Pratiwi, Wynne
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Community Diagnosis Activity Report in Efforts to Reduce the Incidence of New Stunting Cases in the Working Area of Legok Primary Health Center, Legok Subdistrict, Tangerang Regency, Banten Province Wijaya, Tomi; Pratiwi, Wynne; Kamila, Nadira Rachma; P, Emia Debora; Tirtasari, Silviana
Malahayati Nursing Journal Vol 7, No 11 (2025): Volume 7 Nomor 11 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i11.23118

Abstract

ABSTRACT Stunting remains one of Indonesia’s most persistent public health challenges, particularly among children under five. The high incidence of new stunting cases in the working area of Legok Primary Health Center, Tangerang Regency, prompted the implementation of a community diagnosis program to identify its root causes and develop targeted interventions. This program aimed to empower community health cadres as front-line educators to enhance stunting prevention through improved knowledge, skills, and community engagement. The activity was conducted from July 14 to August 16, 2025, and followed a structured community-based diagnostic approach. The problem prioritization process was carried out using the USG (Urgency, Seriousness, Growth) method, while the determinants of health were analyzed through Blum’s Health Field Paradigm. Root cause identification was performed using the non-scoring Delphi technique, Fishbone Diagram, and 5 WHY analysis. These steps revealed that insufficient and inconsistent cadre education on stunting prevention and outdated educational materials were major contributing factors. Interventions included interactive workshops and demonstration-based training sessions focused on balanced nutrition, exclusive breastfeeding, and appropriate complementary feeding practices. The implementation was monitored using the PDCA (Plan-Do-Check-Act) cycle and evaluated through a Systems Approach to ensure quality control and sustainability. A total of 30 community health cadres participated in the intervention. Pre-test results showed that only 2 participants (6.67%) scored above 90, whereas post-test results indicated that all 30 cadres (100%) achieved scores higher than 90. This significant improvement reflects the effectiveness of the training in enhancing cadres’ knowledge and confidence to deliver accurate health education at the community level. This program demonstrated that structured, cadre-centered community education can effectively strengthen local capacity for stunting prevention. Continuous training, active supervision, and integration with maternal and child health programs are essential to sustain knowledge transfer and achieve long-term reductions in stunting prevalence. Keywords: Cadre, Community Diagnosis, Health Education, Stunting Prevention, Training Program.
Intervensi Diagnosis Komunitas dalam Upaya Menurunkan Kasus Baru Stunting di Desa Legok, Kabupaten Tangerang Kamila, Nadhira Rachma; Pratiwi, Wynne; Wijaya, Tomi; P, Emia Debora; Tirtasari, Silviana
Malahayati Nursing Journal Vol 8, No 3 (2026): Volume 8 Nomor 3 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i3.24422

Abstract

ABSTRACT Stunting is a condition in which a child's height is below the standard for their age due to chronic nutritional deficiencies. In Indonesia, stunting remains a major health problem, with a prevalence of 21.5% in 2023, which is still far from the national target of 14% in 2024. In May 2025, the Legok Community Health Center recorded 60 new cases of stunting, with the highest number of new cases in Legok Village, highlighting the need for community diagnosis to understand the underlying causes and design more appropriate preventive measures. This program involves mothers of children under five through continuous improvement of their knowledge and skills in stunting prevention. The diagnosis process begins with the identification of various health problems, followed by prioritization using the USG (Urgency, Seriousness, Growth) method to determine the main problems that need to be addressed immediately To determine the contributing factors using the Blum Paradigm, prioritization using the non-scoring Delphi method, and searching for the root causes using Fishbone diagrams and 5 WHY analysis. Interventions were monitored using the PDCA (Plan-Do-Check-Act) cycle and evaluated using a systems approach. Interventions took the form of education about stunting, as demonstrated by 80% of participants obtaining a post-test score 80. These results show the importance of health promotion efforts in preventing stunting. Keywords:Community Diagnosis, Health Education, Health Promotion, Stunting.  ABSTRAK Stunting adalah kondisi ketika tinggi badan anak dibawah standar sesuai usianya akibat kekurangan gizi kronik. Di Indonesia stunting masih menjadi masalah kesehatan utama, prevalensi stunting pada tahun 2023 mencapai 21,5% yang masih jauh dari target nasional yaitu 14% pada tahun 2024. Pada Mei 2025, Puskesmas Legok mencatat 60 kasus baru stunting, dengan kasus baru tertinggi di Desa Legok, sehingga perlunya diagnosis komunitas untuk memahami penyebab dasar dan merancang langkah pencegahan yang lebih tepat.  Program ini melibatkan para ibu balita melalui peningkatan pengetahuan dan ketrampilan dalam pencegahan stunting secara berkesinambungan. Proses diagnosis dimulai dengan identifikasi berbagai masalah kesehatan, kemudian dilanjutkan dengan penentuan prioritas menggunakan metode USG (Urgency, Seriousness, Growth) untuk menentukan masalah utama yang perlu segera ditangani. Identifikasi masalah penyebab dengan Paradigma Blum, penentuan prioritas dengan metode Delphi non-scoring, dan mencari akar masalah penyebab  dengan diagram Fishbone dan analisis 5 WHY. Intervensi dimonitor menggunakan siklus PDCA (Plan-Do-Check-Act) dan dievaluasi dengan pendekatan sistem. Intervensi berupa edukasi mengenai stunting, ditunjukkan dengan  80% peserta memperoleh nilai post-test 80. Hasil ini menunjukkan bahwa pentingnya upaya promotif kesehatan dalam pencegahan stunting.  Kata Kunci: Diagnosis komunitas, Edukasi Kesehatan, Upaya promotif, Stunting.