OPTIMALISASI GIZI DAN PENCEGAHAN INFEKSI: STRATEGI GANDA PENCEGAHAN STUNTING PADA WANITA USIA REPRODUKTIF DI BANYUATIS, BALI
DOI:
https://doi.org/10.29303/abdiinsani.v13i3.3461Keywords:
Stunting, Nutrition, TORCH Infection, Women of Reproductive AgeAbstract
Stunting masih menjadi tantangan kesehatan di Indonesia, termasuk Provinsi Bali. Masalah gizi, seperti Kekurangan Energi Kronis (KEK) dan anemia serta kejadian infeksi kongenital (terutama HIV dan Hepatitis B yang termasuk dalam spektrum TORCH), merupakan prioritas intervensi di Provinsi Bali untuk menekan prevalensi stunting. Oleh karena itu, optimalisasi status kesehatan wanita usia reproduktif melalui optimalisasi gizi dan pencegahan penyakit infeksi menjadi langkah strategis untuk meningkatkan kualitas kesehatan di wilayah Banyuatis. Kegiatan Pengabdian Masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran wanita usia reproduktif mengenai optimalisasi gizi dan pencegahan infeksi sebagai kunci utama mitigasi stunting. Pengabdian masyarakat dilaksanakan pada 27 Agustus 2025 di desa Banyuatis, Bali. Metode kegiatan adalah edukasi berupa ceramah dan sesi tanya jawab interaktif, serta pemberian buklet digital. Desain penelitian dalam kegiatan ini adalah one-group pretest-posttest dengan jumlah peserta 35 wanita usia reproduktif. Efektivitas intervensi dievaluasi menggunakan kuesioner pre-test dan post-test Peningkatan skor pengetahuan yang signifikan terbukti pada peserta setelah edukasi dilakukan. Terdapat kenaikan rerata skor dari 63,72 (pre-test) menjadi 78,29 (post-test), yang merepresentasikan peningkatan sebesar 22,64%. Selanjutnya, hasil uji statistik Wilcoxon Signed−Rank menunjukkan nilai p < 0,001, yang secara kuat memvalidasi bahwa peningkatan rerata skor pengetahuan tersebut bersifat signifikan. Peningkatan ini menunjukkan bahwa edukasi optimalisasi gizi dan pencegahan penyakit infeksi (TORCH) melalui metode ceramah dan sesi tanya jawab interaktif merupakan strategi yang relevan dan efektif dalam mendukung percepatan penurunan prevalensi stunting di Bali. Rekomendasi tindak lanjut mencakup monitoring perilaku setelah edukasi dan penguatan peran kader setempat untuk memastikan keberlanjutan perubahan perilaku positif di masyarakat.
Downloads
References
Azis, A. A., & Aswi, A. (2023). Spatial Clustering of Stunting Cases In Indonesia: A Bayesian Approach. Communications in Mathematical Biology and Neuroscience, 2023. https://doi.org/10.28919/cmbn/7898
Baghel, S., & Inamdar, S. A. (2020). Torch Infection and Its Influence on High-risk Pregnancy. Journal of South Asian Federation of Obstetrics and Gynaecology, 12(6), 376–382. https://doi.org/10.5005/jp-journals-10006-1840
Costa, P. R. F., Guimarães, N. S., Lira, C. R. N., Leite, L. O., de Cássia Ribeiro da Silva, R., Barreto, M. L., & Paixão, E. S. (2025). Growth and Body Composition of Adolescents and Young Adults with Perinatal HIV Infection: A Systematic Review and Meta-analysis. BMC Public Health, 25(1). https://doi.org/10.1186/s12889-025-21838-w
Dessie, Z. B., Fentie, M., Abebe, Z., Ayele, T. A., & Muchie, K. F. (2019). Maternal Characteristics and Nutritional Status Among 6-59 Months of Children in Ethiopia: Further Analysis of Demographic and Health Survey. BMC Pediatrics, 19(1). https://doi.org/10.1186/s12887-019-1459-x
Dinas Kesehatan Kabupaten Buleleng. (2024). Profil Kesehatan Kabupaten Buleleng Tahun 2024. Diambil dari: https://diskes.baliprov.go.id/download/profil-kesehatan-buleleng-2024/
Elba, F., Hassan, H. C., Umar, N. S., & Hilmanto, D. (2024). The Effect of Stunting on Nutrition and Fine Motor Development in Children: A Literature Review. Malaysian Journal of Medicine and Health Sciences, 20, 215–219.
Estrela, M., Leitão, C., Neto, V., Martins, B., Santos, J., Branquinho, A., Figueiras, A., Roque, F., & Herdeiro, M. T. (2025). Educational Interventions for the Adoption of Healthy Lifestyles and Improvement of Health Literacy: A Systematic Review. Public Health, 245. https://doi.org/10.1016/j.puhe.2025.105788
Fitriani, H., Setya, R. A., & Nurdiana, P. (2020). Risk Factors of Maternal Nutrition Status During Pregnancy to Stunting in Toddlers Aged 12-59 Months. Jurnal Keperawatan Padjadjaran, 8(2), 174–182. https://doi.org/10.24198/jkp.v8i2.1305
Izah, N., Desi, N. M., Handayani, R. D., & Umriaty, U. (2023). Stunting on the Development of Children Aged 2–6 Years in East Tegal District, Tegal city. In Improving Health for Better Future Life: Strengthening from Basic Science to Clinical Research, 207–213. https://doi.org/10.1201/9781032693408-35
Khanra, P., Chakraborty, R., & Bose, K. (2023). Factors Affecting Stunting Among 3–12 Years Old Girls of Purba Medinipur, West Bengal, India. Anthropological Review, 86(3), 109–127. https://doi.org/10.18778/1898-6773.86.3.07
Laskowski, K., Fiedoruk, M., & Tokarska-Rodak, M. (2016). TORCH Pathogens - Transmission Channels, Diagnostics and Prophylaxis of Infections. Ginekologia i Poloznictwo, 39(1), 26–33.
Maulina, R., Qomaruddin, M. B., Prasetyo, B., Indawati, R., & Alfitri, R. (2023). The Effect of Stunting on the Cognitive Development in Children: A Systematic Review and Meta-analysis. Studies on Ethno-Medicine, 17(1–2), 19–27. https://doi.org/10.31901/24566772.2023/17.1-2.661
Masthalina, H., Letelay, A. M., & Doloksaribu, T. H. (2025). Household Social Context and Health Behaviors Influencing Child Stunting: Insights from North Sumatra, Indonesia. African Journal of Food, Agriculture, Nutrition and Development, 25(6), 27122–27127. https://doi.org/10.18697/ajfand.143.25825
Metwally, A. M., Hanna, C., Galal, Y. S., Saleh, R. M., Ibrahim, N. A., & Labib, N. A. (2020). Impact of Nutritional Health Education on Knowledge and Practices of Mothers of Anemic Children in El Othmanyia Village – Egypt. 8(2), 458–465.
Muhammad, H. F. L. (2018). Obesity as the Sequel of Childhood Stunting: Ghrelin and GHSR Gene Polymorphism Explained. Acta Medica Indonesiana, 50(2), 159–164.
Prayitno, G., Auliah, A., Zuhriyah, L., Efendi, A., Arifin, S., Rahmawati, R., Nugraha, A. T., & Siankwilimba, E. (2025). Exploring the Role of Food Security in Stunting Prevention Efforts in the Bondowoso Community, Indonesia. Societies, 15(5). https://doi.org/10.3390/soc15050135
Rizvi, D. S. (2022). Health Education and Global Health: Practices, Applications, and Future Research. Journal of Education and Health Promotion, 11, 262. https://doi.org/10.4103/jehp.jehp_218_22
Seran, S., & Sengkoen, Y. (2024). Socio-Economic Status and Family Nutrition Influence on Stunting Among Children Under Five In Thebelu District East Nusa Tenggara Province. Jurnal Biometrika Dan Kependudukan, 13(2), 183–191. https://doi.org/10.20473/JBK.V13I2.2024.183-191
SSGI. (2024a). SSGI 2024: Prevalensi Stunting Nasional Turun Menjadi 19,8% - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes.
SSGI. (2024b). Survei Status Gizi Indonesia (SSGI) 2024 - Badan Kebijakan Pembangunan Kesehatan | BKPK Kemenkes.
Suhat, S., Suwandono, A., Adi, M. S., & Nugroho, K. H. H. S. (2022). The Influence of a Health Education Intervention on Hypertension-related Knowledge, Attitude and Family Support in Cimahi City: A Quasi Experimental Study. Malaysian Journal of Medicine and Health Sciences, 18, 31–38.
Zhu, Y., Shang, S., Chen, Y., Chen, D., Jia, L., Qu, W., Ke, J., Li, H., Li, X., Liang, X., Liu, Y., Ma, L., Mo, L., Ruan, Q., Shen, G., Wang, Y., Xu, H., Xu, J., Xu, L., & Zhang, X. (2020). Expert Consensus on Standardized TORCH Laboratory Detection and Clinical Application. Chinese Journal of Laboratory Medicine, 43(5), 553–561. https://doi.org/10.3760/cma.j.cn114452-20191020-00597
