Stunting becomes a public health concern and is still commonly found in the world. The number of new cases of stunting increases every year as it can be caused by poor nutritional status, lack of knowledge, barriers to access to health services, inability to meet nutritional needs. This steady phenomenon can lead to a decrease several quality aspects of future generation. Community-based activities are an alternative solution in stunting management. Health cadres as part of the community and an extension of health workers are expected to be able to carry out early detection and treatment of stunting in toddlers. Capacity building for health cadres is a necessity through regular coaching. This study aims to identify the effect of up-skilling health cadres on knowledge of community-based stunting early detection. The research design used a quasi-experimental type of pre and post-test with a control group. The sample was 33 health cadres for each intervention and control group through purposive sampling technique. The research was conducted in the work area of the Undaan and Dawe Primary Health Centers, Kudus Regency in October-November 2021. The research instrument used was a questionnaire on health cadres' knowledge towards assessment and management of malnutrition in children and a knowledge scale about inpatient management of severely malnourished children with a reliability value of = 0.83. Health cadres receive coaching in four sessions over two days with a duration of 45-60 minutes/session in the form of interactive lectures and demonstrations. Data analysis using Wilcoxon and Mann Whitney test. Up skilling of health cadres increased knowledge of community-based early detection of stunting with p-value = 0.001 (p <0.05). Incorporating various methods in training is suggested in improving health cadres’ knowledge in finding new cases of stunting in the community while adjointly integrating it with child health service programs in primary health care facilities.

Abstrak Kekambuhan kembali penderita gangguan jiwa termasuk halusinasi sebagian besar disebabkan oleh kurangnya perhatian dari lingkungan dan bahkan keluarga sendiri sehingga berakibat pada lambatnya proses penyembuhan, kekambuhan klien skizofrenia menimbulkan dampak yang buruk bagi keluarga, klien dan rumah sakit. Pengobatan yang efektif pada pasien skizofrenia membutuhkan waktu jangka panjang oleh karena itu peran pelaksanan pengawas minum obat sangan penting. Pengawas minum obat merupakan orang yang mengawasi secara langsung terhadap penderita skizofrenia pada saat minum obat setiap harinya dengan menggunakan panduan obat jangka pendek. Tujuan Penelitian ini adalah untuk mengetahui hubungan pelaksanaan pengawas minum obat dengan kekambuhan pada pasien skizofrenia di Ruang Cempaka 1 RSUD dr Loekmonohadi Kudus. Adapun penelitian yang digunakan dalam penelitian ini adalah analitik korelasional dengan jumlah responden 28 responden. Hasil analisis statistik chi squere diperoleh p value = 0.001 lebih lebih besar dari nilai tingkat kemaknaan ɑ >0.05, maka Ho gagal ditolak. Hal ini dapat ditarik kesimpulan bahwa ada hubungan pelaksanaan pengawas minum obat dengan kekambuhan pada pasien skizofrenia di Ruang Cempaka 1 RSUD dr Loekmonohadi Kudus.  Kata kunci : pelaksanaan pengawas minum obat, kekambuhan pada pasien skizofrenia   Abstract Recurrence of mental disorders, including hallucinations, is mostly caused by a lack of attention from the environment and even the family itself, resulting in a slow healing process. Recurrence of schizophrenic clients has a negative impact on families, clients and hospitals. Effective treatment in schizophrenia patients takes a long time. Therefore, the role of supervisors to take medication is very important. Drug-taking supervisor is a person who directly supervises schizophrenics when taking medication every day using a short-term medication guide. This study is to determine the relationship between supervisors taking medication with recurrence in schizophrenia patients in Cempaka 1 Room at Dr. Loekmonohadi Kudus Hospital in 2020.This study used in this research is the type of this research is correlational analytic. With the number of respondents 28 respondents. The results of the chi square statistical analysis showed that p value = 0.001 was greater than the significance level value nilai> 0.05. then Ho failed to be rejected. It can be concluded that there is a correlation between the implementation of supervisors taking medication with recurrence in schizophrenic patients in Cempaka 1 Room RSUD Dr. Loekmonohadi Kudus.Keywords: implementation of medication taking control, recurrence in schizophrenic patients