PENINGKATAN PENGETAHUAN DAN KETRAMPILAN KADER TERHADAP LACTATION MASSAGE DAN PEMBERIAN ASI EKLUSIF UNTUK PENCEGAHAN STUNTING DI WILKER PUSKESMAS KEL. JATIRAHAYU KEC. PONDOK MELATI KOTA BEKASI TAHUN 2024 ANGKATAN 1

Abstract

Chronic malnutrition from the prenatal period until the age of two years, or beyond the first 1,000 days of life, is the leading cause of growth disorders (stunting) in Indonesia, thus requiring special attention. Improper breastfeeding, feeding practices, and parenting during the 0–23 month period can disrupt a child’s growth and development. Based on the results of the 2023 SKI, the national prevalence of stunting reached 21.5%, showing a decrease of about 1% compared to the previous year, but it is still far from the government’s target of 14% as stated in the 2020–2024 RPJMN. In addition, exclusive breastfeeding still faces challenges such as sore nipples and problems with the baby’s attachment to the breast. The lactation massage technique is one method used to stimulate the release of the hormone oxytocin through gentle massage. The Community Service activity conducted in the working area of Jatirahayu Health Center aims to improve the knowledge and skills of health cadres regarding lactation massage and exclusive breastfeeding as an effort to prevent stunting in 2024. The methods applied in this program included socialization and problem identification, counseling, training, mentoring, and program evaluation. The activity involved 31 cadres as participants. The results of this community service showed the establishment of effective collaboration with Jatirahayu Health Center, identification of local stunting-related problems, and an increase in cadres’ knowledge, skills, and confidence in providing education and assistance related to exclusive breastfeeding and lactation massage. The evaluation also confirmed the successful implementation of the program. In conclusion, this community service activity resulted in improved cadres’ competence and confidence in performing lactation massage and providing education on exclusive breastfeeding to mothers who experience breastfeeding difficulties. Recommendation: To enhance the program’s impact, it is suggested that similar training be continued in the following year, involving a greater number of cadres to strengthen skills in lactation massage and exclusive breastfeeding counseling.