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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 513 Documents
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Understanding Adolescent Engagement With The E-Cohort Digital Application: A Technology-To-Performance Chain Perspective Cholifah Cholifah; Irwan A. Kautsar; Nabila Insyira Natasya; Umi Khoirun Nisak
Jurnal Kesehatan Manarang Vol 12 No 2 (2026): August 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i2.2347

Abstract

Adolescent anemia remains a significant global health concern, highlighting the need for innovative approaches to improve adolescent health monitoring and service delivery. The Adolescent Health and Nutrition (E-Cohort) application was developed to support adolescent health services, but its utilization and effectiveness have not been comprehensively evaluated. This study aimed to assess the impact of the Adolescent Health and Nutrition (E-Cohort) application using the Technology-to-Performance Chain (TPC) framework. A quantitative cross-sectional survey was conducted among 450 adolescent users of the E-Cohort application attending Posyandu Remaja in Sidoarjo Regency, Indonesia. Data were collected using a structured questionnaire, and the hypothesized relationships among Task–Technology Fit (TTF), Attitude Toward the System (ATT), System Usability (SUS), and Utilization of the System (UTS) were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The study examined task–technology fit, precursor utilization, utilization, actual use, and performance outcomes. Structural Equation Modeling (SEM) was employed to analyze the relationships among these variables and to determine how the application contributes to improved adolescent health services and outcomes. The key constructs analyzed were Task–Technology Fit (TTF), System Usability Scale (SUS), Actual Utilization (UTS), and Performance Outcomes. Outer model analysis assessed indicator reliability and construct validity. Several indicators were removed due to low reliability, resulting in improved model fit and measurement accuracy. Most respondents were female (54.7%) and aged 15–19 years (61.8%). The structural model showed positive associations of ATT with UTS (β = 0.205, t = 4.661, p < 0.001) and SUS with UTS (β = 0.434, t = 9.889, p < 0.001), with SUS showing a stronger association. The model explained 31.1% of the variance in UTS (R² = 0.311). Improving system usability and incorporating additional explanatory factors may enhance technology utilization and strengthen the application’s contribution to adolescent health services.
History Of Protein Intake As Risk Factor For Stunting Among Toddlers In The Service Area Of The Keang Community Health Center Rahmaniah Rahmaniah; Anisa Dwirizky Abdullah; Wahdaniyah Wahdaniyah; Mansoor Abdul Hamid; Arfayanti Arfayanti
Jurnal Kesehatan Manarang Vol 12 No 2 (2026): August 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i2.2436

Abstract

Stunting is a critical global issue. Stunting increases vulnerability to disease and death, impairs brain development, and slows motor and mental development. One of the causes of stunting is inadequate protein intake, as protein plays a role in the production of Insulin-like Growth Factor (IGF)-1, which is essential for bone development and enhances children’s growth rates. This study aims to determine the history of protein intake as a risk factor for stunting in toddlers aged 24–59 months in the service area of the Keang Community Health Center. This is a quantitative case-control study with a population of 246 toddlers. The sample consisted of 64 toddlers, comprising 32 toddlers with stunting as the case group and 32 toddlers with normal nutritional status as the control group. The instruments used to collect data included a microtoise, a questionnaire, and the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Nutritional status data were grouped into two categories: stunting, defined as a z-score between -3 SD and < -2 SD; and normal, defined as a z-score between -2 SD and +3 SD. Meanwhile, protein intake history was categorized as adequate if intake was ≥40% of the RDA and inadequate if intake was <40% of the RDA. The data were analyzed using the chi-square test and odds ratio. The study results showed a p-value of 0.001 < 0.05 and a crude OR (95% CI) of 11.88 (3.535–39.925), indicating that toddlers with a history of inadequate protein intake are at a higher risk of stunting. The crude OR value of 11.88 indicates that toddlers with inadequate protein intake have significantly higher odds of experiencing stunting compared to toddlers with adequate intake. It is therefore concluded that a history of inadequate protein intake is a risk factor for stunting among toddlers aged 24–59 months in the service area of the Keang Community Health Center.
Chronic Disease Management Performance Under Prolanis: an Analysis Of The Controlled-Participant Ratio for Diabetes and Hypertension Across 25 Puskesmas in Sleman Firman Firman; Muchamad Rifai; Kartika Lestari
Jurnal Kesehatan Manarang Vol 12 No 2 (2026): August 2026
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v12i2.2460

Abstract

Background: Diabetes mellitus (DM) and hypertension (HT) control under the Chronic Disease Management Program (Prolanis) is an important indicator of primary care performance in Indonesia. Objective: This study analyzed the level, trend, and between-facility disparity of the Controlled-Participant Ratio (RPPT) for DM and HT among registered Prolanis participants across 25 community health centers (Puskesmas) in Sleman Regency during 2024–2025. Methods: Using facility-level panel data (2024–2025), a binomial generalized linear mixed model (GLMM; random intercept for Puskesmas) with cluster-robust standard errors estimated the adjusted Controlled-Participant Ratio (RPPT) and between-year risk differences, with a paired Wilcoxon signed-rank test serving only as a robustness check. Results: The adjusted DM control proportion (7.6%) was higher than that of HT (3.5%) (p<0.001). Both conditions showed only slight between-year changes that were not statistically significant after accounting for facility clustering and overdispersion (DM +0.09 pp, p=0.83; HT +0.54 pp, p=0.053), and the disease×year interaction was not significant (p=0.18); a paired nonparametric robustness check indicated a consistent tendency toward HT improvement (p=0.028). Between-facility disparity was substantial, with a 23.1-fold gap for DM and a 10.0-fold gap for HT, with the lowest-performing facility differing by disease (Kalasan for DM and Cangkringan for HT). Conclusion: DM and HT control varied substantially across facilities. HT control remained below the national KBK performance target, whereas DM control met the target. The observed tendency toward HT improvement was not statistically robust, highlighting the need for targeted Prolanis strengthening and routine facility-level monitoring, particularly at persistently low-performing Puskesmas.

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