Improving Competency of Posyandu Cadres on Early Detection of Stunting in Lengkong Village, Mumbulsari District, Jember Regency

Abstract

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.