Article Per Year (5 Year)
p-Index From 2021 - 2026
0.61
P-Index
This Author published in this journals
All Journal JURNAL PROMOSI KESEHATAN INDONESIA Media Kesehatan Politeknik Kesehatan Makassar IJIE
Zul Fikar Ahmad
Department Of Public Health, Faculty Of Sport And Health, Gorontalo State University
Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

Published : 3 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search

 1 
Determinant of Neonatal Mortality in Rural Gorontalo: A Population-Based Case Control Study St. Surya Indah Nurdin; Zul Fikar Ahmad
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.77-84

Abstract

Background: Neonatal mortality remains a significant public health challenge, particularly in rural areas, where multiple maternal, perinatal, and neonatal risk factors contribute to adverse outcomes. This study aims to identify the determinants of neonatal mortality in a rural setting.Method: A case–control design was employed involving 224 participants (56 neonatal deaths and 168 surviving controls). Data were obtained from maternal and child health records and structured questionnaires. Descriptive, bivariate, and logistic regression analyses were performed to assess factors associated with neonatal mortality.Result: Significant determinants of neonatal mortality included maternal undernutrition (AOR = 3.54), low birth weight (AOR = 6.77), pregnancy complications (AOR = 8.04), intrapartum complications (AOR = 7.39), and neonatal complications (AOR = 9.17). Meanwhile, variables such as maternal age, education level, socioeconomic status, parity, antenatal care attendance, maternal anemia, interpregnancy interval, referral delay, healthcare access, exposure to cigarette smoke, and clean and healthy living behavior were not significantly associated with neonatal mortality. Neonatal mortality in rural areas is primarily influenced by maternal and neonatal factors related to nutrition and complications. Preventive efforts should focus on improving maternal nutritional status, strengthening early detection of pregnancy and intrapartum complications, and enhancing the management of neonatal complications to reduce neonatal mortality. 
Chronic Energy Deficiency Mediates the Effect of Socioeconomic Status on Anemia in Pregnancy: A Case-Control Study in Rural Gorontalo St. Surya Indah Nurdin; Sitti Mukarramah; Zul Fikar Ahmad; Yuliandary Yunus
Media Kesehatan Politeknik Kesehatan Makassar Vol 21 No 1 (2026): Media Kesehatan
Publisher : Direktorat Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v21i1.2120

Abstract

Anemia during pregnancy remains an important public health problem and is closely associated with socioeconomic inequality and maternal nutritional status. This study aimed to examine the role of chronic energy deficiency (CED) as a potential mediator in the relationship between socioeconomic status and anemia among pregnant women in rural Gorontalo, Indonesia. An observational analytic study with a case–control design was conducted involving 168 pregnant women, consisting of 56 anemia cases and 112 non-anemic controls, selected using consecutive sampling. Cases were defined as pregnant women with hemoglobin levels <11 g/dL, while controls were pregnant women with hemoglobin levels ≥11 g/dL. Data were obtained from primary data collection and maternal health records. Causal mediation analysis guided by a directed acyclic graph (DAG) was performed using logistic regression to estimate the adjusted total effect, natural direct effect, and natural indirect effect. After adjustment for potential confounders, low socioeconomic status was significantly associated with anemia during pregnancy, with a total effect of aOR = 4.05; 95% CI: 1.841–8.896. The natural indirect effect through CED was also statistically significant, with aOR = 1.31; 95% CI: 1.018–1.693, accounting for 23.76% of the total effect. The natural direct effect remained significant, with aOR = 3.08; 95% CI: 1.351–7.030. These findings indicate that CED partially mediates the relationship between socioeconomic status and anemia during pregnancy. Anemia prevention strategies should therefore integrate maternal nutritional interventions with broader socioeconomic and antenatal care approaches, particularly for pregnant women from socioeconomically disadvantaged backgrounds.
Optimization Strategy of Village Organization Functions and Roles to Resilience Village of Covid-19 Eduart Wolok; Funco Tanipu; Noval Talani; Jefriyanto Saud; Zul Fikar Ahmad; Sahrain Bumulo
International Journal on Integrated Education Vol. 5 No. 8 (2022): IJIE
Publisher : Researchparks Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31149/ijie.v5i8.3425

Abstract

The impact of Covid-19 has devastated all aspects of human life. When this pandemic ends, the uncertainty requires all parties to formulate a practical and systematic long-term strategic model against Covid-19. All intervention models have been carried out, but they have not significantly impacted efforts to prevent Covid-19 transmission in the community. Therefore, this article examines the Covid-19 mitigation scenario explicitly based on local wisdom and the optimization of village organization institutions to prevent the spread of Covid-19 in the community. This study was conducted in Pohuwato Regency, Gorontalo Province, Indonesia using the descriptive analysis method. This study found to prevent the spread of Covid-19 at the level of a pluralistic village community and a powerful kinship system, a particular mitigation scenario based on the community's local wisdom is needed. Several mitigation scenarios can be implemented in Pohuwato Regency to prevent the spread of Covid-19 in rural communities, including 1) Communication strategy, 2) Socio-cultural analysis, 3) Public health perspective. This article concludes that local wisdom-based mitigation scenarios are a new approach in controlling the spread of Covid-19 in rural communities that are still closely related. Besides that, to become Resilience a Covid-19 Tangguh Village,
Co-Authors Eduart Wolok Funco Tanipu Jefriyanto Saud Mukarramah, Sitti Noval Talani Sahrain Bumulo St. Surya Indah Nurdin St. Surya Indah Nurdin Yuliandary Yunus