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All Journal Medika Alkhairaat : Jurnal Penelitian Kedokteran dan Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Science Midwifery Indonesian Journal of Global Health research BERNAS: Jurnal Pengabdian Kepada Masyarakat Jurnal Pengabdian kepada Masyarakat Nusantara Jurnal Kesehatan Tambusai Jurnal Ilmu Psikologi dan Kesehatan Health Research Journal of Indonesia SEWAGATI: Jurnal Pengabdian Kepada Masyarakat Journal of Innovative and Creativity Jurnal Pengembangan Masyarakat Lokal Journal of Excellence Humanities and Religiosity (Medical Scientific Journal) MESINA Holistik Jurnal Kesehatan Jurnal Teras Pengabdian Masyarakat CHI JOURNAL OF Community Health Issues Indonesian Journal of Global Health Research
Dea Zara Avila
Universitas Muhammadiyah Bima
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Association Between Maternal Knowledge of Anemia During Pregnancy and Adherence to Iron–Folic Acid Supplementation with the Risk of Delivering a Stunted Infant Indri Indri; Alkhair Alkhair; Dea Zara Avila; Muammar Iksan
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11322

Abstract

Stunting remains a chronic nutritional problem that requires serious attention, including in the working area of Langgudu Public Health Center. Maternal health conditions during pregnancy, particularly knowledge of anemia and adherence to consuming iron-folic acid supplementation or blood supplement tablets, are suspected to be associated with the risk of giving birth to a stunted child. This study aimed to analyze the relationship between pregnant women’s knowledge of anemia and their level of adherence to consuming blood supplement tablets with the risk of giving birth to a stunted child in the working area of Langgudu Public Health Center. This study used a quantitative analytical observational method with a case-control design. The sample consisted of 186 respondents, including 93 mothers with stunted children as the case group and 93 mothers with children with normal growth status as the control group. Primary data were collected using questionnaires and observation sheets, while secondary data were obtained from the public health center’s nutritional status monitoring reports. Data were analyzed using the Chi-Square test. The results showed that pregnant women’s knowledge of anemia was not significantly associated with stunting incidence (p = 0.281). In contrast, adherence to consuming blood supplement tablets showed a significant association with stunting incidence (p = 0.003; OR = 0.404). Therefore, pregnant women’s adherence to consuming blood supplement tablets is an important factor related to the risk of giving birth to a stunted child. Accordingly, strengthening education, monitoring blood supplement tablet consumption, and providing nutritional counseling during pregnancy need to be improved.
Determinants Influencing the Prevalence of Stunting in Toddlers Nur Husnul Khatimah; Dea Zara Avila
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6245

Abstract

Stunting remains a significant public health issue with long-term effects on the growth and development of children, particularly in regions with limited access to health resources. Various factors such as economic status, parenting practices, and access to health facilities contribute to its prevalence. This study aims to analyze the determinants influencing stunting among children under five years old in Sambane Village, Langgudu District, Bima Regency. A cross-sectional approach was used with data collected from 50 respondents through questionnaires. Statistical analysis using the Chi-Square test was conducted to examine the relationship between independent variables—namely economic status, water source, toilet type, mother's body mass index (BMI), mother's education, mother's occupation, mother's age, child vaccination status, and frequency of posyandu visits—and the prevalence of stunting. The findings revealed that economic status (χ² = 36.11, p < 0.001), water source (χ² = 29.17, p < 0.001), toilet type (χ² = 34.38, p < 0.001), maternal education (χ² = 36.11, p < 0.001), and maternal occupation (χ² = 25.69, p < 0.001) were significantly associated with stunting. These results highlight that strengthening socioeconomic conditions and improving access to basic health facilities are critical strategies in stunting prevention efforts.
Acceptability Testing of Moringa-Enriched Corn Porridge as a Local Food-Based Nutritional Intervention for Stunting Prevention in Children Under Five Heni Aryani; Dea Zara Avila; Alkhair Alkhair; Aris Irwansyah
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11374

Abstract

Indonesia. One of the strategies to prevent stunting is the utilization of nutrient-rich local foods as supplementary feeding for children under five. Corn is an abundant local commodity in Woha District, Bima Regency, and has the potential to be developed into a nutritious food product through the addition of Moringa oleifera leaves, which are rich in protein, vitamins, and minerals. The success of such food products depends not only on their nutritional value but also on their sensory acceptability. Objective: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. Methods: This study aims to determine the acceptability of corn-egg porridge as an effort to utilize local food resources in stunting prevention within the working area of Woha Community Health Center. This study is expected to produce a corn-egg porridge formulation with a high level of acceptance based on organoleptic characteristics. The resulting product has the potential to serve as a nutritious, affordable, and locally based supplementary food alternative that can be implemented in stunting prevention programs for children under five years of age.Keywords: stunting, corn porridge, Moringa oleifera, acceptability, local food, hedonic test.
The Role of Maternal Education, Dietary Diversity and Feeding Practies in Stunting Among Children Under Five Nurilah Kuswanti; Dea Zara Avila; Darmin Darmin; Alkhair Alkhair
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11292

Abstract

Balita merupakan kelompok yang rawan mengalami masalah gizi. Salah satu masalah gizi yang terjadi pada balita adalah stunting. Ada beberapa faktor yang menyebabkan stunting, antara lain tingkat pendidikan, keragaman pangan dan pola asuh dalam pemberian makan. Tujuan penelitian ini adalah untuk mengetahui hubungan tingkat pendidikan ibu, keragaman pangan dan pola asuh pemberian makan. Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan case control. Pengambilan sampel penelitian menggunakan purposive sampling. Sampel berjumlah 78 balita di Wilayah Puskesmas Kerja Wawo, terdiri dari 39 sampel stunting dan 39 sampel tidak stunting. Data stunting diperoleh dengan cara perhitungan TB/U dan data tingkat pendidikan, keragaman pangan serta pola asuh diperoleh melalui cara kuesioner. Analisis data dalam penelitian ini menggunakan uji Chi Square. Hasil uji hubungan tingkat pendidikan (p =0.774 ), keragaman pangan (p = 0.011), dan pola pengasuhan memberikan makan (p = 0.000). Kesimpulan : Tidak ada hubungan tingkat pendidikan ibu dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan keragaman pangan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo. Ada hubungan pola asuh pemberian makan dengan kejadian stunting pada balita di Wilayah Kerja Puskesmas Wawo.
Determinants of Exclusive Breastfeeding, Early Breastfeeding Cessation, and Recurrent Infections among Stunted Under-Five Children Dwi Rezeki Auliah; Darmin Darmin; Dea Zara Avila; M.Noris M.Noris
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11353

Abstract

Stunting—characterized by height that is inappropriate for a child's age—is a health issue that poses a long-term threat to a toddler's well-being if left unaddressed. This condition reflects chronic, persistent nutritional deficiency, which has the potential to hinder physical growth, intellectual development, and future productivity. This study aimed to analyze the associations between exclusive breastfeeding, early cessation of breastfeeding, and recurrent infections among stunted toddlers in the working area of the Langgudu Timur Community Health Center (Puskesmas). Methods: A quantitative study was conducted using a case-control design and a retrospective approach involving 90 respondents—mothers of toddlers with either normal nutritional status or stunted status. Sampling was carried out using a combination of probability and purposive sampling. Results: Statistical analysis using the Chi-Square test revealed significant associations between stunting and the variables studied: exclusive breastfeeding (p-value = 0.003 < 0.05; OR = 4.64), early cessation of breastfeeding (p-value = 0.000 < 0.05; OR = 11.00), and recurrent infections (p-value = 0.000 < 0.05; OR = 5.38). It is recommended that all stakeholders strengthen stunting prevention efforts by promoting exclusive breastfeeding for the first six months of life, continuing breastfeeding until the child is two years old or older, and enhancing early prevention and management of infections in toddlers.
Association of Parenting Practices, Nutritional Intake,and Economic Status with Stunting Among Children Aged 24–59 Months Umratul Fatiha; Nur Husnul Khatimah; Muammar Iksan; Dea Zara Avila
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11339

Abstract

Stunting is a chronic nutritional problem among toddlers, characterized by impaired height-for-age growth. The occurrence of stunting can be influenced by various factors, including the quality of care, adequate nutritional intake, and the family’s socioeconomic status. This study aims to determine the relationship between parenting practices, nutritional intake, and socioeconomic status with the prevalence of stunting among children aged 24–59 months in the service area of the Penanae Community Health Center, Bima City. This study employed a quantitative approach with an analytical observational design and a cross-sectional method. The sample consisted of 78 toddlers selected using simple random sampling, comprising 39 toddlers in the stunting group and 39 toddlers in the non-stunting group. Data were collected through interviews using a questionnaire on parenting practices and socioeconomic status, nutritional intake measurements using the Food Frequency Questionnaire (FFQ), and height measurements based on the height-for-age (H/A) indicator. Data analysis was performed using the chi-square test and logistic regression. The results showed an association between parenting practices (p<0.001), nutritional intake (p=0.002), and socioeconomic status (p=0.042) and the incidence of stunting. Multivariate analysis showed that parenting practices were the most influential factor on the incidence of stunting, with an OR of 6.318 (95% CI: 2.104–18.973; p=0.001) Based on the research findings, improving the quality of child-rearing practices, meeting nutritional needs, and providing support for families’ economic conditions should be considered as measures to prevent stunting in toddlers.
Analisis ketahanan pangan fungsional berbasis kearifan lokal “uma lengge” dalam mendukung pencapaian SDGs Nur Fitrianingsih; Darmin Darmin; Hairunnisah Hairunnisah; Dea Zara Avila
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3540

Abstract

Background: Food security is a strategic issue in sustainable development, directly related to meeting the basic needs of the community. The community of Maria Village, Bima Regency, possesses local wisdom in the form of Uma Lengge, which functions as a traditional food barn for long-term storage of agricultural produce. This system not only maintains food availability but also maintains cultural values ​​and social solidarity. Purpose: To analyze functional food security based on the local wisdom of Uma Lengge in supporting the achievement of sustainable development goals (SDGs). Method: Using a qualitative approach with sociocultural phenomenology, the study was conducted in Maria Village, Wawo District, Bima Regency through participatory observation, in-depth interviews, and documentation with traditional leaders, Uma Lengge users, and the village government. Results: The study shows that Uma Lengge functions as a traditional food storage system that maintains food availability, strengthens social solidarity, maintains local cultural values, and supports the achievement of the SDGs, particularly the goals of zero poverty, zero hunger, and a healthy and prosperous life. Conclusion: Uma Lengge is a form of food security based on local wisdom that remains relevant in supporting sustainable development and can be used as a model for strengthening local food systems. Suggestion: Future research should quantitatively measure the impact of Uma Lengge on household food security status and community nutrition indicators. Furthermore, further studies are needed to integrate traditional food systems with SDG-based regional development programs.   Keywords: Food Security; Local Wisdom; Sustainable Development Goals (SDGs); Uma Lengge.
Analisis daya terima bakso ikan tenggiri dan daun kelor (Scomberomorus Commerson & Moringa Oleifera) sebagai pangan lokal bergizi pada balita stunting usia 36-59 bulan Erna Amelya; Nur Husnul Khatimah; Dea Zara Avila; Alkhair Alkhair
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3820

Abstract

Background: Stunting remains a major nutritional problem in Indonesia and can affect children's growth and development. Utilizing nutrient-rich local foods is one strategy to support nutritional improvement in stunted children. Spanish mackerel (Scomberomorus commerson) is a good source of high-quality animal protein, while moringa leaves (Moringa oleifera) are rich in vitamins, minerals, and antioxidants. These ingredients have the potential to be developed into nutritious food products. However, consumer acceptance is a critical factor determining product utilization. Purpose: To analyze the acceptability and differences in sensory evaluation of mackerel meatballs enriched with moringa leaves in stunted children aged 36–59 months. Method: This experimental study used three formulations of Spanish mackerel meatballs with different concentrations of moringa leaves: F1 (10%), F2 (15%), and F3 (20%). The study was conducted in June 2025 within the working area of ​​the Langgudu Timur Community Health Center, Bima Regency, West Nusa Tenggara. Acceptability testing was conducted by 30 panelists using a hedonic test covering aspects of taste, color, aroma, and texture on a five-point scale. Data were analyzed using the Friedman test at a 95% confidence level (α=0.05). Results: Significant differences in acceptability were found among the three formulations for all sensory aspects (p<0.05). Formulation F2 had the highest average ratings for taste (2.53), aroma (2.60), and texture (2.82). Meanwhile, formulation F3 had the highest average rating for color (2.82). Overall, formulation F2 demonstrated the highest level of acceptability among panelists. Conclusion: There were significant differences in acceptability of mackerel fish balls with added moringa leaves based on taste, color, aroma, and texture. Formulation F2, containing 15% moringa leaves, was the most preferred formulation and has the potential to be developed as a nutritious local food alternative to support stunting prevention and management programs. Suggestion: Further research is recommended to analyze the nutritional content, product shelf life, and examine the effect of mackerel fish ball and moringa leaf consumption on the nutritional status and growth of stunted children to gain a more comprehensive understanding of the product's benefits.   Keywords: Acceptability; Moringa Leaves; Local Nutritious Food; Spanish Mackerel Meatballs; Stunting.
Hubungan tingkat pengetahuan ibu mengenai pemenuhan gizi 1000 hari pertama kehidupan dengan kejadian underweight Fitry Ramdani; Muhammad Noris; Dea Zara Avila; Muammar Iksan
Holistik Jurnal Kesehatan Vol. 20 No. 6 (2026): Volume 20 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i6.3941

Abstract

Background: Being underweight is a key indicator reflecting the combined impact of acute and chronic malnutrition. Although various countries have implemented nutrition interventions, progress remains insufficient to ensure the achievement of all global nutrition targets by 2030. Findings from the 2025 Joint Child Malnutrition Estimates (JME) highlight the need for intensified efforts to prevent and address child malnutrition, including underweight status, by improving access to nutritious food and quality healthcare services, as well as promoting optimal child-feeding practices. Purpose: To analyze the relationship between maternal knowledge regarding the "First 1000 Days of Life" and the incidence of underweight status. Method: This quantitative study employed an observational analytic design with a cross-sectional approach and was conducted at the East Dompu Community Health Center in June 2026. Non-probability purposive sampling was used, resulting in a sample size of 77 respondents. Research instruments included a questionnaire on nutritional intake during the first 1000 days of life and anthropometric measurements to determine the children's nutritional status. Data were analyzed using the Chi-Square test with a significance level of p<0.05. Results: A total of 24 (31.2%) children under five were underweight, while 53 (68.8%) were not. The results showed that the proportion of underweight cases was higher among mothers with a low level of knowledge compared to those with adequate or good levels of knowledge. Conclusion: There is a significant relationship between maternal knowledge regarding nutritional intake during the first 1000 days of life and the incidence of underweight status in children under five (p=0.017; p<0.05). Suggestion: Future initiatives should focus on enhancing education and outreach regarding nutrition during the first 1000 days of life through integrated health posts, classes for mothers of young children, nutrition counseling, and the empowerment of health volunteers. Sustained education is expected to improve mothers' knowledge, enabling them to adopt better feeding and caregiving practices to prevent underweight conditions among young children.   Keywords: First 1000 Days of Life; Maternal Knowledge; Nutritional Status; Under-Five Children; Underweight.
Pengaruh pemberian cookies saralact terhadap produksi ASI pada ibu menyusui di wilayah kerja Puskesmas Mpunda Lathifah Lathifah; Dea Zara Avila; Hairunnisah Hairunnisah; Muammar Iksan
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4144

Abstract

Background: Exclusive breastfeeding is the best source of nutrition for infants. However, the coverage of exclusive breastfeeding in Bima City decreased from 76.82% in 2021 to 61.84% in 2024. One factor that may affect the success of exclusive breastfeeding is suboptimal breast milk production. Katuk leaves and peanuts contain nutrients and bioactive compounds that have the potential to support lactation. Saralact Cookies were developed as a food-based alternative that may help improve breast milk production. Purpose: To determine the effect of Saralact Cookies consumption on breast milk production among breastfeeding mothers in the working area of Mpunda Public Health Center. Method: This study employed a quasi-experimental design with a pretest-posttest control group design. The study was conducted from May to June 2026 in the working area of Mpunda Public Health Center. The study population consisted of 92 breastfeeding mothers with infants aged 0–5 months who were exclusively breastfed. A total of 30 respondents were selected using purposive sampling and divided into an intervention group (n=15) and a control group (n=15). The intervention group consumed Saralact Cookies three times daily for 14 days, while the control group received no intervention. Infant body weight was used as an indirect indicator of breast milk adequacy. Data were analyzed using the paired sample t-test and independent sample t-test. Results: The mean increase in infant body weight was 373.33 grams in the intervention group, compared with 206.67 grams in the control group. The independent sample t-test showed a statistically significant difference in infant weight gain between the intervention and control groups (p<0.001). Conclusion: Consumption of Saralact Cookies had a significant effect on increasing infant body weight as an indirect indicator of breast milk adequacy. Saralact Cookies have the potential to serve as an alternative nutritional intervention to support the success of exclusive breastfeeding.
Co-Authors Adnan Adnan Alkhair Alkhair, Alkhair Aman Ma’arij Anisaturahmah Ningrum Aris Irwansyah Aris Iwansyah Candra Wisnu Nugroho Darmin Darmin Darmin Darmin Darmin Darmin, Darmin Dedent Ekabimma Hariyanto S Dwi Rezeki Auliah Erham Erham Erham Erna Amelya Fahrani, Aiska Fathurrahman Fathurrahman Firmanto, Taufik Fitry Ramdani Gufran Gufran, Gufran Hadijah Hadijah Hadijah Hairunnisah Hairunnisah Hairunnisah Hairunnisah Hairunnisah Heni Aryani Husnia, Dinah Husnul Khatimah, Nur Ilham Ilham Indah Annisa Auliah Indri Indri Israjuna, Israjuna Israjunna Israjunna Israjunna Israjunna Juraidin Juraidin Kasmar Khas Sukma Mulya Khatimah , Nur Husnul Khatimah, Nur Husnul Kiki Faradila Putri Lathifah Lathifah M Deta Zulfikar Rahman M Deta Zulfikar Rahman M Rizkan M Ziaul Fikar M. Noris M. Ziaul Fikar Ma'arij, Aman Mastorat Mastorat Muammar Iksan Muammar Iksan Muh Fitrah Muhammad Akbar Muhammad Rasyad Al Fajar Muhd Firmasnyah Novitasari, Dalia Nur Abri Joto Nur Faiza Nur Fitrianingsih Nur Husnul Khatimah Nurilah Kuswanti Nursani Nursani Nursani Nurul Hidayah Nurul Ramadhan Nurwijayanti Putri, Dita Oktaviani Ramadhan, Sahrul Resti Dona Saputri Rhosmiati, Rhosmiati Ridwan Rizky Amelia RR. Ella Evrita Hestiandari Sagaf, Umar St. Zulaiha Nurhajarurahmah Strahmawati Hamzah Syamsuddin Syamsuddin Taufik Firmanto Umratul Fatiha Walliyudin Walliyudin Widayati, Ulfa