Jurnal Poltekkes Kemenkes Aceh
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    Iron intake, supplement adherence, and perceived social support as predictors of anemia in rural Indonesia: A cross-sectional study

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    Anemia among pregnant women remains a significant public health issue in Indonesia, particularly in Purwasari District, where 37.1% of women are anemic. Anemia may be directly influenced by social and supplementation factors, which also affect nutritional status, fetal health, and pregnancy outcomes through environmental support and the fulfillment of essential nutrient needs. This study aimed to analyze the association between social, supplementation, and nutritional factors and anemia among pregnant women in Purwasari District. A quantitative approach with a cross-sectional design was used. The sample consisted of 150 pregnant women who met the inclusion criteria of this study. Eligible participants were pregnant women aged 18–40 years in their second or third trimester. Data were analyzed using logistic regression analysis. The results showed that adequate vitamin C intake (p = 0.004; OR = 2.912), adherence to iron–folic acid (IFA) tablet consumption (p = 0.000; OR = 4.030), side effects of IFA intake (p = 0.003; OR = 3.027), and support from parents or in-laws (p = 0.026; OR = 2.563) were significantly associated with anemia in pregnancy. In conclusion, vitamin C adequacy, IFA adherence and side effects, and family support were significantly related to the occurrence of anemia among pregnant women in the Purwasari District

    Mothers’ experiences implementing Local Food-Based Feeding Recommendations (LFFRs) for stunted children in Malang, Indonesia: a narrative study

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    Local Food-Based Feeding Recommendations (LFFRs) were developed to fulfill the nutritional needs of stunted toddlers but remain underexplored in community settings. This study systematically examined child feeding practices based on LFFRs and investigated the contextual factors, challenges, and strategic efforts influencing their implementation by mothers of toddlers. A qualitative narrative design was used. Six mothers of toddlers were purposively selected and participated in in-depth interviews, each lasting 45–60 min. Data collection was conducted over two months. Thematic analysis was used to identify key patterns, and source triangulation was applied to enhance the credibility and trustworthiness of the findings. The analysis of the interview data revealed five main categories and 12 subthemes. These main categories were: (1) Overview of LFFRs implementation, (2) Factors influencing TIPs LFFRs, (3) Challenges in implementing TIPs LFFRs, and (4) Strategies to improve children's intake.  The findings revealed varied consumption patterns, with animal-based proteins (mainly eggs and chicken) dominating, limited intake of plant-based proteins (primarily tofu and tempeh), and fluctuating fruit, vegetable, and dairy consumption. Key barriers included children’s food preferences, time constraints, limited knowledge of local food preparation (e.g., wader fish and fresh milk), and perceived food-related risks. Adaptive strategies, such as diverse food processing and small frequent feedings, were employed by some mothers. These findings highlight the need for context-specific nutrition education and practical support for mothers, complemented by further research, evidence-based visual modules, practical caregiver training, and strengthened cross-sectoral collaboration to ensure the sustainable implementation of LFFRs and local food availability

    Functional dried noodles with snakehead fish and yellow sweet potato flour to support stunting prevention

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    Stunting is a chronic nutritional problem caused by a prolonged inadequate intake of nutrients, particularly protein and iron. Its management requires local food innovations that are nutrient-dense, acceptable, and affordable. Dried noodles substituted with snakehead fish flour and yellow sweet potato flour have the potential to increase energy density and essential nutrient content, making them a viable alternative for local supplementary feeding (PMT) in children at risk of stunting. This study aimed to determine the chemical characteristics and organoleptic properties of dried noodles. A pre-experimental design was used, with one control formula and three treatment formulas, conducted at the Food Technology and Organoleptic Laboratory, Poltekkes Kemenkes Makassar, and the Feed Chemistry Laboratory, Hasanuddin University (June 2023–March 2024). The energy, protein, carbohydrate, iron, zinc, and vitamin C contents were analyzed in duplicate, and organoleptic testing was performed by 50 semi-trained panelists. Significant differences were observed in protein, iron, carbohydrate, color, and taste (p0.05). In conclusion, formula F3 was the best, containing 340.30 kcal/100 g energy, 21.92% protein, 65.67 g/100 g carbohydrate, 4.10 mg/100 g iron, 3.17 mg/100 g zinc, and 49.24 mg/100 g vitamin C

    Riwayat pemberian asi eksklusif pada anak usia 6-24 bulan dengan kejadian stunting di Kecamatan Semarang Utara

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    Background: The prevalence of stunting in the city of Semarang has not met the national target, which is still at 15,7%. the prevalence of stunting in the North Semarang sub-district is the highest in the city of Semarang, which is 18,5% of cases. This is in line with the achievement of exclusive breastfeeding which is still low. Exclusive breastfeeding is one of the factors that causes stunting in toddlers.Objectives: The purpose of this study was to determine the relationship between the history of exclusive breastfeeding in children aged 7-24 months and the incidence of stunting in North Semarang District.Methods:  This study is an observational analytical study with a cross-sectional study approach. The population in this study were all toddlers aged 7-24 months who live in North Semarang District, Semarang City, the research sample was 339 using the probability proportional to size (PPS) method. Data on the history of exclusive breastfeeding and stunting data were obtained from secondary data collected by cadres (Family Assistance Team) in each sub-district. Data on the history of exclusive breastfeeding and stunting data on toddlers were obtained by filling out questionnaires and interviews by TPK cadres with toddler mothers. Data analysis used the Spearman rank test. Result:  The results of univariate analysis in this study obtained a total of 25,7% stunted toddlers and a history of exclusive breastfeeding of 62,2%. The results of statistical analysis using the Spearman rank test obtained a p-value of exclusive breastfeeding with stunting incidence of 0,769 (p-value> 0,05), P-value of maternal age with stunting incidence of 0,841 (p-value> 0,05), p-value of toddler age with stunting incidence of 0,145 (p-value> 0,05), p-value of gender with stunting incidence of 0,533 (p-value> 0,05), and p-value of family planning use of 0,376 (p-value> 0,05), indicating that there is no relationship between exclusive breastfeeding with stunting incidence, maternal age with stunting incidence, toddler age with stunting incidence, gender with stunting incidence and family planning use with stunting incidence in North Semarang District.Conclusion: Research shows that there is no relationship between the history of exclusive breastfeeding and the incidence of stunting in North Semarang sub-district

    Defek septum ventrikel pada neonatus dengan sifilis kongenital: Suatu Laporan Kasus

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    Background: Ventricular septal defect (VSD) is the most common congenital heart defect in neonates. Its association with congenital syphilis is rarely reported, although transplacental infection by Treponema pallidum can cause multisystem involvement.Objective: To report a case of VSD in a neonate with congenital syphilis and to document relevant clinical and diagnostic findings.Methods: A descriptive case report was conducted on a 14-day-old female neonate delivered via cesarean section to a mother with reactive syphilis and gestational hypertension. Congenital syphilis was confirmed by VDRL and TPHA serological testing. Clinical evaluation and echocardiography were performed to assess cardiac anomalies.Results: Echocardiography revealed a 7,6 mm VSD with bidirectional shunt involving the inlet, muscular, and subaortic regions. These findings provide a detailed description of structural heart involvement in a neonate with congenital syphilis, although a direct causal relationship cannot be established.Conclusion: This case highlights the importance of early maternal syphilis screening and neonatal cardiac evaluation. The report serves as preliminary documentation for monitoring potential cardiac anomalies in neonates with congenital syphilis and encourages further investigation into possible clinical associations

    Effectiveness of peer group-based learning in enhancing elementary students’ knowledge of larval monitoring in Banda Aceh

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    Background: Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Indonesia, with over 143,000 cases and an incidence rate of 51,5 per 100,000 population reported in 2023. Recurrent outbreaks in Banda Aceh highlight the need for sustainable, school-based prevention strategies. School-age children are highly vulnerable because Aedes aegypti mosquitoes bite during the daytime when children are at school.Objectives: This study evaluated the effectiveness of elementary school peer groups in improving students’ knowledge of dengue prevention through a school-based larval monitoring program.Methods: A quasi-experimental pre–post design was conducted from April to October 2024 among fourth and fifth grade students in six elementary schools in the Kutaraja Sub-district, Banda Aceh City. Guided by Bandura’s Social Learning Theory, 36 students were trained as peer educators to teach 120 peers (n = 120) about dengue prevention. Knowledge was measured using a 15-item Guttman scale questionnaire before and after the intervention. Data were analyzed using SPSS, including descriptive statistics, Kolmogorov–Smirnov normality tests, and paired t-tests (α = 0,05; 95% CI).Results: The mean knowledge score increased from 9,43 (SD = 1,27) to 10,16 (SD = 1,34), a significant improvement (mean difference = 0,73; 95% CI: 0,41–1,05; p < 0,001).Conclusion: Peer-group–based health promotion within schools is a promising approach to enhance dengue prevention awareness among children. Strengthening teacher facilitation and embedding structured peer education into school health programs may enhance long-term community participation in dengue prevention and control

    Analisis kandungan siklamat, metanil yellow dan rhodamin b pada makanan dan minuman di Cikarang

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    Background: Food Additives (BTP) are substances that are intentionally added to improve food quality without providing nutritional value, examples of BTP are artificial sweeteners and dyes such as cyclamate, metanil yellow, and rhodamin B which focus on identifying their content in food and beverages in Cikarang. The research was conducted in Cikarang, which is an area with high population density and rapid economic activity.Objectives: Analyzing the content of cyclamate, metanil yellow, and rhodamine B in food and beverages in Cikarang.Methods: The experimental research design used accidental sampling with a sample size of 20 for the cyclamate test, 15 for the rhodamine B and methanyl yellow tests. Sampling was tested directly with the Test Kit brand labstest for the cyclamate, metanil yellow, and rhodamine B tests carried out at the Integrated Chemistry Laboratory at Suherman Medika University. Data collection was carried out in April 2025. Data analysis was carried out descriptively, namely showing the percentage of food and beverage content containing artificial sweeteners cyclamate and dyes metanil yellow and rhodamine B.Results: The results of the study showed that of the 20 samples tested for cyclamate, 7 samples were positive (35%) indicated by the presence of white sediment in the sample, 15 samples tested for metanil yellow did not contain metanil yellow in the sample, and 15 samples tested for rhodamine B, 2 samples were positive (13,3%) indicated by a pink color change in the sample.Conclusion: The results of the study confirmed that there were indications of the content of artificial sweeteners cyclamate, and dyes metanil yellow, and rhodamin B in several samples of food and beverages sold in the Cikarang area

    Efektivitas pelatihan partisipatif dalam peningkatan kompetensi mekanik pompa air: Studi Percontohan di Kabupaten Bandung

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    Farmers’ skills in maintaining water pumps remain limited, although these skills are essential for sustaining agricultural production. This study is presented as a pilot study aimed at assessing the effectiveness of participatory training in improving the knowledge, skills, and attitudes of water pump mechanics. The study involved nine mechanics under the guidance of UPTD ALSINTAN Dinas Pertanian Kabupaten Bandung, each representing one of nine affiliated areas. Evaluation was conducted using pre-test and post-test instruments with 20 items on a five-point Likert scale, analyzed descriptively without inferential statistics. The initial findings indicated an increase in the overall mean score from 3.55 to 4.78, with the largest improvements observed in skills (+46.27%) and knowledge (+39,83%). These results suggest improvements in competence, although they remain exploratory. The main limitations of this study are the small sample size and reliance on self-reported measures. Further studies with larger samples and stronger designs are recommended

    Edukasi kesehatan gigi anak sekolah dasar melalui home visit dengan media buku SOGI di Banda Aceh

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    Oral health education through home visits using the Sogi book for elementary school-aged children in Batoh village is an effective approach to improving the quality of one's health through improved dental health. This community service project was conducted using analytical methods, targeting children and their parents as respondents. Data analysis used univariate analysis using the T-test. The intervention provided included problem-based counseling, measuring children's dental health status, and demonstrating tooth brushing. The results showed an increase in mothers' knowledge, attitudes, and practices, as well as improvements in children's dental hygiene after the educational intervention through home visits using the Sogi Book. The average scores for knowledge, attitudes, and practices decreased (became better) from pre-intervention to post-test 1, and further decreased at post-test 2. These changes demonstrate a consistent and sustainable pattern, indicating that the education provided is not only effective in the short term but also maintains its impact in the medium term. The decrease in the PHPM score from 2.14 at pre-intervention to 1.10

    Physical activity, sleep quality, energy dense nutrient-poor (EDNP) foods intake, with blood pressure among obese teachers

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    Profession teachers with obesity nutritional status encourage hypertension because they have light physical activity, poor sleep quality, and high energy-dense, nutrient-poor food (EDNP) intake caused by potential occupational risks. This study sought to examine the relationship between physical activity, sleep quality, EDNP intake, and systolic and diastolic blood pressure. This was a study with a consecutive sampling design among female teachers aged 35-54 years in Kudus in March 2022. The total number of respondents with direct offline interviews was 59. Rank Spearman or Pearson test for bivariate analysis, followed by the linear regression test for multivariate analysis. Bivariate tests showed that physical activity (p=0,039) and EDNP intake (p=0,001) showed a noteworthy correlated with systolic blood pressure. The relationship between sleep quality (p=0,039) and EDNP intake (p=0,028) was significant for diastolic blood pressure but not for systolic blood pressure. The results of the multivariate test indicated a substantial correlation between physical activity, sleep quality, and EDNP intake on systolic BP (p=0,001) and diastolic BP (p=0,006) blood pressure. In conclusion, physical activity, sleep quality, and EDNP intake were significantly associated with systolic and diastolic blood pressure

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