PENINGKATAN KETERAMPILAN KADER POSYANDU DALAM STIMULASI DETEKSI DAN INTERVENSI DINI TUMBUH KEMBANG (SDIDTK) PADA ANAK DI DESA CILOWA WILAYAH KERJA UPTD PUSKESMAS KRAMATMULYA KABUPATEN KUNINGAN

Abstract

Cakupan pemantauan tumbuh kembang anak di Indonesia masih rendah, hanya 68% anak usia 0–72 bulan yang terpantau sesuai indikator SDIDTK (Kementerian Kesehatan Republik Indonesia, 2024). Di Kabupaten Kuningan, cakupan SDIDTK hanya 57,8%. Studi di UPTD Puskesmas Kramatmulya menunjukkan 80% kader belum paham konsep SDIDTK dan 70% belum pernah pelatihan. Pelatihan kader diperlukan untuk meningkatkan kemampuan deteksi dini dan pencegahan gangguan tumbuh kembang anak. Pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader Posyandu Desa Cilowa dalam melaksanakan SDIDTK. Metode yang digunakan adalah penyuluhan, praktik langsung, serta evaluasi melalui pre-test dan post-test pada 30 kader. Hasil: menunjukkan peningkatan pengetahuan dari 36,7% menjadi 93,3% dan keterampilan dari 23,3% menjadi 90%. Uji Wilcoxon menunjukkan hasil yang signifikan pada pengetahuan (p=0,000) dan keterampilan (p=0,000). Peningkatan ini mencerminkan keberhasilan pelatihan yang interaktif, aplikatif, dan relevan dengan kebutuhan kader. Kesimpulan: pelatihan SDIDTK berkontribusi positif terhadap kesiapan kader dalam mendeteksi dini penyimpangan tumbuh kembang anak. Pelatihan SDIDTK perlu dilaksanakan secara berkala dengan dukungan alat bantu, pengawasan Puskesmas, dan kerja sama lintas sektor agar pelaksanaannya di Posyandu optimal dan berkelanjutan.

Coverage of child growth and development monitoring in Indonesia remains low, with only 68% of children aged 0–72 months monitored according to the Stimulation, Early Detection, and Early Intervention for Growth and Development (SDIDTK). In Kuningan Regency, SDIDTK coverage is only 57.8%. A study conducted at Kramatmulya Primary Health Center (UPTD Puskesmas Kramatmulya) found that 80% of community health volunteers (Posyandu cadres) had insufficient understanding of the SDIDTK concept, and 70% had never received related training. Capacity-building through cadre training is therefore essential to improve early detection and prevention of child growth and developmental disorders. This community service program aimed to enhance the knowledge and skills of Posyandu cadres in Cilowa Village in implementing the SDIDTK program. The intervention consisted of health education sessions, hands-on practical training, and evaluation using pre-test and post-test assessments involving 30 Posyandu cadres. The results demonstrated a substantial improvement in knowledge, increasing from 36.7% to 93.3%, and in practical skills, increasing from 23.3% to 90.0%. The Wilcoxon signed-rank test revealed statistically significant improvements in both knowledge (p = 0.000) and skills (p = 0.000). These findings indicate that the interactive, practical, and needs-based training effectively strengthened the cadres' competencies. In conclusion, SDIDTK training positively contributed to the preparedness of Posyandu cadres in the early detection of child growth and developmental disorders. Regular SDIDTK training should be implemented with adequate educational tools, continuous supervision from Primary Health Centers, and cross-sector collaboration to ensure optimal and sustainable implementation of the program at Posyandu.