Based on data from the Ministry of Health of the Republic of Indonesia and the Central Statistics Agency in 2019, Jember is the city with the second highest percentage of stunting cases in East Java, so reducing the stunting rate is one of the main programs of the Jember regional government as the second indicator of the SDGs. Stunting data in Lengkong experienced a very drastic decline, in February 2022 as many as 329 children were stunted, but in June 2022 the number was only 4 children. The cadres had not been able to calculate age, conduct anthropometric measurements, and interpret the measurement results on the graph correctly. The problem-solving plan was to conduct cadre training on stunting and anthropometric measurements. On the first day, the training was by the presentation. The pre-test and post-test methods were used to determine the effect of giving presentations on the cadre's knowledge, then the Shapiro-Wilk and Wilcoxon Signed Ranks Test test was performed. On the second day, the anthropometric measurement demonstration was conducted. The first day was attended by 29 cadres. The descriptive analysis result of the pretest was (Mean = 76.55; SD = 11,109; Median = 80; IQR = 20) and the post-test was (Mean = 92.07; SD = 11,142; Median = 100; IQR = 10). Wilcoxon Signed Ranks Test test results, Z score = -4.237; p-value = 0.000 (<0.05) it means that between the pre-test and post-test groups there is a significant difference, so the presentation about stunting and anthropometry positively and significantly increased the cadre's knowledge. The second day was attended by 19 cadres. After the demonstration, the cadres can perform anthropometric measurements and interpret the data using growth charts correctly.
Penurunan stunting menjadi target utama SDGs pada point kedua. Berdasarkan data tahun 2019, Kabupaten Jember menjadi kota dengan persentase tertinggi kedua untuk kasus stunting di Jawa Timur. Data stunting di Desa Lengkong mengalami penurunan sangat drastis yakni pada perhitungan Februari 2022 sebanyak 329 anak, dan pada Juni 2022 jumlahnya menjadi 4 orang saja. Kader posyandu di Desa Lengkong belum dapat melakukan penghitungan usia, pengukuran antropometri, serta menginterpretasikan hasil pengukuran pada grafik dengan benar. Rencana pemecahan masalah adalah mengadakan pelatihan kader tentang stunting dan pengukuran antropometri. Pada hari pertama dilakukan pemaparan materi. Metode pre-test dan post-test digunakan untuk menyelidiki apakah ada pengaruh pemberian materi terhadap pengetahuan, selanjutnya uji normalitas Shapiro-Wilk dikerjakan untuk mengetahui distribusi data, lalu dilakukan uji Wilcoxon. Pada hari kedua dilakukan demonstrasi pengukuran antropometri. Hari pertama dilaksanakan pada hari kamis, 28 Juli 2022 dan diikuti oleh 29 kader. Hasil analisis deskriptif pre-test didapatkan nilai (Mean = 76,55; SD = 11,109; Median = 80; IQR = 20) dan post-test didapatkan nilai (Mean = 92,07; SD= 11,142; Median= 100; IQR = 10). Hasil uji Wilcoxon, Z score = -4,237; p-value = 0,000 (< 0,05) artinya terdapat perbedaan bermakna antara kelompok pre-test dan post-test. Sehingga pemberian materi stunting dan antropometri secara positif dan signifikan mempengaruhi peningkatan pengetahuan kader mengenai stunting dan antropometri. Hari kedua dilakukan pada hari Jum’at, 29 Juli 2022 dan diikuti oleh 19 kader. Setelah dilakukan demonstrasi para kader dapat melakukan pengukuran antropometri dan menginterpretasikan data hasil pengukuran antropometri menggunakan grafik pertumbuhan dengan benar.
Introduction: Covid-19 is becoming a serious problem worldwide. The spread of disease occurs very quickly, viral mutations are fast and massive. Rules and guidelines change rapidly. WHO and UNICEF recommend exclusive breastfeeding, even though mothers are confirmed because the benefits are considered greater than the risks. The aim of this study are to answer questions, about whether this virus can transmit vertically through breast milk, and how to properly guide the breastfeeding process in the pandemic. Methods: The source of this literature review is accessed through Scopus, PubMed, and various reputable websites published in 2019-2021. Article search by keyword usage, inclusion criteria and exclusion. Results: 508 articles filtered to prove that the source used is viable and relevant, finally determined 12 articles. The prevalence of Covid-19 incidence in neonates from confirmed mothers was reported in some studies but there is no evidence that transmission is vertical through breast milk. SARS-CoV-2 RNA is found in some reports but there is nothing to confirm whether it is an active virus or just remnants of RNA that cannot infect. Beside RNA, Sars-Cov-2 specific antibodies were also found to protect neonates. Conclusion: Active transmission of Covid-19 vertically from breast milk has not been detected, should not be an indication of formula feeding or separation baby with mother. The findings of IgA, IgG, and IgM-specific antibodies can be passive protection, because until now no vaccination has been recommended for neonate groups.
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