Salah satu masalah kesehatan terkait pertumbuhan dan perkembangan pada anak usia balita yang dapat menimbulkan dampak buruk dalam jangka pendek maupun jangka panjang adalah stunting. Saat ini, pemerintah berusaha menanggulangi stunting dengan upaya intervensi gizi spesifik. Agar program tersebut dapat berjalan dengan efektif maka deteksi dini anak dengan stunting penting untuk dilakukan selain pemberian stimulasi tumbuh kembang yang tepat bagi anak. Berdasarkan data Puskesmas Jatinangor di Desa Cipacing terdapat 14 anak yang berada pada status stunting. Tujuan dari kegiatan ini adalah untuk pemberdayaan kader kesehatan dalam deteksi dini stunting serta stimulasi tumbuh kembang pada anak. Sasaran pada kegiatan ini adalah kader kesehatan dengan total sampel sebanyak 31 orang. Kegiatan pemberdayaan berupa satu hari pelatihan yang terbagi dalam 3 sesi dengan menggunakan metode ceramah, diskusi dan tanya jawab serta demonstrasi dan re-demonstrasi oleh para kader kesehatan. Hasil kegiatan menunjukkan bahwa terdapat peningkatan pengetahuan para kader kesehatan yaitu sebelum dilakukan kegiatan sebanyak 61,3% kader memiliki pengetahuan yang baik dan setelah dilakukan kegiatan meningkat menjadi sebanyak 93,5%. Selain itu, hasil uji statistik menunjukkan terdapat peningkatan yang signifikan pada pengetahuan kader kesehatan setelah dilakukan intervensi (p = 0,000). Namun, untuk aspek psikomotor yang diukur setelah dilakukan pelatihan, didapatkan hampir setengah dari jumlah responden masih berada pada kategori kurang baik. Maka dari itu, diharapkan kegiatan pemberdayaan kader kesehatan dalam deteksi dini stunting serta stimulasi tumbuh kembang pada anak sebaiknya dilakukan secara berkesinambungan dengan bekerja sama bersama pihak-pihak terkait, sehingga diharapkan memberikan kontribusi atas terwujudnya peningkatan derajat kesehatan masyarakat pada umunya dan anak pada khususnya. Kata kunci: Balita, deteksi dini, kader kesehatan, stunting.

Purpose: The response of each child to terminal illness treatment is highly individual. This will certainly affect the level and type of perceived needs. This study is conducted to examine the needs of children with terminal illness from the perspective of nurses and parents. Method: A qualitative descriptive study was conducted in this research. The data collection process included in-depth interviews with eight nurses and eleven parents and focus group discussion with seven nurses. The sampling technique used purposive sampling. Data were analyzed using content analysis. Results: Based on the perspective of nurses and parents the needs of children with terminal illness in the biological aspect require the fulfilment of basic biological needs, a therapy programme with minimal side effects, intervention to improve comfort, optimal infection prevention, and on-going care. While in the psychological aspects, the children and parents need information, motivation, tools to overcome the anxiety of parents, parental involvement and education for children and families. In the social aspect there are the children's need to play, need for school, and need for social support. In the spiritual aspect, the children need to be able to pray, receive spiritual guidance, and also to have spiritual guidance to prepare for death, and die with dignity. Conclusion: The needs of a child with terminal illness are complex and require special attention from the nurse. Therefore, nurses have a very important role to be able to comprehensively assess the needs of children with terminal illness in an effort to improve the quality of life of children.

Cakupan deteksi dini tumbuh kembang anak balita tingkat Provinsi Jawa Barat masih jauh di bawah target yang ditetapkan yaitu 90%, termasuk untuk wilayah Kabupaten Sumedang, khususnya Desa Cileles Kecamatan Jatinangor, memiliki cakupan deteksi dini tumbuh kembang anak masih rendah. Stimulasi, deteksi, dan intervensi dini tumbuh kembang (SDIDTK) yang dilakukan di Posyandu tidak lengkap, hanya penimbangan dan pengukuran tinggi badan saja. Kader posyandu belum mampu melakukan deteksi dini dan intervensi dini penyimpangan tumbuh kembang balita secara komprehensif. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk memberdayakan kader posyandu dalam melakukan SDIDTK pada anak usia 0 – 6 tahun. Khalayak sasaran pada kegiatan ini adalah kader posyandu di Desa Cileles. Luaran dari kegiatan PKM ini yaitu tersusunnya modul SDIDTK pada anak usia 0 – 6 tahun yang aplikatif dan handbook praktikum deteksi dini tumbuh kembang anak. Metode kegiatan dilakukan dengan beberapa metode yaitu panel expert untuk pembuatan modul SDIDTK dan pelatihan SDIDTK yang terdiri dari kegiatan penyuluhan, small group discussion, praktikum serta simulasi. Pelaksanaan kegiatan ini melibatkan mitra dari 5 buah posyandu di Desa Cileles yang diikuti oleh 25 kader posyandu. Evaluasi dilaksanakan dengan evaluasi kognitif dan psikomotor. Hasil kegiatan menunjukkan bahwa kader posyandu sangat antusias dalam mengikuti rangkaian kegiatan PKM ini. Sejumlah 25 orang kader lulus mengikuti semua tahapan dalam kegiatan PKM ini dengan indikator terdapat peningkatan pengetahuan tentang SDIDTK dan tumbuh kembang pada anak dari nilai rata-rata pretest 41,6 (SD = 18,9) menjadi nilai rata-rata posttest 65,6 (SD = 17,6), dengan rata-rata peningkatan skor 24,0 (SD = 18,3); dan kemampuan psikomotor peserta 100% lulus dalam kegiatan praktikum. Hasil kegiatan ini merekomendasikan agar pelaksanaan pelatihan SDIDTK pada kader posyandu ini perlu dilanjutkan secara berkesinambungan untuk meningkatkan kemampuan kader dalam melakukan stimulasi tumbuh kembang, deteksi dini tumbuh kembang, dan intervensi dini tumbuh kembang.Kata kunci: Anak usia 0-6 tahun, deteksi, intervensi dini, kader posyandu, stimulasi, tumbuh kembang

Children with disabilities are children who have limited whether physical, intellectual, mental, sensory, and multiple disability. Children with disabilities tend to have poor quality of life due to low ability fulfilled basic needs independently. Therefore, they need special treatment from their parents and that could be the reasons of burden for parents as primary caregiver. This research aims to find the general burden of parents in disabilities children who attended Sekolah Luar Biasa (SLB) Negeri Cileunyi. This is a quantitative descriptive research with cross sectional approach. The population in this research were 158 parents (father/mother) of children with disability. The sample in this research was obtained 67 people by using convenience sampling technique. The research used Zarit Burden Interview (ZBI) as research instrument. The data have been obtained and analyzed by univariate analysis. The results will be analyzed by using frequency distribution. The result showed that 46.3% means little or no burden, 37.3% means mild to moderate burden, 14.9% means moderate to severe burden and 1.5% means severe burden. The conclusions of this research show that almost half of respondents are in the category of little or no burden. However, there were still respondents who had a severe burden, this is due to parents and children characteristics, poor self-control and lack of social support. Nurses need to provide family center care such as counseling and providing health education to parents with disabilities children and optimize existing support groups.

Background: Poor family healthcare-seeking behavior may cause delays in pediatric tuberculosis management. Knowledge and attitude are among the basic factors that influence in the family healthcare-seeking behavior.Objective: This study aimed to explore the knowledge, attitude, and healthcare-seeking behavior among families of children with tuberculosis.Methods: This was a cross-sectional descriptive quantitative study using accidental sampling method. Eighty-three families of children with tuberculosis were recruited. World Health Organization's Knowledge, Attitude and Practice Survey guideline was used to develop the questionnaires used in this study. Data were analyzed using descriptive statistics.Results: Results showed that 51.8% of the families had good knowledge and 53% had a positive attitude while 74.7% of the families did not do early screening, 67.5% preferred hospital for examinations, and 51.8% directly visited a health care facility when the child showed signs and symptoms of tuberculosis. In these families, 77.1% delayed taking the child for treatment for < 1 month, and the reason for the delay in 100% of these families was because they did not know that their children had signs and symptoms of tuberculosis.Conclusion: In conclusion, more than half of the families in this study already had good knowledge, attitude, and practice in accessing healthcare services although poor screening practice was still seen in most families. Thus, nurses have opportunities to provide appropriate health-related education to achieve the desired behavioral change.