Ramadhan Tosepu
Faculty of Public Health, Halu Oleo University, Kendari

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A Multisectoral and Collaborative Approach to Stunting Management in South Konawe Regency, Indonesia Buyung Sarita; Ramadhan Tosepu; Asrip Putera; Isalman
Journal of Health Science and Pharmacy Vol. 2 No. 3 (2025): September - December
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/jhsp.v2i3.1339

Abstract

Background: Stunting is a strategic issue in human resource development with a multidimensional nature. In South Konawe Regency, the prevalence of stunting reached 36.6% in 2023, representing a significant increase compared to the previous year. This condition indicates the limited effectiveness of single-sector approaches in efforts to reduce stunting. Objectives: This study aims to explore the effectiveness of a multisectoral and collaborative approach in the management of stunting, particularly through the implementation of social assistance and social protection programs. Methods: This study employed a qualitative approach with a case study design conducted in 13 stunting locus villages across eight sub-districts. Data were collected through in-depth interviews with 39 informants, including village heads, posyandu cadres, midwives, and parents of stunted children, complemented by field observations and document review. Data analysis was carried out through thematic reduction, narrative data presentation, and verification using source and method triangulation. Results: The findings indicate that social assistance and social protection interventions contribute positively to improving household access to nutrition, health services, and family capacity building. However, the effectiveness of program implementation remains constrained by weak intersectoral coordination, inaccuracies in beneficiary data, and low levels of program integration at the village level. Conversely, collaborative practices among local stakeholders particularly community health cadres, village governments, and beneficiary families were identified as key factors in strengthening the stunting management ecosystem. Conclusion: Addressing stunting requires the strengthening of integrated and collaborative governance across sectors, supported by accurate data systems and active community engagement. A sustainable multisectoral approach is a critical prerequisite for enhancing the effectiveness of stunting management at the local level.
Overview of Dengue Fever (DHF) Cases in East Java Province in 2022 - 2023 Ramadhan Tosepu; Nirin Raudhatul Janna; Norma Ilham Siddik; Nurul Aina Jamil; Nisa Al Jannah Harsit; Pramudya Wira Ananta
Journal of Health Science and Pharmacy Vol. 3 No. 1 (2026): January - April
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/jhsp.v3i1.1535

Abstract

Background: Dengue hemorrhagic fever (DHF) remains an endemic vector-borne disease in Indonesia, characterized by substantial annual fluctuations and recurrent outbreaks, particularly during the rainy season. East Java Province continues to contribute a considerable burden of reported DHF cases, underscoring the need for epidemiological profiling to support targeted control efforts. Objective: This study aimed to describe the temporal and spatial distribution of DHF cases in East Java Province during 2018–2020 and to summarize case patterns according to selected demographic and contextual indicators. Methods: A quantitative descriptive study with a time-series approach was conducted using secondary data. DHF case data were obtained from the East Java Provincial Health Profile (2018–2020). Climate variables (air temperature, relative humidity, rainfall, and sunshine duration) and population density data were retrieved from the Central Statistics Agency for the same period. Data were analyzed descriptively to assess year-to-year changes and distributions by time and district/city, and stratified by sex where available. Results: The number of DHF cases in East Java showed an overall increase from 2018 to 2020, although the pattern was unstable across years and varied substantially between districts/cities. Higher case concentrations were observed in several areas, reflecting heterogeneous transmission dynamics potentially associated with population density and seasonal climatic conditions. Conclusion: DHF burden in East Java increased during 2018–2020 with pronounced spatiotemporal variation. These findings support strengthening routine surveillance, climate-informed early warning, and community-based vector control to enhance prevention and response. Keywords: dengue hemorrhagic fever; East Java; climate; population density; time series