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EFEKTIVITAS PIJAT BAYI TERHADAP PENINGKATAN BERAT BADAN DAN DAYA TAHAN TUBUH ANAK USIA 1-3 TAHUN DI HAFIZHA BABY AND KIDS SPA Qotimah, Qotimah; Sayuti, Sayuti; Setyowati, Susana
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1234

Abstract

Berat badan adalah salah satu indikator antropometrik untuk menilai tumbuh kembang. Manfaat pijat untuk meningkatkan pertumbuhan, konsentrasi bayi, membuat bayi tidur lelap, meningkatkan daya tahan tubuh. Berdasarkan studi pendahuluan di Hafizha Baby & Kids Spa, melalui wawancara kepada customer yang datang memijatkan anaknya mengeluh bahwa kenaikan berat badan anaknya sedikit sekali dan sering mengalami sakit. Tujuan penelitian untuk mengetahui efektifitas Pijat bayi terhadap Peningkatan Berat Badan dan Daya Tahan Tubuh Anak Usia 1-3. Jenis penelitian pre eksperimen dengan desain yang digunakan one group pre test - post test design. Sampel penelitian anak berusia 1-3 tahun yang melakukan pijat, dengan analisa uji t test. Hasil penelitian ada pengaruh pijat bayi terhadap peningkatan berat badan dan daya tahan tubuh. Peningkatan berat badan di tunjukkan nilai signifikansi 2-tailed 0.000 < α 0,05 dan nilai thitung = 12,241 > ttabel = 1,699 artinya ada pengaruh pemberian pijat bayi terhadap peningkatan berat badan anak usia 1-3 tahun. Sedangkan daya tahan tubuh di tunjukan nilai signifikansi 2-tailed 0.000 < α 0,05 dan nilai thitung = 9,522 > ttabel = 1,699 artinya ada pengaruh pemberian pijat bayi terhadap daya tahan tubuh pada anak usia 1-3 tahun.
STUDI TENTANG PEKERJAAN, KADAR HB, DAN KONDISI KESEHATAN IBU SAAT HAMIL DENGAN KONDISI BAYI BARU LAHIR DI KRI NU MADINAH PUJON Sayuti, Sayuti; Qotimah, Qotimah; Setyowati, Susana
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1237

Abstract

Normal newborns are babies born with a gestational age of more than or equal to 37 weeks with a weight of 2500-4000 grams. The condition of the mother during pregnancy can affect the condition of the baby at birth, for example, mothers who have anemia, CED, hypertension, mothers with high parity, or due to other diseases can give birth to babies who are LBW. The purpose of this study was to find out about the relationship between work, Hb levels, and the health condition of mothers during pregnancy and the condition of newborns at the NU Madina Pujon Inpatient Clinic. This study uses a quantitative method with a cross-sectional approach. The sample in this study were all mothers giving birth at the NU Madina Pujon Inpatient Clinic, a total of 30 mothers. The results of this study show that simultaneously there is a relationship between work, Hb levels, and the health condition of the mother during pregnancy and the condition of newborns at the Inpatient Clinic which is indicated by the Fh value > Ftable, namely 14.946 > 2.743. Individually there is a significant relationship seen from the value of th> ttable with a significance value of <0.05.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN STUNTING PADA BALITA DI DESA SUMBER BRANTAS KECAMATAN BUMIAJI KOTA BATU Qotimah, Qotimah; Sayuti, Sayuti; Setyowati, Susana
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 1 (2024): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i4.1776

Abstract

Stunting is classified as affecting children under the age of five years or younger than the age of five years (Yuliana, 2019). According to Simbolon (2019), stunting is a child's inability to develop due to chronic malnutrition which lasts from birth until the child is two years old and causes the child to be too small for his age. Family characteristics including education, employment, wealth, parenting style, eating habits, and number of family members are several variables that influence a child's risk of experiencing stunting (Yuliana, 2019). Stunting (short) is one of the nutritional difficulties that is being addressed both in the world and in Indonesia. Up to 150.8 million children under five, or 22.2% of all children under five, are affected by stunting globally. Indonesia is ranked third among Southeast Asian/Southeast Asian Regional (SEAR) countries with the largest frequency according to WHO statistics. Various variables influence the occurrence of stunting in toddlers, especially preterm birth babies (LBW), exclusive breastfeeding and early weaning, the presence of infectious diseases, and complete basic vaccination status. The long-term impact is reduced learning and decreased productivity in the younger generation due to their low IQ.The aim of this research is to determine the factors that influence the incidence of stunting in Sumber Brantas Village, Bumiaji District, Batu City. Multiple linear regression was used to analyze the collected data. The incidence of stunting and family condition factors correlate with the tcount>ttable value, namely 5.946>2.035 according to the research results. The incidence of stunting is strongly correlated with children's dietary factors (tcount>ttable or 2.181>2.035). The variables for the incidence of stunting and the child's health history are significantly correlated; The value of tcount>ttable is 2.348>2.035. Other factors not included in the research have an influence on the Rsquare value of the variable X1, %, and the remaining 1.8%. The total F value of 348.295>3.305 shows that the prevalence of stunting is significantly correlated with the mother's condition (X2), family condition (X1), children's eating habits (X3), and health history (X4).
The Relationship Between Cigarette Smoke Exposure and Environmental Sanitation with The Incidence of Acute Respiratory Tract Infections in Toddlers Sayuti; Qotimah; Setyowati, Susana; Rokhamah
Gema Lingkungan Kesehatan Vol. 23 No. 3 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i3.321

Abstract

Acute Respiratory Infections (ARI) constitute infectious pathologies affecting superior or inferior respiratory pathways, capable of producing diverse clinical manifestations ranging from mild infectious processes to severe pathological conditions. Statistical records from the Malang City Health Department documented 56,000 ARI cases over 12 months in 2022, escalating to 43,000 cases within 6 months in 2023, demonstrating significant epidemiological increases. Documentation from TPMB Endang revealed that among 110 toddlers experiencing ARI, 37 originated from Gading Village, with the remaining cases from surrounding communities. Environmental assessment observations identified suboptimal residential hygiene conditions, sugar factory proximity, and prevalent family smoking behaviours. This investigation aimed to establish the relationship between cigarette smoke exposure and environmental sanitation with acute respiratory infection incidence among toddlers in Gading Village, Bululawang District. The research methodology employed quantitative approaches utilising analytical observational design with a cross-sectional framework. The study population encompassed all toddlers residing in Gading Village, totalling 55 individuals, with a sample of 35 toddlers selected according to predetermined inclusion criteria. Multiple linear regression analysis was implemented for data examination. Data analysis results demonstrate significant associations between cigarette smoke exposure and environmental sanitation with acute respiratory tract infection occurrence. This relationship is evidenced through regression variance analysis, specifically the Fh value of 145.846 > Ftable. Additionally, statistical significance is confirmed by the values of 3.178 (cigarette smoke exposure) > t table 1.690 and 2.567 (environmental sanitation) > t table 1.690. The study concludes that definitive relationships exist between cigarette smoke exposure and environmental sanitation with acute respiratory tract infection incidence among toddlers in Gading Village.
Studi Tentang Pendidikan dan Sikap Kader Posyandu Terhadap Pelaksanaan Program Posyandu di Desa Wonorejo Rokhamah, Rokhamah; Setyowati, Susana; Sayuti, Sayuti; Qotimah, Qotimah
Jurnal Pendidikan Indonesia : Teori, Penelitian, dan Inovasi Vol 5, No 4 (2025): Jurnal Pendidikan Indonesia : Teori, Penelitian, dan Inovasi
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpi.v5i4.1839

Abstract

Education constitutes the transmission of knowledge, competencies, and habits within a community through learning activities, training, or research. Posyandu cadres possess strategic functions as healthcare providers positioned within the reach of posyandu targets with higher interaction intensity compared to other health personnel. Educational levels of posyandu cadres in Wonorejo encompass elementary, junior high, and senior high school levels, with none achieving higher education. Based on interviews with six cadres, four stated that services are provided only when community members come, but no proactive efforts exist when no one comes. This research aims to identify correlations between educational levels and attitudes of posyandu cadres toward posyandu program implementation in Wonorejo Village. Research methodology employed analytical surveys with cross-sectional approaches. Analysis results demonstrate correlations between education and attitudes toward posyandu program implementation, evidenced by Fcount values exceeding Ftable at 20.186 3.320 in simultaneous testing. Partial testing shows educational levels toward posyandu program implementation with Tcount 4.198 Ttable 2.042, while attitude variables toward posyandu program implementation yield Tcount 3.552 Ttable 2.042. Conclusions indicate the existence of significant relationships between educational factors and attitudes toward posyandu program implementation in Wonorejo Village, Poncokusumo District, Malang.ABSTRAKProses pendidikan merupakan transfer pengetahuan, kompetensi, dan kebiasaan suatu kelompok masyarakat melalui aktivitas pembelajaran, pelatihan, atau riset. Kader Posyandu memiliki fungsi strategis sebagai penyedia layanan kesehatan yang berada dalam jangkauan sasaran posyandu dengan intensitas interaksi yang lebih tinggi dibandingkan tenaga kesehatan lainnya. Tingkat pendidikan kader posyandu di Wonorejo mencakup jenjang SD, SMP, dan SMA, tanpa ada yang mencapai perguruan tinggi. Berdasarkan wawancara dengan enam kader, empat di antaranya menyatakan bahwa pelayanan diberikan hanya ketika masyarakat datang, namun tidak ada upaya proaktif jika tidak ada yang datang. Tujuan riset ini adalah mengidentifikasi korelasi antara tingkat pendidikan dan sikap kader posyandu terhadap implementasi program posyandu di Desa Wonorejo. Metodologi penelitian menggunakan survei analitik dengan pendekatan cross sectional. Hasil analisis menunjukkan adanya korelasi antara pendidikan dan sikap terhadap pelaksanaan program posyandu, yang dibuktikan melalui nilai Fhitung yang melampaui Ftabel yaitu 20.186 3.320 pada pengujian simultan. Pengujian parsial menunjukkan tingkat pendidikan terhadap pelaksanaan program posyandu dengan nilai Thitung 4.198 Ttabel 2.042, sedangkan variabel sikap terhadap pelaksanaan program posyandu menghasilkan Thitung 3.552 Ttabel 2.042. Kesimpulan menunjukkan eksistensi hubungan signifikan antara faktor pendidikan dan sikap terhadap implementasi program posyandu di Desa Wonorejo, Kecamatan Poncokusumo, Malang.
PHBS LEARNING ASSISTANCE IN EFFORTS TO PREVENT STUNTING INCIDENTS AT THE GREAT PARENT (SOTH) SCHOOL OF SIDOMULYO BATU VILLAGE say, sayuti; -, qotimah; setyowati, Susana
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 1 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i1.699

Abstract

Clean and healthy living behavior (PHBS) is a form of manifestation of healthy living orientation in individual, family and community culture, which aims to improve, maintain and protect health both physically, mentally, spiritually and socially. This clean and healthy living behavior is one of the materials at the Great Parents School in Sidomulyo village, Bayu District, Batu City. The assistance at SOTH in Sidomulyo village aims to ensure that female students (Baita's parents) understand the meaning of clean and healthy living behavior and what must be done for their toddlers to implement clean and healthy living in their family structure. By increasing the understanding of parents (students), it is hoped that female students will implement clean and healthy living behavior in their families and ultimately the incidence of illness will decrease and toddlers can grow optimally, which will ultimately reduce the incidence of stunting. The method used in Science and Technology for the Community is to provide assistance during learning to female SOTH students in Sidomulyo village. The number of students targeted was 30 SOTH students. During the implementation of the activity, the number of SOTH students who attended was 25 people, cadres, PKB. Learning activities at SOTH are carried out by dividing groups, pre-test, discussion, post-test. The purpose of the post test was to determine the increase in knowledge and abilities of female SOTH students in Sidomulyo village related to clean and healthy living behavior;
Komunikasi Informasi Edukasi (KIE) Dalam Upaya Pencegahan dan Penanggulangan Anemia Pada Wanita Usia Subur (WUS) di Desa Banjararum sayuti, sayuti; Qotimah, Qotimah; Setyowati, Susana; Rokhamah, Rokhamah
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 6 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i6.948

Abstract

Anemia is one of the world's health problems and has a high prevalence in almost all countries around the world. Anemia is a medical condition in which the number of red blood cells (hemoglobin) is less than normal. Anemia is defined as a low concentration of hemoglobin (Hb) in the blood. Anemia indicates a disease or change in body function. The occurrence of anemia is one of the causes and effects of malnutrition. The purpose of this community service activity is to increase the knowledge of women of childbearing age (WUS) about efforts to prevent and overcome anemia, so that when pregnant, mothers will avoid anemia. The method used in this activity community service is to provide counseling by providing Educational Information Communication (KIE) about the prevention and control of anemia in women of childbearing age (WUS) where before the counseling a pre-test is given and after the counseling a post-test is given to determine the increase in WUS's understanding of the material that has been given. With the increasing understanding of WUS about what anemia is, its causes, signs and symptoms, and knowing how to prevent and knowing the therapy given if they have anemia, it is hoped that the incidence of anemia in women of childbearing age or mothers will decrease. The method used in Science and Technology for the Community is by providing counseling to Women of Childbearing Age (WUS). The output achieved is that mothers have understood about anemia and its prevention as shown by the increase in pre-test (71) and post-test (81) scores, and it is hoped that mothers can apply it in their daily lives so that they are able to prevent the occurrence of anemia.ABSTRAKAnemia merupakan salah satu dari masalah kesehatan di dunia dan memiliki prevalensi yang tinggi di hampir berbagai negara di seluruh dunia. Anemia adalah suatu kondisi medis dimana jumlah sel darah merah (hemoglobin) kurang dari normal. Anemia didefinisikan sebagai konsentrasi hemoglobin (Hb) yang rendah dalam darah. Anemia menunjukkan suatu penyakit atau perubahan fungsi tubuh. Kejadian anemia merupakan salah satu sebab sekaligus akibat terjadinya gizi kurang. Tujuan dari kegiatan pengabdian ini untuk meningkatkan pengetahuan para wanita usia subur (WUS) tentang upaya pencegahan dan penanggulangan anemia, sehingga apabila hamil ibu akan terhindar dari anemia. Metode yang dilakukan dalam kegiatan pengabdian kepada masyarakat ini dengan memberikan penyuluhan dengan cara memberikan Komunikasi Informasi Edukasi (KIE) tentang pencegahan dan penanggulangan anemia pada wanita usia subur (WUS) dimana sebelum penyuluhan diberikan pre test dan sesudah penyuluhan di berikan post test untuk mengetahui peningkatan pemahaman WUS tentang materi yang telah diberikan. Dengan meningkatnya pemahaman para WUS tentang apa itu anemia, penyebabnya, tanda dan gejalanya, dan mengetahui bagaimana cara mencegah serta mengetahui terapi yang diberikan bila sudah terkena anemia tersebut maka di harapkan angka kejadian anemia pada wanita usia subur atau ibu akan menurun. Metode yang digunakan dalam Ipteks bagi Masyarakat ini adalah dengan melakukan penyuluhan kepada Wanita Usia Subur (WUS). Luaran yang dicapai adalah ibu-ibu telah memahami tentang anemia dan pencegahannya yang diperlihatkan dari peningkatan nilai pre test (71) dan post test (81), dan harapannya ibu –ibu bisa menerapkannya dalam kehidupan sehari hari sehingga mampu mencegah kejadian Anemia.
PENDAMPINGAN KESEHATAN FISIK DAN MENTAL IBU HAMIL DAN MENYUSUI DI SOTH STANDART 2 BKB HARAPAN KITA 2 DALAM UPAYA PENCEGAHAN KEJADIAN STUNTING DI DESA SUMBEREJO KEC.BATU KOTA BATU qotimah, qotimah; Sayuti, Sayuti; Setyowati, Susana
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 5 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i5.700

Abstract

The main purpose of this community service is to educate SOTH women so as to increase knowledge and understanding of the importance of maternal mental and physical health during pregnancy and breastfeeding. The main purpose of this community service is to educate SOTH women so as to increase knowledge and understanding of the importance of maternal mental and physical health during pregnancy and breastfeeding. To reduce the occurrence of stunting, female students are believed to improve the health of pregnant and lactating women by increasing their understanding of the topic, this in turn will result in healthier mothers, babies, and children The method used in this activity is by means of mentoring where before the activity and after the activity a post test is carried out to determine the increase in the understanding of SOTH students. This activity was attended by twenty mothers, including pregnant and lactating women, participating in SOTH in Batu City which took place in Sumberejo Village, Batu District, Batu City. With the hope that pregnant and lactating women can better understand their health, it is important to provide education about the mental and physical health of pregnant and lactating women;ABSTRAKTujuan utama Pengabdian masyarakat ini adalah untuk mendidik perempuan SOTH sehingga mampu meningkatkan pengetahuan dan pemahaman tentang pentingnya kesehatan mental dan fisik ibu selama kehamilan dan menyusui. Untuk mengurangi terjadinya stunting, siswi diyakini akan meningkatkan kesehatan ibu hamil dan menyusui dengan meningkatkan pemahaman mereka terhadap topik tersebut, hal ini pada gilirannya akan menghasilkan ibu, bayi, dan anak yang lebih sehat. Metode yang digunakan dalam kegiatan ini dengan cara pendampingan dimana sebelum kegiatan dan sesudah kegiatan dilakukan post test untuk mengetahui peningkatan pemahaman siswi SOTH. Kegiatan ini dihadiri Dua puluh orang ibu, termasuk ibu hamil dan menyusui, mengikuti SOTH di Kota Batu yang berlangsung di Desa Sumberejo, Kecamatan Batu, Kota Batu. Dengan harapan ibu hamil dan menyusui dapat lebih memahami kesehatan dirinya, maka penting untuk memberikan edukasi mengenai kesehatan mental dan fisik ibu hamil dan menyusui.
Study on the provision of vitamin a and exclusive breastfeeding with the growth of toddlers Setyowati, Susana; sayuti, Sayuti; Qotimah, Qotimah; Rokhamah, Rokhamah; Adelia, Donna Dwinita
Journal of Midwifery and Nursing Vol. 7 No. 3 (2025): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i3.6275

Abstract

Growth is the increase in the size and number of cells and intracellular tissues, meaning the increase in physical size and structure of the body in part or in whole, so that it can be measured in units of length and weight. This period is a period that occurs quickly and will not be repeated, therefore it is often called the golden age. One thing that is related to growth is the provision of vitamin A and the provision of exclusive breastfeeding. This study uses a quantitative method with a cross-sectional approach with a sample of mothers who have toddlers in Lawak Village, Ngimbang District, Lamongan Regency, totaling 30 mothers. The results of this study obtained the F count value (128.091) > F0.05 (3.35) meaning that there is a significant influence between the variables of vitamin A provision and exclusive breastfeeding with toddler growth in weight. The F count value (123.225) > F0.05 (3.35) meaning that there is a significant influence between the variables of vitamin A provision and exclusive breastfeeding with toddler growth in height. So it can be concluded that there is a relationship between vitamin A provision and exclusive breastfeeding with toddler growth in weight and height.
EDUKASI TENTANG UPAYA PERBAIKAN GIZI KELUARGA (UPGK) PADA IBU BALITA DI KELURAHAN SISIR KOTA BATU setyowati, susana; Qotimah, Qotimah; Sayuti, Sayuti
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 4, No 5 (2024): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v4i5.702

Abstract

This community service activity aims to increase the knowledge of mothers of toddlers about Family Nutrition Improvement Business (UPGK) by fulfilling nutrition to improve the health status of families, especially toddlers, thereby preventing stunting by providing education on how to fulfill nutrition which is carried out in Sisi sub-district, Batu city and implemented in November 2023 with a target of 20 mothers with toddlers. The method used in this activity is to gather mothers who have toddlers and then provide educational outreach about UPGK by providing nutrition education and knowledge using lecture, question and answer and discussion methods so that mothers' knowledge about UPGK increases in providing balanced nutrition for their toddlers. Apart from that, this activity also received support from various parties such as the village head, cadres, the community, especially mothers of toddlers who played an active role during the activity as evidenced by the enthusiasm of all parties during the activity. By carrying out this community service activity through outreach regarding Family Nutrition Improvement Efforts (UPGK) it is proven that mothers' knowledge and understanding of nutrition has increased so that mothers can improve the nutritional condition of all their family members, for example by providing nutrition services at posyandu or using the yard to improve family nutrition.ABSTRAKKegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan ibu balita tentang Usaha Perbaikan Gizi Keluarga (UPGK) dengan pemenuhan gizi untuk meningkatkan derajat kesehatan keluarga terutama balita sehingga mencegah terjadinya stunting dengan memberikan edukasi cara pemenuhan gizi yang dilakukan di kelurahan Sisi kota Batu dan dilaksanakan pada bulan November 2023 dengan sasaran ibu-ibu yang mempunyai balita berjumlah 20 peserta. Metode yang digunakan dalam kegiatan ini adalah dengan mengumpulkan para ibu yang memiliki balita kemudian memberikan penyuluhan edukasi tentang UPGK dengan memberikan pendidikan dan pengetahuan gizi dengan metode ceramah, tanya jawab dan diskusi sehingga pengetahuan para ibu tentang UPGK meningkat dalam memenuhi gizi seimbang kepada balitanya. Selain itu kegiatan ini juga mendapat dukungan dari berbagai pihak seperti kepala desa, kader, masyarakat terutama ibu-ibu balita yang berperan aktif selama kegiatan terbukti dari antusias semua pihak saat kegiatan. Dengan dilakukannya kegiatan pengabdian masyarakat ini melalui penyuluhan tentang edukasi Upaya Perbaikan Gizi Keluarga (UPGK) terbukti pengetahuan dan pemahaman para ibu bertambah tentang gizi sehingga ibu dapat memperbaiki keadaan gizi seluruh anggota keluarganya contohnya dengan cara pelayanan gizi di posyandu atau pemanfaatan pekarangan untuk meningkatkan gizi keluarga.