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All Journal Journal of Public Health Sciences JOURNAL OF Pharmacy and Tropical Issues
Nurlaila Nurlaila
Poltekkes Kemenkes Tanjung Karang
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Digital Premarital Health via KesCatin: Implementation Challenges in Pringsewu, Indonesia Nelly Indrasari; Risneni Risneni; Amrina Octaviana; Eva Berliana; Nurlaila Nurlaila; Roslina
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001370

Abstract

Stunting remains a major public health concern in Indonesia. Prevention during the premarital period is essential, as risk factors such as anemia, undernutrition, and early pregnancy (<20 years) are often established before conception. To address this, the Ministry of Health developed the KesCatin application as a digital innovation to enhance premarital reproductive health education and screening. This study aimed to explore the implementation process, challenges, and opportunities of the KesCatin application in improving digital-based premarital health services as part of stunting prevention efforts in Pringsewu District. A descriptive qualitative design was employed. Data were collected through four Focus Group Discussions (FGDs) involving 35 cross-sector program managers and in-depth interviews with 26 brides-to-be who had used KesCatin. Data were analyzed thematically following Braun and Clarke’s six-step framework, supported by source triangulation and member checking for validation. All 5,818 prospective brides registered in January–June 2024 received digital health screening and counseling via KesCatin. However, 3.2% were anemic (Hb <12 g/dL) and 1.8% had chronic energy deficiency (MUAC <23.5 cm). Thematic analysis identified three main themes: (1) strong cross-sector collaboration, (2) improved access to reproductive health information, and (3) barriers including poor internet connectivity, limited digital literacy, and absence of offline features. KesCatin has significant potential to strengthen premarital health services and support stunting prevention. To optimize its impact, offline access, user training, and continuous monitoring are recommended.
Kunjungan antenatal care dan dukungan keluarga berhubungan dengan kekurangan energi kronik Roslina Roslina; Nelly Indrasari; Amrina Octaviana; Nurlaila Nurlaila
JOURNAL OF Pharmacy and Tropical Issues Vol. 6 No. 2 (2026): June Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/pti.v6i2.3709

Abstract

Background: Chronic energy deficiency (CED) during pregnancy can disrupt the mother’s nutritional reserves and fetal growth. Antenatal care (ANC) visits and family support are modifiable factors related to healthcare and the household. Purpose: To analyze the crude association between ANC visits and family support and the incidence of KEK among pregnant women. Method: This focused secondary analysis used data from a 2024 parent study involving 100 pregnant women who received care at a midwife’s private practice. KEK was defined as an upper arm circumference <23.5 cm. ANC visits were categorized as 0–3 times and >3 times; family support was categorized as absent and present. The p-value for the chi-square test refers to the parent study, while the crude prevalence ratio (PR) and 95% confidence interval (CI) were calculated from the available 2×2 frequency table. Results: Eccentricity was reported in 33.0% of respondents. The proportion of eccentricity was higher among mothers with 0–3 ANC visits compared to those with >3 visits (46.7% vs. 12.5%; PR=3.73; 95% CI: 1.57–8.85; p<0.001). KEK was also higher among mothers without family support than among those who received support (55.6% vs. 20.3%; PR = 2.74; 95% CI: 1.55–4.82; p < 0.001). Conclusion: Limited ANC visits and a lack of family support are associated with a higher prevalence of stunting. The findings support strengthening nutritional screening, scheduled ANC follow-ups, and counseling that involves the family. A cross-sectional design and unadjusted analysis cannot be used to draw conclusions about cause-and-effect relationships.   Keywords: Antenatal Care; Chronic Energy Deficiency; Family Support; Independent Midwifery Practice; Pregnancy.
Co-Authors Amrina Octaviana Eva Berliana Nelly Indrasari Risneni Risneni Roslina Roslina Roslina