Background: Stunting among children remains a public health concern in Indonesia, where the preva... more Background: Stunting among children remains a public health concern in Indonesia, where the prevalence of stunting in rural areas is higher than in urban areas. Objectives: This study aimed to analyze risk factors for stunting and severe stunting among children aged 0-59 months in rural and urban Indonesia. Method: This cross-sectional study used pooled datasets from Indonesia 's Basic Health Research in 2007, 2010, and 2013. Our study samples included 38,246 children aged 0-59 months whose height-for-age Z-score (HAZ) was between -5.99 and 5.99 standard deviations. The primary outcomes were stunting and severe stunting, whereas dependent variables included factors at the child, household, and community levels. We apply Stata 13 for univariate, bivariate, and multivariate analysis. The prevalence of stunting and severe stunting was higher in rural than urban areas. On one hand, risk factors significantly associated with stunting and severe stunting in urban areas were low birth weight, maternal height, informal father's occupation, low economic level, and children from East Indonesia and Sumatra. Furthermore, the father's height was only associated with stunting, while the number of children >3 was only associated with severe stunting. On the other hand, risk factors age, low birth weight, maternal height, father's height, household member 5-9 people, middle and low economic level were significantly associated with stunting and severe stunting in rural areas. Moreover, poor WASH was only associated with stunting, while informal mother occupation, low father education, number of household members > 9 people, and living in Sumatra and East Indonesia were associated with severe stunting in rural areas. Conclusion: Low birth weight, short parents, and economic income were risk factors for stunting and severe stunting children in urban and rural areas.
Knowledge about reproductive health and generation planning is one of the important things for te... more Knowledge about reproductive health and generation planning is one of the important things for teenagers to know, during adolescence the reproductive organs are maturing and there is a high sense of curiosity so teenagers need to get the right information from the right sources. In Indonesia, the discussion about reproductive health in adolescents is still taboo, so adolescents do not get enough information. Knowledge of reproductive health and generation planning in adolescents needs attention so that adolescents can reduce risky behavior such as having premarital sex, promiscuity, and sexually transmitted diseases or HIV/AIDS. The purpose of the service is to increase knowledge about reproductive health and generation planning in SMPN 1 Sleman students, which is attended by 112 students. The strategy is carried out using online counseling which is followed up by personal consultation via WhatsApp (WA). Of the 112 students after reproductive health counseling, 83.03% experienced an increase, 6.25% experienced a decrease, while those who received a fixed/neutral score or equal to the value before counseling/pre amounted to 10.71%. Of the 112 students after the planned generation counseling, 73.21% experienced an increase, 13.39% experienced a decrease, while those who received a fixed/neutral score or equal to the value before the counseling/pretest were 15 13.39%. Knowledge of adolescents related to reproductive health and generation planning is very important so that adolescents can avoid reproductive health problems and plan better for their future.
This activity aims to provide community service with the One Student One Family (OSOF) scheme. Th... more This activity aims to provide community service with the One Student One Family (OSOF) scheme. The activity was carried out to improve the quality of patients with obesity and Diabetes mellitus (DM) in Family A (families with problems with non-communicable diseases or PTM) in Bantul, Yogyakarta during the Covid-19 pandemic. The methods used in this service are education, mentoring, monitoring, and evaluating consumption patterns, physical activity, measuring weight, and checking blood sugar levels. In addition, the commitment of patients and family members is initiated to achieve a good quality of life. The results of this service activity indicate that mentoring impacts improving the quality of life of patients in the form of improving diet, exercise habits/physical activity, weight loss of 1.1 kg in 2 weeks, and decreasing blood sugar levels by 116 mg/DL. In addition, there is a patient's commitment to implementing a healthy lifestyle vigorously in the long term to produce better results. Family members also expressed a commitment to continuously provide motivation, support, and an environment to improve the patient's quality of life. This proves that the OSOF program has succeeded in having a positive impact on the target.
Prosiding Seminar Nasional Hasil Pengabdian Kepada Masyarakat Universitas Ahmad Dahlan, Oct 23, 2021
Currently, Indonesia is facing a triple burden of malnutrition which requires proper treatment fr... more Currently, Indonesia is facing a triple burden of malnutrition which requires proper treatment from an early age. Behavior change and community empowerment are the keys to the success of overcoming these problems. This activity aims to increase community empowerment to prevent anemia, stunting and obesity through youth Posyandu. The activity was carried out in May-October 2021 in Argodadi Village, Sedayu, Bantul, DIY. The main target of this activity is karang taruna. Activities are carried out in a hybrid, both online, offline, simulation, demonstration, and practice. The media used were power point presentation, link meeting, body scale, microtoa, BMI card, balanced nutrition cards and Posyandu registers. This was an application of IPE and IPC of nutrition, nursing, midwifery, health promotion and communication. FGD was held on May, online literacy on July 10 th and 17 th , training on
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA
Latar belakang: Remaja merupakan salah satu kelompok rentan gizi. Untuk meningkatkan derajat kes... more Latar belakang: Remaja merupakan salah satu kelompok rentan gizi. Untuk meningkatkan derajat kesehatan remaja, perlu dilakukan upaya edukasi, salah satunya melalui kampanye aksi bergizi. Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang serta meningkatkan cakupan konsumsi tablet Fe. Metode: Kegiatan pengabdian masyarakat ini dilakukan di SMPN Gamping, Sleman pada bulan Juli 2023. Jumlah partisipan adalah semua siswa baru sebanyak 192 orang. Aksi bergizi dilakukan melalui kampanye dengan memberikan edukasi tentang gizi seimbang dan anemia, minum tablet Fe, penandatanganan deklarasi aksi bergizi dan komitmen untuk hidup sehat. Hasil: Sebagian besar partisipan adalah perempuan (53,1%), umur 13 tahun (57,3%). Berkaitan dengan kebiasaan hidup sehat, sebagian besar kadang-kadang sarapan (40,6%) dan pergi ke sekolah dengan moda transportasi pasif berupa kendaraan bermotor (motor/mobil). Setelah mengikuti edukasi pengetahuan remaja tenta...
Journal of Complementary and Alternative Medical Research
Background: The level of user satisfaction with the m-health application has a significant impact... more Background: The level of user satisfaction with the m-health application has a significant impact on its long-term viability. Aims: This study aims to determine user satisfaction levels about m-health applications for growth monitoring and children's development in Yogyakarta, Indonesia. Methods: This was a cross-sectional study conducted from May to November 2022 in Yogyakarta, Indonesia. The satisfaction survey was conducted on 100 respondents in Yogyakarta, Indonesia using the RASCH method with a mean rating of 1 2 3 4, from very disagree until very agree. Results: This finding showed that using RASCH method with 14 criteria the mean rate of user satisfaction is 3.5±1.5. The lowest rating is about the app's usage time suits me (3.1±1.4) and the highest rating is about the ease of use and I have many information about children health care (3.5±1.2 and 3.5±1.5 respectively). Conclusion: Based on user satisfaction evaluation tests, overall are good, for ease of use, helpfull...
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA
Latar belakang: Monitoring pertumbuhan dan perkembangan merupakan kegiatan penting untuk menilai ... more Latar belakang: Monitoring pertumbuhan dan perkembangan merupakan kegiatan penting untuk menilai gangguan tumbuh kembang secara dini. Tujuan: Untuk meningkatkan pengetahuan dan ketrampilan partisipan dalam menggunakan aplikasi monitoring pertumbuhan dan perkembangan balita berbasis android DEPA 2.1. Metode: Kegiatan ini dilakukan di Kelurahan Argorejo, Sedayu, Bantul pada bulan Mei hingga Juli 2022. Mitra adalah kader kesehatan, ibu balita, dan guru PAUD sebanyak 62 orang. Pelatihan dilakukan secara luring dan diskusi melalui grup WhatsApp. Pengetahuan peserta diukur dengan kuesioner pada awal dan akhir pelatihan, sedangkan ketrampilan kader diukur pada akhir pelatihan dengan lembar observasi yang berupa ceck-list. Analisis data secara diskriptif dan disajikan dengan narasi, tabel dan gambar. Hasil: Pengetahuan peserta tentang pemantauan pertumbuhan dan perkembangan balita naik sebesar 25.5%. Peserta yang terampil menggunakan aplikasi pada akhir pelatihan sebesar 84%. Kesimpulan:...
Jilin Daxue Xuebao (Gongxueban)/Journal of Jilin University (Engineering and Technology Edition), 2023
Stunting is related to various determinants of individual, household and social factors. This stu... more Stunting is related to various determinants of individual, household and social factors. This study was aimed to identify the determinants of stunting children before and during pandemic COVID-19 in Yogyakarta, Indonesia. This was cross-sectional national study used secondary data from 2018 and 2021 resourced from nutrition national surveys, central bureau of statistics, agricultural offices, stunting.go.id, and others. As many as 731 children were sampled in 2018 and 2877 in 2021. Generalized linear mixed models (GLMM) were used in STATA 15 to examine district to individual risk factors stunting children using sample weighted. Stunting decreased from 24.4% in 2018 to 17.3% in 2021. Height for Age Z-Score (HAZ scores) increased however the increase was larger in the 0-23month age group than 24-59month age. Before and during the pandemic COVID-19, stunting is linked to individual factors: children age >2 years, birth size, and underweight. Before and after the pandemic COVID-19, poverty and rural living were household stunting risk factors. Prior to and during COVID-19, the social determinants associated with stunting were DDP scores and pregnancy health insurance coverage. As a result of long-term and early-life malnutrition, various individual factors are highly associated with stunting. While food insecurity, poverty, health insurance, and rural living might promote stunting.
Jilin Daxue Xuebao (Gongxueban)/Journal of Jilin University (Engineering and Technology Edition), 2023
Childhood stunting remains public health issue globally and in Indonesia. Thus, providing safe, a... more Childhood stunting remains public health issue globally and in Indonesia. Thus, providing safe, affordable, and precise measurements of height or length is one important aspect of stunting detection in children. This study aims to develop an anthropometric tool using ultrasonic technology with the output of height or length, z-score, and stunting status of the children. We developed a comprehensive height/length measurement tool that generates measurement results in centimeter's, z scores, and nutritional status for toddlers. The Z-score calculation followed The Indonesian Ministry of Health Regulation Number 2 in 2020 about Child Growth Standards. The materials included HC-SR04 ultrasonic sensors, ESP32 microcontrollers, OLED 128x64 pixels, and fiber. To achieve a steady measuring value, we conducted measurement trials by observing the free area of the measure. The Ultrasonic HC-SR04 sensor was used in this tool to measure height, which was then processed by the ESP32 microprocessor to determine the measured height classification. The classification findings were then shown on a 128x64 pixel OLED display. The measurement results indicated that the ultrasonic sensor had a transmitting angle of 15 o. As conclusion this non-contact anthropometric measurement tool has the potential to be utilized through community empowerment since it is simple to use, easy to carry, and portable.
Introduction: Stunting is a public health priority in low- and middle-income countries. Thus, the... more Introduction: Stunting is a public health priority in low- and middle-income countries. Thus, the validity and reliability of anthropometric measurement tools become critical for early stunting detection in children. Objective: This article aims to review the use of ultrasonic sensors in human anthropometric and body measurements. Methods: We conducted a narrative review of articles regarding the ultrasonic sensor for measuring anthropometrics in the human body between 2016 and 2022. We focused particularly on the use of ultrasonic sensors in children’s anthropometrics, body size, and body measurements. Results: According to the findings, the majority of non-contact measurements using ultrasonic sensors were applied to adults, though several studies also involved pregnant women to measure foetus size. These studies showed that ultrasonic sensors were beneficial as they served as accurate, reproducible, affordable, and easy-to-use tools. Conclusion: Future studies are warranted to u...
Background: Behavior change communication (BCC) is a validated health communication technique for... more Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors. Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas). Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical ...
Journal of Community Empowerment for Health, Apr 22, 2022
The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the ... more The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the pandemic. The social movement such as the healthy lifestyle movement (GERMAS) plays an important role to break the chain of COVID-19 transmission. Meanwhile, the infodemic of false news has caused misinformation and disinformation. Raising the community's health literacy will lead people to participate in the GERMAS social movement. This study aimed to explore the use of social media to improve health literacy concerning the healthy lifestyle social movement called "GERMAS". This research was conducted in Yogyakarta by reviewing related documents and literature, and collecting primary data. Primary data collection was done through online surveys, focus group discussions, and an in-depth interview. There were 461 respondents, with 449 respondents who filled out online surveys, 11 people who participated in the focus group discussions, and 1 person who was interviewed. The study showed that WhatsApp was the most widely accessed source of information about COVID-19 (83%) and health protocols (82%) after television. In addition, WhatsApp has become the main source of information about GERMAS (73%). The credible source of information was very important to help the community during the COVID-19 pandemic and the 'false news' infodemic. Various stakeholders provided information related to the COVID-19 and how to prevent the spread of the virus. In addition, Yogyakarta health officers developed a communication network through WhatsApp groups from the provincial to sub-district/village levels (community leaders) that were used to share information on a regular basis to the public. Additionally, community leaders were able to ask health officers questions related to COVID-19 issues and prevention. Unfortunately, the lack of "think tanks", and bureaucratic ties made this network unable to function optimally. In conclusion, social media has an important role in optimizing the GERMAS program during the COVID-19 pandemic. Social media management and good cooperation between the government and private agencies are important keys for optimizing GERMAS during the COVID-19 pandemic era.
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics)
Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: Thi... more Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: This study aimed to analyze the social determinants of stunting and severe stunting children in Indonesia.Methods: We analyzed data from cross-sectional surveys of Indonesia’s National Basic Health Research in 2013, the Central Bureau of Statistics, and the Ministry of Finance. Our samples were 3953 children aged 6-23 months and 10215 children aged 24-59 months. Dependent variables were the prevalence of child stunting and severe stunting. Independent variables covered factors at the social level while controlling structural and biological level-factors. Data were analyzed using multilevel analysis using generalized linear mixed models (GLMM).Results: Gross domestic product was associated with the reduced risk of stunting among children aged 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) as well as with the decreased risk of severe stunting among ...
International Journal Of Community Medicine And Public Health
Background: Due to pandemic COVID-19, intergrated health services post (Posyandu) was disrupted a... more Background: Due to pandemic COVID-19, intergrated health services post (Posyandu) was disrupted affecting child growth monitoring. A minimum monitoring approach for the health of children is required. The objective of this study was to design a growth and development children's monitoring application. Methods: We applied research and development methods to define and design the app. The Focus Group Discussion (FGD) was conducted to identify user need, including storyboards, content, features, flow, and performance of android application. We also collaborate with technology information expertise to design an app. The research was carried out in Yogyakarta from May to June 2021.Results: The result showed that users needed a comprehensive app based on Android with a minimum data storage space including growth and child development monitoring, considering storyboard design, menu interface, nutritional and developmental children's milestones, interpretation, and recommendation. ...
Background: Stunting among children remains a public health concern in Indonesia, where the preva... more Background: Stunting among children remains a public health concern in Indonesia, where the prevalence of stunting in rural areas is higher than in urban areas. Objectives: This study aimed to analyze risk factors for stunting and severe stunting among children aged 0-59 months in rural and urban Indonesia. Method: This cross-sectional study used pooled datasets from Indonesia 's Basic Health Research in 2007, 2010, and 2013. Our study samples included 38,246 children aged 0-59 months whose height-for-age Z-score (HAZ) was between -5.99 and 5.99 standard deviations. The primary outcomes were stunting and severe stunting, whereas dependent variables included factors at the child, household, and community levels. We apply Stata 13 for univariate, bivariate, and multivariate analysis. The prevalence of stunting and severe stunting was higher in rural than urban areas. On one hand, risk factors significantly associated with stunting and severe stunting in urban areas were low birth weight, maternal height, informal father's occupation, low economic level, and children from East Indonesia and Sumatra. Furthermore, the father's height was only associated with stunting, while the number of children >3 was only associated with severe stunting. On the other hand, risk factors age, low birth weight, maternal height, father's height, household member 5-9 people, middle and low economic level were significantly associated with stunting and severe stunting in rural areas. Moreover, poor WASH was only associated with stunting, while informal mother occupation, low father education, number of household members > 9 people, and living in Sumatra and East Indonesia were associated with severe stunting in rural areas. Conclusion: Low birth weight, short parents, and economic income were risk factors for stunting and severe stunting children in urban and rural areas.
Knowledge about reproductive health and generation planning is one of the important things for te... more Knowledge about reproductive health and generation planning is one of the important things for teenagers to know, during adolescence the reproductive organs are maturing and there is a high sense of curiosity so teenagers need to get the right information from the right sources. In Indonesia, the discussion about reproductive health in adolescents is still taboo, so adolescents do not get enough information. Knowledge of reproductive health and generation planning in adolescents needs attention so that adolescents can reduce risky behavior such as having premarital sex, promiscuity, and sexually transmitted diseases or HIV/AIDS. The purpose of the service is to increase knowledge about reproductive health and generation planning in SMPN 1 Sleman students, which is attended by 112 students. The strategy is carried out using online counseling which is followed up by personal consultation via WhatsApp (WA). Of the 112 students after reproductive health counseling, 83.03% experienced an increase, 6.25% experienced a decrease, while those who received a fixed/neutral score or equal to the value before counseling/pre amounted to 10.71%. Of the 112 students after the planned generation counseling, 73.21% experienced an increase, 13.39% experienced a decrease, while those who received a fixed/neutral score or equal to the value before the counseling/pretest were 15 13.39%. Knowledge of adolescents related to reproductive health and generation planning is very important so that adolescents can avoid reproductive health problems and plan better for their future.
This activity aims to provide community service with the One Student One Family (OSOF) scheme. Th... more This activity aims to provide community service with the One Student One Family (OSOF) scheme. The activity was carried out to improve the quality of patients with obesity and Diabetes mellitus (DM) in Family A (families with problems with non-communicable diseases or PTM) in Bantul, Yogyakarta during the Covid-19 pandemic. The methods used in this service are education, mentoring, monitoring, and evaluating consumption patterns, physical activity, measuring weight, and checking blood sugar levels. In addition, the commitment of patients and family members is initiated to achieve a good quality of life. The results of this service activity indicate that mentoring impacts improving the quality of life of patients in the form of improving diet, exercise habits/physical activity, weight loss of 1.1 kg in 2 weeks, and decreasing blood sugar levels by 116 mg/DL. In addition, there is a patient's commitment to implementing a healthy lifestyle vigorously in the long term to produce better results. Family members also expressed a commitment to continuously provide motivation, support, and an environment to improve the patient's quality of life. This proves that the OSOF program has succeeded in having a positive impact on the target.
Prosiding Seminar Nasional Hasil Pengabdian Kepada Masyarakat Universitas Ahmad Dahlan, Oct 23, 2021
Currently, Indonesia is facing a triple burden of malnutrition which requires proper treatment fr... more Currently, Indonesia is facing a triple burden of malnutrition which requires proper treatment from an early age. Behavior change and community empowerment are the keys to the success of overcoming these problems. This activity aims to increase community empowerment to prevent anemia, stunting and obesity through youth Posyandu. The activity was carried out in May-October 2021 in Argodadi Village, Sedayu, Bantul, DIY. The main target of this activity is karang taruna. Activities are carried out in a hybrid, both online, offline, simulation, demonstration, and practice. The media used were power point presentation, link meeting, body scale, microtoa, BMI card, balanced nutrition cards and Posyandu registers. This was an application of IPE and IPC of nutrition, nursing, midwifery, health promotion and communication. FGD was held on May, online literacy on July 10 th and 17 th , training on
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA
Latar belakang: Remaja merupakan salah satu kelompok rentan gizi. Untuk meningkatkan derajat kes... more Latar belakang: Remaja merupakan salah satu kelompok rentan gizi. Untuk meningkatkan derajat kesehatan remaja, perlu dilakukan upaya edukasi, salah satunya melalui kampanye aksi bergizi. Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang serta meningkatkan cakupan konsumsi tablet Fe. Metode: Kegiatan pengabdian masyarakat ini dilakukan di SMPN Gamping, Sleman pada bulan Juli 2023. Jumlah partisipan adalah semua siswa baru sebanyak 192 orang. Aksi bergizi dilakukan melalui kampanye dengan memberikan edukasi tentang gizi seimbang dan anemia, minum tablet Fe, penandatanganan deklarasi aksi bergizi dan komitmen untuk hidup sehat. Hasil: Sebagian besar partisipan adalah perempuan (53,1%), umur 13 tahun (57,3%). Berkaitan dengan kebiasaan hidup sehat, sebagian besar kadang-kadang sarapan (40,6%) dan pergi ke sekolah dengan moda transportasi pasif berupa kendaraan bermotor (motor/mobil). Setelah mengikuti edukasi pengetahuan remaja tenta...
Journal of Complementary and Alternative Medical Research
Background: The level of user satisfaction with the m-health application has a significant impact... more Background: The level of user satisfaction with the m-health application has a significant impact on its long-term viability. Aims: This study aims to determine user satisfaction levels about m-health applications for growth monitoring and children's development in Yogyakarta, Indonesia. Methods: This was a cross-sectional study conducted from May to November 2022 in Yogyakarta, Indonesia. The satisfaction survey was conducted on 100 respondents in Yogyakarta, Indonesia using the RASCH method with a mean rating of 1 2 3 4, from very disagree until very agree. Results: This finding showed that using RASCH method with 14 criteria the mean rate of user satisfaction is 3.5±1.5. The lowest rating is about the app's usage time suits me (3.1±1.4) and the highest rating is about the ease of use and I have many information about children health care (3.5±1.2 and 3.5±1.5 respectively). Conclusion: Based on user satisfaction evaluation tests, overall are good, for ease of use, helpfull...
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA
Latar belakang: Monitoring pertumbuhan dan perkembangan merupakan kegiatan penting untuk menilai ... more Latar belakang: Monitoring pertumbuhan dan perkembangan merupakan kegiatan penting untuk menilai gangguan tumbuh kembang secara dini. Tujuan: Untuk meningkatkan pengetahuan dan ketrampilan partisipan dalam menggunakan aplikasi monitoring pertumbuhan dan perkembangan balita berbasis android DEPA 2.1. Metode: Kegiatan ini dilakukan di Kelurahan Argorejo, Sedayu, Bantul pada bulan Mei hingga Juli 2022. Mitra adalah kader kesehatan, ibu balita, dan guru PAUD sebanyak 62 orang. Pelatihan dilakukan secara luring dan diskusi melalui grup WhatsApp. Pengetahuan peserta diukur dengan kuesioner pada awal dan akhir pelatihan, sedangkan ketrampilan kader diukur pada akhir pelatihan dengan lembar observasi yang berupa ceck-list. Analisis data secara diskriptif dan disajikan dengan narasi, tabel dan gambar. Hasil: Pengetahuan peserta tentang pemantauan pertumbuhan dan perkembangan balita naik sebesar 25.5%. Peserta yang terampil menggunakan aplikasi pada akhir pelatihan sebesar 84%. Kesimpulan:...
Jilin Daxue Xuebao (Gongxueban)/Journal of Jilin University (Engineering and Technology Edition), 2023
Stunting is related to various determinants of individual, household and social factors. This stu... more Stunting is related to various determinants of individual, household and social factors. This study was aimed to identify the determinants of stunting children before and during pandemic COVID-19 in Yogyakarta, Indonesia. This was cross-sectional national study used secondary data from 2018 and 2021 resourced from nutrition national surveys, central bureau of statistics, agricultural offices, stunting.go.id, and others. As many as 731 children were sampled in 2018 and 2877 in 2021. Generalized linear mixed models (GLMM) were used in STATA 15 to examine district to individual risk factors stunting children using sample weighted. Stunting decreased from 24.4% in 2018 to 17.3% in 2021. Height for Age Z-Score (HAZ scores) increased however the increase was larger in the 0-23month age group than 24-59month age. Before and during the pandemic COVID-19, stunting is linked to individual factors: children age >2 years, birth size, and underweight. Before and after the pandemic COVID-19, poverty and rural living were household stunting risk factors. Prior to and during COVID-19, the social determinants associated with stunting were DDP scores and pregnancy health insurance coverage. As a result of long-term and early-life malnutrition, various individual factors are highly associated with stunting. While food insecurity, poverty, health insurance, and rural living might promote stunting.
Jilin Daxue Xuebao (Gongxueban)/Journal of Jilin University (Engineering and Technology Edition), 2023
Childhood stunting remains public health issue globally and in Indonesia. Thus, providing safe, a... more Childhood stunting remains public health issue globally and in Indonesia. Thus, providing safe, affordable, and precise measurements of height or length is one important aspect of stunting detection in children. This study aims to develop an anthropometric tool using ultrasonic technology with the output of height or length, z-score, and stunting status of the children. We developed a comprehensive height/length measurement tool that generates measurement results in centimeter's, z scores, and nutritional status for toddlers. The Z-score calculation followed The Indonesian Ministry of Health Regulation Number 2 in 2020 about Child Growth Standards. The materials included HC-SR04 ultrasonic sensors, ESP32 microcontrollers, OLED 128x64 pixels, and fiber. To achieve a steady measuring value, we conducted measurement trials by observing the free area of the measure. The Ultrasonic HC-SR04 sensor was used in this tool to measure height, which was then processed by the ESP32 microprocessor to determine the measured height classification. The classification findings were then shown on a 128x64 pixel OLED display. The measurement results indicated that the ultrasonic sensor had a transmitting angle of 15 o. As conclusion this non-contact anthropometric measurement tool has the potential to be utilized through community empowerment since it is simple to use, easy to carry, and portable.
Introduction: Stunting is a public health priority in low- and middle-income countries. Thus, the... more Introduction: Stunting is a public health priority in low- and middle-income countries. Thus, the validity and reliability of anthropometric measurement tools become critical for early stunting detection in children. Objective: This article aims to review the use of ultrasonic sensors in human anthropometric and body measurements. Methods: We conducted a narrative review of articles regarding the ultrasonic sensor for measuring anthropometrics in the human body between 2016 and 2022. We focused particularly on the use of ultrasonic sensors in children’s anthropometrics, body size, and body measurements. Results: According to the findings, the majority of non-contact measurements using ultrasonic sensors were applied to adults, though several studies also involved pregnant women to measure foetus size. These studies showed that ultrasonic sensors were beneficial as they served as accurate, reproducible, affordable, and easy-to-use tools. Conclusion: Future studies are warranted to u...
Background: Behavior change communication (BCC) is a validated health communication technique for... more Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors. Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas). Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical ...
Journal of Community Empowerment for Health, Apr 22, 2022
The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the ... more The Coronavirus Disease (COVID-19) demands community participation to overcome the spread of the pandemic. The social movement such as the healthy lifestyle movement (GERMAS) plays an important role to break the chain of COVID-19 transmission. Meanwhile, the infodemic of false news has caused misinformation and disinformation. Raising the community's health literacy will lead people to participate in the GERMAS social movement. This study aimed to explore the use of social media to improve health literacy concerning the healthy lifestyle social movement called "GERMAS". This research was conducted in Yogyakarta by reviewing related documents and literature, and collecting primary data. Primary data collection was done through online surveys, focus group discussions, and an in-depth interview. There were 461 respondents, with 449 respondents who filled out online surveys, 11 people who participated in the focus group discussions, and 1 person who was interviewed. The study showed that WhatsApp was the most widely accessed source of information about COVID-19 (83%) and health protocols (82%) after television. In addition, WhatsApp has become the main source of information about GERMAS (73%). The credible source of information was very important to help the community during the COVID-19 pandemic and the 'false news' infodemic. Various stakeholders provided information related to the COVID-19 and how to prevent the spread of the virus. In addition, Yogyakarta health officers developed a communication network through WhatsApp groups from the provincial to sub-district/village levels (community leaders) that were used to share information on a regular basis to the public. Additionally, community leaders were able to ask health officers questions related to COVID-19 issues and prevention. Unfortunately, the lack of "think tanks", and bureaucratic ties made this network unable to function optimally. In conclusion, social media has an important role in optimizing the GERMAS program during the COVID-19 pandemic. Social media management and good cooperation between the government and private agencies are important keys for optimizing GERMAS during the COVID-19 pandemic era.
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics)
Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: Thi... more Background: In Indonesia, socioeconomic disparities in childhood stunting is vast.Objectives: This study aimed to analyze the social determinants of stunting and severe stunting children in Indonesia.Methods: We analyzed data from cross-sectional surveys of Indonesia’s National Basic Health Research in 2013, the Central Bureau of Statistics, and the Ministry of Finance. Our samples were 3953 children aged 6-23 months and 10215 children aged 24-59 months. Dependent variables were the prevalence of child stunting and severe stunting. Independent variables covered factors at the social level while controlling structural and biological level-factors. Data were analyzed using multilevel analysis using generalized linear mixed models (GLMM).Results: Gross domestic product was associated with the reduced risk of stunting among children aged 6-23 months (ARRR= 0.99; 95%CI: 0.98-1.00) and 24-59 months (ARRR= 0.99; 95%CI: 0.97-0.99) as well as with the decreased risk of severe stunting among ...
International Journal Of Community Medicine And Public Health
Background: Due to pandemic COVID-19, intergrated health services post (Posyandu) was disrupted a... more Background: Due to pandemic COVID-19, intergrated health services post (Posyandu) was disrupted affecting child growth monitoring. A minimum monitoring approach for the health of children is required. The objective of this study was to design a growth and development children's monitoring application. Methods: We applied research and development methods to define and design the app. The Focus Group Discussion (FGD) was conducted to identify user need, including storyboards, content, features, flow, and performance of android application. We also collaborate with technology information expertise to design an app. The research was carried out in Yogyakarta from May to June 2021.Results: The result showed that users needed a comprehensive app based on Android with a minimum data storage space including growth and child development monitoring, considering storyboard design, menu interface, nutritional and developmental children's milestones, interpretation, and recommendation. ...
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Papers by Tri Siswati