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Stunting is a chronic nutritional problem that affects children's growth and development and remains a major public health challenge. Posyandu plays a strategic role in the prevention and early detection of stunting through community-based basic health services. This community service activity aims to optimize the role of Posyandu as a strategy for preventing and detecting stunting early in Nagreg Village, Banten. The methods used include anthropometric measurements of children aged 0–59 months and health education on nutrition for parents and Posyandu cadres. Data analysis was conducted descriptively based on age groups. The results show that out of 32 children examined, 37.5% showed indications of stunting risk. This finding suggests that the integration of growth monitoring and nutrition education at Posyandu has the potential to be an effective strategy for the prevention and early detection of stunting, as well as to support the improvement of children's health quality. This activity also enhances parents' and Posyandu cadres' understanding of the importance of monitoring nutritional status to prevent stunting more effectively.

This study aims to describe dietary patterns, food consumption habits, hygiene awareness, and environmental and social factors related to digestive disorders in junior high school students. This study used a descriptive approach with a closed-ended interview method (Yes/No answers) with Thirty-five  junior high school students using 15 questions. The results showed that some students did not have consistent breakfast habits, had a high tendency to consume fried foods and sugary drinks, and demonstrated low awareness of food safety and hygiene habits such as washing hands before eating. In addition, the school environment, peer influence, and psychological well-being influence students’ eating patterns. These factors contribute to digestive problems in some students. Therefore, schools must actively participate in maintaining a clean environment, providing students with healthy food options, and providing ongoing nutritional instruction on digestive health.

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

The global reliance on wheat flour has prompted the food industry to seek sustainable local substitutes. Sweet potato (Ipomoea batatas L.) emerges as a potential candidate due to its substantial starch content and beneficial bioactive compounds. This study explores innovations in sweet potato flour processing, emphasizing physical, chemical, and enzymatic modifications to enhance its functional properties. The research methods include hydrothermal treatments and fermentation (Modified Sweet Potato Flour/MOSPEF) and their impact on dough rheology and glycemic response. The findings indicate that modified sweet potato flour can effectively replace wheat flour by 30-50% in bakery items and up to 100% in gluten-free formulations without significantly altering sensory traits. This innovation represents a strategic step toward national food sovereignty and improved nutritional quality in the modern food industry, healthier and more nutritious. The use of modified sweet potato flour is expected to strengthen food security and provide economic benefits for local farmers and the domestic food industry.

Toddlers are a critical age group 0–59 months who require optimal nutritional intake to support physical and cognitive growth and development. The quality of toddler feeding patterns is influenced by family socioeconomic factors, including income, education, and parental occupation. This study aims to analyze the relationship between family socioeconomic status and toddler feeding patterns in the working area of the Saritani Community Health Center, Boalemo Regency. This study used an observational design with a cross-sectional approach and involved 40 respondents selected using purposive sampling. Data were collected through structured questionnaires, interviews, observations, and secondary data from the Community Health Center, then analyzed using the Chi-Square test with a significance level of p < 0.05 . Results: Most families have middle (45%) and low (40%) socioeconomic status. Good feeding patterns are received by 55% of toddlers, while 45% have inadequate feeding patterns. The analysis shows a significant relationship between family socioeconomic status and toddler feeding patterns (p = 0.043). Families with low incomes and limited maternal education tend to provide food with less than optimal variety and nutritional content. Conclusion: Family socioeconomic status has a significant influence on toddler feeding patterns in Saritani.

Background: Most premature infants experience feeding difficulties, including difficulty getting food into their mouths, limited oral capacity, and impaired tongue movement in transferring the bolus toward the posterior part of the oral cavity. This condition underscores the need for special attention in the care of premature infants, particularly in meeting their nutritional needs, which play a crucial role in supporting growth and survival. Purpose: To implement oral motor stimulation interventions for premature infants with feeding problems in the Perinatology Room of Charitas Hospitals Palembang. Method: This case study was conducted on 3 premature infants who received oral motor stimulation interventions for 3 days, with a training frequency of 2 times a day, morning and evening, for 15 minutes. Results: After oral motor stimulation interventions were performed on the three premature infants, good improvement data were obtained, namely in the strength of sucking and swallowing reflexes, and improvement in sucking movements as preparation for the transition from enteral to oral feeding. Conclusion: Providing oral motor stimulation interventions to premature infants helps improve their feeding abilities by enhancing sucking and swallowing reflexes and supporting optimal nutritional intake.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

Background: Anxiety in postpartum mothers is a psychological problem that can negatively impact maternal mental health, marital relationships, and the lactation process. This psychological disorder can inhibit the production and let-down of breast milk, which, if not addressed promptly, can lead to physical complications such as breast engorgement or mastitis, as well as hinder the fulfillment of the infant's nutritional needs. Objective: This study aimed to determine the relationship between anxiety levels and delayed breast milk let-down in postpartum mothers at Prof. Dr. R.D. Kandou General Hospital Manado. Methods: This research is an analytical survey with a cross-sectional design. The sample consisted of 30 postpartum mothers selected using non-probability sampling. Research instruments included questionnaires and interviews, with data analysis using the chi-square test. Results: The majority of respondents experienced moderate anxiety (60.0%) and had non-smooth breast milk let-down (53.3%). Statistical test results showed a p-value = 0.030, indicating a significant relationship between anxiety levels and delayed breast milk let-down. Conclusion: High anxiety levels in postpartum mothers contribute to delayed breast milk let-down. Psychological support for postpartum mothers is needed to maintain the smoothness of the breastfeeding process.

Floods and landslides in Hutanabolon Village, Tukka District, Central Tapanuli Regency have disrupted access to food and health services, particularly for vulnerable groups such as children. Public kitchens, as the frontline of emergency nutrition response, face challenges in providing food that meets the specific nutritional needs of children. This study aims to evaluate the effectiveness of public kitchens at Disaster Emergency Response Posts (TDB) in meeting the nutritional needs of post-disaster children, identify supporting and inhibiting factors, and formulate recommendations for improving the public kitchen management system. The research employed a descriptive evaluative approach using survey methods, structured interviews, direct observation, 24-hour dietary recall, and anthropometric measurements (weight and height). The study subjects included 15 children aged 1–12 years and 8 public kitchen managers selected purposively. Data were analyzed descriptively by comparing nutritional intake against the Recommended Dietary Allowance (RDA) standards and analyzing kitchen management practices based on emergency nutrition guidelines. The findings revealed that children's average energy intake was only 1,140 kcal/day (below the minimum standard of 1,200–2,000 kcal/day) and protein intake was 18.7 g/day (below the standard of 20–35 g/day). A total of 33.3% of children were classified as having malnutrition to severe malnutrition based on weight-for-age indicators. Public kitchen management showed weaknesses in menu planning (100% had no child-specific menu), managers' nutritional knowledge (62.5% categorized as low), food availability (75% relied on instant aid without variation), and limited cross-sectoral coordination (50%). The effectiveness of public kitchens in meeting children's nutritional needs after disasters remains low.

Nutritional problems in adolescents are complex, as evidenced by the high rate of iron deficiency anemia, especially among girls (23%), as well as malnutrition and overnutrition. According to SKI (2023), nutritional problems in adolescents include thinness and extreme thinness reaching 7.6%, while adolescents who are overweight reach 12.1%, and those who are obese reach 4.1%. The objectives are to determine the knowledge of balanced nutrition and eating habits of students in their daily lives and to identify the relationship between knowledge and eating habits with nutritional status. This study used a cross-sectional design with a population of 45 students from the Midwifery Study Program at Harkat Negeri University. The sampling technique used was total sampling. The research instrument was a questionnaire distributed via Google Form, while nutritional status was obtained by measuring BMI. Univariate and bivariate analyses were used. The majority of respondents were aged 20 years (44.5%), had good nutritional knowledge (59.1%), poor eating habits (63.6%), and normal nutritional status (68.2%). In the bivariate analysis, there was no significant relationship between nutritional knowledge and eating habits with the nutritional status of students (p-value >0.05). Conclusion The majority of students had good understanding of nutrition, but not of eating habits. It is hoped that students can maintain eating habits with balanced nutrition in order to achieve normal nutritional status. Keywords: Nutrition Knowledge; Eating Habits; Nutritional Status

Stunting remains a major public health problem in Indonesia, particularly in Aceh Province. Family smoking behavior and adherence to exclusive breastfeeding are considered important determinants of child nutritional status. This study aimed to analyze the relationship between family smoking behavior and exclusive breastfeeding adherence with stunting among toddlers in Tuha Village, Trienggadeng District, Pidie Jaya Regency. This study used a quantitative cross-sectional design with a sample of 46 toddlers selected using simple random sampling. Data were collected through structured questionnaires and analyzed using univariate and bivariate analysis with logistic regression tests. The results showed that family smoking behavior was significantly associated with stunting (p = 0.002; OR = 0.12; 95% CI: 0.03–0.47). Meanwhile, exclusive breastfeeding adherence was not significantly associated with stunting (p = 0.940; OR = 0.94; 95% CI: 0.17–5.09). These findings indicate that exposure to cigarette smoke in the household is an important risk factor affecting child nutritional status. Strengthening family-based interventions, especially smoke-free home initiatives, is essential to reduce stunting prevalence.

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.

Breakfast and sleep quality are important factors that can influence students’ concentration and academic achievement. This study aims to analyze the relationship between breakfast consumption levels and sleep quality with the learning achievement of students at SMP Negeri 31 Medan. This research used a quantitative method with a cross-sectional design. The study population consisted of all 192 eighth-grade students, with a sample of 88 respondents selected through simple random sampling. Breakfast intake was measured using a 3x24-hour food recall (breakfast time only), sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, while learning achievement was obtained from semester exam scores in Indonesian Language and Mathematics subjects. Data analysis was carried out using the Chi-Square test with a significance level of 0.05. The results showed a significant relationship between breakfast intake and learning achievement in Indonesian Language (p=0.003) and Mathematics (p=0.000). Sleep quality was also proven to be associated with learning achievement in Indonesian Language (p=0.001) and Mathematics (p=0.000). The conclusion of this study is that having breakfast with adequate nutritional intake and maintaining good sleep quality contribute positively to improving students’ learning achievement.

This study analyzes the strategic role of quality-based marketing models in enhancing the competitiveness of kombucha products, with a specific focus on Rumah SCOBY DBA, produced by the Yayasan Dharma Bintang Akademia. By integrating Total Quality Management (TQM), Quality Assurance (QA), and Quality Control (QC), the research explores how quality-driven frameworks contribute to marketing effectiveness, consumer trust, brand positioning, and sustainable performance in the functional beverage industry. Employing a Systematic Literature Review (SLR) combined with conceptual analysis, the study systematically examined publications from 2015 to 2025 across leading academic databases, focusing on themes of quality management, functional beverage marketing, kombucha production, consumer behavior, and digital strategies. The findings reveal that product quality—characterized by fermentation stability, microbiological safety, and nutritional consistency—serves as the primary driver of consumer purchase intention. Process quality, through standardized SOPs, hygiene protocols, and traceability systems, reinforces credibility, while service quality, including transparent labeling, health education, and digital engagement, strengthens brand trust. Integrating TQM principles into marketing fosters consumer loyalty, differentiates brands in competitive markets, and supports long-term sustainability. This study provides practical guidance for producers, community-based enterprises, and policymakers to adopt quality-driven marketing models, offering a novel conceptual framework tailored to kombucha products and mapping future research directions in functional beverage innovation.

Banana blossoms are often considered waste and rarely utilized by the community, even though this material is easily obtained, has nutritional value, and has the potential to be processed into economically valuable food products. This community service activity was carried out in Melati II Village, Pasar 6, Pala Hamlet, Perbaungan District, with the aim of providing assistance to the community in processing banana blossoms into chips as an alternative snack. The implementation method included a brief counseling on the potential and benefits of banana blossoms, training in processing techniques, hands-on practice in making chips, and a simple evaluation of the quality of the resulting product. The results of the activity showed that the community was able to process banana blossoms into chips with a crispy texture, acceptable taste, and an attractive appearance. In addition to improving community skills and creativity, this activity also helped reduce organic waste and opened up sustainable household-scale business opportunities for the local community.

The acceleration of stunting reduction in Ponorogo Regency faces challenges regarding the complexity of the issue and regional fiscal constraints, necessitating strategic cross-sectoral collaboration. This study aims to evaluate the synergy of Bank BCA's Corporate Social Responsibility (CSR) program through the "Bakti BCA" scheme in supporting local government policies related to specific and sensitive nutrition interventions. This research employs a qualitative approach with a case study design. Data collection was conducted through in-depth interviews with key informants from Bank BCA Ponorogo management, Bappeda, the Health Office, and beneficiary families, complemented by participatory observation and a review of the Regional Action Plan (RAD) documents. Data analysis was performed interactively by integrating the Collaborative Governance framework from Ansell and Gash, William N. Dunn's six policy evaluation criteria, and Mark Moore's Public Value concept to analyze the dynamics of cooperation and program performance achievements. The results indicate that the established synergy meets the criteria of appropriateness and effectiveness, where CSR interventions successfully bridged the gap in sanitation services and nutritional fulfillment in stunting locus villages uncovered by the regional budget (APBD). This collaboration proved successful in creating public value in the form of improved physical health status of toddlers, regional budget efficiency, and high community responsiveness. It can be concluded that this strategic partnership effectively accelerates the achievement of stunting reduction targets through equitable resource distribution. This study recommends that private sector engagement be formally integrated from the development planning deliberation (Musrenbang) stage to ensure long-term impact sustainability.

Work fatigue is one of the occupational health problems that may affect productivity, concentration, and increase the risk of workplace accidents. Security officers at Ferry Mulia Raja Napitupulu Port, Balige, are at high risk of experiencing fatigue due to shift work systems, physical and mental workload, and poor sleep quality. This study aims to identify factors associated with work fatigue among security officers. A quantitative method with a cross-sectional design was applied. The sample consisted of 45 security officers selected using total sampling technique. Data were collected through questionnaires on individual characteristics, nutritional status, sleep quality, workload, and environmental temperature, and analyzed using bivariate tests. The results revealed significant relationships between age, nutritional status, sleep quality, workload, and temperature with work fatigue levels (p<0.05). It can be concluded that both individual and work environment factors contribute to fatigue among security officers. The study recommends that port management pay more attention to shift arrangements, rest patterns, and occupational health interventions to reduce fatigue risk and enhance officers’ productivity.

Makan Bergizi Gratis (MBG) program is a national policy designed to improve the nutritional quality of children and support human resource development. However, its implementation at the regional level still faces various institutional and coordination issues. This study aims to analyze the implementation of the Free Nutritious Meals program in Jambi City, focusing on the dynamics of program implementation and the inhibiting factors. This study uses a qualitative approach with a case study method. Data were collected through in-depth interviews with policy implementers and  documentation with informants determined through purposive sampling. Data analysis was conducted using Merilee S. Grindlee policy implementation theory through data reduction, presentation, and conclusion drawing. The results of the study indicate that the implementation of the MBG program in Jambi City has not been running optimally. This condition is characterized by the strong dominance of the central government in the decision making process, weak coordination between actors at the regional level, and inadequate readiness of supporting institutions, especially in aspects of human resources, monitoring system, and clarity of operational standards for implementation.