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All Journal TROPHICO: Tropical Public Health Journal Jurnal Terapi Wicara dan Bahasa
Kirana, Junneka Sarah
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Hubungan Stunting dengan Keterlambatan Perkembangan Bahasa pada Anak Usia 6-36 Bulan: A Systematic Review Kirana, Junneka Sarah; Flora, Rostika; Fajar, Nur Alam
Jurnal Terapi Wicara dan Bahasa Vol. 4 No. 1 (2025): Desember 2025
Publisher : Politeknik Kesehatan Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59686/jtwb.v4i1.260

Abstract

Background: Stunting represents a global public health challenge affecting neurological development in children, particularly language abilities during the critical period of 6-36 months. Chronic malnutrition underlying stunting is suspected to disrupt brain structure and function essential for language acquisition. Objectives: This systematic review aimed to synthesize empirical evidence regarding the association between stunting and language developmental delays in children aged 6-36 months and to explore the underlying neurological mechanisms. Methods: A systematic literature search was conducted across four electronic databases (PubMed, Google Scholar, ScienceDirect, and ERIC) until November 2024 following PRISMA 2020 guidelines. Of 588 records identified, 12 studies met inclusion criteria for analysis. Quality assessment used the Newcastle-Ottawa Scale (NOS). Results: Eleven of twelve studies (91.7%) reported significant associations between stunting and increased risk of language delay (OR: 2.45-4.12). Neurological mechanisms included impaired myelination, synaptogenesis, and reduced brain volume particularly in white matter and corpus callosum affecting language area connectivity. Conclusion: Stunting represents a significant risk factor for language developmental delay through structural and functional brain impairments, emphasizing the importance of nutritional intervention and early stimulation during the critical first 1000 days of life. Keywords: Stunting, Language Development, Speech Delay, Chronic Malnutrition, Neurological Mechanisms.
Determinants of tuberculosis treatment success at Siti Fatimah Regional Hospital, Palembang Pulungan, Rafiah Maharani; Liberty, Iche Andriyani; Utami, Anissa Citra; Pratama, Benny Putra; Kirana, Junneka Sarah
TROPHICO Vol. 5 No. 2 (2025): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v5i2.23862

Abstract

Tuberculosis (TB) is a chronic infectious disease that remains a public health problem in Indonesia. The success rate of pulmonary TB treatment at Siti Fatimah Regional Hospital, Palembang, in 2024 was 71%, still below the national target of 90%. This study aimed to determine factors associated with the success of pulmonary TB treatment. The analysis showed that age was significantly associated with treatment success, with patients aged <30 years having almost three times the chance of success compared to patients aged ≥30 years (OR=2.87; p=0.000). Residential factors also showed a significant relationship, with patients domiciled in Palembang City having a greater chance of success than patients from outside the city (OR=8.88; p=0.020). Meanwhile, gender and occupation did not show a significant relationship. Further analysis showed that age was the most dominant factor influencing the success of pulmonary TB treatment. These findings emphasize the importance of more intensive therapy supervision in adults and the elderly and the need to strengthen access to healthcare for patients from outside the city.
Co-Authors Iche Andriyani Liberty, Iche Andriyani Nur Alam Fajar Pratama, Benny Putra Pulungan, Rafiah Maharani Rostika Flora Utami, Anissa Citra