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All Journal Journal of Nutrition College Jurnal Administrasi Kesehatan Indonesia Public Health of Indonesia GIZI INDONESIA Aspirasi : Jurnal Masalah-masalah Sosial JPK: Jurnal Proteksi Kesehatan Nutrisia Jurnal Teknologi Kesehatan JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Mandala of Health : A Scientific Journal Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Health Dynamics Jurnal Pengabdian Masyarakat Cendikia Jenius JOURNAL OF PHILANTHROPY: The Journal of Community Service Ficco Public Health Journal
Tri Siswati, Tri
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Religion Humanities Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Determinants and Model for Estimating the Prevalence of Stunting Toddlers in Sleman Regency Siswati, Tri; Muchlasin, Anif; Kristyanto, Raden Yuli; Gunawan, Delima Citra Dewi
Health Dynamics Vol 1, No 6 (2024): June 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10603

Abstract

Background: The Sleman Regency Government is committed to solving the stunting problem by implementing an integrated stunting prevention program by encouraging the participation of penta-helix. Estimating stunting prevalence accomplishment targets is crucial for measuring progress, guiding strategies, and ensuring stunting reduction success. This study aims to provide information regarding the factors that contribute to the prevalence of stunted toddlers and develop a predictive model for that prevalence. Methods: The study investigated the prevalence of stunting, wasting, and underweight in Sleman Regency using publicly accessible reports, secondary data, and reputable websites. Data was gathered through audits of stunting cases and factors from district-level program managers, and analysed through desk reviews. This research was conducted in Sleman Regency from December 2023 to February 2024. Results: The investigation found that stunting is linked to family smoking, inadequate toddler nutrition, inactive JKN, chronic energy deficiency throughout pregnancy, and low-weight, preterm births. Through rules, policies, and multisectoral multistakeholder collaboration, the Sleman Regency Government aims to reduce stunting. The interventions include maternal and child health, nutritional counselling, drinking water and sanitation, early childhood education, and pre-conception family life preparation. A model to estimate long-term stunting prevalence is needed to track trends, evaluate interventions, and support evidence-based decision-making. Stunting is vital to public health and economic benefit. Based on audit data, child nutrition trends, and prediction models, Sleman Regency should reduce stunting by 0.02% per year for local data and 0.5% per year for national data. The determinants of stunting in Sleman Regency are very diverse, including problems related to nutrition and non-nutrition. Conclusion: Stunting prevention is focused on efforts to overcome habits, improve the nutritional status of pregnant women and optimize better pregnancy outcomes. Based on the analysis, the stunting reduction target was determined based on national and local surveys of 0.5% and 0.02% per year, respectively.Keywords: Under five children; estimation model; prevalence; stunting
Hypertension, Sodium and Their Relationship among Adults or Middle-Aged Adults: A Scoping Review Putri, Aisyah Desfiani; Syakirah, Andi Putri Niswatu; Sitasari, Almira; Siswati, Tri
Health Dynamics Vol 1, No 5 (2024): May 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10505

Abstract

Background: Hypertension is expected to reach 60% by 2025, largely in low- and middle-income countries, with 46% unaware and 42% undiagnosed and untreated Knowing the intricate association between salt and adult hypertension is vital for public health efforts. This scoping review explain how sodium affects blood pressure to prevent hypertension in adults and middle-aged people. Methods: Tricco and colleagues' approach was used to examine hypertension and salt in adults and middle-aged people. Assessment techniques, hypertension prevalence, and sodium-hypertension relationships were reviewed. A comprehensive PubMed and Google Scholar search of full-text academic journals spanning 2013-2023 found relevant studies. Two researchers extracted data separately and reached consensus for eligible trials. The search phrases were hypertension, salt, adult, middle-aged, and young adult. Results: There were 13 articles, found that nutritional intake evaluations, 24-hour urine collections, clinical and laboratory tests, physical measurements, blood pressure monitoring, and specific trials or interventions are assessment methods. Salt consumption and hypertension show different prevalence rates. Conclusion: These studies also describe the complex relationship between salt intake and hypertension in adults and middle-aged people. These studies effectively elucidate a complex correlation between salt consumption and hypertension among middle-aged and adult individuals, notwithstanding variations in measurement approaches and prevalence.
Impact of Supplementation on Anemia, Cognition, and Growth in Children: A Scoping Review of Randomized Controlled Trials Nugroho, Dafa Bintang; Rachmawatty, Anjani Nelka; Sitasari, Almira; Wijanarka, Agus; Siswati, Tri
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11206

Abstract

Background: Anemia in children is a global health problem that can affect their cognitive and physical development. Various supplementation interventions have been used to treat anemia, including iron, folic acid, vitamins, and other minerals. Although some studies have shown improvements in anemia status, challenges in adherence to treatment and side effects remain barriers. Objective: This scoping review aims to map the available scientific evidence related to interventions and supplementation in children with anemia. This study identifies the types of interventions used, the target population, and the outcomes reported in the studies. Methods: A literature search was conducted through PubMed and Google Scholar with the keywords "anemia," "intervention," "supplement," and "children." Included studies were publications from 2015 to 2024 involving children who received supplementation interventions to see the impact of supplementation on anemia, cognition, and growth in children. Data from relevant studies were collected and analyzed based on study design, type of intervention, and reported outcomes. Results: From the analysis of 10 studies, various interventions were found, including iron supplementation, combinations of iron and other micronutrients (folic acid, vitamin A, vitamin C), and food-based interventions. All interventions showed increased hemoglobin levels and improved anemia status, but adherence to treatment remains a challenge, especially in daily regimens. Conclusion: Appropriate supplementation interventions effectively reduce the prevalence of anemia in children. However, the management of side effects and the improvement of adherence are aspects that need further attention for long-term success.
Optimalisasi Peran Kader melalui Pelatihan Integrasi Layanan Primer di Kabupaten Sleman Siswati, Tri; Tri Lestari , Nugraheni; Ainun Najmi, Ismi Izaz; Olfah, Yustiana; Setiyobroto, Idi; Sarwo Prayogi, Agus
Jurnal Pengabdian Masyarakat Cendikia Jenius Vol. 2 No. 2 (2025): Juni 2025
Publisher : CV. CENDIKIA JENIUS INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70920/pengabmaskes.v2i2.163

Abstract

Strengthening the capacity of health cadres is a key element in supporting the transformation of primary health services in Indonesia. This activity aims to improve the knowledge and skills of Posyandu cadres in implementing Primary Service Integration (ILP) at the Sleman Health Center. The training was conducted in Nogotirto Village, Gamping, Sleman Regency, using a practice-based approach, which involved providing training materials, simulations, and evaluations before and after the training. This method is designed to improve cadres' knowledge and skills about primary service integration through hands-on experience in the field. Most of the cadres involved in the training are between 41-50 years old (64%), with a background in the housewife profession (80%), and have experience as cadres for 1-10 years (48%). This characteristic indicates that the trainees have sufficient expertise to understand the needs in the field, although they still need to strengthen the technical and managerial aspects. The training results showed an increase in the knowledge and skills of cadres by 42,1% and 32.1%, respectively. The most significant improvement was seen in the management skills of Posyandu and health services for adults and the elderly, by 35.7% each. However, challenges are still found, especially in simple technology-based recording and reporting, as well as the need to improve skills in every aspect, including Posyandu management, health services for infants and toddlers, school children and adolescents, pregnant and postpartum women, as well as adulthood and the elderly. Cadre capacity is important in improving the overall health status of the community, thereby contributing to the transformation of primary health services in Indonesia. To support the successful implementation of ILP, technical assistance is still needed so that the implementation of the program is in accordance with the guidelines that have been determined by the Ministry of Health.
Mobile Health Interface Analysis: Usability Assessment of the Sembada Application for Non-Communicable Disease Monitoring Wijayanti, Dian; Kurdanti, Weni; Siswati, Tri
Health Dynamics Vol 2, No 1 (2025): January 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20105

Abstract

Background: Early detection of non-communicable diseases (NCDs) through integrated guidance posts (Posbindu PTM) can be enhanced through mobile health applications. This study aimed to develop and evaluate the usability of Sembada m-Health, an Android-based application for conducting Posbindu PTM activities at Sleman Regional General Hospital. Methods: This Research and Development study employed the Four D model (Define, Design, Develop, Disseminate). The define phase involved stakeholder needs assessment through Focus Group Discussions. The design phase encompassed application development by IT experts, while the develop phase included multi-level testing by material experts (n=2), media experts (n=2), and end-users (n=30). Structured questionnaires assessed media and material aspects, while the Post-Study System Usability Questionnaire (PSSUQ) evaluated user experience. The disseminate phase included application socialization and qualitative evaluation. The study was conducted in Yogyakarta from October 2021 to April 2022, with feasibility thresholds set at ≥4.20 for media and material aspects and ≤2.82 for PSSUQ. Results: The application exceeded all feasibility thresholds, scoring 4.62 for media aspects, 4.23 for material aspects, and 1.71 on the PSSUQ. Stakeholders expressed high satisfaction with Sembada m-Health's system functionality, particularly its support for individual health monitoring, program implementation, NCD risk factor tracking, and personalized recommendations. Conclusions: Sembada m-Health demonstrated high usability and feasibility for supporting the Posbindu PTM program. Future research should focus on evaluating its long-term impact on NCD prevention and management outcomes.
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.
Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity Hastuti, Puput Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat; Siswati, Tri
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20803

Abstract

Background: Balanced nutrition education is an essential effort in preventing obesity, especially in adolescents who are vulnerable to nutritional problems due to unhealthy diets and a lack of knowledge. This study aims to determine the effectiveness of Android-based e-pocket books in improving the understanding of balanced nutrition among adolescents in Yogyakarta. Methods: This study employed an experimental design with control groups, utilizing pre-tests and post-tests. Conducted from February to March 2023 in a high school in Yogyakarta, Indonesia, the research established a minimum sample size of 27 students per group through the Lemeshow formula and multistage sampling. Inclusion criteria required students to have Android phones, to consent to participate, to attend the study, and to complete data collection. The treatment group received education via e-pocket-book media, while the control group used e-leaflets. Knowledge was measured at three points: before the intervention, immediately after (post-test 1), and nine days later (post-test 2). Data analysis was performed using the Wilcoxon and Mann-Whitney tests with SPSS software. Results: The knowledge score of the treatment group increased from 76.3 (pre-test) to 93.8 (post-test 1) and 91.3 (post-test 2). The control group increased from 73.8 (pre-test) to 82.5 (post-test 1) and 81.3 (post-test 2). The increase in knowledge was more significant in the treatment group, showing that e-pocket-books were more effective than e-leaflets. Conclusion: Android-based e-pocket-books improve adolescents' knowledge of balanced nutrition more than e-leaflets. Digital technology in nutrition education has great potential to be applied in schools. Further research is needed to evaluate the long-term impact on nutritional behavior.
Co-Authors Agus Kharmayana Rubaya Agus Sarwo Prayogi Agus Wijanarka, Agus Ainun Najmi, Ismi Izaz Almira Sitasari Andari, Wiwid Anisa Kartika Sari, Anisa Kartika Attawet, Jutharat Aurelia Rifkha Anyndie Azizah, Ellen Nur Bambang Djarwoto Bondan Palestin, Bondan Dian Wijayanti Endri Yuliati Ernitasari, Putu Diah Esthy Rahman Asih Habsari , Kurniatin Nur Hastuti, Puput Tri Idi Setiyobroto Il Ummi.B, Zu’aimana Lu’lu Iskandar, Yustiana Olfah Jati, Anisa Nur Wulan Joko Susilo Kasdjono, Heru Subaris Kristyanto, Raden Yuli Lukman Waris Muchlasin, Anif Nugroho, Dafa Bintang Nurhidayat Nurhidayat Nurhidayat Nurul Huda Syamsiatun, Nurul Huda Paramashanti, Bunga Astria Patiran, Kahlida Putri, Aisyah Desfiani Putri, Qorina Rizkia Rachmawatty, Anjani Nelka Ramayulis, Rita Rialihanto, M. Primiaji Rialihanto, Muhammad Primiaji Salsabila, Hanifah Sari, Fifi Novianti Puspita Sarwo Prayogi, Agus Setyowati Setyowati Syakirah, Andi Putri Niswatu Tri Lestari , Nugraheni Tri Lestari, Nugraheni Utami, Siti Budi Weni Kurdanti Widiyanto, Santo Yoseph Didik Wulandari, Adinda Maesa Yustiana Olfah