Endah Puji Astuti
Universitas Jenderal Achmad Yani, Yogyakarta, Indonesia

Published : 2 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search

Activating Community-Based Change Pathways for Stunting Prevention: Integrating Appropriate Technology and Primary Health Cadre Capacity in Rural Indonesia Tri Sunarsih; Kharisma Kharisma; Ari Okta Viyani; Suyitno Suyitno; Murry Harmawan Saputra; Jeki M.W. Wibawanti; Endah Puji Astuti; Elvika Fit Ari Shanti
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 4 (2026): April 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i4.9400

Abstract

Introduction: Stunting continues to affect many children in rural areas of Indonesia. In these settings, households often face limited food access, constrained health services, and economic hardship. Programs that focus only on nutrition-specific interventions rarely address these broader conditions. Community-based approaches that combine appropriate technology, household food production, and strengthened roles of local health volunteers remain underexplored, particularly in village contexts. Objective: This research examined changes in community knowledge, practical skills, and everyday practices after Women Farmer Groups (Kelompok Wanita Tani – KWT) and posyandu cadres received training in appropriate technology and nutrition education in Srikayangan Village, Kulon Progo. Methods: A convergent mixed-methods approach was applied. The quantitative component used a quasi-experimental single-group pretest–posttest design involving 30 KWT members and 78 cadres. The qualitative component drew on field observations, focus group discussions, interviews, and documentation of program activities. Quantitative results were summarized descriptively and compared across time points, while qualitative materials were interpreted through thematic analysis and then considered together with the quantitative patterns. Anthropometric indicators such as HAZ/LAZ were not included; the evaluation centered on capacity building and shifts in community practice. Results: Scores for knowledge rose markedly, with increases ranging from 40% to 86%. KWT participants also became more confident in using simple food-processing technologies, while cadres showed improvements in several aspects of nutrition service delivery. Field notes and interviews pointed to practical changes at the community level: greater use of locally available foods, growing interest in small-scale food enterprises, and more consistent child growth monitoring activities. Because the design did not include a comparison group, these patterns should be interpreted as observed improvements over time rather than direct causal effects. Conclusion: Combining appropriate technology training with nutrition education appeared to strengthen several intermediate factors linked to child nutrition within households and the community. The study did not measure stunting prevalence, yet the approach offers a promising community model that may be adapted elsewhere. Further research is needed to examine longer-term outcomes.
Interactive Participation-Based Premarital Class Model for Reproductive Health and Marital Age Maturity in Support of the ASTA CITA Program Tri Sunarsih; Dwi Yulinda; Erydani Anggawijayanto; Rosdiana Rosdiana; Nendhi Wahyunia Utami; Endah Puji Astuti; Elvika Fit Ari Shanti; Ekawati Ekawati
Journal of Public Health and Pharmacy Vol. 6 No. 2 (2026)
Publisher : Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/jphp.v6i2.8708

Abstract

Introduction: Early marriage and divorce remain persistent public health and social concerns in Indonesia, contributing to poor reproductive health outcomes and hindering human resource development. While premarital education programs exist, their modeled association in delaying marriage age and improving reproductive health is still uncertain. These challenges highlight the need for more engaging, evidence-based interventions that address not only knowledge gaps but also family dynamics, cultural norms, and participants’ readiness to adopt healthier marital and reproductive practices. This study aimed to design and empirically examine an interactive premarital class model by modeling participation as a mediating mechanism linking premarital education with reproductive health and marital age maturity within the ASTA CITA program. Method: A cross-sectional survey was conducted from March to August 2025 at the Kulonprogo Religious Affairs Office, Yogyakarta. A total of 260 prospective brides and grooms were recruited using purposive sampling. Data were collected through a validated questionnaire and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). Results: Predisposing factors (knowledge, attitudes, and beliefs) (?=0.552; p<0.001) and reinforcing factors (family support and policy) (?=0.391; p<0.001) significantly increased participation. Participation showed a strong statistical association with reproductive health (?=0.763; p<0.001) and marital age maturity (?=0.789; p<0.001). The model showed strong explanatory power (R²=0.805 for participation; R²=0.582 for reproductive health; R²=0.622 for marital age maturity) and high predictive relevance (Q²>0.35). Conclusion: The interactive premarital class model showed robust modeled associations between participation, reproductive health literacy, and marital age maturity. This participatory, family- and community-based approach may inform the development of premarital education strategies in similar institutional contexts, particularly in efforts to address early marriage and reproductive health challenges. However, given the cross-sectional design and single-site setting, these findings should be interpreted as exploratory, and broader implementation would require further validation through longitudinal or multi-site studies across diverse institutional and socio-cultural settings. Future research is needed to assess long-term outcomes and contextual adaptability.