Prevalence of stunting in Indonesia is a cause for concern. We used IFLS 2007 as secondary data in the cross-sectional study to develop a problem-solving and prevention model of stunting. The study was conducted in 2016 to predict a model from the characteristics, parents, and health care of the child. We recruited 3589 children under-five years from IFLS 2007 data as samples. The inclusion criteria are 1-5 years old children from 15-49 years old pregnant women, living with biological parents, available data of birth weight and gestational age, and do not have chronic disease. We used multiple logistic regression for modeling, and Receiver Operation Characteristic (ROC) Curve as a diagnostic test. We found that 39.5% of children under-five have stunting. Stunting protective factors are: prevention of LBW (Low Birth Weight) in infant, limitation of number of children by three, improved parenting for the boys, prevention of young-age pregnancy and stunting in the female adolescent. Other factors are completing immunization, improving maternal education and the health services of under-five children in rural areas, and improving Fe consumption for pregnant mothers. The model was able to prevent and delay the stunting in toddler by 64%, with 61.9% sensitivity and 60.9% specificity, and AUROC 65.5%. It is necessary to counsel the pregnant women with a low height and young-age pregnancy as a high risk, as well as management of the infant with LBW to prevent stunting.

Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS  2007 with the inclusion criteria: biological children and a single birth, children living with biological parents, children remain alive until adulthood on 2014. Multivariate analysis used logistic regression. The study found 8.1% women and 5.6% men were overweight and obes. In adulthood, there was a 45.4% incidence of hypertension. Incidence of hypertension in men (67.3%) more than women (26.8%). The multivariate model showed adolescence BMI affects the blood pressure after controlled the  BMI adult, adolescence blood pressure, area of residence, and gender.Gender interacts with adolescence BMI. The risk of hypertension in adulthood based on overweight and obese in adolescent boys is 3 times and girls is 2 times.

The 2012 Indonesian Demographic Survey shows that the Maternal Mortality Rate is still high; this is also the case in Seluma District in 2015. Education disparities and regions are obstacles to access and quality of services received, so information technology is needed to facilitate the delivery of information to healthy individuals who do not regularly contact health services through the use of mobile phones. This study aims to determine the effect of Maternal Mobile Message (M3) on knowledge to antenatal care in pregnant women in Seluma District. The design of this study was quasiexperimental with the control group, an intervention in the form of an M3 program for pregnant women containing health promotion messages about pregnancy care. The samples were 60 pregnant women who were selected by purposive sampling. Data were analyzed with the Wilcoxon test. There was an effect of Maternal Mobile Message (M3) on knowledge (p= 0.00), and attitude (p= 0.00) to antenatal care in pregnant women in Seluma District.

Abstrak: Kejadian stunting di Indonesia masih tinggi, dengan faktor risiko kehamilan usia muda. Sehingga diperlukan akses informasi yang relevan pada remaja tentang PendewasaanUsia Perkawinan (PUP). Pusat Informasi Kesehatan Remaja (PIK-R) dan media ular tanggamerupakan wadah dan media bagiremaja terkait penyampaian pesanPUP. Tujuan pengabdian masyarakat membentuk kelompok PIK-R dan menerapkan media ular tangga untuk meningkatkan pengetahuan, sikap dan kemampuan kelompok PIK R tentang PUP di SMP N 14 Kecamatan Singaran Pati Kota Bengkulu dengan mitra berjumlah 46 orang terdiri dari kelompok PIK R, Remaja siswa SMP guru sekolah, PLKB Kecamatan SIngaran Pati, Puskesmas Lingkar Timur. Metode kegiatan berupa pembentukan kelompok PIK R dan pelatihan PUP dengan tahapan yang terdiri dari persiapan pelaksanaan, evaluasi dan rencana tindak lanjut. Pasca kegiatanterdapat peningkatan pengetahuan kelompok PIK R dari rerata skor 8 menjadi 17, dan skor sikap dari 30 menjadi 52. Sebanyak 90% kelompok PIK R mampu melakukan edukasi PUP melalui penerapan media permainan ular tangga. Kesimpulan pembentukan kelompok PIK R dan penerapan media ular tangga meningkatkan pengetahuan, sikap, kemampuan edukasi tentang PUP pada kelompok PIK R. Diperlukanpendampingan mitra untuk keberlangsungan kelompok PIK R.Abstract: The incidence of stunting in Indonesia is still high, with a risk factor for young pregnancy. So that access to relevant information is needed for adolescents about Maturity of Marriage Age (PUP). The Adolescent Health Information Center (PIK R) and the snakes and ladders media are platforms and media for youth regarding the delivery of PUP messages. The purpose of community service is to form the PIK R group and apply snakes and ladders media to increase the knowledge, attitudes and abilities of the PIK R group regarding PUP at SMP N 14, Singaran Pati District, Bengkulu City with school teacher partners, PLKB SIngaran Pati District, the Lingkar Timur Health Center. Methods of activity include preparation for implementation, evaluation and follow-up plans. The results showed an increase in the knowledge of the PIK R group from an average score of 8 to 17, and an attitude score from 30 to 52. The PIK R group was able to conduct PUP education through the application of the snakes and ladders media game. The conclusion is that the formation of the PIK R group and the application of snakes and ladders media increases knowledge, attitudes, educational abilities about PUP in the PIK R group. Partner assistance is needed for the sustainability of the PIK R group.

Abstract More than 50% of marriages in Bengkulu Province are adolescents marriages (less than 20 years). Adolescents marriage affects low levels of education, high incidence in the household, overcoming health problems, health problems in struggling children and psychological health of children because mothers of adolescents are less capable of planning a family. Therefore, community participation is needed to increase the knowledge and attitudes of adolescent mothers in family planning, namely through empowering Posyandu cadres and family planning cadres. The research design uses quasi experiment with pretest and posttest design with control group design. Research population is all married mothers aged 15-20 years. The sample is a teenage mother selected purposively by inclusion criteria of married mother, resident of settlement in Central Bengkulu Regency, able to communicate well and can read and write. Exclusion criterion is mother suffering from severe disease and not willing to follow the research process. The sample size is 60 people consist of 30 people of intervention group and 30 control group. The independent variable is empowerment of GEMARI cadres while dependent variable of knowledge and attitude of adolescent mother. Instruments using structured questionnaires. Data analysis technique using paired simple test and independent t-test. The results found in the intervention group there was an increase in knowledge scores before (61.67) and after (78.83) mentoring was carried out by GEMARI cadres (p = 0.001), but in the control group there was no difference in the average knowledge score before (66, 83) and after (64.67) intervention (p = 0.482). In the intervention group, there was an increase in the score of mothers’ attitudes about family planning before (78) and after (80.47) accompanied by GEMARI cadres (p = 0.036), while in the control group there was no difference in the average attitude score before (78, 33) and after (80.47) intervention (p = 0.114). Assistance of GEMARI cadres effectively improves knowledge and attitude of adolescent mother about family planning. Abstrak Lebih dari 50% pernikahan di Provinsi Bengkulu merupakan pernikahan usia remaja (kurang dari 20 tahun). Pernikahan usia remaja berdampak pada rendahnya tingkat pendidikan, tingginya angka kejadian kekerasan dalam rumah tangga, tingginya masalah kesehatan reproduksi, masalah kesehatan pada anak yang dilahirkan dan kesehatan psikologi anak karena ibu usia remaja kurang mampu merencanakan keluarga. Maka dari itu diperlukan partisipasi masyarakat untuk meningkatkan pengetahuan dan sikap ibu usia remaja dalam perencanaan keluarga, yaitu melalui pemberdayaan kader posyandu dan kader Keluarga Berencana. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test with control group design. Populasi penelitian adalah seluruh ibu menikah usia 15-20 tahun. Sampel adalah ibu usia remaja yang dipilih secara purposif dengan kriteria inklusi ibu sudah menikah, penduduk menetap di Kabupaten Bengkulu Tengah, dapat berkomunikasi dengan baik, serta dapat membaca dan menulis. Kriteria eksklusi adalah ibu menderita penyakit berat dan tidak bersedia mengikuti proses penelitian. Jumlah sampel sebanyak 60 orang, terdiri dari 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Variabel independen adalah pemberdayaan kader Gerakan Masyarakat Peduli (GEMARI) sedangkan variabel dependen pengetahuan dan sikap ibu usia remaja. Instrumen menggunakan kuesioner terstruktur. Analisis data menggunakan paired t-test dan independen t-test. Hasil penelitian menemukan pada kelompok intervensi terdapat peningkatan skor pengetahuan sebelum (61,67) dan sesudah (78,83) dilakukan pendampingan oleh kader GEMARI (p=0.001), namun pada kelompok kontrol tidak ada perbedaan rata-rata skor pengetahuan sebelum (66,83) dan sesudah (64,67) intervensi (p=0,482). Pada kelompok intervensi, terjadi peningkatan skor sikap ibu tentang perencanaan keluarga sebelum (78) dan setelah (80,47) dilakukan pendampingan oleh kader GEMARI (p=0,036), sementara pada kelompok kontrol tidak ada perbedaan rata-rata skor sikap sebelum (78,33) dan sesudah (80,47) intervensi (p=0,114). Pendampingan kader GEMARI dapat meningkatkan pengetahuan dan sikap ibu usia remaja tentang perencanaan keluarga.