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Prevent Stunting Early: Implementing Nutrition Education through a Shared Breakfast Program in Elementary Schools Nurlela Petra Saragih; Almina Rospitaria Tarigan; Eka Isranil Laily; Elfrida Nainggolan; Ruth Sarah Julfrida Saragih; Dewi Sartika Munthe
International Journal of Community Service Implementation Vol. 3 No. 4 (2025): IJCSI DECEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijcsi.v3i3.411

Abstract

Stunting (chronic malnutrition) remains a serious public health challenge in Indonesia, with a prevalence of 21.6% (2022) above the WHO threshold (20%). While interventions are intensive during the First 1000 Days of Life, management during the school-age period (the second golden phase) is often neglected. This study aims to measure the effectiveness of nutritional education intervention and hands-on practice through a Shared Breakfast Program in Elementary Schools (SD) in improving nutritional knowledge and stunting prevention. This community service activity used a simple pre-test and post-test design with a participatory education method on 49 students from grades 1 to 3 at Talang Bukit Hutabayu State Elementary School. The material focused on the dangers of stunting, the concept of Balanced Nutrition (Isi Piringku or My Plate Content), and the importance of breakfast. The results showed a significant increase in students' knowledge levels, with average score improvements ranging from 23.6% to 33.5% between the pre-test and post-test. The greatest improvement occurred in Grade 1 students. The Shared Breakfast Program proved effective as a live laboratory that transformed abstract nutritional concepts into tangible practice. The intervention not only enhanced nutritional literacy but also built awareness of the link between a healthy breakfast and learning concentration. It is recommended that a comprehensive nutrition program, supported by continuous teacher training and active parental involvement, be integrated into the school curriculum to ensure the sustainability of healthy behavior changes
Effectiveness Of Health And Health Interventions For Anxiety And Emotional Well-Being In Breast Cancer: Review Nurlela Petra Saragih; Elfrida Nainggolan; Ruth Sarah Julfrida Saragih; Dewi Sartika Munthe; Eka Isranil Laily; Maria Magdalena Saragi R; Almina Rospitaria Tarigan
International Journal of Health Engineering and Technology Vol. 5 No. 1 (2026): IJHET MAY 2026
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v5i1.882

Abstract

Breast cancer remains a critical global health burden as the most prevalent malignancy and a leading cause of female mortality, with profound physical, psychological, and economic consequences for patients and families. A comprehensive understanding of health-related quality of life (HRQoL) is essential, as over 50% of patients report significant anxiety and depression, which can worsen clinical prognosis and drastically reduce survival rates if left unmanaged. However, substantial research gaps persist, characterized by inconsistent findings regarding demographic variables influencing HRQoL and a limited synthesis of literature integrating ecological coping models and socio-relational self-efficacy across diverse cultural contexts. This systematic literature review aims to analyze the relationship between various coping resources and patients' psychological distress and quality of life during treatment and recovery. Adhering to the PRISMA protocol, this study systematically screened 473 articles from the Scopus database within the subject areas of nursing and psychology published through 2024. Furthermore, digital health (eHealth/mHealth) interventions, such as the "Yun Dong Ru Kang" rehabilitation app and text messaging programs. Consequently, a shift toward a holistic care model incorporating routine distress screening and work integration support is warranted. Practitioners should optimize digital technology for remote monitoring and strengthen social support to mitigate emotional vulnerability.