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Elvi Suryani
Program Studi DIII Kebidanan, Sekolah Tinggi Ilmu Kesehatan Darmais Padangsidimpuan
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Analysis of Factors Affecting Poor Nutrition in Infants Aged 0-6 Months Harahap, Maryam Latifah; Suryani, Elvi; Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Siregar, Ratna Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.11

Abstract

Malnutrition (kwashiorkor) is a form of malnutrition. Malnutrition itself can be understood as a nutritional error. It can be in the form of deficiency or excess of nutrients. This research is a case control study. The population in this study were 45 people. Data was collected through medical records and interviews using a questionnaire. Data were analyzed univariately, bivariately using Chi-Square test at 95% confidence level (P<0.05) and multivariate using multiple logistic regression test. The results showed that the results of the statistical test of the knowledge independent variable obtained a Sig value of 0.001 < p: 0.05, family income obtained a Sig value of 0.001 < p: 0.05, exclusive breastfeeding obtained a Sig value of 0.001 < p: 0.05, which means that there is a significant relationship between the independent and dependent variables. The most dominant variable that has the greatest influence on the incidence of malnutrition is knowledge which has the largest Exp (B) value of 112,687 with a regression coefficient (B) of 4.725. The Health Office of South Tapanuli Regency is expected to be able to increase outreach and counseling programs about the importance of nutritional status in infants aged 0-6 months.
The Influence of Knowledge of Mother Who Have Baby 6-12 Months on Supplementary Feeding Suryani, Elvi; Harahap, Maryam Latifah; Rangkuti, Nur Aliyah; Batubara, Novita Sari; Siregar, Rya Anastasya; Siregar, Ratna Dewi
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.12

Abstract

Based on data from the Health Organization (WHO) in 2002 reported that 54% of deaths were caused directly or indirectly by undernutrition and malnutrition. IV pijorkoling, southeast Padangsidimpuan sub-district in 2022. This type of research is descriptive using a total sampling of 30 respondents. Collecting data using a questionnaire sheet, researched based on influence, age, education, occupation, parity and sources of information. The majority of respondents with less influence are 18 people (60%), the majority are less than 20-40 years old as many as 16 people (53.34%), the majority have less influence have a high school education as many as 15 people (50%), the majority have less influence are household workers as many as 14 people, (46.67%), the majority of respondents with low influence received information from health workers as many as 18 people (60%) and the majority with less influence based on parity of mothers who gave birth 3-4 times as many as 10 people (33.33%). The majority of the influence of mothers who have babies 6-12 months regarding complementary feeding is still lacking, so it is hoped that mothers will increase their influence and increase awareness and follow the instructions of health workers.
The Relationship of Learning of ASKEB II Course Practicum Laboratory With the Achievement of Level II Students' Competence Suryani, Elvi; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Ihram Kurnia Agusta
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.41

Abstract

Practical learning is a process to improve the skills of participants by using various methods according to the skills provided and the equipment used. This type of research is descriptive analytic with a cross sectional approach. Data analysis was performed using the chi square formula. The results showed that from the results of the cross table between laboratory practicum learning and competency achievement, the majority of both categories were good, namely as many as 22 people (39.3 %), the majority category was sufficient, namely 15 people (26.8%). And the less majority category is sufficient, namely 2 students ( 3.6 %). The results of statistical tests with the Chi-Square test showed that the value of X 2 count (22.485) > (9.488) and the value of p = 0.000 < 0.05 . It means that Ho is rejected and Ha is accepted, so that there is a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students. The conclusion of this study is that bivariate analysis with the Chi-Square test is known to have a relationship between laboratory practicum learning for the Askeb II subject and the achievement of competence level II students.
Quality Evaluation of the Implementation of the Fe Tablet Program for Pregnant Women at Nasywa Clinic, Kisaran Pratiwi, Debby; Anggriani, Ririn; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 1 (2023): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i1.467

Abstract

Globally, the prevalence of iron deficiency remains a significant concern among pregnant women, with an estimated 43.9% affected. The estimated prevalence of iron deficiency in pregnant women is 49.4% in Asia, 59.1% in Africa, 28.1% in the Americas, and 26.1% in Europe. The prevalence of substance deficiency in pregnant women in Indonesia remains relatively high, and deficiency plays a role in contributing to the high maternal and infant mortality rates observed in the country (Paridah, 2022). According to the Health Office profile (2020), the TTD coverage in pregnant women in North Sumatra Province in 2019 was 92.49%, representing a decline from the 2018 figure of 94.30%. The provincial coverage remains below the performance indicator and target for nutrition improvement activities in 2019, which is 95%. Furthermore, there was a reduction in the provision of TTD in four districts/cities. In Kisaran City, for instance, the coverage rate decreased from 93.30% in 2018 to 92.93% in 2019. This study employs a qualitative approach with a phenomenological design, with the aim of elucidating the phenomenon of implementing the Fe tablet program at the Nasywa Clinic in Kisaran in 2022. The study at Nasywa Clinic in Kisaran involved 50 pregnant women. It evaluated the Fe tablet supplementation program in 2022, revealing that health workers' collaboration in procuring and planning Fe tablets, along with midwives' distribution efforts, were crucial. However, the program's coverage did not meet targets, and pregnant women's compliance in taking Fe tablets was less than optimal.
Determinants of Stunting Among Children Under Five Years in Indonesia: Evidence from the 2021-2022 Demographic and Health Survey Siregar, Rahmah Juliani; Harahap, Maryam Latifah; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 3 No. 2 (2024): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v3i2.794

Abstract

At the global level, the prevention of stunting is one of the Sustainable Development Goals (SDGs). Indonesia is currently working towards achieving the second Sustainable Development Goal, which entails ending hunger, ensuring food security, improving nutrition, and supporting sustainable agriculture. As a part of this objective, efforts are being made to decrease the prevalence of stunting in children by 2025. Attention towards stunting is crucial as it can adversely affect children's physical and cognitive development well into adulthood if not addressed appropriately. This paper conducted a literature review from various sources, with a focus on google scholar and prioritizing sources from the last five years, as well as research on the population in Indonesia. It was determined through the analysis of several sources that maternal, child, and environmental factors pose various risks for stunting in Indonesia. Maternal factors that may play a role in child development include the mother's age, upper arm circumference, height, breastfeeding or complementary feeding practices, early initiation of breastfeeding and food quality during pregnancy. A history of low birth weight or prematurity, male sex, neonatal illness, frequent and recurrent diarrhea, infectious diseases, and lack of immunization are among the child factors associated with developmental outcomes. Factors such as living in a low socio-economic environment, limited family education, especially maternal education, insufficient household income, open defecation in rivers, gardens or inadequate latrines, consumption of untreated drinking water and high exposure to pesticides are also associated with the prevalence of stunting.
The Influence of Postpartum Exercise on Uterine Involution Speed in Postpartum Mothers Fatimah; Harahap, Maryam Latifah; Siregar, Rahmah Juliani; Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.950

Abstract

The postpartum period begins a few hours after the birth of the placenta and continues until approximately 6 weeks after childbirth. According to the World Health Organization (WHO), an estimated 830 women die every day due to complications from pregnancy and childbirth. In 2015, approximately 303,000 women died during pregnancy, childbirth, or in the postpartum period. The theme of this study is to investigate the influence of postpartum exercise on the speed of uterine involution among postpartum mothers at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. This study utilized a quasi-experimental design with a pretest-posttest only design. The research was conducted at BPM Mona Durryah Siregar, SKM in North Padangsidimpuan District. The population consisted of 10 postpartum mothers, with a sample size of 10. Data analysis included univariate and bivariate analyses. The results of the study showed a significant decrease in uterine fundus height among the 10 respondents, with a percentage of 2.70%. None of the respondents experienced subinvolution after the postpartum exercise intervention. However, 10 respondents faced challenges in decreasing uterine fundus height both before and after the intervention. The Wilcoxon ρ-value test of 0.004 indicates that postpartum exercise influences the speed of uterine involution among postpartum mothers. The implications of this study suggest that implementing postpartum exercise therapy can accelerate uterine involution among postpartum mothers. It is recommended that these findings be used to develop counseling programs related to postpartum exercise at BPM Mona Durryah Siregar, SKM.
The Effectiveness of Traditional Indonesian Massage for Reducing Fever in Babies Joharmi, Joharmi; Suryani, Elvi; Meiranny, Arum
International Journal of Nursing Information Vol. 2 No. 2 (2023)
Publisher : Qualitative and Quantitative Research Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58418/ijni.v2i2.65

Abstract

Traditional Indonesian massage is a form of physical therapy and part of cultural identity and ancestral heritage that is maintained and passed on from generation to generation. The phenomenon of traditional Indonesian massage is an important part of the culture and healing tradition, which includes various massage techniques passed down from ancestors and has roots in beliefs, traditional healing practices, and the local heritage of the Indonesian people. Fever in babies can cause anxiety in the mother. A safe solution that minimizes drug side effects is non-pharmacological therapy. This research aimed to determine the impact of traditional massage on reducing fever in babies. This type of research is quantitative research. Sampling was carried out using a purposive sampling technique with a total of 60 babies who had fever criteria. Data analysis used the t-test. The study's results showed that the average temperature measurement for babies before the traditional massage was 38.15 degrees Celsius (low fever), while the average temperature measurement for babies after the traditional massage was 36.78 degrees Celsius (normal). The results of the statistical hypothesis analysis show that traditional massage has a significant effect on reducing fever in babies. This means traditional massage can significantly reduce fever in babies, with an average reduction of 1.37 degrees Celsius. This research contributes to providing information to mothers and midwives about the benefits of baby massage for treating fever, baby growth and development.
The Relationship Between Pre-Conception Nutritional Care Patterns and ANC Frequency with Stunting Incidence in Newborns: A Prospective Cohort Study in North Sumatra Suryani, Elvi
Journal of Public Health Sciences Vol. 4 No. 03 (2025): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001102

Abstract

Stunting remains a critical public health challenge in Indonesia, with North Sumatra showing particularly high prevalence rates. Pre-conception nutrition and antenatal care (ANC) frequency are potentially modifiable factors that may influence birth outcomes and subsequent growth patterns. To examine the relationship between pre-conception nutritional care patterns and ANC frequency with stunting incidence in newborns using a mixed-methods prospective cohort design in North Sumatra. A prospective cohort study was conducted involving 1,200 women of reproductive age (18-35 years) who intended to conceive, recruited from primary healthcare centers across North Sumatra. Participants were followed from pre-conception through 24 months post-delivery. Pre-conception nutritional assessment included body mass index (BMI), mid-upper arm circumference (MUAC), hemoglobin levels, and dietary intake patterns. ANC frequency and quality were monitored throughout pregnancy. Birth outcomes and child growth measurements were assessed at birth, 6, 12, 18, and 24 months. Qualitative interviews were conducted with a subsample of 60 mothers to explore perceptions and experiences regarding nutrition and healthcare utilization. The overall stunting prevalence at 24 months was 28.3%, consistent with national averages. Mothers with optimal pre-conception nutrition status (adequate BMI ≥18.5 kg/m², MUAC ≥23.5 cm, hemoglobin ≥12 g/dL) had significantly lower risk of having stunted children (adjusted OR: 0.65, 95% CI: 0.48-0.87, p<0.01). Adequate ANC visits (≥6 visits) were associated with 18% lower risk of stunting (adjusted OR: 0.82, 95% CI: 0.68-0.99, p<0.05). Qualitative findings revealed significant knowledge gaps regarding pre-conception nutrition importance and cultural barriers to optimal healthcare utilization.  Pre-conception nutritional status and adequate ANC frequency are significant protective factors against stunting in North Sumatra. Integrated interventions targeting both pre-conception health optimization and improved ANC utilization may substantially reduce stunting prevalence.
Literacy in Digital Reproductive Health: Analysis of Sexual Violence Prevention Among Adolescents in Padangsidempuan City, Indonesia Suryani, Elvi
International Journal of Community Service (IJCS) Vol. 5 No. 1 (2026): January-June
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijcs.v5i1.1827

Abstract

Adolescents in Indonesia increasingly navigate a digitized environment where online and offline risks to sexual and reproductive health intersect. Padangsidimpuan City in North Sumatra has a predominantly young population, yet little evidence exists on how digital reproductive health literacy can be leveraged to prevent sexual violence. This qualitative study adopts a narrative review and document-based content analysis to synthesize empirical and conceptual literature on digital health literacy, adolescent reproductive health education, and sexual and technology-facilitated gender-based violence in Indonesia, with a specific focus on implications for Padangsidimpuan. Data sources include peer‑reviewed journals, government statistics, and policy and NGO reports. The analysis identifies four major themes: (1) rapid digitalization and youth demographics as a double-edged sword, (2) persistent gaps in reproductive health literacy and taboo-laden communication, (3) the high and evolving burden of sexual and online gender-based violence among adolescents, and (4) digital reproductive health literacy as a promising but underutilized strategy for primary prevention. A multi-level framework is proposed, emphasizing the roles of schools, families, health services—especially midwives—and local government in strengthening adolescents’ critical, safe, and rights-based engagement with digital reproductive health information. The findings inform context-sensitive strategies for Padangsidimpuan and highlight priorities for future local qualitative research
Dietary Intervention Using Salacca (Snake Fruit) Chips to Combat Anemia in Pregnancy: Evaluation of Iron Status Improvement and Compliance Factors in Padangsidempuan, Indonesia Suryani, Elvi
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1923

Abstract

Anemia in pregnancy remains a critical public health challenge in Indonesia, with prevalence exceeding 48% in some regions. Conventional iron supplementation faces barriers related to adherence and side effects. Salacca zalacca (snake fruit), an indigenous Indonesian fruit rich in iron (3.9–4.2 mg), vitamin C (8.4 mg), and phytochemicals per 100 g, offers a promising food-based intervention. This study evaluated the efficacy of vacuum-fried snake fruit chips in improving iron status and assessed compliance determinants among anemic pregnant women in Padangsidempuan, North Sumatra. A quasi-experimental design involved 128 participants (64 per group). The intervention group received 50 g of snake fruit chips daily for 12 weeks plus routine iron–folic acid (IFA), while controls received IFA alone. At week 12, the intervention group showed significantly greater improvements in hemoglobin (11.82 ± 0.91 vs. 10.94 ± 1.02 g/dL), serum ferritin (28.46 ± 5.73 vs. 22.18 ± 6.41 μg/L), and hematocrit (35.86 ± 2.74% vs. 33.45 ± 3.12%) (all p < 0.001). Anemia prevalence reduction was 41.7% vs. 26.7% (p = 0.008). High compliance (≥80%) was achieved by 81.3% of the intervention group. Palatability, family support, and perceived health benefits were significant positive predictors of compliance. These findings support integrating culturally acceptable, food-based interventions into maternal nutrition programs to address iron deficiency anemia in resource-limited settings.
Co-Authors Anggriani, Ririn Batubara, Novita Sari Eva Yusnita Nasution Fatimah Fatimah fatimah Fatimah Ihram Kurnia Agusta Joharmi, Joharmi MARIA BINTANG Maryam Latifah Harahap Maryam Latifah Harahap meiranny, arum Normayanti Rambe pratiwi, Debby Rahma Juliani Siregar Rahmah Juliani Siregar Rambe, Normayanti Rangkuti, Nur Aliyah Siregar, Ratna Dewi Siregar, Rya Anastasya Wiwi Wardani Tanjung