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Pada kegiatan posyandu sering kali tidak terpantau panjang badan anak, karena keterbatasan alat ukur, kader kurang mampu menginterpretasikan hasil ukur. Tujuan pengabdian kepada masyarakat (PKM) untuk meningkatkan pengetahuan, sikap dan keterampilan kader dalam deteksi risiko stunting di Desa Riak Siabun Kabupaten Seluma, Bengkulu. Sasaran kegiatan adalah 7 kader posyandu dan 3 kader pembangunan masyarakat (KPM) serta 30 ibu yang memiliki anak berisiko stunting usia 0-24 bulan. Kegiatan PKM menggunakan metode pemberdayaan kader mulai dari pembentukan kader pendamping, pelatihan kader, dan pendampingan ibu baduta. Evaluasi kegiatan dengan mengukur perilaku kader dan ibu baduta. Kegiatan PKM pada bulan Agustus-Desember 2021. Analisis data dengan membandingkan hasil pre-test dan post-test. Hasil PKM menunjukkan bahwa pelatihan dan pembinaan kader dapat meningkatkan pengetahuan, sikap dan keterampilan kader dalam deteksi risiko stunting. Pendampingan kader selama 4 bulan terhadap ibu baduta bulan dapat meningkatkan pengetahuan, sikap dan tindakan ibu dalam pencegahan dan penanggulangan stunting.

Daun kelor ditetapkan sebagai super food dan fungsional food, kandungan gizi yang sangat tinggi, lengkap serta berkasiat sebagai penunjang kesehatan tubuh. Daun kelor yang dipreparasi sebagai bentuk tepung memenuhi syarat sebagai komponen pembuatan MP-ASI. Tujuan Pengabdian Masyarakat ini adalah untuk memberdayakan Kelompok Wanita Tani dalam memanfaatkan Daun kelor sebagai bahan dasar MP-ASI melalui pelatihan di Kelurahan Rawa Makmur. Solusi permasalahan yang dilakukan untuk meningkatkan pengetahuan anggota Kelompok Wanita Tani dengan pelatihan selama 2 hari. Metode pelaksanaan diawali tahap persiapan media pelatihan dan instrument, menyusun buku resep MP-ASI dengan bahan dasar daun kelor. Tahap pelaksanaan dengan pelatihan Kelompok Wanita Tani selama 2 hari dan advokasi ke perangkat Kelurahan Rawa Makmur serta lomba kreasi menu MP-ASI berbahan dasar daun kelor. Data yang diperoleh kemudian dianalisis dengan membandingkan hasil pre test dan post test. Hasil pengabdian kepada masyarakat menunjukkan bahwa terdapat peningkatan pengetahuan Kelompok Wanita Tani dalam memanfaatkan daun kelor sebagai bahan dasar MP-ASI. Kesimpulan KWT dapat memanfaatkan daun kelor sebagai bahan dasar MP-ASI melalui pelatihan di Kelurahan Rawa Makmur dengan membuat kreasi menu MP-ASI berbasis daun kelor. Diharapkan dukungan tokoh masyarakat dalam membudidayakan bibit daun kelor sehingga dapat dimanfaatkan masyarakat. Kata Kunci: Pemberdayaan, Pelatihan, Daun Kelor, Bahan Dasar MP-ASI ABSTRACT Moringa leaves are designated as super food and functional food, with very high nutritional content, complete and efficacious as supporting body health. Moringa leaves prepared as flour meet the requirements as a component for making complementary feeding (MP-ASI). The purpose of this community service is to empower farmer women's groups to utilize Moringa leaves as a basic ingredient for complementary feeding ( MP-ASI) through training in the Rawa Makmur Village. Problem Solutions are carried out to increase the knowledge of Farmer group members with training for 2 days. The implementation method begins with the preparation stage of training media and instruments. Compiled a MP-ASI recipe book with the basic ingredients of Moringa leaves. The implementation phase included the Women Farmer Group Training for 2 days and advocacy to the Rawa Makmur sub-district apparatus and a competition to create complementary feding ( MP-ASI) menus made from Moringa leaves. The data obtained were analyzed by comparing the results of the pre test and post test. The results of community service show that there is an increase in the knowledge of women farmer groups in utilizing Moringa leaves as a basic ingredient for complementary feeding (MP-ASI). Conclusion KWT can utilize Moringa leaves as a basic ingredient for MP-ASI through training in the Rawa Makmur Village by making MP-ASI menu creations based on Moringa Leaves. It is hoped that the support of community leaders will cultivate Moringa leaf seeds so that they can be utilized by the community. Keywords: Empowerment, Training, Moringa Leaves, Complementary Feeding Materials

Latar Belakang: Konsumsi tablet tambah darah (TTD) pada ibu hamil yang tidak sesuai dengan rekomendasi minimal 90 tablet selama kehamilan dapat meningkatkan risiko defisiensi zat besi, anemia, dan berat badan lahir rendah (BBLR) yang akan berdampak pada berbagai masalah gizi dan kesehatan dalam siklus kehidupan berikutnya.Tujuan: Penelitian bertujuan mengetahui hubungan konsumsi TTD dengan berat lahir bayidi Indonesia.Metode: Penelitian menggunakan data sekunder Survei Demografi Kesehatan Indonesia (SDKI) tahun 2017 dengan desain cross sectional. Variabel independen adalah konsumsi TTD. Variabel dependen adalah berat lahir bayi. Variabel perancu adalah faktor anak, ibu dan keluarga. Populasi studi penelitian ini sebanyak 12.350 ibu hamil di Indonesia.Sampel penelitian sebanyak 11.735 jiwa yang memenuhi kriteria inklusi. Analisis data menggunakan uji regresi logistik multivariat.Hasil: Hasil penelitian menemukan 6,99% bayi BBLR. Sebesar 49,97% Ibu hamil dengan konsumsi TTD tidak sesuai rekomendasi. Konsumsi TTD berhubungan dengan berat lahir bayi (p=0,003). Konsumsi TTD tidak sesuai rekomendasi berisiko 1,252 (OR95%CI:1,081-1,456) dibandingkan konsumsi TTD sesuai rekomendasi setelah dikontrol dengan faktor pendidikan ibu, status sosial ekonomi keluarga.Simpulan: Konsumsi TTD pada ibu hamil berhubungan dengan berat lahir bayi. Perlu edukasi pentingnya konsumsi TTD minimal 90 butir selama kehamilan dalam upaya pencegahan risiko terjadinya berat lahir rendah (BBLR) pada bayi yang baru lahir, terutama pada keluarga miskin dan pendidikan ibu yang rendah.Kata Kunci: Berat lahir bayi; Konsumsi tablet Fe; Sosial ekonomi; Pendidikan ibu.

Pendahuluan: Sasaran pokok Rencana Pembangungan Jangka Menengah Nasional (RPJMN) Kementrian Kesehatan tahun 2015 – 2019 adalah meningkatnya status kesehatan ibu dan anak. Salah satu indikator peningkatan kesehatan ibu adalah penurunan prevalensi anemia pada ibu hamil yang ditargetkan pada tahun 2024 menjadi 20% karena anemia merupakan salah satu faktor risiko tingginya kematian ibu saat melahirkan. Salah satu upaya yang dilakukan untuk mengurangi kasus anemia pada ibu hamil adalah dengan pemberian tablet tambah darah. Metode: Jenis penelitian ini menggunakan data sekunder dari SDKI 2017 (Survei Demografi dan Kesehatan Indonesia) dengan desain cross-sectional. Dalam cross-sectional study, variabel independen (faktor risiko) dan variabel dependen (efek) dinilai secara persamaan pada satu waktu. Variavel dependen dalam penelitian ini adalah praktik konsumsi tablet tambah darah ibu hamil. Hasil dan Pembahasan: Hasil data pada penelitian ini menunjukkan dari 12.466 ibu hamil terdapat 6.424 (51,5%) yang tidak konsumsi tablet tambah darah sesuai dengan rekomendasi. Kesimpulan: Konsumsi tablet tambah darah yang tidak sesuai rekomendasi akan menyebabkan kejadian anemia pada ibu hamil yang akan berdampak buruk bagi janin. Untuk itu perlunya dilakukan edukasi kepada ibu hamil mengenai pentingnya konsumsi tablet tambah darah sesuai dengan rekomendasi (≥90).

BACKGROUND: The age of 0–2 years is a golden period for human growth and development known as the “golden age,” characterized by rapid growth. This period is the First 1000 Days of Life (HPK). The proper diet greatly affects the nutritional status of children. AIM: The purpose of the study was to determine child feeding patterns with the incidence of stunting in children in the Coastal area of Bengkulu City. METHODS: This study was an analytical observational study with a cross-sectional design. The research sample was children under five aged 6–24 months in the coastal area of Bengkulu City as many as 75 children were selected using the accidental sampling technique. Children’s nutritional intake using the Semi Food Frequency questionnaire for energy, protein, fat, carbohydrates, calcium, iron, zinc, and phosphorus. Nutritional intake data were processed by nutrisurvey. Data analysis with Chi-square test and the level of significant 0.05. RESULTS: The frequency of food consumed by children 6–24 months in the form of mashed food 2 times a day was 54.2%, soft food 3 times a day was 54.5%, and family food 3 times a day was 82.5%. The percentage of children with energy, protein, fat, and carbohydrate intake below the recommendation was much higher in normal children (in sequence 84.6%, 81.8%, 84.9%, and 86.3%) compare to stunted children (in sequence 15.4%, 18.2%, 15.1%, and 13.7%). Likewise, calcium, fe, zinc, and phosphor intake below the recommendation was much higher in normal children (in sequence 82%, 85.5%, 80.6%, and 82.1%) compare to stunted children (in sequence 18%, 14.5%, 19.4%, and 17.9%). CONCLUSIONS: There was no relationship between the type of food, macronutrient and micronutrient intake with stunting. Education and counseling at Integrated Healthcare Center need to be carried out, regarding the importance of consuming the proper food and the proper frequency of eating, surveys of nutritional consumption and routine health checks for pregnant women and children under five.

Family planning will affect the mother’s ability in parenting which will affect the children’s growth and development. This study aims to determine the relationship between family planning and the practice of child feeding (PCF). The study used Indonesian Demographic and Health Survey 2017 data with a cross-sectional approach. Family planning is measured by variables age at first marriage, the distance between births, parity, number of children under five, and pregnancy desired. The PCF is based on the variable composite of Early Initiation of Breastfeeding, Exclusive Breastfeeding, Infant and Child Feeding, and Consumption of food sources of vitamin A. The sample size is 97 children aged 6-23 months. Data analysis using multivariate logistic regression. The study results that almost part of the mother did not PCF well (45.4%). Most (69.1%) mothers were not good at family planning. Family planning related to poor PCF was age at first marriage less than 18 years (p = 0.003) primiparous parity (p = 0.017), 2-5 years birth spacing (p = 0.033) and the number of children under five (p = 0.025). There need to be more educational efforts, outreach and family planning movements so that people, especially teenagers, understand the importance of family planning.

Cadres are spearheading the success of monitoring the nutritional status of children under-two. Improving the knowledge, attitudes and actions of cadres through training, coaching and mentoring mothers in fulfilling the nutritional intake of under-two using the Nutrition Education Module has an impact on the success of the nutritional status monitoring function. Community service activities (PkM) are aimed at optimizing the role of cadres and families in fulfilling the New Normal Period undernutrition in Riak Siabun Village, Seluma Regency. The target audience is 10 posyandu and KPM cadres and 30 families with children aged 0-24 months. The activity is carried out with the stages of forming family companion cadres, training and coaching, as well as mentoring mothers of baduta. Evaluation of activities is carried out by measuring the knowledge, attitudes, and actions of cadres and mothers of baduta. The activity was carried out in January-November 2021. The data were analyzed by comparing the results of the pre-test and post-test. The results of community service activities showed that there was an increase in the score of knowledge, attitudes, cadres as well as the knowledge, attitudes, and actions of the mother under two for 3 months of mentoring. The results of the activity showed an increase in the average score of knowledge and attitudes before and after the training. The mentoring of 30 mothers of under-two showed an increase in the average score of mother's knowledge and attitudes about the fulfillment of nutrition for under-fives, mother's actions were still the focus of mentoring. Regulations in the form of policies and programs need to be improved to support cadre activities in assisting mothers of children under-two in the village.

Background: The direct causes of nutritional status problems are infectious diseases and inadequate intake. The prevalence of infectious diseases can be caused by children not getting complete basic immunization and not getting exclusive breastfeeding. Objective: The study aims to determine the relationship between complete basic immunization and exclusive breastfeeding with the nutritional status of underfive children in Indonesia. Methods: This study uses secondary data from Primary health research of Indonesia (Riskesdas 2018). It is an analytical study using a cross sectional study design. The sample in this study is toddlers spread across 34 provinces of Indonesia. The sampling technique in this study is the total population. The independent variables were complete basic immunization coverage and exclusive breastfeeding coverage. The dependent variable is the prevalence of nutritional status based on the index of Weight by age, body length according to age and body weight by length.Results: The results of the analysis found that the complete basic immunization coverage for underfive children in Indonesia was 56.18%, exclusive breastfeeding coverage was 39.59%, and the prevalence of underweight and severely underweight children under five (WHZ) was 16.67%, the prevalence of short and very short toddlers short (WHZ 29.68% and the prevalence of malnutrition and very poor (HAZ) 12.44%. using correlation test and linear regression with a significance degree of p≤0.05. Complete basic immunization coverage was associated with the prevalence of very underweight and underweight (p=0.005), short and very short (p=0.043), very undernourished and undernourished (p=0.000). Conclusion: There is a significant relationship between complete basic immunization and the nutritional status of children under five in Indonesia. There is no significant relationship between exclusive breastfeeding and the nutritional status of children under five in Indonesia.Key words: Complete basic Immunization; Exclusive breastfeeding; Nutritional status; Underfive years old

Permasalahan remaja putri adalah anemia, pernikahan usia anak dan kesehatan reproduksi. Prevalensi anemia pada remaja putri di Indonesia meningkat dari 26,4% menjadi 48,9%. Perlu dibentuk peer group untuk menjadi pendamping teman sebaya yang bertujuan meningkatkan pengetahuan, sikap dan tindakan tentang perencanaan keluarga, penundaan usia perkawainan, kesehatan reproduksi dan pencegahan anemia dengan menerapkan media booklet dan kartu pantau konsumsi Tablet Fe. Khalayak sasaran adalah 50 remaja putri di SMP 9 Kota Bengkulu dan 50 remaja putrid Kota Kupang. Pendampingan dilakukan selama 4 bulan (Agustus-November 2020) dengan metode kelompok kecil. Terjadi peningkatan skor pengetahuan sebesar 13,98 poin (p=0,0001). sebelum dan sesudah kegiatan pendampingan. Peningkatan skor pengetahuan di Kota Bengkulu (12,11 poin) dan di Kota Kupang (15,32 poin). Terjadi peningkatan skor sikap yang signifikan sebesar 0,73 poin (p=0,0001). Sebelum dan sesudah kegiatan pendampingan di Kota Bengkulu (0,67 poin) dan di Kota Kupang (0,40 poin) dan remaja putri menjadi patuh mengkonsumsi tablet Fe. Pihak sekolah bekerjsama dengan tenaga kesehatan perlu terus memberdayakan Peer Group untuk melakukan pendampingan metode kelompok kecil untuk meningkatkan kesehatan remaja, mencegah anemia, dan mencegah melahirkan anak stunting dimasa yang akan datang. Kata Kunci: Peer Group, remaja putri, perencanaan keluarga, anemia, stunting.

Background: From pregnancy, until the child is two years old, it is a prone period for stunting due to inadequate nutritional care at the family level. Mothers' ability in parenting and child health will affect their nutritional status and health, especially mothers who have stunted children. This study aimed to determine the effectiveness of specific nutrition assistance (SNA) through empowering cadres to change the behavior (knowledge, attitudes, practices) of mothers who have stunted children aged 6-24 months.Method: The research used a quasi-experiment with pre-post design with a control group. The research was conducted in Bengkulu Utara (BU) District and Timur Tengah Selatan (TTS) District. The intervention group received SNA for six months (June-November 2019) by Posyandu cadres and health workers. The control group received standard services from the Health Center or the Posyandu. Whilst, the intervention group received nutrition and health counseling during home visits. Mothers' knowledge, attitudes, and practices in parenting and child health nutrition were measured as dependent variables. Sample of 120 mothers with stunted children aged 6-24 months. Data analysis used independent t-test and dependent t-test.Results: The SNA was effective in increasing the knowledge, attitudes, and practices of mothers. The increased knowledge, attitudes, and practices were higher in the intervention group both in BU District (116%) and TTS District (26.33%). In BU District, there was an increase in knowledge (116%), attitude (40%), and practices (20.07%), likewise in TTS District; there was an increase in knowledge (26.33%), attitudes (42.5%), and practices (22.15%) which are significantly different from the increase in the practices of the control group. SNA needs to be carried out continuously to increase mothers' ability in parenting and child health. Therefore, that stunted children can catch up with their height growth.

Tuberkulosis paru (TBC) merupakan salah satu penyakit menular yang termasuk masalah kesehatan masyarakat global termasuk di Indonesia. Penderita TBC di Indonesia merupakan negara dengan penderita tuberkulosis terbanyak setelah India dan China. Tujuan penelitian untuk mengetahui pengaruh konseling terapi diet Energi Tinggi Protein Tinggi (ETPT) terhadap asupan energi dan asupan protein pada penderita tuberkulosis paru di Kota Bengkulu Tahun 2019. Penelitian ini menggunakan desain Quasi Eksperiment. Teknik pengambilan sampel secara purposive sampling. Jumlah sampel sebanyak 64 penderita TBC di 7 Puskesmas yang menyebar di Kota Bengkulu. Pengumpulan data asupan penderita tuberkulosis paru menggunakan Formulir Food recall 2x24 jam. Konseling gizi pada kelompok intervensi dilakukan 3 kali selama 1 minggu menggunakan media booklet sedangkan kelompok kontrol diberikan leaflet. Analisis data menggunakan uji t-test dependen dan uji t-tes independent. Hasil penelitian menemukan penderita TBC sebagian besar laki-laki. Konseling gizi efektif meningkatkan rata-rata asupan energi dan protein. Pada kelompok intervensi terjadi peningkatan rata-rata asupan energi dari 1277 kkal menjadi 1634 kkal (28%), sedangkan pada kelompok kontrol dari 1210 kkal menjadi 1552 kkal (27%). Pada kelompok intervensi, rata-rata asupan protein juga meningkat dari 52,38 gr menjadi 71,01 gr (35,5%), sedangkat pada kelompok kontrol dari 47,05 gr menjadi 62,05 gr (30,6%). Promosi kesehatan melalui konseling gizi efektif meningkatkan asupan energi dan protein. Diharapkan agar petugas gizi meningkatkan pelayanan gizi dengan melakukan promosi gizi melalui berbagai metode untuk meningkatkan asupan energi dan asupan protein pada penderita tuberkulosis paru.

Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia. The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.

More than 50% of marriages in Bengkulu Province are adolescents marriages (less than 20 years). Adolescents marriage affects low levels of education, high incidence in the household, overcoming health problems, health problems in struggling children and psychological health of children because mothers of adolescents are less capable of planning a family. Therefore, community participation is needed to increase the knowledge and attitudes of adolescent mothers in family planning, namely through empowering Posyandu cadres and family planning cadres. The research design uses quasi experiment with pretest and posttest design with control group design. Research population is all married mothers aged 15-20 years. The sample is a teenage mother selected purposively by inclusion criteria of married mother, resident of settlement in Central Bengkulu Regency, able to communicate well and can read and write. Exclusion criterion is mother suffering from severe disease and not willing to follow the research process. The sample size is 60 people consist of 30 people of intervention group and 30 control group. The independent variable is empowerment of GEMARI cadres while dependent variable of knowledge and attitude of adolescent mother. Instruments using structured questionnaires. Data analysis technique using paired simple test and independent t-test. The results found in the intervention group there was an increase in knowledge scores before (61.67) and after (78.83) mentoring was carried out by GEMARI cadres (p = 0.001), but in the control group there was no difference in the average knowledge score before (66, 83) and after (64.67) intervention (p = 0.482). In the intervention group, there was an increase in the score of mothers’ attitudes about family planning before (78) and after (80.47) accompanied by GEMARI cadres (p = 0.036), while in the control group there was no difference in the average attitude score before (78, 33) and after (80.47) intervention (p = 0.114). Assistance of GEMARI cadres effectively improves knowledge and attitude of adolescent mother about family planning. Abstrak Lebih dari 50% pernikahan di Provinsi Bengkulu merupakan pernikahan usia remaja (kurang dari 20 tahun). Pernikahan usia remaja berdampak pada rendahnya tingkat pendidikan, tingginya angka kejadian kekerasan dalam rumah tangga, tingginya masalah kesehatan reproduksi, masalah kesehatan pada anak yang dilahirkan dan kesehatan psikologi anak karena ibu usia remaja kurang mampu merencanakan keluarga. Maka dari itu diperlukan partisipasi masyarakat untuk meningkatkan pengetahuan dan sikap ibu usia remaja dalam perencanaan keluarga, yaitu melalui pemberdayaan kader posyandu dan kader Keluarga Berencana. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test with control group design. Populasi penelitian adalah seluruh ibu menikah usia 15-20 tahun. Sampel adalah ibu usia remaja yang dipilih secara purposif dengan kriteria inklusi ibu sudah menikah, penduduk menetap di Kabupaten Bengkulu Tengah, dapat berkomunikasi dengan baik, serta dapat membaca dan menulis. Kriteria eksklusi adalah ibu menderita penyakit berat dan tidak bersedia mengikuti proses penelitian. Jumlah sampel sebanyak 60 orang, terdiri dari 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Variabel independen adalah pemberdayaan kader Gerakan Masyarakat Peduli (GEMARI) sedangkan variabel dependen pengetahuan dan sikap ibu usia remaja. Instrumen menggunakan kuesioner terstruktur. Analisis data menggunakan paired t-test dan independen t-test. Hasil penelitian menemukan pada kelompok intervensi terdapat peningkatan skor pengetahuan sebelum (61,67) dan sesudah (78,83) dilakukan pendampingan oleh kader GEMARI (p=0.001), namun pada kelompok kontrol tidak ada perbedaan rata-rata skor pengetahuan sebelum (66,83) dan sesudah (64,67) intervensi (p=0,482). Pada kelompok intervensi, terjadi peningkatan skor sikap ibu tentang perencanaan keluarga sebelum (78) dan setelah (80,47) dilakukan pendampingan oleh kader GEMARI (p=0,036), sementara pada kelompok kontrol tidak ada perbedaan rata-rata skor sikap sebelum (78,33) dan sesudah (80,47) intervensi (p=0,114). Pendampingan kader GEMARI dapat meningkatkan pengetahuan dan sikap ibu usia remaja tentang perencanaan keluarga.

Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.

Prevalensi stunting di Indonesia masih termasuk masalah kesehatan masyarakat yang berat bahkan serius untuk ditanggulangi. Kader kesehatan berperan penting dalam menurunkan prevalensi stunting melalui deteksi risiko stunting dan pendidikan gizi dan kesehatan kepada ibu balita saat kegiatan Posyandu. Hasil beberapa penelitian menemukanpengetahuan, sikap dan keterampilan kader dalam deteksi risiko stunting masih kurang, sehingga perlu dilakukukan pemberdayaan kader melalui kegiatan pelatihan dan pendampingan. Tujuan Pengabdian kepada Masyarakat (PKM) ini adalah meningkatkan kemampuan kader keehatan dalam deteksi stunting memalui pelatihan penggunaan meteran deteksi stunting yang dilaksanakan di Kabupaten Timur Tengah Selatan (TTS) Propinsi NTT dan Bengkulu Utara (BU) Propinsi Bengkulu. PKM menggunakan metode pelatihan selama 3 hari pada 20 kader. 30 anak yang terdeksi berisiko stunting kemudian dilakukan pendampingan gizi dan kesehatan selama 5 bulan oleh kader bersama tenaga kesehatan puskesmas. Pelatihan dilaksanakan tanggal 15-17 Juni 2019 di Kabupaten BU dan tanggal 17-19 Mei 2019 di Kabupaten TTS. Evaluasi keberhasilan pelatihan dengan melakukan pengukuran pengetahuan dan sikap kader menggunakan uji statistik independent t test dan paired t test, pengukuran kemampuan deteksi dengan observasi. Hasil pelatihan menunjukan terjadi peningkatan skor pengetahuan 19,36 point (p=0,0001), peningkatan skor sikap sebesar 20,17 point (p=0,0001) dan peningkatan kemampuan kader mendeteksi stunting pada anak 6-24 bulan. Kader terlatih perlu terus diberdayakan dengan melibatkan dalam kegiatan kunjungan rumah dan kegiatan posyandu untuk aktif melakukan deteksi risiko stunting serta mengikutsertakan dalam kegiatan pembinaan dan pelatihan-pelatihan terkait pencegatan stunting.Kata kunci: Kader, pelatihan pengetahuan, sikap, keterampilan, stunting.

The low non-compliance to the consumption of Iron Tablets in pregnant women is an obstacle in the implementation of government programs to prevent and overcome the anemia problems in pregnant women. This study was conducted to determine the probability of non-compliance of pregnant women in the consumption of iron tablets in Indonesia.A cross-sectional study using the 2017 IDHS data. The sample was 12,466 women of childbearing age 15-49 years in Indonesia who consumed Iron Tablets during their last pregnancy. Univariate analysis used proportion measure, the bivariate analysis using chi-square test and multivariate used binary logistic regression test. Statistical analysis using SPSS-26 software.The level of non-compliance to the consumption of Iron Tablets during pregnancy in Indonesia is only 48.47%. The risk factors for quantity (p = 0.000, OR 2.085), and quality (p = 0.000, OR 1.655) Antenatal Care (ANC) was not good, examiners were pregnancy not health workers (p = 0.000, OR 1.816), residence in rural areas (p = 0.000, OR 1.262), and very poor socioeconomic status (p value = 0.000, OR 2.041) were significantly related to non-compliance with Iron Tablets consumption. The probability of non-compliance to the consumption of Iron Tablets in pregnant women with risk factors is 88%.Quantity of ANC and socioeconomic have a high influence on compliance to consumption of iron tablets, so it is important to bring nutrition workers at ANC activities to educate pregnant women about the benefits, side effects, and ways of consumption of iron tablets, reactivate supervisors for consumption of iron tablets, increase access health services in rural areas and families with low socioeconomic status, as well as providing free health care programs for the poor.

Obesity increases very sharply throughout the world which is quite alarming. One age group that is at risk of obesity is school age children. Animated video can provide real stimulation containing images, motion and sound elements. This study aims to determine the Effect of Animation Videos on Knowledge and Attitudes of Elementary School Children. This type of research is used Quasi Experimental with a pretest-posttest design with control group design. This research was conducted at SDN 01 and SDN 04 Kota Bengkulu on March 8 to April 8, 2019. Samples with 28 in each group. Analyze data using Mc. Nemar. The results of this study indicate that changes in knowledge before and after intervention in the intervention group (p = 0.0001), while in the control group (p = 0.001). Changes in attitudes of elementary school children before and after treatment in the intervention group (p = 0.063) and in the control group (p = 0.125). There is a change in knowledge but there is no change in attitude on the group and the intervention of the influence of the animation video on the knowledge of elementary school children about obesity in the city of Bengkulu.

Iron nutritional anemia is anemia caused by iron deficiency in the blood, meaning the concentration of hemoglobin in the blood is less than 11 gr / dl. According to WHO, the incidence of pregnancy anemia ranges between 20% and 89% by setting Hb 11 g% (g / dl). The pregnancy anemia rate occurred 3.8% in the first trimester, 13.6% trimester II, and 24.8% in the third trimester. To know the effectiveness of CAMIL media (iron anemia disc pregnant mother) to behavior of prevention of iron anemia in pregnant mother in work area of ​​Beringin Raya Public Health Center of Bengkulu City. This type of research uses Quasy Experimental Study with Pretest-Postest Control Group Design. The population in this study were pregnant women listed in the Register of Beringin Raya Public Health Center of Bengkulu Year 2018. total samples were 40 respondents.20 respondents of the intervention group and 20 control groups. Data analysis using T-test. The result of the research is the effect of CAMIL on knowledge, attitude and action where the sign value 0.000 0.05. For attitudes on the CAMIL group and the leaflet is the same where the sign value is 0.146> 0.05. Action on the CAMIL group and the same leaflet where the sign value is 0.064> 0.05. Conclusion From the results of this study it can be concluded that health education is important to improve knowledge, attitude, and action, using CAMIL media and leaflets, both media are equally efketif because it is written with the added pictures

Stunting is a linear growth disorder considered as a serious health problem in Indonesia, where its prevalence is related to maternal and child health (MCH) services. This study aimed to compare the coverage of maternal and child health services between two surveys and analyze how they relate to the prevalence of stunting. The study used aggregate data from the 2013 and 2018 Basic Health Research Reports using a cross-sectional approach. The research sample spanned to 34 provinces in Indonesia. Stunting prevalence was taken as aggregate data from individuals based on height-for-age z-scores (HAZ). The independent variable was the achievement of MCH service indicators. Data analysis used variance measures, correlations, simple linear regression, and paired T-tests. The results found variations in the prevalence of stunting, with 25.4% in 2013 and 25.1% in 2018. There was a 7.4% decrease in severe stunting prevalence between 2013 and 2018, but the decrease was not significant (p = 0.506). The analysis results of the 2013 Basic Health Research showed that MCH service indicators related to stunting prevalence were coverage of antenatal care, iron consumption, delivery by health personnel, delivery in health facilities, postpartum maternal health services, low birth weight (LBW) prevalence, neonatal examination, complete immunization, health card ownership, and growth monitoring. The analysis results of the 2018 Basic Health Research showed that MCH indicators were related to the prevalence of antenatal care coverage, delivery by health personnel, and delivery in health facilities, postpartum maternal health services, LBW prevalence, neonatal examination, and complete immunization. There was a significant increase in the coverage of MCH services from 2013 and 2018 (p < 0.0001), except for the coverage of Fe tablet consumption, the prevalence of stunted birth babies, ownership of health cards, provision of vitamin A, and provision of colostrum. The better the coverage of MCH services, the lower the stunting prevalence. Efforts to improve the MCH service programs are required to reduce the prevalence of stunting for Indonesian children. Keywords: stunting, children under five years old, coverage of maternal and child health services

The first 1,000 days of life program is a program to improve the quality of children in the future which one of these programs is the provision of exclusive breastfeeding. The decline in infant mortality rates slowed between 2003 to 2012 from 35 to 32 per 1,000 live births, all babies need access to key interventions such as exclusive breastfeeding. The success of these programs are driven by health workers, but the researches that analyze information about exclusive breastfeeding program on health workers, especially in Bengkulu had never been examined. The research design used mixed methods (quantitative and qualitative) on health workers in Bengkulu in 2015 who have infants aged 6-24 months (66 people), which were determined by purposive sampling. The results showed that 69.7% of the mothers did not practice exclusive breastfeeding and 54.5% did not practice early initiation of breastfeeding. Analysis of early initiation of breastfeeding factor as the dominant factor for failure of exclusive breastfeeding. The qualitative analysis showed confidence and perception of little milk production are factor for unsuccessful early initiation of breastfeeding .

Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS 2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.

Prevalensi panjang badan lahir pendek di Indonesia masih tinggi dan menjadi masalah kesehatan masyarakat yang disebabkan oleh pelbagai faktor secara langsung dan tidak langsung serta berdampak luas dan berkelanjutan dalam siklus kehidupan. Penelitian menggunakan data Riset Kesehatan Dasar (Riskesdas) 2013 dengan pendekatan potong lintang bertujuan mengetahui mekanisme hubungan berbagai variabel laten terhadap prevalensi panjang badan lahir pendek. Sampel adalah 497 kabupaten yang diagregat dari data individu, yaitu anak lahir dari ibu berusia 15 hingga 49 tahun dengan kriteria anak kandung dan lahir tunggal. Pemodelan menggunakan Structural Equation Modelling. Kehamilan berisiko tinggi berhubungan positif langsung dengan prevalensi panjang badan lahir pendek (r = 0,279; nilai p = 0,014). Pemanfaatan pelayanan kesehatan berhubungan positif tidak langsung dengan prevalensi panjang badan lahir pendek melalui kehamilan berisiko tinggi (r = 0,135; nilai p = 0,029). Sosial ekonomi tidak berhubungan signifikan dengan prevalensi panjang badan lahir pendek (r = -0,087; nilai p = 0,156), namun akan berhubungan bila melalui mekanisme hubungan pemanfaatan pelayanan kesehatan (r = 0,653; nilai p = 0,0001) dan kehamilan berisiko tinggi (r = 0,759; nilai p = 0,0001). Upaya intervensi perlu difokuskan pada pencegahan kehamilan berisiko tinggi melalui perbaikan status gizi dan kesehatan ibu sejak usia remaja untuk menurunkan prevalensi panjang badan lahir pendek. Mechanism of Socio-Economic, Health Services Use and High Risk Pregnancy Relations to The Prevalence of Short Birth LengthThe prevalence of short birth length in Indonesia still high and it becomes a public health problem caused by any direct and indirect factors as well as having a wide and sustainable effect in life cycle. The study used Basic health system (Riskesdas) 2013 data with a cross-sectional approach aiming to find out the mechanism of the relation between any latent variables to the short birth length prevalence. Samples were 497 districts aggregated from individual data that were children children born by 15 - 49 year-old mothers with biological children and single birth criteria. The modelling used Structural Equation Modeling. High-risk pregnancy had a direct positive relation with the prevalence of short birth length (r = 0.279; p value= 0.014). The use of health services had an indirect positive relation with short birth length prevalence through high-risk pregnancy (r = 0.135; p value= 0.029). Social economy did not have any significant relation with the prevalence of short birth length (r = -0.087; p value = 0.156), but would be related if through the mechanism of health service use (r = 0.653 ; p value = 0.0001) and high-risk pregnancy (r = 0.759 ; p value = 0.0001). Efforts of intervention need to be focused on prevention of high-risk pregnancy through improvement of nutritional and health status of mothers since teenager in order to reduce short birth length prevalence.

CEDs in pre-pregnancy and pregnant women have an impact on the birth of Intra Uterine Growth Retardation ( IUGR) children, Low Birth Weight (LBW) and stunting, so that SEZ problems in pregnant women need to be improved through nutritional assistance. The study aims to prove the effect of nutritional assistance on CED pregnant women on changes in knowledge, attitudes and actions in fulfilling nutrition. The study was carried out in the cities of Bengkulu and Bandar Lampung with a quasi-experimental design carried out by health cadres who had been trained to assist pregnant women with CED to carry out health promotion and monitor consumption of Supplementary Feeding Programme (SFP) and Fe Tablet consumption for 3 months. Changes in knowledge, attitudes and actions in nutritional fulfillment were analyzed by different mean and independent samples. The results of the study found that effective nutrition assistance to increase knowledge, positive attitudes and actions of CED pregnant women in fulfilling nutrition. After mentoring there was a significant increase in the average knowledge score, attitudes and actions of CED pregnant women in both the City of Bengkulu and in Bandar Lampung. Need continuous nutrition assistance for CED pregnant women so that behavioral changes and fulfillment of balanced nutrition occur during pregnancy and postpartum.