Teenage pregnancy has an impact on the outcomes. Teenage pregnancy is at risk of adverse health, an increased risk of domestic violence, poor nutrition, and sexual and reproductive health problems, lower levels of education, and higher levels of poverty compared to women who postpone marriage age. The study aims to determine the relationship between marriage and Adolescent pregnancy with the incidence of stunting in children under five years in Indoneasia.  The study used a cross-sectional approach from 2014 IFLS (Indonesian Family Life Survey) data. The bivariate analysis used the Chi-Square Test when the multivariate analysis used logistic regression. The results found the prevalence of stunting in Indonesia in 2014 was 36.6%. The stunting prevalence is higher in toddlers of married mothers of adolescents (42.4%) compared to mothers of married mature (35%). The stunting prevalence was also higher in children under five years from adolescent pregnant women (44.4%) compared to mothers who were of sufficient age (35.6%). Teenage pregnancy is associated with the incidence of stunting. A married teenage woman is 1.2 times at risk, and a woman who is less than 20 years pregnant is 1.3 times at risk of having a stunting toddler. Teenage pregnancy increases the prevalence of stunting. Cross-sectoral integrated interventioans are needed to prevent adolescent pregnancy. It is required to decrease the prevalence of stunting. The various risks that occur in teenage pregnancy are the basis for the importance of pregnancy prevention efforts in this age group by involving the related sectors.

Stunting is a linear growth disorder considered as a serious health problem in Indonesia, where its prevalence is related to maternal and child health (MCH) services. This study aimed to compare the coverage of maternal and child health services between two surveys and analyze how they relate to the prevalence of stunting. The study used aggregate data from the 2013 and 2018 Basic Health Research Reports using a cross-sectional approach. The research sample spanned to 34 provinces in Indonesia. Stunting prevalence was taken as aggregate data from individuals based on height-for-age z-scores (HAZ). The independent variable was the achievement of MCH service indicators. Data analysis used variance measures, correlations, simple linear regression, and paired T-tests. The results found variations in the prevalence of stunting, with 25.4% in 2013 and 25.1% in 2018. There was a 7.4% decrease in severe stunting prevalence between 2013 and 2018, but the decrease was not significant (p = 0.506). The analysis results of the 2013 Basic Health Research showed that MCH service indicators related to stunting prevalence were coverage of antenatal care, iron consumption, delivery by health personnel, delivery in health facilities, postpartum maternal health services, low birth weight (LBW) prevalence, neonatal examination, complete immunization, health card ownership, and growth monitoring. The analysis results of the 2018 Basic Health Research showed that MCH indicators were related to the prevalence of antenatal care coverage, delivery by health personnel, and delivery in health facilities, postpartum maternal health services, LBW prevalence, neonatal examination, and complete immunization. There was a significant increase in the coverage of MCH services from 2013 and 2018 (p < 0.0001), except for the coverage of Fe tablet consumption, the prevalence of stunted birth babies, ownership of health cards, provision of vitamin A, and provision of colostrum. The better the coverage of MCH services, the lower the stunting prevalence. Efforts to improve the MCH service programs are required to reduce the prevalence of stunting for Indonesian children. Keywords: stunting, children under five years old, coverage of maternal and child health services

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.

As a breakthrough in accelerating the reduction in maternal mortality rates, the government since 2007 has launched a Maternity Planning and Prevention Complications Program (P4K). One effort to increase knowledge is health promotion with a community empowerment strategy. This study aimed to determine the effect of empowering cadres on the knowledge and attitudes of pregnant women about P4K. The study design used a quasi-experimental design by pre and post-test with control group design. The study population was all pregnant women, the sample was pregnant women who were selected purposively consisted of 60 people, 30 people in the intervention group, and 30 control groups. To analyze the data, the researcher used a paired t-test and independent t-test. The results showed that in the intervention group there was an increase of knowledge score (70,67) for before and (92,50) for after cadres empowerment, while in the control group there was no difference in the average knowledge score (74,67) before and (71,00) after an intervention (p-value 0,351). Moreover, In the intervention group, there was an increase in the attitude score of pregnant women before (78.67) and after (86.12) cadres empowerment, but in the control group there was no difference in the average attitude score before (77,46) and after (77,67) intervention (p-value=0,524). Empowering cadres can increase the knowledge and attitudes of pregnant women about P4K. It is hoped that the Health Office will further improve the implementation of P4K on an ongoing basis through the active role of the community, especially cadres.