers as one of the preventive efforts to reduce the incidence of stunting. Abstrak: Stunting merupakan masalah gizi kronis yang dapat meningkatkan angka kesakitan dan kematian. Indonesia angka kejadian stunting 24,4 %, jauh dari target pemerintah yaitu 14% pada tahun 2024. Provinsi Sulawesi Tengah menjadi salah satu wilayah dengan angka stunting tinggi (29,7 %) dan Desa Enu menyumbang 41% sebagai locus stunting pada wilayah kerja puskesmas Toaya. Upaya Pencegahan stunting harus dilakukan sejak dini khususnya bagi wanita usia subur sebagai calon pengantin dan calon ibu, perlu dibekali dengan pengetahuan yang baik terkait dengan stunting. Tujuan penelitian ini yaitu untuk membuktikan efektifitas pemberian buku saku stunting sebagai sarana edukasi kesehatan bagi wanita usia subur dalam upaya pencegahan stunting. Metode penelitian yang digunakan Pre-Experiment dengan rancangan one group pretest-posttest design. Dilaksanakan bulan Juni 2022 di Desa Enu wilayah kerja Puskesmas Toaya. Sampel sebanyak 36 orang diambil dengan tekhnik Purposive Sampling. Analisis data menggunakan analisis univariat dan bivariat menggunakan uji paired t test. Hasil menunjukan terdapat peningkatan rata-rata pengetahuan sebelum dan sesudah perlakuan sebesar 14,72 dengan nilai p-value = 0,001. Pemberian Buku saku stunting sebagai sarana edukasi terbukti efektif dalam meningkatkan pengetahuan wanita usia subur. Diharapkan edukasi dengan buku saku dapat diberikan kepada remaja sebagai salah satu upaya preventif menekan angka kejadian stunting.

Kangaroo Mother Care with Integrated Sensors for Vital Sign Monitoring in Low Birth Weight Infants Muliani; Sarliana; Abd. Farid Lewa
Jurnal Bidan Cerdas Vol. 8 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v8i1.4248

Background: Low birth weight (LBW) infants are at high risk of thermoregulatory, cardiovascular, and respiratory disorders, requiring accurate monitoring of vital signs. The limitations of continuous monitoring devices in healthcare facilities have prompted the development of sensor-based Kangaroo Mother Care (KMC) slings. This study aimed to assess the diagnostic accuracy of temperature, pulse rate (HR), and oxygen saturation (SpO₂) sensors on KMC slings compared to standard hospital medical devices. Methods: A cross-sectional comparative study was conducted on 31 LBW babies who underwent KMC treatment in the Perinatology room at Ampana Hospital from June to September 2025. Temperature, pulse, and SpO₂ measurements were simultaneously obtained using wearable sensors on KMC slings and standard devices, including clinical digital thermometers, neonatal multiparameter/ECG monitors, and medical pulse oximeters. The analysis includes sensitivity, specificity, and positive and negative predictive values. Results: The temperature sensor shows a sensitivity of 90.9% and a specificity of 66.7%. The HR sensor has a sensitivity of 77.8% and a specificity of 86.4%. The SpO₂ sensor shows a sensitivity of 88.0% and a specificity of 64.0%. These values demonstrate a fairly good abnormality detection rate, but still show limitations in consistently distinguishing normal physiological conditions from standard clinical devices. Conclusion: The sensor on the KMC sling shows moderate diagnostic performance and does not yet match the accuracy of standard clinical devices. Given the limitations of the design and sample size, these findings need to be interpreted with caution. These devices have the potential to be used as an initial monitoring or screening support tool in the context of KMC, but require further technical development and validation before wider implementation.

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