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All Journal Jurnal Keperawatan Muhammadiyah Jurnal EduHealth
Riandhani Mulyoto, Raufina
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Health Professions Nursing Public Health Veterinary

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Implementation of Gender Inclusive Child Health Services in Mataram City: Challenges and Strategies Riandhani Mulyoto, Raufina; Dwinanda Wicaksana, Hendika; Muqodimatul Jannah, Suci
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Abstract

The provision of child health services is a key indicator of public health quality; however, access and utilization are often influenced by gender-related factors. This study examines the implementation of gender-inclusive child health services in Mataram City, focusing on policy and programmatic strategies. A qualitative descriptive approach with a case study method was employed. Data were collected through in-depth interviews with healthcare providers, parents, and policymakers, as well as direct observations in health facilities and a review of relevant policy documents and program reports. Data were analyzed using the SWOT framework (Strengths, Weaknesses, Opportunities, Threats). Findings indicate that although gender-sensitive policies and service guidelines exist, practical implementation remains uneven. Strengths include dedicated healthcare staff, ongoing community health programs, and strong local government support. Weaknesses involve limited gender-sensitive training for healthcare providers, cultural norms affecting service utilization, and disparities in access between boys and girls. Opportunities exist through enhanced public awareness campaigns, collaborative partnerships, and policy reinforcement, whereas threats arise from persistent social norms, resource constraints, and variability in service quality across facilities. The study concludes that improving gender-inclusive child health services in Mataram City requires enhanced provider training, consistent monitoring, community engagement, and integrated policy strategies to ensure equitable access and quality care for all children.
Keanekaragaman Makanan, Kerawanan Pangan Rumah Tangga dan Stunting pada Anak di Kabupaten Bulukumba: Studi Cross-Sectional Bohari, Nurul Hidayah; Dewi, Dewi; Erniawati, Erniawati; Riandhani Mulyoto, Raufina; Sumarmi, Sumarmi
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.29704

Abstract

Background: Stunting remains a major public health problem in Indonesia, particularly in eastern regions such as Bulukumba District, South Sulawesi. Inadequate dietary diversity, household food insecurity, and suboptimal feeding practices are widely recognized as key contributors to chronic undernutrition among children under five years of age. Purpose: This study aimed to analyze the association between dietary diversity, household food insecurity, feeding practices, and stunting among children aged 0–59 months in Bulukumba District. Methods: A community-based cross-sectional study was conducted with total of 228 mother–child pairs were selected through two-stage cluster sampling. Child anthropometric measurements were collected to determine stunting status based on height-for-age z-scores. Dietary diversity was assessed using the Household Dietary Diversity Score (HDDS), while household food insecurity was measured using the Household Food Insecurity Access Scale (HFIAS). Data were analyzed using descriptive statistics and multivariable logistic regression. Results: The mean dietary diversity score indicated moderate food diversity. Most children had received exclusive breastfeeding and complementary feeding. However, logistic regression analysis showed that child sex, age, exclusive breastfeeding, and complementary feeding practices were not significantly associated with stunting (p > 0.05). Complementary feeding exhibited the highest odds ratio (OR = 2.01) but did not reach statistical significance. The regression model demonstrated good fit, although its explanatory power was low (Nagelkerke R² = 0.023). Conclusion: Stunting in Bulukumba is likely influenced by complex and multifactorial determinants. Strengthening dietary diversity, improving household food security, and promoting optimal feeding practices through integrated nutrition and social protection interventions are essential to reduce stunting prevalence.
Co-Authors Bohari, Nurul Hidayah Dewi Dewi Dwinanda Wicaksana, Hendika Erniawati, Erniawati Muqodimatul Jannah, Suci