http://localhost:8080/xmlui/handle/123456789/11384 2026-04-09T05:33:34Z 2026-04-09T05:33:34Z Ramani, Andrei Diana Rachmayanti, Riris Farida Kusumawati3, Nur Diana, Rian Khomsan, Ali Riyadi, Hadi http://localhost:8080/xmlui/handle/123456789/11407 2025-07-10T02:47:33Z 2025-01-01T00:00:00Z

Title: A Cross-sectional Study: How is The Relationship Between Social Determinants of Family Dimensions and Stunted Toddlers? Authors: Ramani, Andrei; Diana Rachmayanti, Riris; Farida Kusumawati3, Nur; Diana, Rian; Khomsan, Ali; Riyadi, Hadi Abstract: Background: In East Java, the prevalence of stunting in toddlers exceeds the national average of 32.8%, while in Sampang Regency it reaches 47.9%. Stunting poses a significant challenge by hindering economic growth, exacerbating poverty, and widening socio-economic disparities. The research aims to analyze the relationship between family characteristics and the incidence of stunting in toddlers in Sampang, Madura. Method: This quantitative study employed a cross-sectional design in Sampang Regency. A total of 384 toddlers and their mothers participated as the research sample. The research variables included parental characteristics, anthropometric measurements of maternal height, and maternal knowledge status. Statistical analysis was conducted using the Pearson correlation inference test. Result: The test results showed that family social status had no significant influence on stunting among toddlers. However, maternal height significantly influenced the incidence of stunting, with a P-value of 0.030. These findings highlight the importance of addressing maternal height as a determinant of toddler stunting. Thus, intervention needs to be given to adolescent girls to prevent toddler stunting. Such interventions could include health education programs focused on improving adolescent nutritional status to increase growth. Efforts should prioritize adolescent girls before menarche to optimize height development and reduce the future stunting risk of their offspring

2025-01-01T00:00:00Z Mutiara Suasti Suta, Ni Wayan Surilena, Surilena Agus, Dharmady Suryani, Eva http://localhost:8080/xmlui/handle/123456789/11405 2025-07-10T02:42:04Z 2025-01-01T00:00:00Z

Title: Association of Comorbidities and Levels of Depression among Pre-elderly with HIV in DKI Jakarta Authors: Mutiara Suasti Suta, Ni Wayan; Surilena, Surilena; Agus, Dharmady; Suryani, Eva Abstract: Background: The presence of comorbidities in pre-elderly with HIV can worsen the disease symptoms, and disabilities, and lead to the emergence of depressive symptoms. Depression in the pre-elderly can cause a decrease in quality of life and failure to achieve successful aging. This study aims to determine the association between comorbidities and the level of depression among pre-elderly with HIV. Method: This is an observational analytic study with a cross-sectional method using a characteristic questionnaire (age, gender, education level, occupation, economic status, and marital status), comorbidities questionnaire, and PHQ-9 questionnaire. This study used convenience sampling and obtained 161 preelderly respondents (45—59 years) with HIV among pre-elderly with HIV in DKI Jakarta. The data analysis was done using the Fisher Exact test using STATA. Result: There were 161 pre-elderly with HIV, 74,16% were men, 55,28% were in Senior High School, 72,67% were working, 76,4% had low economic status, and 44,72% were not married. A total of 59,85% have one comorbid condition. There were 81,37% with physical comorbidities, including 40,82% arthritis, 38,27% hypertension, 6,63% diabetes mellitus, and 51,55% with depression including 27,95% mild depression, 16,15% moderate depression, 5,59% moderate severe depression, and 1,86% severe depression. No significant association was found between comorbidities and the levels of depression among pre-elderly with HIV (p=0,341). The presence of physical comorbidities in pre-elderly with HIV can affect the disease progression and its treatment. However, in this study, There is no significant association between comorbidities and the levels of depression among pre-elderly with HIV in DKI Jakarta. It is recommended that further research be conducted using in-depth interviews to explore the relationship between physical comorbidities and depression in pre-elderly with HIV.

2025-01-01T00:00:00Z Syahru Ramadhan, Alvis Rahayuwati, Laili Yamin, Ahmad Amelia, Vira http://localhost:8080/xmlui/handle/123456789/11402 2025-07-10T02:39:44Z 2025-01-01T00:00:00Z

Title: The Perspective of the Acehnese Community in Indonesia toward HIV/AIDS Authors: Syahru Ramadhan, Alvis; Rahayuwati, Laili; Yamin, Ahmad; Amelia, Vira Abstract: Background: HIV/AIDS has garnered public attention due to the challenges in its effective control, with its prevalence continuing to rise until 2019. Despite its global impact, public awareness of this disease remains limited. The perspective of the community on People Living with HIV/AIDS (PLWHA) in the Aceh region offers unique insights, indicating existing issues in the community environment. However, a comprehensive understanding of these issues is still lacking. This study aims to explore the challenges related to the Acehnese people's perspective towards PLWHA. Method: A qualitative ethnographic design was employed, focusing on the subjective approach to understanding the perspectives of the Acehnese Community. In-depth interviews were conducted with 8 participants. The researcher served as a human instrument, directly involved in collecting and interpreting the data. Data were analyzed descriptively using iterative coding and thematic categorization. Result: The study identified three themes related to the perspective of the community on People Living with HIV/AIDS (PLWHA): (1) Community Knowledge regarding HIV/AIDS and PLWHA, (2) Experiences of the Acehnese Community with HIV/AIDS and PLWHA and (3) Community Values towards HIV/AIDS and PLWHA. Individuals with knowledge about HIV/AIDS can provide proper care for PLWHA patients, fostering an understanding of transmission dynamics. Society exhibits positive attitudes towards PLWHA when exposed to sufficient information. Conversely, negative perceptions arise when society attributes the disease to certain behaviors or considers it as a curse, leading to non-acceptance and ostracism. The perspectives imposed on PLWHA significantly influence their perception of the surrounding community. Community knowledge is crucial in shaping these perspectives, particularly from individuals with experience caring for PLWHA. Society holds both positive and negative values concerning HIV/AIDS and PLWHA.

2025-01-01T00:00:00Z Sekar Prihanti, Gita Wilyani, Dwi Hasna, Alifah Rohadatul Aisy, Alberta Putra Kurniawan1, Bagus Sulung Saputri, Dita Tontowi, Maharani http://localhost:8080/xmlui/handle/123456789/11400 2025-07-10T02:36:41Z 2025-01-01T00:00:00Z

Title: Effectiveness of Breastfeeding Counseling Training to Improve Knowledge, Attitude, and Skill of Support Groups Authors: Sekar Prihanti, Gita; Wilyani, Dwi; Hasna, Alifah; Rohadatul Aisy, Alberta; Putra Kurniawan1, Bagus; Sulung Saputri, Dita; Tontowi, Maharani Abstract: Background: WHO and UNICEF advocate exclusive breastfeeding for the first six months of baby’s life and continue with complementary foods for up to two years, supporting the 2030 SDGs target for optimal health during the first 1000 days. The success of exclusive breastfeeding is still limited in some areas; therefore, it is necessary to establish breastfeeding support groups. Effective breastfeeding also requires educational interventions that change attitudes, knowledge, and skills in breastfeeding support groups. This study aims to determine the effect of breastfeeding counseling training on the knowledge, attitude, and skills of breastfeeding support groups. Method: The study was conducted in three villages in the work area of the Pesantren (Islamic Boarding House) II Public Health Center Kediri: Jamsaren, Tosaren, and Pakunden villages. The study was administered from January to February 2020. The sample was taken with Purposive Sampling, and the number of samples was 60, varying from pregnant women, nursing mothers, husband/family, cadres, and midwives. This study used a quasi-experiment with one group pre-test-post-test design where all respondents did a pre-test, got lactation counseling training, and then took a post-test. The questionnaire evaluated knowledge, attitudes, and skills, and assessed by modifying lactation counseling training observation sheets from WHO. Result: This study exercised a quasi-experimental model with one group pre-testpost-test design. Data were analyzed univariately, while comparative testing was carried out bivariate using the Wilcoxon test, and the Mann-Whitney. Wilcoxon's analysis showed that breastfeeding counseling training had an influence on the knowledge (p=0.000), attitudes (p=0.001), and skills (p=0,000) of the breastfeeding support group. Breastfeeding counseling training is effective in increasing knowledge, attitudes, and skills. It was expected that the Health Department and Public Health Center implement it regularly with wider coverage and automatically create a new breastfeeding support group.

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