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Pemanfaatan Teknologi Digital dalam Meningkatkan Pengetahuan Stunting dan Kepatuhan Konsumsi Tablet Tambah Darah pada Remaja Putri dan Ibu Hamil di Desa Penggalaman Sandi, Dita Ayulia Dwi; Izma, Hayatun; Setiawan, Muhammad Irwan; Paramita, Swandari; Ismail, Sjarif; Anggraeni, Ike
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.23562

Abstract

ABSTRAK Tahun 2024, Desa penggalaman mencatatkan angka kejadian stunting yakni 23,4%, dimana angka ini masih beradadiatas target nasional, yakni 14%. Stunting tidak hanya dipengaruhi oleh asupan gizi ibu hamil dan anak, tetapi juga dipengaruhi oleh gizi ibu pada periode sebelum kehamilan, terutama pada periode pra konsepsi, yaitu wanita usiasubur dan remaja. ebesar 48,9% ibu hamil mengalami anemia, sementara sebagian lainnya terkena masalah Kurang Energi Kronik (KEK). Kondisi ini berkontribusi pada tingginya angka bayi dengan Berat Badan Lahir Rendah (BBLR), yang merupakan salah satu faktor utama penyebab stunting. Memberikan edukasi dan pendampingan untuk meningkatkan pengetahuan remaja putri serta ibu hamil mengenai stunting dan anemia, juga kepatuhan mengkonsumsi tablet tambah darah (TTD) dengan memanfaatkan penggunaan aplikasi TASTING. Menggunakan desainpre-post group. Sebanyak 28 remaja putri dan ibu hamil menerima edukasi tentang anemia, stunting, dan konsumsi TTD melalui pemaparan menggunakan PowerPoint serta media pendukung berupa leaflet dan buku saku. Setelah itu dilakukan pemeriksaan awal kadar hemoglobin. Remaja putri yang mengalami anemia dan seluruh ibu hamil kemudian didampingi untuk mengonsumsi TTD selama satu bulan dengan bantuan aplikasi pengingat. Satu bulan setelah intervensi, kadar hemoglobin kembali diukur dan peserta diminta mengisi instrumen untuk menilai tingkat kepatuhan. Rata-rata skor pengetahuan pada remaja putri menunjukkan adanya peningkatan sebanyak 12,31%, dari 76,15%menjadi 88,46%. Sedangkan pada ibu hamil terjadi peningkatan sebanyak 15,6%, dari 84,44% menjadi 100%. Setelah pendampingan konsumsi TTD selama 1 bulan, 100% remaja putri dan ibu hamil mengalami peningkatan kadar Hb > 12 g/dl, Dimana rata-rata Tingkat kepatuhan terjadi peningkatan sejumlah 26,67%, dari sebelumnya 66,66% menjadi 93,33%. Penggunaan media leafleat dan buku saku dalam edukasi stunting, anemia dan tablet tambah darah dapatmeningkatkan tingkat pengetahuan remaja putri dan ibu hamil. Begitu pun pendampingan konsumsi tablet tambah darah dengan memanfataakan aplikasi pengingat minum obat dapat meningkatkan kepatuhan remaja putri (100%) dan ibu hamil (93,33%) terhadap konsumsi tablet tambah darah. Diperlukan usaha yang berkelanjutan dan konsisten untuk meningkatkan pengetahuan dan kepatuhan remaja putri dan ibu hamil dalam konsumsi tablet tambah darah sebagai Upaya pencegahan stunting. Kata Kunci: Anemia, Aplikasi Pengingat, Buku Saku, Leafleat  ABSTRACT In 2024, the village of Pegalaman recorded a stunting incidence of 23.4%, which is still above the national target of 14%. Stunting is not only influenced by the nutritional intake of pregnant women and children but also by maternal nutrition in the period before pregnancy, especially in the pre- conception period, namely women of childbearing age and adolescent girls. As many as 48.9% of pregnant women suffer from anemia, and some others experience chronicenergy deficiency (CED). This causes the prevalence of babies with low birth weight (LBW), which is one of the main causes of stunting, to remain high. to educate and assist adolescent girls and pregnant women in enhancing theirunderstanding of stunting and anemia prevention, as well as to improve adherence to iron supplement intake via TASTING applications. Pre-post group design. Twenty-eight adolescent and pregnant women received education on anemia, stunting, and iron supplement consumption via PowerPoint presentations, supplemented with leaflets andpocketbooks. Additionally, initial hemoglobin levels were assessed. Adolescent girls with anemia and all pregnantwomen were monitored to ensure the consumption of iron tablets for one month through a medication reminder application. One month post-therapy, hemoglobin levels were reassessed, and instrument filling was conducted toevaluate compliance levels. Based on the average knowledge score of adolescent girls, there was an increase in knowledge of 12.31%, from 76.15% to 88.46%. While in pregnant women there was an increase of 15.6%, from 84.44%to 100%. After assistance with iron tablet consumption for 1 month, 100% of adolescent girls and pregnant women experienced an increase in Hb levels > 12 g/dL, where the average level of compliance increased by 26.67%, from the previous 66.66% to 93.33%. The use of leaflets and pocketbooksin education on stunting, anemia, and iron tablets canenhance knowledge acquisition of adolescent girls and pregnant women. Likewise, mentoring the consumption of ironsupplements using a medication reminder app can improve adherence among adolescent girls (100%) and pregnantwomen (93.33%). Consistent and ongoing efforts are needed to improve the knowledge and compliance of adolescent girls and pregnant women regarding iron supplement consumption as a means of preventing stunting. Keywords: Anemia, Reminder Application, Education Book, Leafleat
ADOLESCENT PARTICIPATION IN YOUTH INFORMATION AND COUNSELLING CENTRE IMPROVES BETTER KNOWLEDGE ON HIV AIDS AND EARLY MARRIAGE PREVENTION Anggraeni, Ike; Nurrachmawati, Annisa; Triani Putri, Irda
Jurnal Biometrika dan Kependudukan Vol. 14 No. 2 (2025): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v14i2.2025.134-145

Abstract

Youth Information and Counseling Centers (YICC) im to enhance adolescents’ reproductive health knowledge through peer-based education. Despite their significance, the effectiveness of such programs remains inadequately evaluated, especially in Indonesia, where adolescent reproductive health challenges, such as early marriage and HIV/AIDS, persist. This study explores the relationship between YICC participation and adolescents’ knowledge of HIV/AIDS and early marriage prevention in East Kalimantan. A cross-sectional survey was conducted among 830 adolescents aged 10-24 using a validated online questionnaire. Descriptive statistics, Kruskal-Wallis tests, ANCOVA, and logistic regression were employed to analyze knowledge differences and predictors, controlling for sociodemographic factors. Results revealed that 71.8% of adolescents were aware of YICC, yet only 38.2% participated in its activities, and 21.4% were formal members. YICC participants showed significantly greater knowledge of HIV/AIDS and the ideal marriage age (p < 0.01), though no significant differences were found in attitudinal scores. ANCOVA indicated that YICC participation was an important predictor of knowledge, even after adjusting for parental education, internet access, and residence. Logistic regression further showed that YICC participants were 1.9 times more likely to possess high knowledge compared to non-participants (AOR = 1.90; 95% CI: 1.30-2.70; p = 0.001). Key predictors of higher knowledge included parental education, internet access, and urban residence. These findings highlight the importance of increasing YICC participation and integrating digital and school-based strategies to enhance adolescent reproductive health education.
Hubungan Intensitas Penggunaan Media Sosial Dengan Kesehatan Mental Mahasiswa Pada Masa Pandemi Covid-19 Gunawan, Heri; Anggraeni, Ike; Nurrachmawati, Annisa
Preventif : Jurnal Kesehatan Masyarakat Vol. 12 No. 2 (2021): Volume 12 No.2 (2021)
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/preventif.v12i2.283

Abstract

Tingginya angka kasus positif COVID-19 menyebabkan masyarakat untuk mengubah kebiasaan dan cara berkomunikasi luring menjadi daring. Hal ini berdampak tingginya penggunaan media sosial pada remaja yang dapat berpengaruh terhadap perilaku remaja. Pengaruh dari penggunaan sosial media secara berlebihan dapat menyebabkan seseorang mengalami gangguan mental seperti stres, kecemasan, depresi, rendahnya self esteem, gangguan tidur, dan body image. Penelitian ini bertujuan untuk mengetahui hubungan dari intensitas penggunaan media sosial terhadap kesehatan mental pada mahasiswa Fakultas Kesehatan Masyarakat Universitas Mulawarman di masa pandemi COVID-19. Penelitian ini adalah penelitian analitik dengan desain cross sectional yang dilakukan pada 200 mahasiswa dengan teknik pengambilan sampel menggunakan simple random sampling. Instrumen yang digunakan yakni kuesioner Social Networking Time Use Scale (SONTUS) dan Depression Anxiety Stress Scale (DASS). Data dikumpulkan secara online menggunakan google form dan data dianalisis dengan uji korelasi pearson product moment. Hasil studi menunjukkan terdapat 24.5% mahasiswa mengalami stress sedang, 10.5% lainnya mengalami stress parah dan 6% mengalami stress sangat parah.. Korelasi positif ditemukan antara intensitas penggunaan media sosial dengan tingkat stres (p-value = 0,001, r =0,270). Kesimpulan bahwa semakin tinggi intensitas penggunaan media sosial maka semakin parah tingkat stres yang dialami. Temuan ini menunjukkan perlunya memberikan informasi kepada remaja mengenai bagaimana penggunaan media sosial yang tepat dan sehat untuk meminimalisir dampak negatif terutama kesehatan mental remaja.
Maternal Mortality Analysis Through AMP-SR Review in East  Kalimantan Province, Indonesia, 2023–2024 Utari, Ari; Adrianto, Ratno; Gunawan, Ike Anggraeni
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Maternal mortality remains a major public health challenge in East Kalimantan Province, despite a decline in reported cases from 83 deaths in 2023 to 74 deaths in 2024. Objective : This study aimed to describe the pattern of maternal deaths based on maternal characteristics, timing and place of death, and to analyze preventable factors through the Audit Maternal Perinatal Surveillance and Response (AMP-SR) approach. Research Methods/ Implementation Methods : A descriptive-analytic case series design was applied using secondary data from the East Kalimantan Maternal Perinatal Death Notification (MPDN) database for 2023–2024. Results : The results revealed that more than 51% of deaths occurred during the postpartum period and 77% took place in hospitals, indicating the predominance of Delay 3 (delays in receiving adequate care). Analysis of modifiable factors showed that most deaths were preventable through improvements in the quality of obstetric services, increased antenatal care (ANC) compliance, and strengthened referral and postnatal follow-up systems. The major risk factors included delays in family decision-making, weak interfacility referral coordination, and inadequate case management at referral hospitals. Conclusion/Lesson Learned : These findings highlight that reducing the Maternal Mortality Ratio in East Kalimantan requires the completion of 100% AMP-SR case reviews, the strengthening of Postnatal Care (PNC) implementation, and the enhancement of Emergency Obstetric and Neonatal Care (EmONC) capacity across all levels of healthcare facilities.
Community Satisfaction Index on Public Service Performance of UPTDLabkesda Samarinda Budi, Eko Prasetya; Adrianto, Ratno; Gunawan, Ike Anggraeni
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Public service satisfaction surveys are an essential instrument for evaluating the quality and performance of government institutions in delivering public services. The Regional Health Laboratory Unit (UPTD Labkesda) of Samarinda City periodically conducts Community Satisfaction Surveys (CSS) to assess public perceptions, identify strengths and weaknesses in service delivery, and ensure compliance with the service quality standards established under Ministerial Regulation of PANRB No. 14 of 2017 on Guidelines for Conducting Community Satisfaction Surveys. Objective : The study aims to measure the level of community satisfaction with the services provided by UPTD Labkesda Samarinda during the first semester of 2025 and to identify service elements that require improvement to enhance the overall quality and efficiency of public health laboratory services. Research Methods/ Implementation Methods : A descriptive quantitative approach was employed using a structured survey method. Respondents rated nine service elements using a four-point Likert scale, and the results were processed to obtain the Community Satisfaction Index (CSI) Results : The survey results show that the Community Satisfaction Index reached 87.28, categorized as “Satisfactory.” This indicates that most respondents perceive the services as effective, professional, and aligned with their expectations. Conclusion/Lesson Learned : The findings reveal that UPTD Labkesda Samarinda has successfully maintained a high level of public satisfaction through consistent service quality, competent staff, and adequate facilities. Continuous efforts in staff development, process optimization, and community feedback mechanisms are essential to sustain and further improve service outcomes.
The Effectiveness of Video Education and Small-Group Discussions in Increasing Adolescent Awareness of Tuberculosis (TB) Prevention: A Literature Review Nursafa, Andi; Anggraeni, Ike
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Tuberkulosis (TBC) merupakan salah satu penyakit menular yang masih menjadi masalah kesehatan masyarakat di Indonesia. Remaja termasuk kelompok rentan yang memiliki peran penting dalam upaya pencegahan penularan TBC di lingkungan sekolah maupun masyarakat. Edukasi kesehatan yang menarik dan interaktif dibutuhkan untuk meningkatkan kesadaran mereka terhadap pencegahan penyakit ini. Objective : literatur ini bertujuan untuk menganalisis efektivitas edukasi kesehatan melalui media video dan metode diskusi kelompok kecil dalam meningkatkan kesadaran remaja terhadap pencegahan TBC. Research Methods/ Implementation Methods : Metode penelusuran literatur dilakukan melalui database seperti Google Scholar, PubMed, dan ScienceDirect berdasarkan publikasi tahun 2017–2025 dengan kata kunci “edukasi kesehatan”, “media video”, “diskusi kelompok kecil”, dan “tuberkulosis pada remaja” dengan menggunakan PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) sebagai protokol penelitian. Results : Hasil dari berbagai penelitian menunjukkan bahwa penggunaan media video mampu meningkatkan pemahaman dan daya tarik peserta, sedangkan diskusi kelompok kecil mendorong partisipasi aktif serta perubahan sikap yang lebih bermakna. Kombinasi kedua metode ini dinilai efektif dalam meningkatkan kesadaran dan perilaku pencegahan TBC di kalangan remaja. Oleh karena itu, strategi edukasi berbasis media audiovisual dan interaksi kelompok kecil dapat dijadikan alternatif inovatif dalam program promosi kesehatan di sekolah. Conclusion/Lesson Learned : Oleh karena itu, strategi edukasi berbasis media audiovisual dan interaksi kelompok kecil dapat dijadikan alternatif inovatif dalam program promosi kesehatan di sekolah.
Time series analysis of outpatient visits at RSUD X In Samarinda using the ARIMA model Saputri, Deby Indah; Anggraeni, Ike; Isnuwardana, Ronny
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Efficient hospital resource planning, including staff allocation and pharmaceutical logistics, heavily relies on accurate patient visit volume forecasting. Daily outpatient visit data at Regional Hospital from January 2023 to February 2025 shows high volatility and a strong weekly pattern (5-day work cycle). Therefore, a forecasting method is needed that can describe the patterns and trends of patient visits based on historical data. Methods commonly used for time series forecasting is ARIMA (Autoregressive Integrated Moving Average). This model is capable of capturing seasonal patterns and trends within the data, making it useful for predicting the number of future visits with a high level of accuracy. Objective : This study aims to identify the most optimal time series forecasting model using internal seasonal SARIMA and external regression SARIMAX analysis. Research Methods/ Implementation Methods : This study design is repeated cross-sectional. Outpatient visit data was divided into training (2023-2024) and testing (January-February 2025) sets for accuracy validation, measured by Root Mean Squared Error (RMSE). Results : In the first stage, the seasonal ARIMA model without explanatory variables, namely ARIMA(0,0,1)(2,1,0)[5], passed the Ljung-Box diagnostic test (p>0.05) but showed low predictive accuracy (RMSE 281.01). The second stage involved using explanatory (exogenous) variables such as Monday, Friday, and Public Holidays. A regression model with ARIMA(0,1,1) errors was identified as the superior model with an RMSE of 194.39. Regression coefficients showed a significant impact from specific days: Monday (+50 visits, 95% CI 32, 68), Friday (-91 visits, 95% CI -73, -109), and Public Holidays (-489 visits, 95% CI -463, -516). ConclusioAlthough the Ljung-Box test resulted in p<0.05, indicating that there are still residuals not fully explained by the model, it still provides important insights for hospital operational planning.n/Lesson Learned :
Analysis of Health Service Performance at Loa Bakung Health CenterAfter Implementation The e-Puskesmas System Atthoba, La Debi; Anggraeni, Ike; Adrianto, Ratno
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Digital transformation is a key strategy in modernizing the health sector globally and nationally. In Indonesia, the implementation of health information systems such as E-Puskesmas aims to improve work efficiency, clinical data accuracy, service effectiveness at First-Level Health Facilities. Objective : This study analyzes the performance indicators of health services at UPTD Puskesmas Loa Bakung after the implementation of the E-Puskesmas system, focusing on service time efficiency, curative workload, and the achievement of promotive–preventive programs. Research Methods/ Implementation Methods : A descriptive approach was used based on secondary data from E-Puskesmas operational reports from January to September 2025. Data were obtained from individual service unit (UKP) reports, monthly BPJS Health reports, and public health program records. The analysis focused on operational efficiency, disease burden profiles, and priority program achievements. Results : Findings reveal a gap between digitalization goals and operational reality. Only 50.1% of patients were served within less than 10 minutes, indicating workflow bottlenecks. Essential Hypertension (2,985 cases), Acute Respiratory Infections (1,300 cases) dominated curative services, while screening achievements for Hypertension (16.43%) and Diabetes (4.10%) remained below targets. This reflects a reactive service orientation with limited promotive and preventive efforts. Conclusion/Lesson Learned : : E-Puskesmas has improved data recording accuracy but has not fully enhanced systemic performance. Optimization is needed through better network infrastructure, improved digital competence among health workers, and data-driven decision-making. Strategic focus should emphasize strengthening promotive and preventive programs as the core of primary health digital transformation.
Health Impacts Quality of Life in Communities Affected by Coal Mining in Kutai Kartanegara Barkati, Rahmat; Anggraeni, Ike; Nurrachmawati, Annnisa
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : The impacts of coal mining activities on the quality of life in surrounding communities, specifically focusing on employment opportunities, income perceptions, health security, and infrastructure. Objective : The primary goal is to understand how these factors influence the overall well-being of residents in mining-affected areas, providing valuable insights for sustainable community development and policy-making Research Methods/ Implementation Methods : A cross-sectional survey was conducted with 300 respondents from three villages near mining operations in Kutai Kartanegara, East Kalimantan, using structured questionnaires. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to explore the relationships between various social determinants and health outcomes. The study also examined environmental factors, such as air and water quality, through laboratory testing Results : The findings highlight significant variations in the perceptions of the local community regarding the benefits and challenges posed by mining activities. Employment opportunities and income were generally viewed positively, while concerns about environmental pollution and housing affordability were prevalent. These results underscore the need for targeted interventions to improve health security and infrastructure in mining communities. Conclusion/Lesson Learned : While coal mining has contributed to economic opportunities for some, it has also introduced challenges related to environmental health and living conditions. The study highlights the need for improved environmental management, better health services, and policies that address housing affordability. These findings emphasize the importance of balancing economic development with community health and well-being in mining regions.
Co-Authors Adila, Alfina Rahma Adiyatsa, Reza Jales Mahesa Adrianto, Ratno Akbarini, Oon Fatonah Akhmad Dzikri Alfina Suci Ramadhani Andi Anwar, Andi Andi Baso, Ismail Annisa Nurrachmawati Annisa Nurrachmawati Ardhiputri, Titania Ariyanti, Rea Atthoba, La Debi Auliya, Jumi Barkati, Rahmat Budi, Eko Prasetya Camara Indriani, Dilla Dewi Endah Ramadhani Endah Wahyutri Erwina, Brigita Win Fatimatuzzahra, Tien Fitriana, Risma Hafizatun Nisa, Elma Hardito, Agus Hasmawati Hasmawati Hasmawati Hasmawati Heri Gunawan Hilda Marfu'ah Rozkiah Ifroh, Riza Hayati Ifroh, Riza Hayati Ika Wulan Sari Irfansyah Baharuddin Pakki Iriyani Kamaruddin, Iriyani Ismail AB, Ismail Isnani, Nahara Izma, Hayatun Jasmawati, Jasmawati Kiswanto Kiswanto Kristiandi, Kiki Lies Permana Made Darawati Mardiany Masithah Maya Marinda Mifthahul Jannah Muftadiin, Fatimatul Muh. Azmi Muhidin Muhammad Arifin Nisa, Elma Hafizatun Nur Asma Nur Rohmah Nur Rohmah Nurrachmawati, Annnisa Nursafa, Andi Nurul Afiah Oktaviani, Raeza Noorinda Pasambuna, Muksin Pramono, Dwi Agung PUTRI, TIARA Rahma Adila, Alfina Rahmi Susanti Rahmi Susanti Rahmi Susanti Ratih Wirapuspita Wisnuwardani Ratna Wati Ratna Wati Reny Noviasty Reza Jales Mahesa Adiyatsa Reza Nur Fahmi Riza Hayati Ifroh Ronny Isnuwardana S Siswanto Sandi, Dita Ayulia Dwi Saputri, Deby Indah Sendila Ernesy Asari Setiawan, Muhammad Irwan Silaban, Vandy Siti Nurjannah Siti Raihanah Sitorus, Rame Swandari Paramita Tetty Herta Doloksaribu Triani Putri, Irda Utari, Ari W Wisnuwardani, Ratih Wahyu Ramadhani, Reza Widiya Rolantika Widyasasi, Dyah Winardi Winardi Yunianto, Andi Eka Yuniar, Dewi