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Journal SAGO Gizi dan Kesehatan
Published by Politeknik Kesehatan Kemenkes Aceh
ISSN : 27146464     EISSN : 2721558X     DOI : http://dx.doi.org/10.30867/gikes
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Journal of SAGO Gizi dan Kesehatan (Nutrition and Health) is a peer-reviewed journal of a scientific nature contained in the Polytechnic of Health Ministry of Health of Aceh, who publish high quality of nutrition and health-related individuals, populations, groups and communities who are vulnerable to malnutrition and health and risk issues. The scope of the journal study associated issues of nutrition, food technology, nutrition and maternal and child health, environmental health, hygiene and sanitation, oral health, treatment of individuals/families and communities, and safety of medical drugs. The journal also seeks to raise awareness of the interrelationship between nutrition, exercise, physical activity, and lifestyle for improving health across the lifespan and to demonstrate how healthcare outcomes and policies can be improved with the adoption of a more nutrition-oriented approach. In this way, it aspires to provide an invaluable resource to nutrition and healthcare practitioners, as well as researchers and academics of nutrition studies. SAGO Gizi dan Kesehatan (Nutrition and Health) provides an initial rapid review of all submissions to determine suitability for external peer review. Authors can, if they wish, contact a member of the editorial board with potential submission ideas if they are in doubt as to whether or not they fit the scope or interests of the journal.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 350 Documents
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Determinan stunting pada anak usia di bawah lima tahun di Aceh: Analisis data SUSENAS dan SSGBI 2019 Kobat, Reny Ivaqueene; Ahmad, Aripin; Zahara, Meutia
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2847

Abstract

Background: Stunting in children under five years of age is a chronic nutritional problem that has long-term impacts on the quality of physical growth and cognitive development of children. Aceh has recorded a high prevalence of stunting (SSGBI 2019:34,18%); however, studies that integrate national data to identify actionable local determinants remain limited.Objective: To identify factors associated with stunting among children under five years of age in Aceh and determine the dominant factors that could become the focus of local policy interventions.Methods: This cross-sectional study analyzed secondary data from the 2019 Susenas and SSGBI. The sample was selected as a subset of all households in Aceh Province that were recorded in both surveys and met the inclusion criteria (children aged 0–59 months with complete anthropometric and related variable data), resulting in 1,019 children in 2019. Multistage stratified cluster sampling was conducted by the BPS and Ministry of Health. Stratified data from Aceh Province were used for this analysis. The analysis included descriptive analysis, bivariate tests (chi-square), and multivariate logistic regression to identify determinant factors (Adjusted Odds Ratio [AOR], 95% confidence level).Results: The prevalence of stunting among children under five years of age in Aceh was 27,67% (n=1,019). In the bivariate analysis, factors significantly associated with stunting were Early Initiation of Breastfeeding (EIBF) (p=0,002), exclusive breastfeeding (p=0,043), access to food (p=0,033), access to information media (p=0,001), parental education (p<0,05), birth spacing (p=0,000), and area (urban/rural) (p=0,003). In the multivariate model, the dominant factors increasing the odds of stunting were severe household food insecurity (AOR=1,56), not accessing health information media (AOR=1,51), living in rural areas (AOR=1.40), and not practicing EIBF (AOR=1,40), all of which were significant at p<0,05.Conclusion: Food security is the most dominant factor associated with stunting in Aceh, Indonesia. Recommended interventions include strengthening family- and community-based food security programs (including targeted food assistance and food diversification), improving maternal nutrition education during the first 1,000 days of life with empowerment strategies through accessible information media, and enhancing breastfeeding support and posyandu services in rural areas.
Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2767

Abstract

Background: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment.
Hubungan asupan energi, waktu pemberian MP-ASI, dan panjang badan lahir dengan kejadian stunting pada batita di Desa Mojokerto: Studi Potong Lintang Fitri, Windiarti Anisa; Mulyasari, Indri
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2498

Abstract

Background: Stunting remains an unresolved nutritional problem in Indonesia, with a prevalence of 21,5% in 2023. Mojokerto Village is one of the areas with a high prevalence, reaching 30%. Factors suspected to be associated with stunting in Mojokerto Village include energy intake, timing of complementary feeding, and birth length. However, to date, no study has simultaneously examined the relationship between energy intake, timing of complementary feeding, and birth length with stunting in this area.Objectives: This study aims to investigate the relationship between energy intake, the timing of complementary feeding, and birth length with the incidence of stunting among toddlers in Mojokerto.Methods: This research employs a quantitative methodology with a cross-sectional design. This study comprised 60 toddlers who satisfied the inclusion criteria. The SQ-FFQ questionnaire gathered information regarding food consumption, the timing of complementary feeding was acquired through interview, and birth length was taken from the MCH book. The nutritional status of toddlers was assessed using the WHO Anthro program, and the results were analyzed employing the α= 5% contingency coefficient test.Results: A correlation was identified between energy intake and the incidence of stunting in Mojoketo (p-value = 0,039). However, no association was found between the timing of complementary feeding and birth length with the incidence of stunting in Mojokerto (p-value = 0,235, p-value = 0,445).Conclusion: Energy intake correlates with stunting in toddlers in Mojokerto. The timing of complementary feeding and birth length were not correlated with stunting in Mojokerto.
Hubungan kadar fluoride air tanah dengan kejadian karies gigi pada anak di Wilayah Pesisir Kota Kupang Simamora, Friska Delianti; Sidabutar, Manginar; Ratu, Antonius R.
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2990

Abstract

Background: Fluoride is an inorganic element that plays a crucial role in dental health through drinking water. Variations in groundwater fluoride levels in coastal areas can affect dental health, especially dental caries. The optimal fluoride concentration to prevent caries is 0,7 mg/L, with a maximum limit of 1,5 mg/L according to Ministry of Health Regulation No. 32 of 2017.Objective: This study aimed to determine the fluoride concentration in coastal groundwater and its association with dental caries incidence in children.Methods: An analytical observational cross-sectional study was conducted using simple random sampling on 26 children aged ≥2 years residing in coastal areas who used groundwater as their drinking water source. The study was carried out in Oesapa Village, Kupang City, in May 2024. Data were collected using questionnaires and dental caries examinations with the DMF-T index. Data were analyzed using correlation tests between fluoride levels and caries incidence.Results: Groundwater fluoride levels ranged from 0,00 to 1,01 mg/L (mean 0,28 mg/L), remaining below the safe limit of 1,5 mg/L. The mean dmf-t score for primary teeth was 2,36, and the DMF-T score for permanent teeth was 0,08, indicating generally good dental status among children. Statistical analysis showed no significant correlation between fluoride concentration and caries incidence (p= 0,796). Behavioral factors such as tooth brushing habits and sugar consumption were suspected to influence caries occurrence.Conclusions: Fluoride levels in coastal groundwater of Oesapa were within normal limits and met Ministry of Health standards. Caries incidence was low, and no association was found between fluoride levels and caries prevalence.
Intervensi edukasi worksheet-flashcard untuk meningkatkan asupan protein dan perilaku pemberian makan pada balita (3-5 tahun): Studi Quasi-Eksperimental Sari, Novi Puspita; Khatimah, Husnul; Nasruddin, Dedi; Syahruddin, Akmal Novrian
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2904

Abstract

Background: Various government programs have been implemented to address stunting, but there is still a lack of interactive educational interventions based on worksheets and flashcards to stimulate protein intake and feeding behavior in toddlers, which is expected to reduce stunting rates.Objectives: To assess the effect of educational media using worksheets and flashcards on protein intake and feeding behavior in toddlers (3-5 years old) in the Simbang Community Health Center (Puskesmas) working area, Maros Regency.Methods: This study used a quasi-experimental design with a two-group pretest-posttest control design. The sample consisted of n = 50 mothers with children aged 3-5 years old, consisting of an intervention group (n = 25) and a control group (n = 25). The study was conducted for one month (July–August 2025). Data were processed using WHO-Antro 2005 and Nutrisurvey 2007. Statistical analysis used paired t-tests and Wilcoxon tests. Meanwhile, the difference or Δ post-pre scores between the two groups was analyzed using the Independent t-test and the Mann-Whitney test. Statistical significance was set at p<0,05.Results: The results of the study showed that the intervention provided was proven effective in improving several indicators of child growth and nutrition, namely ∆ BB/A = 0,06 (Intervention) vs -0,04 (Control) p=0,014, ∆ TB/A = -0,03 (Intervention) vs -0,08 (Control) p=0,031, ∆ Median Knowledge = 4,0 (Intervention) vs 3,0 (Control) p=0,003, ∆ Median Attitude = 10,0 (Intervention) vs 3,0 (Control) p=0,012, ∆ Median Protein = 16,1 gr (Intervention) vs 3,3 gr (Control), p=0,030 (In the Intervention group), p=0,033 (Between groups ∆). However, the intervention did not have a significant effect on increasing energy intake. P=0,062.Conclusion: This intervention is effective in improving child growth and nutrition.
Hubungan kebiasaan konsumsi ultra-processed food dan lingkar pinggang terhadap tekanan darah dewasa 26-45 tahun di Puskesmas Kedungmundu Kurniawati, Nuzulia Nur; Setyaningsih, Aryanti
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2591

Abstract

Background: In Indonesia, hypertension is major concern due to high mortality rate.  Changes in lifestyle affect the increase in blood pressure. Blood pressure above normal is caused by several factors, including high consumption of Ultra-Processed Food (UPF) and waist circumference.Objectives: To determine the relationship between UPF consumption habits and waist circumference to blood pressure in adults 26 - 45 years of age at Kedungmundu Health Centre.Methods: Quantitative-correlative analytic observational method with cross-sectional approach in the working area of Kedungmundu Health Center, in November 2024 – February 2025. The variables studied included UPF consumption habits with modified Food Frequency Questionnaire, waist circumference with metlin, and blood pressure with digital tensimeter.The sample was 71 respondents using purposive sampling technique, Data analysis was performed univariate analysis using frequency distribution and bivariate with Chi-Square test (α = 5%).Results: The results showed 49,3% of respondents often consumed UPF, the waist circumference measurement results showed 74,6% of respondents were obese, and 67,6% of respondents had abnormal blood pressure. Statistical tests show there is no relationship between UPF consumption habits and blood pressure (p-value = 0,063. There is a relationship between waist circumference and blood pressure with a risk of 3,8 times greater than respondents who have a normal waist circumference size (p-value = 0,015; OR = 3,846).Conclusion: Waist circumference is related to adult blood pressure while UPF consumption habits are not related to increased adult blood pressure at Kedungmundu Health Centre.
Pengaruh penambahan tepung ampas kelapa terhadap daya terima dan komposisi gizi pada nugget udang Dewirna, Cintia Balqis; Hadi, Abdul
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2405

Abstract

Background: Nuggets are made from animal-based ingredients such as meat, chicken, fish and others. Nuggets are usually served in a rectangular shape. To add nutritional value to this shrimp nugget, it is formulated with coconut pulp flour which has good nutritional content for the body. Coconut pulp flour has a high food fiber content.Objectives: The purpose of this study was to determine the effect of the addition of coconut pulp flour on the acceptability and nutritional content of shrimp nuggets with the addition of 20, 40, and 60 grams of coconut pulp flour to shrimp nuggets whether it affects the acceptance of nuggets in terms of color, taste, aroma, and texture, as well as their chemical quality in terms of water content, ash, carbohydrates, fat, and protein.Methods: This research is experimental in nature with the experimental design used being a Completely Randomized Design (CRD) Non Factorial, namely by carrying out three treatments and three repetitions (3 x 3 = 9 experimental units). The variables studied in this study were organoleptic tests which included (color, aroma, texture, taste) and Proximate Tests (water content, ash content, Protein, Fat, Fiber and Carbohydrate content) of Shrimp Nuggets.Results: The addition of coconut pulp flour to shrimp nuggets significantly changed their color, scent, and texture, but had no discernible influence on their flavor, according to organoleptic tests. Adding 20 grams of coconut pulp flour is the most beloved part in terms of appearance, smell, flavor, and crumbiness. Adding coconut pulp flour to shrimp nuggets changed their water, ash, fat, and protein content significantly, but their carbohydrate content remained unaffected in the chemical characteristics test.Conclusion: The addition of coconut husk flour to nuggets had a significant effect on the color of the nuggets produced with a P value of 0,001, on the aroma of the nuggets produced with a P value of 0,003, on the texture of the nuggets produced with a P value of 0,002, and had no significant effect on the taste of the nuggets produced with a P value of 0,066. The results of the chemical property test showed that the addition of coconut husk flour had a significant effect on moisture content, ash content, fat, protein, and fiber, and no significant effect on carbohydrates.
Effectiveness of peer group-based learning in enhancing elementary students’ knowledge of larval monitoring in Banda Aceh Hermansyah, Hermansyah; Susanti, Helly
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2935

Abstract

Background: Dengue Hemorrhagic Fever (DHF) remains a major public health concern in Indonesia, with over 143,000 cases and an incidence rate of 51,5 per 100,000 population reported in 2023. Recurrent outbreaks in Banda Aceh highlight the need for sustainable, school-based prevention strategies. School-age children are highly vulnerable because Aedes aegypti mosquitoes bite during the daytime when children are at school.Objectives: This study evaluated the effectiveness of elementary school peer groups in improving students’ knowledge of dengue prevention through a school-based larval monitoring program.Methods: A quasi-experimental pre–post design was conducted from April to October 2024 among fourth and fifth grade students in six elementary schools in the Kutaraja Sub-district, Banda Aceh City. Guided by Bandura’s Social Learning Theory, 36 students were trained as peer educators to teach 120 peers (n = 120) about dengue prevention. Knowledge was measured using a 15-item Guttman scale questionnaire before and after the intervention. Data were analyzed using SPSS, including descriptive statistics, Kolmogorov–Smirnov normality tests, and paired t-tests (α = 0,05; 95% CI).Results: The mean knowledge score increased from 9,43 (SD = 1,27) to 10,16 (SD = 1,34), a significant improvement (mean difference = 0,73; 95% CI: 0,41–1,05; p < 0,001).Conclusion: Peer-group–based health promotion within schools is a promising approach to enhance dengue prevention awareness among children. Strengthening teacher facilitation and embedding structured peer education into school health programs may enhance long-term community participation in dengue prevention and control.
Status gizi siswa sekolah dasar sebelum program makan bergizi gratis di SD Negeri Inpres Skouw Sae Kota Jayapura Nur, Syaharuddin; Irmanto, Maxsi; Fatiah, Mona Safitri
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2818

Abstract

Background: The nutritional status of elementary school children is an important indicator of health and human resource capacity. Baseline data are needed prior to the implementation of the Free Nutritious Meal Program (MBG), particularly in border areas facing limited food access, logistical distribution challenges, and socio-economic disparities compared to urban regions. Such data are also relevant to support national policies on stunting reduction and the MBG program as a government strategy to improve child nutrition.Objectives: To describe the nutritional status of students at SD Negeri Skouw Sae and analyze its association with sex, age, ethnicity, recent illness, and parental occupation, while providing baseline data for evaluating the effectiveness of the MBG program in border areas.Methods: A cross-sectional study was conducted among 121 active students. Inclusion criteria were all actively enrolled students, while exclusion criteria included children with chronic diseases that might affect anthropometric measurements. Nutritional status was assessed using Body Mass Index-for-Age (BMI-for-Age) based on WHO 2007 standards. This indicator was chosen because it is practical for school-based surveillance, reliable for assessing school-age children’s nutrition, and internationally recommended as a primary parameter for nutrition monitoring. Data were analyzed using the Chi-square test with a significance level of α=0,05 in SPSS version 22.Results: Most students (89,3%) had good nutritional status, while 10,7% were classified as undernourished. Bivariate analysis with the Chi-square test did not reveal significant associations between nutritional status and sex, age, ethnicity, parental occupation, or recent illness. These findings are descriptive and should be interpreted with caution, as the analysis did not control for covariates.Conclusion: The majority of students at SD Negeri Skouw Sae had good nutritional status (89,3%) prior to the implementation of the MBG program. No significant associations were found between nutritional status and demographic factors (sex, age, ethnicity, parental occupation) or short-term health factors (recent illness). These descriptive findings provide important baseline data for monitoring and evaluating the effectiveness of the MBG program in border areas of Papua and highlight the need for further studies considering dietary intake and school environment factors.
Riwayat pemberian asi eksklusif pada anak usia 6-24 bulan dengan kejadian stunting di Kecamatan Semarang Utara Marzaleva, Valentina Febri; Firmansyah, Firmansyah
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2372

Abstract

Background: The prevalence of stunting in the city of Semarang has not met the national target, which is still at 15,7%. the prevalence of stunting in the North Semarang sub-district is the highest in the city of Semarang, which is 18,5% of cases. This is in line with the achievement of exclusive breastfeeding which is still low. Exclusive breastfeeding is one of the factors that causes stunting in toddlers.Objectives: The purpose of this study was to determine the relationship between the history of exclusive breastfeeding in children aged 7-24 months and the incidence of stunting in North Semarang District.Methods:  This study is an observational analytical study with a cross-sectional study approach. The population in this study were all toddlers aged 7-24 months who live in North Semarang District, Semarang City, the research sample was 339 using the probability proportional to size (PPS) method. Data on the history of exclusive breastfeeding and stunting data were obtained from secondary data collected by cadres (Family Assistance Team) in each sub-district. Data on the history of exclusive breastfeeding and stunting data on toddlers were obtained by filling out questionnaires and interviews by TPK cadres with toddler mothers. Data analysis used the Spearman rank test. Result:  The results of univariate analysis in this study obtained a total of 25,7% stunted toddlers and a history of exclusive breastfeeding of 62,2%. The results of statistical analysis using the Spearman rank test obtained a p-value of exclusive breastfeeding with stunting incidence of 0,769 (p-value> 0,05), P-value of maternal age with stunting incidence of 0,841 (p-value> 0,05), p-value of toddler age with stunting incidence of 0,145 (p-value> 0,05), p-value of gender with stunting incidence of 0,533 (p-value> 0,05), and p-value of family planning use of 0,376 (p-value> 0,05), indicating that there is no relationship between exclusive breastfeeding with stunting incidence, maternal age with stunting incidence, toddler age with stunting incidence, gender with stunting incidence and family planning use with stunting incidence in North Semarang District.Conclusion: Research shows that there is no relationship between the history of exclusive breastfeeding and the incidence of stunting in North Semarang sub-district.

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