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    Comprehension Level and Parenting Culture with Feeding Behavior of Toddlers in Tulungagung Regency, Indonesia

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    Malnutrition in infancy is irreversible on growth and development, so toddlers need adequate and quality food intake. The factors that indirectly cause malnutrition in toddlers are parenting patterns. Mothers’ parenting patterns that are not good in feeding toddlers can be caused by low mothers’ comprehension and behavior in choosing food. This study aims to know comprehension level and parenting culture with the feeding behavior of toddlers in Tulungagung Regency. This study used an analytical observational research design with a cross-sectional study approach. The respondents amounted to 72 mothers of toddlers. The research instrument used a questionnaire and then analyzed using a chi-square test. The majority of mothers with toddlers had good comprehension about nutrition and food intake for toddlers, ideal parenting culture, and adequate feeding behavior. Based on the analysis using chi-square, the comprehension level had a relationship with feeding behavior in toddlers (p-value of 0.013), while parenting culture had no relationship with feeding behavior in toddlers (p-value of 0.270). The conclusion is there is a relationship between the comprehension level and the feeding behavior of toddlers and there is no relationship between parenting culture and the feeding behavior of toddlers.            

    Android Application Based Cardiac Health Monitoring System: Patients with Heart Disease

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    A variety of disorders affecting the heart and blood arteries are together referred to as heart disease. These disorders may impair the heart\u27s capacity to pump blood efficiently and may result in major health issues. This smartphone software assists people with heart problems in following their exercise regimens, receiving medication alerts, and maintaining their medical data. Due of its open source nature and ease of use, an Android-based platform was selected. Physicians utilize cellphones as their main source of medical knowledge and education, as well as for information management tools. Mobile phones, however, can also serve as a platform for initiatives aimed at raising the standard of healthcare. This research aims to utilize technology as health monitoring for heart disease in the community, such as reminders to take medication or access to information (with supporting health examination records and medical diagnoses), and it contains reading articles that provide public knowledge about the importance of maintaining heart health and can improve healthy lifestyles. Methods observational study of 20 heart disease patients at the media farma clinic samarinda with the length of research conducted from application development to application trials takes about April-August 2024. This android mobile-based application uses React Native technology, PHP and Mysql. The result show in the an application with features that have been tested by heart patients with a survey that has been tested for validity. The reliability test was indicated by Cronbach’s alpa 0.938> 0.532 which indicates that the instrument is realiable then the ability to use the application is obtained with the results (80%) and the benefits that make it easier for respondents to monitor heart health are obtained (90%). Conclusion this research has successfully created an android-based heart disease health application that can be used by patients or patient companions as a management and accessibility of their health data. With proper integration, this application can be a very useful tool in improving the quality of life and health of users

    An Experimental Study: Aloe vera Extract Mouthwash against Dental Plaque

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    Recent studies have demonstrated the potential of Aloe vera as a natural agent in dental care based on in vivo and in vitro evidence; however, research evaluating its effectiveness as a mouthwash remains limited. This study aimed to assess the efficacy of Aloe vera mouthwash in reducing dental plaque among school-aged children in Indonesia. A structured experimental study with a pretest–posttest design was conducted involving 45 children aged 10–12 years in West Kalimantan. Dental plaque levels were measured using the Personal Hygiene Performance (PHP) Index before and after the intervention. The results showed that the mean dental plaque score decreased from 2.76 at baseline to 1.75 after the use of Aloe vera mouthwash. Statistical analysis using a paired t-test indicated a significant reduction in dental plaque scores following the intervention. In conclusion, Aloe vera mouthwash is effective in reducing dental plaque among children and may serve as a potential alternative preventive agent for periodontal disease

    Socio Demographic Factors Related to Father Presence in Parenting Adolescents

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    Father presence plays a crucial role in the emotional and psychological development of adolescents, yet various socio-demographic factors remain barriers to understanding the significance of fathers\u27 role in parenting. Adolescents who grow up without their fathers are more vulnerable to mental health and social problems, which in turn impact their self-esteem and academic achievement. This study aimed to identify the strongest socio-demographic factors associated with the presence of fathers in the care of adolescents in Kudus District. This study used an observational analytic design with a cross-sectional approach, which was analyzed through the chi-square test and binary logistic regression. The sample consisted of 332 purposively selected high school students. Independent variables included gender difference with the child, parents\u27 marital status, father\u27s education, father\u27s occupation, economic status and family function, while the dependent variable was the level of father’s presence in parenting. The results of the analysis showed that family function in parenting is the strongest social factor that positively influences father presence in adolescent parenting (OR = 6.651, p < 0.05). In addition, the demographic factor of marital status also positively influenced father’s presence in adolescent care (OR = 2.447, p < 0.05). Meanwhile, gender differences between father and child, father\u27s education level, father\u27s occupation, and economic status did not have a significant correlation. The study conclusion emphasizes the importance of integrating family functions in an effort to increase father\u27s participation in parenting, as well as the implications for practice of community health workers, family health programs, and school based family programs

    Determinants of Visual Inspection with Acetic Acid (IVA) Test Utilization based on Risk Factors Group

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    The Visual Inspection with Acetic Acid (IVA) test aims to diagnose early so that it can speed up treatment, reduce morbidity and mortality in women due to cervical cancer. IVA test coverage in Magelang district has not reached the target, especially in the at-risk group. The study aims to see the difference in utilization of IVA services in groups of mothers who are divided into at-risk and non-risk groups. The method used was quantitative method that uses a comparative design. The study population was all mothers aged 30-50 years in Magelang district. Respondents of each group were 68 people determined by proportional sampling technique. Univariate analysis with frequency distribution table and bivariate analysis with Mann-Whitney test because the data was not normally distributed. There was no difference in the utilization of IVA services between the at-risk and non-risk groups (p=0.205). However, it was statistically proven that the at-risk group had a better level of knowledge, attitude, and lifestyle, and felt more vulnerable and needed an IVA test than the non-risk group. Meanwhile, the non-risk group had better perceptions of accessibility and health worker support than the risk group. Risk factor mapping at the Health Center level needs to be done to develop needs-based interventions to increase IVA coverage

    Vitamins Sales Before and During the COVID-19 Pandemic at Network Online Pharmacies in Indonesia

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    The use of vitamins and micronutrients as an immunity enhancer during the COVID-19 pandemic is needed. The use of vitamins and micronutrients as immunity boosters during the COVID-19 pandemic is very much needed. The description of vitamin needs can be predicted from vitamin sales carried out by network online pharmacies in Indonesia. Vitamins C and E are antioxidants that indirectly have a role as an antiviral. Vitamin D can increase immunity, so its availability is important during the COVID-19 pandemic. This study compares vitamin sales before and during the COVID-19 pandemic at online pharmacies in Indonesia as a description of vitamin use in the community, and their availability by the pharmaceutical industry so that the government can take policies to accelerate this period. The study began by taking master data of all vitamin sales from January 2019 to December 2020 at one of the online pharmacies in Indonesia. Data on all sales each year were grouped based on vitamin content, namely single vitamins, containing two vitamins, and multivitamins (more than two vitamins) and then compared them. Data analysis used the independent t-test, and if the data was not normal and homogeneous, it was processed using the Mann-Whitney test by SPSS version 26 software. The results showed that there was a significant difference between sales of vitamin C (p<0.05), vitamin E (p<0.01), a combination of vitamins B and C (p<0.05), vitamins B and E (p<0.05), and multivitamins (p<0.001) in online pharmacy networks in Indonesia before and during the COVID-19 pandemic. Interestingly, sales of vitamin D did not increase significantly during the COVID-19 pandemic due to limited supplies from pharmaceutical companies even though vitamin D is very important for increasing immunity, thus giving rise to the policy of the Indonesian Ministry of Health to utilize sunlight as the main source of vitamin D

    Analysis of Risk Factors for Stunting in Central Java

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    The prevalence of stunting in Indonesia was 24.4% in 2021 in Central Java at 20.9%, which is still above the WHO target of 20%. There are many direct and indirect risk factors that cause stunting events.  The purpose of this study is to analyze the risk factors for stunting events in Central Java. This research is an observational study with a cross-sectional approach. The collected data was analyzed using the Chi-Square test to assess the relationship between the independent variable (risk factors) and the dependent variable (stunting incidence). In addition, the odds ratio calculation is used to determine the risk level of each factor in influencing the incidence of stunting. The population is all mothers who have toddlers aged 0-59 months in Central Java Province. Data were collected via Google Form for two weeks in December 2023 using the Accidental Sampling technique with a total of 2671 mothers involved in this research. The result shows that the prevalence of stunting is 24.3%. There was no relationship between maternal parity OR 0.865, working mother OR 0.878, maternal BMI OR 0.898, economic status OR 0.954, and the incidence of stunting in toddlers. There was a relationship between maternal education OR 2.120, maternal height OR 1.955, exclusive breastfeeding OR 1.616, the diet OR 3.160, gestational age OR 1.410, the birth weight OR 1.670, and the incidence of stunting in toddlers. It is concluded that several factors collaborate to the high number of stunting, which are maternal education, maternal height, exclusive breastfeeding, diet, gestational age, and birth weight. Further research needs to consider a wider sample, the number of other risk factors which are competency of health provider to diagnose stunting, family support, and extend the length of observation time.                   

    Dust Exposure in the Stone Carving Industry and Its Impact on Respiratory Health: An Environmental Risk Assessment

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    Stone carving in Magelang Regency holds significant potential to enhance community welfare through industrial and tourism development, but it also presents health risks due to PM10 dust exposure exceeding safe limits. This study aims to identify respiratory health risks of stone craftsmen due to dust exposure with the incident of respiratory diseases, using a quantitative approach with observations and primary data collection from 60 respondents. Dust levels were measured using LVDS and HVDS, while the prevalence of Acute Respiratory Infections (ARI) was determined through health examinations. Environmental Health Risk Analysis (ARKL) with the Risk Quotient (RQ) was applied to evaluate long-term exposure. Results showed dust concentrations of 12.941 mg/m³ in Sedayu and 17.647 mg/m³ in Banyudono, both above the threshold, with respiratory disorders more prevalent in Sedayu (53.3%) than in Banyudono (33.3%). RQ values above 1 in both villages indicate significant health risks, highlighting the need for improved PPE use, ventilation, routine air quality checks, and health monitoring to prevent respiratory issues

    The Impact of Homecare on Breastfeeding Skills in Postpartum Mothers

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    The postpartum period is a critical phase for both mothers and newborns, during which the mother\u27s physical and psychological recovery occurs alongside the initiation of breastfeeding. Although breastfeeding is a natural process, many postpartum mothers face challenges in initiating and sustaining effective breastfeeding practices. Homecare has emerged as an effective strategy to improve maternal and child health. This study aims to analyze the impact of homecare on breastfeeding skills in postpartum mothers. The study was conducted in Surakarta City used a quasi-experimental design with a pretest-posttest with control group approach. Purposive sampling was employed, involving a total of 50 respondents divided equally into two groups: an intervention group and a control group. A 30-day breastfeeding skills training intervention was provided to postpartum mothers, carried out by midwives, with each session lasting 30 minutes per day. Data analysis was conducted used the paired t-test the Wilcoxon signed- rank test. Results showed that the paired t-test of the control group pretest and posttest with a mean value of 0.52 and the paired t-test of the intervention group pretest and posttest with a mean value of 5.44. While the statistical significance showed the p-value for the control group was 0.0018 and for the intervention group was approximately 0.0000000596. These findings demonstrate strong statistical significance, supporting the hypothesis that homecare exert a positive effect. In conclusion, homecare play a significant role in enhancing breastfeeding skills among postpartum mothers, with greater improvements observed in the intervention group compared to the control group.  

    Factors Associated with the Diarrhea Incident in Children Ages 12-59 Months

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    Diarrhea remains one of the leading causes of mortality among children under five years of age and ranks as the second most common cause of death among Indonesian children aged 12–59 months. Given its endemic nature and potential to cause outbreaks, identifying modifiable risk factors is essential for effective prevention. This study aimed to analyze factors associated with the occurrence of diarrhea among children aged 12–59 months in Bantul, Indonesia. An observational analytic study with a retrospective case–control design was conducted using purposive sampling. A total of 160 children aged 12–59 months were included, comprising 80 diarrhea cases and 80 controls. Data were collected from mothers using structured questionnaires, while children’s nutritional status was assessed using the Growth Monitoring Card. Data analysis was performed using chi-square tests and multivariable logistic regression. The results demonstrated significant associations between diarrhea incidence and nutritional status (p = 0.041; OR = 2.343), economic status (p = 0.024; OR = 2.200), household water source (p = 0.016; OR = 1.209), hand-washing behavior (p < 0.001; OR = 3.646), and history of exclusive breastfeeding (p < 0.001; OR = 5.479). Multivariate analysis identified a history of exclusive breastfeeding as the strongest factor associated with diarrhea occurrence (p < 0.001; OR = 4.140; 95% CI: 1.938–8.843). In conclusion, diarrhea among children aged 12–59 months is significantly associated with nutritional status, socioeconomic conditions, water sources, hand hygiene practices, and exclusive breastfeeding history, with exclusive breastfeeding showing the greatest protective effect. Strengthening parental education and public health programs that promote exclusive breastfeeding is essential for reducing diarrhea incidence in young children

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