Dina Nur Anggraini Ningrum
Public Health Study Program, Faculty of Medicine, Universitas Negeri Semarang

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Maternal Characteristics, Malnutrition, and Pregnancy Complications with the Incidence of Low Birth Weight in an Industrial Environment Yulia Nur Khayati; Tandiyo Rahayu; Oktia Woro Kasmini Handayani; Evi Widowati; Dina Nur Anggraini Ningrum
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27768

Abstract

Low Birth Weight is one of the leading causes of under-five deaths during the neonatal period. In Indonesia, the infant mortality rate is in the top 7 in the world. The industrial environment, where air pollution is high, is one of the factors causing LBW. The study aimed to identify the factors that influence the incidence of LBW in an industrial environment. Using data from a cohort of pregnant women in 2023, the study used a nested case-control design at Bergas Community Health Centre. The study population included all mothers who delivered live infants in 2023, totalling 832 respondents. Data from the study were analysed using Chi-Square for bivariate analysis and logistic regression for multivariate analysis. The results showed a relationship between maternal age, parity, maternal nutritional status, hypertension, preeclampsia, and anaemia with the occurrence of LBW with p < 0.0001. The multivariate analysis indicated a significant relationship between maternal age (OR 3.233, 95% CI 1.557 – 6.714), parity (OR 2.567, 95% CI 1.382 – 4.767), maternal nutritional status (OR 7.905, 95% CI 3.472 – 17.998), preeclampsia (OR 28.090, 95% CI 9.894 – 84.468), and maternal hemoglobin levels (OR 10.883, 95% CI 5.736 – 20.649) with the incidence of LBW. The most influential factor in LBW is the occurrence of preeclampsia in mothers.
Interactive Social Media-Based Nutrition Education to Improve Complementary Feeding Practices for Mothers with Underweight Children Vistra Veftisia; Mahalul Azam; Dina Nur Anggraini Ningrum; Oktia Woro Kasmini Handayani
Jurnal Kesehatan Masyarakat Vol. 22 No. 1 (2026)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v22i1.37746

Abstract

Underweight in toddlers remains a serious nutritional problem that impacts longterm growth and development. Evidence from observational and intervention studies consistently indicates that complementary feeding practices do not meet recommendations. Social media has the potential to be an effective platform for nutrition education, but scientific evidence regarding interactive digital IEC interventions remains limited. This study aimed to analyze the effectiveness of social media based interactive IEC in improving mothers’ knowledge, attitudes, and practices (KAP) regarding the provision of complementary feeding to underweight toddlers. The study was conducted as a quasi experimental, non-randomized controlled trial on 84 mothers (42 intervention; 42 control) in Semarang Regency from October to November 2025. The intervention group received educational videos on complementary feeding via TikTok/YouTube (two videos per day for 14 days) and 24-hour chatbot support. The control group received routine community health center services. Pre and post- measurements were conducted using a reliable KAP questionnaire. Analysis used the Wilcoxon and Mann–Whitney tests. Intergroup comparisons at post-test showed significant differences for all variables (p < 0.001), with a medium-to-large effect size in the intervention group. Social media based interactive IEC combining educational videos and a chatbot effectively increased mothers’ KAP on complementary feeding for underweight toddlers. Further research with a randomized design and longer duration is needed to evaluate its impact on children’s nutritional status.