Stunting remains a complex public health issue in Indonesia, including in Bengkulu Province, where its prevalence increased to 20.2% in 2023. Kampung Melayu District is among the high-risk areas. This community service initiative aimed to strengthen the capacity of health cadres and early childhood education center (ECEC) teachers in implementing local food-based balanced nutrition guidelines and the Healthy-Smart Children Program for community-level stunting prevention. The main methodology used was community empowerment integrated with structured training and mentoring. The activity was implemented through six phases: preparation and stakeholder coordination, partner organization, intensive training, field-based mentoring, cross-sector coordination, and monitoring and evaluation. The results showed clear improvements in partner capacity after the intervention. Knowledge of local food-based balanced nutrition increased by 13.18%, understanding of child nutritional status assessment increased by 50.08%, and knowledge of child development achievement standards increased by 28.22%. ECEC teachers were also able to develop a one-week balanced menu cycle and conduct basic nutrition and development assessments. The program generated active participation from teachers, parents, children, health cadres, and local stakeholders. These findings indicate that local food-based nutrition education, when combined with empowerment and formal multi-sector collaboration, can become a scalable community model and should be considered in regional stunting prevention policies. The results of the activities have implications for the achievement of the SDGs by strengthening community capacity in local food-based balanced nutrition, child nutritional status and development monitoring, early childhood education, and multisectoral collaboration to support sustainable stunting prevention.

akibat kurangnya informasi dan kesalahpahaman tentang menstruasi. Penelitian ini bertujuan menganalisis pengaruh edukasi menarche melalui Video Learning Multimedia (VLM) terhadap pengetahuan dan sikap remaja putri.Metode: Penelitian quasi experimental dengan desain pre-test–post-test control group pada 34 siswi kelas V SDN 77 Kota Bengkulu (17 kelompok VLM dan 17 kelompok leaflet) yang dipilih secara purposive sampling. Analisis menggunakan uji Wilcoxon dan Mann-Whitney untuk pengetahuan, serta dependent t-test dan independent t-test untuk sikap.Hasil: Hasil penelitian menunjukkan peningkatan pengetahuan dan sikap pada kedua kelompok setelah edukasi. Kelompok VLM mengalami peningkatan pengetahuan dari 32,16 menjadi 89,02 dan sikap dari 59,22 menjadi 84,51, sedangkan kelompok leaflet meningkat dari 31,76 menjadi 78,43 untuk pengetahuan dan dari 56,96 menjadi 79,51 untuk sikap. Terdapat perbedaan yang signifikan sebelum dan sesudah intervensi pada kedua kelompok (p=0,001).Kesimpulan: Edukasi kesehatan mampu meningkatkan pengetahuan dan sikap siswi tentang menarche, namun pendidikan kesehatan menggunakan media Video Learning Multimedia (VLM) lebih efektif dan lebih diminati siswi.

Abstrak: Penyakit Tidak Menular (PTM) di Kecamatan Sukaraja, Kabupaten Seluma, terus meningkat, sementara pemahaman masyarakat dan keterampilan kader Posbindu dalam deteksi dini masih terbatas. Kegiatan pengabdian ini bertujuan meningkatkan pengetahuan dan keterampilan kader Posbindu dalam mendeteksi faktor risiko PTM serta mendorong partisipasi masyarakat. Metode yang digunakan meliputi sosialisasi, pelatihan, dan pendampingan. Mitra kegiatan adalah Pemerintah Kecamatan Sukaraja dengan melibatkan 10 kader Posbindu dari 2 Posbindu. Evaluasi dilakukan menggunakan kuesioner pretest–posttest 20 pertanyaan untuk menilai pengetahuan kader dan observasi pelaksanaan kegiatan Posbindu. Kegiatan berlangsung selama April–Oktober 2024. Hasil menunjukkan peningkatan skor pengetahuan rata-rata dari 44,17 sebelum pelatihan menjadi 74,17 setelah pelatihan, atau meningkat sekitar 68%, serta peningkatan keterampilan kader dalam pemeriksaan tekanan darah, gula darah, dan pengisian KMS FR-PTM, serta meningkatnya jumlah masyarakat yang berpartisipasi dalam kegiatan Posbindu. Kegiatan ini efektif memperkuat peran kader dalam deteksi dini faktor risiko PTM dan perlu ditindaklanjuti melalui pelatihan berkelanjutan, penguatan kolaborasi lintas sektor, peningkatan akses layanan kesehatan, serta edukasi masyarakat secara rutin. Abstract: Non-communicable diseases (NCDs) in Sukaraja District, Seluma Regency, continue to increase, while community awareness and the early detection skills of Posbindu cadres remain limited. This community service activity aimed to improve the knowledge and skills of Posbindu cadres in detecting NCD risk factors and to encourage community participation. The methods included socialization, training, and mentoring. The activity was conducted in partnership with the Sukaraja District Government and involved 10 Posbindu cadres from two Posbindu units. Evaluation was carried out using pretest–posttest questionnaires to assess cadres’ knowledge and observation of Posbindu implementation. The program was conducted from April to October 2024. The results showed an improvement in cadres’ knowledge and skills in measuring blood pressure, blood glucose, and completing the NCD Risk Factor Monitoring Card (KMS FR-PTM), as well as an increase in community participation in Posbindu activities. This program was effective in strengthening the role of cadres in the early detection of NCD risk factors. Continuous training for cadres, strengthened collaboration among cadres, health workers, and village authorities, and improved community access to health services are recommended. Regular community education is also needed to increase awareness of the importance of early detection.

Wasting (gizi kurus akut) pada balita merupakan salah satu indikator malnutrisi yang paling berisiko meningkatkan morbiditas dan mortalitas. Analisis situasi di wilayah kerja Puskesmas Kuala Lempuing menunjukkan prevalensi wasting sebesar 0,97% dengan skor prioritas USG 4,0, sehingga membutuhkan intervensi segera. Pendekatan intervensi gizi konvensional sering kali kurang efektif karena tidak menyasar faktor perilaku dan praktik pengasuhan. Kegiatan ini bertujuan untuk intervensi kombinasi Pemberian Makanan Tambahan (PMT) berbasis pangan lokal dan pendampingan keluarga (homecare) terhadap perubahan status gizi serta peningkatan pengetahuan, sikap, dan tindakan (PST) ibu balita wasting. Intervensi ini melibatkan 5 balita wasting di wilayah Puskesmas Kuala Lempuing pada tahun 2025. Intervensi dilakukan selama 7 hari, meliputi pemberian PMT 2 kali sehari (Puding, Nugget, Dimsum) dan pendampingan keluarga (konseling Pemberian Makan Bayi dan Anak/PMBA). Keberhasilan kegiatan diukur dengan perbandingan pengukuran antropometri serta pre-test dan post-test, perubahan pengetahuan, sikap, dan praktik (PSP) ibu. Intervensi menunjukkan peningkatan perilaku ibu, ditandai dengan kenaikan skor pengetahuan ibu hingga mencapai 100% pada post-test. Tindakan dan sikap juga meningkat pada seluruh responden. Namun ditemukan hasil pengukuran antropometri, dua dari lima balita mengalami penurunan berat badan. Dua balita mengalami penurunan berat badan yang diduga dipengaruhi oleh penyakit infeksi dan ketidakpatuhan pemberian makan. Kombinasi PMT berbasis pangan lokal dan pendampingan keluarga efektif meningkatkan PST ibu dan berkontribusi positif terhadap pemulihan status gizi balita wasting. Intervensi jangka pendek ini menunjukkan potensi yang baik, namun diperlukan durasi pendampingan yang lebih panjang serta integrasi dengan upaya pencegahan penyakit untuk mencapai pemulihan gizi yang optimal dan berkelanjutan.

Background: Animal protein is a nutrient that is important for the growth and development of children Under Two Years old, when viewed from the quality, animal protein has better quality than with vegetable protein, this is because the content of animal protein plays a role in the growth of body cells needed during the growth period. Aims: This study aimed to evaluate the relationship between animal protein consumption and various nutritional status indicators (stunting, underweight, and wasting) among children aged 6–23 months in Indonesia, utilizing a large-scale national dataset. Study Design: An observational analytical study with a cross-sectional approach, conducted in accordance with STROBE guidelines (menambahkan standar pelaporan internasional). Place and Duration of Study: This study used secondary data from the 2023 Indonesian Health Survey conducted across 38 provinces in Indonesia. Data analysis was carried out from February to May 2025. Methodology: Nationally representative secondary data from the 2023 Indonesian Health Survey (SKI) were analyzed, covering 38 provinces. The final sample included 108,673 children who met strict inclusion criteria. Predictor variables focused on animal protein intake, while outcomes were assessed using WHO-standardized HAZ, WAZ, and WHZ indices. Data were analyzed using Chi-square and adjusted multivariate binary logistic regression to control for demographic and socioeconomic confounders. Results: While 78.8% of children consumed animal protein, critical nutritional gaps persisted: stunting (19.6%), wasting (14.4%), and underweight (11.1%). Multivariate analysis revealed that animal protein consumption was not significantly associated with stunting (p=0.524; OR=0.974) or underweight (p=0.161; OR=1.083). In contrast, a statistically significant association was found with wasting (p=0.016; OR=1.122; 95% CI: 1.021–1.231), demonstrating that children without animal protein intake have a higher vulnerability to acute malnutrition. Additionally, male children exhibited a significantly higher risk of stunting and underweight (p<0.05). Conclusion: Animal protein is a key determinant in preventing acute malnutrition (wasting) but does not appear to be the primary driver for chronic conditions like stunting in this population. Policy interventions should prioritize improving the accessibility and affordability of animal-source foods to combat wasting, while stunting strategies must remain multisectoral, addressing broader socioeconomic and environmental factors.

Masalah baduta stunting di Indonesia termasuk masalah kesehatan masyarakat karena prevalensinya lebih dari 20%, termasuk Kabupaten Bengkulu Utara Propinsi Bengkulu. Diperlupakan upaya pencegahan dan penanggulangan masalah stunting dengan pemberdayaan modal sosial masyarakat berupa bahan pangan lokal padat gizi. Solusi yang dilakukan pada program kemitraan wilayah adalah Pemulihan Status Gizi Baduta di Desa Lokus Stunting melalui Implementasi Panduan Gizi Seimbang Berbasis Pangan Lokal (PGS-PL) dengan melibatkan Mitra dan kalayak sasaran yaitu 8 Kader, 4 tenaga kesehatan dan perangkat desa serta 20 ibu baduta. Kalayak sasaran kegiatan Pengabdian kepada masyarakat adalah ibu baduta. Metode pengabdian kepada masyarakat adalah pemberdayaan masyarakat dengan pendampingan keluarga. Kegiatan dalam pengabdian masyarakat ini merupakan implementasi kegiatan desiminasi dan sosialiasasi hasil penelitian SEAMEO RECFON tahun 2021 di Kabupaten Bengkulu Utara. Kegiatan terdiri dari pendidikan gizi, pemantauan status gizi, suplementasi gizi, dan tata laksana gizi untuk pemulihan dan peningkatan status gizi baduta. Evaluasi kegiatan ini dilakukan dengan cara mengukur peningkatkan pengetahuan kader, ibu baduta dan pemulihan status gizi anak. Pelaksanaan kegiatan dari bulan Februari-November 2022. Data yang diperolah dianalisis dengan membandingkan hasil pre test dan post test. Hasil Kegiatan pengabdian masyarakat menunjukkan peningkatan rata-rata skor pengetahuan, sikap dan tindakan Kader Kesehatan, tentang PGS-PL. Pelatihan dan pembinaan efektif untuk meningkatkan rata-rata pengetahuan, sikap dan tindakan tentang PGS-PL. Perlu kegiatan berkelanjutan bagi Kader kesehatan untuk meningkatkan pengetahuan dan keterampian dalam memberikan pendampingan gizi bagi ibu sebagai implementasi PGS-PL.

Preeclampsia (PE) is a pregnancy disorder characterized by hypertension, edema, and proteinuria. Preeclampsia remains one of the main causes of maternal death in Indonesia. Preeclampsia can cause stunting of fetal growth because of unbalanced nutrition. Preeclampsia can result in insufficient blood flow to the placenta, reducing the intake of nutrients and oxygen by the fetus, which affects its weight. The long-term impact is that infants may have low birth weights (LBW). This study aimed to determine the estimated combined effect of preeclampsia in pregnant women and the incidence of LBW. This study used a meta-analysis method to analyze articles from Google Scholar using the following criteria: published between 2012 and 2024, full-text availability, case-control or cross-sectional studies, multivariate analysis, and reported odds ratios (OR). Articles were collected using the PRISMA diagram and analyzed using Review Manager 5.4 application with a random-effects analysis model. This study analyzed 36 cross-sectional results (OR 95% CI: 2.16; 1.51–3.08) and 22 case-control results (OR 95% CI: 3.15; 1.76–5.64), showing a significant association between preeclampsia in pregnant women and the incidence of low birth weight in infants (p-value < 0.00001, which is < 0.05). Pregnant women with high levels of preeclampsia were at a higher risk of giving birth to infants with low birth weight (odds ratio [OR 95% CI: 4.66; 1.76–12.31, p-value < 0.00001).

Background: Children under two years old go through a rapid physical growth period, requiring the highest nutritional intake compared to other age groups. However, infant and young child feeding (IYCF) practices are often suboptimal, leading to nutritional and health problems. Objectives: This study aimed to determine the determinants of IYCF practices in Bengkulu Province. Methods: The study used a cross-sectional design from the 2017 IDHS data. The sample was women of childbearing age 15-49 years who had children aged 6-24 months, as many as 73 children with a stratified two-stage sampling technique. Data analysis using proportion difference test with chi-square test and multivariate binary logistic regression. Results: This study found that in 83.9% of urban areas and 91.5% of rural areas, the practice of IYCF is not by the recommendations. There is no difference in IYCF practice between urban and rural areas. Factors related to the practice of IYCF are pregnancy planning and antenatal care (ANC) quantity. Unplanned pregnancies had a risk of 4.8 times (p-value=0.04) the practice of IYCF was not as recommended compared to the intended pregnancies. The quantity of antenatal care that was not at risk was 4.8 times the practice of IYCF was not as recommended compared to the quantity of good ANC (p-value=0.05). Conclusions: Pregnancy planning needs to be educational material for young women, and an increase in efforts to increase knowledge of pregnant women about IYCF during antenatal care through nutrition counseling programs or classes for pregnant women in health facilities.

The coverage of exclusive breastfeeding for infants in Indonesia still needs to be higher compared to the national target (80%). Low coverage of exclusive breastfeeding is a risk factor for various nutritional problems in toddlers. The causes of failure of exclusive breastfeeding are multifactorial, including risky pregnancy. This study aims to determine the association of risky pregnancies with the failure of exclusive breastfeeding using national data from the 2017 Indonesian Health Demographic Survey (IDHS) with a cross-sectional design. The study sample that met the criteria was 6,689 mothers with children aged 6-23 months. The independent variable is risky pregnancy (parity, pregnancy spacing, age during pregnancy), and the dependent variable is the failure of exclusive breastfeeding. Data analysis using multivariate logistic regression. The results found that only 26.2% of exclusive breastfeeding practices. Risky pregnancy is associated with the failure of exclusive breastfeeding. Mothers with too much parity risked 1,195 times, mothers with primiparous parity risked 1,716 times, too close birth spacing risked 1,210 times, and too young mothers were 1,267 times more likely not to exclusively breastfeed than mothers who had normal pregnancies after controlling for the area of residence. It is necessary to improve health promotion programs to the public regarding the importance of offering exclusive breastfeeding to infants and improving fertility characteristics.

Background: The prevalence of stunting in Kepahyang Regency in Bengkulu Province is high (24.9%). Despite the policy of Accelerating Stunting Reduction or Percepatan Penurunan Stunting (PPS) outlined in Presidential Decree Number 72 of 2021, results have been suboptimal. Aims: This study aims to analyze and evaluate the implementation of PPS policies and identify supporting and inhibiting factors. Methods: Research using a qualitative approach, focusing on the evaluation of achievements of 11 specific nutrition intervention indicators with policy implementation analysis using the strengthening of Edward III policy analysis. Data collection used in-depth interview guidelines with six stakeholders, focus group discussions (FGD) in two groups, and document observation. Informants are selected by purposive sampling. Data analysis uses content analysis. Results: The implementation of PPS in Kepahyang Regency faces communication problems, limited resources, complex bureaucratic structures, and inadequate supervision, which shows the need for increased coordination and support. Village government support and good social conditions are supporting factors, while lack of communication between the village government and the community and minimal budget support are the main obstacles. Conclusion: Communication issues, resource limitations, bureaucratic complexity, and inadequate supervision are the inhibiting factors. Strong support from local government and health workers is the supporting factor. Keywords: implementation, policy, specific nutrition interventions, stunting

Child marriage has a significant health impact on young mothers and their offspring. This study aims to compare the effectiveness of the Jalinan Kasih Android-based application, the Marriage Age Maturity (PUP) module, and the lecture method in improving knowledge, attitude, and practice regarding early marriage among high school students. A quasi-experiment with control groups was conducted, involving 72 students selected from three high schools in Bengkulu City, Indonesia who met the inclusion criteria. The participants were divided into three groups: 24 individuals in the application intervention group, 24 individuals in the module intervention group, and 24 individuals in the control group. The Jalinan Kasih application group showed an increase in average scores before and after the intervention, in terms of knowledge (6.46), attitude (6.79) and practice (1.75), with a p-value of 0.000, 0.000 and 0.17, respectively, The Jalinan Kasih application had a greater influence on knowledge, attitude and practice compared to the PUP module and the lecture method with a p-value of 0.000. In other words, the Jalinan Kasih mobile application was effective in improving the knowledge, attitude, and practice of high school students regarding early marriage through the use of its contents and consultation feature. It is recommended that the Jalinan Kasih application be used as an educational medium to prevent early marriage and improves family planning.

Latar Belakang: Penyebab langsung masalah balita stunting adalah asupan gizi, salah satunya karena bayi mendapat ASI tidak eksklusif sampai 6 bulan. Tujuan: Tujuan penelitian untuk mengukur besarnya efek pemberian ASI eksklusif terhadap pencegahan stunting melalui pendekatan meta-analisis. Metode: Penerapan metode meta-analisis dimulai dengan pencarian artikel penelitian dari berbagai database seperti Google Scholar, Science Direct, dan PubMed. Kata kunci yang digunaakan sesuai dengan Medical Subject Heading (MESH), yaitu "ASI eksklusif", "stunting", "bayi", "Menyusui eksklusif", "gangguan pertumbuhan linier", dan "balita stunting". Kriteria artikel adalah publikasi tahun 2013 hingga 2021, dapat didownload full text, desain penelitian cross-sectional atau case-control, tersedia data effect size dalam bentuk Odds Ratio (OR). Proses pengumpulan artikel disajikan dalam diagram PRISMA. Data dianalisis menggunakan aplikasi Review Manager 5.4.1 dengan menerapkan model random effect. Penyajian hasil dalam bentuk forest plot dan funnel plot. Diskusi: Artikel penelitian yang layak dianalisis sebanyak 26 artikel, terdiri dari 9 dari jurnal internasional dan 17 dari jurnal nasional. Hasil uji Heterogeneity menunjukkan p-value=0,00001 dan nilai I2 = 85%. Hasil analisis dengan model random effect diperoleh forest plot yang menunjukkan odd ratio gabungan (pooled odd ratio) sebesar 2,90 (95% CI: 2,07-4,08), artinya bayi yang tidak mendapat ASI eksklusif berisiko 2,9 kali lebih tinggi untuk mengalami stunting dibandingkan dengan bayi yang mendapat ASI eksklusif. Temuan ini menunjukkan adanya pengaruh signifikan dari pemberian ASI tidak eksklusif terhadap kejadian stunting (p-value 0,0001 < 0,05). Kesimpulan: Pemberian ASI eksklusif efektif dapat mencegah balita mengalami stunting.

Introduction. The 2018 Basic Health Research Report recorded that 58.8% of women aged 10-19 years had been pregnant and 25.2% were pregnant. Aims: The study aimed to determine the relationship between adolescent marriage and the risk of stunting in Indonesia. Method. This research used Indonesian Family Life Survey (IFLS) 2014 data with a cross-sectional approach. The study sample was 4,809 children who met the inclusion criteria, such as biological children, live births, children aged 1-5 years in the 2014 IFLS, children living with biological parents, complete data on the child's length or height, data on the characteristics of the child, mother, and family, the child does not have a disease. Independent variable is the age of the mother at marriage. The dependent variable is the incidence of stunting. Bivariate analysis used the Chi-Square test and multivariate analysis used logistic regression. Result. The risk of stunting in children under five years in Indonesia in 2014 was 36.6%. The risk of stunting is higher in children under five years of married mothers in adolescence (42.4%) compared to mothers who are married at an old age (35%). Adolescent marriage is associated with the risk of stunting in children under five years, married adolescents have a 1.2 times risk of stunting compared to mothers who are married at an older age (p-value 0.046). Conclusion. Adolescent marriage increases the risk of stunting. Cross-sectoral integrated interventions are needed to implement the marriage age maturity program to prevent adolescent marriages to reduce the risk of stunting

Background: The incidence of stunting among children under five in Indonesia still exceeds the target set by WHO. Efforts to increase cadres knowledge about stunting by providing health education using video media and e-leaflets. Information conveyed using media will speed up comprehension by 50%.Objectives: This study aims to measure the effect of education through animated video media and e-leaflets on early stunting detection behavior.Methods: This research used a Quasi Experimental pre-post test design with control group. The research was conducted at the Community Health Center in Bengkulu city from December 2023 to February 2024. The treatment given to the intervention group used an animated video media and to the control group used an e-leaflet media. With a sample of 36 people. Research data was collected during the pre-test and post-test. Data analysis was carried out using the Wilcoxon Signed Rank Test and the Mann Whitney Test.Results: The research results show the influence of animated video media on the knowledge, attitudes and skills of posyandu cadres in early detection of stunting (p-value <0,05).Conclusion: Animated video media and e-leaflets can increase the knowledge, attitudes and skills of posyandu cadres to detect stunting, but with animated video media changes in knowledge, attitudes and skills of posyandu cadres are higher.

Stunting adalah kondisi gagal tumbuh pada anak yang ditandai dengan tinggi badan lebih rendah dari rata-rata usianya. Prevalensi balita stunting di Provinsi NTT adalah 35,3% dam kabupaten Sumba Barat 23,3%. Di tingkat kecamatan terdapat 2 kecamatan yang mengalami kenaikan kasus di tahun 2022 yakni kecamatan Lamboya dan Wanukaka. Data balita stunting kec Wanukaka berjumlah 222 balita. Desa tertinggi dengan kasus stunting adalah Desa Baliloku dengan jumlah balita stunting 22 anak dengan status gizi 4 anak sangat pendek dan 18 anak pendek. Data ini belum mencapai target penurunan angka stunting menjadi 14% yang tertuang dalam Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang percepatan penurunan stunting. Solusi yang dilakukan adalah melakukan pelatihan pijat untuk stimulasi tumbuh kembang balita pada kader posyandu dan arangtua balita stunting. Tujuan dari kegiatan ini adalah untuk stimulasi tumbuh kembang balita stunting yang ditandai dengan penambahan berat badan balita stunting. Peserta kegiatan terdiri dari kader posyandu (20 orang) dan orangtua balita stunting (21 orang). Hasil dari kegiatan ini adalah terdapat pengaruh pijat pengaruh pijat bayi/balita terhadap stimulasi tumbuh kembang (penambahan berat badan) dengan p-value 0.000 (p < 0.005).

Background. The global strategy on infant and child feeding recommends the best pattern of feeding for infants and young child feeding (IYCF) from birth to 24 months. Practices of proper feeding of children up to 2 years of age contribute to a child’s survival, growth, and development because they can prevent micronutrient deficiencies, morbidity, and obesity in later life. This study aims to determine the risk factors for the failure of IYCF practice in urban and rural Indonesia. Materials and Methods. The study used Indonesia Demographic and Health Survey (IDHS) 2017 data with a cross-sectional research design. The sampling technique used systematic probability proportional to size sampling. The number of samples was 4,869 children consisting of 2,424 children in urban and 2,445 children in rural. Bivariate analysis using chi-square test. Multivariate analysis using multivariate logistic regression. Results. The study found that most of the children in urban (79.3%) and rural (97.2%) did not practice IYCF under the recommendations. There is a difference in the proportion of IYCF practices between urban and rural areas (p <0.001). The risk factors for the failure of IYCF practice in urban areas are socioeconomic, maternal age, and age at first marriage. The poorest socioeconomic is at risk of 2.4 times, maternal age > 35 years are at risk of 1.5 times, age at first marriage is less than 21 years at risk of 2.1 times carrying out IYCF practices not according to recommendations compared to the comparison group. The risk factors for the failure of IYCF practice in rural are socioeconomic, maternal education, quantity, and quality of antenatal care (ANC). The poorest socioeconomic is at risk of 2.1 times, mothers with primary education are at 1.5 times, the quantity of ANC is not good at risk at 1.9 times, the quality of ANC is not good risk at 1.5 times practicing IYCF is not according to the recommendations compared to the comparison group. Conclusion. The practice of IYCF in Indonesia starting from giving early breastfeeding initiation, exclusive breastfeeding, and complementary feeding according to recommendations is still low. The priority of IYCF intervention through education and assistance to pregnant women needs to be a sustainable program.

Precision is an ability to measure the same subject repeatedly with minimum error. Accuracy is an ability to get results that are as close as possible to the results obtained. selecting surveyors who are skilled in a research data collection activity. The level of precision and accuracy of posbindu cadres is still very low in conducting. This research design uses quantitative methods using the Pre-Experimental (One group pre test and post test), where this research is used to see the Precision and Accuracy of Calculations of BMI (Body Mass Index) and RLPP (Waist Hip Circumference Ratio) Adults By Posbindu Cadres . The population is 12 posbindu cadres in the working area of ​​the Nusa Indah Health Center and a sample of 24 cadres. Data analysis used univariate and bivariate data analysis, namely the Wilcoxon Rank test and McNemar test. Research Results There is an influence on the knowledge of cadres getting training interventions for calculating body mass index and waist-hip ratio. It is known that there is an effect of precision and accuracy on calculating body mass index and waist-hip ratio before and after training by cadres at Posbindu in the working area of ​​the Nusa Indah Health Center in Bengkulu City with a P value <0.05 there is a significant effect on BMI precision from before and after posbindu cadre training.

The prevalence of stunting has decreased compared to the previous 2 years. However, this reduction still does not meet WHO's target, namely the prevalence of stunting <20%, while the prevalence of stunting in Indonesia in 15 provinces is still above 20%. The aim of this research is to analyze stunting prevention with the edu-1000 first day of birth application in pregnant women and breastfeeding mothers in Kupang district. method. The research design used in this research is "one groups pretest-posttest design", Results: The level of knowledge of pregnant women and breastfeeding mothers is very good, the majority of respondents have very good skills, namely 25 people (50%). Based on the results of data analysis, there is an influence between respondents' knowledge about stunting on prevention attitudes as shown by (p-value 0.00 < 0.005), there is an influence between respondents' knowledge about stunting on prevention skills as shown by p-value 0.02 < 0.005. Conclusion. Prevention of stunting with the edu-1000 the First 1000 days life application can influence the incidence of stunting in pregnant women and breastfeeding mothers in Kupang district.

Background: The 2022 Indonesian Nutrition Status Survey results show that the stunting rate reaches 21.6%, wasting 7.7%, and underweight 17.7%. Malnutrition problems in toddlers, especially those suffering from Acute Respiratory Infection (ARI), are often exacerbated by the provision of Complementary Feeding that does not meet nutritional standards. Therefore, greater attention to complementary feeding quality is essential to improving children's nutritional status and reducing the risk of ARI complications.Objective: To identify the relationship between the quality of complementary breastfeeding and nutritional conditions, such as underweight, wasting, and stunting, in children under two years of age suffering from ARI, as an urgent effort to address malnutrition problems and improve children's health in vulnerable communities.Methods: This study used a cross-sectional design with a target of toddlers aged 6-24 months who suffered from ARI, with a sample of 96 children. Data on complementary breastfeeding was collected through interviews using questionnaires, as well as weight measurements with digital scales and height with a lenghtboard. Statistical analysis using the Chi-square test.Results: Nutritional problems in two-year-old children with ISPA were found to be 44.8% underweight, 60.4% wasting, and 36.5% stunting. Complementary Feeding quality that did not meet the recommendations was significantly associated with the incidence of being underweight (p-value 0.035; OR 2.488), and wasting (p-value <0.0001; OR 6.657), but was not significantly associated with the incidence of stunting (p-value 0.95; OR 0.973).Conclusion: The quality of Complementary Feeding that does not meet nutritional standards in children with ARI is significantly related to the incidence of underweight and wasting.

Hypertension is a non-communicable disease where blood pressure is above the normal limit, namely systolic ≥140 mmHg and diastolic ≥90 mmHg. Hypertension is often known as the "silent killer" because it has no symptoms. This research aims to determine the effect of nutritional literacy through flipchart media on knowledge and adherence to a low-salt diet in hypertension sufferers. This research is quantitative with a quasi-experimental design with a Pretest-Posttest Control Group Design approach. The intervention group was given nutritional literacy through flipchart media and the control group was only given leaflets. The results show a difference in the average post-test knowledge score between the intervention and control groups (p-value 0.000) and a difference in the average score for increasing sodium intake between the intervention group and the control group (p-value 0.017). After nutrition education with flipchart media, there was a difference in knowledge and salt intake between the intervention and control groups. The intervention group achieved higher knowledge and lower salt intake than the control group (p-value 0.05).