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All Journal Jurnal Administrasi Kesehatan Indonesia Health Dynamics Ficco Public Health Journal
Attawet, Jutharat
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Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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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
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.
Response to Letter: Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity. Siswati, Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat
Health Dynamics Vol 2, No 10 (2025): October 2025 (In progress)
Publisher : Knowledge Dynamics

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

Abstract

We would like to express our appreciation for the constructive input given to the article on the effectiveness of e-pocket books in improving balanced nutrition knowledge in adolescents to reduce obesity. This response aims to clarify the context of the research, answer the methodological issues raised, and affirm the empirical contribution of the study. The research is focused on improving nutrition knowledge, not on changes in nutritional status, and the term "obesity reduction" in the title describes the long-term direction of nutrition education interventions. A single 120-minute intervention was recognized to have limitations in maintaining knowledge retention, but significant results showed that e-pocket book media was effective in improving comprehension in a short period of time. The validity and reliability of the instrument have met the minimum standards for health education research in schools. In this study, the use of WhatsApp groups is not a disruptive variable, but part of a digital learning strategy to increase participant engagement. Although the research is still limited to urban schools with a small sample size, these findings are early evidence of the feasibility of e-pocket books as a digital educational medium that is lightweight, easily accessible, and in accordance with the digital habits of teenagers in general today. 
Sleep Less, Weigh More: Unraveling the Sleep-Obesity Connection in Adult Putri, Az’yan Nazwa Maharani; Yuliyanti, Rahmah Dwi; Sitasari, Almira; Wijanarka, Agus; Attawet, Jutharat; Siswati, Tri
Ficco Public Health Journal Vol. 2 No. 01 (2025): April 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15308294

Abstract

Background: Obesity is an increasingly complex and common global health problem, especially among adults. The aim of this scoping review is to examine the relationship between sleep duration and obesity in adults.  Methods: A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology guideline. Databases including PUBMED, ScienceDirect, DOAJ, and ResearchGate were searched in 2024 with the keywords "obesity AND sleep AND adults". Articles published between 2019 and 2023 that focused on observational studies. Results: Of the 2960 articles found, 7 articles met the inclusion criteria. A cross-sectional research design was used by 86% of the studies, while only 14% were enrolled in cohort studies. The majority of studies showed a significant correlation between short-term and long-term sleep duration and the likelihood of becoming obese. The assessment tools used were extensive and included interviews, questionnaires, and sleep monitors such as the Actiwatch Spectrum. The obesity assessment indicators used are Body Mass Index (BMI) and waistline. Conclusions: The review suggests that adults whose sleep is too short or too long are more likely to be obese. Lack of sleep can trigger hormonal changes, stimulate appetite, and result in obesity.
Co-Authors Agus Wijanarka, Agus Almira Sitasari Hastuti, Puput Tri Joko Susilo Lukman Waris Nurhidayat Nurhidayat Putri, Az’yan Nazwa Maharani Rialihanto, Muhammad Primiaji Tri Siswati, Tri Utami, Siti Budi Yuliyanti, Rahmah Dwi Yustiana Olfah