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ASSESSING POSYANDU CADRES’ READINESS IN IMPLEMENTING INTEGRATED PRIMARY HEALTH SERVICES IN YOGYAKARTA, INDONESIA Siswati, Tri; Olfah, Yustiana; Attawet, Jutharat; Nurhidayat, Nurhidayat; Waris, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.44-57

Abstract

Background: The readiness of Posyandu (a community-based health service) cadres’ to implement the Integrated Primary Health Services (Integrasi Layanan Primer/ILP) is vital to advancing preventive and promotive care. Aims: This study aims to evaluate the cadres’ readiness, identify challenges, and propose effective strategies for sustainable implementation. Methods: A mixed-method design from April to June 2024. 113 cadres from Kulon Progo, Sleman, and Yogyakarta City participated in a cross-sectional study. Cadres' readiness was evaluated based on the posyandu cadres’ basic skills training curriculum. Ten informants were interviewed to explore the opportunities, needs, and limitations of the ILP implementation. Descriptive statistics were used for data analysis. Results: Most cadres (63.7%) were aged 41–50 years, 60.2% had completed senior high school, and 72.6% were housewives. The cadres demonstrated high readiness for ILP implementation, with the main needs in the form of improving logistics, funding, training, and community participation. In addition, there was a need to improve the literacy and skills of cadres in providing health services across the life stages, such as immunization, growth and development monitoring, and infant and child feeding. Conclusion: Posyandu cadres are ready to implement the ILP; however, strengthening cadres’ capacity and fostering community collaboration are key strategies for ensuring the sustainability of the program and achieving health transformation. Keywords: cadres, health transformation, integrated primary service, posyandu
THE RELATIONSHIP BETWEEN ULTRA-PROCESSED (UPF) AND CARDIOVASCULAR DISEASE AMONG ADULT: A SCOPING REVIEW Sitasari, Almira; Putri, Qorina Rizkia; Wulandari, Adinda Maesa; Siswati, Tri; Wijanarka, Agus
Mandala Of Health Vol 18 No 1 (2025): Mandala of Health: A scientific Journal
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mandala.2025.18.1.14961

Abstract

Background: The global increase in ultra-processed food (UPF) consumption has raised significant public health concerns due to its association with cardiovascular disease (CVD). UPFs are typically high in sodium, saturated fats, added sugars, and artificial additives, which contribute to metabolic disturbances and increase CVD risk. This scoping review aims to synthesize the current evidence on the relationship between UPF consumption and CVD risk in adults. Methods: A systematic search was conducted using PubMed and Google Scholar for studies published between 2019 and 2024. Eligible studies included observational research assessing UPF consumption and its impact on cardiovascular health. A total of 172 articles were initially identified, and after applying inclusion criteria, nine relevant studies were selected for review. Results: The findings consistently indicate that high UPF consumption is linked to an increased risk of hypertension, obesity, dyslipidemia, and elevated triglyceride levels—key contributors to CVD. Several studies also highlight a significant association between frequent UPF intake and higher rates of cardiovascular mortality, particularly among high-risk populations. Conversely, diets rich in minimally processed foods, such as whole grains, fruits, and vegetables, demonstrate protective effects against CVD. Conclusions: There is a strong positive correlation between UPF consumption and heightened CVD risk. Public health interventions should focus on reducing UPF intake while promoting healthier dietary patterns to mitigate cardiovascular disease burden. Further longitudinal studies are needed to explore the long-term effects of UPF consumption on cardiovascular health
Pelaksanaan One Student Saves One Family (Ossof) pada Keluarga dengan Salah Satu Anggota Keluarga Mengalami Hipertensi pada Era Pandemi Covid 19 Olfah, Yustiana; Habsari , Kurniatin Nur; Sari, Anisa Kartika; Siswati, Tri
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 1 (2023): Journal of Philanthropy, Januari 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i1.56

Abstract

Hypertension is a non-communicable disease characterized by an increase in blood pressure above normal limits. The prevalence of hypertension in Indonesia is always increasing from year to year. OSSOF-based Community Service activities aim to provide practical experience for students to learn to deal with health problems in the community. This activity was carried out for the family of Mr. A who is in the village of Guwosari, Pajangan, Bantul, Yogyakarta with hypertension problems in Mrs. A. The method applied is to provide hypertension education and teach hypertension exercises, health consultations, blood pressure checks and monitoring medication adherence. The results of the activity showed that the patient's knowledge about hypertension, complications of the disease, and diet in hypertensive patients increased and the patient was able to do hypertension exercise. In addition, monitoring medication adherence to families increases patient compliance. Patients and family members stated that they would be committed to supporting the care and treatment of Mrs. A . This shows that this activity is able to have a positive impact, especially for the family of Mrs.A.
Pengukuran Skala Body Image dan Edukasi Kesehatan Stop Body Shamming pada Remaja Iskandar, Yustiana Olfah; Siswati, Tri; Palestin, Bondan; Azizah, Ellen Nur; Sari, Anisa Kartika
JOURNAL OF PHILANTHROPY: The Journal of Community Service Vol. 1 No. 2 (2023): Journal of Philanthropy, July 2023
Publisher : Samodra Ilmu: Lembaga Penelitian, Penerbitan, dan Jurnal Ilmiah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58353/jop.v1i2.134

Abstract

Adolescence is a period of life transition from children to adults. In this periodes there are many changes in both emotional, physical condition, interests, and behavior patterns. The changes that occur often make teenagers not ready to understand so that self-dissatisfaction occurs. The existence of self-dissatisfaction with one's physical condition causes negative feelings to arise so that one considers a non-ideal physical condition as a deficiency. This will trigger teenagers to do body shaming. If the stigma of body shaming is not immediately eradicated, it will result in teenagers being prone to mental health disorders such as anxiety and prone to stress. In addition, adolescents are also prone to obesity and cardiovascular disease due to psychological conditions experienced. By looking at these problems, community service is carried out which aims to determine body image in adolescents so that it is hoped that body shaming actions can be prevented. Community service activities were carried out at SMA N 1 Tempel, attended by 128 students from first grade of high school. Activities carried out in the form of filling out the body image scale using a g-form questionnaire and providing education on the prevention of Body Shamming to students. The results of the questionnaire showed that the body shamming that occurred in SMA N 1 Tempel adolescents was in the less category as much as 55%. With sufficient knowledge, it is hoped that adolescents will be able to have a good self-concept and be able to make efforts to prevent body shaming.
Pemberdayaan Kader Kesehatan: Gema Canting (Gerakan Masyarakat Cegah Stunting) dengan Pelatihan Penggunaan Infantometer Prayogi, Agus Sarwo; Rialihanto, M. Primiaji; Rubaya, Agus Kharmayana; Siswati, Tri
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 6 No 1 (2024): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v6i1.2108

Abstract

Kabupaten Sleman berkomitmen untuk mendukung program pemerintah dalam mencapai target penurunan prevalensi stunting menjadi 14% pada 2024. Sebagai bentuk komitmen, Pemkab telah menetapkan sejumlah regulasi untuk akselerasi pencapaian target penurunan stunting. Salah satu Kapanewona yaitu Moyudan angka prevalensinya masih di atas target Kabupaten Sleman yaitu 9,91 %. Poltekkes kemenkes Yogyakarta berkomitmen turut serta dalam menurunkan angka stuntung, melalui Pengabdian kepada masyarakat ini dilakukan dengan pendekatan kaji tindak dan pelatihan berupa pengukuran antropometri menggunakan infantometer karya dosen Poltekkes Kemenkes Yogyakarta. Tujuan pelatihan untuk meningkatkan pengetahuan, dan keterampilan kader tentang pencegahan stunting pada anak balita menggunakan infantometer. Pelatihan kader posyandu dilaksanakan pada tanggal 17 Oktober 2023. Khalayak sasaran adalah 20 orang kader posyandu di dusun Jitar Sumbersari Moyudan. Metode pelatihan menggunakan cara ceramah, diskusi dan praktikum. Sebagai tindak lanjut kegiatan pelatihan kader ini telah dilakukan kegiatan pendampingan dan evaluasi oleh tim Puskesmas Moyudan dan pada kegiatan pelatihan yang diberikan kepada kader dapat meningkatkan keterampilan kader menggunakan infantometer pengukuran antropometri dalam pencegahan stunting
Policy Analysis Reducing Under Five Stunting Children in Special Region Yogyakarta, Indonesia Siswati, Tri; Murdiati, Agnes
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 2 (2022): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.71795

Abstract

Yogyakarta Special Region is a provinces with a low prevalence of stunting children in Indonesia as many as 21%. Many policies support reducing stunting children effort. This study aims to analysis of policies related to reduce stunting. The method was desk review using secondary data, literature review, policy/regulation tracing related to stunting children and discussions, presentations, Focus Group Discussion (FGD), and Round Table Discussion (RTD). Causes of stunting include distal factors such as the economy, poverty, education, and well-being. Proximate factors were baby low birth weight and adolescent pregnancy. Interventions conducted with a focus target on 1000 early day life include sensitive and specific nutritional interventions. All regional organization have taken a role in combating stunting. Also regulations both internationally, nationally and regionally support the acceleration of the decline of stunting. But the specific regulations on stunting is not available. Effort to reducing stunting have been implemented but need more synergitic and integrated intervention between regional organization with Bappeda as the leading sector. 
Policy Analysis of Healthy Community Movement (Germas) during Pandemi COVID-19 in Yogyakarta Siswati, Tri; Widyawati, Herni Endah; Supriyati, Supriyati; Baiquni, Fahmi; Wardhani, Ratri; Rahmawati, Riadini
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 2 (2023): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.83311

Abstract

The social environment, including policies, is one of the instruments to encourage health promotion toward a healthy life, preventing and controlling COVID-19. This was to analyze the content, process, content and policy actors related toThe Healthy Community Movement (Germas) and the prevention of COVID-19 in Yogyakarta.We apply a-qualitative research of policy. We apply rapid assessment procedures (RAP) using focus group discussion (FGD) and desk review to observe various of policy from the government website. Research conducted in Yogyakarta from March to May 2021. Data was analysis by qualitative content analysis based on content, process, context, and actor categories. Results showed that policies related to Germas already exist at all levels, both national, provincial and district/city locally. According to policy content, Germas was movement to promote the culture/behavior of healthy living based on community empowerment, that were 7 points were physical activity, consuming fruits and vegetables, not smoking, not consuming alcoholic beverages, early detection and medical examination routine, clean healthy and lifestyle, and using toilet. Base on process, there were national, provincial, and local policy level. At the national level there was presidential instructions, regulations of the minister of national development planning, while governor's, regent’s policy at level province and region respectively. Locally, some policy regulate special context on COVID-19 preventing and controlling to increase awareness of the risk of transmission of COVID-19 infection in Yogyakarta. The policy actors were all of local government organizations, universities, CSR, and community. The conclusion is The Special Region of Yogyakarta already has many policies covering various sectors of life to support the implementation of Germas in the pandemic era and has been carried out by stakeholders, CSR, universities, and all of government
Analisis Kebijakan RAD Membangun Generasi Unggul melalui 8000 HPK di Kota Yogyakarta Siswati, Tri; Tjaronosari, Tjaronosari; Susilo, Joko; Sujiyatini, Sujiyatini; Wuryaningsih, Dewanti Evita Julian Wulandari; Utami, Siti Budi
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 2 (2024): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.94906

Abstract

Sasaran percepatan penurunan stunting meliputi periode kehamilan hingga remaja, dimana setiap periode kehidupan mempunyai peluang untuk memperbaiki kegagalan pertumbuhan masa lampau. Penelitian ini bertujuan untuk memaparkan hasil evaluasi implementasi kebijakan Rencana Aksi Daerah (RAD) membangun generasi unggul melalui 8000 Hari Pertama Kehidupan (HPK) tahun 2021-2025 Kota Yogyakarta. Metode yang digunakan pada penelitian ini adalah mix method, yaitu kuantitatif dan kualitatif. Penelitian kuantitatif dilakukan dengan desain cross sectional meliputi analisis situasi kesehatan dan faktor yang berkaitan serta capaian program. Sumber data diperoleh dari dokumen laporan data rutin dan web resmi lainnya. Data dianalisis dengan cara deskriptif dengan menyajikan proporsi, trend, narasi, tabel dan gambar. Sedangkan penelitian kualitatif dilakukan dengan desain rapid assessment procedures (RAP) melalui FGD dan in depth interview serta dianalisis secara manual berdasarkan tema dan sub-sub tema. Instrumen penelitian ini adalah panduan wawancara, panduan FGD dan recorder. Hasil penelitian menyatakan bahwa prevalensi stunting di Kota Yogyakarta telah mengalami penurunan. Hingga akhir tahun 2023, evaluasi penanggulangan stunting dilakukan dengan menggunakan indikator sesuai Perpres tahun 72 tahun 2021 tentang percepatan penurunan stunting, namun evaluasi dengan indikator yang tertera dalam RAD 8000 HPK belum dilaksanakan secara menyeluruh. Beberapa faktor yang mendukung penurunan prevalensi stunting adalah komitmen pimpinan daerah, tata kelola stunting yang baik, capaian program yang tinggi/diatas target, indeks pembangunan manusia (IPM) dan rata-rata lama sekolah (RLS) yang tinggi. Sedangkan faktor penghambat penurunan stunting adalah kesenjangan ekonomi, pengetahuan, partisipasi masyarakat ke Posyandu, perilaku buang sampah sembarangan dan akses layanan jaminan kesehatan bagi penduduk non KTP Kota Yogyakarta.
Literasi Stunting pada Masa Pandemi Covid-19 untuk Ibu Balita dan Kader Posyandu Desa Umbulrejo Kapanewon Ponjong Kabupaten Gunung Kidul Siswati, Tri; Widyawati, Herni Endah; Khoirunissa, Salma; Kasjono, Heru Subaris
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 4 No 2 (2021): Volume 4 Nomor 2 Tahun 2021
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v4i2.15414

Abstract

Empowering women was the most important efforts to create the nation's next-generation, including efforts to alleviate stunting children. The limitation of health knowledge was one of indirect determinant stunting children. Literacy may increase woman knowledge about children care, so they can meet nutritional needs and environmental health. This was a community engagement with classical methods, interactive discussions, brainstorming through virtual meetings with google-meet and WhatsApp groups about stunting on 18-21 September 2020. Participants were mothers and cadres at highest prevalance stunting children in Yogyakarta (Umbulrejo Village, District Ponjong, Gunung Kidul Regency) as many as 50 women. The output of literation was measured by attendance (75%), increasing of knowledge 25%, and participant anthusiasm. Overall, this was meet the target, as many as 80% attendance of participants, 32% increase of knowledge, and enthusiastically participating. Virtual literacy and telecounseling were effective method to provide education and health counseling in Covid-19 pandemic context.
The impact of e-booklets on knowledge and attitudes toward anemia awareness among adolescent girls Ainun Najmi, Ismi Izaz; Rialihanto, Muhammad Primiaji; Setiyobroto, Idi; Wijanarka, Agus; Attawet, Jutharat; Laksono, Agung Dwi; kasjono, Heru Subaris; Waluyo, Waluyo; Siswati, Tri
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 5, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(5).352-364

Abstract

ABSTRAK Latar Belakang: Menurut Survei Kesehatan Indonesia tahun 2023, sebanyak 15,5% remaja putri menderita anemia, sehingga anemia sebagai suatu masalah kesehatan yang signifikan. Salah satu faktor yang berkaitan dengan anemia remaja adalah rendahnya pengetahuan dan kepatuhan konsumsi Fe.Tujuan: Mengevaluasi efektivitas edukasi gizi menggunakan e-booklet dibandingkan dengan media slide dalam meningkatkan pengetahuan dan sikap terkait anemia.Metode: Penelitian ini merupakan penelitian quasi eksperimental dengan desain pretest-posttest control group. Penelitian dilakukan pada bulan Maret-April 2024, melibatkan 85 siswi SMP di Yogyakarta, yang dibagi ke dalam kelompok intervensi (e-booklet dan media slide) dan kelompok kontrol (media slide). Data tentang pengetahuan dan sikap dikumpulkan menggunakan kuesioner terstruktur pada tiga tahap: pretest, posttest-1, dan posttest-2. Analisis statistik yang digunakan adalah paired t-test, uji wilcoxon, independent t-test, dan uji mann-whitney.Hasil: Hasil penelitian menunjukkan peningkatan yang signifikan dalam skor pengetahuan pada kedua kelompok, dengan kelompok intervensi mencapai skor post-test yang lebih tinggi (89,1 vs 78,8; p<0,05). Meskipun kedua kelompok menunjukkan sedikit peningkatan dalam hal sikap, perubahan yang diamati tidak mencapai signifikansi secara statistik. Temuan ini menyoroti efektivitas e-booklet sebagai alat pembelajaran digital, yang menawarkan fleksibilitas dan konten mendalam yang mendukung pembelajaran mandiri.Kesimpulan: Penelitian ini menggarisbawahi potensi e-booklet untuk mengatasi kesenjangan pengetahuan tentang anemia di kalangan remaja. Pembuat kebijakan sebaiknya mengintegrasikan e-booklet ke dalam program pendidikan kesehatan nasional dan menggabungkannya dengan metode offline yang interaktif untuk meningkatkan perubahan pengetahuan remaja.KATA KUNCI: anemia; e-booklet; pengetahuan; remaja putri; sikap ABSTRACTBackground: Based on Indonesia Health Survey 2023, 15,5% female adolescents suffer from anemia, as a significant health problem. This is due to lack of knowledge and low compliance of Fe consumption. Objectives: To evaluate the effectiveness of nutrition education using e-booklets compared to slide media in improving anemia-related knowledge and attitudes.Methods: This was a quasi-experimental design with a pretest-posttest control group, conducted in March–April 2024, involving 85 junior high school girls in Yogyakarta, divided into intervention (e-booklet and slide media) and control (slide media) groups. Data on knowledge and attitudes were collected using structured questionnaires at three points: pretest, posttest-1, and posttest-2. Statistical analyses included paired t-tests, Wilcoxon, independent t-tests, and Mann-Whitney tests.Results: The results showed a significant improvement in knowledge scores in both groups, with the intervention group achieving higher post-test scores (89.1 vs. 78.8; p<0.05). Although both groups demonstrated a slight improvement in attitudes, the observed changes did not reach statistical significance. The findings highlight the effectiveness of e-booklets as a digital learning tool, offering flexibility and in-depth content that supports independent learningConclusions: This study underscores the potential of e-booklets to address knowledge gaps about anemia among adolescents. Policymakers should integrate e-booklets into national health education programs while combining them with interactive offline methods to enhance attitude changes.KEYWORDS: anemia; attitude; adolescent girls; e-booklet; knowledge