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Abstract
Tui Na and Oromotor massage education is a promotive strategy to prevent stunting for cadres at Posyandu, so that it optimally educates mothers of child with difficulty eating. Objective: to improve the knowledge and skills of Tui Na and Oromotor massage. Activities include planning (preliminary study, instrument preparation); implementation (pretest, demonstration with phantom and E Module) and evaluation (posttest). The instruments are questionnaire, a checklist for skill, E Module of Tui Na and Oromotor massage and phantom. The knowledge score before and after the activity was analyzed with Wilcoxon, the result significant increase (p = 0.00). Skill scores also similar with knowledge. The modification of Tui Na and Oromotor Massage Education as a Promotive Strategy for Stunting Prevention in Posyandu with demonstrations, phantom and E Module effective in improving the knowledge and skill. The development of cadre competencies in child care with interactive learning media, is the main strategy to support cadres’s roles in the community.
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References
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References
Astiti;, N. K. E., Dewi;, I. G. A. A. N., & Mahayati, N. M. D. (2021). Peningkatan Ketrampilan Kader Posyandu Melakukan Pijat Tui Na Pada Balita Melalui Media E-Modul Interaktif Berbasis Android Pada Era New Normal Covid-19 Di Desa Lodtunduh, Kecamatan Ubud Gianyar.
Astiti, N. K. E. (2021). E Modul Interaktif Pijat Tui Na (Patent No. EC00202152885). https://www.canva.com/design/DAEkpL89HkE/AWh0JFVqglRT8I0l_WErlw/edit?utm_content=DAEkpL89HkE&utm_campaign=designshare&utm_medium=link2&utm_source=sharebutton
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
BKKBN. (2017). 1000 HPK (Hari Pertama Kehidupan). Badan Penyuluhan Bina Keluarga Balita Bagi Kader, 1, 1–112.
Dinas Kesehatan Kabupaten Badung. (2023). Profil Dinkes Badung Tahun 2022.
Dwipayana, I. K. (2023). Laporan Kinerja Puskesmas UPTD Puskesmas Petang I Tahun 2023. In Puskesmas UPTD Puskesmas Petang I.
Huriah, T., & Nurjannah, N. (2020). Risk factors of stunting in developing countries: A scoping review. Open Access Macedonian Journal of Medical Sciences, 8(F), 155–160. https://doi.org/10.3889/oamjms.2020.4466
Indonesia, K. K. R. (2023). Kelompok Usia Dewasa. Https:/ Ayosehat.Kemkes.Go.Id/Kategori-Usia/Dewasa. https://ayosehat.kemkes.go.id/kategori-usia/dewasa
Jamilah, J., Toaha, A., Novaria, A. A., & Wahyutri, E. (2023). The Effect of Cadre Training on the Knowledge and Skills of Integrated Healthcare Center Cadres in Monitoring the Growth of Toddlers. Journal of Health and Nutrition Research, 2(3), 190–199. https://doi.org/10.56303/jhnresearch.v2i3.185
Kartika, A. W., Setyoadi, Hayati, Y. S., & Setiowati, C. I. (2024). Roles and challenges of health cadres in handling stunting: a qualitative study. Healthcare in Low-Resource Settings, 12(s1), 85–89. https://doi.org/10.4081/hls.2024.13057
Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 Tentang Standar Antropometri Anak, (2020). https://peraturan.bpk.go.id/Details/152505/permenkes-no-2-tahun-2020
Kesehatan, B. K. P. (2023). Survei Kesehatan Indonesia Dalam Angka. In Kementerian Kesehatan Republik Indonesia. https://www.badankebijakan.kemkes.go.id/
Kowalska, W., Tuczyńska, M., Kwiatkowski, J., Komisarek, O., Mojs, E., Andrusiewicz, M., Szczapa, T., Samborski, W., Sikorska, D., Baum, E., & Malak, R. (2025). Feeding challenges in early infancy: the role of reflexes, muscle tone, and developmental milestones. PeerJ, 1–18. https://doi.org/10.7717/peerj.19777
Manoj Sharma. (2021). Theoretical Foundations of Health Education and Health Promotion (4th ed.). United State Of America.
Mansyur, A. R. (2020). Dampak COVID-19 Terhadap Dinamika Pembelajaran Di Indonesia. Education and Learning Journal, 1(2), 113. https://doi.org/10.33096/eljour.v1i2.55
Mediani, H. S. (2020). Predictors of Stunting Among Children Under Five Year of Age in Indonesia: A Scoping Review. Global Journal of Health Science, 12(8), 83. https://doi.org/10.5539/gjhs.v12n8p83
Permendagri Nomor 13 Tahun 2024 Tentang Pos Pelayanan Terpadu (Posyandu), 1 (2024).
Mirasari, N., Arifin, V. B., Werdaningtyas, R., Dwi, Y., Nastiti, Ridho, R., Perdana, M. D. R., Tassya, N. I., Rosanti, H. A., Willa, & Ramli, L. (2023). Pencegahan Stunting Melalui Edukasi Gerakan 1000 Hari Pertama Kehidupan (HPK) Di Kelurahan Manukan Kulon, Kecamatan Tandes, Kota Surabaya. Jurnal Layanan Masyarakat (Journal of Public Services), 7(4), 523–535.
Morris, N., Knight, R. M., Bruni, T., Sayers, L., & Drayton, A. (2017). Feeding Disorders. Child and Adolescent Psychiatric Clinics of North America, 26(3), 571–586. https://doi.org/10.1016/j.chc.2017.02.011
Munir, Z., & Audyna, L. (2022). Pengaruh Edukasi Tentang Stunting Terhadap Pemgetahuan dan Sikap Ibu Yang Mempunyai Anak Stunting. In Jurnal Keperawatan Profesional (Vol. 10, Issue 2, pp. 29–54). Universitas Nurul Jadid. https://doi.org/10.33650/jkp.v10i2.4221
Nisa, F., Damayanti, N. A., & Anggraini, F. D. (2020). Exclusive breastfeeding village program increased the role of health cadres. Journal of Public Health Research, 9(2), 137–139. https://doi.org/10.4081/jphr.2020.1822
Notoadmodjo, S. (2014). Promosi Kesehatan Dan Perilaku Kesehatan. Rineka Cipta.
Perry, H. B., Sacks, E., Schleiff, M., Kumapley, R., Gupta, S., Rassekh, B. M., & Freeman, P. A. (2017). Comprehensive review of the evidence regarding the effectiveness of community-based primary health care in improving maternal, neonatal and child health: 6. strategies used by effective projects. Journal of Global Health, 7(1), 1–14. https://doi.org/10.7189/jogh.07.010906
Rahim, F. R., Sari, S. Y., Sundari, P. D., Aulia, F., & Fauza, N. (2022). Interactive design of physics learning media: The role of teachers and students in a teaching innovation. Journal of Physics: Conference Series, 2309(1). https://doi.org/10.1088/1742-6596/2309/1/012075
Regmi, K., Jones, L., Sundarasen, S., Chinna, K., Kamaludin, K., Nurunnabi, M., Baloch, G. M., Khoshaim, H. B., Hossain, S. F. A., & Sukayt, A. (2020). A systematic review of the factors – enablers and barriers – affecting e-learning in health sciences education. BMC Medical Education, 20(1), 1–13.
Rosemary, R. (2018). Pilihan Media Pencari Informasi Kesehatan. Jurnal Komunikasi Global, 7(2), 169–182. https://doi.org/10.24815/jkg.v7i2.11756
Saavedra, J. M., & Dattilo, A. M. (2022). Nutrition in the first 1000 days of life: Society’s greatest opportunity. In Early Nutrition and Long-Term Health: Mechanisms, Consequences, and Opportunities, Second Edition. Elsevier Ltd. https://doi.org/10.1016/B978-0-12-824389-3.00023-4
Widyawati. (2023). Panduan Pengelolaan Posyandu Bidang Kesehatan. In Kementerian Kesehatan Republik Indonesia (1st ed.). Promosi Kesehatan dan Pemberdayaan Masyarakat. http://repo.iain-tulungagung.ac.id/5510/5/BAB 2.pdf
World Health Organization. (2025). Monitoring health for the SDGs. The global health observatory. https://www.who.int/data/gho/data/themes/world-health-statistics
Yang, H. R. (2017). How to approach feeding difficulties in young children. Korean Journal of Pediatrics, 60(12), 379–384. https://doi.org/10.3345/kjp.2017.60.12.379
Zhao, Y. C., Zhao, M., & Song, S. (2022). Online Health Information Seeking Behaviors Among Older Adults: Systematic Scoping Review. Journal of Medical Internet Research, 24(2). https://doi.org/10.2196/34790
Zimmerman, M. S., & Shaw, G. (2020). Health information seeking behaviour: a concept analysis. Health Information and Libraries Journal, 37(3), 173–191. https://doi.org/10.1111/hir.12287
