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Yetti Anggraini
Midwifery Study Program, Poltekkes Kemenkes Tanjung Karang, Metro, Indonesia

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Early Nutrition and Stunting: Why are Exclusive Breastfeeding and Complementary Feeding Essential for Optimal Growth? Yuliawati Yuliawati; Sri Lestariningsih; Yetti Anggraini; Rofana Aghniya; Non Rachmani Yustiza
Jurnal Kesehatan Vol 16 No 1 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i1.4951

Abstract

This study investigates the relationship between exclusive breastfeeding, appropriate complementary feeding, and the incidence of stunting in toddlers. The objective is to identify how these nutritional practices impact child growth and development. A cross-sectional analysis was conducted involving 135 toddlers at Puskesmas Yosomulyo, utilizing a combination of interviews and questionnaires to gather data on feeding practices and health outcomes. The findings reveal that toddlers who received exclusive breastfeeding and appropriate complementary foods exhibited significantly lower rates of stunting compared to those who did not. Specifically, 33% of toddlers who were not exclusively breastfed experienced stunting, while only 19 toddlers who received appropriate complementary food were stunted. The results underscore the critical role of proper nutrition in early childhood development and highlight the need for enhanced educational programs for parents regarding feeding practices. In conclusion, promoting exclusive breastfeeding and appropriate complementary feeding is essential for reducing stunting rates and improving overall child health
REPRODIS: An Innovative Cloud-Based Interactive Platform to Improve Reproductive Health Knowledge of Adolescents with Intellectual Disabilities Arum Lusiana; Arfiana Arfiana; Mundarti Mundarti; Ranny Septiani; Martini Martini; Yetti Anggraini
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.5307

Abstract

Adolescents with intellectual disabilities are a vulnerable group who often face barriers in accessing comprehensive reproductive health education. Limited communication skills, difficulty understanding abstract concepts, and social stigma hinder their ability to gain adequate knowledge, increasing the risk of sexual exploitation, early pregnancy, and sexually transmitted infections. Digital innovations have shown promise, yet cloud-based platforms tailored to this population remain limited. This study evaluated the effectiveness of the Reproductive Health Interactive System (REPRODIS), a cloud-based, interactive web platform, in improving adolescents with intellectual disabilities' reproductive health knowledge. A quasi-experimental one-group pre-test–post-test design was conducted with 30 adolescents aged 13–18 years with mild to moderate intellectual disabilities in a special needs school in Central Java, Indonesia. Participants completed a validated reproductive health knowledge questionnaire before and after four REPRODIS sessions delivered twice weekly over two weeks. The platform included simplified text, audio-visual animation, voice guidance, interactive quizzes, and parental monitoring features. Data were analyzed using a paired t-test with a significance level of 0.05. The mean knowledge score increased significantly from 46.3±8.2 (pre-test) to 73.5±7.9 (post-test) (p=0.001). More than 83% of participants improved by ≥20 points. Observations indicated higher engagement during REPRODIS sessions compared to conventional lectures, while parents reported greater confidence in discussing reproductive health at home. REPRODIS significantly improved reproductive health knowledge among adolescents with intellectual disabilities. This innovation demonstrates the potential of cloud-based interactive platforms as inclusive educational tools.