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Factors Associated with Stunting in Toddlers Under the Service Area of Bakunase Primary Health Center in Kupang City Kitu, Hendrika Octavia Nugraheni; Syamruth, Yendris Krisno; Purnawan, Sigit
Journal of Public Health for Tropical and Coastal Region Vol 6, No 2 (2023): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v6i2.18034

Introduction: Stunting or short stature is a term used for children whose height is below the average of the same sex, age, and ideally from the same racial-ethnic group (£ -2 SD). In the short term, stunting causes a slowdown of growth and development and in the long term, it has an impact on cognitive aspects and increases the risk of getting non-communicable diseases. This study aims to analyze the factors associated with the incidence of stunting in toddlers under the service area of the Bakunase Primary Health Center, Kupang City.Methods : This research is an analytical survey, with a case-control design. A total 136 toddlers which were divided into 68 case groups and 68 control groups were recruited. The recruited participants were selected using a simple random sampling method. The mother's knowledge, attitude, parenting style, living environment and the incidence of diarrhea were investigated. Data was collected using a questionnaire. The chi-square statistical test was used and Odd Ratios were calculated.Results: The results showed that there was a relationship between mother's knowledge (p-value = 0.000, OR = 6.667), mother's attitude (p-value = 0.000, OR = 5.808), mother's parenting style (p-value = 0.000, OR = 5.093), living environment (p-value = 0.000, OR = 7.538), and the incidence of diarrhea (p-value = 0.002, OR = .3.175) with the incidence of stunting in toddlers the Bakunase Primary Health Center service area, Kupang City.Conclusion: It was concluded that there was a relationship between mother's knowledge, mother's attitude, mother's upbringing, living environment and the incidence of diarrhea with the incidence of stunting in toddlers. Therefore, health promotion and cross-sector cooperation are needed to overcome the problem of stunting.

ANALISIS SPASIAL KEJADIAN DEMAM BERDARAH DENGUE DI KOTA KUPANG TAHUN 2019-2022 Winda, Winda; Syamruth, Yendris Krisno; Wahyuni, Maria Magdalena Dwi; Weraman, Pius
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.35814

Analisis spasial adalah salah satu cara pendataan dalam upaya manajemen lingkungan dan merupakan bagian dari manajemen penyakit berbasis wilayah. Salah satu penyakit berbasis lingkungan yaitu demam berdarah dengue. DBD adalah penyakit infeksi akut yang disebabkan oleh infeksi virus dengue yang ditularkan melalui gigitan nyamuk Aedes betina. DBD saat ini telah menyebabkan endemik di 100 negara di wilayah WHO, termasuk Indonesia. Kota Kupang merupakan ibu kota Provinsi NTT yang selama 2019-2022 menjadi salah satu penyumbang kasus DBD yang tinggi dimana pada tahun 2019 kasus DBD sebanyak 681, tahun 2020 meningkat sebanyak 821 kasus, tahun 2021 menurun menjadi 654 kasus dan tahun 2022 menurun menjadi 455 kasus. Penelitian ini bertujuan untuk menganalisis faktor risiko yang mempengaruhi kejadian DBD. Jenis penelitian observasional analitik dengan desain penelitian studi ekologi. Hasil penelitian menunjukkan tidak adanya pengaruh kepadatan penduduk dengan DBD dan terdapat satu wilayah kecamatan yang berada di wilayah High-High yaitu Kecamatan Kota Lama. Ketinggian wilayah tidak berpengaruh dengan DBD dan terdapat satu wilayah kecamatan yang berada di wilayah High-Low yaitu Kecamatan Kota Alak. Curah hujan berpengaruh dengan DBD tahun 2019-2020, sedangkan 2021-2022 tidak berpengaruh dengan DBD. Kelembaban udara berpengaruh dengan DBD. Kecepatan angin tidak berpengaruh dengan DBD. Saran yaitu melakukan pengendalian dan penanggulangan terhadap penyakit DBD terutama pada kecamatan yang memiliki kasus demam berdarah dengue tinggi dan peningkatan preventif terhadap DBD

Analisis Faktor Risiko Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Ngalupolo Kabupaten Ende Wangge, Yohana Febrianty Putri; Hinga, Indriati A. Tedju; B. Sir, Amelya; Syamruth, Yendris Krisno
JURNAL BIDANG ILMU KESEHATAN Vol 15, No 1 (2025): Jurnal Bidang Ilmu Kesehatan
Publisher : Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jbik.v15i1.5499

Stunting adalah kondisi gagal tumbuh pada anak balita disebabkan oleh kurangnya asupan gizi dalam waktu lama serta terjadinya infeksi berulang, dan kedua faktor penyebab ini dipengaruhi oleh pola asuh yang tidak memadai terutama dalam 1.000 HPK. Tujuan penelitian untuk menganalisis faktor risiko kejadian stunting pada balita di wilayah kerja Puskesmas Ngalupolo Kabupaten Ende. Jenis penelitian observasi analitik dengan rancangan case control. Penelitian dilaksanakan di wilayah kerja Puskesmas Ngalupolo Kabupaten Ende pada bulan Juli-Agustus Tahun 2024. Populasi kasus merupakan balita yang mengalami stunting, sedangkan populasi kontrol merupakan balita yang tidak mengalami stunting di wilayah kerja. Jumlah sampel adalah 35 dengan perbandingan 1:1 sehingga jumlah sampel sebanyak 70 orang. Teknik sampling sampel kasus dan kontrol menggunakan simple random sampling. Analisis data menggunakan analisis univariat dan bivariat. Hasil penelitian menunjukan 4 variabel yang menjadi faktor risiko kejadian stunting pada balita yaitu riwayat BBLR (p-value=0,015) (OR=3,852), riwayat panjang badan lahir (p-value=0,026) (OR=3,574), pemberian ASI eksklusif (p-value=0,000) (OR=2,667), dan riwayat penyakit infeksi (p-value=0,014) (OR=2,029). Sedangkan, 2 variabel yang bukan merupakan faktor risiko kejadian stunting pada balita yaitu LILA ibu hamil (p-value=0,227) (OR=7,563) dan riwayat anemia ibu hamil (p-value=0,149) (OR=2,276). Ibu hamil merupakan salah satu kelompok rawan gizi yang perlu mendapatkan pelayanan kesehatan yang baik dan berkualitas, edukasi pemberian ASI eksklusif, serta akses terhadap layanan kesehatan dan sanitasi yang memadai agar ibu tersebut dapat menjalani kehamilannya dengan sehat. Kata Kunci: Faktor Risiko, Stunting, Balita

Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.07

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.

Religious Coping of Servants at GBI Jemaat Ayalon Kupang ORA PAU, QUEENY VHALIN; Syamruth, Yendris Krisno; Ratu, Feronika
Journal of Health and Behavioral Science Vol 7 No 2 (2025): Juni 2025
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v7i2.22097

Religious coping is the way a person relies on faith, worship, and supportfrom their religious community to deal with life's pressures or challenges. Thepurpose of this study was to determine the religious coping of ministers at GBIAyalon Kupang related to understanding, application, and assessment of religiouscoping. The research method used is qualitative. The data collection technique is astructured interview. Sampling in this study used a purposive sampling techniquewith 5 participants. This study found that servants at GBI Ayalon Kupang facespiritual and interpersonal challenges, such as a crisis of faith, the declining spirit ofservice, and conflict within the ministry team. They overcome these challenges bystrengthening their relationship with God through prayer and seeking support fromothers and church leaders.

The Incidence of Chronic Energy Deficiency in Pregnant Women at Borong Public Health Center Desiman, Natalia Veranda; Syamruth, Yendris Krisno; Riwu, Ruth Rosina
Timorese Journal of Public Health Vol 4 No 1 (2022): Timorese Journal of Public Health
Publisher : Faculty of Public Health, Nusa Cendana University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v3i2.6437

Chronic Energy Deficiency (KEK) is one of the issues that might arise during pregnancy when the intake and nutritional demands are out of balance. The Upper Arm Circumference (LiLA) of pregnant women less than 23.5 cm is used to determine Chronic Energy Deficiency (KEK). The goal of this study is to analyze the variables linked to Chronic Energy Deficiency (KEK) in pregnant women in the Borong Health Center's working area in East Manggarai Regency. This type of research quantitative research uses a cross-sectional study approach. This research was conducted in the working area of the Borong Health Center with a sample of 56 pregnant women. The data analysis used was univariable and bivariable analysis with a chi-square statistical test. The results of this study indicate that there is a relationship between the variables of maternal age (p = 0.037), and the close relationship (-0.315), mother's occupation (p = 0.036) and the close relationship (-0.320), family income (p = 0.001) and the close relationship namely (0.474), gestational distance (p = 0.000) and the close relationship (0.559), energy intake (p = 0.017) and the close relationship (0.356), and protein intake (p = 0.001) and the close relationship (0.488) with the incidence of KEK in pregnant women in the working area of the Borong Health Center. Meanwhile, factors that were not related to the incidence of KEK in pregnant women in the working area of the Borong Health Center were the mother's level of knowledge (p = 0.244), the mother's education level (p = 0.136), and parity (p = 1,000). The conclusion is that there is a relationship between maternal age, mother's occupation, family income, pregnancy distance, energy intake, and protein intake with the incidence of CED. Pregnant women are expected to receive health education in pregnant women classes to prepare for pregnancy or counseling about nutritional needs before pregnancy and during pregnancy

Factors Associated with Pregnant Women's Compliance with Fit-to-Fly Recommendations at El Tari Airport in 2024 Misnadin, Indri Wahyuningsih; Syamruth, Yendris Krisno; Manurung, Imelda Februati Ester; Weraman, Pius; Nayoan, Christina Rony
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.10

Background: Fit-to-fly recommendations for pregnant women are regulated in Indonesia’s civil aviation guidelines. Noncompliance may pose health risks for both mother and fetus during air travel. This study aimed to identify factors associated with pregnant women’s compliance with fit-to-fly recommendations at El Tari Airport in 2024.Subjects and Method: A cross-sectional study was conducted from January to March 2024 at El Tari Airport, Kupang. A total of 130 pregnant passengers who applied for fit-to-fly letters at the BKK Class I Airport Health Post were selected using simple random sampling. The dependent variable was compliance with fit-to-fly recommendations. Independent variables included maternal age, gestational age, parity, education level, travel reasons, document completeness, exposure to information, family support, and maternal knowledge. Data were collected using a structured questionnaire and analyzed using univariate, bivariate, and multivariate methods with multiple logistic regression.Results: Gestational age (OR=6.79; 95%CI: 2.06–22.41; p=0.002), parity (OR=8.00; 95%CI: 2.61–22.54; p<0.001), education level (OR=5.49; 95%CI: 1.47–20.41; p=0.011), and maternal knowledge (OR=6.75; 95%CI: 2.13–21.34; p=0.001) were significantly associated with compliance. Other factors such as exposure to information, maternal age, document completeness, travel reasons, and family support showed no statistically significant association..Conclusion: Gestational age, parity, education level, and maternal knowledge were significant determinants of compliance with fit-to-fly recommendations among pregnant women. These findings highlight the importance of targeted health education and screening prior to air travel during pregnancy.

The Psychological Well-being of Elderly Caregivers at the Elderly Social Welfare Service Wanu, Fransiskus Kadi; Syamruth, Yendris Krisno; Pello, Shella C.
Journal of Health and Behavioral Science Vol 7 No 3 (2025): September 2025
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v7i3.23101

Elderly caregivers are vital in supporting older adults, especially in social institutions, yet face emotional strain, heavy workloads, and limited support. This study explores the psychological well-being of individuals at the UPTD Elderly Social Welfare Service in Kupang, using a descriptive qualitative approach. Data from five caregivers with over one year of experience were gathered through semi-structured interviews and analyzed thematically. Three key themes emerged: acceptance, caregiving challenges, and social support. Caregivers adapted emotionally, faced physical and emotional stress, and coped through spirituality and peer support. Family and institutional support were crucial in building resilience, highlighting the need for targeted support systems in elderly care environments.

The Meaning of Moke for Ethnic Students of Sikka in the Era of Social and Technological Change: An Explorative Study From A Cultural Perspective Ida, Gracia; Kiling, Indra Yohanes; Panis, Marleny Purnamasary; Syamruth, Yendris Krisno
Journal of Health and Behavioral Science Vol 6 No 2 (2024): June (2024)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/jhbs.v6i2.17399

The Sikka community has a rich cultural heritage, including the traditional Moke drink that enriches their ethnic identity. However, the influence of globalization, such as information technology, social media, international trade, and cultural exchange, has shifted the understanding and practices related to Moke from the previous generation to the younger generation. This study explores Sikka students' understanding and analysis of the moke tradition in the context of social and technological change. The research method used is qualitative, with semi-structured interviews in Kupang City, East Nusa Tenggara, involving Sikka ethnic students as subjects. The study results indicate that Moke is a drink and an important symbol in maintaining ethnic identity and traditional values. However, the challenges of preserving it in the modern era require adaptation to the dynamics of globalization without sacrificing the richness of this unique local culture.

Spatial Analysis of Determinants of Hypertension Incidence in Kota Lama Subdistrict, Kupang, Indonesia Lenda, Dominggus Agustinus Isak; Weraman, Pius; Syamruth, Yendris Krisno; Adu, Apris A; Roga, Anderias Umbu
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.07

Background: Cardiovascular diseases such as hypertension, heart attack, and stroke are chronic non-communicable diseases influenced by genetic, physiological, environmental, and behavioral factors. Geographic Information Systems (GIS) can be utilized for spatial analysis to identify risk factors, distribution patterns, and determinants of diseases, including hypertension. This study aims to examine the determinants of hypertension using a spatial analysis approach in Kota Lama Subdistrict, Kupang City.Subjects and Method: This study employed an ecological study design using an observational analytic method with a cross-sectional approach. The population consisted of residents aged ≥18 years in Kota Lama Subdistrict. A total of 400 individuals diagnosed with hypertension were selected using simple random sampling. The variables examined were age, overweight, lack of physical activity, high-salt diet, alcohol consumption, medication adherence, economic level, and distance to health facilities. Instruments used included a sphygmomanometer, microtoise, weight scale, and questionnaire. Spatial analysis was conducted using the GeoDa application with Regression, Bivariate Local Moran’s Index, Multivariate Local Geary, and Spatial Empirical Bayes tests.Results: The results showed significant associations and clustered spatial autocorrelation with low-to-high relative risk (RR) observed in the subdistricts of LLBK, Bonipoi, Solor, Fatubesi, Oeba, Nefonaek, and Pasir Panjang for the variables: age (p=0.001, I=0.70), overweight (p<0.001, I=0.64), lack of physical activity (p=0.00, I=0.63), high-salt diet (p=0.00, I=0.63), and alcohol consumption (p<0.001, I=0.69). There were no significant associations for variables such as irregular medication intake, economic level, and distance to health facilities, with p-values of 1.000 > α (0.050).Conclusion: Age, overweight, physical inactivity, high-salt diet, and alcohol consumption are significant determinants and show positive clustered spatial autocorrelation with hypertension. It is recommended that individuals over 40 years of age regularly monitor their blood pressure, maintain a healthy diet, engage in sufficient physical activity, and for those with hypertension, adhere to regular medication intake.

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