Increasing the Effectiveness of Stunting Prevention Programs in Adolescent Girls Through Collaboration of Health Workers, Pharmacists and Midwives in Pandeglang Regency
Peningkatan Efektivitas Program Pencegahan Stunting pada Remaja Putri Melalui Kolaborasi Tenaga Kesehatan Apoteker dan Bidan di Kabupaten Pandeglang
DOI:
https://doi.org/10.31849/dinamisia.v9i3.25207Keywords:
Collaboration, Health Workers, Stunting, PreventionAbstract
Adolescent girls with anemia face increased risks during pregnancy and childbirth and are more likely to give birth to stunted children, perpetuating the cycle of intergenerational malnutrition. This community service program involved 150 adolescent girls divided into two groups: 75 in the control group and 75 in the intervention group. Only the intervention group received education using the CBIA (Cara Belajar Insan Aktif) method. Evaluation included hemoglobin level measurements, knowledge assessments on anemia and stunting, and adherence to iron tablet (TTD) consumption. The intervention group showed significant improvements in knowledge, Hb levels, and compliance compared to the control group. Educational interventions using the CBIA method, supported by health worker collaboration, proved effective in improving awareness and TTD adherence among adolescent girls. This approach is promising as a preventive strategy for anemia and stunting
References
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Lupiana, M., & Sutrio, S. (2022). Nutrition Counseling on Anemia and Stunting in Gedong Village Pakuan, Baradatu District, Way Kanan Regency.Jompa Abdi: Journal of Community Service,1(4), 52–56. https://doi.org/10.57218/jompaabdi.v1i4.306
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Nuradhiani, A., Briawan, D., & Dwiriani, CM (2017). Teacher support increases compliance consumption of iron supplements in adolescent girls in Bogor City.Journal of Nutrition and Food, 12(3), 153–160. https://doi.org/10.25182/jgp.2017.12.3.153-160
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Priyono, P. (2020). Strategy for Accelerating Rural Stunting Reduction (Case Study) Assistance in Action to Prevent Stunting in Banyumundu Village, Pandeglang Regency).Good Governance Journal,16(2), 149–174. https://doi.org/10.32834/gg.v16i2.198
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Rasdianah, N., Yusuf, MNS, & Tandiabang, PA (2023). Anemia Education for Adolescent Girls as an effort to prevent stunting early.Journal of Pharmaceutical Community Service: Pharmacare Society,2(2), 97–102. https://doi.org/10.37905/phar.soc.v2i2.18841 Rizkiana, E. (2022). Knowledge and Attitudes of Adolescent Girls Towards Consumption of Supplement Tablets Blood (Signed) as Stunting Prevention.Journal of Obstetrics,9(1), 24–29. https://doi.org/ 10.48092/jik.v9i1.183
Roche, M.L., Samson, KLI, Green, T.J., Karakochuk, C.D., & Martinez, H. (2021). Perspective: Weekly Iron and Folic Acid Supplementation (WIFAS): A Critical Review and Rationale for Inclusion in the Essential Medicines List to Accelerate Anemia and Neural Tube Defects Reduction.AdvancesinNutrition,12(2),334–342. https://doi.org/10.1093/advances/nmaa169
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Setiani, DY, & Sriwiyati, L. (2022). Effectiveness of Stunting Health Education with the Method Online Action on Stunting Prevention Behavior.KOSALA: Journal of Health Sciences,10(1), 13– 19. https://doi.org/10.37831/kjik.v10i1.217
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Svefors, P., Pervin, J., Islam Khan, A., Rahman, A., Ekström, E.C., El Arifeen, S., Ekholm Selling, K., & Persson, L. Å. (2020). Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh.Acta Paediatrica, International Journal of Paediatrics,109(1), 122–133. https://doi.org/10.1111/apa.14929
Tirthawati, S., Rosidi, A., Sulistyowati, E., Ayuningtyas, A., & Purnawian, R. (2020). Adolescent Behavior Daughter and Support of Health Workers for Consumption of Iron Folate Tablets at SMKN 1 Bangsri Jepara.Journal of Nutrition,9.
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Priorities for Stunting Interventions.PREPOTIF : Journal of Public Health, 13(1) 238–244. http://www.tnp2k.go.id/images/uploads/downloads/Binder_Volume1.pdf
Yulisetyaningrum, Y., Suwarto, T., Rahmawati, AM, & Maryati, A. (2023). The Effect of Giving Effect of Fe Tablets on Hb Levels in Adolescents with Anemia.Journal of Nursing and Midwifery Science,14(1), 300–306. https://doi.org/10.26751/jikk.v14i1.1696
Zaina, M., Ramadhini, FN, Putra, MS, & Ferdian, KJ (2022). Education and Mentoring in Stunting Prevention in Kace Village.Besaoh,2(November 2022), 98–105.
Zamadi, Dhesa, DB, & M, HI (2022).Analysis of the Causes of Low Compliance in Tablet Consumption Fe.9.
Aurora, WID, Sitorus, RJ, & Flora, R. (2021). Effect of Stunting on Intelligence Quotient (IQ) of School Age Children.Proceedings of the 3rd Green Development International Conference (GDIC 2020),205(Gdic 2020), 176–180. https://doi.org/10.2991/aer.k.210825.032 Basri, N.,
Sididi, M., & Sartika. (2021). Factors Associated with Stunting Incidence. Window of Public Health Journal,01(05), 417–426.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L.M. (2018). A review of child stunting determinants in Indonesia.Maternal and Child Nutrition,14(4), 1–10. https://doi.org/10.1111/mcn.12617
Dewi, IM, Basuki, PP, & Chasanah, SU (2020). Positive Deviance Analysis: Adolescent Eating Patterns Daughter Who Influences the Incidence of Anemia at State Junior High School I Banguntapan, Banguntapan District, Bantul Regency.Journal of Public Health,13(1), 223–234. https://doi.org/10.47317/jkm.v13i1.238
Dhikale, P., Suguna, E., Thamizharasi, A., & Dongre, A. (2015). Evaluation of Weekly Iron and Folic Acid Supplementation program for adolescents in rural Pondicherry, India.International Journal of Medical Science and Public Health,4(10), 1360. https://doi.org/10.5455/ijmsph.2015.14042015280
Djuria, RF (2020).Increased the Capacity of CBIA Facilitator through the Formation Agent Of Change (AoC) in the Use of Antibiotics in Tanjung Gunung Village, Central Bangka Regency.2018, 142–148. https://doi.org/10.26911/the7thicph.03.17
Fathonah, W., Mina, E., Kusuma, RI, Wigati, R., Putri, SMA, & Kuncoro, HBB (2023).
Prevention of Stunting in Early Childhood Through Counseling Activities for the Banyumekar Village Community, Pandeglang Regency.High Ridge: Journal of Community Service,5(1), 474. https://doi.org/10.20527/btjpm.v5i1.6806
Fitri, I., Rahmi, R., & Hotmauli, H. (2021). Clean and Healthy Living Behavior through Efforts Community empowerment.Faletehan Health Journal,8(03), 166–172. https://doi.org/10.33746/fhj.v8i03.264
Ghozali, I. (2016).Multivariate Analysis Application with IBM SPSS 23 Program. University Diponegoro.
Greenwood, C.R., Higgins, S., McKenna, M., Buzhardt, J., Walker, D., Ai, J., Irvin, D.W., & Grasley- Boy, N. (2022). Remote Use of Individual Growth and Development Indicators (IGDIs) for Infants and Toddlers.Journal of Early Intervention,44(2), 168–189. https://doi.org/10.1177/10538151211057552
Gultom, L., Saragih, HS, & Bangun, S. (2022). Counseling on Kespro and KTD with Media Interactive for Young Women at Talitakum School.Dikmas: Journal of Community Education and Community Service,2(1), 65. https://doi.org/10.37905/dikmas.2.1.65-70.2022
Handayani, IGD, Suantara, IR, & Sugiani, PS (2013). Supplementation of Iron Tablets Effective in Increasing Blood Hemoglobin Levels of Adolescent Girls in Tampaksiring, Gianyar Regency. Journal of Nutritional Science,4(2), 111–118.
Haq, W., & Abbas, F. (2022). A Multilevel Analysis of Factors Associated With Stunting in Children Less Than 2 years Using Multiple Indicator Cluster Survey (MICS) 2017–18 of Punjab, Pakistan.SAGE Open,12(2). https://doi.org/10.1177/21582440221096127
Indriasari, R., & Jafar, N. (2015). Consumption of Tannins and Phytic as a Determinant of Anemia in Female Adolescent in SMA 10 Makassar.MKMI Journal,6, 50–58.
Jacobus, MC, Mantik, MF ., & Umboh, A. . (2016). Differences in hemoglobin levels in malnourished adolescents both those who live in the mountains and those who live on the coast.E-Clinic,4(1). https://doi.org/10.35790/ecl.4.1.2016.11696
Kasjono, HS, & Suryani, E. (2020). The Effect of the "Gasing" Stunting Prevention Application on Stunting Prevention Behavior in High School Students in Kalibawang District, Kulon Progo.Journal of Nutrition,22 (1), 16–22. https://doi.org/10.29238/jnutri.v22i1.200 Ministry of National Development Planning of the Republic of Indonesia. (2022). Technical Instructions for the Implementation of 8 (Eight) Convergence Actions Reducing Stunting in the Regions.Revista Brasileira de Linguística Aplicada,5(1), 1689–1699. https://revistas.ufrj.br/index.php/rce/article/download/1659/1508%0Ahttp://hipatiapress.com/hpjournals/index.php/qre/article/view/1348%5Cnhttp:/ /www.tandfonline.com / doi/abs/10.1080/09500799708666915%5Cnhttps://mckinseyonsociety.com/download s/ reports/Educa
Ministry of Health of the Republic of Indonesia. (2021).Indonesia Health Profile 2022. Ministry Indonesian Health.
Ministry of Health of the Republic of Indonesia. (2023).Health Profile of Banten Province in 2022. https://revistas.ufrj.br/index.php/rce/article/download/1659/1508%0Ahttp://hipatiapress.com/hpjournals/index.php/qre/article/view/1348%5Cnhttp://www.tandfonline.com/ doi/abs/10.1080/09500799708666915%5Cnhttps://mckinseyonsociety.com/downloads/ reports/Educa Kinanti, BMIM, Marliana, Y., & Suwanti, S. (2022). The Influence of Counseling Using Media Leaflet About Stunting on Knowledge and Attitudes of Adolescent Girls.Midwifery Update Journal (MU),4(1), 9. https://doi.org/10.32807/jmu.v4i1.133
Lewa, AF (2016). Relationship between Protein, Iron and Vitamin C Intake with the Occurrence of Anemia on Young Women at MAN 2 Model Palu.Public Health Publication Indonesia,3(1), 26– 31
Lupiana, M., & Sutrio, S. (2022). Nutrition Counseling on Anemia and Stunting in Gedong Village Pakuan, Baradatu District, Way Kanan Regency.Jompa Abdi: Journal of Community Service,1(4), 52–56. https://doi.org/10.57218/jompaabdi.v1i4.306
Mardin, H., Mamu, HD, Usman, NF, Mustaqimah, N., & Pagalla, DB (2022). Introduction to Substances Additives and Addictives that are Dangerous to Health in the Environment of MTs. Negeri 2, Gorontalo Regency.Lamahu: Integrated Community Service Journal,1(2), 58–66. https:// doi.org/10.34312/ljpmt.v1i2.15466
Marjan, AQ, Simanungkalit, SF, Ilmi, IMB, & Jadmiko, AW (2023). Nutritious Action for Realizing Anemia and Stunting-Free Adolescents in Depok City.SOLMA Journal,12(3 SE- Articles), 1150–1160. https://journal.uhamka.ac.id/index.php/solma/article/view/12967
Nuradhiani, A., Briawan, D., & Dwiriani, CM (2017). Teacher support increases compliance consumption of iron supplements in adolescent girls in Bogor City.Journal of Nutrition and Food, 12(3), 153–160. https://doi.org/10.25182/jgp.2017.12.3.153-160
Pallant, J. (2020). SPSS Survival Manual: A Step by Step Guide to Data Analysis Using IBM SPSS. In McGraw-Hill Education.
Priyono, P. (2020). Strategy for Accelerating Rural Stunting Reduction (Case Study) Assistance in Action to Prevent Stunting in Banyumundu Village, Pandeglang Regency).Good Governance Journal,16(2), 149–174. https://doi.org/10.32834/gg.v16i2.198
Rahmadhita, K. (2020). Stunting Problems and Their Prevention.Scientific Journal of Health Sandi Husada,11(1), 225–229. https://doi.org/10.35816/jiskh.v11i1.253
Rasdianah, N., Yusuf, MNS, & Tandiabang, PA (2023). Anemia Education for Adolescent Girls as an effort to prevent stunting early.Journal of Pharmaceutical Community Service: Pharmacare Society,2(2), 97–102. https://doi.org/10.37905/phar.soc.v2i2.18841 Rizkiana, E. (2022). Knowledge and Attitudes of Adolescent Girls Towards Consumption of Supplement Tablets Blood (Signed) as Stunting Prevention.Journal of Obstetrics,9(1), 24–29. https://doi.org/ 10.48092/jik.v9i1.183
Roche, M.L., Samson, KLI, Green, T.J., Karakochuk, C.D., & Martinez, H. (2021). Perspective: Weekly Iron and Folic Acid Supplementation (WIFAS): A Critical Review and Rationale for Inclusion in the Essential Medicines List to Accelerate Anemia and Neural Tube Defects Reduction.AdvancesinNutrition,12(2),334–342. https://doi.org/10.1093/advances/nmaa169
Saleh, A., Syahrul, S., Hadju, V., Andriani, I., & Restika, I. (2021). Role of Maternal in Preventing Stunting: a Systematic Review.Sanitary Gaceta,35, S576–S582. https://doi.org/10.1016/j.gaceta.2021.10.087
Setiani, DY, & Sriwiyati, L. (2022). Effectiveness of Stunting Health Education with the Method Online Action on Stunting Prevention Behavior.KOSALA: Journal of Health Sciences,10(1), 13– 19. https://doi.org/10.37831/kjik.v10i1.217
Silitonga, HTH, Salim, LA, Nurmala, I., & Wartiningsih, M. (2023). Compliance of Iron Supplementation and Determinants among Adolescent Girls: A Systematic Review.Iranian Journal of Public Health,52(1), 37–48. https://doi.org/10.18502/ijph.v52i1.11664
Simanjuntak, H., Manullang, JB, & Simanjuntak, HA (2022). Reproductive Health Counseling on Adolescents in Hamlet I, Sudirejo Village, Namorambe District, Deli Serdang Regency, North Sumatra.Abdidas Journal,3(3), 432–437. https://doi.org/10.31004/abdidas.v3i3.604 Supriatin, E., Sudrajat, DA, Annisa R, F., & Lindayani, L. (2020). the Effect of Stunting on Cognitive and Motor Development in Toddler Children: Literature Review.Journal of Pediatric Nursing Science,3(2), 31–41. https://doi.org/10.32584/jika.v3i2.782
Svefors, P., Pervin, J., Islam Khan, A., Rahman, A., Ekström, E.C., El Arifeen, S., Ekholm Selling, K., & Persson, L. Å. (2020). Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh.Acta Paediatrica, International Journal of Paediatrics,109(1), 122–133. https://doi.org/10.1111/apa.14929
Tirthawati, S., Rosidi, A., Sulistyowati, E., Ayuningtyas, A., & Purnawian, R. (2020). Adolescent Behavior Daughter and Support of Health Workers for Consumption of Iron Folate Tablets at SMKN 1 Bangsri Jepara.Journal of Nutrition,9.
Tobing, ML, Pane, M., Harianja, E., Badar, SH, Supriyatna, N., Mulyono, S., NATIONAL TEAM ACCELERATION OF POVERTY ALLEVIATION, & TNPK. (2021). 100 Districts/Cities
Priorities for Stunting Interventions.PREPOTIF : Journal of Public Health, 13(1) 238–244. http://www.tnp2k.go.id/images/uploads/downloads/Binder_Volume1.pdf
Yulisetyaningrum, Y., Suwarto, T., Rahmawati, AM, & Maryati, A. (2023). The Effect of Giving Effect of Fe Tablets on Hb Levels in Adolescents with Anemia.Journal of Nursing and Midwifery Science,14(1), 300–306. https://doi.org/10.26751/jikk.v14i1.1696
Zaina, M., Ramadhini, FN, Putra, MS, & Ferdian, KJ (2022). Education and Mentoring in Stunting Prevention in Kace Village.Besaoh,2(November 2022), 98–105.
Zamadi, Dhesa, DB, & M, HI (2022).Analysis of the Causes of Low Compliance in Tablet Consumption Fe.9.
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2025-04-26
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Increasing the Effectiveness of Stunting Prevention Programs in Adolescent Girls Through Collaboration of Health Workers, Pharmacists and Midwives in Pandeglang Regency: Peningkatan Efektivitas Program Pencegahan Stunting pada Remaja Putri Melalui Kolaborasi Tenaga Kesehatan Apoteker dan Bidan di Kabupaten Pandeglang. (2025). Dinamisia : Jurnal Pengabdian Kepada Masyarakat, 9(3), 841-857. https://doi.org/10.31849/dinamisia.v9i3.25207
