Alfrida Semuel Ra'bung
Department of Nursing, Poltekkes Kemenkes Palu, Central Sulawesi, Indonesia

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Effectiveness of Growth and Development Screening and Stimulation Methods among Toddlers in Central Sulawesi, Indonesia: a Quasi-Experimental Study Freny Ravika Mbaloto; Estelle Lilian Mua; Robi Adikari Sekeon; Alfrida Semuel Ra'bung
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i3.4270

Abstract

Background: Stunting remains a major public health problem in Indonesia. The 2023 Indonesian Health Survey reported a stunting prevalence of 27.2% in Central Sulawesi, exceeding the national average of 21.5%. Stunting adversely affects early childhood development, yet developmental delays often go undetected due to limited developmental screening and inadequate training of health workers. This study evaluated the effectiveness of developmental screening and stimulation using the Denver Developmental Screening Test (DDST) and the Pre-Screening Developmental Questionnaire (KPSP). Methods: A quasi-experimental study with a pretest–posttest non-equivalent control group design was conducted among toddlers (n = 34). Nutritional status was assessed using anthropometric z-scores, while child development was evaluated using the DDST and KPSP instruments. Children who were ill, had physical disabilities, or had diagnosed developmental disorders were excluded. Data were analyzed using Pearson chi-square, Mann–Whitney, and Wilcoxon tests. Results: A significant difference in nutritional status proportions between groups was identified based on anthropometric screening (p = 0.036). Developmental screening scores differed significantly between DDST and KPSP assessments (p = 0.001), with higher mean ranks observed for KPSP. Post-stimulation analysis demonstrated a significant improvement in KPSP scores compared to pre-stimulation results (p = 0.009), indicating the positive effect of developmental stimulation. Conclusion: Developmental screening and stimulation significantly improved developmental outcomes in toddlers. The KPSP demonstrated higher sensitivity in detecting developmental changes compared to the DDST, supporting its use in community-based child development monitoring.
Community Preparedness in Facing Flood Disasters in Kecamatan Baolan, Kabupaten Tolitoli Alfrida Semuel Ra'bung; T. Iskandar Faisal; I Kadek Wartana
Buletin Penelitian Kesehatan Vol. 54 No. 1 (2026)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/bpk.v54i1.4027

Abstract

Background: Kelurahan Baru RT 01 RW 12 Kecamatan Baolan is one of the areas that often experiences floods and has an impact on property destruction, clean water difficulties and poses a risk of disease, so community preparedness is needed to minimize the impact caused. This study aims to analyze community preparedness in dealing with flood disasters in Baolan District, Tolitoli Regency . Methods: This study uses a survey method with a correlational approach which was carried out in Baru Village, RT 01 RW 12, Baolan District from June 11 to 13, 2024. The research sample consisted of all heads of families residing in the area, totaling 102 heads of families. The research variable is community preparedness in dealing with flood disasters. The instrument used was in the form of a preparedness questionnaire that included five parameters, namely: knowledge, attitude, emergency response plan, early warning system, and resource mobilization. Data analysis uses the Pearson product moment test, as well as multiple linear regression tests with a 95% confidence interval (CI). Results: The results of the study showed that community preparedness was in the category of very ready (69.6%). There was a significant relationship between knowledge parameters (p=0.000; r=0.822), attitudes (p=0.000; r=0.609), emergency response plans (p=0.000; r=0.862), early warning systems (p=0.000; r=0.642), and resource mobilization (p=0.000; r=0,623) and disaster preparedness (p<0.05). Of the five parameters, knowledge is the most influential factor on preparedness (p=0.000; beta=0.435). Conclusion: The community in the research area is classified as very prepared to face flood disasters, with knowledge as the most influential factor. These findings suggest that increased public knowledge about flood disaster risk plays a key role in improving preparedness. This emphasizes the importance of continuous education programs to strengthen public knowledge and awareness.