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Gaster
Published by Universitas 'Aisyiyah Surakarta
ISSN : 18583385     EISSN : 25497006     DOI : https://doi.org/10.30787/gaster
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Gaster is a national periodical journal which contains research articles in health sector. Gaster: Health journals are expected to be a medium for conveying scientific findings and innovations in the health sector for those in the health sector, both those engaged in the health sector. Gaster is published twice a year (February and August) by the Research Center of Aisyiyah University Surakarta. The editorial team invited health observers to express their ideas in order to improve self-professionalism and responsibility for national education. This journal was first published in 2007. Gaster is a peer reviewed journal and an open access journal that focuses on health. This focus covers the related areas and scopes related to the following : Nursing Midwifery Physiotherapy Pharmacy Community Nutrition Public Health Noted: Articles have primary citations and have never been published online or printed before.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 354 Documents
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The Midwives’ Roles in Community-Based Stunting Prevention: A Qualitative Study in Primary Health Services Aryudaningrum, Nastiti; Hidayat, Asri; Kurniawati, Herlin Fitriani
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1932

Abstract

Background Stunting remains a major public health concern in many low- and middle-income countries, with long-term consequences for cognitive development, educational achievement, and economic productivity. Midwives, particularly in decentralized health systems like posyandu in Indonesia, play a vital role in early prevention efforts. However, limited research has explored their contextualized contributions within community-based health services. Objective This study aimed to explore the strategic roles of midwives in preventing stunting, focusing on their functions as healthcare providers, educators, and community facilitators. Methods A qualitative phenomenological study was conducted involving six community midwives selected via purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed thematically. Triangulation was performed using additional informants including coordinating midwives, nutritionists, and community health workers. Results Four primary themes emerged: (1) midwifery care in stunting prevention; (2) community engagement and educational activities; (3) communication and health promotion strategies; and (4) identification of local health issues. Midwives were actively involved in growth monitoring, nutrition counseling, home visits, and cross-sectoral collaboration. Challenges included low community participation, persistent stigma, and limited awareness about stunting. Conclusion Community midwives play a strategic role in stunting prevention through education, early detection, and collaborative community engagement. Strengthening their communication skills, cultural competence, and integration with local stakeholders is essential for optimizing the impact of stunting prevention programs and ensuring sustainable public health outcomes.
Pulmonary Complaints Among Gas Station Operators: A Descriptive Study in Klaten Region Handayani, Sri; Agustiningrum, Ratna; Agustina, Nur Wulan; Haryanti, Rheni
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1964

Abstract

Background Gas station environments pose a high risk for exposure to vehicle emissions, which may lead to respiratory health issues due to the accumulation of hazardous pollutants. Continuous exposure, particularly among gas station operators, increases susceptibility to pulmonary disorders. Objective This study aimed to describe the prevalence and characteristics of pulmonary complaints among gas station workers in the Klaten region. Methods A descriptive study was conducted at two gas stations (44.57406 and 44.57403), both located on major traffic routes and operating daily. The total sampling technique was employed, involving 51 workers. Data were collected using structured questionnaires that assessed personal characteristics, smoking habits, mask usage behavior, and respiratory symptoms. Descriptive statistics using frequency distribution were applied in the data analysis. Results Findings showed that 41.2% of respondents experienced pulmonary complaints. The most frequently reported symptoms included shortness of breath while walking briskly, shortness of breath after physical exertion, productive cough, and persistent coughing throughout the day. Contributing factors identified were long working hours, smoking behavior, and inconsistent use of face masks. Conclusion A significant proportion of gas station operators reported respiratory complaints potentially linked to prolonged exposure to vehicle emissions. Additional risk factors such as smoking and improper personal protective equipment use may further compromise respiratory health. These findings underscore the need for preventive measures, including occupational health education, routine screening, and environmental interventions.
Family Support and Elderly Participation in Posbindu Activities: A Cross-Sectional Study at Urug Public Health Center, Tasikmalaya Ardiansah Abdillah, Rifan; Falah, Miftahul; Saryomo; Muksin, Asep
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.1925

Abstract

Background: Indonesia is entering an aging population phase, in line with the global increase in the number of older adults. The World Health Organization (WHO) reports that more than 700 million people are aged 65 years and over worldwide, a figure projected to rise sharply by 2050. In response, the Indonesian government established the Integrated Development Post (Posbindu) to promote early detection, monitoring, and prevention of non-communicable diseases among the elderly. Objective: This study aimed to examine the relationship between family support and elderly participation in Posbindu activities at Urug Public Health Center, Tasikmalaya. Methods: A quantitative descriptive correlational design with a cross-sectional approach was applied. The study population included 189 elderly individuals aged 60 years. A purposive sampling technique was used to recruit 51 respondents. Data were collected using a family support questionnaire and Posbindu attendance records. Bivariate analysis was conducted using the Spearman rank correlation test. Results: The findings showed that 35 respondents (68.6%) reported receiving family support, while 16 (31.4%) did not. Statistical analysis revealed a significant correlation between family support and elderly participation in Posbindu activities (p = 0.000, p < 0.05). Conclusion: Family support is crucial in encouraging elderly participation in Posbindu programs. Strengthening family involvement and health worker initiatives may enhance community-based elderly care and ensure the sustainability of Posbindu activities.
Overweight Risk Factors Among Adolescents in Indonesia Based on Economic Level Disparities: A Nationwide Study Nugroho, Purwo Setiyo; Umaroh, Ayu Khoirotul; Hattapradit, Faron
Gaster Vol 23 No 2 (2025): AGUSTUS
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v23i2.2165

Abstract

Introduction: Overweight among adolescents in Indonesia is a growing public health issue, influenced by socioeconomic and lifestyle factors. Urbanization and economic disparities have contributed to increased consumption of calorie-dense foods and sedentary behaviors, particularly among adolescents from higher-income families. However, the role of economic status in shaping overweight risk remains underexplored. Objective: Examining socioeconomic disparities may influence the determinants of overweight in this population. Method: This cross-sectional study utilized secondary data from the Global School-based Student Health Survey (GSHS), encompassing 9,977 Indonesian students aged 11–18. The analysis included descriptive statistics, bivariate tests, and binary logistic regression to identify associations between behavioral, demographic, and socioeconomic variables and overweight status. The analysis was stratified by economic level, using hunger frequency as a proxy indicator. Result: Overall, 14.7% of adolescents were overweight. Sedentary behavior was significantly associated with overweight in both low and high economic groups. Among adolescents from higher economic backgrounds, junior high school students had a higher risk of being overweight compared to senior high school students. In contrast, no significant associations were found between overweight and other behavioral factors in the low economic group, except for sedentary habits. Conclusion: Sedentary behavior is a key risk factor for adolescent overweight across economic strata, while school level influences overweight risk in wealthier adolescents. These findings highlight the need for targeted interventions that address lifestyle behaviors and consider socioeconomic disparities to effectively combat adolescent overweight in Indonesia.
Comparison the Angle of Neck Motion Restriction in Using Soft Collars and Rigid Collars Septiani, Anissa; Anggriani, Atika Febri; Yulianti, Esti Dwi
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.1920

Abstract

Background: Cervical collars are commonly used to provide comfort and restrict cervical motion in post-operative and pain management patients, with an average usage rate of 80.8% in cervical injury cases. Different collar types offer varying degrees of motion restriction, which is critical in patient recovery.  Purpose: This study aims to compare the degree of neck movement restriction between soft cervical collars and rigid cervical collars. Methods: This quantitative research used a cross-sectional study design. A purposive sampling technique was applied to select 20 respondents from a population of 212, based on predefined inclusion and exclusion criteria. Respondents were divided into two intervention groups: 10 participants wore soft collars, and 10 wore rigid collars. Neck movement restriction angles were measured using the Angulus application, focusing on six directions of movement: flexion, extension, right and left lateral flexion, and right and left rotation.  Results: The results showed significant differences in restriction angles between the two collar types. Rigid collars demonstrated greater restriction than soft collars, with mean differences as follows: 29,35(flexion), 15,10 (extension), 17,72 (right lateral flexion), 17,78 (left lateral flexion), 21,93 (right rotation), and 24,02 (left rotation). Conclusion: There is a statistically significant difference in neck movement restriction between soft and rigid collars. Rigid collars are more effective in limiting cervical motion across all measured directions. These findings highlight the importance of selecting the appropriate collar type based on the desired level of immobilization for optimal clinical outcomes.
Adolescent Obesity in Surabaya: Causes and Solutions through a Mixed-Methods Study Aryanti, Novina
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.1951

Abstract

Background Adolescent obesity has emerged as a significant public health issue in Indonesia, particularly in urban areas such as Surabaya. Its multifactorial nature—shaped by individual behaviors, family practices, and socio-environmental influences—underscores the need for integrated prevention strategies. Purpose This study investigates the key determinants of adolescent obesity in Surabaya and proposes practical, collaborative interventions. Method A mixed-methods design was employed, combining quantitative survey data from 50 adolescents aged 14–18 years (dietary habits, physical activity, and BMI-for-age based on WHO standards) with qualitative insights from interviews with 15 parents, 10 teachers, and 10 healthcare professionals, as well as focus group discussions. Quantitative data were analyzed using descriptive statistics, while qualitative data underwent thematic coding. Results Five primary factors were identified: high consumption of fast food and sugary snacks, limited physical activity, low nutrition literacy, unhealthy family dietary routines, and peer and media influences. Suggested interventions included integrating nutrition education into school curricula, creating enjoyable peer-based physical activities, strengthening parental engagement, implementing healthier school canteen policies, and involving healthcare providers in adolescent health promotion. Conclusion Adolescent obesity in Surabaya is driven by unhealthy diets and sedentary lifestyles, reinforced by family and social environments. Practical recommendations emphasize multi-sectoral collaboration between schools, families, and healthcare systems. Future research should expand with larger, representative samples and evaluate the effectiveness of intervention programs to inform scalable urban health policies.
Optimization of Infrastructure and Medical Equipment Application (ASPAK) at Bumi Arjo Health Center Using the HOT-Fit Model Afifah, Setria Nur; Siti, Siti Halimatul Munawarah; Budi, Iwan Stia; Palingga, Indah Fasha
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2089

Abstract

Background: Technology is vital in improving healthcare quality through effective management of facilities, infrastructure, and medical equipment via the ASPAK system. At Bumi Arjo Health Center, ASPAK performance reached only 41.52%, far below the national target of 60%, indicating the need for optimization. Objective: This study analyzed the optimization of ASPAK implementation at Bumi Arjo Health Center using the HOT-Fit framework (Human, Organization, Technology, and Environment). Method: A qualitative descriptive approach was applied to explore factors influencing ASPAK implementation. Data were obtained through in-depth interviews, observation, and document review with six informants. Credibility was ensured through triangulation of sources, methods, and data. Analysis used content analysis aligned with HOT-Fit dimensions. Result: ASPAK optimization was influenced by several interrelated factors. In the human aspect, limited technical understanding and workload hindered data consistency. Organizationally, leadership supervision and role clarity were essential, though inter-unit coordination remained weak. Technological barriers included system errors, unstable networks, and limited supporting devices. Environmentally, weak cross-sector collaboration and inadequate external support constrained resources. Nevertheless, ASPAK improved documentation quality, data accuracy, and evidence-based planning. Conclusion: ASPAK optimization relies on leadership commitment, inter-sectoral collaboration, and strengthened digital capacity among users. Theoretically, this study refines the HOT-Fit model by highlighting environmental and policy dimensions, while practically providing recommendations to enhance digital health governance in Indonesia’s primary healthcare system.
Effectiveness of Static and Dynamic Weight Shift Balance Strategies in Improving Postural Balance Function in the Elderly Mutnawasitoh, Asita Rohmah; Mirawati, Dita; Susilowati , Tri
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2172

Abstract

Introduction: Aging is a process in the elderly, characterized by changes in body balance, which can impact the risk of falls Objective: . This study aims to determine the effectiveness of static and dynamic weight-shift balance strategies as a development of low-coast management exercise to improve balance function Method: This is a quantitative study with a quasi-experimental design. This study used a pre-test, post-test, two-group design, with purposive sampling Result: Data were analyzed using an independent sample t-test. The results showed a p-value of 0.001 (p < 0.05), indicating a significant difference in effectiveness between balance scores before and after exercise in group 1, with a mean of 10.12 and group 2, with a mean of 9.05 Conclusion: Dynamic weight-shift balance strategies are more effective in improving balance in the elderly than static weight-shift balance strategies.
The Effectiveness of Back Exercises for Chronic Low Back Pain Management Among Employees of PPMI Assalaam Amalia, Annisa; Pristianto, Arif; Supriyadi, Arin
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2185

Abstract

Background: Low Back Pain (LBP) is a highly prevalent musculoskeletal disorder, especially Chronic Low Back Pain (CLBP) that lasts for more than three months. The prevalence of low back pain among workers at PPMI Assalaam is very high and affects their functional abilities and work productivity. Risk factors for CLBP include age, body mass index, duration of sitting, and static and repetitive workloads. Purpose: This study aims to evaluate the effect of modified back exercises based on a combination of the McKenzie method and core stability exercises in the form of rhythmic gymnastics with music on reducing pain intensity and improving functional ability in employees with CLBP. Method: This study used a pretest-posttest quasi-experimental design with a sample of 50 employees. The experimental group performed back exercises three times a week for one month, while the control group only received education through posters. Pain intensity was measured using the Visual Analog Scale (VAS) and functional ability using the Oswestry Disability Index (ODI) before and after the intervention. Conclusion: Modified back exercises effectively reduce CLBP pain, improve function, and enhance employees' quality of life. These exercises are easy to implement and encourage consistency in preventing work-related back pain.
Social Stigma as A Determinant of Tuberculosis Treatment Adherence in Public Health Centers Retno Dewi Wulandari; Diana Tri Lestari; Muhamad Jauhar
Gaster Vol 24 No 1 (2026): FEBRUARI
Publisher : P3M Universitas 'Aisyiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30787/gaster.v24i1.2211

Abstract

Introduction: Tuberculosis (pulmonary TB) is the leading infectious disease cause morbidity and mortality in Indonesia, ranking first. This is due to poor treatment adherence related to social stigma. Pulmonary TB has physical, economic, and social impacts, while self-efficacy and social stigma contribute to treatment adherence. Objective: This study aims to analyze the relationship between social stigma and adherence to tuberculosis treatment in the productive age group. Method: The study used a descriptive correlational design with a cross-sectional approach. The independent variable was social stigma, while the dependent variable was medication adherence. The study was conducted in the Japan Community Health Center Working Area from June to August 2025 with a sample of 59 respondents using a purposive sampling technique. The research instrument was a questionnaire on social stigma and medication adherence. Data analysis used the Spearman rank test. Result: The results of the study showed that there was a statistically significant relationship between social stigma and adherence to treatment of pulmonary TB clients with a p-value of 0.000 (p < 0.05). The research results indicate a negative relationship between social stigma and adherence to pulmonary tuberculosis treatment, meaning that the higher the level of social stigma perceived by pulmonary TB patients, the lower their adherence to treatment. Conclusion: Treatment adherence is influenced by social stigma. TB patients are expected to adhere to treatment, avoid social stigma, and utilize family and community support to promote healing.

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