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An Analysis of the Implementation and Challenges of the 2024 Indonesian Nutrition Status Survey (SSGI) Validation in East Kalimantan Province Anshory, Jamil; G, Riska Mayang Saputri; Pijaryani, Indria; Kawareng, Andi Tenri; Safika, Erri Larene; Khuzaimah, Ummi; Wahyuni, Leny Eka Tyas; Rahayu, Agustin Putri; Kurniasari, Lia; Mardiana, Mardiana; Sabarinah, Sabarinah; Nurrika, Dieta; Nurzihan, Nastitie Cinintya
Journal of Global Nutrition Vol 5 No 2 (2025)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v5i2.157

Abstract

The Indonesian Nutritional Status Survey (SSGI) is a national tool for monitoring population nutritional status and serves as an evidence base for policy formulation. The accuracy of nutritional prevalence estimates depends on the quality of survey implementation and validation. This study aimed to evaluate the validation process of the 2024 SSGI in East Kalimantan Province, specifically in Samarinda City and Penajam Paser Utara District. A descriptive-evaluative design was applied between July and August 2024, involving households and individuals from validation clusters according to the 2024 sampling design. Data collection included anthropometric measurements, household and individual interviews, field observations, and document reviews, complemented by in-depth interviews with enumerators, validators, and supervisors. Quantitative analysis was performed to calculate procedural deviations, while qualitative thematic analysis was applied to identify recurring challenges related to training adequacy, logistics, supervision, and data quality assurance, with triangulation and inter-rater reliability checks used to strengthen validity. Results show that geographical and accessibility constraints, administrative barriers during sample updating, insufficient technical guidelines, and inconsistent recruitment mechanisms hindered the input stage. At the process stage, deviations were observed in anthropometric measurements, hygiene protocol adherence, and interview completeness, while environmental conditions, limited facilities, and weak coordination influenced the output stage. These findings highlight gaps between standardized protocols and field practices that may compromise data validity. Systemic improvements are required through updated sampling frames, written technical guidelines, practice-based training, layered supervision, and context-specific adaptation strategies to strengthen future national nutrition surveys.
TikTok Content Analysis for Strengthening Stunting PreventionEducation Systems Rahayu, Agustin Putri; Ariyanti, Rea; Rahayu, Eka Putri; Saefurrohim, Muhamad Zakki
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

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.
SOSIODEMOGRAPHIC DETERMINANTS OF HEALTH FACILITY UTILIZATION IN INDONESIA: Determinan Sosiodemografi Utilisasi Pelayanan Kesehatan di Indonesia Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 2 (2025): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i2.2025.195-205

Abstract

Background: Health service facility utilization is crucial for determining healthcare service success and accessibility. Sociodemographic factors significantly influence utilization patterns. Aims: This research aims to examine the relationship between sociodemographic factors and health facility utilization patterns among the Indonesian population Methods: Secondary data from the 2023 Indonesian Health Survey (Health Development Policy Agency, Ministry of Health) were analyzed using a quantitative cross-sectional approach. Chi-square tests and binary logistic regression were employed for bivariate and multivariate analyses Results: Non-JKN health insurance was the dominant factor with PR = 2.4 (95%CI PR: 2.335-2.645), followed by never in union with PR= 1.328 (95%CI PR:1.269-1.390). Married with PR= 1.3 (95%CI PR: 1.224-1.381), unemployed with PR= 1.262 (95%CI PR: 1.226-1.300), children with PR= 1.181 (95%CI PR: 1.110-1.257), men with PR =1.030 (95% CI PR: 1.005-1.005). Factors reducing utilization likelihood included are rural residence with PR= 0.378 (95%CI PR: 0.368-0.388), secondary education with PR= 0.390 (95%CI PR: 0.376-0.404), adult with PR= 0.650 (95%CI PR: 0.603-0.701), primary education with PR= 0.703 (95%CI PR: 0.684-0.722), non formal occupation with PR= 0.955 (95%CI PR: 0.922-0.989). Conclusion: The binary logistics regression shows that health insurance ownership is the most dominant predictor, with individuals holding non-JKN health insurance being 2.4 times more likely to utilize healthcare services compared to those with JKN insurance. Therefore, geographical disparities and educational levels are critical obstacles that require intervention in efforts to improve access to health services. Keywords: Determinants, Health Facility, Sociodemographic, Utilization, SKI 2023
Binomial Logistic Regression of Contraceptive Use among Indonesian Multiparous Women: Indonesia Health Survey 2023 Ariyanti, Rea; Rahayu, Eka Putri; Rahayu, Agustin Putri
Preventif : Jurnal Kesehatan Masyarakat Vol. 16 No. 3 (2025): Preventif : Jurnal Kesehatan Masyarakat
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/0nvrr515

Abstract

Family planning (KB) is an important strategy to reduce maternal mortality by reducing the number of pregnancies and the proportion of high-risk pregnancies, while enabling family planning and improving quality of life. Although data from the Central Statistics Agency (BPS) shows fluctuations, the prevalence of active KB participation in Indonesia is not enough to significantly increase contraceptive use, especially in multiparous women. The purpose of this study was to examine the factors that influence contraceptive use in multiparous women in Indonesia. The study design was cross-sectional using secondary data obtained from the 2023 Indonesian Health Survey (SKI). The analysis focused on data from 14,975 multiparous mothers who had filled out the questionnaire. The dependent variable in this study was contraceptive use. Independent variables included age, education level, occupation, insurance ownership, delivery method, pregnancy risk, and history of labor and postpartum complications. Data were analyzed using binomial logistic regression. The results of the study showed that determinant factors such as education level, occupation, delivery method, and history of delivery complications affected the use of contraceptives in multiparous women in general by only 3.1%, while 96.9% were influenced by other factors not included in this model test. Therefore, targeted interventions are very important, including expanding contraceptive education for highly educated women and increasing flexible access to services for informal sector workers, as well as conducting counseling programs especially for women with a history of surgery or delivery with complications, to ensure optimal use of contraceptives
Perencanaan program ibu care posyandu turry melalui peer support group Ramadani, Nurul Ma'rifa; Makmur, Nindha Aulia; Faradiana, Dwi Nur; Gustia, Wanda; Anggraeni, Diva Nabilah; Rahmayanti, Desy Anugerah; Rahayu, Agustin Putri; Permana, Lies; Rohmah, Nur; Nurrachmawati, Annisa; Feriyanti, Alma; Fikri, Mohammad
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 6 No 1 (2026): January Edition 2026
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v6i1.1911

Abstract

Background: Posyandu (Integrated Health Post) is a community-based health service that plays a crucial role in improving maternal and child health. However, at Posyandu Turry, there is still a lack of understanding and participation from mothers, which impacts the effectiveness of Posyandu services. Purpose: To identify problems at Posyandu Turry, prioritize problems using ultrasound methods, and plan an empowerment program that can increase community knowledge and participation in Posyandu activities on an ongoing basis. Method: This study identified problems at the Turry Integrated Health Post (Posyandu), determined priorities using the USG method, and developed an empowerment program using a qualitative case study approach and Participatory Action Research (PAR). Data were collected through interviews, focus group discussions (FGDs), observations, and document analysis. Results: The FGDs revealed that low community knowledge about the importance of Posyandu was the highest-scoring problem. This was due to limited access to information and a lack of engaging educational materials. Based on these findings, the "Ibu Care Posyandu" empowerment program was formulated to increase community knowledge and engagement through easier-to-understand education and consistent information delivery. Conclusions: Low community knowledge, minimal participation by mothers of toddlers, and limited skills of cadres contributed to the low effectiveness of the Turry Integrated Health Post (Posyandu) service. Through case studies and Participatory Action Research (PAR), these problems were collaboratively addressed through the development of a peer-support-based "Ibu Care Posyandu" program to increase community knowledge and engagement.   Keywords: Community Empowerment; Health Education; Maternal Health; Participation; Posyandu.   Pendahuluan: Posyandu adalah layanan kesehatan yang didasarkan pada komunitas dan memiliki peran krusial dalam meningkatkan kesehatan ibu dan anak. Namun di Posyandu Turry masih terdapat rendahnya pemahaman dan partisipasi dari ibu-ibu yang berdampak pada efektivitas pelayanan posyandu. Tujuan: Untuk mengidentifikasi permasalahan di Posyandu Turry, menetapkan prioritas masalah menggunakan metode USG, serta merencanakan program pemberdayaan yang dapat meningkatkan pengetahuan dan partisipasi masyarakat dalam kegiatan posyandu secara berkelanjutan. Metode: Penelitian ini mengidentifikasi masalah di Posyandu Turry, menentukan prioritas dengan metode USG, dan menyusun program pemberdayaan melalui pendekatan kualitatif studi kasus, serta Participatory Action Research (PAR). Data dikumpulkan melalui wawancara, FGD, observasi, dan dokumen. Hasil: FGD menunjukkan rendahnya pengetahuan masyarakat tentang pentingnya posyandu menjadi masalah dengan skor tertinggi. Faktor penyebabnya adalah kurangnya akses informasi dan minimnya materi edukasi yang menarik. Berdasarkan temuan tersebut, dirumuskan program pemberdayaan “Ibu Care Posyandu” untuk meningkatkan pengetahuan dan keterlibatan masyarakat melalui edukasi yang lebih mudah dipahami dan penyampaian informasi yang konsisten. Simpulan: Rendahnya pengetahuan masyarakat, minimnya partisipasi ibu balita, dan keterbatasan keterampilan kader menyebabkan rendahnya efektivitas pelayanan Posyandu Turry. Melalui studi kasus dan Participatory Action Research (PAR), masalah tersebut diatasi secara kolaboratif melalui pengembangan program “Ibu Care Posyandu” berbasis dukungan sebaya untuk meningkatkan pengetahuan dan keterlibatan masyarakat.   Kata Kunci: Edukasi Kesehatan; Kesehatan Ibu; Partisipasi; Pemberdayaan Masyarakat; Posyandu.
Penyadaran Masalah dan Perencanaan Program dalam Peningkatan Layanan Operasional Posyandu Lansia Seroja Samarinda Abdania, Hazizah Tausia; Wulandari, Putri Fauziah; Pratama, Rangga Aditya; Adellia, Yerita; Saputri, Anisatia; Mutawakkiliin, Syifa’ul Alif; Permana, Lies; Nurrachmawati, Annisa; Fikri, Mohammad; Rohmah, Nur; Rahayu, Agustin Putri
Bima Abdi: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2026): Bima Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/bajpm.v6i1.3238

Abstract

Pelayanan Posyandu Lansia Seroja di Loa Bakung menghadapi permasalahan utama berupa rendahnya kemampuan komunikasi efektif kader dalam memberikan edukasi kesehatan kepada lansia. Temuan social mapping menunjukkan bahwa para lansia tinggal di lingkungan permukiman yang padat dengan tingkat pemahaman kesehatan yang masih terbatas, serta memiliki kebiasaan makan yang dapat meningkatkan risiko penyakit degeneratif seperti tekanan darah tinggi, diabetes, kolesterol, dan asam urat. Kondisi ini menuntut penyampaian informasi kesehatan yang jelas dan menenangkan, namun kemampuan komunikasi kader yang belum optimal sering menimbulkan kekhawatiran pada lansia sehingga pemahaman mereka tidak berkembang dengan baik. Stakeholder mapping juga menggambarkan belum tersusunnya alur koordinasi yang menyeluruh antara kader, Puskesmas Loa Bakung, Klinik Bunga Bakung, Kelurahan Loa Bakung, dan Kecamatan Sungai Kunjang. Ketidakterhubungan struktur ini membuat kegiatan penyuluhan berjalan tanpa dukungan teknis yang memadai. Melalui analisis situasi, pemetaan masalah, dan penentuan prioritas menggunakan metode USG, kemampuan komunikasi kader teridentifikasi sebagai masalah yang paling mendesak untuk ditangani. Perencanaan program kemudian difokuskan pada upaya pemberdayaan kader agar mampu berkomunikasi secara empatik, jelas, dan sesuai konteks sosial masyarakat. Perencanaan ini memberikan dasar strategis untuk meningkatkan kualitas layanan Posyandu Lansia melalui penguatan kapasitas kader dalam menyampaikan informasi kesehatan secara lebih efektif dan mudah dipahami.
Pendampingan Kader Posyandu dalam Analisis Kebutuhan dan Penyusunan Perencanaan Program Pelita Kemuning di Posyandu Kemuning, Kota Samarinda Herawan, Dea Aurela; Anwar, Alyssa Putri; Papu, Theresa Rebecca; Harun, Siti Fadilah; Anggraini, Alfina Dwi; Ramadhantya, Fazira Shinaia; Fikri, Mohammad; Rahayu, Agustin Putri; Feriyanti , Alma; Rohmah, Nur; Permana, Lies; Nurrachmawati, Annisa
Bima Abdi: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2026): Bima Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/bajpm.v6i1.3299

Abstract

Kegiatan pengabdian kepada masyarakat ini dilaksanakan di Posyandu Kemuning, Kota Samarinda. Permasalahan yang dihadapi kader selama ini adalah rendahnya keterampilan dalam melakukan pengukuran, pencatatan, serta interpretasi hasil antropometri, sehingga diperlukan pendampingan teknis yang lebih terstruktur. Berdasarkan kondisi tersebut, kegiatan ini bertujuan untuk meningkatkan kapasitas kader dalam penggunaan media edukasi gizi melalui penyusunan dan pemanfaatan buku saku panduan antropometri. Mitra dalam kegiatan ini adalah 15 kader posyandu aktif dengan total sasaran sekitar 30 balita binaan yang rutin memanfaatkan layanan posyandu. Metode pelaksanaan kegiatan meliputi wawancara mendalam dan Focus Group Discussion (FGD) dengan pendekatan USG (Urgency, Seriousness, Growth) untuk mengidentifikasi prioritas masalah, dilanjutkan dengan pelatihan serta pendampingan intensif terkait penggunaan buku saku. Hasil kegiatan menunjukkan bahwa kader mampu memahami dan menggunakan buku saku sebagai panduan edukasi gizi maupun sebagai acuan standar dalam pelaksanaan kegiatan posyandu. Selain itu, masyarakat memberikan respons positif karena buku saku dinilai membantu penyampaian informasi yang lebih sederhana dan mudah dipahami. Rencana tindak lanjut yang disusun meliputi revisi dan pencetakan ulang buku saku oleh kader, pelatihan lanjutan bagi kader baru maupun yang membutuhkan penguatan kompetensi, serta evaluasi dampak program setelah enam bulan bekerja sama dengan Puskesmas dan Dinas Kesehatan setempat.
Linkage Between Hospital Accessibility and Health Insurance Ownership in East Kalimantan Province Rahayu, Eka Putri; Ariyanti, Rea; Rahayu, Agustin Putri
Jurnal Jaminan Kesehatan Nasional Vol. 5 No. 2 (2025): Jurnal Jaminan Kesehatan Nasional
Publisher : BPJS Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53756/jjkn.v5i2.390

Abstract

Healthcare accessibility remains a persistent challenge in Indonesia, particularly in resource-limited regions where geographical barriers, transportation constraints, and financial limitations create significant disparities in health service utilization. Hospital accessibility encompasses multiple dimensions that collectively influence healthcare utilization patterns. The physical presence of healthcare facilities, commonly referred to as hospital existence, serves as the fundamental prerequisite for healthcare access. This study seeks to analyze how dimensions of hospital accessibility correlate with health insurance ownership in East Kalimantan.   2023 Indonesian Health Survey. This research was quantitative approach with cross sectional design. The population in this research refers to the population of 2023 Indonesian Health Survey, with total  . Chi square analysis was used to determine the relationship between the independent variable and dependent variable. The result shows that the independent variables that are significantly related to the health insurance ownership with p-value < 0.005, namely marital status, age group, education level and occupation. Meanwhile, sex (p-value= 0.185), residence (p-value= 0.093) and hospital accessibility (p-value= 0.134) showed no significant associations with health insurance ownership with p-value > 0.005. The lack of association between hospital accessibility and insurance ownership indicates that physical proximity to healthcare facilities is not a primary determinant of insurance enrolment decisions.
Mental Health Determinants And Risk Behaviors of High School Students Agustini, Rina Tri; Nurrachmawati, Annisa; Rohmah, Nur; Permana, Lies; Feriyanti, Alma; Rahayu, Agustin Putri; Fikri, Mohammad
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.1-7

Abstract

Background: According to the Basic Health Research Survey (Riskesdas), the prevalence of depression in the population aged 15–24 years is 6.2%. Adolescents are prone to a variety of risky behaviors, such as drug abuse, unsafe sexual behaviors, and unhealthy diets. Objective: The purpose of this study was to analyze risky behaviors related to mental health determinants in high school students. Methods: This cross-sectional study was conducted in North Balikpapan, Samboja, and Sepaku Districts, which serve as buffer zones of the National Capital, particularly at SMAN 9 Balikpapan (n=248), SMAN 2 Samboja (n=110), and SMAN 3 Penajam Paser Utara (n=28), during October–November 2024. The dependent variables measured were health risk behaviors, and the independent variables were determinants of mental health. A multivariate analysis was performed using a binary logistic regression test. Results: Family mental health status was found to increase the likelihood of smoking behavior by 2.282 times (p=0.005). Meanwhile, psychological pressure on students increased the likelihood of excessive time spent staring at a gadget screen by 2.126 times (p=0.018). Additionally, family mental health status had a protective effect against low physical activity in students (p=0.010, OR=0.198). Conclusion: Psychological distress and family mental health significantly influence adolescent risk behaviors. Further research is needed to explore the physiological aspects of stress and the impact of family mental health on risky behaviors in adolescents.