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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
Enhancing nutritional literacy and improving dietary patterns in obese adolescents through e-booklets Bektiningrum, Afifah; Sitasari, Almira; Rialihanto, Muhammad Primiaji; Nurhidayat, Nurhidayat; Waluyo, Waluyo; Suryani, Isti; Azizan, Nurul Ain; Siswati, Tri
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 6, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(6).433-443

Abstract

ABSTRAKLatar Belakang: Obesitas merupakan masalah kesehatan masyarakat dengan peningkatan prevalensi di semua kelompok usia di dunia. Salah satu faktor yang berkontribusi terhadap obesitas pada remaja adalah rendahnya literasi gizi dan pola makan yang tidak sehat. Tujuan: untuk mengetahui dampak intervensi edukasi dengan media e-booklet terhadap pengetahuan dan asupan makanan. Metode: single group pre-posttest intervention pada remaja di SMA di Kabupaten Kulon Progo, Yogyakarta, Indonesia. Sampel ditentukan dengan kriteria inklusi siswa SMAN 1 Sentolo, kelas X dan XI, bersedia menjadi responden, hadir saat pengumpulan data dan mempunyai skor IMT/U > 1 SD, sehingga berjumlah 46 orang. Intervensi edukasi diberikan dengan media e-booklet melalui grup WhatsApp sedangkan data pengetahuan dan asupan makanan diobservasi pada saat pre-test, posttest-1 dan posttest-2. Data pengetahuan dikumpulkan dengan kuesioner dan data asupan makanan dikumpulkan dengan food recall 2 x 24 jam lalu dianalisis dengan t-test dan Wilcoxon.Hasil: Skor pengetahuan siswa pre, posttest-1 dan posttest-2 masing-masing adalah 56,3; 94,5; dan 98,5. Terdapat perbedaan pengetahuan yang signifikan baik pada posttest-1 maupun posttest-2. Tingkat asupan energi, protein, karbohidrat dan lemak pada pengukuran pre, posttest-1 dan posttest-2. Asupan energi menurun dari 126%, 110% dan 91%; asupan protein menurun dari 163%, 156% dan 106%; asupan lemak menurun dari 153%, 137% dan 106%; asupan karbohidrat menurun dari 100%, 91%, 76%. Hasil analisis menyatakan ada perbaikan asupan yang signifikan baik pada posttest-1 maupun posttest-2 kecuali asupan karbohidrat pada posttest-1. Kesimpulan: Edukasi gizi dengan media e-booklet berdampak pada peningkatan pengetahuan tentang obesitas dan memperbaiki asupan makanan pada remaja yang mengalami overweight dan obesitas.  KATA KUNCI: asupan;edukasi; e-booklet; pengetahuan; protein; remaja.  ABSTRACTBackground: Obesity is a public health problem with increasing prevalence in all age groups in the world. One of the factors that contribute to obesity in adolescents is low nutritional literacy and unhealthy diets.Objective: To determine the impact of educational interventions with e-booklet to knowledge and  food intakeMethod: A single group pre-posttest intervention study was conducted on adolescents in senior high school Sentolo 1 (SMAN 1 Sentolo), Kulon Progo, Yogyakarta, Indonesia. The sample was chosen by criteria for grades X and XI, willing to be responders, present during data collection, and had BMI-for-age-score >1 SD, as many as 46 participants included this study. Educational interventions were provided with e-booklet was shared through WhatsApp groups, while knowledge and food intake were observed during the pre-test, post-test 1, and post-test 2. Knowledge was collected by questionnaire, and food intake was collected by food recall 2x24 hours. We apply t-test and Wilcoxon to analyze the data. Results: The knowledge scores significantly improved from 56.3 (pre-test) to 94.5 (post-test 1) and 98.5 (post-test 2) (p< 0.05). Significant reductions were observed in energy, protein, carbohydrate, and fat intake between pre-test, post-test 1, and post-test 2, demonstrating the intervention's effectiveness in improving dietary habits among adolescents.Conclusion: Nutrition education using e-booklet has an impact on increasing knowledge about obesity and improving food intake in adolescents who are overweight and obese. KEYWORDS: adolescent; education; e-booklet; intake; knowledge; protein. Article submitted on January 19, 2025; Articles revised on February 17, 2025; Articles received on July 25, 2025; Articles available online on November 28, 2025 
Development of a Portable  Ultrasonic Digital Anthropometry System with  Automated CIAF Classification SISWATI, TRI; Rialihanto, Muhammad Primiaji; Paramashanti, Bunga Astria; Ardiyanto, Farit; Attawet, Jutharat
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 8 No. 1 (2026): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v8i1.299

Abstract

Child malnutrition, particularly stunting, remains a critical public health issue with long-term effects on growth and cognitive development. In many community health settings, conventional anthropometric measurement tools used in community health services often present challenges, including human measurement error, non-standard data recording, and a lack of real-time diagnostic output. This study aims to develop and validate a portable ultrasonic sensor-based digital anthropometric system capable of automatically detecting the Composite Index of Anthropometric Failure (CIAF) in real-time. The novelty of this research lies in integrating non-contact ultrasonic height measurement with automated CIAF classification based on WHO 2006 growth standards, cloud-connected data storage, and a user-friendly interface designed for community health workers. This Research and Development study involved system design, laboratory calibration, field validation, and user acceptability testing. A total of 80 toddlers and 30 users (midwives, nutritionists, and Posyandu cadres) participated across regions with low and high stunting prevalence. Measurement accuracy was compared to gold-standard anthropometry, while usability was assessed through a Likert-scale evaluation. Laboratory tests indicated measurement error ranging from 0.0 to 0.2 cm, indicating high sensor precision. Field tests showed a mean difference of ≤1 cm with no statistically significant difference (p>0.05) compared to standard measurement. User evaluation reported high satisfaction, particularly in ease of use (92%), accuracy (90%), and program support benefit (94%). The developed portable ultrasonic digital anthropometry system provides accurate, fast, and standardized CIAF-based malnutrition detection, supporting more efficient child growth monitoring programs. The tool demonstrates strong potential for integration into community-based nutrition surveillance and national health information systems.
Standardized Nutritional Care with a High-Energy, High-Protein Diet in Rectosigmoid Cancer Patients Undergoing Chemotherapy: Case Reports Rahmat, Noviyanti Safitri; Siswati, Tri; Suryani, Isti; Utami, Siti Budi; Setyowati, Setyowati; Nurhidayat, Nurhidayat; Wirawan, Susilo
Health Dynamics Vol 3, No 1 (2026): January 2026 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30102

Abstract

Rectosigmoid cancer patients undergoing chemotherapy are at high risk of malnutrition due to metabolic alterations and treatment-related gastrointestinal side effects. Evidence on the implementation of standardized nutritional care in primary healthcare settings remains limited. This study aims to evaluate the provision of standardized nutritional care with a diet high in energy and protein and its impact on the intake, nutritional status, and clinical condition of rectosigmoid cancer patients undergoing chemotherapy. The case was a 50-year-old male with stage III rectosigmoid cancer undergoing chemotherapy, who presented with undernourished status, diarrhea, reduced appetite, dysphagia-related discomfort, and anemia. Nutritional assessment identified inadequate oral intake and increased energy and protein requirements. Standardized nutritional care was implemented using the Nutrition Care Process (NCP) framework, including an individualized high-energy, high-protein (HEHP) diet and nutrition education for the patient and family. Dietary intake was monitored over three consecutive days using 24-hour food recalls. The patient demonstrated improved tolerance to oral intake, increased protein consumption, stabilization of body weight, and no worsening of gastrointestinal symptoms during the intervention period. This case illustrates that standardized nutritional care using a high-energy, high-protein diet can support dietary intake and help maintain nutritional status in rectosigmoid cancer patients undergoing chemotherapy, even in a primary healthcare setting. Early and individualized nutritional intervention may play an important role in preventing further nutritional deterioration and supporting comprehensive cancer care.
Effectiveness of an interactive nutrition education kit on mothers’ knowledge and attitudes toward stunting prevention: a quasi-experimental study Ainiyyah, Az Zahra Nur; Siswati, Tri; Waluyo; Sitasari, Almira; Ar-Rasyid, Muhammad Abdul Halim; Attawet, Jutharat
Berita Kedokteran Masyarakat Vol 42 No 04 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i04.27998

Abstract

Purpose: This study aimed to evaluate the effectiveness of KIT DENTING, an interactive multimodal nutrition education kit, in improving mothers’ knowledge and attitudes toward stunting prevention compared with conventional leaflet-based education. Methods: A quasi-experimental study with a nonequivalent pre–post-test control group design was conducted among 60 mothers of children aged 0–23 months in the working area of Pakem Primary Health Center, Sleman Regency, Yogyakarta. Participants were assigned to an intervention group that received nutrition education using KIT DENTING or a control group that received leaflet-based education. Knowledge and attitudes were assessed at baseline (pre-test), 1 week after the intervention (post-test 1), and 4 weeks after the intervention (post-test 2). Data were analyzed using paired and independent statistical tests to examine within- and between-group differences. Results: Both groups showed significant improvements in knowledge following the intervention. In contrast, the intervention group demonstrated greater and more sustained improvements in knowledge and attitudes at both follow-up points. Compared with the control group, the intervention group sustained knowledge gains and showed improvements in attitudes, but with reduced effect consistency at four weeks of follow-up. Conclusion: Nutrition education using the interactive multimodal KIT DENTING was more effective than leaflet-based education in improving and sustaining mothers’ knowledge and attitudes toward stunting prevention. These findings support the integration of interactive, multimodal nutrition education tools into community-based IYCF and stunting-prevention programs at the primary health care level.