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Analisis Faktor-Faktor yang Berhubungan dengan Pemilihan Tempat Persalinan Ibu di Wilayah Kerja Puskesmas Ambukha Kecamatan Lolofitu MOI Kabupaten Nias Barat Tahun 2024 Mery Kristinawati Gulo; Daniel Ginting; Asima Sirait; Kesaktian Manurung; Janno Sinaga
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 4 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i4.1202

Abstract

Background: Maternal mortality remains a significant public health concern in Indonesia, where 19.3% of deliveries are still conducted outside healthcare facilities or without skilled birth attendants. The working area of Ambukha Public Health Centre (Puskesmas) has the lowest proportion of facility-based deliveries in the West Nias District (67% in 2023), indicating the need to analyse factors associated with delivery place choice. Objective: To identify factors related to the selection of delivery place among mothers in the working area of Ambukha Public Health Centre, Lolofitu Moi Subdistrict, West Nias District. Methods: This study employed an observational analytic design with a cross-sectional approach. The population consisted of all mothers who delivered within the Ambukha Public Health Centre area in 2023 (N=78), and samples were obtained using a total sampling approach. Data were collected using structured questionnaires and analysed using Chi-square tests and logistic regression. Results: Significant associations were found between the choice of delivery place and maternal knowledge (p=0.000; OR=2.267), maternal attitude (p=0.000; OR=4.250), national health insurance (JKN) membership (p=0.000; OR=5.333), access to healthcare facilities (p=0.000; OR=6.038), husband’s support (p=0.000; OR=4.250), perceived need factors (p=0.000; OR=3.333), as well as cultural beliefs (p=0.004; OR=2.473). Multivariate logistic regression identified maternal knowledge as the most influential factor in delivery place selection, as indicated by the most significant coefficient value (B = –4.204) and statistical significance (p=0.005). Conclusion: Maternal knowledge, attitude, JKN membership, access to healthcare facilities, husband’s support, perceived need, and cultural beliefs are significantly associated with the selection of delivery place. Efforts to increase facility-based delivery coverage in this area should prioritise improving maternal knowledge, followed by strengthening other supporting factors.
Factors Associated With Stunting in Children Aged 24–59 Months in Gariuai Village, Timor-Leste, 2026 Nike Apriani; Noelia Maria Jose Guterres; Kesaktian Manurung; Janno Sinaga; Frida Lina Tarigan; Rinawati Sembiring5
Preventif : Jurnal Kesehatan Masyarakat Vol. 17 No. 2 (2026): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/5dds3n75

Abstract

Stunting remains a major public health problem in developing countries. It is a condition of chronic malnutrition characterized by a child’s height being below the standard for his or her age and may lead to impaired physical growth, cognitive development, and increased risks of health problems later in life. This study aimed to analyze the factors associated with stunting prevalence among children aged 24–59 months in Gariuai Village, Baucau Municipality, Timor-Leste. A quantitative study with a cross-sectional design was conducted among a population of 557 children. A sample of 253 children was selected using proportionate stratified random sampling. Data were analyzed using univariate analysis, the Chi-Square test for bivariate analysis, and multiple logistic regression for multivariate analysis. The results revealed that 11.1% of the children were stunted. Exclusive breastfeeding, family income, access to clean water, and toilet facilities were significantly associated with stunting prevalence, whereas maternal education and birth weight history were not significantly associated with stunting. Exclusive breastfeeding was identified as the most dominant factor associated with stunting. These findings indicate that local health interventions should prioritize strengthening exclusive breastfeeding support and counseling, particularly for vulnerable families, while continuing to improve household income, access to clean water, and sanitation facilities.