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Jurnal Kesehatan Manarang
Published by Poltekkes Kemenkes Mamuju
ISSN : 24433861     EISSN : 25285602     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Kesehatan Manarang is a health journal that is independent, trustworthy, rational, accountable and global that includes researches with quantitative and qualitative methods.
Arjuna Subject : -
Articles 487 Documents
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HUBUNGAN PENGETAHUAN DAN SIKAP KADER POSYANDU MENGENAI PENYELENGGARAAN PEMBERIAN MAKANAN TAMBAHAN (PMT) LOKAL BALITA DI WILAYAH KERJA PUSKESMAS NGAMPEL KABUPATEN KENDAL Surani, Endang; Rosyidah, Hanifatur; Salsabila, Dian
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1431

Abstract

Toddler nutrition plays a crucial role in growth and development, yet problems such as stunting, wasting, underweight, and obesity remain prevalent in Indonesia. Although the stunting rate decreased to 21.6% in 2022, this figure remains above the WHO target of <20%. In Central Java, wasting and underweight rates have increased, and Kendal Regency reported 598 malnutrition cases in 2023. In the Ngampel Health Center area, 69 toddlers were wasted, 176 were underweight, and 95 were stunted. This study aimed to analyze the relationship between the knowledge and attitudes of posyandu cadres regarding the implementation of local supplementary feeding (PMT) for toddlers. This quantitative study employed a cross-sectional design. The population consisted of 260 posyandu cadres, and a purposive sample of 51 cadres was selected. Data were collected in May 2024 using a validated questionnaire assessing knowledge (Guttman scale) and attitudes (Likert scale). Data were analyzed using the Spearman’s rank correlation test. The results showed no significant relationship between knowledge and attitudes (r = 0.058, p = 0.685), indicating a very weak and statistically non-significant association. The lack of association suggests that cadre attitudes may not be determined solely by knowledge but also by other factors such as experience, motivation, training opportunities, and institutional support. These findings highlight the importance of strengthening cadre capacity not only through knowledge transfer but also through practical skill development and supportive supervision to encourage positive attitudes toward local PMT implementation.
The Relationship Between Gadget Use And Stress Levels On Adolescent Sleep Quality Nirmala , Fifi; Azim, La Ode Liaumin; Yuliskartika, Yuliskartika; Hartoyo, Agnes Mersatika
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1540

Abstract

One of the problems of today's adolescents is the lack of fulfillment of quality sleep which has an impact on a decrease in the cognitive level of young people. In Indonesia, adolescents who experience sleep quality disturbances are in a fairly high category, where several research results show that more than 30% of adolescents experience poor sleep quality. One of the factors that causes adolescents to experience poor sleep quality includes lifestyle changes including the use of gadgets. This study aims to determine the relationship between gadget use and stress levels on sleep quality in adolescents at SMP Negeri 10 Kendari in 2022. This type of research is analytic using a Cross Sectional Study design. The population in this study were all students of class VIII SMP Negeri 10 Kendari, totaling 202 people, while the number of samples was 133 obtained using the lambeshow formula. Samples were drawn using the Proportionate Stratified Random Sampling technique. The measuring instrument used was the Pittsburgh Quality Index (PSQI) questionnaire (to measure sleep quality) while stress was measured by a questionnaire (Depression Anxiety Stress Scale 42). Of the 133 respondents, most were teenagers with poor sleep quality, 79 respondents (59.4%) had good sleep quality, 54 respondents (40.6%). The results of the analysis of the relationship obtained the relationship between gadget use and sleep quality (p = 0.000), duration of gadget use (p = 0.000), activity using gadgets (p = 0.000, stress (p = 0.004). The results of this study provide evidence that the use of gadgets, the duration of gadget use, the activity of using gadgets and stress are related to the sleep quality of adolescents at SMP Negeri 10 Kendari in 2022
The Effectiveness of Herbal Supplements on Improving the Anthropometric Status of Stunted Children Hardia, Lukman; Akrom, Akrom; Sulistyani, Nanik
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1597

Abstract

Stunting has become a health issue that threatens the future generation of Indonesia, which is why the government has set a target prevalence of stunting at 14% by 2024. This has become a challenge because some areas, such as Sorong Regency, still have a higher prevalence of stunting compared to the national prevalence. One of the causes of stunting is malnutrition, so efforts are needed to address this issue by utilizing Indonesia's natural wealth, such as herbal honey, Curcuma xanthorrhiza, and black cumin, which are widely used by the community to tackle various health problems. The objective is to determine the effect of administering herbal honey made from temulawak and black cumin on changes in the anthropometric status of stunted children in Sorong Regency. This type of research is quantitative, using a quasi-experimental research design with a pre- and post-test with a control group design. The sampling technique used is purposive sampling, with a total sample of 60 children divided into 3 groups: the normal control group (20 children), the stunting control group (20 children), and the stunting intervention group (20 children). The data analysis techniques used in the research are paired-samples t-test and independent-samples t-test. The statistical test of the mean difference between the pre- and post-test between the intervention group and the control group showed a significant increase in body weight (average increase of 1.60 ± 0.66 kg, p < 0.001), height (1.49 ± 0.74 cm, p < 0.001), and z-score height-for-age (-0.42 ± 0.22 SD, p < 0.001). The administration of herbal honey, Curcuma xanthorrhiza, and black cumin can improve the anthropometric status of stunted children in Sorong Regency.
KECEMASAN DAN STRES MATERNAL DAN HUBUNGANNYA PADA IBU HAMIL DI LIMBANGAN KENDAL Rahayu, Hermeksi; Kustriyanti, Dwi
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1686

Abstract

Pregnant women often experience anxiety, which can be detrimental to the emotional, psychological, and social development of their unborn children. Perinatal problems for both mother and child are more common when anxiety is present during pregnancy. Furthermore, it has frequently been demonstrated that the onset of anxiety during these periods precedes the onset of depression. Antenatal depression has been linked to a higher incidence of surgical deliveries, pre-eclampsia, and spontaneous abortion. Mothers who suffer from depression have a higher probability of having preterm births, lower birth weights, lower Apgar scores, and less frequent and shorter breastfeeding sessions. This study aims to assess maternal stress and anxiety and their association among pregnant women. Purposive sampling was used to gather cross-sectional data from 172 pregnant women in Limbangan, Kendal, in June–August 2024. Women with stress and anxiety who were willing to participate in the survey and did not have communication problems met the inclusion criteria. Pregnant women using antidepressants and those in low-income circumstances were excluded. Maternal stress and anxiety during pregnancy were observed in this study. Participants completed the Overall Anxiety Severity and Impairment Scale and the Pregnancy-Related Anxiety Scale (PRAS), which are tools used to evaluate pregnant women's stress and anxiety levels. One-way ANOVA, Pearson correlation, frequency distribution, and measures of central tendency (mean, standard deviation, minimum, and maximum values) were used in the statistical analysis. The results of this study indicate that maternal anxiety is highest in Trimester I (mean 30.80 ± 6.21) and stress is highest in Trimester II (mean 7.29 ± 4.28). There was a significant correlation between maternal anxiety and stress (P-value = 0.016). The presence of anxiety during pregnancy has been associated with a higher incidence of perinatal complications for both mother and child. In addition, the appearance of anxiety during these periods has been shown to precede the development of depression on a high percentage of occasions. The causes of anxiety in pregnant women are related to concerns about giving birth to a disabled child and changes in appearance after delivery. Thus, multiple approaches to reducing anxiety are required.
Stop Patriarchy Is A Key To Preventing Stunting: A Qualitative Study Of Indigenous Peoples In Central Maluku Regency Marasabessy, Nur Baharia; Tuhumena, Femi Serly; Rauf, Saidah
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1835

Abstract

Stunting among children under five remains a major public health problem in Indonesia, particularly within indigenous communities where social, cultural, and gender structures strongly influence caregiving practices. Despite numerous nutrition-specific interventions, the persistence of stunting suggests the presence of deeper sociocultural determinants, particularly patriarchal norms and unequal gender roles that affect maternal and child well-being. This qualitative case study was conducted from July to October 2023 in three indigenous villages of Central Maluku Regency: Ulahahan (coastal), Piliana, and Elemata (mountainous). Participants (n=34) were purposively recruited, including mothers of stunted children, community and traditional leaders, religious representatives, and healthcare providers. Data were collected through 30 in-depth interviews and four focus group discussions (FGDs), transcribed verbatim, and analyzed thematically. Five interlinked themes emerged: (1) child-related factors (irregular eating, non-exclusive breastfeeding, recurrent illness); (2) cultural practices (traditional birth attendants, early introduction of porridge/papeda); (3) patriarchal norms and gender roles (domestic labor as “women’s oath,” pamali prohibitions on men doing “women’s work,” women’s double burden despite agricultural labor); (4) economic constraints (carbohydrate-heavy diets, low protein access, reliance on subsistence farming and social assistance); and (5) maternal factors (short birth intervals, early marriage, limited ANC, stress). Descriptively, most stunted children were aged 25–59 months (79.4%) and male (67.6%); 70.6% of mothers married before 20 years of age, and 82.3% had primary education or less. Stunting in these settings is embedded in patriarchal cultural systems that institutionalize unequal household responsibilities and constrain maternal time, autonomy, and caregiving quality. Gender-transformative, community-based strategies, such as engaging men and customary leaders, promoting equitable domestic roles, strengthening women’s economic and decision-making power, and integrating gender-sensitive nutrition approaches, are essential to reduce stunting.
HUBUNGAN ANTARA SELF EFFICACY DENGAN PENGGUNAAN SMARTPHONE PADA REMAJA DI KOTA SURABAYA Hatmanti, Nety Mawarda; Kussumawati, Melina; Wijayanti, Lono; Noventi, Iis
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1845

Abstract

Self-efficacy in adolescents is recognized as an important psychological trait closely associated with success in learning and adaptive behavior. In the era of Society 5.0, adolescent self-efficacy has attracted increasing attention, particularly in relation to smartphone usage habits within the context of online learning. This study aimed to analyze the relationship between self-efficacy and smartphone use among adolescent girls. A correlational analytic design was applied. The study population consisted of all female adolescents in Surabaya (N=235,687), and a total of 400 respondents were selected through cluster random sampling. The independent variable was self-efficacy, and the dependent variable was smartphone usage. Data were collected using the General Self-Efficacy Scale (GSE) and a smartphone usage questionnaire. The data were analyzed using the Spearman rank correlation test with a significance level of α = 0.05. The results showed that 72.3% of the respondents had moderate levels of self-efficacy, while 59.5% reported high levels of smartphone use. The Spearman test revealed a statistically significant but weak positive correlation between self-efficacy and smartphone use (r=0.192, p=0.000). These findings indicate that although a relationship exists between self-efficacy and smartphone use among adolescent girls, the strength of the association is limited. Therefore, interpretations suggesting that higher self-efficacy directly leads to more positive smartphone use should be made cautiously, as this is not strongly supported by the data. The involvement of families and educators remains essential in guiding adolescents toward constructive and responsible smartphone use.
Effectiveness Of Training On The Neonatal Developmental Care Model In Improving Healthcare Workers’ Knowledge And Attitudes Syamsu, Andi Fatmawati; Rahim, Rachmawati; Sulisnadewi, Niluh Kompyang; Hadriani; Chen, Hana W.Jun
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1954

Abstract

Premature infants frequently confront developmental obstacles that require close monitoring by medical professionals. The neonatal developmental care model was created to help medical personnel provide interventions that support the healthy development of premature infants in hospitals. The purpose of this study was to evaluate healthcare professionals' attitudes and knowledge regarding the neonatal developmental care model before and after training. This quasi-experimental study with a pre-test and post-test design was conducted from March to October 2024 in the NICU units of RSUD Undata and RSU Anutapura Palu, Indonesia. A total sampling technique was applied to 38 nurses and midwives who met the inclusion criteria. The independent variable was developmental care training, while the dependent variables were the knowledge and attitudes of healthcare workers toward neonatal developmental care. Data were collected using validated questionnaires and analyzed using the Wilcoxon signed-rank test. Following the training, knowledge scores increased by an average (mean rank) of 19.50, and attitude scores increased by an average (mean rank) of 20. The training significantly improved the knowledge and attitudes of healthcare personnel, as indicated by the significance value (p-value) of 0.000 (<0.05) for both variables. The NIDCM training significantly enhanced nurses’ and midwives’ cognitive and attitudinal readiness for developmental care. The integration of structured education and practical learning proved effective in promoting positive behavioral change among healthcare workers. Highlight the importance of institutionalizing developmental care training and strengthening managerial support to ensure sustainable implementation in neonatal settings.
FAKTOR YANG MEMPENGARUHI SENTIMEN PUBLIK TERHADAP KEBIJAKAN WOLBACHIA-AEDES Budiyanti, Rani; Kusariana, Nissa
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.1966

Abstract

Dengue fever represents a significant public health challenge in Indonesia. The Wolbachia-Aedes mosquito policy innovation, designed to impede dengue virus transmission, has been implemented in various urban areas as an effective control strategy. Nevertheless, public acceptance has emerged as a crucial determinant of the policy's successful implementation. This study seeks to examine public perceptions and sentiments concerning the Wolbachia-Aedes policy implementation. A quantitative approach with a cross-sectional design was employed in this study. A total of 110 respondents were selected through cluster sampling in Tembalang, Semarang City, Indonesia. Data collection was conducted via interviews utilizing a structured questionnaire. Findings indicate that 53.6% of respondents held a positive perception of the policy. This perception was significantly influenced by factors related to knowledge and information access (p<0.05). However, the majority of respondents underscored the necessity for enhanced dissemination and improved education regarding the Wolbachia-Aedes policy. Future research should investigate the potential adverse impacts of the Wolbachia-Aedes policy and provide more comprehensive scientific evidence. Additionally, intensive risk communication and outreach are imperative to cultivate greater community support for the policy's implementation.
Effectiveness Of The “Nganak Kodek” Android App In Enhancing Knowledge Of Birth Preparedness, Breastfeeding Technique, And Exclusive Breastfeeding Among Adolescent Primigravidas Hamidiyanti, Baiq Yuni Fitri; Pratiwi, Intan Gumilang; Sulianty, Ati; Demir, Emine
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.2005

Abstract

Stunting remains a major public health issue that begins early in life and is stronglyassociated with inadequate maternal care, nutrition, and infant feeding practices.Pregnant adolescents are particularly vulnerable due to limited knowledge andreadiness for childbirth and breastfeeding, which are crucial for preventing stuntedgrowth in infants. This quasi-experimental study aimed to evaluate the effectivenessof a Mobile WebApp–based intervention in increasing knowledge related to childbirthreadiness and breastfeeding as part of stunting prevention among pregnant adolescentsin Narmada Subdistrict, West Lombok Regency, Indonesia. A total of 60 pregnantadolescents who met the inclusion criteria (aged 15–19 years, first pregnancy, andable to use smartphones) were selected using purposive sampling. The instrument, a25-item questionnaire, was developed based on the Health Belief Model (HBM),covering aspects of perceived susceptibility, perceived benefits, and cues to actionrelated to maternal and infant health. The instrument underwent expert validity testingby three midwifery and maternal health specialists and achieved a validity coefficientof r = 0.78 and a Cronbach’s alpha reliability value of 0.86, indicating goodconsistency. The one-month Mobile WebApp intervention provided educationalmodules on breast care, signs of labor, early initiation of breastfeeding (EIBF),breastfeeding techniques, and exclusive breastfeeding up to six months of age. Datawere analyzed using the Wilcoxon signed-rank test. The results showed a significantimprovement in maternal knowledge after the intervention (p < 0.05). These findingsdemonstrate that the Mobile WebApp effectively enhances pregnant adolescents’readiness for childbirth and breastfeeding, thereby supporting efforts to preventstunting. Integrating mobile health applications into maternal education can strengthenadolescent mothers’ capacity to promote optimal maternal and child health outcomes.
Implementation Analysis Of Stunting Prevention And Reduction Policies Using The Health In All Policies Framework In Samarinda City Aidillah, Muhammad Rafli; Puspitasari, Dwi Ida
Jurnal Kesehatan Manarang Vol 11 No 3 (2025): December 2025
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v11i3.2014

Abstract

Stunting represents a complex public health challenge that leads to impaired physical growth and cognitive development among children. In Samarinda City, the prevalence of stunting remains high at 25.3%. To address this issue, the local government has implemented a range of preventive and control strategies through both sensitive and specific interventions integrated within regional programs and activities. This study examines the implementation of stunting prevention and control policies across sectors in Samarinda City using a qualitative case study design. Research participants were purposively selected based on their involvement and experience in stunting-related programs, resulting in 14 informants representing eight key agencies. Data analysis involved a systematic process of transcription, familiarization, coding, categorization, thematic identification, and synthesis of findings. To ensure research validity, the study applied triangulation across data sources, researchers, theories, and methodological approaches. The findings show that policymakers have initiated multisectoral collaboration by establishing the Stunting Reduction Acceleration Team. However, institutions still coordinate in a procedural and fragmented manner. Data managers continue to face challenges due to the unsynchronized nature of information systems, which hinders evidence-based planning. Despite these obstacles, policymakers have introduced adaptive innovations, such as local food supplementation programs, adolescent health education, and community-based initiatives, that reflect Samarinda’s growing commitment to integrating health considerations into broader governance structures. These actions demonstrate emerging institutional learning and adaptive governance consistent with HiAP principles. In conclusion, policymakers in Samarinda City have advanced cross-sectoral collaboration and localized innovation in stunting prevention and reduction. However, weak data integration and institutional silos continue to limit progress. To realize the HiAP vision for equitable and sustainable health outcomes, it is essential to strengthen coordination mechanisms, establish a unified data system, and institutionalize shared accountability.

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