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CesLA (Cegah Stunting Lewat Anemia): Deteksi Anemia Non-Invasif pada Remaja Putri Berbasis Citra Konjungtiva Ilmadina, Hepatika Zidny; Nisa, Juhrotun; Apriliani, Dyah; Anisa, Lulu Nadhiatun; Rakhmah, Firda Aulia
Jurnal Informatika: Jurnal Pengembangan IT Vol 10, No 3 (2025)
Publisher : Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/jpit.v10i3.8873

Abstract

Stunting is a chronic nutritional problem that will directly affect the quality of human resources in the future. One of the contributing factors to stunting is anemia during pregnancy, which often originates from adolescence. Early detection of anemia in women of reproductive age is a crucial preventive measure to reduce the risk of stunting. This study aims to develop an anemia classification model based on conjunctival images using a combination of MobileNetV2 architecture and Support Vector Machine (SVM), and to implement the model into a mobile application named CeSLA (Cegah Stunting Lewat Anemia). The model was built using a dataset of female conjunctival images annotated based on haemoglobin levels and visual characteristics of the conjunctiva. Evaluation results explain that the model achieved precision, recall, and f1-score values ranging from 0.91 to 0.92 for each class, with a macro average of 0.92, indicating accurate and balanced classification performance. The trained and evaluated model was then integrated into the CeSLA mobile application. This application allows users, particularly adolescent girls, to detect potential anemia non-invasively by scanning the lower eyelid using a smartphone camera. CeSLA is also equipped with educational features such as health articles and a detection history log. With this approach, CeSLA is expected to serve as an innovative solution that supports early, self-administered anemia detection and contributes to the national effort to prevent stunting.
NAVIGATING NUTRITION BEHIND BARS: A PHENOMENOLOGICAL STUDY OF PREGNANT INMATES’ PERCEPTIONS Prastiwi, Ratih Sakti; Qudriani, Meyliya; Nisa, Juhrotun
Journal of Advanced Nursing and Health Sciences Vol. 6 No. 2, Agustus 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/kn.v6i2.1870

Abstract

Background: Correctional institutions had made efforts to provide supplemental nutrition for pregnant inmates. This study examined how incarcerated pregnant women understand and respond to the nutritional conditions they face, with particular attention to their perceptions, attitudes, and sense of agency in meeting their dietary needs during imprisonment.Methods: A qualitative phenomenological approach was used. Between January and March 2024, data were collected through in-depth interviews and participant observation with six pregnant inmates in a women’s correctional facility in Indonesia. Thematic analysis was then conducted to identify key patterns and meanings in their experiences.Results: The analysis identified two main themes: Perceptions and Experiences About Nutrition and Strategies to Meet Nutritional Needs. Participants viewed prison food as inadequate and often inappropriate for pregnancy, with some expressing feelings of being uncared for. Food was also linked to moral and emotional meanings, including shame and judgment. To cope, women adopted informal strategies such as food sharing, small jobs, or saving money. However, limited nutritional knowledge influenced their choices, leading to misconceptions about what foods were healthy or suitable during pregnancy. Conclusion: These findings suggest that supporting pregnant inmates’ nutritional needs requires more than simply providing food. Emotional, cultural, and social factors should be considered in designing interventions. Collaborative programs, such as group prenatal classes or discussion forums, supported by culturally sensitive educational materials, and policies that support collaboration between prisons, healthcare providers, and community organizations, can help promote healthier behaviors and better support the well-being of pregnant women in custody.
Studi Kasus Ibu Hamil Dengan Anemia Ringan, Kekurangan Energi Kronik (KEK) Dan Umur >35 Tahun Nevia Putri, Venanda; Nisa, Juhrotun; Zulfiana, Evi
JIDAN: Jurnal Ilmiah Kebidanan Vol. 4 No. 2 (2024): Edisi Juli 2024
Publisher : UNIVERSITAS HAJI SUMATERA UTARA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jidan.v4i2.1033

Abstract

Angka Kematian Ibu di Kabupaten Tegal tahun 2022 sebanyak 15 kasus yaitu 63,5 mengalami penurunan dibandingkan pada tahun 2021 sebanyak 30 kasus. Data pada tahun 2023 di Puskesmas Talang Kabupaen Tegal ibu hamil dengan resiko tinggi ada 4 kasus, dengan penyebab yaitu anemia, kek, hipertensi, resti umur jika terjadi pada ibu hamil sangat berbahaya tidak terdapat Angka Kematian Ibu di Puskesmas Talang selama 2 tahun belakangan ini. Anemia berhubungan dengan kurangnya zat besi dalam tubuh. Kekurangan energy kronik mengalami kekurangan gizi, kalori dan protein yang berlangsung lama serta menahun. Tujuan dari peneliti ini untuk mengkaji kasus kebidanan dengan anemia ringan, KEK, dan Umur >35 tahun. Penelitian ini menggunakan pendekatan studi kasus. Subjek penelitian adalah Ny. D berusia 39 tahun hamil dengan anemia ringan, KEK , dan Umur >35 tahun sampai dengan melahirkan, post partum, dan neonatus. Data diambil dari bulan September hingga November 2023. Data didapatkan melalui wawancara, observasi, dan dokumentasi, diperoleh hasil setelah dilakukan penatalaksanaan kadar HB ibu mengalami kenaikan pada kunjungan kedua, ibu melahirkan secara normal, dan bayi baru lahir normal. Saran : Diharapkan tenaga kesehatan dapat memberikan pelayanan dan mengoptimalkan pelayanan pada ibu hamil khususnya bagi ibu hamil yang mengalami komplikasi, pada ibu hamil yang mengalami anemia, KEK dan Umur >35 tahun.
Edukasi Penanganan Sindrom Premenstruasi (PMS) dengan Latihan Yoga Nisa, Juhrotun; Chikmah, Adevia Maulidya; Astuti, Puji Tri; Arisanti, Novia Ludha; Khumayah, Siti; Habibah, Siti
Jurnal Surya Masyarakat Vol 7, No 2 (2025): Mei 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.7.2.2025.200-206

Abstract

PMS conditions that are not treated properly in some women can disrupt their quality of life. One of the therapies recommended by the international organization The Royal College of Obstetricians and Gynecologists in managing PMS symptoms is exercise. Yoga is a form of exercise that can be done before menstruation. With Yoga, the mind calms and relaxes the body so that it can control stress, anxiety, depression and also overcome dysmenorrhea. This service activity was carried out with the aim of providing education on premenstrual syndrome  treatment with yoga exercises. The activity method is carried out by providing Health Education using slides and leaflets, as well as practicing yoga poses with a certified instructor. Measurement of educational success is carried out through pretest and posttest. Community service activity in partnership with the family learning center (PUSPAGA) on January 5 2024 at Politeknik Harapan Bersama, Tegal City, with 36 young women participating from 6 high schools in Tegal City. The results of the activity showed that there was an increase in knowledge after providing health education about treating PMS with yoga practice. The importance of the role of relevant agencies in providing health information and monitoring physical activity of adolescents at school age.
Edukasi Penanganan Sindrom Premenstruasi (PMS) dengan Latihan Yoga Nisa, Juhrotun; Chikmah, Adevia Maulidya; Astuti, Puji Tri; Arisanti, Novia Ludha; Khumayah, Siti; Habibah, Siti
Jurnal Surya Masyarakat Vol 7, No 2 (2025): Mei 2025
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.7.2.2025.200-206

Abstract

PMS conditions that are not treated properly in some women can disrupt their quality of life. One of the therapies recommended by the international organization The Royal College of Obstetricians and Gynecologists in managing PMS symptoms is exercise. Yoga is a form of exercise that can be done before menstruation. With Yoga, the mind calms and relaxes the body so that it can control stress, anxiety, depression and also overcome dysmenorrhea. This service activity was carried out with the aim of providing education on premenstrual syndrome  treatment with yoga exercises. The activity method is carried out by providing Health Education using slides and leaflets, as well as practicing yoga poses with a certified instructor. Measurement of educational success is carried out through pretest and posttest. Community service activity in partnership with the family learning center (PUSPAGA) on January 5 2024 at Politeknik Harapan Bersama, Tegal City, with 36 young women participating from 6 high schools in Tegal City. The results of the activity showed that there was an increase in knowledge after providing health education about treating PMS with yoga practice. The importance of the role of relevant agencies in providing health information and monitoring physical activity of adolescents at school age.
NAVIGATING NUTRITION BEHIND BARS: A PHENOMENOLOGICAL STUDY OF PREGNANT INMATES' PERCEPTIONS Prastiwi, Ratih Sakti; Qudriani, Meyliya; Nisa, Juhrotun
Journal of Advanced Nursing and Health Sciences Vol. 6 No. 2, Agustus 2025
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/kn.v6i2.1870

Abstract

Background: Correctional institutions had made efforts to provide supplemental nutrition for pregnant inmates. This study examined how incarcerated pregnant women understand and respond to the nutritional conditions they face, with particular attention to their perceptions, attitudes, and sense of agency in meeting their dietary needs during imprisonment.Methods: A qualitative phenomenological approach was used. Between January and March 2024, data were collected through in-depth interviews and participant observation with six pregnant inmates in a women's correctional facility in Indonesia. Thematic analysis was then conducted to identify key patterns and meanings in their experiences.Results: The analysis identified two main themes: Perceptions and Experiences About Nutrition and Strategies to Meet Nutritional Needs. Participants viewed prison food as inadequate and often inappropriate for pregnancy, with some expressing feelings of being uncared for. Food was also linked to moral and emotional meanings, including shame and judgment. To cope, women adopted informal strategies such as food sharing, small jobs, or saving money. However, limited nutritional knowledge influenced their choices, leading to misconceptions about what foods were healthy or suitable during pregnancy. Conclusion: These findings suggest that supporting pregnant inmates' nutritional needs requires more than simply providing food. Emotional, cultural, and social factors should be considered in designing interventions. Collaborative programs, such as group prenatal classes or discussion forums, supported by culturally sensitive educational materials, and policies that support collaboration between prisons, healthcare providers, and community organizations, can help promote healthier behaviors and better support the well-being of pregnant women in custody.
Health Belief Model Keteraturan Pemeriksaan Antenatal Ibu Hamil Selama Pandemi Covid-19 Nisa, Juhrotun; Rahmanindar, Nora
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 1 (2023): EDITION MARCH 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i1.2648

Abstract

During the Covid-19 pandemic, maternal and neonatal death still becomes a challenging issue in Indonesia, especially since there was a social restriction on maternal and newborn health services. Pregnant women are advised to perform a pregnancy check-up during the pandemic, but most are reluctant due to afraid of being infected with the virus. The health belief model is used to analyze the assessment of individual health actions. The study aimed to determine the relation of the health belief model in antenatal examinations during the covid-19 pandemic. This research was a quantitative study with a cross-sectional approach. The population was whole pregnant women in the Dukuhwaru Health Center as many as 208 people. About 53 people sample recruited using accidental sampling techniques. Independent variables include perceptions of vulnerability, perceptions of seriousness, perception of threats, perception of benefits, perception of obstacles, and cues to action, while the dependent variables are the regularity of pregnant women in conducting antenatal care examinations. Data was collected through questionnaires and analyzed using Fisher's Exact test. The results showed that there was a relationship between the perception of seriousness (p=0.03), perception of threat (p=0.000), and perception of obstacles (p=0.04) with the regularity of antenatal checks. However, there was no significant correlation between perception of susceptibility (p=0.46), perception of benefit (p=0.07), and cues for action (p=1) to the regularity of antenatal checks. 3 out of 6 of the health belief model factors were related to the regularity of antenatal checks. The regularity of antenatal visits on the incidence of Covid-19 needs to be explored in subsequent studies.
FAKTOR-FAKTOR PENYEBAB STUNTING OBESITAS: NARRATIVE LITERATURE REVIEW Prastiwi, Ratih Sakti; Qudriani, Meyliya; Umriaty; Nisa, Juhrotun
WOMB Midwifery Journal Vol. 2 No. 2 (2023): Desember 2023
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/wombmidj.v2i2.220

Abstract

The problem of concurrent stunting and overweight (COS) in children has a low prevalence and is often overlooked. Children with COS are at increased risk for stunted growth and development and non-communicable diseases. Therefore, a preliminary review was conducted to identify the causes of COS in children under five years of age. A narrative review of the literature was conducted by searching the Scopus database using the keywords "concurrent stunting and overweight", "stunting and obesity", and "double burden of malnutrition", and 6 relevant articles were identified. Several important themes emerged from the literature review, namely maternal conditions during pregnancy and lactation, child feeding practices, completeness of immunization status, and household conditions and socio-demographics
KEJADIAN ANEMIA PADA SANTRIWATI DI PONDOK PESANTREN DAARU ULIL ALBAAB KABUPATEN TEGAL Umriaty, Umriaty; Nisa, Juhrotun; Astuti, Puji Tri
Siklus : Journal Research Midwifery Politeknik Tegal Vol 11, No 1 (2022)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v11i01.2792

Abstract

Anemia merupakan salah satu faktor penyebab tidak langsung kematian ibu hamil. Kejadian anemia pada remaja yg tidak tertangani dengan baik dapat menimbulkan masalah pada masa kehamilan, persalinan dan nifas. Santriwati merupakan sasaran dalam program pencegahan anemia pada remaja. Penelitian ini bertujuan untuk mengetahui angka anemia santriwati di Pondok Pesantren Modern Daaru Ulil Albaab serta untuk mengetahui upaya yang dilakukan oleh pengelola Pondok Pesantren untuk mencegah terjadinya anemia pada santriwati. Penelitian menggunakan pendekatan mix method atau campuran antara pendekatan kuantitatif dan kualitatif. Populasi dalam penelitian ini yaitu santriwati yang berjumlah 60 orang. Penentuan sampel dilakukan dengan purposive sampling dan didapatkan sejumlah 49 santriwati sebagai responden. Untuk memperoleh data kualitatif tentang upaya pencegahan anemia pada snatriwati, peneliti melakukan wawancara mendalam kepada pengurus Pondok Pesantren dan juga santriwati.Hasil penelitian menunjukkan 71% santriwati mengalami menarche pada usia normal (10-14 tahun), siklus mentruasi santriwati sebagian besar teratur yaitu 59%. Santriwati dengan pengetahuan baik tentang anemia yaitu sebesar 53,1%, dan mempunyai sikap yang positif sebesar 89,8%. Sebanyak 18% santriwati mengalami anemia.
PENGARUH STATUS GIZI TERHADAP SIKLUS DAN LAMA MENSTRUASI PADA REMAJA PUTRI Nisa, Juhrotun; Hidayah, Seventina Nurul; Chikmah, Adevia Maulidya; Harnawati, Riska Arsita
Siklus : Journal Research Midwifery Politeknik Tegal Vol 12, No 2 (2023)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v12i02.4355

Abstract

Abstrak11.7% remaja usia 15-19 tahun mengalami gangguan siklus menstruasi. Gaya hidup, gangguan hormonal, status gizi merupakan factor yang berpengaruh dalam siklus menstruasi. Remaja putri dengan status gizi obesitas berpotensi mengalami hiperandrogenisme yang berdampak pada gangguan siklus dan lama menstruasi. Tujuan penelitian ini yaitu untuk mengetahui pengaruh status gizi terhadap siklus dan lama menstruasi pada remaja putri. Metode penelitian menggunakan rancangan cross sectional, populasinya adalah remaja putri di SMA N 1 Pagerbarang. Sampel penelitian sebanyak 212 orang dengan teknik kuota sampling. Analisa data menggunakan chi square. Hasil penelitian didapatkan bahwa nilai P=0.095 untuk status gizi dengan siklus menstruasi dan P=0.41 untuk status gizi terhadap lama menstruasi, sehingga tidak terdapat pengaruh antara status gizi terhadap siklus maupun lama menstruasi.   Kata Kunci: Status Gizi, Siklus Menstruasi, Lama Menstruasi