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INDONESIA
CHI JOURNAL OF Community Health Issues
Published by Indonesian Public Health-Observer Information Forum
ISSN : 28092511     EISSN : 28092724     DOI : 10.56922
Core Subject : Health,
Nursing Public Health
Jurnal penelitian dibidang kesehatan komunitas meliputi kegiatan promotif, preventif, kuratif dan rehabilitatif pada semua tingkat usia baik secara individu, maupun kelompok. Penelitian sesuai tren terbaru dalam kesehatan komunitas ditinjau dari berbagai aspek pada budaya masyarakat yang tinggal di benua Asia. Terbit 2 kali dalam satu tahun bulan April dan Desember.
Arjuna Subject : Keperawatan - Community and Home Care
Articles 56 Documents
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Konformitas teman sebaya dan perilaku bullying remaja berbasis Teori Adaptasi Roy Rina Maisaroh; Sri Mulyani; Siti Patonah
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4155

Abstract

Background: Adolescence is a transitional developmental phase that is strongly influenced by the social environment, particularly peer groups. At SMPN 1 Trucuk, bullying has become a serious concern following an incident of violence that caused physical and psychological harm to a student. One factor potentially associated with bullying behavior is peer conformity, defined as the tendency of adolescents to adjust their attitudes and behavior to group norms in order to gain social acceptance. From the perspective of Roy's Adaptation Theory, social pressure may function as an environmental stimulus that influences adolescents' adaptive responses. Purpose: To analyze the relationship between peer conformity and bullying behavior among adolescents at SMPN 1 Trucuk. Method: This study employed a cross-sectional design. The population consisted of 181 seventh-grade students, with a sample of 125 respondents selected using simple random sampling. The independent variable was peer conformity, while the dependent variable was bullying behavior. Data were collected using questionnaires and analyzed using the Spearman's Rho test with a significance level of α < 0.05. Results: Most respondents demonstrated a moderate level of peer conformity (68.8%). Meanwhile, the majority of respondents demonstrated a high level of bullying behavior (82.4%). The Spearman's Rho analysis yielded a p-value of 0.036 (α < 0.05) and a correlation coefficient of 0.188. These findings indicate a statistically significant positive relationship between peer conformity and bullying behavior among adolescents, with a weak correlation strength. Conclusion: There was a statistically significant relationship between peer conformity and bullying behavior among adolescents. Adolescents are encouraged to develop positive adaptive responses within their peer environment. Teachers should strengthen character education and create a supportive school environment, while parents are encouraged to provide effective communication, guidance, and emotional support for their children.
Efektivitas video animasi dalam edukasi oral hygiene terhadap pengetahuan pencegahan karies gigi pada anak kelas II Sri Hartati; Herlinda Dwiyanti; Ryka Juaeriah; Sri Maryati
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4179

Abstract

Background: Dental caries is one of the most common oral health problems among school-aged children. Inadequate knowledge of oral hygiene and dental caries prevention may contribute to the high prevalence of dental caries in children. Health education using animated video media is an engaging approach that is appropriate for children's developmental stage and may help improve their knowledge of dental caries prevention. Purpose: To determine the effect of oral hygiene education using animated video media on knowledge of dental caries prevention among Grade II students at MI Roudotutta’lim Batujajar, West Bandung Regency. Method: This quantitative study employed a pre-experimental design with a One-Group Pretest–Posttest Design. The study population consisted of 103 Grade II students, who were selected using total sampling. Data were collected using a knowledge questionnaire administered before and after the intervention. Data were analyzed using univariate analysis and the Marginal Homogeneity Test. Results: Before the intervention, 40 participants (38.8%) had low knowledge. Following oral hygiene education using animated video media, 86 participants (83.5%) demonstrated high knowledge. The results of the Marginal Homogeneity Test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant difference in knowledge before and after the intervention. Conclusion: Oral hygiene education using animated video media had a significant effect on students' knowledge of dental caries prevention. Animated video media can be recommended as an engaging educational medium for promoting oral health and preventing dental caries among elementary school children.
Pengaruh pemberian cookies saralact terhadap produksi ASI pada ibu menyusui di wilayah kerja Puskesmas Mpunda Lathifah Lathifah; Dea Zara Avila; Hairunnisah Hairunnisah; Muammar Iksan
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4144

Abstract

Background: Exclusive breastfeeding is the best source of nutrition for infants. However, the coverage of exclusive breastfeeding in Bima City decreased from 76.82% in 2021 to 61.84% in 2024. One factor that may affect the success of exclusive breastfeeding is suboptimal breast milk production. Katuk leaves and peanuts contain nutrients and bioactive compounds that have the potential to support lactation. Saralact Cookies were developed as a food-based alternative that may help improve breast milk production. Purpose: To determine the effect of Saralact Cookies consumption on breast milk production among breastfeeding mothers in the working area of Mpunda Public Health Center. Method: This study employed a quasi-experimental design with a pretest-posttest control group design. The study was conducted from May to June 2026 in the working area of Mpunda Public Health Center. The study population consisted of 92 breastfeeding mothers with infants aged 0–5 months who were exclusively breastfed. A total of 30 respondents were selected using purposive sampling and divided into an intervention group (n=15) and a control group (n=15). The intervention group consumed Saralact Cookies three times daily for 14 days, while the control group received no intervention. Infant body weight was used as an indirect indicator of breast milk adequacy. Data were analyzed using the paired sample t-test and independent sample t-test. Results: The mean increase in infant body weight was 373.33 grams in the intervention group, compared with 206.67 grams in the control group. The independent sample t-test showed a statistically significant difference in infant weight gain between the intervention and control groups (p<0.001). Conclusion: Consumption of Saralact Cookies had a significant effect on increasing infant body weight as an indirect indicator of breast milk adequacy. Saralact Cookies have the potential to serve as an alternative nutritional intervention to support the success of exclusive breastfeeding.
Hubungan pengetahuan ibu tentang gizi, asupan energi, dan asupan protein dengan kejadian stunting pada balita Dinda Amanda Putri; Asep Jalaludin Saleh; Dewi Woro Astuti
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4148

Abstract

Background: Stunting remains one of the major public health challenges among children under five in Indonesia, as it can negatively affect physical growth, cognitive development, academic performance, and future productivity. Stunting is influenced by various factors, including maternal nutritional knowledge and the adequacy of children's energy and protein intake. Mothers with adequate nutritional knowledge are generally better able to implement appropriate feeding practices to support optimal child growth and development. Purpose: To determine the association between maternal nutritional knowledge, children's energy intake, and children's protein intake with stunting among children under five in the working area of UPTD Puskesmas Punggur, Central Lampung Regency, in 2026. Method: This study employed an analytic observational design with a cross-sectional approach. A total of 72 mothers were selected from a population of 264 using proportionate random sampling. Maternal nutritional knowledge was assessed using a structured questionnaire, while children's energy and protein intake were assessed using a 24-hour dietary recall method. Stunting status was determined based on the height-for-age Z-score (HAZ) obtained from anthropometric measurements. Data were analyzed using univariate analysis and the Chi-Square test. Results: The results showed that 47.2% of mothers had poor nutritional knowledge, 52.8% of children had inadequate energy intake, and 48.6% had inadequate protein intake. The prevalence of stunting, including the categories of stunted and severely stunted, was 41.7%. Bivariate analysis showed significant associations between maternal nutritional knowledge, energy intake, protein intake, and stunting among children under five (p<0.05). Conclusion: There were significant associations between maternal nutritional knowledge, children's energy intake, and protein intake with stunting among children under five. Improving maternal nutritional knowledge and ensuring adequate energy and protein intake are important aspects of stunting prevention and the promotion of optimal growth among children under five.
Hubungan antara status gizi dengan nilai fungsi paru pada pasien asma bronkial anak Fahrurozi Fahrurozi; Rakhmi Raffie; Eka Silvia; Yesi Nurmalasari
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4171

Abstract

Background: Bronchial asthma is a chronic inflammatory disease of the airways and remains an important health problem among children. Children with bronchial asthma may experience varying degrees of pulmonary function impairment. Imbalances in nutritional status, including undernutrition and obesity, may affect respiratory function through systemic inflammatory mechanisms and alterations in chest wall and pulmonary mechanics. Puspose: To analyze the relationship between nutritional status and pulmonary function among pediatric patients with bronchial asthma at Bintang Amin Hospital in 2025. Method: This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 46 pediatric patients with bronchial asthma aged 11–16 years who were selected using purposive sampling based on medical records from 2025. Nutritional status was assessed using Body Mass Index (BMI), while pulmonary function was evaluated based on the percentage of predicted forced expiratory volume in one second (FEV1) obtained from spirometry examination. Data were analyzed using univariate and bivariate analyses with Spearman’s rho correlation test. Results: Most respondents were 11 years old (28.3%), female (60.9%), had undernutrition (56.5%), and experienced moderate obstructive pulmonary impairment (54.3%). Bivariate analysis showed a correlation coefficient of 0.122 with a p-value of 0.420 (p > 0.05), indicating no statistically significant relationship between nutritional status and pulmonary function. Conclusion: No statistically significant relationship was found between nutritional status and pulmonary function among pediatric patients with bronchial asthma at Bintang Amin Hospital in 2025. Variations in pulmonary function may be more strongly associated with clinical and environmental factors, such as asthma control, treatment adherence, and exposure to environmental allergens.
Pengetahuan ketahanan pangan dan gizi berbasiskomunitas di masyarakat perkotaan Indonesia: Penerimaan program promosi kesehatan berbasis masjid Fadli Ananda; Darariani Iskandar; Irwan Ashari; Faisal Rizal Zaenal; Irma Irma
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4384

Abstract

Background: Food security and nutrition knowledge are important components of public health promotion, particularly when health education is delivered through community settings rooted in local culture. Religious institutions such as mosques can provide accessible settings for integrating health education with community engagement. However, evidence regarding participants’ knowledge and acceptance of mosque-based health promotion activities remains limited. Purpose: This study aimed to describe participants’ knowledge of food security and nutrition and their acceptance of a mosque-based community health promotion program. Method: A quantitative descriptive study using a cross-sectional evaluation approach was conducted among 23 community participants who attended a mosque-based health promotion activity. Data were collected using a 17-item knowledge questionnaire consisting of 10 food security items and seven nutrition items, along with eight five-point Likert-scale items assessing program acceptance. Descriptive statistics were used to summarize participant characteristics, item-level knowledge, knowledge scores, and acceptance ratings. Results: The participants had a mean age of 54.48 ± 11.75 years, ranging from 29 to 76 years, and most were involved in household management (69.6%). The mean food security knowledge score was 8.04 ± 1.77 out of 10, while the mean nutrition knowledge score was 5.22 ± 1.48 out of 7. The overall mean knowledge score was 13.26 ± 2.60 out of 17. Knowledge gaps were primarily observed in identifying the components of food security, sustainable agriculture, the recommended proportion of vegetables and fruits according to Isi Piringku (My Plate), and the recommended duration of physical activity. Program acceptance was high, with an overall mean rating of 4.67 ± 0.65 on a five-point scale. The mosque as a setting for health promotion received a mean rating of 4.61 ± 0.72, with 95.7% of participants giving a rating of 4 or 5. Conclusion: Participants demonstrated relatively high levels of food security and nutrition knowledge and good acceptance of the mosque-based community health promotion program. These findings support the potential acceptability of mosque-based settings for integrating food security and nutrition education into community health promotion. Further studies involving larger samples, validated instruments, and pre–post or controlled designs are needed to assess changes in knowledge and determine program effectiveness.
Hubungan daya terima makanan dan asupan protein hewani dengan sisa makanan pada program makan bergizi gratis di SD Negeri 3 Gedong Air Preti Nadia; Adhi Nurhartanto; Wiliam Arisandi
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4150

Abstract

Background: Food waste in the Free Nutritious Meal (MBG) Program may reduce students’ nutritional intake and the effectiveness of the program. Food acceptability and animal protein intake are important factors that may influence the amount of food wasted by students. Purpose: To determine the relationships between food acceptability, animal protein intake, and food waste among students participating in the Free Nutritious Meal Program at SD Negeri 3 Gedong Air. Method: A quantitative analytical study with a cross-sectional design was conducted among 48 students aged 10–12 years selected using simple random sampling. Food acceptability was assessed using an organoleptic questionnaire, animal protein intake was measured using a Food Frequency Questionnaire (FFQ), and food waste was assessed using the Comstock method. Data were analyzed using Somers’ D test. Results: A significant relationship was found between food acceptability and food waste (p < 0.001; r = 0.756). A significant relationship was also found between animal protein intake and food waste (p < 0.001; r = 0.655). Conclusion: Food acceptability and animal protein intake were significantly associated with food waste among students participating in the Free Nutritious Meal Program. Improving food acceptability and ensuring adequate animal protein intake may contribute to reducing food waste and optimizing the nutritional benefits of the program.
Korelasi nilai rasio neutofil-limfosit dengan kadar ureum dan kreatinin pada pasien hemodialisa rutin di RSU Wiradadi Husada Kintan Yaumi Lailatil Qodri; Retno Sulistiyowati; Umi Solikhah; Kurnia Ritma Dhanti
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4088

Abstract

Background: Chronic kidney disease is characterized by a progressive and irreversible decline in kidney function, which may require hemodialysis therapy at an advanced stage. Patients undergoing routine hemodialysis are at risk of chronic inflammation, which can be reflected by the Neutrophil-to-Lymphocyte Ratio (NLR), while urea and creatinine levels can indicate the accumulation of metabolic waste products in the body. Purpose: To determine the correlation between NLR and urea and creatinine levels in patients undergoing routine hemodialysis at RSU Wiradadi Husada. Method: This study used an analytical observational design with a cross-sectional approach and consecutive sampling technique. A total of 42 patients undergoing routine hemodialysis were examined in June 2026. NLR values were obtained from complete blood count results, while urea and creatinine levels were obtained from serum examinations. Data were analyzed using the Spearman correlation test. Results: The results showed no significant correlation between NLR and urea levels (r = 0.054; p = 0.736) or between NLR and creatinine levels (r = −0.189; p = 0.230). Conclusion: There was no significant correlation between NLR and urea or creatinine levels in patients undergoing routine hemodialysis at RSU Wiradadi Husada.
Hubungan asupan zat gizi makro dari program makan bergizi gratis (MBG) dengan status gizi berdasarkan indeks massa tubuh menurut umur (IMT/U) pada anak sekolah dasar Adelia Dwirahma Wahyuni; Adhi Nurhartanto; Ajib Jayadi
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4154

Abstract

Background: Children’s health and growth are strongly influenced by adequate intake of essential macronutrients, including energy, protein, fat, and carbohydrates. The Free Nutritious Meal Program (Makan Bergizi Gratis/MBG) is a government initiative designed to support the nutritional needs of school-aged children through the provision of nutritious meals. Purpose: To determine the relationship between macronutrient intake from the Free Nutritious Meal Program (MBG) and nutritional status based on Body Mass Index-for-Age (BMI-for-Age) among students at SD Negeri 3 Gedong Air, Bandar Lampung City, in 2026. Method: This study employed a cross-sectional design involving 48 students selected using cluster random sampling. Macronutrient intake from MBG meals was assessed using a 24-hour food recall and analyzed using NutriSurvey 2007. Nutritional status was assessed based on BMI-for-Age using WHO AnthroPlus software. Data were analyzed using univariate analysis with frequency distributions and percentages, while bivariate analysis was performed using the Chi-square test. Results: The results showed that most respondents had normal nutritional status (64.6%). Significant relationships were found between energy intake (p = 0.002), protein intake (p = 0.036), fat intake (p = 0.000), carbohydrate intake (p = 0.038), and total macronutrient intake (p = 0.000) from MBG meals and nutritional status based on BMI-for-Age. Conclusion: Macronutrient intake from the Free Nutritious Meal Program was significantly associated with the nutritional status of elementary school students based on BMI-for-Age. Continuous monitoring and evaluation of students’ macronutrient intake and nutritional status are recommended to support the effectiveness of the MBG program in improving the nutritional well-being of school-aged children.
Implementasi manajemen nyeri dengan otot progresif pada pasien ca mamae post kemoterapi: Studi kasus Qirren Delliana Billawa; Aini Inayati
JOURNAL OF Community Health Issues Vol. 3 No. 3 (2026): August Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Ikatan Perawat Kesehatan Komunitas Indonesia (IPKKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/chi.v3i3.4201

Abstract

Backgroun: Breast cancer is one of the most common malignancies affecting women. Chemotherapy, as one of the main treatments, may cause side effects such as nausea, fatigue, decreased appetite, and anxiety, requiring appropriate nursing interventions. Progressive muscle relaxation is a non-pharmacological intervention that may help improve patient comfort. Purpose: To describe the implementation of progressive muscle relaxation in a patient with breast carcinoma after chemotherapy to reduce nausea and improve comfort. Method: A case report design with a nursing process approach was used in a female patient with post-chemotherapy breast carcinoma at the Darussalam Ward, PKU Muhammadiyah Gamping Hospital, Yogyakarta, on January 20, 2026. Data were collected through interviews, observation, physical examination, medical record review, and laboratory examination. Patient symptoms were assessed using the Edmonton Symptom Assessment System (ESAS). Nursing care was based on the Indonesian Nursing Diagnosis, Outcome, and Intervention Standards (SDKI, SLKI, and SIKI). The main intervention was progressive muscle relaxation combined with education and collaborative medical therapy. Results: Following the intervention, nausea, fatigue, and anxiety decreased, while appetite and patient comfort improved. The patient was able to understand the education provided and experienced no allergic reactions. Conclusion: Progressive muscle relaxation as part of palliative nursing care may help reduce post-chemotherapy symptoms and improve comfort in patients with breast carcinoma.

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