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Analisis Lingkungan Fisik Rumah pada Kejadian ISPA (Infeksi Saluran Pernapasan Akut) di Wilayah Kerja Puskesmas Betungan Kota Bengkulu Merdilah, Salta Niya; Sari, Aplina Kartika
Jurnal Sanitasi Profesional Indonesia Vol 6 No 02 (2025): Desember
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jspi.v6i02.1204

Abstract

Acute Respiratory Infections (ARI) remain a leading cause of morbidity and mortality among children, especially in developing countries. Poor physical housing conditions such as inadequate ventilation, low lighting, extreme temperatures, and high humidity are major risk factors for ARI. This study aimed to analyze the physical environment of homes of ARI patients in the Betungan Health Center area. A descriptive design was employed through direct observation and measurements of 95 houses.The results revealed that 50.5% of homes had inadequate ventilation, 56.9% lacked proper lighting, 54.8% had improper temperature levels, and 55.8% had high humidity. These findings indicate that most ARI-affected homes did not meet environmental health standards and may contribute to increased infection risk. Therefore, improving the physical conditions of housing is essential to reduce the incidence of ARI.
The Android mobile application to assess mothers' knowledge, attitudes, and behaviors related to the prevention of stunting in children under two years old Gustina, Mely; Yorita, Epti; Sari, Aplina Kartika; Utama, Feranita; Haryono, Haryono
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 10 (2025): Volume 8 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i10.1945

Abstract

Background: Stunting remains a major public health problem in Indonesia, with prevalence rates that exceed the World Health Organization threshold. In Bengkulu Province, particularly in the Kampung Melayu Subdistrict, stunting is exacerbated by limited access to health services, low maternal knowledge, unfavorable attitudes, and inadequate sanitation-related preventive behaviors. These factors contribute to recurrent infections and impaired nutrient absorption in children under two years old. The use of digital-based educational media is considered a promising strategy to improve health literacy and promote positive behavioral change among mothers. Purpose: To evaluate the effectiveness of the Android mobile application to assess mothers' knowledge, attitudes, and behaviors related to the prevention of stunting in children under two years old in the Kampung Melayu Subdistrict, Bengkulu City. Method: A quasi-experimental design with a control group. A total of 80 participants were selected using purposive sampling and divided into an intervention group (n = 40) and a control group (n = 40). The intervention group received health education through the SESAMA Android application, while the control group received conventional health promotion. Data were analyzed using Wilcoxon test, Paired T-test, Mann–Whitney test, ANCOVA, and MANCOVA. Results: The intervention group showed a significant improvement in knowledge, attitudes, and preventive behaviors related to stunting (p = 0.000). Mean knowledge scores increased from 5.60 to 8.23, attitude scores from 35.58 to 39.50, and behavior scores from 11.18 to 15.73. In contrast, the control group showed a significant improvement only in knowledge (p = 0.041), with no significant changes in attitudes (p = 0.172) or behaviors (p = 0.083). MANCOVA analysis confirmed that the SESAMA application had a significant effect on knowledge (p = 0.000; R² = 0.298), attitudes (p = 0.000; R² = 0.166), and behaviors (p = 0.000; R² = 0.584), with the strongest effect observed on preventive behavior. Conclusion: The SESAMA Android-based educational application is effective in improving maternal knowledge, attitudes, and behaviors related to stunting prevention and demonstrates greater effectiveness compared to conventional health promotion methods. The SESAMA model has strong potential to support digital health education strategies and may be considered for broader implementation in stunting prevention programs.