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MOTHER’S HEALTH LITERACY WITH STUNTING INCIDENCE OF TODDLERS IN JEMBER

Thu, 01 Aug 2024 00:00:00 GMT

Title: MOTHER’S HEALTH LITERACY WITH STUNTING INCIDENCE OF TODDLERS IN JEMBER Authors: Mazida, Zulfa; Eka Noveyani, Adistha; Prasetyowati3, Irma Abstract: ABSTRACT Introduction: Mothers have a role in caring for and fulfilling toddler nutrition which is very important to prevent stunting in toddlers. Mothers’ skills in carrying out their roles are influenced by mothers’ knowledge through health literacy, namely the capability to access, assess, and process health information. Prevalence of stunting in East Java was 26.8% in 2019, exceeding the limit set by WHO. Jember is the second area contributing to the largest prevalence of stunting in East Java. Aims: This study aimed to analyze the relationship of mothers’ health literacy with stunting incidence of toddlers. Methods: This study used a case control design. The respondents were mothers with stunting toddlers (n=51) and mothers with non-stunted toddlers (n=51). The secondary data sources were the stunting data of the Kalisat Primary Healthcare in February 2022 and the primary data sources were the results of interviews used the HLS-EU-16 Indonesia Questionnaire. Data analysis used chi-square test. Results: There was a relationship between mothers’ health literacy and stunting incidence of toddlers with a pvalue of 0.001 (p-value < 0.05 so that the two variables have a significant relationship. Conclusion: Mothers’ health literacy has a strong association with stunting incidence of toddlers. Keywords: stunting, health literacy, toddler mother

ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS IN TB CHILDREN

Thu, 01 Aug 2024 00:00:00 GMT

Title: ONLINE APPLICATION BASED ON KING INTERACTION SYSTEM THEORY TO INCREASE TREATMENT ADHERENCE AND CLINICAL INDICATORS IN TB CHILDREN Authors: Sari, Ethyca; Nur Kristina, Tri; Sujianto, Untung; Suhartono, Suhartono; Sakti, Hastaning Abstract: ABSTRACT Introduction: Non-adherence to treatment among TB children in Indonesia varied 40.5%-57.2%. An innovative method of education might improve treatment adherence and clinical recovery of TB children. The aims of this study were to compare the treatment adherence and clinical indicators of TB children who received an intervention using an online application based on King's theory with a conventional method. Methods: This is a quasiexperimental study to educate 55 TB school-age children using a validated online application based on King's interaction system theory, compared with the conventional method in 55 TB children as the control group. The medication regularity and control discipline were observed four times in weeks 2, 4, 6, and 8. Measurements of acid-fast bacilli (AFB) smear sputum examination, TB scoring, chest X-ray examination, level of Hb, and nutritional status were done twice in pre- and post-intervention. Data analysis used chi-square, paired t-test, independent t-test, Mann Whitney, McNemarᵇ. or Wilcoxon test. Results: The results of this study revealed that the intervention group was significantly successful compared to the control group in several indicators, such as increasing treatment adherence (p=0.001), controlling discipline (p=0.001), reducing AFB positive (p=0.001), TB scoring (p=0.001), infiltrate in chest X-ray examination ((p=0.013), and increasing Hb levels (p=0.001). Meanwhile, nutritional status could not be compared because, from the beginning of the study, the nutritional status was unbalanced and benefited the intervention group. Conclusion: The online application based on King's theory has succeeded in increasing medication adherence and clinical improvement of pulmonary TB in children. Keywords: TB children, treatment adherence, clinical indicators, online application

INCREASING ADOLESCENTS’ KNOWLEDGE OF MARRIAGE AGE MATURATION (PUP) THROUGH COMIC MEDIA: AN EXPERIMENTAL STUDY

Thu, 01 Aug 2024 00:00:00 GMT

Title: INCREASING ADOLESCENTS’ KNOWLEDGE OF MARRIAGE AGE MATURATION (PUP) THROUGH COMIC MEDIA: AN EXPERIMENTAL STUDY Authors: Sarliana, Sarliana; Admasari, Yuli; Widyayanti3, Asri Abstract: ABSTRACT Introduction: Reducing the incidence of child marriage is a component of the national medium-term plan (RPJMN) for 2020-2024, which is targeted to fall to 8.74% in 2024, and 6.94% in 2030. The prevalence of child marriage in Central Sulawesi is 31.91% and Sigi Regency has the third highest prevalence of child marriage, namely aged 10-14 years (0.04%) and aged 15-19 years (2.58%). Aims: To evaluate the impact of providing health education via comic media on adolescent knowledge regarding the age of marriage at SMA Negeri 1 Sigi. Method: The design applied in this research was experimental with pretest-posttest and a control group setup. Twenty-six participants were chosen through random sampling and allocated to either the intervention group (comic media education) or the control group (leaflet media education). The research instrument utilized was a questionnaire. Data analysis was conducted using the Wilcoxon and Mann-Whitney tests. Results: This study shows that, in the control group, knowledge before education was mostly in the sufficient category (42%) and after education increased to good category (74.2%). Meanwhile, in the intervention group, before education, the majority was in the poor category (35.5%) and after education the majority was in the good category (96.8%), with a p value of 0.000 <0.05. Conclusion: Using comics proves more efficacious in enhancing teenagers' knowledge compared to utilizing leaflets. It is hoped that schools and health centers can collaborate to establish youth counseling centers as a platform for counseling students and can utilize comics as one of the educational media. Keywords: education, marriage age maturation (PUP), comics, knowledge, teenagers

EARLY DETECTION OF ANEMIA IN ADOLESCENT GIRLS THROUGH NUTRITIONAL STATUS EXAMINATION AND IRON PANEL ANALYSIS (TIBC, SERUM IRON, IRON SATURATION)

Thu, 01 Aug 2024 00:00:00 GMT

Title: EARLY DETECTION OF ANEMIA IN ADOLESCENT GIRLS THROUGH NUTRITIONAL STATUS EXAMINATION AND IRON PANEL ANALYSIS (TIBC, SERUM IRON, IRON SATURATION) Authors: Handayan, Ririn; Anggraeni, Ernawati; Handayani, Yuni; Puspita Sari, Melati; Yuningsih, Yuningsih Abstract: ABSTRACT Introduction. The panel iron analysis is an effort made to screen for anemia in adolescent girls. Adolescents with anemia can experience disturbances in growth and development, behavioral changes, and motor disturbances. In Jember district found that on average 30-40% of female students suffer from anemia. Anemia screening is an effort made to maintain the health of adolescents so that they can grow and develop in accordance with their growth and developmental stages. Aims. The purpose of this study is the early detection of anemia in adolescent girls. Methods. This research is an analytical descriptive study with a cross-sectional approach. Data collection was by examining nutritional status and iron panel examination results. The sampling method was accidental, involving 21 female students. The research was conducted in March 2023. Data analysis used frequency distribution. Result. The results showed that some students were undernourished (42.9%) and severely malnourished (4.8%); 18 students (85.7%) were classified as KEK. Meanwhile, from the iron panel analysis, 10 students (47.6%) had abnormal serum iron levels, 6 students (28.6%) had abnormal transferrin saturation levels, and the majority of the respondents, 20 students (95.2%), had normal TIBC. Conclusion. The conclusion from this study is that there are still many adolescent girls, especially in the school environment, who are undernourished to severely malnourished. This result correlates with the iron panel analysis which found that some adolescent girls were diagnosed with iron-deficiency anemia, characterized by a decrease in serum iron, transferrin, and iron reserves levels, accompanied by an increase in the TIBC. Keywords: Anemia, Adolescent, Serum Iron, TIBC, Transferrin Saturation