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All Journal International Journal of Public Health Science (IJPHS) Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat
Anita Anita
Poltekkes Kemenkes Tanjungkarang
Health Professions Nursing Public Health

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Skrining Anemia Sejak Dini, Ciptakan Remaja Putri Tangguh Anti-Stunting Anita Anita; Mei Ahyanti; Sutrio Sutrio
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 8, No 1 (2026): Volume 8 Nomor 1 Mei 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpmpkm.v8i1.23788

Abstract

Anemia pada remaja putri merupakan masalah kesehatan masyarakat yang dapat berdampak jangka panjang terhadap kualitas hidup dan risiko stunting pada generasi berikutnya. Masa remaja merupakan periode kritis dengan peningkatan kebutuhan zat besi akibat pertumbuhan pesat dan menstruasi, sehingga deteksi dini melalui skrining hemoglobin menjadi sangat penting. Pengabdian ini bertujuan melaksanakan skrining anemia menggunakan hemoglobinometer digital serta kaitannya dengan upaya pencegahan stunting pada remaja putri. Metode yang diggunakan berupa pengukuran kadar hemoglobin, wawancara asupan gizi, serta penilaian pengetahuan tentang anemia dan minum Tablet Tambah Darah (TTD). Hasil pengabdian menunjukkan masih ditemukan 7% anemia pada remaja putri, dengan faktor risiko utama berupa asupan zat gizi yang tidak memadai, durasi menstruasi yang panjang, dan rendahnya kepatuhan konsumsi TTD. Temuan ini menegaskan bahwa anemia berhubungan dengan gangguan pertumbuhan linear melalui mekanisme penurunan kapasitas pengangkutan oksigen dan hambatan metabolisme hormon pertumbuhan. Skrining anemia berbasis sekolah terbukti efektif mengidentifikasi kasus anemia yang sebelumnya tidak terdeteksi dan dapat menjadi titik awal intervensi komprehensif. Penelitian ini merekomendasikan penguatan program TTD mingguan, edukasi gizi terstruktur, dan pelaksanaan skrining Hb secara berkala sebagai langkah strategis menciptakan remaja putri tangguh anti-stunting.
Effectiveness and acceptability of a digital early warning system for gestational diabetes management: a quasi-experimental study in Lampung Province Aprina Aprina; Anita Anita; Titi Astuti
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.27139

Abstract

Despite growing evidence supporting digital health interventions for gestational diabetes mellitus (GDM), no study has evaluated the acceptability and effectiveness of such interventions across geographically heterogeneous healthcare settings in low-resource contexts, where disparities in infrastructure and connectivity may critically influence outcomes. This study addresses this gap by introducing and evaluating the Early Warning System for Gestational Diabetes Mellitus (EWSDMG), a novel digital application uniquely designed to function across diverse geographical conditions. A quasi-experimental one-group pre-test post-test design was employed with 200 GDM-diagnosed pregnant women across four sites in Lampung, Indonesia, representing urban, remote, coastal, and rural settings. Technology acceptability was measured using the System Usability Scale (SUS), while knowledge, adherence, and glycemic profiles were assessed before and after 8 weeks of intervention. The overall SUS score was 77.9 ± 6.4 (Good/Acceptable), with urban settings scoring highest (82.4 ± 5.2). Knowledge and adherence scores increased significantly by 26.27 and 24.35 points, respectively (p < 0.001). Fasting and 2-hour post-prandial glucose decreased by 13.3 mg/dL (p = 0.002) and 22.2 mg/dL (p = 0.001), respectively. SUS scores strongly correlated with glycemic improvement (r = 0.642, p < 0.001). This study provides the first evidence that a single digital GDM intervention can achieve consistent acceptability and clinical effectiveness across heterogeneous geographical settings, offering a scalable model for equitable GDM management in resource-limited regions.
Comparative study of hospital stay duration among cesarean section patients using ERACS and conventional care in Lampung, Indonesia Anita Anita; Muhammad Abduh Musyaffa
International Journal of Public Health Science (IJPHS) Vol 15, No 3: September 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i3.26890

Abstract

This study is important to evaluate the impact of the effectiveness of the enhanced recovery after cesarean section (ERACS) method compared to conventional care on the length of hospital stay in cesarean patients in Lampung, Indonesia, considering the increasing number of cesarean sections and the need to optimize patient recovery and reduce care costs. This research is a quantitative study using a retrospective observational design. The total population was 210, with 102 samples (51 ERACS groups: 51 conventional groups) taken using purposive sampling. The research was conducted from March to September 2025 at Anugerah Medical Center and Yukum Medical Center Hospital Lampung. Inclusion criteria included cesarean patients aged ≥18 years, with written consent, ERACS, and conventional eligible. Exclusion criteria were complications, previous surgery, and chronic medical conditions. The ERACS group had a mean length of stay of 1.10 days (86.3% stayed 1 day), while the conventional method had a mean length of stay of 2.20 days (78.4% stayed 2 days). The test showed p-value of 0.000, indicating a significant difference between the two groups. The ERACS method proved more effective in reducing length of stay, which is expected to improve hospital quality and performance. This study contributes to health practice by advocating for the adoption of ERACS protocols, which may lead to better resource allocation and more efficient healthcare delivery in the context of increasing cesarean rates.
Co-Authors Aprina Aprina Mei Ahyanti Muhammad Abduh Musyaffa Sutrio Sutrio Titi Astuti