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Tri Tunggal, Tri
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Determinants of underweight among children under five years in Sungai Malang Community-Health Center Tunggal, Tri; Ariyani, Eka; Rusmilawaty, Rusmilawaty; Prihatanti, Nur Rohmah; Santi, Mina Yumei
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) 2025: JNKI Volume 13 Issue 4, 2025 (Desember,2025) (In Progress Issue)
Publisher : Alma Ata University Press

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Abstract

Background: The most common nutritional problem in Indonesia is malnutrition. Children under five years are the age group that most often suffers from malnutrition. Underweight is a condition when a child's weight is below the normal range, indicated by a weight for age index of <-2 SD. Data from the health report for children under five years in North Hulu Sungai Regency, the percentage of underweight in Sungai Malang Community-Health Centers was 15.38% and in 2023 increase to 15.87%. Objectives: The aims of this research to determine the determinants of underweight among children under five years in Sungai Malang Community-Health Center, North Hulu Sungai Regency, South Kalimantan Province.Methods: A cross-sectional study was conducted involving 106 respondents selected through simple random sampling. Data were analyzed using univariate, bivariate (Chi-square), and multivariate (binary logistic regression) methods.Results: The prevalence of underweight was 33.96%. Significant determinants included low family income (OR=12.74; p=0.006), medium household size (OR=7.98; p=0.023), history of infectious diseases (OR=13.84; p=0.001), and low meal frequency (OR=47.19; p<0.001). Maternal education, child’s age, and sex were not significantly associated.Conclusions: Meal frequency emerged as the strongest determinant of underweight among children under five, followed by low family income, medium household size, and history of infectious diseases. The study recommends prioritizing efforts to improve meal frequency through community-based education, while encouraging health centers to actively promote early detection and prevention of underweight
PEMBERDAYAAN KADER DAN KELUARGA DALAM OPTIMALISASI DETEKSI DINI DAN PENCEGAHAN RISIKO IBU HAMIL DI KELURAHAN PEMURUS DALAM KOTA BANJARMASIN Tunggal, Tri; Hipni, Rubiati; Sofia, Norlaila; Aprilea, Noor Adha; Noor Adha
Jurnal Bakti untuk Negeri Vol 5 No 02 (2025): Jurnal Bakti Untuk Negeri
Publisher : Sekolah Tinggi Ilmu Kesehatan ISFI Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36387/gdzzzv54

Abstract

Background: Pemurus Dalam Village in Banjarmasin City is a swampy area witha population of 24,290, including 418 women of reproductive age. Fieldobservations revealed a high prevalence of high-risk pregnancies due to limitedknowledge among families and health cadres regarding early detection ofpregnancy risks. This condition necessitates community empowerment to enhance maternal health literacy and preventive capacities.Objective: This community service aims to enhance the knowledge, awareness, and skills of healthcare professionals and families in identifying early pregnancy risks, while fostering collaboration with healthcare providers.Method: The activity employedparticipatory training and education through a community empowermentapproach. Evaluation was conducted using pre- and post-tests among 20 participants (10 cadres and 10 families of pregnant women).Results: There was asignificant improvement in participants' knowledge, from 0% in the good category before training to 85% after the training. Conclusion: The program effectively enhanced the capacity of cadres and families for early detection of pregnancy risks and can serve as a replicable model for other regions.
Neurological Complications of Measles in Children: A Systematic Review Norlaila Sofia; Asy-Syifa Nashriyah; Noor Adha Aprilea; Tri Tunggal
Optimal Midwife Journal Volume 2 No. 2 Desember 2025
Publisher : PT Nuansa Fajar Cemerlang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/5rm4vf13

Abstract

Measles remains a major global health issue, including in Indonesia, with more than 10,600 cases reported in 2023 and approximately 3,400 cases until August 2025. Although most cases are self-limiting, neurological complications such as encephalitis and Subacute Sclerosing Panencephalitis (SSPE) remain significant causes of morbidity and mortality in children. This review summarizes recent evidence on the clinical characteristics, diagnostic approaches, and management of measles encephalitis in children. A literature search was conducted using Publish or Perish with the query “measles encephalitis” AND (child OR children OR pediatric) across Scopus, PubMed, Semantic Scholar, and Google Scholar, covering the period 2015–2025. Selection followed PRISMA guidelines through identification, screening, eligibility, and inclusion. Of 157 articles identified, 13 met the criteria. Case reports comprised 69.2%. Diagnosis was most frequently based on cerebrospinal fluid (CSF) analysis and electroencephalography (EEG) (≥70%), followed by reverse transcriptase polymerase chain reaction (RT-PCR) (46.1%) and histopathology (15.4%). Acute encephalitis was described in 84.6% of articles with nearly 50% mortality. SSPE was reported in 53.8% with progressive and fatal outcomes. Cases in immunocompromised children and neonates (15.4% each) showed more aggressive progression. Only two articles discussed therapeutic interventions with inconsistent outcomes. Measles encephalitis in children remains a critical challenge due to high mortality and limited therapeutic options. This review summarizes the latest evidence on the clinical and diagnostic spectrum of measles encephalitis and highlights the urgent need for research on diagnostic biomarkers and innovative therapies in the future.
PENINGKATAN PRODUKTIVITAS PADI LAHAN PASANG SURUT DAN KAPASITAS USAHA : (Sebagai Upaya Peningkatan Kesejahteraan Kelompok Tani Kelurahan Sei Selincah Kota Palembang) Masnila, Nelly; Tunggal, Tri; Febriantoko, Jovan
Jurnal Pengabdian Masyarakat Bumi Rafflesia Vol. 5 No. 3 (2022): Jurnal Pengabdian Kepada Masyarakat Bumi Raflesia
Publisher : Universitas Muhammadiyah Bengkulu

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Abstract

Pada Kelurahan Sei Selincah Kota Palembang terdapat banyak petani padi yang menggantungkan hidupnya pada hasil pertanian padi. Salah satu kelompok tani di kelurahan Kalidoni adalah Kelompok Tani Sumber Luhur yang menjadi mitra PIM. Berdasarkan justifikasi bersama mitra dapat ditarik sebuah permasalahan yang dialami, yaitu: (1)Sering gagal panen saat penanaman padi; (2)Belum memahami Teknik penanaman padi dengan baik; (3)Penjualan Terbatas pada penduduk sekitar dan tengkulak yang memonopoli harga; (4)Belum bisa menyusun laporan keuangan dengan baik; (5)Belum Mengetahui Cara Mengakses Modal Usaha. Solusi yang direncanakan untuk mengatasi permasalahan mitra tersebut, yaitu: (1)Pelatihan pemilihan benih padi varietas unggul yang ideal dengan kondisi lahan mitra; (2)Pelatihan Teknik Penanaman Padi Bibit Unggul; (3)Mendesain Logo usaha, label usaha, digital marketing dan kemitraan; (4)Pendampingan dan Pelatihan Pelaporan keuangan dan Manajemen Usaha; (5) Pendampingan dalam mempelajari dan mencari informasi akses pemodalan. Kegiatan ini berlangsung selama 7 bulan dengan sumber dana dari Kementerian Pendidikan, Kebudayaan, Riset dan Teknologi melalului skema Penerapan Iptek Masyarakat 2022. Berdasarkan kegiatan Penerapan Iptek bagi Masyarakat yang telah dijalankan maka Kelompok tani merasa terbantu dengan bertambahnya pengetahuan mereka hingga 80% terkait penanaman padi di lahan pasang surut. Solusi yang diimplementasikan telah sesuai dengan permasalahan eksisting mitra. Kegiatan ini berdampak pada bertambahnya produk kelompok tani yaitu beras kemasan yang mulai di pasarkan melalui e-commerce. Kata Kunci:  padi, e-commerce, pertanian, pengabdian, produktivitas
Determinants of underweight among children under five years in Sungai Malang Community-Health Center Tunggal, Tri; Ariyani, Eka; Rusmilawaty, Rusmilawaty; Prihatanti, Nur Rohmah; Santi, Mina Yumei
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 13 No. 4 (2025)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2025.13(4).456-470

Abstract

Background: The most common nutritional problem in Indonesia is malnutrition. Children under five years are the age group that most often suffers from malnutrition. Underweight is a condition when a child's weight is below the normal range, indicated by a weight for age index of <-2 SD. Data from the health report for children under five years in North Hulu Sungai Regency, the percentage of underweight in Sungai Malang Community-Health Centers was 15.38% and in 2023 increase to 15.87%. Objectives: The aims of this research to determine the determinants of underweight among children under five years in Sungai Malang Community-Health Center, North Hulu Sungai Regency, South Kalimantan Province.Methods: A cross-sectional study was conducted involving 106 respondents selected through simple random sampling. Data were analyzed using univariate, bivariate (Chi-square), and multivariate (binary logistic regression) methods.Results: The prevalence of underweight was 33.96%. Significant determinants included low family income (OR=12.74; p=0.006), medium household size (OR=7.98; p=0.023), history of infectious diseases (OR=13.84; p=0.001), and low meal frequency (OR=47.19; p<0.001). Maternal education, child’s age, and sex were not significantly associated.Conclusions: Meal frequency emerged as the strongest determinant of underweight among children under five, followed by low family income, medium household size, and history of infectious diseases. The study recommends prioritizing efforts to improve meal frequency through community-based education, while encouraging health centers to actively promote early detection and prevention of underweight
A Scientific Investigation of Factors Related to Breast Milk Adequacy in Banjar Regency, South Kalimantan, Indonesia Rusmilawaty; Tri Tunggal; Hapisah; Norlaila Sofia; Zulfikar Ali As
Jurnal Penelitian Pendidikan IPA Vol 11 No 9 (2025): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i9.12718

Abstract

Various maternal factors potentially influence breast milk sufficiency. This study aims to analyze maternal factors associated with breast milk sufficiency in Banjar Regency. This analytical study used a cross-sectional design and was conducted from April to July 2025 in the Banjar Regency Community Health Center. A total of 70 postpartum mothers were selected using a probability sampling method. The dependent variable was breast milk adequacy, while the independent variables included maternal age, gestational age, parity, psychological condition, sociocultural factors, breast and nipple condition, delivery method, contraceptive use, and early initiation of breastfeeding (IMD). Data were analyzed using the chi-square test and logistic regression. Bivariate analysis showed that nipple condition (p = 0.01; OR = 5.25), maternal age (p = 0.011; OR = 4.92), vaginal delivery (p = 0.03; OR = 2.89), and early initiation of breastfeeding (p = 0.039; OR = 2.89) were significantly associated with breast milk adequacy. Multivariate logistic regression confirmed that nipple condition was the most dominant factor (p = 0.04; AOR = 0.15; 95% CI: 0.02–0.99). The regression model showed good predictive power (R² = 0.61; classification accuracy = 82.90%). In conclusion, nipple condition is the most influential maternal factor in determining breast milk adequacy. These findings underscore the importance of early assessment of nipple anatomy and appropriate supportive interventions during pregnancy.
Development of Lactation Mobile Applications in Indonesia: A Systematic Literature Review Rusmilawaty , Rusmilawaty; Sofia , Norlaila; Hapisah , Hapisah; Tunggal, Tri
Jurnal Teknokes Vol. 19 No. 1 (2026): March
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jteknokes.v19i1.156

Abstract

Exclusive breastfeeding for six months is a critical public health intervention to reduce infant mortality in Indonesia. However, its implementation continues to face significant barriers, including low maternal health literacy, limited psychosocial support, and challenges in lactation management. Although digital health technologies have expanded rapidly, existing lactation applications in Indonesia remain fragmented and predominantly focus on one-way educational functions, without integrating maternal health data or clinical infant monitoring. This study aims to systematically analyze the characteristics and development trends of lactation mobile applications in Indonesia and to identify feature gaps, which will serve as the foundation for designing an integrated digital model. The main contribution of this study is the development of a conceptual framework for an integrated lactation technology model that combines breastfeeding education, family involvement, maternal factor documentation, and breast milk adequacy monitoring using infant physiological indicators, all within a single digital ecosystem. A Systematic Literature Review (SLR) was conducted following PRISMA guidelines. Literature searches were performed using Publish or Perish software on the Google Scholar database for studies published between 2017 and February 2026 using structured keywords. Five eligible studies were analyzed thematically and appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. The review found that all identified applications were Android-based (100%, n=5). Four applications (80%) focused on maternal education and demonstrated improvements in knowledge and reduced anxiety; one (20%) emphasized family support through co-parenting; and one (20%) addressed lactation management via milk stock calculation features. No application integrates maternal history, early detection of lactation problems, and infant-based physiological monitoring within a unified platform. In conclusion, lactation application development in Indonesia remains fragmented and lacks a system-integrated approach. The proposed SiCubit conceptual model provides a decision-support framework for integrated breastfeeding monitoring and digital lactation support.
Hubungan Kepatuhan Mengkonsumsi Tablet Tambah Darah dengan Kejadian Anemia pada Remaja Putri di Smpn 1 Salam Babaris Lia Nurhayati; Hj. Tri Tunggal; Efi Kristiana; Megawati Megawati
Science: Indonesian Journal of Science Vol. 2 No. 2 (2025)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/science.v2i2.347

Abstract

Kepatuhan remaja putri mengonsumsi tablet tambah darah merupakan suatu indikator keberhasilan yang ingin dicapai dari program tersebut. Sektor terkait baik di tingkat pusat maupun daerah diharapkan untuk mengadakan program tersebut secara mandiri sehingga intervensi efektif mencakup hingga 90%. Tujuan: Menganalisis hubungan kepatuhan mengkonsumsi tablet tambah darah dengan kejadian anemia pada remaja putri di SMPN 1 Salam Babaris. Metode: Penelitian ini merupakan penelitian kuantitatif dengan Observasional Analitik dengan pendekatan cross-sectional. Sampel dalam penelitian ini adalah siswi remaja putri kelas 7, 8, dan 9 di SMPN 1 Salam Babaris berjumlah 59 orang. Penelitian ini menggunakan teknik purposive sampling. Variabel yang diteliti pada penelitian ini adalah kepatuhan konsumsi tablet tambah darah dan kejadian anemia. Data dianalisis dengan univariat dan bivariat menggunakan uji chi square. Instrument yang digunakan adalah Hb Sahli Digital dan lembar observasi. Hasil: Ada Hubungan Kepatuhan Mengkonsumsi Tablet Tambah Darah Dengan Kejadian Anemia Pada Remaja Putri Di SMPN 1 Salam Babaris. Kesimpulan: Diharapkan remaja putri lebih aktif mengikuti penyuluhan yang diadakan petugas kesehatan terkait konsumsi tablet Fe agar dapat mendapatkan informasi terkait mengkonsumsi tablet Fe secara teratur untuk mencegah terjadinya anemia
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS Jannah, Raudhatul; Dewi, Vonny Khresna; Tunggal, Tri; Laili, Fitria Jannatul
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.524

Abstract

Background: Abortion is a health problem that impacts maternal morbidity and mortality worldwide. Abortion can cause complications that lead to maternal and infant death. The incidence of abortion at Pambalah Batung Regional Hospital in 2024 reached 5.73%. Several factors associated with abortion include maternal age, parity, and history of abortion. Objective: To find out the factors related to abortion incidents at Pambalah Batung Regional Hospital in 2024 Methods: This research design was an observational analytic study with a case-control approach. The sampling technique used simple random sampling with a sample ratio of 139:139. The instruments used were secondary data. Data analysis used the Chi-Square test and Odds Ratio. Results: A total of 139 mothers (50.0%) had experienced abortion. A total of 92 mothers (33.1%) were at risk (<20 years or >35 years). A total of 29 mothers (46.4%) had high-risk parity (1 child or >3 children). A total of 99 mothers (35.6%) had a history of abortion. Conclusion: There was a correlation between maternal age (P 0,002, OR 2,211), parity (P 0,012, OR 1,845), and history of abortion (P 0,001, OR 2,372) with the incidence of abortion at Pambalah Batung Hospital. Pambalah Batung Regional Hospital can develop strategies and evaluations to reduce the incidence of abortion.
FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN PNEUMONIA PADA BALITA Rinawati, Rinawati; Khresna Dewi, Vonny; Tunggal, Tri; Rafidah, Rafidah
Jurnal Keperawatan dan Kesehatan Vol 17 No 1 (2026): Jurnal Riset Keperawatan dan Kesehatan
Publisher : Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v17i1.526

Abstract

Background: According to the World Health Organization (WHO), pneumonia is the leading cause of death in children under five worldwide, the "forgotten child killer." The incidence of pneumonia at the Amuntai Selatan Community Health Center reached 80.59% cases in 2024. Pneumonia can be caused by nutritional status, immunization status, and exposure to cigarette smoke. Objective: To find out the factors associated with the incidence of pneumonia in toddlers at the South Amuntai Community Health Center. Methods: This study used an observational analytical design with a case-control approach. The sample was drawn using systematic sampling with a ratio of 141 cases to 282 controls. Data were analyzed using the Chi-Square tests and Odds Ratio. Results: A total of 141 toddlers (33.3%) experienced pneumonia. Fifty-one toddlers (12.1%) had poor nutritional status. A total of 144 toddlers (34.0%) had incomplete immunization status. Conclusion: There was a correlation between nutritional status (P=0.027), immunization status (P=0.000, OR=2.099), and cigarette smoke exposure (P=0.000, OR=2.134) and the incidence of pneumonia. Parents of toddlers should ensure balanced nutrition, provide their children with complete basic immunizations to ensure good immunity against various diseases, especially pneumonia, and avoid smoking near toddlers.
Co-Authors . Zakiah Agustini , Leny Alit Suwandewi Angraini, Dika Tri Anita Agustina Anita Agustina, Anita Antung Mariah Arie Heryanti Ariyani, Eka Ariyani, Eka Astuti, Sekar Sriwahyu Wulan Asy-Syifa Nashriyah Bangun, Vebry Erika Yanti Chairiyah Chairiyah Chairiyah Chairiyah Citrawati, Risma Novi Daiyah, Isrowiyatun Damanik, Romewahni Br Dewi, Vonny Kresna Efi Kristiana Endo Argo Kuncoro Erni Setiawati Erni Yuliastuti Erni Yuliastuti Ernida, Rosliana Febriantoko, Jovan Fitria Jannatul Laili Hapisah Hapisah Hapisah Hapisah Hapisah Harmanda, Fidel Hasbi Hasbi Hilda Agustina Isnaniah, Isnaniah Isrowiyatun Daiyah Isrowiyatun Daiyah Karinda, Merlin Kirana , Rita Laili , Fitria Jannatul Latifah LATIFAH Latifah Latifah Lia Nurhayati Luh Putu Ratna Sundari Luthfia Luthfia Mariati, Rusda Marollita, Dewi maslani, noorhayati Masnila, Nelly Megawati , Megawati Megawati - Megawati Megawati Melda Hayati Rahmi Merlin Karinda Mina Yumei Santi Mulianisaa, Rakhma Noor Adha Noor Adha Aprilea Norlaila Sofia Norviana, Pebia Nor’alina, Nor’alina Novi Ismarini Nur Rohmah Prihatanti Nurhidayah Nurhidayah Nurmawaty, Eka Olivia Ritanty Prihatanti , Nur Rohmah Prihatanti, Nur Rohmah Prihatanti, Nur Rohmah Putri, Veby Angela Rafidah Rafidah Rahayu, Nike Ichwan Rahmatika, Novia Ratnaningtyas, Devi Vemmy raudatul jannah Raudhatul Jannah Ridatillah, Wenny Mai Rinawati Rinawati Rini Astuti RISKA YUNITA, RISKA Rita Kirana Rizani, Akhmad Rizky Vaira Roslinawati, Selvia Rubiati Hipni Rusmawati Rusmawati, Rusmawati Rusmilawaty Santi, Ais Santi, Mina Yumei Sari, Kadek Yunita Sari, Yashinta Karina Shafa, Hidayuatun Siti Yulia Sari Sufiawati, Desy suhrawardi, suhrawardi Suwandewi, Alit Syamsuddin Alan Syamsuddin Syamsuddin Tamaria Panggabean Vaira, Rizky Vonny Khresna Agung Suhadi Mohammad Hakimi Dewi wahyuni wahyuni Wiyono, Nurlita Sari Wulandari Wulandari Yuli Astuti Yuliana Yuliana Yuniarti Yuniarti YUNIARTI YUNIARTI Yuningsih, Delma Zubay, Irma Damayanti Zulfikar Ali As