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Diarrhea remains a leading cause of mortality among toddlers in Indonesia, with a prevalence reaching 4,9%. In addition to pharmacological management through LINTAS DIARE, non-pharmacological therapies such as baby massage are increasingly being implemented as supportive interventions that families can perform to accelerate recovery. This study aims to examine the effectiveness of baby massage as a complementary therapy in reducing the frequency and intensity of diarrhea in toddlers. The method used involved identifying relevant articles from Google Scholar and Semantic Scholar databases using appropriate keywords. Based on the 6 articles obtained, baby massage significantly (p = 0,000) reduces the frequency and intensity of diarrhea through vagus nerve stimulation, which optimizes intestinal peristalsis and nutrient absorption. Beyond improving defecation patterns, this therapy is proven to significantly increase infant weight, accelerate motor development through central nervous system stimulation, and enhance sleep quality and comfort.

The provision of herbal-based complementary feeding (MP-ASI) has several positive impacts, including improving mothers’ understanding and skills in preparing complementary foods from local food ingredients in accordance with local customs and socio-cultural practices, thereby enabling mothers to independently continue providing local complementary feeding. This study aimed to determine the effect of training on the preparation of herbal-based complementary feeding for mothers of children under three years old on their knowledge and skills in preparing complementary feeding. This study employed a quasi-experimental research design and was conducted at Kanda Public Health Center. The population consisted of all mothers with children under three years old in the working area of Kanda Public Health Center, totaling 245 mothers. The sample size in this study was 35 respondents. The results of the analysis showed that there was a significant difference in mothers’ knowledge before and after the training on complementary feeding preparation, with a significance value of 0.000.

This study aims to determine the influence of service quality on the satisfaction of mothers with toddlers at Posyandu Melati Mekar RW 05, Margajaya Village, Ngamprah District, West Bandung Regency. The method used is a quantitative approach with data collected through questionnaires distributed to 70 respondents using a saturated sampling technique. The results showed that the service quality at Posyandu Melati Mekar was in the "very high" category with a score of 3,007 out of a maximum of 3,500, while the level of satisfaction among mothers was in the "high" category with a score of 2,900. The t test showed a t value of 9.592, which is greater than the t table value of 1.995, with a significance level of 0.001, indicating a significant influence of service quality on mother satisfaction. A correlation coefficient of 0.758 indicates a strong and positive relationship, while the determination coefficient of 57.5% shows that service quality greatly contributes to customer satisfaction. Thus, improving service quality can directly increase user satisfaction with posyandu services

Bronchopneumonia is a type of infection of the lower respiratory tract that often occurs in children, especially toddlers. This disease is characterized by inflammation of the bronchioles and lung tissue which triggers increased production of secretions in the airways. The buildup of secretions often causes nursing problems in the form of ineffective airway clearance, which is indicated by ineffective coughing, rapid breathing, shortness of breath, and the appearance of additional breath sounds such as rales. Chest physiotherapy in children was carried out to evaluate the effectiveness of the clapping technique in helping to clear the airway in bronchopneumonia patients. The method applied in evidence-based practice (EBP) uses case studies with a nursing care approach. Intervention was given to three patients with a diagnosis of bronchopneumonia for three days, with a duration of approximately 1-2 minutes in each area of ​​the chest. Evaluation is carried out using a stethoscope and measuring time (clock), with the results recorded on an observation sheet. After chest physiotherapy (clapping), the three patients showed improvement in airway clearance, which was indicated by respiratory frequency returning to normal, no additional breath sounds (ronchi), and reduced secretion production. Based on these results, it can be concluded that the application of EBP through chest physiotherapy is effective in increasing airway clearance in bronchopneumonia patients.

Diarrhea is a condition characterized by increased frequency of bowel movements (BAB) of ≥3 times/day with a more liquid consistency. Diarrhea can be caused by infectious or non-infectious agents. Diarrhea can occur acutely, lasting less than 2 weeks, or chronically, lasting more than 2 weeks. The prevalence of diarrhea in toddlers is 12.3% and in infants is 10.6%.3 Based on data from the Medan City Health Office, the incidence of diarrhea in 2023 is estimated to be 66,802 cases across all ages and 32,324 cases in toddlers, with almost half of diarrhea sufferers being children. The Medan City Health Office reported the incidence of diarrhea in toddlers was 2,894 cases and adults 14,112 cases, or approximately 20.5%. Parents are one of the closest people and act as caregivers for children, so they have a crucial role in controlling diarrhea in children, including early management and prevention. Good parental knowledge, attitudes, and behavior regarding the management and prevention of diarrhea can reduce diarrhea morbidity and mortality in children.

Gerakan Tutup Mulut (GTM), or “Refusal to Eat,” is a common nutritional problem among toddlers and contributes to reduced nutrient intake and an increased risk of malnutrition. Preliminary observations at Posyandu Aster 11 Way Kandis, Bandar Lampung, indicated that mothers had low levels of knowledge regarding the causes of GTM and limited exposure to responsive feeding education. This community service activity aimed to improve mothers’ understanding of the factors contributing to GTM and to introduce pisang barongko as an innovative, nutritious snack option to help prevent GTM. The methods utilized included educational sessions through leaflets, presentations, video demonstrations, and pretest–posttest evaluation using the Wilcoxon test. The activity involved 25 participants and resulted in an improvement in knowledge scores from an average of 66 to 94.8, demonstrating a significant increase of 28.80 (p < 0.05). High participant enthusiasm, effective material delivery, and the availability of educational outputs such as videos and leaflets supported the success of the program. These findings highlight the importance of nutrition education based on local food resources as a practical and sustainable strategy to prevent GTM in children.

Tuberculosis (TB) remains a significant health issue in Indonesia, with the number of cases not showing a decline. Pediatric pulmonary tuberculosis is one of the leading causes of morbidity and mortality. In 2018, the number of TB cases in Aceh reached 41,595, with Aceh Utara having the highest number at 4,819 cases, followed by Bireuen with 3,636 cases, while Sabang recorded the lowest at 272 cases. The primary risk factor for pulmonary tuberculosis in children is a history of contact with adult TB patients, as children's immune systems are still weak, allowing the bacteria to enter their bodies easily. This study aims to examine the history of TB contact in children at the Pediatric Clinic of Cut Meutia General Hospital. The research used a descriptive observational design, with 105 respondents, and data was collected from medical records. The results showed that the majority of respondents were toddlers (47.6%), most were male (54.3%), and 58.1% had good nutritional status. A significant percentage of respondents (77.1%) had a history of contact with TB patients, and 83.8% did not receive BCG vaccination. These findings highlight that contact with TB patients is a key factor in the transmission to children.

Stunting is a chronic nutritional disorder characterized by a child’s height being below the age-standard growth curve. One contributing factor is the mother’s knowledge regarding proper complementary feeding (MP-ASI). This study aims to determine the correlation between maternal knowledge of complementary feeding and stunting among children under five at Posyandu in the Bangetayu Health Center working area, Semarang. This research employed an analytical observational design with a case-control approach. A total of 60 respondents were selected using purposive sampling, consisting of 30 stunted and 30 non-stunted children. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The findings indicated that most mothers possessed good knowledge of complementary feeding (80%). Stunting prevalence among respondents was 41.7%. The Chi-Square test revealed a p-value of 0.000 (p < 0.05), demonstrating a significant relationship between maternal knowledge of complementary feeding and stunting. Mothers with poor knowledge were more likely to have stunted children compared to those with adequate understanding. These results highlight the crucial role of improving maternal nutrition knowledge to prevent stunting and support optimal child growth and development.

Stunting is a phenomenon of growth impairment experienced by infants and young children under 5 years of age, particularly toddlers aged 0–59 months. Based on Global Prevalence Data, approximately 21.9% to 22% of toddlers worldwide experience stunting. Several factors that contribute to stunting include breastfeeding and complementary feeding (MP-ASI) practices. This study aims to explore the association between experiences of exclusive breastfeeding and complementary feeding (MP-ASI) and the incidence of stunting among children in the Kampa Community Health Center area. The method used in this study was a cross-sectional approach. The study was conducted during the period of January 8–13, 2024, at the Kampa Community Health Center, involving toddlers aged 6–59 months, with a population of 1,576 toddlers. The sample consisted of 68 mothers who had stunted toddlers, measured using a height-for-age (H/A) Z-score of less than -2 standard deviations (SD). The sampling technique applied was total sampling. Data collection was carried out using a microtoise and questionnaires. Data analysis was performed using the Chi-square method. The findings showed a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with a P value of 0.00 < 0.05, as well as a significant relationship between exclusive complementary feeding (MP-ASI) and the incidence of stunting in toddlers with a P value of 0.04 < 0.05. It is recommended that health workers organize counseling classes on lactation and conduct demonstrations on how to prepare complementary foods (MP-ASI), focusing on the use of affordable local food ingredients that are rich in animal protein. In addition, continuous training for community health cadres needs to be carried out to improve early detection through accurate anthropometric measurements, so that toddlers at risk of stunting can be promptly managed.

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.

Health issues are complex and require new ideas for their resolution. Public health focuses on disease prevention, health promotion, and physical, mental, and social therapy. Maternal and Child Health (MCH) and women’s health throughout their life cycle are crucial public health issues as they have a significant impact on the quality of human resources in a generation. In Pukdale Village, East Kupang District, Kupang Regency, problems such as the lack of knowledge among pregnant women about Chronic Energy Deficiency (CED), pregnancy anemia, Exclusive Breastfeeding (EBF), balanced nutrition, and weaning have been identified. To address these issues, a Community Midwifery Care program based on community service was carried out, which included counseling, training, demonstrations, and simulations. The results of this activity showed a positive response and active participation from the community in Pukdale Village in the programs implemented by the students. There was a significant improvement in the knowledge of pregnant women about CED, pregnancy anemia, EBF, as well as the knowledge of mothers of infants about balanced nutrition and weaning. This is expected to improve the overall health status of the community in the village.

The coverage of Complete Basic Immunization (Imunisasi Dasar Lengkap or IDL) in Maharani Village remains low at 38.8%, falling short of the national target of 95%. This condition increases the health risk of toddlers contracting Vaccine-Preventable Diseases (PD3I). This study aimed to determine the relationship between mothers' knowledge and husbands' support regarding the completeness of basic immunization for toddlers in Maharani Village, within the working area of Rumbai Bukit Public Health Center. This research employed a quantitative analytic method with a cross-sectional design. The population in this study comprised all mothers with toddlers in the area, with a sample of 73 respondents selected using the purposive sampling technique. Data collection was conducted using validated questionnaires and observation of Maternal and Child Health (KIA) books, followed by univariate and bivariate analysis using the Chi-square statistical test. The results indicated that the majority of toddlers had incomplete immunization status (61.6%), mothers had a low level of knowledge (61.6%), and respondents did not receive support from their husbands (58.9%). Statistical test results confirmed a very significant relationship between mothers' knowledge (p-value = 0.000) and husbands' support (p-value = 0.000) with the completeness of basic immunization. The conclusion confirms that knowledge and husband's support are the main determinant factors. It is suggested that Rumbai Bukit Public Health Center implement a more inclusive health promotion strategy by involving the active role of husbands in monitoring child health.

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.

Stunting remains a major nutritional problem in Indonesia, impacting the quality of human resources. One important factor contributing to stunting is child feeding practices, especially during the First 1,000 Days of Life. Objective: This study aims to analyze the relationship between child feeding practices and stunting in toddlers. Method: This study used a cross-sectional design conducted in the Oesao Community Health Center (Puskesmas Oesao) working area. The sample was 30 toddlers aged 6–59 months selected using a purposive sampling technique. Child feeding practices were measured using a structured questionnaire, while stunting status was determined based on the WHO standard length/height-for-age (PB/U or TB/U) index. Data analysis was performed univariately and bivariately using the Chi-Square test. Results: The results showed that most toddlers with inadequate feeding practices experienced stunting. Bivariate analysis showed a significant relationship between child feeding practices and stunting (p < 0.05). Conclusion: Child feeding practices are significantly associated with stunting in toddlers. It is necessary to increase nutritional education and support families in feeding children as an effort to prevent stunting.

Nutritional status is a health condition that indicates whether or not nutrients are sufficient in the body. This is influenced by eating habits and the body's ability to absorb nutrients. Nutritional status assessment can be done by body measurements, diet analysis, or laboratory tests. This indicator shows the extent to which nutritional needs are met to support body function and growth. This study aims to determine the nutritional status of toddlers in Keude Nibong Village and the factors that influence it. The research design used a quantitative approach with a correlation method, involving 35 toddlers as samples. The results showed that most toddlers were male (52%) and most were aged 24-35 months and 48-59 months (23.7% each). A total of 29 toddlers (83%) had good nutritional status, while 6 toddlers (17%) were malnourished. The nutritional condition of toddlers was generally good, but regular monitoring by health workers and the village government through integrated health posts (posyandu) is needed. Further research is recommended to examine factors such as diet, economy, and parental education that influence children's nutritional status.

The nutritional status of toddlers is an important indicator that reflects the level of public health in a region. This study aims to analyze the nutritional status of children aged 0–5 years in Teupin Desa Teupin Gapeuh Kecamatan Tanah Pasir Kabupaten Aceh Utara. This research employed a descriptive quantitative method using secondary data obtained from health records and posyandu (integrated health post) reports. The study involved a total of 60 children under five, consisting of 33 boys and 27 girls. The findings revealed that based on the weight-for-age (W/A) index, 81.7% of children had normal nutritional status, 13.3% were undernourished, and 3.3% were severely undernourished. Based on height-for-age (H/A), 90.0% were normal, 5.0% were short, and 3.3% were very short. According to the weight-for-height (W/H) index, 83.3% were normal, 11.7% were undernourished, and 5.0% were at risk of overweight. Furthermore, the prevalence of stunting, wasting, and underweight were 8.3%, 11.7%, and 16.7% respectively. These results indicate that although most children have normal nutritional status, some still experience nutritional deficiencies that require special attention. Therefore, health workers and local governments need to strengthen nutrition education programs, increase community awareness of balanced nutrition, and improve monitoring of child growth to prevent malnutrition in the area

Toddler age is often called the golden period because during this period brain nerve development occurs, especially myelination, as well as a critical period. The golden period can be achieved if toddlers' nutritional needs are optimally met. On the other hand, if babies and toddlers do not get the food they need, the golden period will change into a critical period, thus disrupting their growth and development. The level of education of parents will affect the health and well-being of children, because this is inseparable from the nutritional status of children. Mothers with a high level of education will have a clearer opportunity to absorb information compared to mothers with less or no education. With a good level of education, it is hoped that a mother will be willing and able to behave well in order to improve her child's nutritional status. This Community Service activity aims to provide health education on balanced nutrition to reduce stunting in the community, especially mothers with toddlers in Desa Cangguk, Kecamatan Tanah Pasir, Kabupaten Aceh Utara. This activity used a participatory approach involving lecturers, students, health workers, and the community. The results showed an increase in public understanding and awareness of stunting prevention. It is hoped that this activity will raise public awareness about balanced nutrition for children

Stunting and wasting are nutritional problems in toddlers that remain a double burden of malnutrition in Indonesia and have an impact on the quality of health and future human resource development. Monitoring the nutritional status of toddlers is generally carried out using anthropometric indicators, but the use of this data is still limited to descriptive analysis. This study aims to apply the K-Means algorithm in clustering infants vulnerable to stunting and wasting based on anthropometric indicators, so that groups of infants with different levels of nutritional vulnerability can be identified. The dataset used consists of infant data with variables of gender, age (months), height (cm), and weight (kg). The research stages included data preprocessing, encoding categorical variables, data normalization, determining the optimal number of clusters using the Elbow and Silhouette Score methods, and analyzing the characteristics of each cluster. The evaluation results showed that the optimal number of clusters was four. Each cluster has different anthropometric characteristics and distributions of stunting and wasting status, ranging from groups with relatively normal nutritional conditions, groups with a tendency toward overnutrition, to groups that are vulnerable to acute and chronic malnutrition. These clustering results provide a more comprehensive and segmented mapping of toddlers, which can be used as a basis for formulating more targeted and data-driven nutrition policies and interventions.

Posyandu (Integrated Health Post) is a public health facility that plays a vital role in providing health services for toddlers and pregnant women. However, data management and reporting often face challenges, such as limited access to information and errors in data recording. Therefore, this study aims to develop a Web-Based Posyandu Payolaumbu Service Information System using the CodeIgniter Framework to improve efficiency and accuracy in data management and reporting. In the development phase, a system requirements analysis and web-based application architecture design were conducted. The system implementation uses the CodeIgniter Framework as a framework to produce a faster, more efficient, and more reliable application. Proposed features include recording health data for toddlers and pregnant women, immunization schedules, weighing, and health reports. The results show that the Web-Based Posyandu Payolaumbu Service Information System can improve efficiency in recording and reporting health data. Users, including posyandu officers, midwives, and administrators, can easily access and manipulate data in real-time. Furthermore, this system helps improve service quality by providing more accurate and complete information on toddler health. In conclusion, the implementation of the Web-Based Posyandu Payolaumbu Service Information System using the CodeIgniter Framework provides significant benefits for data management and health services at Posyandu Payolaumbu. Suggestions for further development include maximizing system utilization, developing additional features, routine maintenance, and ongoing evaluation based on user feedback. With these steps, it is hoped that this system can contribute more effectively to improving the quality of health services at Posyandu and supporting comprehensive public health efforts.

The Community Service Program (Kuliah Kerja Nyata/KKN) implemented in Jorong Padang Rantang, Nagari Koto Tuo, Lima Puluh Kota Regency, represents a tangible contribution of university students in supporting the acceleration of stunting reduction at the local level. This community service activity focused on stunting prevention socialization targeting mothers of toddlers as the primary target group. An educational and participatory approach was employed to encourage active engagement of participants throughout all stages of the activity. The socialization materials covered the definition of stunting, its causes and impacts on child growth and development, the importance of adequate and balanced nutrition, appropriate parenting practices, and the strategic role of families during the First 1,000 Days of Life (1,000 HPK).The implementation of the activity involved cadres from the Amanah Bunda Integrated Health Post (Posyandu), village midwives, and KKN students from Universitas Negeri Padang as facilitators. The methods applied included interactive lectures, group discussions, and simple simulations related to nutritional practices and healthy parenting. The results indicated an increase in participants’ knowledge, awareness, and active community participation in early stunting prevention efforts. Furthermore, the activity strengthened the role of the Posyandu as a primary center for basic health services and community education. This community service initiative is expected to serve as a sustainable community-based intervention model that can be replicated in other areas facing similar challenges.