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All Journal Al Gizzai: Public Health Nutrition Journal Jurnal Epidemiologi Kesehatan Indonesia
Hardiyanti, Anggie
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Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Analisis Cakupan Penemuan Kasus Tuberkulosis (Treatment Coverage) Berdasarkan Faktor Demografis dan Komorbiditas di Puskesmas Ciracas Tahun 2023-2024 Hardiyanti, Anggie; Helda, Helda; M. Irzal, Mufti As Siddiq; Monica, Mareska
Jurnal Epidemiologi Kesehatan Indonesia Vol. 9, No. 3
Publisher : UI Scholars Hub

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Tuberculosis (TB) remains a major global and national health burden, with case detection coverage still below target in several regions. The success of TB control programs largely depends on achieving adequate treatment coverage. In East Jakarta, Ciracas Primary Health Center recorded a treatment coverage of 75% (497 cases) in 2023, the lowest among ten centers, and an increase to 84% (509 cases) in 2024, though still below the national target of 90%. To analyze TB case detection coverage based on demographic factors and comorbidities (diabetes mellitus and Human Immunodeficiency Virus) at Ciracas Primary Health Center during 2023–2024. This study employed a cross-sectional design using secondary data from the Ciracas Tuberculosis Information System (SITB). All people with TB with complete records were included through total sampling. Data were analyzed using univariate, bivariate, and multivariate analysis with Stata/IC15.1, to assess the association between demographic and comorbidity factors and case detection coverage. A total of 1,006 TB cases were recorded, with most patients in the productive age group (18–59 years; 70.6%) and male (61.6%). Diabetes mellitus comorbidity was found in 13.8% of cases, and HIV-positive status in 2.2%. Productive age was significantly associated with TB occurrence, both in patients with diabetes (OR: 0.223; 95% CI: 0.158–0.311) and without diabetes (OR: 0.19; 95% CI: 0.161–0.22), while sex and HIV status were not significant. Productive-age individuals and those with diabetes mellitus are the most at-risk populations for TB in Ciracas. Enhanced Active Case Finding (ACF) among high-risk groups is required to accelerate progress toward the national TB elimination target. Keywords: Tuberculosis; treatment coverage;demography; diabetes mellitus; HIV
Governance Architecture of Free Nutritious Meal Programs: A Systematic Review on Policy Design and Control Systems Octohariyanto, Ekasakti; Ayuningtyas, Dumilah; As Siddiq M Irzal, Mufti; Hardiyanti, Anggie; Nusaiba, Salma
Al GIZZAI: PUBLIC HEALTH NUTRITION JOURNAL Vol 6 No 2 (2026)
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

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Introduction: Free nutritious meal programs or similar school meal programs are important interventions to improve children’s nutrition, education, and social protection. However, successful implementation largely depends on governance quality. This study aimed to synthesize governance practices of school feeding programs across countries as evidence for the development of Indonesia’s Free Nutritious Meal Program (MBG). Methods: A systematic review approach following the PRISMA 2020 guideline. Literature searches were conducted on governance studies related to MBG or similar programs across Africa, the Americas, Asia, and Europe. Quality assessment was performed using CASP and AGREE II, followed by narrative synthesis based on governance dimensions. Results: A total of 34 studies were included, comprising 12 studies from Africa, 10 from the Americas, 7 from Asia, and 5 from Europe. Of these, 21 were rated as high quality, 11 as moderate, and 2 as low quality based on CASP/AGREE II appraisal. Countries with stronger governance systems such as Brazil, Finland, Japan, Thailand, and South Africa demonstrated clearer national regulations, integrated monitoring systems, and stronger cross-sector coordination. In contrast, countries with weaker governance faced challenges related to accountability, supervision, and local implementation capacity. Hybrid governance combining strong national regulation and community ownership was identified as the most effective model for program sustainability. Conclusion: The success of MBG or similar school meal programs is strongly influenced by governance quality, accountability systems, and local institutional capacity. Strengthening regulations, digital monitoring, and cross-sector coordination are essential for improving MBG governance in Indonesia. Protocol Registration: PROSPERO CRD420261395331
Co-Authors As Siddiq M Irzal, Mufti Dumilah Ayuningtyas Helda Helda M. Irzal, Mufti As Siddiq Monica, Mareska Nusaiba, Salma Octohariyanto, Ekasakti