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Edukasi Gizi Seimbang untuk Pencegahan Stunting pada Anak Prasekolah di Wilayah Kerja Puskesmas Dungingis Evie, Sova; Azwar, Azwar; Ra'bung, Alfrida Semuel; Hasni, Hasni; Saman, Saman; Suswinarto, Dwi Yogyo
Poltekita: Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v5i2.3727

Abstract

During its progression, a stunted kid will have challenges with cognitive development and educational failure, which slows down the child's capacity to absorb knowledge and, eventually, leads to low productivity as an adult. The nutritional health of pre-school children should be carefully monitored since this era is crucial as it sets the stage for a child's future growth. Educating parents of preschool-aged children on the need of a healthy diet in warding off stunting is the overarching goal of this community service (Pengabmas) project. Lectures, Q&A sessions, and group discussions were the means of instruction for this task. Fifty participants from the working area of the Dungingis Health Center in Tolitoli Regency who are parents of preschool-aged children will be the focus of this program. Knowledge increased from 38% to 85% according to the findings of the post-test that was administered. Parents' understanding of the need of a healthy diet for pre-schoolers has grown as a result of this educational activity. The goal of the nutrition program at the Dungingis Community Health Center is to help parents better understand how to meet their pre-school children's nutritional needs by educating them about balanced nutrition at least once every three months.
Pemberdayaan Kader dalam Pemantauan Gizi pada Ibu Hamil dengan Kurang Energi Kronik (KEK) di Puskesmas Kota Managaisaki, Tolitoli Hasni, Hasni; Saman, Saman; Ra'bung, Alfrida Semuel; Evie, Sova; Suswinarto, Dwi Yogyo; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.3808

Abstract

Chronic Energy Deficiency (CED) is a nutritional deficiency issue that frequently occurs among pregnant women in Indonesia. The purpose of this Community Service activity was to improve the knowledge and skills of health cadres in monitoring the nutritional status of pregnant women with CED through the measurement of body weight (BW) and mid-upper arm circumference (MUAC), thereby enabling effective monitoring of nutritional intake during pregnancy.This activity was conducted using lecture methods with the aid of media such as PowerPoint presentations and LCD projectors, along with Q&A sessions, discussions, and simulations. It was carried out from March 13 to June 25, 2024. The target participants were maternal health cadres in the working area of the Managaisaki City Public Health Center (Puskesmas), Tolitoli, totaling eight individuals.Post-test results indicated an increase in knowledge from 43% to 86%, and an improvement in skills from 60% to 100%. Furthermore, after three months of monitoring, the number of pregnant women with CED decreased from 16 to 14.It can be concluded that this educational activity successfully improved pregnant women’s nutritional awareness for CED prevention and enhanced the cadres' skills in measuring MUAC and BW. It is recommended that the Managaisaki City Health Center schedule annual training for health cadres who have not yet received any, as an effort to provide updated information or continued coaching for trained cadres, and to reinforce previously delivered training materials.
Pembentukan Kelompok Siaga Bencana Banjir Sebagai Upaya Mengurangi Resiko Bencana Evie, Sova; Suswinarto, Dwi Yogyo; Ra'bung, Alfrida Semuel; Hasni, Hasni; Saman, Saman; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.3863

Abstract

Bencana banjir bukan suatu persoalan yang baru di Indonesia, bahkan kurun waktu 5 tahun terakhir, sering terjadi setiap tahun di beberapa wilayah Indonesia. Peristiwa bencana merupakan kejadian yang tak terduga, baik dari segi waktu, tempat, dan tingkat kerusakan yang di timbulkan. Banjir merupakan suatu bencana yang mengganggu kehidupan manusia, yang dapat menyebabkan kerugian berupa materi maupun terburuknya adalah merenggut nyawa. Upaya mengantisipasi bencana banjir dilakukan dengan mempersiapkan masyarakat tanggap terhadap bencana banjir. Tujuan dari kegiatan Pengabdian Masyarakat (Pengabmas) ini adalah Untuk membentuk Kelompok Siaga Banjir sebagai upaya mengurangi resiko bencana di Kecamatan Dakopamean Kabupaten Tolitoli. Kegiatan ini dilaksanakan melalui metode musyawarah membentuk dan memberdayakan kelompok siaga bencana banjir. Sasaran dari kegiatan ini adalah masyarakat di Desa Galumpang Kecamatan Dakopamean Kabupaten Tolitoli, yang berjumlah 60 orang. Dapat disimpulkan bahwa terbentuknya kelompok siaga bencana banjir melalui pemberdayaan masyarakat. Diharapkan kepada pihak Pemerintah Desa maupun BPBD untuk menindaklanjuti pada evaluasi jangka panjang, untuk tetap membina kelompok siaga bencana banjir yang telah terbentuk.
The Impact of a Booklet and Video on Reproductive Health Education on The Behavior of SMP Negeri 1 Tolitoli's Class IX Students Evie, Sova; Hasni, Hasni; Suswinarto, Dwi Yogyo; Enggar, Enggar
Poltekita: Jurnal Ilmu Kesehatan Vol. 18 No. 1 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v18i1.3064

Abstract

Adolescent reproductive health issues stem from a lack of information, understanding, and awareness, leading to risky sexual behaviors. This study aimed to assess the effectiveness of reproductive health education using videos and booklets on the behavior of Class IX students at SMP Negeri 1 Tolitoli. A quasi-experimental design with pre- and post-test and control group was employed. The sample consisted of 138 students divided into two groups: video (n=69) and booklet (n=69). Behavior was measured before and 30 days after the intervention using a validated questionnaire. Data were analyzed using the Wilcoxon test. In the video group, mean knowledge increased from 00.00 to 24.50, mean attitude from 00.00 to 13.50, and mean action from 00.00 to 22.50. In the booklet group, mean knowledge increased from 15.00 to 16.11, mean attitude from 00.00 to 12.00, and mean action from 11.50 to 13.06. No significant difference in student behavior was found between the video and booklet groups (p<0.05). Education using videos and booklets was equally effective in changing student behavior. These findings highlight the importance of providing comprehensive reproductive health education to adolescents using engaging media to promote healthy behaviors and prevent risky sexual practices.
Pencegahan Kurang Energi Kronik pada Ibu Hamil melalui Edukasi dan Pelatihan Kader Kesehatan di Desa Buntuna, Tolitoli Hasni, Hasni; Ra'bung, Alfrida Semuel; Saman, Saman; Evie, Sova; Putri, Novica Arianti; Suswinarto, Dwi Yogyo; Kurniawan, Rahmat; Azwar, Azwar
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 2 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i2.4257

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a serious public health challenge due to its impact on both maternal and fetal health, ranging from delivery complications and anemia to the risk of low birth weight (LBW) and stunting. Data from the Tolitoli District Health Office in 2023 reported 406 cases of CED among pregnant women, with the highest prevalence (19.2%) found in Baolan Subdistrict. This condition highlights the need to strengthen the role of community health cadres in early detection and nutritional support for pregnant women. This Community Service Program aimed to improve cadres’ knowledge and skills in monitoring maternal nutritional status through simple anthropometric measurements (Mid-Upper Arm Circumference, body weight, and height). The activity was conducted in Buntuna Village, within the working area of Baolan Health Center, Tolitoli District, on July 30, 2025, involving 18 health cadres. The methods included education using presentations and booklets, a question-and-answer session, and hands-on practice of anthropometric measurements. Knowledge was assessed using pre- and post-tests with questionnaires, while skills were observed using a checklist-based assessment. The post-test results indicated a significant improvement in knowledge from 40% to 86%, while skills increased from 11% to 100%. Prior to the intervention, only two cadres were skilled, but after training, all participants were able to perform measurements accurately. These findings demonstrate that practice-based training is effective in strengthening cadre capacity and has the potential to enhance the effectiveness of CED prevention programs at the community level.
Smoking, Obesity, Hypertension, and Lifestyle are Associated with Coronary Heart Disease: A Cross-Sectional Study in Central Sulawesi, Indonesia Ra'bung, Alfrida Semuel; Suswinarto, Dwi Yogyo; Akbar Nur; I Kadek Swarjana; Nurarifah, Nurarifah; Wartana, I Kadek; Sova Evie; Helena Pangaribuan; Kadar Ramadhan
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 1 (2026): January 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i1.8583

Abstract

Introduction: Cardiovascular disease is the leading cause of death globally, with 17.9 million deaths in 2019, of which 85% were caused by stroke and coronary heart disease (CHD). In Indonesia, CHD accounts for 26.4% of all deaths; therefore, controlling risk factors is a priority. This study aimed to analyze the relationship between modifiable risk factors (smoking, obesity, hypertension, and lifestyle) and the incidence of CHD. Methods: This analytical study used a cross-sectional design with accidental sampling and was conducted at the Heart Polyclinic of the Undata Hospital, Central Sulawesi, in August 2025. A total of 112 respondents aged ?35 years who sought treatment were included in this study. Data were collected through direct measurements (blood pressure, height, and weight) and questionnaires assessing smoking habits, lifestyle, and medical histories. Ethical approval was obtained from the Health Research Ethics Committee of Poltekkes Kemenkes Palu. Data analysis included univariate, chi-squared (95% CI), and logistic regression tests. Results: Among 112 respondents, 56 (50%) were diagnosed with CHD. There was a significant association between CHD and smoking (p < 0.001), obesity (p = 0.004), hypertension (p = 0.001), and lifestyle habits (p = 0.031). Logistic regression analysis identified smoking as the strongest predictor of CHD (odds ratio [OR] = 16.626; p = 0.009). Conclusion: Smoking, obesity, hypertension, and lifestyle were significant risk factors for CHD, with smoking emerging as the main determinant. Preventive strategies should prioritize smoking cessation, weight control, hypertension management, and promotion of healthy lifestyles.
Pembentukan Desa Siaga Sehat Jiwa di Desa Buntuna Wilayah Kerja Puskesmas Baolan Kabupaten Toli-Toli Suswinarto, Dwi Yogyo; Saman, Saman; Saripah, Eli; Kurniawan, Rahmat; Evie, Hasni Sova; Putri, Novica Ariyanti; Azwar, Azwar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 3 (2026): Volume 9 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i3.24278

Abstract

ABSTRAK Saat ini kasus Orang dengan masalah Kejiwaan (ODMK) dan Orang dengan Gangguan jiwa (ODGJ) terus meningkat, Optimalisasi Upaya Kesehatan Jiwa bergeser dari Hospital mental health care mengarah pada Community mental health care. Untuk mendukung upaya berbasis masyarakat maka diperlukan adanya upaya Kesehatan jiwa pada tatanan Desa/Kelurahan. Semakin meningkatnya Kasus Gangguan jiwa, Kasus kekambuhan, kurangnya perhatian masyarakat terhadap penderita gangguan jiwa di Masyarakat, peran Kader kesehatan jiwa yang  Belum Optimal , dukungan dan perhatian  dari  tokoh masyarakat serta aparat desa masih rendah. Tujuan dari kegiatan ini adalah membentuk Desa Siaga Sehat jiwa dengan target kegiatan Adanya sosialisasi tentang upaya kesehatan jiwa pada aparat desa dan tokoh masyarakat, Pelatihan Kader,  kader melakukan pendataan dan pembinaan kepada keluarga serta terbentuknya pengurus Desa Siaga Sehat Jiwa. Pelaksanaan Kegiatan dilaksanakan selama 3 Hari dari tanggal 31 Juli s/d 1 Agustus 2025, dengan rincian kegiatan; Sosialisasi Program Kesehatan jiwa didalam termasuk Desa Siaga Sehat Jiwa yang diikuti Tokoh Masyarakat, aparat desa dan Penanggung jawab program keswa Puskesmas, Pelatihan Kader Kesehatan Jiwa diikuti oleh 18 kader, yang didahulu dengan pre test dan post Test dengan hasil nilai rata-rata Pre test 56 setelah pelatihan post test rata-rata 87, Pelaksanaan Pendataan  Deteksi kesehatan jiwa oleh kader telah didata  87 KK sebanyak 187 Jiwa dengan rincian hasil pendataan 134 sehat jiwa, resiko 54 jiwa dan 1 didapatkan mengalami gagguan jiwa. Serta pembentukan Pengurus Desa Siaga sehat Jiwa. Kesimpulan; Sosialisasi program Keswa pada tokoh masyarakat , pelatihan dan deteksi dini serta Desa siaga sehat jiwa telah terbentuk. Perlu pendampingan untuk kegiatan selanjutnya. Kata Kunci: Desa Siaga, Sehat Jiwa, Program Jiwa, Kesehatan Jiwa.  ABSTRACT Currently, cases of People with Mental Problems (ODMK) and People with Mental Disorders (ODGJ) continue to increase, Optimization of Mental Health Efforts is shifting from Hospital mental health care towards Community mental health care. To support community-based efforts, mental health efforts are needed at the Village/Sub-district level. The increasing cases of mental disorders, relapse cases, lack of public attention to people with mental disorders in the community, the role of mental health cadres is not optimal, support and attention from community leaders and village officials is still low. The purpose of this activity is to form a Mental Health Alert Village with the target of activities There is socialization about mental health efforts to village officials and community leaders, Cadre Training, cadres conduct data collection and guidance to families and the formation of Mental Health Alert Village administrators. The implementation of the activity was carried out for 3 days from July 31 to August 1, 2025, with details of activities; The socialization of the Mental Health Program within the Mental Health Alert Village was attended by Community Leaders, village officials, and the person in charge of the Community Health Center's mental health program. Mental Health Cadre Training was attended by 18 cadres, preceded by a pre-test and post-test with an average pre-test score of 56 after the training and an average post-test score of 87. The implementation of mental health detection data collection by cadres has recorded data on 87 families totaling 187 people with details of the data collection results: 134 mentally healthy, 54 at risk, and 1 found to have a mental disorder. As well as the formation of the Mental Health Alert Village Management. Conclusion: Socialization of the Mental Health Alert Village program to community leaders, training and early detection, and the formation of the Mental Health Alert Village have been completed. Assistance is needed for further activities. Keywords: Alert Village, Healthy Soul , Soul Program, Mental Health.
Pemberdayaan Kader Posyandu melalui Pelatihan Pengukuran Antropometri dan Penilaian Status Gizi Anak di Wilayah Kerja Puskesmas Dungingis Kabupaten Tolitoli Evie, Sova; Hasni, Hasni; Kurniawan, Rahmat; Ra’bung, Alfrida Semuel; Putri, Novica Ariyanti; Saman, Saman; Suswinarto, Dwi Yogyo; Azwar, Azwar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 4 (2026): Volume 9 Nomor 4 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i4.22705

Abstract

ABSTRAK Masalah gizi pada balita, khususnya stunting dan wasting, masih menjadi tantangan kesehatan masyarakat di Indonesia. Kabupaten Tolitoli termasuk daerah dengan prevalensi stunting cukup tinggi. Berdasarkan data Dinas Kesehatan Tolitoli tahun 2023 terdapat 136 (10,54%) kasus stunting dan 8 (0,62%) wasting dari 1.290 balita di wilayah kerja Puskesmas Dungingis. Kondisi ini diperparah dengan rendahnya keterampilan kader posyandu dalam pengukuran antropometri dan penilaian status gizi anak. Tujuan kegiatan pengabmas ini adalah meningkatkan pengetahuan dan keterampilan kader posyandu di wilayah kerja Puskesmas Dungingis, khususnya Desa Galumpang, dalam melakukan pengukuran antropometri menggunakan metode Z-Score pada balita upaya pencegahan stunting. Metode yang digunakan adalah penyuluhan dan pelatihan kepada 20 kader posyandu yang tersebar di wilayah kerja Puskesmas Dungingis. Evaluasi dilakukan dengan pre-test dan post-test pengetahuan serta observasi keterampilan. Hasil yang didapatkan adalah pengetahuan kader mengenai stunting meningkat dari 45% menjadi 85%. Kader mendapatkan keterampilan dalam melakukan pengukuran antropometri dan interpretasi status gizi dengan metode Z-Score. Produk luaran berupa leaflet edukasi dan banner antropometri berhasil digunakan sebagai media pembelajaran. Kesimpulan: Pelatihan ini efektif meningkatkan kapasitas kader posyandu dalam melakukan deteksi dini stunting. Program serupa direkomendasikan untuk diterapkan secara berkelanjutan di wilayah dengan prevalensi stunting tinggi. Kata Kunci: Kader Posyandu, Antropometri, Status Gizi, Z-Score, Stunting.  ABSTRACT Nutritional problems in toddlers, particularly stunting and wasting, remain a public health challenge in Indonesia. Tolitoli Regency is among the areas with a relatively high prevalence of stunting. According to data from the Tolitoli District Health Office in 2023, there were 136 cases of stunting (10.54%) and 8 cases of wasting (0.62%) out of 1,290 toddlers in the working area of Dungingis Health Center. This condition is exacerbated by the limited skills of posyandu cadres in conducting anthropometric measurements and assessing children’s nutritional status. The purpose of this community service program was to improve the knowledge and skills of posyandu cadres in the Dungingis Health Center working area, particularly in Galumpang Village, in performing anthropometric measurements using the Z-Score method for toddlers as an effort to prevent stunting. The method applied was health education and training provided to 20 posyandu cadres across the Dungingis Health Center area. Evaluation was carried out through pre-test and post-test of knowledge as well as observation of skills. The results showed that cadres’ knowledge about stunting increased from 45% to 85%. They also acquired skills in conducting anthropometric measurements and interpreting nutritional status using the Z-Score method. The program produced educational outputs in the form of a leaflet and an anthropometry banner, which were successfully used as learning media. This training was effective in enhancing the capacity of posyandu cadres in the early detection of stunting. Similar programs are recommended for sustainable implementation in regions with a high prevalence of stunting. Keywords: Posyandu Cadres, Anthropometry, Nutritional Status, Z-Score, Stunting