Listy Handayani
Faculty of Public Health, Public Health Science Study Program, Halu University Oleo

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The Impact of Climate Change on the Health of Coastal Communities in Purirano Village, located in Kendari District, Konawe Regency, Southeast Sulawesi Province Listy Handayani; Inayah Zahrah; Shinta Dwi Aryanti; Rusmawan; Wika Purnama Syair; Wa Ode Yanti; Galang; Shava Neisya Rifadha; Merlyn Vitaloka Pattinasarany
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

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Background: Coastal areas are particularly vulnerable to the adverse effects of climate change, including sea level rise, coastal erosion, and increased frequency of extreme weather events. These environmental changes pose substantial risks not only to ecosystems but also to human health. In coastal communities, climate change has been associated with a heightened incidence of infectious diseases, respiratory disorders, and sanitation-related health problems. Method: This study employed an analytical observational design using a case-control approach. A total of 200 respondents were selected purposively. Data were collected using structured questionnaires that assessed the perceived health impacts of climate change, sanitation conditions, and access to health services. Descriptive and bivariate analyses were performed, with the Chi-Square test used to determine associations between climate change-related variables and public health outcomes, adopting a significance threshold of p < 0.05. Results: The findings indicate that 83.3% of respondents experiencing poor climate-related conditions reported health issues such as diarrhea, acute respiratory infections (ARI), and dengue hemorrhagic fever (DHF). Statistical analysis revealed a significant association between climate change exposure and the incidence of disease (p = 0.031). Conclusion: Climate change significantly affects the health of coastal populations in Purirano Village, contributing to the increased prevalence of diseases such as diarrhea and ARI. These health risks are exacerbated by inadequate sanitation facilities and limited access to clean water. The study confirms a statistically significant relationship between climate change and disease incidence (p < 0.05). Addressing these challenges requires integrated efforts, including community education, improvements in sanitation infrastructure, and the implementation of climate adaptation and mitigation policies involving both governmental and community stakeholders. Keywords: Climate Change, Coastal Community Health, Diarrhea, Acute Respiratory Infection, Dengue Fever, Environmental Health
Vitamin A Supplementation as an Intervention for Reducing Stunting in Young Children in Coastal Regions of Indonesia Listy Handayani; Muhammad Amin; Wartina Karamelka
Journal of Epidemiology and Health Science Vol. 2 No. 1 (2025): January - April
Publisher : Yayasan Cipta Anak Bangsa (YCAB) Publisher

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Background: Stunting is a manifestation of impaired growth and development in children, primarily caused by chronic malnutrition, recurrent infections, and insufficient psychosocial stimulation. Vitamin A deficiency is recognized as a major contributing factor to stunting due to its critical role in supporting immune function and enhancing resistance to infections. Although global initiatives have aimed to combat vitamin A deficiency, its specific impact on reducing stunting particularly in coastal regions with limited access to nutritious food and healthcare remains insufficiently examined. Objective: This study aims to analyze the role of vitamin A supplementation as a public health intervention for reducing stunting in young children, with a particular focus on coastal areas where nutritional and healthcare challenges are more prevalent. Methods: This study utilized a systematic literature review methodology, employing the keywords "vitamin A," "stunting," and "supplementation" to search academic databases including Google Scholar, NCBI, PubMed, and Mendeley. Articles were screened for relevance and methodological rigor, focusing on studies that investigated the association between vitamin A supplementation and child growth, especially in relation to stunting. After applying defined inclusion and exclusion criteria, a total of 20 relevant articles 13 national and 7 international were selected for comprehensive analysis. Results: The review indicates that vitamin A supplementation has a protective effect against stunting, particularly in children not suffering from chronic malnutrition. Studies demonstrate a strong association between vitamin A deficiency and increased prevalence of stunting, especially among low-income and nutritionally vulnerable populations. Moreover, interventions combining vitamin A supplementation with a micronutrient-rich diet yield superior outcomes in reducing stunting incidence. However, research specifically focused on coastal populations remains limited, making it difficult to draw definitive conclusions about the effectiveness of vitamin A supplementation in these settings. Conclusion: Vitamin A supplementation contributes significantly to reducing the prevalence of stunting, particularly when integrated with comprehensive nutritional support. Nevertheless, its effectiveness is influenced by multiple factors, including socioeconomic status, parental education, food security, and healthcare accessibility. Further research is essential to assess the specific impact of vitamin A interventions in coastal areas, and to develop integrated strategies that incorporate nutrition education, dietary improvement, and strengthened health service delivery. Keywords: Vitamin A, Stunting, Supplementation, Child Nutrition, Coastal Areas, Indonesia.