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MOTHERS' PERCEPTION OF TODDLERS ABOUT STUNTING IN THE WORKPLACE OELE HEALTH CENTER, ROTE DISTRICT NDAO Marzella Artanti Bailaen; Petrus Romeo; Marni Marni
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21805

Abstract

Stunting is a chronic nutritional problem that remains a major public health concern in Indonesia. This study focuses on the perceptions of mothers of toddlers regarding the definition, causes, and prevention of stunting. This study aims to determine the perceptions of mothers of toddlers regarding stunting, its causes, and its prevention in the Oele Community Health Center Work Area, Rote Ndao Regency. This research method uses a qualitative design with a phenomenological approach. Informants were selected using purposive sampling. The main informants were mothers of toddlers, key informants were nutrition program holders, and supporting informants were integrated health post (Posyandu) cadres. Data analysis used the Miles and Huberman (1984) model in (Sugiyono, 2010).The results of this study indicate that all mothers of toddlers understand stunting as a condition of shortness of breath due to malnutrition and that stunting is caused by genetic factors. The most frequently cited causes of stunting are inadequate nutritional intake, suboptimal parenting, and environmental hygiene. Preventive measures include exclusive breastfeeding, immunization, nutritious food, and maintaining good hygiene, although economic constraints and misperceptions about heredity remain.In conclusion, mothers of toddlers understand stunting as a condition of short stature due to malnutrition, although some mothers still attribute it to hereditary factors. According to mothers, the main causes of stunting are low nutritional intake, difficulty eating, and suboptimal parenting. Mothers also believe that stunting is caused by hereditary factors. Preventive measures include exclusive breastfeeding, immunization, and nutritious food. The main obstacle to prevention is economic constraints.
Determinan yang Mempengaruhi Persalinan Non Fasilitas Kesehatan pada Ibu di Wilayah Kerja UPT. Puskesmas Salbait Kabupaten Timor Tengah Selatan Robert Olivianus Asbanu; Marni Marni; Pius Weraman; Anderias Umbu Roga; Imelda F.E Manurung
Malahayati Nursing Journal Vol 8, No 6 (2026): Volume 8 Nomor 6 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i6.25254

Abstract

ABSTRACT Non-facility based childbirth remains a maternal health problem, particularly in rural areas. Delivery outside health facilities increases the risk of maternal and neonatal morbidity and mortality due to limited access to skilled health personnel and adequate obstetric services. This study aimed to analyze the determinants influencing non-facility based childbirth among mothers in the working area of UPT Salbait Primary Health Center, Timor Tengah Selatan Regency. This study employed a quantitative case-control design. The study population consisted of all mothers who delivered in the working area of UPT Salbait Primary Health Center, with a total sample of 80 respondents, including 40 cases (non-facility based delivery) and 40 controls (facility based delivery). The variables studied included maternal knowledge, distance to health facilities, economic status, antenatal care (ANC) visits, participation in maternity classes, and parity. Data were analyzed using the Chi-Square test. The results showed significant associations between maternal knowledge and non-facility-based childbirth (p = 0.000), distance to health facilities (p = 0.000), economic status (p = 0.011), ANC visits (p = 0.000), participation in maternity classes (p = 0.000), and parity (p = 0.000). Mothers with low knowledge, long distance to health facilities, low economic status, incomplete ANC visits, non-participation in maternity classes, and high parity were more likely to choose non-facility based delivery. In conclusion, non-facility based childbirth is influenced by predisposing, enabling, and need factors. Strengthening maternal health education, improving antenatal care services, and optimizing maternity class programs are necessary to promote facility based delivery. Keywords: Antenatal Care, Health Facilities, Maternal Knowledge, Non-Facility-Based Childbirth.  ABSTRAK Persalinan yang dilakukan di luar fasilitas kesehatan masih menjadi permasalahan kesehatan ibu, khususnya di wilayah pedesaan. Persalinan non fasilitas kesehatan berisiko meningkatkan angka kesakitan dan kematian ibu serta bayi akibat keterbatasan akses terhadap tenaga kesehatan terlatih dan pelayanan obstetri yang memadai. Penelitian ini bertujuan untuk menganalisis determinan yang memengaruhi persalinan non fasilitas kesehatan pada ibu di wilayah kerja UPT Puskesmas Salbait Kabupaten Timor Tengah Selatan. Penelitian ini menggunakan desain kuantitatif dengan pendekatan case control. Populasi penelitian adalah seluruh ibu yang melahirkan di wilayah kerja UPT Puskesmas Salbait dengan jumlah sampel sebanyak 80 responden, terdiri dari 40 responden kelompok kasus (persalinan non fasilitas kesehatan) dan 40 responden kelompok kontrol (persalinan di fasilitas kesehatan). Variabel yang diteliti meliputi tingkat pengetahuan, jarak ke fasilitas kesehatan, kemampuan ekonomi, kunjungan antenatal care (ANC), keikutsertaan kelas ibu hamil, dan jumlah paritas. Analisis data dilakukan menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan antara tingkat pengetahuan dengan persalinan non fasilitas kesehatan (p = 0,000), jarak ke fasilitas kesehatan (p = 0,000), kemampuan ekonomi (p = 0,011), kunjungan ANC (p = 0,000), keikutsertaan kelas ibu hamil (p = 0,000), serta jumlah paritas (p = 0,000). Ibu dengan pengetahuan rendah, jarak tempat tinggal jauh, kemampuan ekonomi rendah, kunjungan ANC tidak lengkap, tidak mengikuti kelas ibu hamil, dan paritas tinggi cenderung memilih persalinan di non fasilitas kesehatan. Kesimpulan penelitian ini menunjukkan bahwa persalinan non fasilitas kesehatan dipengaruhi oleh faktor predisposisi, faktor pemungkin, dan faktor kebutuhan. Diperlukan upaya peningkatan edukasi kesehatan ibu, penguatan layanan antenatal care, serta optimalisasi program kelas ibu hamil untuk mendorong persalinan di fasilitas kesehatan. Kata Kunci: Antenatal Care, Fasilitas Kesehatan, Persalinan Non Fasilitas Kesehatan, Pengetahuan Ibu.
Intervensi Komunitas Melalui Edukasi Kesehatan Tentang Dampak Junk Food Pada Mahasiswa Indekos Karolina Liho Hewe; Dominika Mbu Sina; Maria Saveryani Dua Pare; Adelia Feren Deninda Bili; Christina Rony Nayoan; Marni Marni
Jurnal Gembira: Pengabdian Kepada Masyarakat Vol 4 No 03 (2026): JUNI 2026
Publisher : Media Inovasi Pendidikan dan Publikasi

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

kegiatan ini bertujuan untuk mengevaluasi efektivitas intervensi komunitas melalui pendidikan kesehatan terhadap dampak konsumsi makanan cepat saji di kalangan mahasiswi asrama di Kota Kupang. Penelitian ini menggunakan pendekatan promosi kesehatan dengan tahapan pengembangan dan pengujian serta implementasi dan pemantauan, yang dipandu oleh kerangka kerja Model Keyakinan Kesehatan (Health Belief Model). Peserta sasaran adalah 10 mahasiswi asrama berusia 20–21 tahun yang tinggal di Kos Manja, Kecamatan Kelapa Lima, Kota Kupang, daerah yang dicirikan oleh ketersediaan gerai makanan cepat saji dan minuman manis yang tinggi, yang diklasifikasikan sebagai lingkungan makanan obesogenik. Intervensi dilakukan pada tanggal 16–18 Juni 2026, dan terdiri dari tiga tahapan: persiapan materi dan media, penyampaian pendidikan, dan evaluasi. Media pendidikan utama yang digunakan adalah poster infografis berukuran A3. Data dikumpulkan melalui kuesioner pra-uji dan pasca-uji yang terdiri dari 10 pertanyaan pilihan ganda dan dianalisis secara deskriptif menggunakan skor rata-rata dan Skor Perolehan Normalisasi (Normalized Gain Score) untuk menilai efektivitas pendidikan. Hasil penelitian menunjukkan bahwa skor rata-rata pra-tes adalah 79 dan meningkat menjadi 95 pada pasca-tes, menghasilkan Skor Peningkatan Normalisasi rata-rata sebesar 0,8 atau 80%, yang menunjukkan efektivitas yang tinggi. Lebih lanjut, 80% peserta mencapai skor 80 atau lebih pada pasca-tes, melampaui target yang telah ditetapkan sebesar 70%. Studi ini menyimpulkan bahwa pendidikan kesehatan menggunakan media poster infografis efektif dalam meningkatkan pengetahuan mahasiswa di kos manja mengenai dampak makanan cepat saji secara signifikan dalam waktu singkat, dan program ini direkomendasikan untuk direplikasi di lingkungan serupa.
Analysis of Determinants Associated with the Activeness of Posyandu Cadres in the Working Area of the Tarus Health Center, Kupang Tengah Sub-District, Kupang District Carmen Viana; Ribka Limbu; Marni Marni
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 7 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i7.5380

Abstract

Background: The activeness of cadres is very important in Posyandu activities because if cadres are not active then the provision of health services and Posyandu activity programs cannot run well, so cadre coaching is needed by health workers to increase the active role of cadres in the implementation of Posyandu activities. Purpose: This study aims to analyze the determinants associated with the activeness of Posyandu cadres in the working area of Puskesmas Tarus, Kupang Tengah District, Kupang Regency in 2024. Methods: This type of research is an analytic survey with a cross sectional research design. The sample in this study were 71 people. Sampling in this study using simple random sampling technique with a level of significance ? = 0.05. Results: The results showed that there was a relationship between the variables of knowledge (p=0.000), attitude (0.002) and training 0.002 with the activeness of Posyandu cadres in the working area of the Tarus Health Center, Kupang Tengah District, Kupang Regency. Conclusion: It is expected that health workers at the Tarus Health Center should always maintain the implementation of cadre training by providing counseling on the importance of activeness of Posyandu cadres so that Posyandu activities can run well, and it is also expected that Posyandu cadres can increase activeness as a social responsibility in the community.
Factors Associated with Sadari Behavior in Undana FKM Female Students Class of 2023 Marcianus Ratu; Marni Marni; Petrus Romeo; Ribka Limbu
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 11 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i11.6302

Abstract

Introduction: Breast cancer is an abnormal cell growth in the breast that forms a tumor. Starting from the milk ducts or lobules, cancer cells can spread to surrounding tissues of the body and form a lump or thickening. If left untreated, cancer can metastasize and become life-threatening. Breast self-examination (SADARI) is an effective method of early detection, but the rate of implementation is still low among women. Objective: This study aims to determine the relationship between knowledge, attitudes and peer support with SADARI behavior in public health study program students of FKM UNDANA class of 2023. Method: The research method used was quantitative with a cross-sectional approach. The sample consisted of 50 female students of FKM UNDANA class of 2023 who were determined by simple random sampling technique. Data were collected using a questionnaire in the form of a google form and analyzed using the chi-square test. Result: The results showed a significant relationship between knowledge (p=0.001), attitude (p=0.001), and peer support (p=0.000) with SADARI behavior. Most of the respondents had good knowledge (48%), positive attitude (70%), and good peer support (50%). Conclusion: FKM Undana students need to increase their knowledge and positive attitude towards SADARI, making it a monthly routine. They should support each other and create an environment that encourages the practice of early detection of breast cancer.
Faktor Determinan Kepatuhan Berobat Penderita Tuberkulosis Paru di Wilayah Kerja Bairo-Pite Clinic Timor Leste Francisco Guterres Dos Reis; Christina Roni Nayoan; Marni Marni; Sintha Lisa Parimahua; Imelda Februati Ester Manurung
MAHESA : Malahayati Health Student Journal Vol 6, No 5 (2026): Volume 6 Nomor 5 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i5.23228

Abstract

ABSTRACT Tuberculosis (TB) remains a global public health problem, including in Timor Leste. Treatment success is highly influenced by patients’ adherence to long-term medication according to therapy guidelines. This study aimed to analyze the determinant factors of medication adherence among TB patients, which include internal factors (sex, age, occupation, education level, knowledge, and attitude) and external factors (health worker support, family support, and distance to health facilities) at Bairo-Pite Clinic, Timor Leste. This quantitative research used a cross-sectional design involving 101 respondents selected using the Slovin formula. Data were collected using the Morisky Medication Adherence Scale (MMAS-8) and analyzed using multivariate logistic regression. The results showed that most respondents had low medication adherence (85.1%). Internal factors significantly associated with adherence were knowledge and attitude, while external factors significantly associated were family support and health worker support (p 0.05). Distance to health facilities did not show a significant association. In conclusion, strengthening health education, family engagement, and the role of health workers is essential to improve TB treatment adherence in the studied area. Keywords: Tuberculosis, Medication Adherence, Knowledge, Family Support, Health Worker Support.  ABSTRAK Tuberkulosis (TBC) merupakan penyakit infeksi yang masih menjadi masalah kesehatan masyarakat global, termasuk di Timor Leste. Keberhasilan pengobatan sangat dipengaruhi oleh tingkat kepatuhan pasien dalam minum obat jangka panjang sesuai terapi. Penelitian ini bertujuan untuk menganalisis faktor determinan kepatuhan minum obat pasien TBC yang meliputi faktor internal (jenis kelamin, usia, pekerjaan, tingkat pendidikan, pengetahuan, dan sikap) serta faktor eksternal (dukungan tenaga kesehatan, dukungan keluarga, dan jarak tempat tinggal ke fasilitas kesehatan) di wilayah kerja Bairo-Pite Clinic, Timor Leste. Metode penelitian menggunakan pendekatan kuantitatif dengan desain cross sectional, melibatkan 101 responden yang dipilih menggunakan rumus Slovin. Pengumpulan data dilakukan menggunakan kuesioner Morisky Medication Adherence Scale (MMAS-8) dan dianalisis secara multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa sebagian besar responden memiliki tingkat kepatuhan rendah sebesar 85,1%. Faktor internal yang berpengaruh signifikan terhadap kepatuhan adalah pengetahuan dan sikap, sedangkan faktor eksternal yang berpengaruh signifikan adalah dukungan keluarga dan dukungan tenaga kesehatan (p 0,05). Faktor jarak tempat tinggal tidak menunjukkan hubungan signifikan. Kesimpulan penelitian ini menyatakan bahwa peningkatan edukasi kesehatan, penguatan dukungan keluarga, serta peran tenaga kesehatan menjadi kunci keberhasilan terapi TBC di wilayah tersebut. Kata Kunci: Tuberkulosis, Kepatuhan, Pengetahuan, Dukungan Keluarga, Dukungan Tenaga Kesehatan.
Faktor yang Berhubungan dengan Kepatuhan Penderita Hipertensi dalam Menjalani Pengobatan di Wilayah Kerja Puskesmas Alak Kota Kupang Anastasia De Yuni Kaha; Petrus Romeo; Marni Marni
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 5 No. 1 (2026): Januari 2026
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v5i1.6995

Abstract

Hypertension is a non-communicable disease known as the “silent killer” because it often appears without symptoms, causing many individuals to remain unaware of their high blood pressure. The main factors contributing to hypertension are environmental factors, including family factors, community factors, and other related factors, namely the duration of hypertension, knowledge, family support, the role of health workers, and motivation to seek treatment. Data on hypertension cases in Kupang City were high in the period January - December 2023 recorded as many as 19,363 people suffering from hypertension, making hypertension one of the diseases with a fairly high number of cases in Kupang City. Data from the Community Health Center (Puskesmas) shows that Alak Community Health Center had the highest number of hypertension cases in Kupang City, namely 4,742 people throughout 2023. The purpose of this study was to analyze factors related to hypertension patient compliance with medication adherence in the Alak Community Health Center working area, Kupang City. This study involved 58 patients selected through accidental sampling. Data were analyzed using the chi-square test. The study results showed a relationship between compliance and patient knowledge (p = 0.011), family support (p = 0.013), and motivation to seek treatment (p = 0.002). Patients should undergo examinations as directed by healthcare professionals and adopt a healthy lifestyle to prevent more serious complications.
Pengaruh Edukasi melalui Metode Lonto Leok Terhadap Pengetahuan dan Kepatuhan Pengobatan Hipertensi Pada Lansia di Desa Lengko Namut Kabupaten Manggarai Timur Ester Ingrida Agninoy Jarut; Marni Marni; Galuh Wiedani K. Diah Larasati; Imelda F.E Manurung
Malahayati Nursing Journal Vol 8, No 8 (2026): Volume 8 Nomor 8 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i8.25288

Abstract

ABSTRACT Hypertension is a non-communicable disease that is a public health problem with a high prevalence in the elderly. Low levels of knowledge and adherence to treatment are the main causes of uncontrolled blood pressure. Local culture-based health education such as the Lonto Leok method is expected to improve public health understanding and behavior. This study aims to analyze the effect of Lonto Leok method education on the level of knowledge and adherence to hypertension treatment in the elderly in Lengko Namut Village, East Manggarai Regency. Using a quasi-experimental nonequivalent control group design with 56 respondents (28 intervention groups, 28 controls with video education), data were collected through pre- and post-test questionnaires (knowledge: 18 items; adherence: MMAS-8). The Lonto Leok group showed significant improvement (knowledge: mean increase of 4.36, p=0.000; adherence: increase of 1.93, p=0,000), superior to the video group (knowledge: 3.86, p=0.002; adherence: 1.61, p=0.000), analyzed by Wilcoxon test and t-test. The Lonto Leok cultural approach was proven to be more effective in improving hypertension management in this local context. Keywords: Lonto Leok, Hypertension, Knowledge, Medication, Elderly.   ABSTRAK Hipertensi merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat dengan prevalensi tinggi pada kelompok lansia. Rendahnya tingkat pengetahuan dan kepatuhan pengobatan menjadi penyebab utama tidak terkontrolnya tekanan darah. Edukasi kesehatan berbasis budaya lokal seperti metode Lonto Leok diharapkan mampu meningkatkan pemahaman dan perilaku kesehatan masyarakat. Penelitian ini bertujuan menganalisis pengaruh edukasi metode Lonto Leok terhadap tingkat pengetahuan dan kepatuhan pengobatan hipertensi pada lansia di Desa Lengko Namut Kabupaten Manggarai Timur. Menggunakan rancangan two group pre-test post-test design dengan 56 responden (28 kelompok intervensi, 28 kontrol dengan edukasi video), data dikumpul melalui kuesioner pre- dan post-test (pengetahuan: 18 item; kepatuhan: MMAS-8). Kelompok Lonto Leok menunjukkan peningkatan signifikan (pengetahuan: rata-rata naik 4,36, p=0,000; kepatuhan: naik 1,93, p=0,000), lebih unggul dari kelompok video (pengetahuan: 3,86, p=0,002; kepatuhan: 1,61, p=0,000), dianalisis dengan uji Wilcoxon dan t-test. Pendekatan budaya Lonto Leok terbukti lebih efektif dalam meningkatkan pengelolaan hipertensi di konteks lokal ini.  Kata Kunci: Lonto Leok, Hipertensi, Pengetahuan, Kepatuhan, Lansia.