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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 Hastuti, Puput Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat; Siswati, Tri
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21006

Abstract

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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.
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