Community Diagnosis Activity Report in Efforts to Reduce the Incidence of New Stunting Cases in the Working Area of Legok Primary Health Center, Legok Subdistrict, Tangerang Regency, Banten Province

Tomi Wijaya, Wynne Pratiwi, Nadira Rachma Kamila, Emia Debora P, Silviana Tirtasari

Sari


ABSTRACT

 

Stunting remains one of Indonesia’s most persistent public health challenges, particularly among children under five. The high incidence of new stunting cases in the working area of Legok Primary Health Center, Tangerang Regency, prompted the implementation of a community diagnosis program to identify its root causes and develop targeted interventions. This program aimed to empower community health cadres as front-line educators to enhance stunting prevention through improved knowledge, skills, and community engagement. The activity was conducted from July 14 to August 16, 2025, and followed a structured community-based diagnostic approach. The problem prioritization process was carried out using the USG (Urgency, Seriousness, Growth) method, while the determinants of health were analyzed through Blum’s Health Field Paradigm. Root cause identification was performed using the non-scoring Delphi technique, Fishbone Diagram, and 5 WHY analysis. These steps revealed that insufficient and inconsistent cadre education on stunting prevention and outdated educational materials were major contributing factors. Interventions included interactive workshops and demonstration-based training sessions focused on balanced nutrition, exclusive breastfeeding, and appropriate complementary feeding practices. The implementation was monitored using the PDCA (Plan-Do-Check-Act) cycle and evaluated through a Systems Approach to ensure quality control and sustainability. A total of 30 community health cadres participated in the intervention. Pre-test results showed that only 2 participants (6.67%) scored above 90, whereas post-test results indicated that all 30 cadres (100%) achieved scores higher than 90. This significant improvement reflects the effectiveness of the training in enhancing cadres’ knowledge and confidence to deliver accurate health education at the community level. This program demonstrated that structured, cadre-centered community education can effectively strengthen local capacity for stunting prevention. Continuous training, active supervision, and integration with maternal and child health programs are essential to sustain knowledge transfer and achieve long-term reductions in stunting prevalence.

 

Keywords: Cadre, Community Diagnosis, Health Education, Stunting Prevention, Training Program.


Kata Kunci


Cadre, Community diagnosis, Health education, Stunting prevention, Training program

Teks Lengkap:

Download Artikel

Referensi


Akseer, N., Vaivada, T., Rothschild, O., Ho, K., & Bhutta, Z. A. (2020). Understanding multifactorial drivers of child stunting reduction in Exemplar countries: a mixed-methods approach. The American Journal of Clinical Nutrition, 112(Suppl 2), 792S. https://doi.org/10.1093/AJCN/NQAA152

Athiyyah, A. F., Ranuh, I. G. M. R., Darma, A., Sumitro, K. R., Irawan, M., Susianto, S. C., Zerlina, S., Thirafi, T., Yasmine, S., & Sudarmo, S. M. (2025). Community-Based Health Education for Improving Maternal Knowledge of Childhood Stunting and Gastrointestinal Disorders in Rural Bondowoso , Indonesia. 11(3), 167–171.

Azriani, D., Masita, Qinthara, N. S., Yulita, I. N., Agustian, D., Zuhairini, Y., & Dhamayanti, M. (2024). Risk factors associated with stunting incidence in under five children in Southeast Asia: a scoping review. Journal of Health, Population, and Nutrition, 43(1), 174. https://doi.org/10.1186/S41043-024-00656-7

Bappenas - TP2S. (n.d.). Retrieved October 8, 2025, from https://stunting.go.id/t/bappenas/

Batool, M., Saleem, J., Zakar, R., Butt, M. S., Iqbal, S., Haider, S., & Fischer, F. (2023). Relationship of stunting with water, sanitation, and hygiene (WASH) practices among children under the age of five: a cross-sectional study in Southern Punjab, Pakistan. BMC Public Health, 23(1), 1–7. https://doi.org/10.1186/S12889-023-17135-Z/TABLES/4

Beatty, A., Borkum, E., Leith, W., Null, C., & Suriastini, W. (2023). A cluster randomized controlled trial of a community‐based initiative to reduce stunting in rural Indonesia. Maternal & Child Nutrition, 20(1), e13593. https://doi.org/10.1111/MCN.13593

Dadras, O., Suwanbamrung, C., Jafari, M., & Stanikzai, M. H. (2024). Prevalence of stunting and its correlates among children under 5 in Afghanistan: the potential impact of basic and full vaccination. BMC Pediatrics, 24(1), 436. https://doi.org/10.1186/S12887-024-04913-W

de Onis, M., & Branca, F. (2016). Childhood stunting: a global perspective. Maternal & Child Nutrition, 12(Suppl 1), 12. https://doi.org/10.1111/MCN.12231

Deshpande, A., & Ramachandran, R. (2022). Early childhood stunting and later life outcomes: A longitudinal analysis. Economics & Human Biology, 44, 101099. https://doi.org/10.1016/J.EHB.2021.101099

Hossain, M., Choudhury, N., Abdullah, K. A. B., Mondal, P., Jackson, A. A., Walson, J., & Ahmed, T. (2017). Evidence-based approaches to childhood stunting in low and middle income countries: a systematic review. Archives of Disease in Childhood, 102(10), 903. https://doi.org/10.1136/ARCHDISCHILD-2016-311050

Joint child malnutrition estimates (JME) (UNICEF-WHO-WB). (n.d.). Retrieved October 8, 2025, from https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-who-wb

Kalinda, C., Qambayot, M. A., Ishimwe, S. M. C., Regnier, D., Bazimya, D., Uwizeyimana, T., Desie, S., Rudert, C., Gebremariam, A., Brennan, E., Karumba, S., Wong, R., & Bekele, A. (2024). Leveraging multisectoral approach to understand the determinants of childhood stunting in Rwanda: a systematic review and meta-analysis. Systematic Reviews, 13(1), 1–12. https://doi.org/10.1186/S13643-023-02438-4/FIGURES/5

Kyere, P., Veerman, J. L., Lee, P., & Stewart, D. E. (2020). Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review. Public Health Nutrition, 23(14), 2626. https://doi.org/10.1017/S1368980020000506

Malnutrition in Children - UNICEF DATA. (n.d.). Retrieved October 8, 2025, from https://data.unicef.org/topic/nutrition/malnutrition/

Marshak, A., Young, H., Radday, A., & Naumova, E. N. (2020). Sustained nutrition impact of a multisectoral intervention program two years after completion. Maternal & Child Nutrition, 17(2), e13103. https://doi.org/10.1111/MCN.13103

Miranda, A. V., Nugraha, R. R., Sirmareza, T., Rastuti, M., Asmara, R., Astuti, S. P., Nasytha, S. R., & Petersen, Z. (2024). Improving stunting prevention program through community healthcare workers training and home-based growth monitoring: A quality improvement model. Paediatrica Indonesiana, 64(6), 536–545. https://doi.org/10.14238/PI64.6.2024.536-45

Santosa, A., Arif, E. N., & Ghoni, D. A. (2021). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and Experimental Pediatrics, 65(2), 90. https://doi.org/10.3345/CEP.2021.00094

Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in Urban and Rural Indonesian: a multilevel analysis using the population-based Indonesian family life survey (IFLS). BMC Public Health, 24(1), 1–13. https://doi.org/10.1186/S12889-024-18824-Z/TABLES/4

Soetjiatie, L., utomo, bedjo, Suprihatin, K., & Intiyati, A. (2025). Nutrition Education for Pregnant Women Using Community-Based Approach for Stunting Prevention and Maternal and Child Health in Bulak Village, Surabaya City. Frontiers in Community Service and Empowerment, 4(1), 6–9. https://doi.org/10.35882/FICSE.V4I1.94

Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Bio Medica : Atenei Parmensis, 92(1), e2021168. https://doi.org/10.23750/ABM.V92I1.11346

SSGI 2024: Prevalensi Stunting Nasional Turun Menjadi 19,8%. (n.d.). Retrieved October 8, 2025, from https://kemkes.go.id/id/ssgi-2024-prevalensi-stunting-nasional-turun-menjadi-198

Stunting in a nutshell. (n.d.). Retrieved October 8, 2025, from https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell

Stunting prevalence among children under 5 years of age (%) (model-based estimates). (n.d.). Retrieved October 8, 2025, from https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence

Utzinger, J., Wyss, K., Moto, D. D., Tanner, M., & Singer, B. H. (2004). Community health outreach program of the Chad-Cameroon petroleum development and pipeline project. Clinics in Occupational and Environmental Medicine, 4(1), 9–26. https://doi.org/10.1016/j.coem.2003.09.004

View of Community Based Stunting Prevention: Learning from Blue Collar Workers’ Children in Indonesia. (n.d.). Retrieved October 9, 2025, from https://ijcom.org/index.php/ijcom/article/view/154/121

Widiasih, R., Sunjaya, D. K., Rahayuwati, L., Rusyidi, B., Ermiati, Sari, C. W. M., Mardani, Rusdi, & Tung, S. E. H. (2025). Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia. Belitung Nursing Journal, 11(3), 330. https://doi.org/10.33546/BNJ.3722




DOI: https://doi.org/10.33024/mnj.v7i11.23118

Refbacks

  • Saat ini tidak ada refbacks.


Penerbit: Universitas Malahayati


 Creative Commons License

Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License

Main Sambil Santai Jackpot Datang Pemain Ini Bongkar Trik Scatter Efektif

Modal Kecil Kemenangan Besar Scatter Ganda Membawa Puluhan Juta Dalam Sekejap

Modal Pas Pasān Tak Jadi Masalah Strategi Tepat Bikin Kemenangan Fantastis

Pengalaman Nyata Modal Mini Tembus Puluhan Juta Semua Berkat Timing Yang Tepat

Retrigger Bertubi Tubi Sensasi Menang Besar Tanpa Henti Di Mahjong Ways

Scatter Muncul Di Saat Tak Terduga Uang Mengalir Deras Dalam Hitungan Menit

Scatter Tak Henti Retrigger Jalan Halus Cerita Pemain Raih Kemenangan Fantastis

Turbo Off Aktif Jackpot Meluncur Cerita Nyata Pemain Yang Tidak Menyangka

Turbo Off Scatter Ganda Kombinasi Ampuh Raih Jackpot Di Tengah Malam

Member Asal Kalimantan Utara Salah Download Mustang Gold Malah Bunyi Jackpot Gak Berhenti

Nelayan Asal Bitung Baca Tutorial Extra Juicy Saat HP Nyala Sendiri Malah Jackpot Beruntun Rp 95 Juta

Orang Asal Manado Kepencet Anak Saat Main 5 Lions Megaways Malah Aplikasi Lag Justru Beruntung

Pemain Asal Kebumen Belajar Wild West Gold Dari YouTube Malah Bunyi Jackpot Gak Berhenti

Pemain Kupang Cek Notifikasi Big Bass Bonanza Malah Temukan RTP 100 Persen

Penjual Cilok Asal Singaraja Coba Coba Gems Bonanza Saat Coffee Break Malah Ketemu Bug Cahaya Profit 300 Juta

SPB Bandar Lampung Belajar Trik Mustang Gold Dari YouTube Sambil Jualan Malah Bonus Berkali Kali Rp 105 Juta

Tukang Jahit Jambi Modal 50 Ribu Main Prosperity Lion Malah Berubah Nasib 180 Derajat

Wanita Asal Sulawesi Tenggara Download Wild West Gold Megaways Malah HP Panas Saat Di Indomaret

Zara Tukang Jam Ngetes Pola Fortune Rabbit Malah HP Panas Saat Bongkar Algoritma

3 Player Palangkaraya Riset Google Double Fortune Malah Crack Sistem SPBU Profit 35 Juta

4 Player Banjar Lihat HP Satu Sama Lain Gates Of Olympus Malah Temukan Timing Scatter Bersamaan

4 Player Samarinda Baca Artikel Mahjong Panda Di Warung Kopi Malah Ketemu Bug Scatter Melimpah

5 Player Gresik Parkir Lama Main Prosperity Lion Malah Dapat Win Streak Profit 85 Juta

5 Player Semarang Lihat Iklan Lucky Neko Sore Hari Malah Dapat Maxwin Beruntun 500 Juta

10 Trik Mahjong Wins Yang Diklaim Pemain Malah Bikin Suara Coin Terus Berbunyi

Angel Digital Marketing Lihat Iklan Spirited Wonders Saat Ngantri Makan Malah Alarm Berbunyi Jadi Sultan Dadakan

Bryan Penjaga Toko Download Aplikasi Zeus Vs Hades Malah Game Freeze Tapi Bonus Terus Muncul

Khalid Petugas Farmasi Iseng Coba Double Fortune Saat Istirahat Malah Cahaya Muncul Bonus Terus

Mekanik Bengkel Liat TikTok Spirited Wonders Malah Nemu 7 Trik Hit Rate Extreme

Owner: syndicate

togel online

mega4d

mega4d

slot777

toto 4d

bandar togel

slot777

toto macau

slot777

rtp slot

toto 4d

mega4d

mega4d

mega4d

mega4d

mega4d

mega4d

toto 4d

slot777

nana4d

slot777

toto 4d

scatter hitam

nana4d

toto 4d

slot resmi

situs toto

toto 4d

slot777

slot gacor

slot777

scatter hitam

nana4d

nana4d

toto 4d

slot777

slot777

toto 4d

slotnota123 com

slotnota707 com

slot777

Toto Slot

Slot Gacor

Toto 4D

Situs Gacor

Toto 4D

Situs Toto

Slot Gacor

Situs Toto

Situs Toto

Toto 4D

Slot Gacor

Slot777

Slot Gacor

Slot Gacor

Slot88

Slot Bonus

Slot88

slot777

slot 200

slot88

link gacor

Slot Thailand

Slot Gacor

SLOT88

Slot Thailand

Situs Gacor

Link Gacor

SLOT88

Situs Gacor

Link Gacor

slot88

Slot88

slot88

Slot88

Slot88

Link Gacor

Situs Gacor

Slot88

Slot Thailand

.

Slot Gacor

slot777

slot777

slot777

slot gacor

slot777

slot777

Slot777

slot jepang

Slot777

Slot777

Slot Jepang

Slot777

Slot88

slot88

slot88

slot88

slot88

slot88

slot88

slot777

matauangslot

matauangslot

matauangslot

matauangslot

slot777

slot777

slot777

slot777

slot777

slot777

slot777

slot jepang

scatter hitam

slot777

https://periodicosulbrabra.org/

https://jsju.net/index.php/

https://biosuss.com/

Situs Gacor

slot resmi

https://tibafs.com/

https://jihms.com/

https://esp.co.id/

https://esp.co.id/web/

https://esp.co.id/wp/

https://esp.co.id/history/

slot88matauangslot.app -asli

slot88matauangslot.com -asli

slot88matauangslot.net -asli

slot88matauangslot.dev -asli

slot88matauangslot.online -asli

slot88matauangslot.live -asli

slot88matauangslot.org -asli

slot88matauangslot.pro -asli

slot88matauangslot.store -asli

slot88matauangslot.site -asli

slot88aslijp.online -asli

slot88asliresmi.online -asli

slot88linkdaftar.online -asli

slot88akunbaru.online -asli

slot88bonus100.online -asli

dewislot88asli.online -asli

dewaslot88asli.online -asli

megaslot88asli.online -asli

slot88aslijp.com -asli

slot88asliresmi.com -asli

slot88linkdaftar.com -asli

slot88akunbaru.com -asli

slot88bonus100.com -asli

dewislot88asli.com -asli

megaslot88asli.com -asli

slot777matauangslot.app -asli

slot777matauangslot.com -asli

slot777matauangslot.net -asli

slot777matauangslot.dev -asli

slot777matauangslot.online -asli

slot777matauangslot.org -asli

slot777matauangslot.pro -asli

slot777matauangslot.store -asli

slot777matauangslot.site -asli

https://wiralearning.uniwara.ac.id/

https://wiraadmisi.uniwara.ac.id/

https://pps.uniwara.ac.id/

http://pmb.uniwara.ac.id/

https://apkpurut.uniwara.ac.id

https://ebaak.uniwara.ac.id/

Slot Gacor

https://elibs.uniwara.ac.id/

https://uniwara.ac.id/

Toto Slot

Slot Gacor

Situs Gacor

Toto 4D

Situs Toto

Slot Gacor

Situs Toto

Situs Toto

Toto 4D

Slot Gacor

Slot777

Slot88

Toto 4D

Situs Toto

Situs Toto

Toto 4D

Slot777

SLOT777

Slot777

Slot777

Slot777

Slot777

Toto 4D

Slot777