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Maternal Factors as Determinants of Stunting in Children Under Five Years Old: A Systematic Review Ariyanti, Rea; Rahayu, Eka Putri; Rahayu, Agustin Putri
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.v2i1.3075

Abstract

Stunting remains a pervasive public health concern, particularly in developing countries such as Indonesia. The etiology of stunting in toddlers is multifactorial, with one potential causative factor being maternal. The objective of this study is to examine extant studies that are pertinent in identifying maternal factors for the incidence of stunting in toddlers in Indonesia. The present study is a systematic review, meticulously organized according to the PRISMA flowchart method. A comprehensive literature search was conducted using three major electronic databases: Garuda Portal, Pubmed, and Science Direct. The selection of articles was based on the most recent three years of publications, commencing from 2022 to 2025. A total of 2,042 publications were identified through three online databases, and 12 articles were deemed eligible for analysis. The results of the analysis demonstrated that maternal characteristics (i.e., age, education, income, height, nutritional status, parity, and birth spacing) and maternal health conditions during pregnancy (i.e., weight gain, infectious diseases, history of anemia, and chronic energy deficiency) were significantly associated with the incidence of stunting in children under five in Indonesia. Additionally, maternal parenting related to nutrition fulfillment (i.e., exclusive breastfeeding and feeding practices) was associated with the incidence of stunting in children under five in Indonesia.
Representation of KRIS Policy in Indonesian Online Media Reporting: A Qualitative Content Analysis Study of 2025 Pre-Implementation Rahayu, Eka Putri; Rahayu, Agustin Putri; Ariyanti, Rea
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.v2i1.3076

Abstract

The JKN standard inpatient class (KRIS) policy provides significant benefits for the Indonesian people, however, the implementation of KRIS in hospitals is a complex process and there are still many challenges that must be faced in the KRIS implementation plan. The determination of the KRIS policy based on Government Regulation Number 47 of 2021 concerning the Implementation of the Hospital Sector Article 84 letter b, will be implemented no later than January 1, 2023. However, the implementation of the BPJS Kesehatan KRIS has been postponed until January 1, 2025 so that hospitals can prepare the 12 standards that must be met when the KRIS service is officially opened in all hospitals in Indonesia. This research is expected explore on how is the pre-implementation policy of KRIS in Indonesia through Indonesian online news portals. This study used a qualitative analysis approach to online news portal content that aims to explain the KRIS policy in Indonesia. The sample of this study is national online media news about the KRIS policy published between January - May 2025. The researcher used the keyword "KRIS" and searched four (4) online news portals. MAXQDA software was also used as a data analysis tool in this study. The features used include Word Cloud and word frequency to understand the main concept. The results show that there are 7 dominant topics in the coverage of well-known online media in Indonesia related to the KRIS policy in Indonesia. The topic of KRIS policy challenges in Indonesia is the most dominant topic with 33 quotes (31%).
Balancing Medical Knowledge with Behavioral Strategies: Content Characteristics of High-Performing Pediatric Diabetes Videos on Indonesian TikTok Rahayu, Agustin Putri; Rahayu, Eka Putri; Ariyanti, Rea
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.v2i1.3092

Abstract

Pediatric diabetes has become rapidly growing, with epidemiological projections indicating that nearly half of children with type 1 diabetes remained undiagnosed globally, while type 2 diabetes prevalence among youth increased more markedly than type 1 diabetes in several regions. This research aimed to conduct a comprehensive content analysis of the fifteen most highly engaged pediatric diabetes educational videos on TikTok within the Indonesian digital landscape over the past six months. The research method employed a quantitative content analysis design conducted on May 28, 2025, analyzing TikTok content using the keyword "diabetes anak" within the Indonesian digital domain. Results showed that documentary content dominated (93.3%), with "Foundational Medical Knowledge" and "Behavioral Health Management" each appearing in 66.7% of videos, while "Optimistic Messaging" and "Self-Efficacy Enhancement" were each present in 60% of content. Word cloud analysis revealed that practical diabetes management terminology such as "insulin," "diabetes," "makanan" (food), and "anak-anak" (children) dominated transcripts. Successful pediatric diabetes educational content on TikTok combined medical accuracy with authentic narratives and empowerment-focused messaging to achieve optimal audience engagement. Keywords: pediatric diabetes, TikTok, content analysis, digital health education
Relationship between psychosocial and consumption patterns among high school adolescents in the national capital city buffer area Rahayu, Agustin Putri; Rohmah, Nur; Nurrachmawati, Annisa; Permana, Lies; Agustini, Rina Tri; Fikri, Mohammad; Feriyanti, Alma
JOURNAL OF Mental Health Concerns Vol. 4 No. 2 (2025): July Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mhc.v4i2.1181

Abstract

Background: Inappropriate consumption patterns among adolescents increase chronic disease risk later in life, potentially influenced by psychosocial factors. This study analyzed relationships between psychosocial factors and consumption patterns among high school students in the NCC buffer area. Purpose: To examine the relationship between psychosocial and consumption in high school adolescents in NCC buffer area Method: Using a cross-sectional design, 386 high school students were selected through proportional random sampling. Data collection employed the Kessler questionnaire for psychological distress, and questionnaires measuring family and peer support, family mental health influence, school support, and consumption patterns. Chi-square tests analyzed bivariate relationships with significance at p < 0.05. Results: Results showed no significant relationships between consumption patterns and psychological distress (p = 0.798), family and peer support (p = 0.887), family mental health influence (p = 0.951), or school support (p = 0.301). Conclusion: The study concluded that psychosocial factors do not significantly impact consumption patterns among high school adolescents in the NCC buffer area. Despite non-significant findings, this research provides important baseline data on adolescent consumption patterns in this strategic buffer area and suggests investigating other factors that may influence consumption behavior in this population.   Keyword: Adolescents; Consumption Patterns; Family Mental Health; Psychological Distres; Social Support.
Analysis of Health Equity and Access of Healthcare In Indonesia: Literature Review Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Health equity is fundamental to the idea of living a good life and building a vibrant society because of its practical, economic, and civic implications. The number of Primary Health Care in Indonesia in 2023 will be 10,180 Primary Health Care, consisting of 4,210 inpatient health centers and 5,970 non-inpatient health centers.The large number of health facilities available raises the question of whether they are able to provide the best medical services and can be accessed by all levels of society. This study used the PRISMA (Preferred Reporting Items For Systematic Review And Meta Analysis) method. A comprehensive literature review was conducted using the following databases: Science Direct, Pub Med, Google Scholar. The period was 2020-2024. It obtained 140 articles with the keyword “access” “equity” “healthcare” “indonesia”. The articles were filtered based on the suitable of the title, abstract, content, and selected those that met the criteria, so that there were 20 articles that were assessed for suitability. So, there are 4 articles that can be analyzed and discuss about access and equity healthcare in indonesia. Equality and access to health services in Indonesia requires improvement from various aspects. It is recommended to improve transport infrastructure, increasing access to health services by telemedicine, increase public awareness of the importance of getting trusted and easily accessible health services
Instagram Live Interactive Features as a Cutting-Edge Health Communication Tool Examining Literature Review Rahayu, Agustin Putri; Feriyanti, Alma
Panakeia Journal of Epidemiology Vol. 1 No. 1 (2024): PANAKEIA
Publisher : Universitas Mulawarman

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Abstract

The digital transformation of health communication has experienced a period of accelerated growth, with social media platforms such as Instagram Live emerging as a particularly innovative feature in the field of health promotion. The objective of the research was to examine health communication strategies based on Instagram Live. The PRISMA literature review methodology, conducted from 2020 to 2024, revealed comprehensive strategies for effective health communication on Instagram Live. These strategies included an optimal duration of 20 to 60 minutes, the selection of attractive and competent moderators and health professionals, the presentation of health topics in alignment with trending issues, the use of clear and research-based content, visually appealing presentations, the archiving of Instagram Live sessions as reels, and the creation of emotional communication spaces through storytelling approaches and strategic hashtag usage. These strategies significantly enhanced health literacy and reduced information disparities in society.
Determinan Kepemilikan Jaminan Kesehatan di Provinsi Kalimantan Timur: Analisis Data SKI 2023 Eka Putri Rahayu; Rea Ariyanti; Rahayu, Agustin Putri
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 4 No. 3 (2025): Agustus 2025
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v4i3.5003

Abstract

National Health Insurance (JKN) is the government's commitment to protecting public health. Health insurance is a system designed to ensure access to health services for all levels of society without exception. In Indonesia, health insurance is implemented through the National Health Insurance (JKN) program managed by the Social Security Administering Agency (BPJS) Health. This program aims to provide comprehensive health protection for all citizens through a mutual cooperation system. The purpose of this study was to analyze the determinants of ownership of National Health Insurance (JKN) in East Kalimantan Province. Indonesian Health (SKI) in 2023 with a cross-sectional research design. Respondents registered for health insurance ownership in East Kalimantan province amounted to 12,418 respondents. Data were analyzed using univariate and bivariate methods. Univariate data analysis was carried out with the results in the form of a frequency table. Bivariate data analysis used the Chi Square test. Determinants of health insurance ownership were significantly influenced by marital status, education level and employment status with each variable having a p-value <0.05. The results of this study can be the basis for the development of health policies, especially national health insurance.
THE ASSOCIATION BETWEEN SCREEN TIME AND PSYCHOLOGICAL DISTRESS AMONG INDONESIAN FEMALE ADOLESCENTS: A CROSS-SECTIONAL STUDY Feriyanti, Alma; Agustini , Rina Tri; Permana , Lies; Rohmah, Nur; Nurrachmawati , Annisa; Rahayu, Agustin Putri; Fikri, Mohammad
Journal of Community Mental Health and Public Policy Vol. 7 No. 2 (2025): APRIL
Publisher : Lembaga Penelitian dan Terapan untuk Kesehatan Jiwa (Lenterakaji)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51602/cmhp.v7i2.238

Abstract

Background: Excessive smartphone use has a negative impact on health, especially in the adolescent age group. Adolescent females who screen time for two hours or more a day after school have the potential to experience psychological distress. Purpose: To analyze the relationship between screen time behavior and psychological distress in high school adolescent females. Methods: This quantitative study using a cross-sectional design. The research locations were carried out in three schools, namely SMA (Senior High School) 9 Balikpapan, SMA 2 Samboja and SMA 3 Penajam Paser Utara. The population was 1,112 adolescent females and the sample was 272 adolescent females. The sampling technique used was proportional random sampling. The analysis test used the chi-square test. Variable measurements of screen time and psychological distress are used in the Questionnaire for Screen Time of Adolescents and the Kessler Psychological Distress Scale. Results: The p-value < 0.05 means that there is a relationship between screen time and psychological distress in high school adolescent females. Conclusion: Excessive screen time has an impact on the psychological distress of high school females. There is a need to increase mental health literacy and support for parents and schools in restricting the use of smartphones at home and at school. Abstrak Latar Belakang: Penggunaan smartphone yang berlebihan berdampak negatif pada kesehatan terkhususnya pada kelompok usia remaja. Remaja putri yang melakukan screen time selama dua jam atau lebih perhari setelah pulang sekolah berpotensi mengalami tekanan psikologis. Tujuan: Menganalisis hubungan antara perilaku screen time dan tekanan psikologis pada remaja putri sekolah menengah atas. Metode: Merupakan penelitian kuantitatif dengan menggunakan desain cross-sectional. Lokasi penelitian dilaksanakan pada tiga sekolah yaitu SMA 9 Balikpapan, SMA 2 Samboja dan SMA 3 Penajam Paser Utara. Populasi pada penelitian ini sebesar 1.112 remaja putri dan sampel penelitian yaitu sebanyak 272 remaja putri. Teknik sampling yang digunakan yaitu proportional random sampling. Uji analisis menggunakan uji chi-square. Pengukuran variabel screen time dan tekanan psikologis menggunakan Questionnaire for Screen Time of Adolescents dan Kessler Psychological Distress Scale. Hasil: Nilai p-value < 0,05 yang artinya ada hubungan antara screen time dengan tekanan psikologis pada remaja putri sekolah menengah atas. Kesimpulan: Screen time berlebihan memiliki dampak pada tekanan psikologis pada remaja putri sekolah menengah atas. Perlu adanya peningkatan literasi kesehatan mental serta dukungan orang tua dan sekolah dalam memberikan pembatasan penggunaan smartphone di rumah maupun di sekolah.
Efektivitas Metode Experiential Learning dalam Meningkatkan Pengetahuan dan Efikasi Diri Kesehatan Mental pada Siswa SMA di Kota Balikpapan Feriyanti, Alma; Permana, Lies; Agustini, Rina Tri; Nurrachmawati, Annisa; Rohmah, Nur; Rahayu, Agustin Putri; Fikri, Mohammad
Perilaku dan Promosi Kesehatan : Indonesian Journal of Health Promotion and Behavior Vol. 7, No. 1
Publisher : UI Scholars Hub

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Abstract

Background. Mental health disorders have become a significant global concern, with the Global Health Data Exchange reporting approximately 970 million individuals worldwide—equivalent to one in eight people—suffering from mental health issues, primarily depression and anxiety. Adolescents are particularly vulnerable due to academic and non-academic pressures. Experiential learning, an active educational approach, may serve as an effective method to enhance adolescent knowledge and self-efficacy regarding mental health. Objective. To analyze the effectiveness of the experiential learning method in improving adolescents’ knowledge and self-efficacy related to mental health. Method. This study employed a pre-experimental one group pretest-posttest design, conducted at a senior high school in Balikpapan City. A total of 30 students were selected purposively from a population of 444. Knowledge data were analyzed using the Wilcoxon Signed Rank Test, while self-efficacy data were analyzed using the paired t-test. Results. The N-Gain score was 0.65, indicating that the experiential learning method was moderately effective in improving students' knowledge and self-efficacy. Conclusion. Experiential learning is effective in enhancing adolescent understanding and confidence in managing mental health issues. This method is recommended as an interactive educational strategy and could be extended to other health topics to promote youth well-being.
Edugame Interaktif Pencegahan Merokok untuk Pelajar SMP 40 di Samarinda melalui Pendekatan Participatory Action Research (PAR) Rohmah, Nur; Nurachmawati, Annisa; Rahayu, Agustin Putri; Feriyanti, Alma; Fikri, Mohammad
Journal of Community Development Vol. 6 No. 2 (2025): Desember
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v6i1.1743

Abstract

revalensi merokok remaja di Indonesia terus meningkat, termasuk di Kalimantan Timur yang lebih tinggi dari rata-rata nasional. Di SMP Negeri 40 Samarinda, fenomena merokok masih marak dipengaruhi oleh tekanan teman sebaya, kurangnya pengawasan orang tua, dan pandangan permisif masyarakat terhadap rokok. Kondisi ini menuntut inovasi media edukasi yang sesuai dengan karakteristik remaja, sehingga pendekatan gamifikasi dipilih sebagai alternatif. Program pengabdian masyarakat ini bertujuan mengembangkan edugame papan “Lingkaran Prestasi” sebagai media interaktif pencegahan merokok sekaligus meningkatkan pengetahuan dan perilaku siswa terkait bahaya rokok serta memperkuat kemitraan akademisi dengan sekolah. Metode kegiatan menggunakan pendekatan Participatory Action Research (PAR) yang melibatkan guru dan siswa melalui lima tahapan: pengkajian kebutuhan, desain media, pelaksanaan edukasi, evaluasi, dan tindak lanjut program. Hasil kegiatan menunjukkan bahwa siswa lebih aktif dan antusias selama permainan, pengetahuan mengenai bahaya rokok meningkat, serta keterampilan menolak ajakan merokok semakin terasah. Guru menilai media ini lebih efektif dibandingkan penyuluhan konvensional, mudah dipahami, dan mampu memicu diskusi kelompok. Evaluasi dengan FGD memperlihatkan respon positif baik dari siswa maupun guru, serta komitmen bersama untuk menjadikan sekolah sebagai kawasan bebas asap rokok. Program ini juga menghasilkan rencana tindak lanjut berupa integrasi ke dalam program UKS dan upaya replikasi ke sekolah lain melalui dukungan Dinas Pendidikan dan Dinas Kesehatan. Dengan demikian, edugame “Lingkaran Prestasi” terbukti efektif sebagai media inovatif dalam pencegahan merokok pada remaja.