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PEMBERDAYAAN KADER POSYANDU BERBASIS COACHING DAN INOVASI NUTRISI MRJ UNTUK PENCEGAHAN KEKURANGAN ENERGI KRONIS (KEK) PADA IBU HAMIL DI PUSKESMAS WARA SELATAN, KOTA PALOPO Lina Fitriani; Rosdiana Rosdiana; Hardianti Pertiwi; Nur Gita Jamilda; Inul Inul; Hellen Caroline
Jurnal Pengabdian Masyarakat Kebidanan Vol 8, No 1 (2026): Jurnal Pengabdian Masyarakat Kebidanan
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jpmk.v8i1.20634

Abstract

Kekurangan Energi Kronis (KEK) pada ibu hamil masih menjadi masalah gizi yang berdampak terhadap peningkatan risiko komplikasi kehamilan, bayi berat lahir rendah, dan stunting. Berdasarkan data Dinas Kesehatan Kota Palopo tahun 2023, terdapat 314 kasus KEK pada ibu hamil yang memiliki LILA < 23,5 cm. Program ini bertujuan meningkatkan kapasitas kader posyandu dalam pencegahan KEK melalui pelatihan berbasis coaching dan penerapan inovasi nutrisi lokal Moringa oleifera dan Royal Jelly (MRJ). Metode pelaksanaan meliputi sosialisasi, pelatihan, pendampingan, serta evaluasi menggunakan pre-test dan post-test. Sebanyak 10 kader dilatih dan didampingi untuk membuat produk permen nutrisi MRJ serta melaksanakan edukasi gizi kepada ibu hamil. Hasil menunjukkan peningkatan pengetahuan kader secara signifikan dari 20% menjadi 70% (p = 0,000) pada sesi edukasi KEK, dan dari 10% menjadi 80% (p = 0,000) pada sesi coaching MRJ. Setiap kader mampu memproduksi rata-rata 100 butir permen MRJ yang kemudian didistribusikan di 10 posyandu mitra. Program ini efektif meningkatkan pengetahuan, keterampilan, dan kemandirian kader dalam pencegahan KEK berbasis pangan lokal dan teknologi edukasi digital.
The Effect Of Video Media On Postpartum Mother’s Knowledge About IUD Contraception Sry Wahyuni; Ummu Kalsum; Lina Fitriani; Masyitah Wahab
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 2 (2023): May 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i2.161

Abstract

Couples of childbearing age are the targets of the family planning program, from the number of PUS there are some who decide they want to delay pregnancy or do not want additional children but do not use family planning, this EFA group is referred to as unmet need. Low knowledge causes women to be afraid to use contraceptives because previously rumors of contraception circulating in the community, as a result of lack of knowledge of PUS in choosing good contraception, negatively impacted attitudes and behavior in planning their next pregnancy. have a known problem with “4 Too”(4-T) (too many, too young, too old, too close in birth spacing) which is very dangerous. This condition is supported by the presence of three late (3T), namely being late in recognizing signs, being late in reaching the service center and being late in getting help. Factors (4T and 3T) are social problems that also determine the health and safety of the labor process and the rapid birth rate of babies. The research method used was pre-experimental with one-group pretest posttest design. This study used 15 samples based on inclusion criteria, the sampling technique was purposive sampling. The results showed that there was a difference in knowledge of post-test mothers which was higher than the results of mothers' knowledge on pre-test using video media on IUD contraception.
Faktor Yang Berhubungan Dengan Kejadian Kekurangan Energi Kronik (KEK) Pada Ibu Hamil: Studi Cross Sectional Di Wilayah Kerja UPT Puskesmas Sumaling Kecamatan Mare Kabupaten Bone Tahun 2026 A.Fitriani A.Fitriani; Andi Alim; Lina Fitriani; Ridwan Amiruddin
Barongko: Jurnal Ilmu Kesehatan Vol 5 No 1 (2026): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v5i1.1458

Abstract

Latar belakang: Kekurangan Energi Kronik (KEK) pada ibu hamil merupakan kondisi kekurangan asupan energi dan protein yang berlangsung dalam waktu lama dan dapat berdampak terhadap kesehatan ibu serta pertumbuhan janin. Wilayah kerja UPT Puskesmas Sumaling masih menghadapi masalah Kekurangan Energi Kronik (KEK) pada ibu hamil. Tujuan: Menganalisis hubungan umur ibu, pendidikan, usia kehamilan, paritas, pendapatan keluarga, dan pantangan makanan dengan kejadian Kekurangan Energi Kronik (KEK) pada ibu hamil di wilayah kerja UPT Puskesmas Sumaling Kecamatan Mare Kabupaten Bone Tahun 2026. Metode: Penelitian kuantitatif analitik dengan desain cross-sectional. Populasi sekaligus sampel adalah seluruh ibu hamil yang terdaftar dan berdomisili aktif di wilayah kerja UPT Puskesmas Sumaling, dengan teknik total sampling sebanyak 56 responden. Data dikumpulkan menggunakan lembar observasi dan kuesioner. Analisis dilakukan secara univariat dan bivariat menggunakan SPSS versi 21. Fisher’s Exact Test digunakan untuk tabel 2×2, sedangkan Fisher–Freeman–Halton Exact Test digunakan untuk variabel usia kehamilan yang berbentuk tabel 3×2. Tingkat kemaknaan α=0,05. Hasil: Kekurangan Energi Kronik (KEK) ditemukan pada 8 responden (14,3%). Mayoritas responden berusia 20–35 tahun (69,6%), berpendidikan tinggi (78,6%), berada pada trimester II (51,8%), memiliki paritas risiko rendah (78,6%), pendapatan keluarga rendah (64,3%), dan tidak mendukung pantangan makanan (82,1%). Tidak terdapat hubungan bermakna antara umur (p=0,688), pendidikan (p=0,348), usia kehamilan (p=0,103), paritas (p=0,180), pendapatan keluarga (p=1,000), maupun pantangan makanan (p=0,143) dengan kejadian Kekurangan Energi Kronik (KEK). Kesimpulan: Keenam variabel yang diteliti tidak berhubungan secara statistik dengan kejadian Kekurangan Energi Kronik (KEK) pada ibu hamil di wilayah penelitian. Pencegahan Kekurangan Energi Kronik (KEK) tetap memerlukan pendekatan komprehensif yang mencakup pemantauan status gizi, pelayanan antenatal, edukasi gizi, suplementasi, serta intervensi gizi yang tepat sasaran.
Structured Positive Affirmations and Third-trimester Pregnancy Anxiety: A Quasi-experimental Study Lina Fitriani; A Fatimah Jamir; Evi Rahayu; Supriadi Supriadi; Rochmawati Rochmawati
Global Medical & Health Communication (GMHC) Vol. 14 No. 2 (2026): Accredited Sinta 2
Publisher : UPT Publikasi Ilmiah Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v14i2.9247

Abstract

Anxiety affects approximately 10% of third-trimester pregnant women globally and contributes to adverse maternal outcomes, including pregnancy-induced hypertension, a recognized factor in Indonesia's maternal mortality. Positive affirmations represent an accessible non-pharmacological intervention combining cognitive restructuring with relaxation techniques. This research aimed to determine the effectiveness of structured positive affirmation interventions in reducing anxiety levels among third-trimester pregnant women at the UPTD Salugatta Health Center in Central Mamuju Regency in 2025. A quasi-experimental one-group pretest-posttest design enrolled 60 third-trimester pregnant women through purposive sampling between January and June 2025. Participants received standardized positive affirmations delivered four times daily over seven consecutive days. Anxiety levels were measured using the validated Hamilton Anxiety Rating Scale before and after intervention. Data were analyzed using the Wilcoxon signed-rank test and multiple linear regression (α=0.05, 95% CI). Mean anxiety scores decreased significantly from 20.23±6.21 to 15.47±4.29, representing a 4.76-point reduction (95% CI=3.82–5.70; p<0.001, Cohen's d=0.89). Non-anxious participants increased from 0% to 67%, while severe anxiety was eliminated. Multivariate analysis revealed primigravida status (β=0.42, p<0.001), younger age (β=0.28, p=0.021), and higher education (β=0.24, p=0.032) as significant predictors of greater anxiety reduction, with the model explaining 52.4% of variance. In conclusion, in this single-group study, structured positive affirmation interventions were associated with a significant reduction in third-trimester pregnancy anxiety and a large effect size, supporting further evaluation—ideally with a controlled design—for integration into routine antenatal care.
GELORA NABATI: Gerakan Pangan Lokal Alami Berbahan Nabati Berbasis Keluarga untuk Meningkatkan Gizi Ibu Hamil Risiko KEK di Puskesmas Wara Selatan Kota Palopo Lina Fitriani; Susianti Susianti; Sry Wahyuni; Rismawati Rismawati; Arini Purnamasari
Jurnal Pengabdian Masyarakat Kesosi Vol. 9 No. 2 (2026): Juli: Jurnal Abdimas KESOSI
Publisher : Sekolah Tinggi Ilmu Kesehatan Kesetiakawanan Sosial Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/abdimas.v9i2.602

Abstract

Background: Chronic energy deficiency (CED) among pregnant women remains one of the nutritional problems contributing to an increased risk of pregnancy complications, low birth weight, and stunting. One approach that can be taken is to empower families by utilizing locally available plant-based foods with high nutritional value, such as moringa leaves. The GELORA NABATI Program (Family-Based Natural Plant-Based Local Food Movement) was developed as a community service innovation to improve families’ knowledge, skills, and participation in preventing CED among pregnant women. Objective: To improve knowledge, skills in processing local plant-based foods, and family involvement in meeting the nutritional needs of pregnant women at risk of KEK in the service area of the Wara Selatan Community Health Center in Palopo City. Methods: The community service activities employed a Participatory Action Research (PAR) approach through health education sessions, training in local food processing, cooking classes, family mentoring, as well as monitoring and evaluation. The target participants were 30 pregnant women at risk of KEK and their accompanying family members. Evaluation was conducted using pretest–posttest assessments, skill observations, and activity documentation. Results: The participants’ average knowledge score increased from 61.20 to 87.40 after the intervention. The proportion of households with “good” local food processing skills increased from 16.7% before the training to 83.3% after the training. A total of 90.0% of families expressed a commitment to continue utilizing local foods to meet the nutritional needs of pregnant women. In addition, a group of GELORA NABATI cadres was formed to serve as local leaders who support the program’s sustainability within the community. Conclusion: The GELORA NABATI program effectively enhances the capacity of pregnant women and their families to utilize plant-based local foods as a means of preventing chronic energy deficiency (CED) and has the potential to serve as a community empowerment model that can be replicated in other regions.