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Sri Achadi Nugraheni

Departemen Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

Author-ID : 2403946

Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Determinant factors of obesity in urban and rural studies on adolescents in Banten Province, Indonesia Perdanawati, Mia; Nugraheni, Sri Achadi; Syauqy, Ahmad; Noer, Etika Ratna; Muniroh, Muflihatul
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 12, No 2 (2024): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.12.2.126-135

Background: The prevalence of obesity which continues to grow in children and adolescents is a concern since it increases degenerative disease risk. Obesity is not only a problem in urban areas, but it is also growing in rural areas.Objective: The aim of this study was to analyze the determinants of obesity in adolescents in rural and urban areas in Banten Province.Materials and Methods: This research design used a case-control method with a purposive sampling technique. The sample in the study consisted of 160 adolescent subjects from 2 different schools. Each school representing 40 case samples that were adolescents with obesity and control adolescents with a normal body mass index. This study was conducted at one school in Cilegon City to represent the urban sample and one school in Pandeglang Regency to represent the rural sample. For each sample, body weight and height were measured, filling out the SQ-FFQ, International Physical Activity Questioner (IPAQ), Pittsburgh Sleep Quality Index and DASS-42 (Depression Anxiety Stress Scale) questionnaires. Data regarding the results of air quality monitoring which includes data (PM10, SO2 O3 and NO2) was obtained from the Environmental Service. Meanwhile, data were analyzed by using Chi-Square and logistic regression.Results: The determinants of obesity in adolescents in rural were protein intake more than RDA (p=0.003 OR=9.948), low physical activity (P=0.005 OR=22.094), high of SO2 exposure (P=0.005 OR=19.817) and bad sleep quality (P=0.007 OR=8.901) while adolescents in urban were protein intake more than RDA (p=0.001 OR=21.570), bad sleep quality (p=0.002 OR=16.550), high stress level (p=0.006 OR=15.922) and carbohydrate intake more than RDA (p=0.072 OR=5.044).Conclusion: Protein intake is the biggest determinant of the incidence of obesity in adolescents both in rural and urban areas.

PENGARUH MEDIA B-STUNTRACK TERHADAP PENGETAHUAN, SIKAP DAN PRAKTIK REMAJA PUTRI TENTANG PENCEGAHAN GENERASI STUNTING Rukman, Pingkan Fristiwi; Nugraheni, Sri Achadi; Kartini, Apoina
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.33647

Malnutrisi mempunyai konsekuensi yang sangat serius, menyebabkan peningkatan angka kesakitan dan kematian secara signifikan salah satunya adalah stunting. Stunting atau kurang gizi kronis pada anak merupakan masalah kesehatan global yang perlu diperhatikan, terutama di negara-negara berkembang seperti indonesia. Banyak faktor yang menyebabkan stunting salah satunya adalah pernikahan dini. Anak-anak dari ibu yang berusia remaja delapan kali lebih mungkin mengalami stunting dibandingkan anak-anak dari ibu yang berusia lebih tua. Oleh karena itu, remaja putri yang sudah memasuki usia subur sudah harus dipersiapkan baik secara fisik (gizi yang baik, tidak anemia) dan pengetahuan, sikap tentang pencegahan generasi stunting, dan praktik deteksi dini KEK ditempat angka stunting tertinggi. Penelitian ini bertujuan untuk menganalisis pengaruh media B-STUNTRACK (Booklet Stunting Track) terhadap pengetahuan,sikap dan praktik remaja putri tentang pencegahan generasi stunting. Penelitian ini menggunakan pendekatan kuantitatif dengan desain Quasi Eksperiment Pretest-Posttest With Control Group Design. Dengan jumlah 47 responden pada kelompok intervensi dan 47 responden pada kelompok kontrol. Pengambilan sample dalam penelitian ini menggunakan teknik Proportional Stratified Random Sampling. Analisis data menggunakan uji Wilcoxon Signed Rank Test. Kemudian dilakukan uji Mann Whitney untuk mengetahui perbedaan dan selisih pengetahuan, sikap,dan praktik remaja putri pada kelompok intervensi dan kelompok kontrol. Hasil analisis terdapat perbedaan peningkatan pengetahuan pada kelompok intervensi dan kelompok kontrol sebelum dan sesudah diberikan media B-STUNTRACK pada kelompok intervensi (p<0,05), namun tidak terdapat perbedaan peningkatan sikap dan praktik remaja putri antara kedua kelompok (p>0,05).

Paket Intervensi Kesehatan Esensial pada Remaja Putri Sebagai Langkah Memutus Siklus Stunting: Sebuah Tinjauan Literatur: Essential Health Intervention Package for Adolescent Girls as a Step to Break the Stunting Cycle: A Literature Review Widaryanti, Rahayu; Dana, Yoga Adhi; Istiqomah, Dedeh; Nugraheni, Sri Achadi
Amerta Nutrition Vol. 8 No. 4 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i4.2024.665-674

Background: In Indonesia, approximately 32% of Indonesian adolescents experience anemia, if it not addressed effectively, adolescents suffering anemia pose a risk of resulting in stunted growth in their future offspring. Addressing nutritional issues including anemia in adolescence is a crucial step in efforts to break the cycle of stunting. Objectives: This study aimed to review and analyze various essential health interventions for adolescent girls as a strategy to break the cycle of stunting through a comprehensive article review. Methods: Literature was collected from four English-language databases: Scopus, PubMed, Springer Link, and EBSCOhost published from January 2013 to November 2023. The authors conducted article searching using the keywords "Adolescent girl" OR "teenage girl" OR "young woman" AND Intervention AND stunting. Inclusion criteria for this study encompassed community- or population-based research utilizing cross-sectional, cohort, and experimental methods. Exclusion criteria included systematic literature reviews and studies that did not report relevant findings. Ultimately, 10 articles were reviewed from a total of 4,596 articles identified, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)2020 checklist. Discussions: The health intervention package designed for adolescent girls to prevent stunting includes health education delivered through various methods such as PowerPoint presentations, videos, booklets, and comics, along with the implementation of youth integrated post (posyandu) and community or school-based health intervention. Health promotion materials cover diet, personal hygiene, and supplementation of micronutrients and macronutrients. Conclusions: Implementing the appropriate package of essential health interventions constitutes an effective and efficient approach to break the cycle of stunting.

Implementation of Multi-Tiered Systems of Support (MTSS) In Education: Challenges, Strategies, And Impact On Students' Social-Emotional Development: A Scoping Review Choirunissa, Risza; Nugraheni, Sri Achadi; Purnami, Cahya Tri; Wahyuningsih, Nur Endah
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 9, No 2 (2024): September
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v9i2.2181

The Multi-Tiered Systems of Support (MTSS) framework is pivotal in educational settings, designed to enhance student outcomes through structured support systems that address academic, behavioral, and social-emotional needs. This scoping review explores the complexities of implementing MTSS, identifies effective strategies, and assesses its impact on students' social-emotional development. The review analyzed articles source from Google Scholar, PubMed, and ScienceDirect as a database with a range of publications between 2019-2023 using the keywords: Adolescents, Multi-Tiered Systems of Support, Education and adolescents. There were 18 articles that met the inclusion criteria. The findings suggest that when effectively implemented, MTSS significantly improves social-emotional development. This involves strategic planning, interdisciplinary collaboration, culturally responsive practices, and active participation of families and communities. School leadership plays a vital role in coordinating these efforts, while culturally relevant practices and teacher self-assessment tools help address the diverse needs of students. Additionally, family involvement is a crucial factor in enhancing academic performance and reducing behavioral issues, contributing to the overall social-emotional development of students. A well-coordinated strategy is necessary to optimize the effectiveness of MTSS and improve student outcomes.

THE EFFECT OF MULTIMEDIA ON KNOWLEDGE AND ATTITUDE OF HIGH SCHOOL STUDENTS ABOUT EXCLUSIVE BREASTFEED Bhernia Indri Setyowati; Sri Achadi Nugraheni; Farid Agushybana
Jurnal Kesehatan Masyarakat Andalas Vol 13 No 1 (2018): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v13i1.354

Adolescent reproductive health education contributes the enhancement of knowledge, attitudes and behaviors of exclusive breastfeeding as later mothers. Multimedia is used to its improve . The aim is to knowing the effect of multimedia on knowledge and attitude of schoolgirls about exclusive breastfeeding. Quantitative research with non-randomized control group pretest-posttest design. With 104 schoolgirls respondents in Semarang district Indonesia as a control and intervention group, processed by one way repeated measures ANOVA.The results of the study showed the influence of multimedia in improving knowledge and attitude about exclusive breastfeeding. The average score of knowledge of the intervention group increased by 4,077 from pretest to posttest 2 and control group knowledge decreased 0.48 from pretest to posttest 2. The average score of attitude of the intervention group increased 5,308 from pretest to posttest 2 and control group decreased 2,519 from pretest to posttest 2.Statistically, multimedia (p = 0,000) had an effect on improving knowledge and attitudes about exclusive breastfeeding between before and after intervention. Based on the results of this study, health and education institutions are expected to develop multimedia as an effort to implement the IEC program on exclusive breastfeeding and integrate with school activities.

METHOD OF EARLY CHILDHOOD SEXUAL EDUCATION IN INDONESIA Eti Rimawati; Sri Achadi Nugraheni
Jurnal Kesehatan Masyarakat Andalas Vol 13 No 1 (2018): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v13i1.388

The issue of violence or sexual abuse in children is one of the reproductive health problems facing Indonesia. Some efforts to provide early child sex education have been done through teachers, parents and children. This study aims to describe the method of sex education that has been done to improve early childhood understanding related to reproductive health. The review process is done by searching the results of research can be accessed through google scholar in the form of journals, proceedings and scientific thesis, with the keyword "early child sex education", early reproductive health education ". Data selection and data extraction are done manually and then analyzed narratively. Early childhood sex education methods have been done for parents and children. Media used in the form of modules, infographics and games by way of lecture through lectures, discussion / group communication and games. With the advent of the development of technology and digital media it is necessary to optimize the media as a medium of early child sex education.

Effectiveness of Training using Booklets on Cadres' Knowledge, Attitudes, and Practices in Assisting the Feeding of Stunted Toddlers Aged 12–59 Months Merisha Dhea Salisa; Apoina Kartini; Sri Achadi Nugraheni
International Journal of Health and Medicine Vol. 2 No. 3 (2025): July : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i3.460

Stunting is a chronic nutritional problem that significantly affects the growth and development of children, particularly those aged 12–59 months. Posyandu cadres play a vital role in assisting parents in providing appropriate feeding practices for their children. This study aims to determine the effectiveness of training using booklet media in improving the knowledge, attitudes, and practices of cadres in stunting-related child feeding assistance. This research employed a pre-experimental one group pretest-posttest design involving 10 Posyandu cadres in the working area of Health Center. The results of paired t-test and Wilcoxon tests showed significant improvements in knowledge (p = 0.000), attitude (p = 0.000), and practice (p = 0.000) after the intervention. The booklet proved to be an effective educational tool to enhance the capacity of Posyandu cadres. These findings recommend the use of booklets as a sustainable educational strategy in community-based stunting reduction programs.

Unraveling the Determinants of Dengue Fever Incidence in Indonesia: A Systematic Review of Environmental and Behavioral Factors Waskito, Agung; Sutriyawan, Agung; Romilian, Agung; Darmanto, Darmanto; Nugraheni, Sri Achadi
Public Health of Indonesia Vol. 11 No. 2 (2025): April - June
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i2.987

Background: Dengue Hemorrhagic Fever (DHF) is a significant public health issue in Indonesia, with an increasing incidence rate. Various factors, including environmental, social, and behavioral aspects, contribute to DHF. Objective: This systematic review aims to identify and analyze the factors influencing DHF incidence in Indonesia and provide recommendations for interventions that could reduce the incidence of this disease. Method: This review was conducted following PRISMA guidelines, which include a systematic search across five databases (Scopus, PubMed, Science Direct, Oxford Academic, and Emerald) for articles published between 2014 and 2023. Inclusion criteria included observational studies reporting quantitative relationships between determining factors and DHF incidence. After screening, 14 articles meeting the criteria were included in the analysis. Results: The review findings indicate that factors such as mosquito density, temperature, humidity, public knowledge about DHF, and mosquito breeding site elimination practices have a significant relationship with DHF incidence. In addition, socio-economic factors and endemic status also contribute to the increasing incidence. Conclusion: Enhancing public knowledge and prevention practices is essential in reducing DHF incidence. Community-involved education programs and further research are needed to develop effective interventions. Keywords: Dengue Hemorrhagic Fever; Determining Factors; Indonesia; Systematic Review, Mosquito Density

Knowledge and Attitude Factors of Brides-to-be on the Incidence of Anemia in Pekalongan Regency Djati, Isti Sulistyana; Nugraheni, Sri Achadi; Sriatmi, Ayun
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 6 (2025): JURNAL LOCUS: Penelitian & Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i6.4078

Background: Anemia remains a public health concern among prospective brides. Nutritional education plays an essential role in enhancing awareness and preventive behaviors against anemia. Methode: This quasi-experimental study applied a pretest-posttest control group design. A total of 70 prospective brides were divided into intervention and control groups. Data were analyzed using the Mann-Whitney test and logistic regression adjusted for confounding variables. Result: Significant improvements were found in knowledge, attitudes, nutrient intake, and hemoglobin levels in the intervention group compared to the control group (p=0.000). After adjusting for confounding variables, nutritional education remained significantly associated with knowledge (p=0.015), nutrient intake (p=0.010), and hemoglobin levels (p=0.005), but not with attitudes (p=0.057). Conclusion: Nutritional education effectively improves knowledge, nutrient intake, and hemoglobin levels among prospective brides, supporting its role in anemia prevention, although changes in attitude may require additional factors.

Effectiveness Of Training Using Booklets On The Knowledge And Attitude Of Cadres In Accompanying Complementary Feeding For Stunted Toddlers Aged 12–59 Months (A Study Of Satellite Posyandu Cadre Assis Nugraheni, Sri Achadi; Dhea Salisa, Merisha; Widajanti, Laksmi; Zen Rahfiludin, Mohammad; Kartini, Apoina
Journal of Social Research Vol. 4 No. 8 (2025): Journal of Social Research
Publisher : International Journal Labs

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v4i7.2700

Stunting in toddlers remains a critical public health issue that affects physical growth, cognitive development, and overall well-being. This study aims to analyze the effectiveness of training using booklets on the knowledge and attitudes of Posyandu Satellite cadres in accompanying complementary feeding for stunted toddlers aged 12–59 months in the working area of Lamper Tengah Health Center, Semarang. A quantitative research design with a quasi-experimental nonequivalent control group approach was employed, involving 44 cadres divided into intervention and control groups. Data were collected through pre-test and post-test questionnaires, focusing on knowledge and attitude variables. The results showed a significant improvement in the knowledge level of the cadres after training, with respondents in the “good” knowledge category increasing from 72.7% to 86.4%. Similarly, the attitude of cadres improved, with those in the “positive” attitude category increasing from 22.7% to 68.2% after the intervention. Statistical analysis using paired t-tests and Wilcoxon tests confirmed a significant difference (p < 0.05) between pre-test and post-test scores for both knowledge and attitudes. The use of booklets proved to be an effective and practical educational tool, providing structured and easy-to-understand information that enhanced the cadres’ capacity to support complementary feeding practices for stunted toddlers.

Co-Authors Afni, Erina Nur Afni, Erina Nur Afra Dhiya Fadillah Agus Sabdono Ahmad Syauqy Ahmad, Nurul Fauziah Alawiyah, Winda Astuti Ambari, Reni Pawestuti Ani Margawati Ani Margawati Anik Iriyanti Anneke Suparwati Annisa Fadillah Antono Suryoputro Apoina Kartini Aqilatul Munawaroh Arenda Reka Narima Septyasih Aris Puji Widodo Aris Puji Widodo Arum, Rzky Atik Mawarni Awaliya, Henu Bey Putri Ayu Silvia Ayun Sriatmi Bagoes Widjanarko Bekti Putri Harwijayanti Bhernia Indri Setyowati Bhernia Indri Setyowati Cahya Tri Purnami Cahyani, Anggoro Dwi Chairunnisa, Syifa Al Janna Choirunissa, Risza Daramusseng, Andi Darmanto Darmanto Darussalam, Miftafu Daud Rumangun Dea Amarilisa Adespin Dewi Laila Mahligai Putri Dharminto Dharminto Dhea Salisa, Merisha Dian Indriani Hidayat Diki Retno Yuliani, Diki Retno Dilla Fitriana Salekha Dina Apriana Dina Rahayuning Pangestuti, Dina Djati, Isti Sulistyana Djoko Nugroho Dustar, Ghinanissa Azzahra Dwi Pudjonarko Dwi Pudjonarko Eko Sediyono Elsa Nur Aini Elvia Raissa Vania Elviera Gamelia Erna Kusuma Wati Erni Gustina Eti Rimawati Eti Rimawati Etika Ratna Noer Fani Rizky Nugraheni Faqihatin Afifa Farid Agushybana Farid Farid Agushybana Faridah Faridah Fariza Aqmar Adelia Ferry Rachmawatie Suryaningtyas Fifiantyas Amalia Fristiwi, Pingkan Haida Meytania Utami Handung Nuryadi Handung Nuryadi Harahap, Ana Pujianti Haris Basuni Hartuti Purnaweni Heni Irawati Heri Purwanto Heri Purwanto HERI PUSPITO Herinawati, Herinawati Herlina Tri Damailia, Herlina Tri Herlinda Christi Hidayat, Dian Indriani Ida Nurmawati Ifa Nurchumaida Ika Paryanti Ike Johan Prihatini Imaniar Sevtiyani Imaroh, Istiana Islahul Indah Budiastutik Irmawati Irmawati Isti Sulistyana Djati Istiqomah, Dedeh Jerry Ferdinand Haposan Saragih Jerry Ferdinand Haposan Saragih Johan, I Joni Periade Karbito Karbito Karbito Karbito, Karbito Kartasurya, M I Kasriatun Kasriatun Kertasurya, Martha Irene Khoirunisa Triavi Sefaya Kunarsih Fitriana Kusyogo Cahyo Laksmi Widajanti Laksmi Widajanti Laksmi Widajanti Legawati Legawati, Legawati Lia Anjar Nur Zhamaroh Lia Kurniasari Lia Kusmita Lia Kusmita Liena Sofiana Lucia Ratna Kartika Lucya Lede Lusiana, Dikta Ayu May M. Zen Rahfiluddin Maharani Widya Purnama sari Maharani, Virgi Mayang Mamik Aryani Martha Irene Kartasursya Martha Irene Kartasurya Martini Martini Martunus Martunus Mateus Sakundarno Adi Mateus Sakundarno Adi, Mateus Sakundarno Melinda Renssca Inas Merisha Dhea Salisa Miftahuddin M Khoeri Miftahuddin Majid Khoeri Mohammad Zen Rahfiludin Muh. Ridha Setiawan Salam Mukhamad Musta'in Muniroh, Muflihatul Nafisah - - Naintina Lisnawati Naluri Widyaningsih Syamsiedi Nova Adiani Priastari novia nursetiya utomo Novita Wulandari Nugraheni, Anastasia Natalia Sonia Nur Endah Wahyuningsih Nur Indah Rahmawati Nur Siyam Nur Sri Atik Nurchumaida, Nurchumaida Nurul Khatimah Ismatullah Ocky Karna Radjasa Onny Setiani Panjaitan, Arip Ambulan Panjaitan, Arip Ambulan Perdanawati, Mia Prastika Yulianasari Pratiwi Juhanida Lestari Pratiwi, Aulia Dewi Puja Anggun Febiani PUJI LESTARI Putri Lili Heldawati Putri, Rachel Novelia Putri, Rezkia Nadia Rafika Farianita Rahayu Widaryanti Rahfiludin , Mohammad Zen Ratna Indriati Riani, Risky Ika Rieny, Elzha Geniz Rifha Asti Hardinawanti Rika Andriani Rimawati, Eti Risky Ika Riani Roisah, Roisah Romilian, Agung Ronny Aruben Rosmala Kurnia Dewi Rukman, Pingkan Fristiwi S. Sulistiyani Sandyaga Ghaffar Purwanto Sarman Seno, Vena Pebriyanti Sheila Mahardini Silfia Addina Siti Aisyah Kurniasih Siti Fatimah Pradigdo Sjenny Olga Tuju Sri Andriani Sri Desi Juliana Silaban Sri Madinah Sri Suwitri Sri Winarni Suci Musvita Ayu Suhartono, Suhartono Suharyo Hadisaputro Sulistiawati, E SULISTIYANI SULISTIYANI Sulistyana Djati, Isti Sulistyaningsih, Sulistyaningsih - Sumarah Sumarah, Sumarah Sutopo Patria Jati Sutriyawan, Agung Suyatno Suyatno Syamsulhuda BM Syamsulhuda Budi Musthofa Triwahyuningsih, Ria Yulianti Triwahyuningsih, S.ST.,M.Kes, Ria Yulianti Untung Sujianto Vepti Triana Mutmainah, Vepti Triana Virgi Mayang Maharani Virgi Mayang Maharani Wahyu Indri Susanti Wahyu Ratri Sukmaningsih Wahyuningtyas, Miranda Gita Waskito, Agung Winda Astuti Alawiyah Yoga Adhi Dana, Yoga Adhi Yuliana, Aniestia Yulinar Tri Pamungkas Yustin Widyastuti Zahroh Shaluhiyah Zakiyah Islamiaty Oktaviani

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