Media Kesehatan Masyarakat Indonesia

Supports and Barriers Regarding The Iron-Folic Acid Supplementation Adherence Level in Anemic Pregnant Women: Indonesian’s Perspective

Rizka Novia Atmadani — 2024-06-30

Anemia is a worldwide public health issue that affects various groups in low, middle, and high-income nations. Anemia is linked to pregnancy and is influencing poor cognitive and motor development outcomes in children. A recommended intervention to reduce anemia prevalence during pregnancy is the universal administration of Iron-Folic Acid (IFA) supplements. This study investigated supports and barriers regarding iron-folic acid supplementation adherence levels in pregnant women recorded in public health centers in Malang, Indonesia. This research was conducted using qualitative methods with in-depth interviews using semi-structured open-ended questions from July to September 2023. Twenty-five participants from four public health centers was included. The interview guide's content was developed using World Health Organization’s framework as well as other pertinent themes. Data analysis was processed from verbal record transcription, generating the codes into the outcomes. Five main themes with a total of eleven subthemes were highlighted from interview process. These themes was further classified into barriers and supports. Side effect, forgetfulness, boredom, laziness, and insufficient understanding of disease recorded as barriers. In contrast, husband and family support, health care team motivation, affordability of access, knowledge and education background included in supports. These findings enlighten the barriers encountered by the pregnant women in IFA supplementation adherence. However, the effectiveness of treating anemia during pregnancy might be influenced by fundamental elements that support IFA supplementation adherence. Therefore, to tackle the this issue, the pregnant women requires a proper therapy and all key points mentioned in support group must be applied.

Problems Scanning Related to Stunting Using Iceberg Theory Model in Salakbrojo Village Central Java

Yuniarti Yuniarti — 2024-06-30

The prevalence of stunting to date is 21,6%, which is far from target which is 14%. Research aimed to elaborate on problem of stunting using iceberg method model analysis. The research is a qualitative study with a phenomenological approach to obtain idea of stunting occurrence pattern as well as the root of problem. Data was collected by assigning focused group discussion. Correspondents were ten mothers of toddlers, five health cadres, a secretary of rural, and a rural midwife. Validity test was done by doing data source triangulation during focused group discussions. Mental model analysis was taken using directly elicited mental model technique by doing content analysis. Result of iceberg analysis found that occurrence of stunting was 3,42%. Patterns and trends include wasting 2,92%, normal nutrition 84,39%, risk of overnutrition 5,85%, overnutrition 1,95%, and obesity 1,46%. Systemic structure has shown there are relation between direct cause include lack of food intake, exclusive breastfeeding, complementary food, infectious diseases and incomplete basic immunization. Indirect causes for stunting include lack of knowledge of stunting, access of health services, house condition triggers infectious diseases and poor sanitation. The mothers’ analysis on mentality who are confident about their children being healthy and active despite nutritional problems. Mental model of health cadres, rural midwives, rural government and public health centers believe that collaboration in solving stunting problems is needed. It can be concluded that iceberg model can be applied in analyzing stunting problem and results of it can be considered in the implementation of stunting treatment.

Navigating the Storm: Unraveling the Factors Shaping Adolescent Anxiety Amid the COVID-19 Pandemic

Rini Nur Diana — 2024-06-30

The COVID-19 epidemic has significantly impacted adolescent mental health, particularly in cases of anxiety. The underlying causes, though, are yet unknown. The goal of this study is to identify any potential influences on adolescent anxiety during the COVID-19 epidemic. Cross-sectional time series analysis is the method used in this investigation. The 188 teenagers who made up the study's samples ranged in age from 15 to 18 years old. The sampling method made use of the probability sampling. The Generalized Anxiety Disorder-7 (GAD-7) questionnaire was used as the instrument for gathering the data. Then, univariate, bivariate, and multivariate were used in the statistical test. Most of the respondents, namely 143 respondents (76.1%) experienced anxiety. The most influential factor in anxiety is the source of information (p value 0.020). The factors related to anxiety were sources of information, resilience, loneliness, social support, and having positive COVID-19 patients within the family or around the family environment. During the COVID-19, the source of information variable was found to be the most important variable related to the anxiety. Lack of clear information makes thingking worse and increases adolescent anxiety. It is recommended for healthcare services and community health centers to provide accurate information about COVID-19 in educational institutions to reduce adolescent anxiety.

Factors Affecting The Success of Exclusive Breastfeeding Among Mothers Recovered From Covid-19

Ulfatul Latifah — 2024-06-30

Exclusive breastfeeding for the first 6 months and continued breastfeeding with complementary foods up to 2 years are emphasized by the World Health Organization. Amid the COVID-19 pandemic, maternal concerns about virus transmission through breastfeeding have surfaced. Despite these concerns, breastfeeding remains the primary recommendation due to its manifold health benefits. This research, conducted in Tegal City's Margadana sub-district, investigates factors influencing exclusive breastfeeding success among mothers recovered from COVID-19. Using an analytical observational design with a cross-sectional approach, the study explores the link between COVID-19 symptoms in infants and exclusive breastfeeding success, revealing a significant correlation (p-value=0.042). Conversely, breast milk production shows no significant association with exclusive breastfeeding success (p-value=0.144). Notably, spousal and family support emerges as pivotal, exhibiting a significant association with exclusive breastfeeding success (p-value=0.003). However, there is no significant relationship between healthcare provider support during breastfeeding and adherence to 6-month exclusive breastfeeding (p-value=0.456). The findings underscore the importance of breastfeeding during post-COVID-19, balancing potential virus transmission risks against the established breastfeeding health benefits. The study concludes by advocating for further research to comprehensively understand and address complexities of exclusive breastfeeding in the post-COVID-19 context, offering insights for healthcare practitioners and policymakers.

Risk of Vitamin D Deficiency in Smokers: Mix-Method

Amelia Lorensia — 2024-06-30

Cigarettes are one of the leading causes of death in the world and Indonesia. Cigarettes emit cigarette smoke, which contains toxins and has pro-inflammatory properties that interfere the metabolism of vitamin D in the lungs. The study aimed to determine the risk of vitamin D deficiency in active smokers in Rungkut Village, Surabaya City. This research method is a mix-method with a Convergent Parallel Design type strategy, which is a way of collecting quantitative (cross-sectional) and qualitative data (interpretative phenomenological analysis) simultaneously, with purposive sampling technique. The variable was the risk of vitamin D deficiency and vitamin D level. Subjects were active smokers aged ≥19 years in the Rungkut Subdistrict. The number of samples involved in this research was 125 samples in the quantitative phase, and 15 people in the qualitative phase. The highest level of smoking severity was light smokers (45.60%). Most of respondents had normal vitamin D levels (≥20 mg/mL) of 73.33%, averaging of 37.66 ± 5.89 mg/mL. Most active smokers are at risk of vitamin D deficiency. Risk factors for deficiency in heavy smokers are not consuming foods containing vitamin D (such as fish, eggs, and milk), not consuming fish oil supplements and vitamins, and not sunbathing. However, the level of physical activity tended to be moderate-heavy. The conclusion is that smokers must pay attention to their intake of foods containing vitamin D and exposure to sunlight to achieve sufficient vitamin D levels.