Yuniastini Yuniastini
Poltekkes Kemenkes Tanjungkarang

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Deteksi dini status kesehatan balita dan status kesehatan ibu balita resiko stunting pada anak balita Yunani Yunani; Yuniastini Yuniastini; Purwati Purwati; Sulastri Sulastri
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 5 (2025): June Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i5.1066

Abstract

  Background: Stunting is a form of growth failure in a child, where the child's height is lower than other children of the same age. The Asian Development Bank reported that the prevalence of stunting in toddlers in Indonesia is the second highest in Southeast Asia. The prevalence reached 31.8% in 2020. According to the Indonesian Nutritional Status Study (SSGI, 2021), 1 in 4 Indonesian children experience stunting, approximately 5 million Indonesian children experience stunting. Meanwhile, in 2021 the stunting rate reached 24%. Indonesia targets the stunting rate to drop to 14% by 2024. Purpose: To determine the distribution of stunting risk factors in toddlers. Method: The design of this study is a quantitative research design with a survey design. The population and sample are all toddlers in Noto Harjo sub-district, totaling 224 people and a sample of 112. Data collection techniques are observation (height measurement), interviews with toddlers' parents, and documentation studies (KIA Book). Data analysis is descriptive. Results: The results of this study showed that the number of stunting was 21.4%. This data is almost the same as the prevalence of stunting in Indonesia, which is 21.6%. While the target to be achieved by the government is 14%. For this reason, various joint efforts are needed to achieve the targets that have been set. Conclusion: Based on the results of research and statistical test results, the prevalence of stunting in toddlers in Notoharjo Village reached 21.4%. These results show a figure that is almost comparable to the national stunting prevalence in Indonesia, which is 21.6%, this figure is still far above the target set by the government, which is 14% in 2024. This emphasizes the need for more intensive efforts in handling stunting, including nutritional interventions, increasing public awareness, and more effective policy support. With collaboration between various parties, it is hoped that the target of reducing stunting can be achieved, so that children in Indonesia can grow healthily and optimally.
Development of a supportive-educative health education intervention for family caregivers of diabetes mellitus patients: a quasi-experimental study Siti Fatonah; Sulastri Sulastri; Yuniastini Yuniastini
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.27034

Abstract

Despite growing evidence on family involvement in diabetes management, few studies have developed and tested structured educational programs targeting family caregivers as active companions in resource-limited settings. This study aimed to evaluate the effectiveness of a comprehensive family support education program based on the five pillars of diabetes mellitus (DM) management in enhancing family knowledge and educational support capacity. A quasi-experimental design with non-probability sampling was employed, involving 157 respondents (intervention group: 72; control group: 85). Social support was measured using a modified Diabetes Social Support Questionnaire-Family. Data were analyzed using independent and paired t-tests. The intervention group demonstrated a significant increase in mean educational support scores from 61.81 to 90.85 (mean difference = 29.04; p < 0.001; Cohen's d = 1.82), indicating a large effect size. The control group showed negligible changes. Poor knowledge decreased from 45.8% to 26.39% in the intervention group, while intermediate knowledge increased substantially. The structured family education program produced a large and statistically significant improvement in caregiving capacity. These findings underscore the need for public health policies to integrate family-centered educational interventions into routine diabetes care, particularly in settings with limited healthcare infrastructure, to reduce disease burden and improve patient outcomes.
Impact of an empathy-based mental health first aid intervention using the SUFA model on anxiety and depression among adolescents: a quasi-experimental study Sulastri Sulastri; Siti Fatonah; Yuniastini Yuniastini; Giri Udani; Allan Harris
International Journal of Public Health Science (IJPHS) Vol 15, No 2: June 2026
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v15i2.26994

Abstract

This study evaluated the effectiveness of an empathy-based mental health first aid (MHFA) intervention through structured SUFA mentoring by peer counselors in reducing symptoms of anxiety and depression in adolescents. The design used was a quasi-experimental, one-group pretest-posttest study conducted over two weeks in middle and high schools. A total of 100 students were trained as peer counselors, and each mentored one adolescent (a 1:1 ratio). Symptoms were measured before and after the intervention using the Mini MINDHEAR Youth Scale V.1. Analysis included descriptive statistics (mean pre–post scores and changes in symptom categories of "mild/none" vs. "moderate") and McNemar test (α = 0.05) to assess changes in categories. Respondents were predominantly female (67%), in late adolescence (58.18%), and high school students (55%). The mean anxiety score decreased from 4.92 to 3.50 (Δ = 1.42), while depression decreased from 5.05 to 3.21 (Δ = 1.84). The proportion of mild/none anxiety increased from 13 to 56, and moderate decreased from 87 to 44 (p = 0.003). A similar pattern occurred for depression: mild/none increased from 13 to 61, while moderate decreased (p = 0.001). SUFA-based peer counseling interventions significantly reduce symptoms of anxiety and depression in adolescents. Schools should integrate structured peer counselor training programs into mental health frameworks, establish systematic early detection protocols, and establish clear referral pathways to professional services within school-based support systems. The limitations of this study were no control group and short duration, which must be addressed in subsequent research.