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All Journal Jurnal Administrasi Kesehatan Indonesia Health Dynamics
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.
Co-Authors Hastuti, Puput Tri Joko Susilo Lukman Waris Nurhidayat Nurhidayat Rialihanto, Muhammad Primiaji Tri Siswati, Tri Utami, Siti Budi Yustiana Olfah