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Analysis of Maternal Knowledge and Complementary Feeding Patterns as Risk Factors for Stunting in Children Aged 6-24 Months Syahputra Yamin, Imam; Tania Fidzikri, Nanda Berliana; Effendi, Julham; Tamara, Metha Dwi; Rahmawati, Santi Deliani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.540

Abstract

Introduction: Nutritional status during the critical period of 6–24 months relies heavily on appropriate Complementary Feeding (MP-ASI), a practice directly modulated by maternal health literacy. Objective: This study analyzed the correlation between maternal knowledge levels and complementary feeding patterns with the nutritional status of children aged 6–24 months in Central Lombok Regency. Method: This cross-sectional study involved 73 mothers selected via consecutive sampling in the Penujak Public Health Center area. Maternal knowledge and feeding patterns were assessed using validated questionnaires, while nutritional status (Length-for-Age) was derived from secondary data. Data were analyzed using the Spearman’s rho test. Result and Discussion: Stunting prevalence was critically high at 57.5%. Most mothers (50.7%) had 'moderate' knowledge. Bivariate analysis revealed a significant positive correlation between maternal knowledge and nutritional status (r=0.297; p=0.011). Furthermore, a moderately strong correlation was found between complementary feeding patterns and nutritional status (r=0.531; p<0.001). Conclusion: Complementary feeding practices serve as a stronger determinant of nutritional status than knowledge alone. Interventions must shift from passive education to operational strategies, such as cooking demonstrations of local menus and the reactivation of Toddler Mothers’ Classes (Kelas Ibu Balita) to improve practical feeding skills.
Effectiveness of Audiovisual Nutrition Education via YouTube on Balanced Nutrition Knowledge and Attitudes Among Indonesian Adolescents: A Quasi-Experimental Study Tamara, Metha Dwi; Ruhyat, Ejeb; Tusrini, Weni; Effendi, Julham; Tania Fidzikri, Nanda Berliana; Yamin, Imam Syahputra; Rahmawati, Santi Deliani
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.543

Abstract

Introduction: Adolescents currently face a double burden of malnutrition amidst a rapid transformation in digital health information. Conventional educational methods often fail to effectively engage Generation Z, a demographic with a distinct preference for visual and interactive learning formats. Objective: This study evaluated the effectiveness of a YouTube-based audiovisual intervention in improving knowledge and attitudes regarding balanced nutrition among adolescents in a boarding school setting. Method: This quantitative study employed a quasi-experimental, one-group pretest-posttest design. Participants comprised 88 students from MAPK Jabal Hikmah, an Islamic boarding school in East Lombok Regency, Indonesia, recruited via total sampling. The intervention consisted of a structured educational video aligned with the Indonesian Balanced Nutrition Guidelines (Pedoman Gizi Seimbang). Data were analyzed using the Wilcoxon Signed-Rank Test due to the non-normal distribution of variables. Result and Discussion: The intervention yielded a statistically significant increase in nutrition knowledge (p < 0.001), with mean scores rising from 30,51 to 80,40. Attitude scores also demonstrated significant improvement (p < 0.001), increasing from 46,53 to 61,02. Notably, the proportion of students categorized as having a "good" attitude rose substantially to 98.9% post-intervention, compared to 39.8% at baseline. Conclusion: YouTube-based audiovisual interventions are an effective and efficient digital health promotion strategy for enhancing adolescent nutrition literacy. Future studies should incorporate a control group to strengthen internal validity and generalizability.
Occupational Noise Exposure in Open-Pit Coal Mining: Implications for Auditory Health, Safety Risks, and the Need for Real-Time Monitoring Adenan, Adenan; Yamin, Imam Syahputra
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 4 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i4.562

Abstract

Introduction: Noise is a dominant physical hazard in the mining industry that is often overlooked, despite its significant impact on auditory health and occupational safety risks, including fatigue and accidents. Objective: This study aims to identify the profile of noise exposure, analyze its impact on workers' hearing function and safety risks, and formulate optimal control strategies at a major coal mining services company. Methods: A descriptive observational case study was conducted in August 2025 at critical operational areas (Pit Road and Workshop). Primary data were collected using a calibrated Sound Level Meter referring to SNI 7231:2009 standards, while secondary data were obtained from workers' audiometric Medical Check-Up (MCU) results. Results and Discussion: Measurements indicated that 80% of sample points exceeded the Threshold Limit Value (85 dBA), with the highest intensity reaching 98 dBA in the Workshop area. MCU analysis revealed a prevalence of hearing impairment indications of 35% among operators with a service period of >5 years. High noise levels were also identified as potential factors reducing vigilance and hindering operational communication. Conclusion: Current administrative controls and the use of Personal Protective Equipment (PPE) are insufficient in reducing risks. The study recommends a transition towards technology-based continuous noise monitoring (IoT) and the integration of health data for more proactive OHS risk management
Epidemiological Study of Wasting Among Children Under Five in Coastal Areas: An Analysis of Food Security and Dietary Quality Yamin, Imam Syahputra; Rahmawati, Santi Deliani
JURNAL KESEHATAN TROPIS INDONESIA Vol. 4 No. 1 (2026): Januari
Publisher : PT. LARPA JAYA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63265/jkti.v4i1.175

Abstract

Coastal regions are typically associated with abundant access to animal protein; however, empirical data reveal a high prevalence of wasting in these areas, presenting a coastal nutritional paradox. Despite being the urban center of West Nusa Tenggara, Mataram City faces a significant burden of wasting, particularly within its coastal communities. This study aimed to analyze the association between household food security, dietary patterns, and the incidence of wasting. A cross-sectional study was conducted in Mataram City from February to September 2024, involving 155 children aged 12–59 months selected via total sampling. Food security was assessed using the Household Food Insecurity Access Scale (HFIAS), while dietary patterns were evaluated using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Nutritional status was determined via anthropometric measurements (weight-for-height). The results indicated an alarming prevalence of wasting (49.7%) and severe wasting (20.0%). Although 52.3% of households experienced moderate food insecurity, statistical analysis revealed no significant association between household food security and wasting (p=0.659). Conversely, dietary patterns were significantly associated with wasting (p=0.003). This study highlights a paradox wherein household food access does not guarantee optimal child nutritional status. The primary driver of wasting in this coastal population appears to be poor dietary quality and insufficient protein intake rather than mere food availability. Future interventions must shift from generalized food aid to targeted nutritional education focusing on dietary diversity.
The Differential Effect of Community-Based Supplementary Feeding on Wasting and Stunting: Epidemiological Evidence from an Endemic Region in West Nusa Tenggara Yamin, Imam Syahputra; Rahmawati, Santi Deliani; Furqan, Baiq Repika Nurul
JURNAL KESEHATAN TROPIS INDONESIA Vol. 4 No. 1 (2026): Januari
Publisher : PT. LARPA JAYA PUBLISHER

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63265/jkti.v4i1.178

Abstract

Stunting remains a persistent public health challenge in Indonesia, particularly within high-prevalence enclaves. Although local food-based Supplementary Feeding Programs (SFP) are widely implemented, their specific epidemiological impact on anthropometric indices specifically the divergence between weight and height recovery requires rigorous evaluation in high-burden settings. This study aimed to analyze the effectiveness of a 90-day local food-based SFP intervention on anthropometric Z-score shifts among stunted toddlers in Setungkep Lingsar Village, East Lombok. A quasi-experimental study with a one-group pretest-posttest design was conducted on a total population of 59 stunted toddlers (aged 6–59 months). Anthropometric measurements (Weight, Height) and WHO standard indices (Weight-for-Age [WAZ], Height-for-Age [HAZ], and Weight-for-Height [WHZ]) were assessed pre- and post-intervention. Data were analyzed using the Paired Sample t-test with statistical significance set at p<0.05. The intervention yielded statistically significant improvements across all growth parameters (p=0.0001). The most rapid response was observed in acute nutritional indicators; the prevalence of normal nutritional status based on Weight-for-Height (WHZ) increased substantially from 10.2% to 46.9%, with a mean weight gain of 0.45 kg. Conversely, although Height-for-Age (HAZ) showed statistical improvement, the clinical shift from stunted to normal status remained minimal (2.0%), confirming a physiological lag in linear growth recovery compared to ponderal (weight) recovery. Local food-based SFP is highly effective for the rapid correction of acute malnutrition (wasting) but requires a sustained maintenance phase to achieve significant catch-up growth for stunting. Policy strategies in high-burden regions must extend monitoring beyond the acute recovery phase to ensure long-term linear growth rehabilitation.