Proceedings of the National Health Scientific Publication Seminar

Gestational Weight Gain According to BMI Standards in the Working Area of Jak Luay Primary Clinic, East Kutai Regency

Siti Asiyah Ahsanudin, Tintin Hariyani — Fri, 14 Aug 2026 00:00:00 -0400

Nutritional intake in pregnant women significantly affects fetal development. Body Mass Index (BMI) serves as an indicator of maternal nutritional status and forms the basis for gestational weight gain recommendations. This study aimed to describe gestational weight gain according to BMI standards in the working area of Jak Luay Village Primary Clinic, East Kutai Regency, East Kalimantan Province. An observational descriptive study was conducted from November 1 to 13, 2024. A total of 208 pregnant women were selected using a total sampling technique. Secondary data were collected from medical records using structured data sheets and processed through editing, coding, and tabulating stages. The results revealed that 73 pregnant women (35.0%) achieved gestational weight gain within BMI standards, 104 (50.0%) gained less than the standard, and 31 (15.0%) gained more than the standard. This study concludes that the majority of pregnant women had gestational weight gain below BMI standards, which was influenced by maternal age, educational level, employment status, and Mid-Upper Arm Circumference (MUAC).

Maternal Implementation of Feeding Rules and Its Relationship with Toddler Nutritional Status

Wahyu Nuraisya — Fri, 14 Aug 2026 00:00:00 -0400

Feeding rules are structured toddler feeding guidelines recommended by the Indonesian Pediatric Society (IDAI) to overcome eating difficulties. Mothers should implement feeding rules to support adequate nutritional intake and foster healthy eating behaviors in toddlers. This study aimed to analyze the correlation between mothers' implementation of feeding rules and toddler nutritional status. An analytical correlational study with a cross-sectional approach was conducted from May 18 to May 31, 2026, in Kunjang Village, Kunjang District, Kediri Regency. A sample of 33 mothers of toddlers was selected using a simple random sampling technique. Research instruments included questionnaires and secondary data from Maternal and Child Health (KIA) handbooks. Univariate statistical tests used percentages, while bivariate analysis utilized the Spearman Rank correlation test (rho). The results revealed that most mothers (66.7%, n=22) demonstrated adequate implementation of feeding rules, and the majority of toddlers (69.7%, n=23) had normal nutritional status. Spearman's rho test yielded a p-value = 0.000 < 0.05, rejecting H₀ and accepting H_a, confirming a significant relationship between mothers' feeding rule behavior and toddler nutritional status. The correlation coefficient of 0.840 indicated a strong positive relationship. Consistent implementation of feeding rules plays a crucial role in establishing healthy dietary habits and optimizing toddler nutritional status.

Fire Self-Rescue Education and Portable Fire Extinguisher Simulation among Youth Red Cross Members at SMAN 1 Purwoasri

Melani Kartika Sari, Didit Damayanti, Devita Anugrah Anggraini — Fri, 14 Aug 2026 00:00:00 -0400

Fire hazards in school environments pose severe risks to safety and infrastructure if students lack appropriate self-rescue and fire response skills. Members of the Youth Red Cross (PMR) serve as key school-based cadres for disaster preparedness and safety promotion. This community service initiative aimed to enhance the knowledge and practical skills of PMR members at SMAN 1 Purwoasri regarding fire self-rescue protocols and the operation of portable fire extinguishers (APAR). The methodology comprised interactive lectures, group discussions, demonstrations, and hands-on simulations using the PASS technique (Pull, Aim, Squeeze, Sweep). The program involved 25 PMR student members at SMAN 1 Purwoasri. Evaluation was conducted through direct observation and performance assessment during practical simulations. The results indicated full attendance (100.0%) and high participant engagement. Students demonstrated significant improvements in understanding fire hazards, evacuation procedures, and the correct operation of portable fire extinguishers. This training effectively reinforced emergency preparedness and safety culture within the school community.

Optimization of Reproductive Health Education to Prevent Risky Behaviors in Adolescents

Dwi Ertiana, Brivian Florentis Yuhbaba, Dintya Ivantarina — Fri, 14 Aug 2026 00:00:00 -0400

Adolescents are a group vulnerable to risky behavior due to a lack of knowledge about reproductive health. Reproductive health education is one of the promotive and preventive strategies to increase adolescent understanding so that they are able to make the right decisions in maintaining their reproductive health. Community service activities were carried out at SMPN 1 Bakung, Bakung District, Blitar Regency from May 8-14, 2026, involving 20 students as respondents. Education was provided through interactive lectures, discussions, and question and answer methods using presentation media and leaflets. Evaluation was carried out using a pre-test and post-test design to measure changes in participants' knowledge levels before and after education. All participants participated in the activity until completion. The evaluation results showed an increase in student knowledge after receiving education, as indicated by an increase in the average post-test score compared to the average pre-test score. Participants also showed enthusiasm during the discussion and were able to re-explain material on reproductive health, pubertal changes, how to care for reproductive organs, and preventing risky behavior. Reproductive health education has been proven effective in increasing adolescent knowledge as a first step in forming healthy attitudes and behaviors. Providing information appropriate to the characteristics of adolescents' ages and the use of interactive learning methods contributed to increased participant understanding. This activity is expected to support promotive and preventive efforts in preventing risky behavior in adolescents in the school environment.

Correlation Between Parental Eating Behavior and Picky Eating Behavior

didit damayanti — Fri, 14 Aug 2026 00:00:00 -0400

Picky eating behavior among preschool-aged children is a critical nutritional concern that can lead to micronutrient deficiencies and stunting. Parental eating behavior plays a fundamental role in shaping children's eating habits through parental modeling. This study aimed to analyze the relationship between parental eating behavior and picky eating behavior in children aged 5–6 years at RA Raudhatul Huda, Mojokerto Regency. A quantitative correlational design with a cross-sectional approach was conducted. The study population comprised 49 children, from which a sample of 35 respondents was selected using a purposive sampling technique. Data were collected using structured demographic questionnaires and the Child Eating Behavior Questionnaire (CEBQ) completed by mothers, then analyzed using the Spearman Rank correlation test. The results demonstrated a statistically significant relationship between parental eating behavior and child picky eating behavior (p = 0.032 < 0.05), with a weak positive correlation coefficient (r = 0.364). Although parental eating behavior contributes to children's food habits via modeling, the weak correlation indicates that in children aged 5–6 years, eating behavior becomes increasingly influenced by complex biological, psychological, and social environmental factors. Picky eating behavior in preschool children is a multidimensional outcome resulting from interactions between child temperaments, parental feeding practices, and social development.

Elderly Gymnastics (Stretching Exercise) Using the McKenzie Extension Exercise Method to Reduce Low Back Pain in the Elderly

Nurul Laili, Ratna Hidayati, Farida Hayati — Fri, 14 Aug 2026 00:00:00 -0400

The elderly are a group that is vulnerable to experiencing low back pain (LBP) due to degenerative processes that cause decreased muscle elasticity and joint flexibility. This condition has an impact on decreased activity and quality of life. This activity aims to provide Stretching Exercise training using the McKenzie Extension Exercise (MEE) method to reduce pain levels in the elderly with low back pain (LBP). PkM activities are carried out by providing education and demonstrations/exercises directly to the elderly to reduce back pain due to the aging process. The activity was carried out for 3 days, on September 2-4, 2025 in Darungan Village, Pare District, Kediri Regency. Participants were 29 elderly people. The results of the activity were measurements of pain responses from the exercises and education that had been provided. Before being given training, there were 26 elderly people/89.7% who experienced back pain on a moderate scale (4-6) and after being given the intervention there were 21 elderly people/72.4% who experienced back pain on a moderate scale (4-6). This exercise reduces compression on the spinal nerve roots, increases blood flow, and improves lower back muscle function. The McKenzie Extension Exercise (MEE) can help increase muscle strength such as the spine-forming muscles, multifidus, lower back muscles, gluteal muscles and hamstrings, improve posture, and reduce pressure on lumbar nerves such as the L4, L5, and S1 nerves. Stretching Exercise using the McKenzie Extension Exercise (MEE) method is effective in reducing low back pain in the elderly. Regular exercise as a non-pharmacological intervention in elderly care can reduce Low Back Pain (LBP) and increase independence in the elderly.

Effectiveness of AR-Based GENIUS (Gadget Education for Smart Use) on Gadget Usage among Children

Linda Ishariani, Laviana Nita Ludyanti — Fri, 14 Aug 2026 00:00:00 -0400

The increasing use of gadgets among school-aged children poses negative impacts, including reduced learning concentration and digital addiction. One approach to addressing this issue is the AR-based "Gadget Education for Smart Use" (GENIUS) program. An innovative educational intervention to address this issue is the Augmented Reality (AR)-based "Gadget Education for Smart Use" (GENIUS) program. This study aimed to evaluate the effectiveness of the AR-based GENIUS program on gadget usage behavior among children aged 11–12 years. A pre-experimental design with a one-group pretest-posttest approach was conducted. The study population comprised all 30 students aged 11–12 years at SDN Pelem 2 Pare, Kediri Regency, selected using a total sampling technique. The independent variable was AR-based GENIUS education, while the dependent variable was gadget usage, measured using a modified MTUAS questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed that before the intervention, most respondents (70.0%, n=21) were in the moderate gadget usage category. Following three sessions of AR-based GENIUS intervention, gadget usage significantly decreased, with the majority (56.7%, n=17) falling into the low usage category. The Wilcoxon test yielded a p-value = 0.001 < 0.05, with a mean score reduction from 2.23 to 1.43. These findings confirm that the AR-based GENIUS program is effective in reducing gadget usage intensity and fostering smart digital habits among school-aged children.

The Role of Posyandu Cadres in Managing Wasting Among Children Under Five at the ILP Posyandu in Jabon Village, Banyakan District, Kediri Regency

Wuri Widi Astuti, Siti Asiyah Achsanudin, Estu Farida — Fri, 14 Aug 2026 00:00:00 -0400

Wasting is a leading cause of child mortality worldwide, with an estimated 400,000 child deaths annually attributed to severe wasting. A key element in accelerating the reduction of nutritional problems in toddlers is the active involvement of Integrated Healthcare Center (Posyandu) cadres at the grassroots level. This study aimed to describe the role of Posyandu cadres in managing wasted toddlers at the ILP Posyandu in Jabon Village, Banyakan District, Kediri Regency. This descriptive quantitative study was conducted from November 10–22, 2025. Out of a population of 42 cadres, a sample of 30 respondents was selected using proportional random sampling. Data were collected via questionnaires and analyzed through editing, coding, scoring, and tabulating. The results indicated that 5 respondents (16.6%) demonstrated a limited role, 17 respondents (56.7%) had an adequate role, and 8 respondents (26.7%) performed a good role in managing wasting in toddlers. The cadres' role is primarily implemented through nutritional education and counseling to improve maternal awareness. However, cadres continue to face technical challenges, particularly the lack of regular nutritional training. Community Health Centers (Puskesmas) are expected to provide continuous training and updated educational modules to enhance the cadres' knowledge and skills.

Anemia Detection in Adolescents through Hemoglobin Examination at SMAN 1 Plosoklaten, Kediri Regency

Wahyu Nuraisya, Anis Setyowati — Fri, 14 Aug 2026 00:00:00 -0400

Adolescence is an important stage in life that requires more nutritional intake to support growth and development. Adolescent girls tend to be more susceptible to nutritional problems, especially anemia. The purpose of this community service is to detect anemia in adolescents through HB examination. This community service activity was carried out through Hemoglobin examination in adolescent girls using a digital HB tool, namely Quick check. The target for adolescent girls was 50 people. This activity was carried out at SMAN 1 Plosoklaten, Kediri Regency on Thursday, June 11, 2026. Based on the results of the hemoglobin examination, most of the 74% were in the normal category, namely 37 people, while a small portion of 4% were in the moderate anemia category, namely 2 people. The results of the hemoglobin examination not only provide information about the presence or absence of anemia, but also become the basis for developing health intervention programs. Adolescent girls who have normal hemoglobin levels need to be educated so they are able to maintain a healthy diet and regularly consume foods rich in iron. Meanwhile, for adolescents who are found to have low hemoglobin levels, follow-up is needed in the form of nutritional counseling, consumption of iron-boosting tablets as recommended by health workers, and regular monitoring to determine the success of the therapy given.

The Effect of Snakebite First Aid Education on Adolescent Knowledge

Melani Kartika Sari — Fri, 14 Aug 2026 00:00:00 -0400

Snakebite is a medical emergency that frequently leads to disability or even death, often due to a lack of public knowledge regarding appropriate first aid. Adolescents are frequently influenced by dangerous myths concerning snakebite management, such as making incisions in the wound or tightly binding the bitten area. This study aimed to analyze the impact of snakebite first aid education on the knowledge levels of adolescents. A pre-experimental design utilizing a one-group pretest-posttest approach was employed. The sample consisted of 30 adolescents selected through purposive sampling. Prior to the education (pre-test), the majority of respondents (16 individuals or 53.4%) fell into the "poor" knowledge category. Following the education (post-test), a significant improvement was observed, with the majority of respondents (24 individuals or 80.0%) falling into the "good" category. Analysis using the Wilcoxon Signed Rank Test yielded a significance value of p=0.000 (p<0.05), indicating that snakebite first aid education has a significant influence on adolescent knowledge.

Development of a Web‑Based Electronic Visum et Repertum System for Private Hospitals

Suyoko, Faik Agiwahyuanto, Fitria Wulandari, Maulana Tomy Abiyasa — Fri, 14 Aug 2026 00:00:00 -0400

Medical records provide numerous benefits, including support for treatment, research, and legal evidence. Medical Record Officers are responsible for preparing Visum et Repertum, an important medical report required by investigators and judges. The preparation of this report involves both physicians and medical record officers, who must understand the requirements for submitting requests. The quality of the Visum et Repertum preparation varies, and the document must comply with legal provisions. Information technology innovation can improve efficiency and accuracy in the Visum preparation process, minimize errors, and facilitate rapid fulfillment of requests. This study focuses on the development of a web-based electronic system for preparing Visum et Repertum in private hospitals in Semarang City. This study employed a combination of Research and Development (R&D) and descriptive research methods. The Research and Development method was used to produce a specific product and test its effectiveness. Meanwhile, descriptive research aimed to clearly describe social situations or phenomena for application development using the Waterfall Model. User perceptions of the system were then evaluated using the HOT-Fit method. The results showed that the Udinus research team successfully developed the VISMED application using a systematic approach based on user needs, both from medical record management and legal compliance perspectives. The system is capable of facilitating the process of recording requests, preparing Visum et Repertum, delivering Visum results to applicants, and storing request histories. Evaluation of the VISMED system using the HOT-FIT model questionnaire with 30 medical record officer respondents revealed that the Human component scored 5.65, Technology scored 5.40, FIT scored 5.36, and Organization scored 5.05, all categorized as good. Most users considered the application easy to use, with features functioning properly, while the interface design was regarded as sufficiently attractive and supportive of a positive user experience.

The Anemia Screening and Education for Postpartum Mothers In Alodea Home, Tertek Village, Kediri District

Ita Eko Suparni, Linda Andri Mustofa — Fri, 14 Aug 2026 00:00:00 -0400

Anemia during pregnancy and the postpartum period remains a critical maternal health concern in Indonesia, contributing significantly to postpartum hemorrhage, infection, and prolonged maternal recovery. However, systematic screening and health education regarding postpartum anemia are often underutilized in primary care. This community service initiative aimed to evaluate hemoglobin (Hb) levels and enhance health literacy regarding anemia prevention among postpartum mothers. The program was conducted at Rumah Alodea, Tertek Village, Pare District, Kediri Regency, involving 15 postpartum mothers. Methodologies included health education sessions, interactive discussions, educational leaflets, and point-of-care Hb screening. The screening revealed that 80.0% of participants (n=12) suffered from postpartum anemia (Hb < 11 g/dL), while 20.0% (n=3) had normal Hb levels. Furthermore, participant knowledge improved substantially, with the proportion of mothers demonstrating good knowledge rising from 60.0% (n=9) pre-intervention to 100.0% (n=15) post-intervention. Early screening combined with targeted health education serves as an effective promotive strategy to improve maternal health outcomes during the postpartum period.