Intervensi Holistik dalam Perawatan Bayi Kecil: Sinergi Buku KIA dan Health Coaching untuk Meningkatkan Kualitas Asuhan

Authors

  • Suni Hariati Universitas Hasanuddin
  • Erfina Erfina Universitas Hasanuddin
  • Dian Sidik Arsyad Universitas Hasanuddin
  • Andriani Andriani Universitas Hasanuddin
  • Nurmaulid Nurmaulid Universitas Hasanuddin
  • Tuti Seniwati Universitas Hasanuddin
  • Eva Febrianty Universitas Hasanuddin
  • Andi Tizaly Nurul Istighfari Universitas Hasanuddin
  • Nadya Salsabila Ramadhani Universitas Hasanuddin
  • Andi Miftahul Jannah Universitas Hasanuddin
  • Kamlia Ramadhani Universitas Hasanuddin
  • Agnes Claudia Pas Universitas Hasanuddin

DOI:

https://doi.org/10.36565/jak.v8i1.1042

Keywords:

community empowerment, low birth weight, health coaching, MCH handbook, stunting prevention

Abstract

Kaluku Bodoa Community Health Center in Tallo District is among the top three areas with the highest incidence of low birth weight (LBW) cases in Makassar, recording 48 cases in 2022. A 2024 study revealed that many LBW infants had not received neonatal home visits and did not possess the Small Baby MCH Book, further exacerbated by the lack of socialization and training among health workers. Through the integration of the Healthy Indonesia Program with Family Approach (PIS-PK), empowering community health cadres in small baby care is essential to prevent stunting. This community service program aimed to enhance cadre capacity through managerial training, utilization of the Small Baby MCH Book, and the establishment of an online support forum for mothers with small infants. The activities were implemented through technical training on the integration of the Small Baby MCH Book and health education using a health coaching approach for health workers and cadres, followed by mentoring sessions at pilot Posyandu through book distribution and educational sessions using visual and guideline-based media The results of the activity demonstrated an increase in the average knowledge and skills of community health cadres and maternal and child health (MCH) healthcare providers in delivering services for mothers and infants with a history of low birth weight, with scores improving from 46.7 on the pre-test to 60.4 on the post-test., and successfully initiated the implementation of a dedicated Posyandu for LBW infants. Targeted care for small babies is a crucial effort to prevent future growth and developmental disorders, emphasizing the need for special attention and differentiated care from health professionals and cadres.

References

1. Thapa, P. et al. Prevalence of low birth weight and its associated factors: Hospital-based cross-sectional study in Nepal. PLOS Global Public Health 2, e0001220 (2022).

2. Hüseyin, Ç. H., Muazzez, H. & Yadigar, P. A study of low birth weight prevalence and risk factors among newborns in a public-hospital at Kilis, Turkey. Afr Health Sci 20, 709–714 (2020).

3. World Health Organization. Preterm birth. World Health Organization https://www.who.int/news-room/fact-sheets/detail/preterm-birth (2018).

4. Badan Kebijakan Pembangunan Kesehatan, K. K. R. Survei Kesehatan Indonesia (SKI) Dalam Angka Tahun 2023. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/ (2023).

5. Dinas Kesehatan Provinsi Sulawesi Selatan. Profil Kesehatan 2023 Provinsi Sulawesi Selatan. (2023).

6. Dinas Kesehatan Provinsi Sulawesi Selatan. Laporan Kinerja Tahun 2023. https://apidinkes.sulselprov.go.id/repo/dinkes-DINAS%20KESEHATAN%20LKJIP%20(SAKIP)%202023.pdf (2023).

7. Santos, I. S. et al. Late preterm birth is a risk factor for growth faltering in early childhood: A cohort study. BMC Pediatr 9, 1–8 (2009)..

8. Oktriyanto et al. Determinants of Low Birth Weight in Indonesia. Journal Kesehatan Masyarakat 17, 583–593 (2022).

9. Ishaq, H. Y. A., Hariati, S. & Fadillah, N. Gambaran tingkat pengetahuan orang tua,pertumbuhan dan perkembangan bayi 0-12 bulan dengan riwayat BBLR di Kabupaten Pangkajene dan Kepulauan 2022. (Universitas Hasanuddin, Makassar, 2023).

10. Isyanita, Stang & Salmah, U. Model prediksi kejadian bayi berat lahir rendah (bblr) di lima puskesmas dengan kasus terbanyak di kota makassar tahun 2022. (Universitas Hasanuddin, Makassar, 2024).

11. Knops, N. B. B. et al. Catch-up growth up to ten years of age in children born very preterm or with very low birth weight. BMC Pediatr 5, 1–9 (2005).

12. Liu, X. et al. Factors affecting the catch-up growth of preterm infants after discharge in China: A multicenter study based on the health belief model. Ital J Pediatr 45, 1–6 (2019).

13. Takeuchi, A. et al. Catch-up growth and behavioral development among preterm, small-for-gestational-age children: A nationwide Japanese population-based study. Brain Dev 41, 397–405 (2019).

14. Han, J. et al. Postnatal growth of preterm infants during the first two years of life: catch-up growth accompanied by risk of overweight. Ital J Pediatr 47, 1–9 (2021).

15. Hariati, S. et al. Health Coaching Dalam Percepatan Penurunan Stunting. (Unhas Press, Kota Makassar, 2024).

16. Nurfitriani, N. & Hesty, H. PKM Remaja Sehat Bersama SADARI di SMK Baiturrahim Jambi. Jurnal Abdimas Kesehatan (JAK) 4, 171-177 (2022).

17. Sari, N. A. M. E. & Rahyanti, N. M. S. Optimalisasi Tim Pendamping Keluarga (TPK) Dalam Upaya Pencegahan Stunting. Jurnal Keperawatan Muhammadiyah 7, 101–106 (2022).

18. Nurfatimah, N., Longgupa, L. W. & Ramadhan, K. Pemberdayaan Tim Pendamping Keluarga untuk Penurunan Stunting. Poltekita: Jurnal Pengabdian Masyarakat 4, 862–869 (2023).

19. Hariati, S. et al. Inspiratif (comprehensive stunting prevention initiative): Specific stunting intervention efforts in Pangkajene Kepulauan District. Community Empowerment 9, 609–617 (2024).

20. Kementerian Kesehatan Republik Indonesia. Buku KIA Khusus Bayi Kecil. (Kementerian Kesehatan Republik Indonesia, Jakarta, 2021).

21. Greif, S., Möller, H., Scholl, W., Passmore, J. & Müller, F. International Handbook of Evidence-Based Coaching: Theory, Research and Practice. (2022). doi:10.1007/978-3-030-81938-5.

22. NHS England Website. Supported self-management: health coaching guide [Internet]. https://www.england.nhs.uk/personalisedcare/workforce-and-training/health-and- wellbeing-coaches/. 2023. p. 1–7. Available from: https://www.england.nhs.uk/long-read/health-coaching/?utm_source=chatgpt.com

23. Ika O, Widyawati Y, Pratiwi IN, Fauziningtyas R, Dewi LC, Tristiana RD, et al. Program peer health coaching sebagai upaya meningkatkan pengetahuan kader, keluarga dan pasien diabetes mellitus. Jurnal Pengabdian Kepada Masyarakat [Internet]. 2024 Dec;4(7):1167–80. Available from: http://bajangjournal.com/index.php/J-ABDI

Published

2026-01-31

Issue

Section

Articles