Novrika Silalahi
Institut Kesehatan Deli Husada Deli Tua

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EFEKTIVITAS PROGRAM ESP DALAM MENINGKATKAN PEMAHAMAN GIZI KELUARGA PADA ANAK STUNTING DI PERCUT SEI TUAN SULASTRI BR GINTING; Tedty Rohaya Tinambunan; Novrika Silalahi; Rizka Annisa
Jurnal Penelitian Kesmasy Vol. 8 No. 2 (2026): JURNAL PENELITIAN KESMASY
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Deli Husada Delitua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpksy.v8i2.2982

Abstract

Stunting remains a significant public health challenge in Deli Serdang Regency, often exacerbated by low health literacy and linguistic barriers in understanding global nutritional information. This study aims to evaluate the effectiveness of an English for Specific Purposes (ESP) program in improving nutritional understanding among families with stunted children in Percut Sei Tuan District. The ESP program was specifically designed to equip parents with the ability to understand functional nutritional terminology, food labels, and basic health instructions. This study employed a Pre-Experimental (One-Group Pretest-Posttest) design conducted with 22 respondents selected through purposive sampling. The intervention was carried out over five days, from January 19 to 23, 2026. Data were collected using structured questionnaires and analyzed using the paired sample t-test. The results indicated a statistically significant increase in the respondents nutritional understanding. The mean score rose from 54.1 at pre-test to 83.0 at post-test (p < 0.05). These findings prove that mastering technical nutritional terms through an ESP approach enhances parents self-efficacy in interpreting nutritional information and selecting healthy food. In conclusion, integrating functional language literacy into health interventions is an effective and innovative strategy to accelerate the reduction of stunting rates at the household level.
Survival Analysis of Tuberculosis in Children: Environmental and Family Behavior Factors in Medan Tuntungan Subdistrict Novrika Silalahi; Pitto Pratiwi Malau
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/4ffswc96

Abstract

Tuberculosis (TB) in children remains a significant public health issue, particularly in the context of household transmission. This study aimed to analyze the time-to-event of TB incidence among children and to identify environmental and family behavioral factors influencing its occurrence in Medan Tuntungan District, Medan City, in 2025. This study employed an analytical observational design with a retrospective cohort approach and survival analysis. A total of 40 children aged 6–10 years were selected using purposive sampling. Data were analyzed using Kaplan-Meier methods, Log-Rank tests, and Cox proportional hazards regression. The results showed that the median time to TB incidence was 8 months. Significant factors associated with TB incidence in children included exposure to cigarette smoke (HR=3.12; p<0.05), poor household ventilation (HR=2.78; p<0.05), household crowding (HR=2.15; p<0.05), and inadequate family preventive behavior (HR=2.40; p<0.05). In conclusion, environmental and family behavioral factors play a crucial role in determining the timing of TB incidence in children. Survival analysis provides a more comprehensive understanding of risk periods and determinants. TB prevention strategies should focus on improving household environmental conditions and family health behaviors.