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Association Between Maternal Knowledge of Anemia During Pregnancy and Adherence to Iron–Folic Acid Supplementation with the Risk of Delivering a Stunted Infant Indri Indri; Alkhair Alkhair; Dea Zara Avila; Muammar Iksan
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11322

Abstract

Stunting remains a chronic nutritional problem that requires serious attention, including in the working area of Langgudu Public Health Center. Maternal health conditions during pregnancy, particularly knowledge of anemia and adherence to consuming iron-folic acid supplementation or blood supplement tablets, are suspected to be associated with the risk of giving birth to a stunted child. This study aimed to analyze the relationship between pregnant women’s knowledge of anemia and their level of adherence to consuming blood supplement tablets with the risk of giving birth to a stunted child in the working area of Langgudu Public Health Center. This study used a quantitative analytical observational method with a case-control design. The sample consisted of 186 respondents, including 93 mothers with stunted children as the case group and 93 mothers with children with normal growth status as the control group. Primary data were collected using questionnaires and observation sheets, while secondary data were obtained from the public health center’s nutritional status monitoring reports. Data were analyzed using the Chi-Square test. The results showed that pregnant women’s knowledge of anemia was not significantly associated with stunting incidence (p = 0.281). In contrast, adherence to consuming blood supplement tablets showed a significant association with stunting incidence (p = 0.003; OR = 0.404). Therefore, pregnant women’s adherence to consuming blood supplement tablets is an important factor related to the risk of giving birth to a stunted child. Accordingly, strengthening education, monitoring blood supplement tablet consumption, and providing nutritional counseling during pregnancy need to be improved.
DAYA TERIMA PUDING NASUTEL PADA IBU HAMIL KEK DI WILAYAH KERJA PUSKESMAS PARUGA Dita Oktaviani Putri; Alkhair Alkhair; Muammar Iksan; Aris Iwansyah
SEHAT : Jurnal Kesehatan Terpadu Vol. 5 No. 3 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/s-jkt.v5i3.60390

Abstract

Kekurangan Energi Kronis (KEK) pada ibu hamil masih ,menjadi masalah gizi yang berdampak serius terhadap kesehatan ibu dan janin sehingga diperlukan inovasi pangan lokal bergizi dan mudah diterima. Penelitian ini bertujuan untuk menganalisis perbedaan daya terima puding buah naga susu dengan penambahan telur pada tiga formula, yaitu F0 (tanpa telur), F1 (satu butir telur), dan F2 (dua butir telur). Metode penelitian ini menggunakan desain kuantitatif pra-eksperimental dengan pendekatan deksriptif-komparatif yang dilaksanakan di wilayah kerja Puskesmas Paruga,Kota Bima. Populasi penelitian adalah seluruh ibu hamil KEK sebanyak 53 orang, sedangkan sampel yang diperoleh di lapangan sebanyak 40 responden yang dipilih menggunakan teknik total sampling berdasarkan kriteria inklusi dan kriteria eksklusi karena sebagian tidak memenuhi kriteria yang di tetapkan. Variabel penelitian meliputi daya terima yang diukur berdasarkan aspek rasa, warna, aroma dan tekstur. Pengumpulan data dilakukan menggunakan uji hedonik dan dianalisis menggunakan uji Friedman serta uji lanjut Wilcoxon untuk mengetahui perbedaan formula. Kandungan gizi dihitung menggunakan Nutrisurvey. Hasil penelitian menunjukkan terdapat perbedaan signifikan pada aspek rasa (p=0,008), warna (p-0,004), dan aromA (p=0,006), Sedangkan tekstur tidak menunjukkan perbedaan signifikan (p=0,168). Formula 1 paling disukai pada aspek rasa, F0 pada warna dan aroma, sedangkan tekstur relatif sama pada semua formula. Secara gizi, peningkatan penambahan telur meningkatkan energi, protein, lemak, vitamin A, dan mineral dengan nilai tertinggi pada F2. Simpulan penelitian ini adalah F1 merupakan formula yang optimal.
Development of Nutraceutical Spirulina-Moringa Oleifera (Nutrismo) Products as Natural Immunomodulator and Antioxidant Supplements M Noris; Alkhair Alkhair; Juraidin Juraidin
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.1950

Abstract

Phycocyanin research shows fluctuating trends and remains underexplored, particularly in its application for functional food and nutraceutical development, creating significant research gaps and opportunities for innovation such as NutrisMO This study aims to identify research trends and gaps in phycocyanin studies and to analyze factors influencing consumer intention to use NutrisMO, a nutraceutical product based on Spirulina and Moringa oleifera.A Systematic Literature Review (SLR) was conducted using the PRISMA approach with data sourced from Scopus (2005–2024), analyzed באמצעות VOSviewer and Leximancer. In addition, a quantitative explanatory study was conducted with 150 respondents selected through purposive sampling to review public acceptance of NUTRISMO products. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) with Smart-PLS. The SLR results indicate that research on phycocyanin is still limited and fluctuative, with identified gaps in food-related applications (21%), product-related challenges (8%), and C-phycocyanin concepts (6%), highlighting opportunities for further research and innovation. Meanwhile, the Smart-PLS analysis shows that all constructs meet validity and reliability criteria. Perceived Bioactive Content (β = 0.400), Health Awareness (β = 0.438), and Trust in Herbal Products (β = 0.440) significantly influence Perceived Benefit, which in turn strongly affects Intention to Use (β = 0.775). The model demonstrates moderate to strong explanatory power, with R² values of 0.513 for Perceived Benefit and 0.600 for Intention to Use. This study confirms that perceived benefit plays a crucial mediating role in shaping consumer intention to use nutraceutical products. It also emphasizes the need for further research on phycocyanin and supports the development of functional nutraceutical innovations like NutrisMO by integrating scientific evidence, health awareness, and consumer trust.
Acceptability Testing of Moringa-Enriched Corn Porridge as a Local Food-Based Nutritional Intervention for Stunting Prevention in Children Under Five Heni Aryani; Dea Zara Avila; Alkhair Alkhair; Aris Irwansyah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11374

Abstract

Indonesia. One of the strategies to prevent stunting is the utilization of nutrient-rich local foods as supplementary feeding for children under five. Corn is an abundant local commodity in Woha District, Bima Regency, and has the potential to be developed into a nutritious food product through the addition of Moringa oleifera leaves, which are rich in protein, vitamins, and minerals. The success of such food products depends not only on their nutritional value but also on their sensory acceptability. Objective: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. Methods: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. This study is expected to produce a corn-egg porridge formulation with a high level of acceptance based on organoleptic characteristics. The resulting product has the potential to serve as a nutritious, affordable, and locally based supplementary food alternative that can be implemented in stunting prevention programs for children under five years of age.Keywords: stunting, corn porridge, Moringa oleifera, acceptability, local food, hedonic test.
Association of Environmental Sanitation and Personal Hygiene Practices with Underweight Among Children Under five Fitratun Nisa; Hairunnisah Hairunnisah; Alkhair Alkhair; Nur Husnul Khatimah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11404

Abstract

Underweight among children under five is a serious nutritional problem that adversely affects children's growth and development. Environmental sanitation and personal hygiene are considered important factors associated with the incidence of underweight. This study aimed to analyze the relationship between environmental sanitation and personal hygiene among children under five and the incidence of underweight in the working area of the Mpunda Community Health Center, Bima City. This study employed a quantitative cross-sectional design. Data were collected using questionnaires and direct field observations. Data were analyzed using the Chi-square test for bivariate analysis and multiple logistic regression for multivariate analysis. The bivariate analysis showed a significant association between environmental sanitation and underweight (p < 0.001; PR = 9.44; 95% CI: 3.59–24.84), as well as between personal hygiene and underweight (p < 0.001; PR = 3.98; 95% CI: 2.05–7.72). The multivariate analysis indicated that environmental sanitation and personal hygiene were significantly associated with the incidence of underweight. Environmental sanitation was identified as the most dominant variable in the analytical model, while personal hygiene was also significantly associated with underweight. Therefore, improving environmental sanitation through the provision of safe drinking water, sanitary latrines, and strengthening parental education on clean and healthy living practices for children under five is essential for preventing underweight.
The Role of Maternal Education, Dietary Diversity and Feeding Practies in Stunting Among Children Under Five Nurilah Kuswanti; Dea Zara Avila; Darmin Darmin; Alkhair Alkhair
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11292

Abstract

Balita merupakan kelompok yang rawan mengalami masalah gizi. Salah satu masalah gizi yang terjadi pada balita adalah stunting. Ada beberapa faktor yang menyebabkan stunting, antara lain tingkat pendidikan, keragaman pangan dan pola asuh dalam pemberian makan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pendidikan ibu, keragaman pangan dan pola asuh pemberian makan. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan case control. Pengambilan sampel penelitian menggunakan purposive sampling. Sampel berjumlah 78 balita di Wilayah Puskesmas Kerja Wawo, terdiri dari 39 sampel stunting dan 39 sampel tidak stunting. Data stunting diperoleh dengan cara perhitungan TB/U dan data tingkat pendidikan, keragaman pangan serta pola asuh diperoleh melalui cara kuesioner. Analisis data dalam penelitian ini menggunakan uji Chi Square. Hasil uji hubungan tingkat pendidikan (p =0.774 ), keragaman pangan (p = 0.011), dan pola pengasuhan memberikan makan (p = 0.000). Kesimpulan : Tidak ada hubungan tingkat pendidikan ibu dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan keragaman pangan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan pola asuh pemberian makan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo.
Association of Exclusive Breastfeeding, Dietary Diversity, and Feeding Practices with Stunting among Under-Five Children Nursahida hida; Darmin Darmin; Alkhair Alkhair
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11415

Abstract

Stunting is a chronic nutritional problem that can hinder children’s growth and development. This study was conducted to determine the relationship between exclusive breastfeeding, dietary diversity, and parenting practices and the prevalence of stunting among toddlers in the service area of the Penana’e Community Health Center. This study used a quantitative analytical design with a cross-sectional approach. The sample size for this study was 78 toddlers selected using simple random sampling. Data were collected via questionnaires and anthropometric measurements, then analyzed using the Chi-Square test and Fisher’s Exact Test. The results showed that 38 toddlers (48.7%) were classified as stunted, while 40 toddlers (51.3%) were not stunted. The majority of respondents had a history of insufficient exclusive breastfeeding (57.7%), insufficient dietary diversity (53.8%), and parenting practices classified as good (94.9%). The results of the analysis show that exclusive breastfeeding is not significantly associated with the incidence of stunting, with a p-value of 0.672. Similarly, dietary diversity does not show a significant association with the incidence of stunting, with a p-value of 0.807, and parenting practices are also not significantly associated with the incidence of stunting, with a p-value of 0.352. Thus, it can be concluded that exclusive breastfeeding, dietary diversity, and parenting practices do not have a statistically significant association with the incidence of stunting in toddlers. 
Hubungan pengetahuan, sikap, dan dukungan sekolah dengan kepatuhan konsumsi tablet tambah darah pada remaja putri Salsabiila Salsabiila; Muammar Iksan; Nur Husnul Khatimah; Alkhair Alkhair
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3533

Abstract

Background: Adolescent girls are at risk of anemia due to increased iron requirements during growth and menstruation. Although the iron supplementation program has been implemented, adherence rates regarding the consumption of these supplements remain low. Purpose: To determine the relationship between knowledge, attitudes, and school support and adherence to iron supplementation consumption among adolescent girls. Method: A quantitative study with a cross-sectional design was conducted involving 89 respondents selected via purposive sampling. This research was conducted at State Islamic High School 2 Bima City in April and May 2026. Data were collected using questionnaires and analyzed using the Chi-Square test and multiple logistic regression. Results: Most respondents possessed good knowledge (69.7%) and fair attitudes (59.6%) but perceived school support as inadequate (71.9%); additionally, 52.8% of respondents were non-adherent to consumption. Knowledge was not associated with adherence (p=0.096; OR=2.3), whereas attitudes (p=0.004; OR=3.8) and school support (p=0.020; OR=1.4) showed significant associations. Attitude was the most dominant factor influencing adherence. Conclusion: There is no significant relationship between knowledge and adherence to Iron Supplementation consumption among adolescent girls. Conversely, there are significant relationships between attitudes and school support and adherence to consumption among adolescent girls. Suggestion: Schools need to strengthen education and monitoring regarding consumption. Future research is advised to include factors such as family support, peer support, motivation and side effects.   Keywords: Attitude; Compliance; Iron-Folic Acid Tablets; Knowledge; School Support.
Hubungan pengetahuan ibu tentang gizi dan praktik pemberian makanan tambahan terhadap kejadian stunting pada balita usia 12-36 bulan Neneng Wahyuningsih; Muhammad Noris; Alkhair Alkhair; Nur Husnul Khatimah
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3819

Abstract

Background: Stunting is a nutritional problem that still occurs frequently in toddlers and can have long-term impacts on physical growth, cognitive development, and future productivity. Maternal knowledge about nutrition and appropriate supplementary feeding practices play a crucial role in meeting children's nutritional needs and preventing growth disorders. However, low maternal knowledge and inappropriate feeding practices remain contributing factors to stunting in toddlers. Purpose: To analyze the relationship between maternal knowledge about nutrition and supplementary feeding practices and the incidence of stunting in toddlers aged 12–36 months. Method: Using an observational analytical design with a cross-sectional approach, the study was conducted among mothers of toddlers aged 12–36 months in the Sori Utu Community Health Center working area. A total of 114 respondents were selected using a simple random sampling technique. Data were collected using a structured questionnaire to measure maternal knowledge about nutrition and supplementary feeding practices provision practices, while stunting status was determined through anthropometric measurements based on the height-for-age index. Data analysis was performed using the Chi-Square test with a significance level of p<0.05. Results: Most respondents had adequate nutritional knowledge (40.4%) and good supplementary feeding practices (54.4%). The prevalence of stunting in toddlers was 37.7%. Bivariate analysis showed a significant association between maternal knowledge of nutrition and the incidence of stunting (p<0.001). A significant association was also found between supplementary feeding practices and stunting (p<0.001). Toddlers whose mothers had poor nutritional knowledge and poor supplementary feeding practices were at higher risk of stunting. Conclusion: This study shows that maternal knowledge of nutrition and supplementary feeding practices are significantly associated with the incidence of stunting in toddlers aged 12–36 months. Suggestion: Further research is recommended to examine other factors associated with stunting, such as history of infectious diseases, environmental sanitation, household food security, family socioeconomic status, birth weight, and maternal nutritional status during pregnancy.   Keywords: Maternal Knowledge; Nutrition; Supplementary Feeding; Stunting; Toddlers.
Analisis daya terima bakso ikan tenggiri dan daun kelor (Scomberomorus Commerson & Moringa Oleifera) sebagai pangan lokal bergizi pada balita stunting usia 36-59 bulan Erna Amelya; Nur Husnul Khatimah; Dea Zara Avila; Alkhair Alkhair
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3820

Abstract

Background: Stunting remains a major nutritional problem in Indonesia and can affect children's growth and development. Utilizing nutrient-rich local foods is one strategy to support nutritional improvement in stunted children. Spanish mackerel (Scomberomorus commerson) is a good source of high-quality animal protein, while moringa leaves (Moringa oleifera) are rich in vitamins, minerals, and antioxidants. These ingredients have the potential to be developed into nutritious food products. However, consumer acceptance is a critical factor determining product utilization. Purpose: To analyze the acceptability and differences in sensory evaluation of mackerel meatballs enriched with moringa leaves in stunted children aged 36–59 months. Method: This experimental study used three formulations of Spanish mackerel meatballs with different concentrations of moringa leaves: F1 (10%), F2 (15%), and F3 (20%). The study was conducted in June 2025 within the working area of ​​the Langgudu Timur Community Health Center, Bima Regency, West Nusa Tenggara. Acceptability testing was conducted by 30 panelists using a hedonic test covering aspects of taste, color, aroma, and texture on a five-point scale. Data were analyzed using the Friedman test at a 95% confidence level (α=0.05). Results: Significant differences in acceptability were found among the three formulations for all sensory aspects (p<0.05). Formulation F2 had the highest average ratings for taste (2.53), aroma (2.60), and texture (2.82). Meanwhile, formulation F3 had the highest average rating for color (2.82). Overall, formulation F2 demonstrated the highest level of acceptability among panelists. Conclusion: There were significant differences in acceptability of mackerel fish balls with added moringa leaves based on taste, color, aroma, and texture. Formulation F2, containing 15% moringa leaves, was the most preferred formulation and has the potential to be developed as a nutritious local food alternative to support stunting prevention and management programs. Suggestion: Further research is recommended to analyze the nutritional content, product shelf life, and examine the effect of mackerel fish ball and moringa leaf consumption on the nutritional status and growth of stunted children to gain a more comprehensive understanding of the product's benefits.   Keywords: Acceptability; Moringa Leaves; Local Nutritious Food; Spanish Mackerel Meatballs; Stunting.