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All Journal Journal of Health Promotion and Behavior Panakeia Journal of Epidemiology Proceeding Mulawarman International Conference on Tropical Public Health
Muhamad Zakki Saefurrohim
Mulawarman University
Health Professions Medicine & Pharmacology Public Health

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TikTok Content Analysis for Strengthening Stunting PreventionEducation Systems Agustin Putri Rahayu; Rea Ariyanti; Eka Putri Rahayu; Muhamad Zakki Saefurrohim
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Stunting presents significant public health challenges requiring comprehensive prevention strategies. Digital health education has emerged as an effective approach to strengthen health systems and community engagement. TikTok, as a widely accessible social media platform, offers potential for delivering evidence-based stunting prevention education. Objective : This study analyzes stunting education content on TikTok to provide recommendations for optimizing digital health communication strategies in achieving SDGs. Research Methods/ Implementation Methods : Content analysis was conducted on TikTok videos with #preventstunting hashtag posted within six months. The analysis examined 50 highest- engagement videos (final dataset) and identified top 10 most popular videos. Systematic coding analyzed video attributes (duration, music, text display, posting age), audience responses, target demographics, creator backgrounds, and content characteristics (message types, information density, sentiment). Results : Final dataset characteristics revealed optimal attributes: 16-60 second duration, TikTok music integration, explanatory text overlays, 31-90 days posting history, general public targeting, and diverse creator backgrounds. Top 10 popular videos showed similar patterns with extended posting duration (90-180 days), healthcare professional involvement, and multi-sentiment approaches (empathy, humor, fear). Prevention-focused messages with 1-2 key information points generated highest engagement. Recommended video framework includes 60-second duration, music and subtitle integration, active audience interaction, multi-sectoral creators, prevention messaging with 1- 2 focal points, and strategic sentiment use. Creativity, quality, and simplicity emerged as critical engagement factors. Conclusion/Lesson Learned : TikTok demonstrates significant potential for strengthening health system communication strategies in stunting prevention education. Video characteristics substantially influence audience engagement, with simple, informative, and creative content generating optimal responses. This digital platform can enhance health promotion accessibility and reach, contributing to SDG achievement through innovative community-level interventions.
Comparative Patterns of Non-Communicable Disease Risk Factors Across Age Groups in Samarinda, Indonesia Muh. Amri Arfandi; Muhamad Zakki Saefurrohim; Arlina Azka; Irfansyah Baharuddin Pakki; Siswanto Siswanto; Risva Risva; Akhmad Azmiardi; Tanti Asrianti
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Non-communicable diseases (NCDs) have become a major public health concern, with risk factors increasingly observed among younger populations. Examining how these risks differ between age groups may provide insight into early prevention priorities. Objective : To describe and compare behavioral and biological NCD risk factors among older adolescents (15–19 years), young adults (20–24 years), and adults (25–59 years) in Samarinda, Indonesia. Research Methods/ Implementation Methods : A descriptive cross-sectional study was conducted among 242 respondents selected through household interviews in Samarinda. Data were collected using the WHO STEPwise approach to NCD risk factor surveillance (STEPS) questionnaire, covering behavioral factors (tobacco, alcohol, physical activity, diet) and biological factors (BMI, blood pressure, blood glucose, cholesterol). Data were analyzed descriptively using STATA 17. Results : Variations were observed across age groups. Smoking was more frequent among young adults (22.2%) compared to adolescents (9.3%) and adults (17.7%). Alcohol use was generally low but relatively higher among adolescents (12.4%). Physical activity levels and sedentary time showed comparable patterns, with young adults reporting slightly more sedentary behavior (40%). Most respondents consumed fruits less than four days per week. The proportion of overweight and obesity was greater among adults (54.4%) than in young adults (24.4%) and adolescents (19.4%). Differences were also seen in clinical indicators, with adults showing a higher proportion of hypertension (44.1%) and high cholesterol (35.3%) compared to younger groups. Conclusion/Lesson Learned : The study highlights varying patterns of NCD risk factors among age groups, with several behavioral risks already present during adolescence. These findings emphasize the importance of early preventive actions focused on healthy lifestyles, especially among youth, supported by community-based education and health monitoring initiatives.
Optimization of the Role of Health Cadres in Educating About the Integration of Primary Services for the Prevention and Control of Non-Communicable Diseases in Tropical Regions Sumarni Sumarni; Muhamad Zakki Saefurrohim; Muh. Amri Arfandi
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Pasundan Public Health Center ranks among the top three areas with the highest prevalence of Non- Communicable Diseases (NCDs) in Samarinda City, with 23.2% hypertension and 2.95% diabetes mellitus cases. The main challenge lies in the suboptimal role of health cadres in implementing the Integrated Primary Care (ILP) program and their limited digital health literacy. This issue highlights a practical and scientific gap in the effective utilization of health cadres for NCD prevention and control through technology-based health education. To optimize the role of health cadres in the implementation of ILP by improving their knowledge, communication, and digital literacy skills for NCD prevention and control in tropical regions. The program was implemented through community service activities, including socialization, health education, and practical demonstrations involving 37 health cadres from 35 integrated health posts. Evaluation of outcomes was conducted using interactive pre–post tests and participant feedback to measure improvements in knowledge and skills. The evaluation showed a significant increase in cadres’ knowledge from 68% to 89%, along with an improvement in communication and digital literacy skills by 35–40%. The training enhanced cadres’ confidence and ability to utilize digital platforms in disseminating health information related to NCD prevention and control. The program successfully strengthened the capacity of health cadres in technology-based health promotion, supporting the sustainability and effectiveness of Integrated Primary Care at the primary healthcare level. Enhancing digital literacy among cadres is crucial for improving NCD prevention and control efforts in tropical regions.
Ageing, Education, and Protein Intake Shape Nutritional Status in Indonesian Older Adults: A Population-Based Study Akhmad Azmiardi; Muhamad Zakki Saefurrohim; Ratih Wirapuspita Wisnuwardani; Irfansyah Baharuddin Pakki
Journal of Health Promotion and Behavior Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2026.11.02.04

Abstract

Background: The elderly population in Indonesia has increased rapidly, accompanied by health challenges such as malnutrition, which can lead to sarcopenia and physical weakness. Body weight is one indicator of nutritional status, which can be influenced by characteristics and nutrient intake, such as protein. This study aims to analyze the influence of age, gender, education and protein intake on nutritional status in the elderly in Indonesia. Subjects and Method: A cross-sectional study of the Indonesian Family Life Survey (IFLS-5) involved 2,908 individuals aged 60 and above. Sociodemographic variables (age, gender, education level, and marital status) were measured using a questionnaire, while protein intake was measured using a Food Frequency Questionnaire (FFQ). Bivariate data analysis was used to determine the relationship between age, gender, and protein intake and nutritional status and logistic regression analysis was used to evaluate factors influencing poor nutritional status. Results: Age ≥ 71 years (aOR= 2.14; 95%CI= 0.56 to 0.96; p<0.001), male (aOR=1.43; 95%CI= 0.16 to 0.55; p= 0.003) increase the risk of poor nutritional status, while education > Senior High School (aOR=0.22; 95%CI= -0.22 to -0.77; p<0.001), and high protein intake (aOR= 0.80; 95%CI= -0.42 to -0.02; p =0.033) are protective factors for poor nutritional status in the elderly. Conclusion: Age over 70 years and being male increases the risk of poor nutritional status, while high levels of education and protein intake reduce the risk of poor nutritional status in the elderly in Indonesia.
The The Relationship Between Age, Employment Status, Gender, Linezolid Use, and Hiv Status on The Survival Duration of Short-Term Treated MDR-TB Patients Akhmad Azmiardi; Muhamad Zakki Saefurrohim; Intan Henda Ardiani
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v1i1.1851

Abstract

This study evaluated the association of demographic and clinical factors with the survival of drug-resistant TB (MDR-TB) patients undergoing short-term treatment. Using a retrospective cohort design, data were collected from the medical records of 38 MDR-TB patients who received short-term therapy in 2021-2023 at a Central Java hospital. The variables analyzed included age, employment status, gender, Linezolid (Lzd) use, HIV status, and treatment initiation time. The results of logistic regression analysis showed that employment status and gender significantly influenced survival. Patients who were employed had a higher chance of survival than patients who were not employed (Exp(B) = 38.884; p = 0.011). Female patients showed better outcomes than males (Exp(B) = 0.031; p = 0.011). Age showed a weak association with survival, with older age tending to decrease survival although not significantly (p = 0.052). HIV status and timing of early treatment initiation also showed potential to affect survival, but were not significant (p > 0.05). Lzd use showed no significant effect on survival (p = 0.441). This study concludes that occupation and gender are important predictors of survival in MDR-TB patients, while other factors require further research.
WHO SRQ-20 Outcomes in Mothers of Children 6-23 Months By Fecal Disposal and Drinking Water Source Factors Muhamad Zakki Saefurrohim; Intan Zainafree; Muhammad Aidil Fitrah; Dewi Natalista Dwi Utomo
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v1i1.1869

Abstract

Most studies tended to focus on the association of health conditions or tantrum behavior in toddlers with maternal mental health. This study aimed to determine the differences in WHO SRQ-20 scores and the association of WHO SRQ-20 outcomes with fecal disposal factors and drinking water sources. This study used secondary data from RISKESDAS 2018, involving 670 mothers with children aged 6-23 months. The WHO SRQ-20 questionnaire was used to measure general mental health disorders. Mann-Whitney analysis was conducted to determine the difference in scores, while Chi-Square was used to examine the association of WHO SRQ-20 outcomes with toddler feces disposal factors and drinking water sources. All analyses were performed using SPSS 22.0, with a significance value of <0.05. The analysis showed that inappropriate fecal disposal and poor drinking water sources increased the total WHO SRQ-20 score (p=0.003, & p=0.041). Both factors were positively correlated with seven common mental health symptoms in mothers with children aged 6-23 months, including no appetite, difficulty thinking, difficulty making decisions, feelings of fear, trembling hands, and indigestion, with significant p-values (p<0.05) for each symptom. Environmental quality, especially inappropriate fecal disposal and poor drinking water sources, was significantly correlated with increased mental health symptoms among mothers with children aged 6-23 months.
Analysis of Factors Associated with Malnutritions Among Children Under Five in East Kalimantan Province: A Secondary Data Study Muh. Amri Arfandi; Siswanto; Irfansyah Baharuddin Pakki; Risva; Muhamad Zakki Saefurrohim
Panakeia Journal of Epidemiology Vol. 2 No. 1 (2025): Panakeia Journal of Epidemiology
Publisher : Universitas Mulawarman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/panakeia.v2i1.3093

Abstract

This study aims to analyze factors associated with malnutrition among children under five in East Kalimantan Province using secondary data from 2021-2023. The dependent variable is the proportion of malnutrition, including underweight, stunting, and wasting. Independent variables include the proportion of low birth weight (LBW), complete basic immunization (CBI) coverage, adolescent pregnancy (<19 years), sanitation access, and poverty rate. Multiple linear regression analysis found that these five variables simultaneously have a significant effect on malnutrition prevalence (p=0.025) with a coefficient of determination of 39.5%. CBI coverage was identified as the most significant predictor of malnutrition (p=0.02). These findings highlight the importance of immunization, prevention of adolescent pregnancy, improved sanitation, and poverty reduction to address malnutrition. The study provides a policy basis for enhancing nutrition intervention programs in the region.
Co-Authors Agustin Putri Rahayu Akhmad Azmiardi Akhmad Azmiardi Arlina Azka Asrianti, Tanti Dewi Natalista Dwi Utomo Eka Putri Rahayu Intan Henda Ardiani Intan Zainafree Irfansyah Baharuddin Pakki Muh. Amri Arfandi Muhammad Aidil Fitrah Ratih Wirapuspita Wisnuwardani Rea Ariyanti Risva Risva Risva Siswanto Siswanto Siswanto Sumarni Sumarni