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A Qualitative Study of Determinant Stunting Among Children Under Five in Sungai Gerong Village Anita Rahmiwati; Dwi Ananda Putri; Virgina Putri Sabila; Devy Kartika Sari; Devy Yuliantari; Erike Septa Prautami; Ira Dewi Ramadhani; Yuliarti Yuliarti; Fenny Etrawati; Risa Nur Amalia
Jurnal Ilmu Kesehatan Masyarakat Vol. 17 No. 1 (2026): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2026.17.1.66-79

Abstract

Stunting remains a major public health problem in Indonesia, including in Banyuasin Regency, which is a priority area for stunting prevention. Sungai Gerong Village in Banyuasin I District reports a relatively high prevalence of stunting among children under five. This study aimed to explore the determinants of stunting in this village. A qualitative descriptive design was employed to examine behavioral and environmental factors contributing to stunting. Data were collected through in-depth interviews with 10 key informants, including four health workers and community leaders and six mothers of stunted toddlers. The study explored environmental conditions, child feeding practices, parenting patterns, and household food security. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ), and household food security was measured using the Food Consumption Score (FCS).The findings revealed that most toddlers lived in inadequate environmental conditions and consumed predominantly high-carbohydrate diets with low intake of vegetables and animal protein. Three households were classified as food insecure. Parenting practices were suboptimal, particularly regarding appropriate feeding practices and cognitive stimulation. Poor sanitation, limited dietary diversity, inadequate caregiving practices, and restricted household food access were identified as key contributing factors.These findings suggest that stunting in Sungai Gerong Village is driven by multidimensional factors requiring integrated interventions. Policy and practical efforts should focus on strengthening nutrition education for caregivers, improving sanitation infrastructure, enhancing access to diverse and affordable nutritious foods, and reinforcing community-based nutrition services. Cross-sectoral collaboration is essential to sustainably reduce stunting prevalence in this area.
Pembinaan dan Pemantauan Pesantren Sehat di Pondok Pesantren Nurul Iman, Kabupaten Pesawaran, Lampung: Coaching and Monitoring for a Healthy Boarding School at Nurul Iman Islamic Boarding School, Pesawaran District, Lampung Nada NurSyifa; Fenny Etrawati; Muhammad Amin Arigo Saci
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 3 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i3.5050

Abstract

Latar belakang: Provinsi Lampung memiliki 869 pondok pesantren dengan jumlah poskestren sebanyak 179. Poskestren bertujuan untuk mendekatkan pelayanan kesehatan kepada warga pesantren. Oleh karena itu, perlu dilakukan pembinaan poskestren yang terpadu melalui puskesmas dan stakeholders terkait pesantren sehat. Sehingga diharapkan elemen di lingkungan pesantren (pimpinan, pengelola dan santri) dapat menjadi motor penggerak, motivator dan inovator dalam pembangunan kesehatan. Tujuan: Studi ini bertujuan untuk memberikan gambaran pembinaan dan pemantauan pesantren sehat di Pondok Pesantren Nurul Iman yang merupakan sasaran pembinaan dari Subdinas Promosi Kesehatan Dinas Kesehatan Provinsi Lampung. Metode: Penelitian ini menggunakan metode deskriptif kualitatif dengan melibatkan pegawai lapangan subdinas promosi kesehatan Provinsi Lampung pengurus, dan guru Pondok Pesantren Nurul Iman Kabupaten Pesawaran. Pengumpulan data menggunakan wawancara mendalam dan observasi. Validitas data dijaga melalui triangulasi sumber, triangulasi metode dan triangulasi data. Data tersebut kemudian dianalisis dengan menggunakan teknik content analysis. Hasil: Pembinaan dan Pemantauan Poskestren di Pondok Pesantren Nurul Iman Kabupaten Pesawaran Latar belakang: Provinsi Lampung memiliki 869 pondok pesantren dengan jumlah poskestren sebanyak 179. Poskestren bertujuan untuk mendekatkan pelayanan kesehatan kepada warga pesantren. Oleh karena itu, perlu dilakukan pembinaan poskestren yang terpadu melalui puskesmas dan stakeholders terkait pesantren sehat. Sehingga diharapkan elemen di lingkungan pesantren (pimpinan, pengelola dan santri) dapat menjadi motor penggerak, motivator dan inovator dalam pembangunan kesehatan. Tujuan: Studi ini bertujuan untuk memberikan gambaran pembinaan dan pemantauan pesantren sehat di Pondok Pesantren Nurul Iman yang merupakan sasaran pembinaan dari Subdinas Promosi Kesehatan Dinas Kesehatan Provinsi Lampung. Metode: Penelitian ini menggunakan metode deskriptif kualitatif dengan melibatkan pegawai lapangan subdinas promosi kesehatan Provinsi Lampung pengurus, dan guru Pondok Pesantren Nurul Iman Kabupaten Pesawaran. Pengumpulan data menggunakan wawancara mendalam dan observasi. Validitas data dijaga melalui triangulasi sumber, triangulasi metode dan triangulasi data. Data tersebut kemudian dianalisis dengan menggunakan teknik content analysis. Hasil: Pembinaan dan Pemantauan Poskestren di Pondok Pesantren Nurul Iman Kabupaten Pesawaran merupakan bentuk tindak lanjut dari kegiatan pesantren sehat yang diadakan Dinas Kesehatan Provinsi Lampung meliputi 3 kegiatan yakni persiapan, Musyawarah Masyarakat Pesantren (MMP) dan kunjungan ke poskestren Nurul Iman. Hasil kunjungan pembinaan dan pemantauan Poskestren menunjukkan bahwa pengelola dan kader Poskestren Nurul Iman telah mengikuti kegiatan peningkatan kapasitas Sumber Daya Manusia (SDM) dalam penerapan pesantren sehat. Namun, masih terdapat beberapa aspek dalam pesantren sehat yang masih perlu diperhatikan. Pesantren Nurul Iman belum mempunyai struktur organisasi poskestren, sarana tempat cuci tangan di dalam poskestren, media edukasi dan masih adanya pemberian obat antibiotik yang tidak disertai resep dokter. Kesimpulan: Poskestren Nurul Iman telah melaksanakan dan mengikuti arahan dari Dinas Kesehatan Provinsi Lampung. Namun, ditemukan beberapa aspek yang masih harus diperbaiki dan ditindak lanjuti. Sehingga, Poskestren Nurul Iman masih perlu pembinaan dan pemantauan rutin oleh Puskesmas Kalirejo dalam menjalankan fungsinya.
Model Prediksi Kejadian Dismenore Primer pada Siswi SMA Negeri di Palembang Lisa Mona Angelia; Rico Januar Sitorus; Fenny Etrawati
Jurnal Ilmu Kesehatan Masyarakat Vol. 8 No. 1 (2017): Jurnal Ilmu Kesehatan Mayarakat
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Dismenore primer menjadi penyebab utama ketidakhadiran di sekolah pada remaja perempuan. Tidak ada angka yang pasti mengenai jumlah penderita dismenore di Indonesia. Dismenore primer yang terjadi pada remaja berdampak pada penurunan aktivitas dan konsentrasi belajar, serta bolos sekolah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi kejadian dismenoreprimer pada siswi SMA Negeri di Palembang Tahun 2016.Metode: Penelitian ini menggunakan desain studi cross-sectional dengan populasi seluruh siswi SMA Negeri di Palembang dan sampel sebanyak 146 siswi dari SMA Negeri 6 dan SMA Negeri 14 Palembang dengan menggunakan teknik multistage sampling. Analisis data multivariat menggunakan Regresi Logistik Ganda Model Prediksi.Hasil Penelitian: Berdasarkan analisis multivariate diperoleh variabel yang paling dominan berhubungan dengan kejadian dismenore primer pada siswi SMA Negeri di Palembang adalah variabel stres dengan nilai ORAdjusted 9,033 (95% CI: 2,452-33,280) setelah dikontrol variabel riwayat dismenorea keluarga, waktu tidur malam, lamanya menstruasi, waktu bangun pagi, jumlah waktu tidur, siklus menstruasi, IMT, umur, keterpaparan asap rokok, meal skipping, olahraga, dan umur menarche.Kesimpulan: Stres dapat diturunkan dengan cara menghindari sumber stres (stressor) dan istirahat yang cukup. Pihak sekolah diharapkan menjalin kerja sama dengan tenaga kesehatan dalam memberikanpenyuluhan berupa upaya promotif dan preventif khususnya dismenore primer, sehingga dapat diterapkan oleh siswa-siswi di kehidupan sehari-hari.
Identification of Risk Factors and Consequences of Sexual Violence in Children Fenny Etrawati
Jurnal Ilmu Kesehatan Masyarakat Vol. 11 No. 01 (2020): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2020.11.1.1-9

Abstract

An increase in cases of sexual violence against children triggers various health problems in children, both physical, psychological and social. This paper aims to explore the sexual violence on children, risk factors and the impact of sexual violence on children. This study of sexual violence in children refers to various empirical literature studies. Furthermore, the collection of information was analyzed using the problem tree analysis approach to find out the risk factors and their impact on children. Cases of sexual violence in the community are difficult to detect because of the lack of recognition from victims. This is because the offender called pedophile comes from within the family (familial abuse) or can come from outside the family environment (extra-familial abuse) who have established close relationships with children. Sexual violence is generally motivated by the problem of weak protection from parents which is also strengthened by socio-economic problems, low access to reproductive health education and less optimal law enforcement. Therefore, children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Children who have experienced sexual violence find it difficult to avoid physical, biological, psychological and social risks. Therefore, it is necessary to increase the capacity of parents in the prevention of sexual violence against children and law enforcement needs to complete the system of early detection and rapid response to the incidence of sexual violence against children.
Food Familiarity Influence Food Preferences Among High School Student in Ogan Ilir District Laili Yosi AS; Fatmalina Febry; Fenny Etrawati
Jurnal Ilmu Kesehatan Masyarakat Vol. 11 No. 2 (2020): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2020.11.2.113-122

Abstract

Food preferences are the level of the likes and dislikes of food, and these preferences will affect food consumption that represents the selection of a person’s diet frequency, nutrient intake and dietary adequacy. Based on previous research, food preferences in adolescents as a whole are not in line with a healthy diet, and food preferences of adolescents are a critical point that determines food preferences of adults. The purpose of this study is to analyze food preferences of adolescence and the various factors which influence it. This research was an analytical study with cross-sectional design. The samples were High School students at Senior High School 1 Inderalaya and Senior High School 1 South Inderalaya with the total number 167 ,and people. Samples were taken by simple random sampling. The food preferences data were obtained by using food checklist and hedonic scale of 1-5. Procedure of data analysis used was univariate and bivariate analysis with chi-square. Bivariate analysis showed that 61.1% of the respondent have good food preferences. Analysis of the relationship between variables showed a significant relationship between food familiarity with food preferences (p-value = 0.000) with PR= 3.459 (95% CI: 2.284-5.239) while other variables Such as the influence of peers, food neophobia, body image perception, gender, allowance, nutritional knowledge, and food taboo did not have any relationship with food preferences. The higher someone’s food familiarity level is, the higher the preference is. We suggest the school to increase food preferences for students to learn about a variety of nutritious foods balanced through a variety of activities, such as scientific discussions, a competition to create a menu of balanced nutrition, healthy food promotion
The Effect of Audiovisual Media Based Education on Changes in Adolescent's Attitudes Related to Cigarette Advertising Rengga Dwija Prasetya; Fenny Etrawati; Yeni Yeni; Widya Lionita
Jurnal Ilmu Kesehatan Masyarakat Vol. 12 No. 1 (2021): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2021.12.1.38-49

Abstract

Smoking behavior among adolescents is increasing. This condition is partly influenced by the incessant advertisements for cigarettes that offer expectations that are the opposite of their impact. This study aims to determine the effect of audiovisual media-based education in the context of changing adolescent attitudes towards cigarette advertisements. The study design used was a Quasi Experiment with a Pretest-Posttest with Control Group. The research subjects were college adolescents (students) with a total of 25 people in the intervention group and 25 in the control group. Data were analyzed using dependent t test and independent t test. In the intervention group, there was a significant difference between attitudes towards cigarette advertisements before and after being given audiovisual media related to cigarette advertising in the experimental group (p = 0.010), on the other hand there was no change in attitude in the control group (p = 0.760) . However, there was no significant difference between attitudes towards cigarette advertising in the experimental and control groups (p = 0.096). Therefore, education using audiovisual media is considered more effective in increasing changes in attitudes towards cigarette advertisements. The campus is expected to reinforce and socialize regulations related to KTR and further research can conduct media pre-testing.
Cognitive, Affective and Psycomotoric Aspects Related Risky Sexual Behavior Among Adolescents at the University Level Fenny Etrawati; Yeni yeni
Jurnal Ilmu Kesehatan Masyarakat Vol. 13 No. 2 (2022): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2022.13.2.197-209

Abstract

The current phenomenon shows that teenagers are into the sexually active period quickly. This condition causes adolescents to be more vulnerable to experiencing adolescent reproductive health triad such as premarital sex, STI/HIV infections and drug abuse. Higher education is an educational institution whose students are teenagers who do not rule out experiencing these problems. This study aims to determine the cognitive, affective and psychomotoric factors related to risky sexual behavior among adolescents at the college level using a cross sectional approach. The research analysis sample was 750 students from 4 study programs in one of the universities in South Sumatra which were taken by using cluster random sampling technique. Data analysis includes univariable and bivariable analysis (chi square test). The results showed that 12% of students had risky sexual behavior where 3.5% had vaginal, anal or oral sex. In addition, the results of the bivariate analysis showed that the variables that were significantly related to risky sexual behavior included cognitive factors (knowledge), affective factors (attitudes, perceptions of norms, parental roles and self-efficacy) and psychomotoric factors (negative peer group behavior). This study recommends the need for access to adolescent-friendly reproductive health services with the principle of peer educator as a means of improving soft skills for adolescents related to adolescent reproductive health.
Co-Authors Adisyah Fitria Rahmadini Afifah, Nadya Amalia Addini Anggun Budiastuti Angraini, Rima Anita Rahmiwati Annisa Rahmawaty Annisa Rahmawaty Annisa Rahmawaty Annisa Ramadhani Arigo Saci, Muhammad Amin Asmaripa Ainy Aurasyiddin, Jerry Khulafa Cahyani, Nova Apriza desi aryani Desy Nuri Fajarningtiyas Devy Kartika Sari Devy Yuliantari Dwi Ananda Putri Ella Amalia, Ella Evi Martha Fatmalina Febry Fatmalina Febry Febriansyah . Feranita Utama Fitriani, Novilia Dwi Hadirama, Sakinah Hamzah Hasyim Ikhwanul Nurimansyah Imanah Rahmawati Indah Purnama Sari Indah Purnamasari Indah Yuliana Inoy Trisnaini Ira Dewi Ramadhani Ira Dewi Ramadhani Iwan Stia Budi Kasih, Shinta Dwi Laili Yosi AS Lionita, Widya Lisa Agustina Lisa Agustina, Lisa Lisa Mona Angelia Maretalinia, Maretalinia Masayu Gemala Rabiah Maulina Sari, Desri Meilin Maulita Meilinda, Nurly Misnaniarti Misnaniarti Mona, Lisa Muhammad Amin Arigo Saci Nada NurSyifa Nadia, Putri Najmah, Najmah Nely Murniati Nova Apriza Cahyani Nur Alam Fajar Nurhidayah Nasution Nurmalia Ermi NurSyifa, Nada Oktarini, Putri Dwi Pitaloka, Ananda Khoirunnisa Dewanti Prautami, Erike Septa Putri Dwi Oktarini Putri Sabila, Virgina Putri, Cindi Amelia Putri, Dwi Ananda Putri, Nabila Eka Rabiah, Masayu Gemala Rahmatillah Razak Rahmawati, Fuji Rahmawati, Imanah Ramadhini, Salsabila Putri Rengga Dwija Prasetya Reza Ardiansyah Reza Ardiansyah Rico Januar Sitorus Rico Januar Sitorus Rini Anggraini, Rini Rini Mutahar Risa Nur Amalia Rita Damayanti Sabila, Virgina Putri Safira, Nadia Rahma Santri, Dwi Sari, Devy Kartika Shinta Dwi Kasih Titi Nurhaliza Virgina Putri Sabila Widya Lionita Widya Lionita Widya Lionita Wulandari, Molas Maryunisa Salsabila Yeni Yeni Yeni Yeni Yeni Yeni Yeni Yeni Yeni yeni Yeni Yeni Yeni Yeni Yeni Yeni Yentri Anggeraini Yuanita Windusari Yuliantari, Devy Yuliarti Yuliarti Yuliarti Yuliarti Yustini Ardillah