nikmah, khusnul
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The Interaction Between Environmental Sanitation and Pregnant Women's Nutritional Intake on the Risk of Stunting in Toddlers Nikmah, Khusnul; Susila, Ida
Jurnal Ilmiah Kesehatan Vol 19 No 01 (2026): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v19i01.7752

Abstract

Stunting is a chronic nutritional problem that impacts the physical growth and development of children. Environmental sanitation factors and maternal nutritional intake during pregnancy play a crucial role in determining toddlers' nutritional status. This study analyzes the relationship between environmental sanitation and pregnant women's nutritional intake on the incidence of stunting in toddlers. In addition, their interactions with stunting incidence. The study used an analytical observational design with a cross-sectional approach. The study population comprised families with toddlers aged 6–59 months. A sample of 100 families was selected using a purposive sampling technique. Data were collected through structured questionnaires, mother interviews, sanitation observations, and height measurements for height-for-age using WHO standards to assess stunting incidence. Data analysis used univariate analysis, the Chi- Square Test for bivariate analysis, and logistic regression to examine variable interactions. Results showed that 38% of toddlers experienced stunting, 45% of families had poor environmental sanitation, and 42% of pregnant women had inadequate nutritional intake. There was a significant correlation between environmental sanitation and the incidence of stunting (p=0.001) and between pregnant women's nutritional intake and stunting (p=0.003). The logistic regression analysis showed that toddlers exposed to poor sanitation and inadequate nutritional intake during pregnancy had a 3.2 times higher risk of stunting than those exposed to only one factor. Stunting is a multifactorial problem influenced by poor sanitation and inadequate maternal nutritional intake during pregnancy. Therefore, efforts to prevent stunting need to be integrated through improving environmental sanitation and enhancing the nutritional quality of pregnant women.
Effectiveness of Whatsapp-based Digital Education in Improving Knowledge and Early Detection of Preeclampsia in Pregnant Women Darwati, Lilik; Muthoharoh, Husnul; Nikmah, Khusnul; Wasiah, Asyaul; Ningsih, Eka Sarofah; Darmawan, Erica Valenskie
Jurnal Kebidanan Midwiferia Vol. 12 No. 1 (2026): April (In Progress)
Publisher : Universitas Muhammadiyah Sidoarjo

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Abstract

Preeclampsia is a pregnancy complication characterized by increased blood pressure and proteinuria after 20 weeks of gestation. This condition remains a leading cause of maternal and infant morbidity and mortality worldwide, including in Indonesia. This study aims to evaluate the effectiveness of education in improving pregnant women's knowledge about preeclampsia. The study used a quasi-experimental design with a pretest-posttest control group. This design was used to identify pregnant women by comparing the intervention and control groups before and after education. The study population was pregnant women undergoing prenatal care at the Kustini Turi Lamongan Health Center (TPMB) and meeting the inclusion and exclusion criteria. A sample of 30 respondents was drawn using a purposive sampling technique. The chi-square statistical test showed a p-value of 0.012 (p < 0.05), indicating a significant relationship between WhatsApp-based digital education and pregnant women's knowledge about preeclampsia. This suggests that pregnant women exposed to WhatsApp education tended to have better knowledge than those not exposed. Education through WhatsApp in this study contributed to increasing pregnant women's awareness of the importance of routine prenatal checkups and their awareness of pregnancy complications. With increased knowledge, it is hoped that the risk of undetected preeclampsia can be minimized. Pregnant women are expected to be more active in seeking health information and raising awareness of the importance of early preeclampsia detection. For further research, it is recommended to conduct studies with larger sample sizes and use more robust research designs to obtain more comprehensive results.