Window of Health : Jurnal Kesehatan

Sustainability Analysis of the Stunting Reduction Acceleration Program in Kubu Raya Regency

2025-08-01T02:59:13+00:00

Presidential Regulation Number 72 of 2021 on the Acceleration of Stunting Reduction sets a national target of reducing stunting prevalence to 14% by 2024 through integrated programs across government levels, from ministries to villages. In line with this policy, Kubu Raya Regency has shown a decline in stunting rates from 7.9% to 6.8% based on e-PPGBM data, indicating improved implementation of stunting reduction programs. This study aims to analyze the sustainability status of the stunting reduction program in Kubu Raya Regency using the Rapfish (Rapid Appraisal for Fisheries) multidimensional scaling approach. Data were collected from ten Regional Apparatus Organizations (OPDs) through surveys and interviews. The analysis involved six stages: identifying dimension characteristics, scoring on an ordinal scale, determining sustainability status, conducting sustainability checks, performing a sensitivity analysis, and applying a Monte Carlo simulation to account for uncertainty. The results show that the social and economic dimensions are categorized as "quite sustainable" with scores of 60.04 and 51.86, respectively, while the environmental dimension is "less sustainable" with a score of 38.02. Key attributes influencing sustainability include increasing the number of Open Defecation Free (ODF) villages, improving the accuracy of beneficiary data for food assistance, monitoring fortified food products, enhancing nutritional knowledge among pregnant women at risk of chronic energy deficiency, and strengthening village budget planning and cadre development. These findings highlight the need for targeted interventions to improve program sustainability, particularly in the environmental dimension, to ensure long-term success in reducing stunting prevalence.

The Effect of Lawi-Lawi Grass (Caulerpa racemosa) on Blood Glucose Levels of Rattus norvegicus

2025-08-01T02:59:33+00:00

Lawi-lawi seaweed (Caulerpa racemosa) contains fibre and antioxidants, which are the largest components that can inhibit blood clotting and reduce blood sugar levels by slowing the release of glucose into the blood. This study aimed to determine the effect of giving Lawi-lawi seaweed (Caulerpa racemosa) on the blood glucose levels of male Wistar strain Rattus norvegicus. This research is pure experimental research, using a posttest-only control group design. The sample consisted of 25 male white rats weighing 150-200 grams. All rats were coded and then induced with alloxan at a dose of 130 mg/kg BW, if the rat's blood glucose level was > 200 then the rat was said to be diabetic, then the rats were randomly divided into 5 groups, negative control, positive control, treatment 1 (1.87g), treatment 2 (3.75g) and treatment 3 (5.62g) groups. The results of the post hoc test on the average change in blood glucose levels of rats for 30 days of treatment generally showed a value of p = 0.000, where p <0.05 so that it could be interpreted that between the negative control group receiving standard feed treatment, the positive control group being given metformin, There were differences in changes in blood glucose levels in the treatment groups of seaweed at doses 1, 2 and 3 doses, meaning that there was an effect between the groups giving Lawi-lawi seaweed on reducing blood glucose levels of rats for 30 days of treatment.

Effect of Lead Exposure on AST Enzyme in Individuals Who Smoke

2025-08-01T02:58:53+00:00

Cigarettes are one of the consumer products that are popular with the public. The composition of cigarettes includes tobacco, cloves, and other additives. One of the additives that is often used is lead. Lead can also be carcinogenic, meaning it can cause cancer. Exposure to lead in active smokers can cause various health hazards, especially those related to liver damage. Increased levels of lead in the body of smokers can cause liver cell damage, which can be reflected in increased levels of the enzyme AST (aspartate aminotransferase) in the blood. This study aims to see the effect of this heavy metal on the levels of the Aspartate Aminotransferase Enzyme in Individuals Who Smoke. This research method uses a descriptive introduction with a simple random sampling approach. The subjects of this study consisted of 10 people who were drivers with an average age of 25 years who had been smoking for 5-8 years. Blood lead levels were measured using the APHA method, and AST enzyme levels were measured using the IFCC method. The results showed that there was no relationship between blood lead levels and AST levels in smokers and blood lead levels (significance: 0.066). The average lead level in the blood of active smokers is still below the threshold, which is 34.1437 µg/L (100–250 µg/L). Suggestions for further research are to conduct research to see the relationship between lead levels and Alanine Aminotransferase (ALT) enzyme levels in online motorcycle taxi drivers and cleaners in the city of Palembang.

The Association of Clean and Healthy Lifestyle Behaviors and Nutrient Intake With The Nutritional Status of Adolescents

2025-08-01T02:58:33+00:00

Adolescents represent a population group that is particularly vulnerable to various nutritional issues, including both undernutrition and overnutrition. With the rising number of adolescents in Indonesia, adolescent nutrition has become a public health concern due to its significant implications for physical growth and development, as well as its long-term impact on nutritional status into adulthood and later life. This research explored the association between Clean and Healthy Lifestyle Behaviors (CHLB) and dietary intake, with a focus on their impact on the nutritional status of adolescents. Utilizing a cross-sectional design, the study was conducted at SMPN 18 Mataram and included 60 student participants. Data were analyzed through Spearman’s rank-order correlation test. Findings indicated a significant correlation between CHLB and adolescents’ nutritional status (p=0.001, p<0.05). Similarly, macronutrient intake, including carbohydrates, proteins, and fats, was significantly related to nutritional status, with p-values of 0.000, 0.005, and 0.001, respectively (p<0.05). In contrast, no significant relationship was found between micronutrient intake (vitamin C and iron) and nutritional status, with p-values of 0.315 and 0.352, respectively (p>0.05). These findings suggest the need to enhance adolescents’ awareness and practices regarding clean and healthy lifestyle behaviors and to encourage the adequate consumption of both macro- and micronutrients in order to support optimal nutritional status.

Family-Based Anxiety Detection In Primigravida Pregnant Women

2025-08-01T02:58:13+00:00

Maternal anxiety during pregnancy, particularly among primigravida women, is a prevalent emotional state that can significantly impact both the mother and fetus. This study explores the relationship between family factors—specifically family support, communication, socioeconomic status, satisfaction with family roles, and family decision-making—and anxiety levels in primigravida pregnant women. Utilizing a cross-sectional observational analytical design, the research included 92 primigravida women from Puskesmas Tirto, Kedungwuni I, and Kedungwuni II. Data were collected through validated and reliable questionnaires and analyzed using multiple logistic regression. The findings reveal significant associations between family support (OR=25.427; 95% CI=1.123-9.078; p=0.007), family communication (OR=239.115; 95% CI=9.144-6252.589; p=0.001), and satisfaction with family roles (OR=107.415; 95% CI=4.231-2726.710; p=0.005) with reduced levels of anxiety. These results underscore the importance of involving family members in antenatal care, enhancing communication, and providing psychological support to manage anxiety effectively. The study highlights the need for healthcare providers to integrate family dynamics into prenatal care strategies to improve maternal mental health and overall pregnancy experience.

The Impact of Medication Adherence and Depression on Stroke Recurrence in Post-Stroke Patients at Taman Husada Regional General Hospital

2025-08-01T02:57:48+00:00

Patient compliance in adhering to stroke treatment recommendations becomes one of the factors influencing the occurrence of recurrent strokes. Depression in post-stroke patients inhibits functional brain recovery, increases the potential for recurrent strokes, lowers the quality of life, and raises the risk of death compared to patients without depression. The aim of this study is to analyze the relationship between drug therapy compliance and the level of depression on the occurrence of recurrent strokes in post-stroke patients. This cross-sectional study involved 60 patients aged between 30 and 85 years, all undergoing outpatient stroke treatment at a hospital in Indonesia. Recurrent stroke incidents were defined as experiencing a secondary stroke within 30 days after the initial stroke occurrence. Out of the total participants, 12 individuals had experienced recurrent strokes after their initial episode, while 48 patients had not experienced recurrent strokes up to the point of data collection. Medication adherence data were evaluated using the MMAS-8 (Morisky Medication Adherence Scale), and depression levels were measured using the PHQ-9 (Patient Health Questionnaire-9). The research results show that in the post-stroke patient group, the level of patient adherence is high at 41.7%, and in the recurrent stroke group, the level of patient adherence is moderate at 41.7%. Meanwhile, in the post-stroke patient group, the dominant depression level is low (50%), while in the recurrent stroke group, the dominant depression level is mild, followed by severe depression. The analysis indicates that medication adherence is not associated with stroke recurrence, while depression is related to stroke recurrence with an OR value of 2.060, p <0.05. Further research on more efficient monitoring methods and proper depression management is recommended to reduce the risk of stroke recurrence.

Factors Affecting The Incidence of Anemia in Pregnant Women at Rumbio Public Health Center, Kampar Regency: Multivariate Analysis

2025-08-01T02:57:28+00:00

According to the WHO in 2014, as many as 40% of maternal deaths in developing countries are related to anemia in pregnancy. The prevalence of anemia in Indonesia is 50.9% among pregnant women. In Riau Province, the incidence of anemia among pregnant women is still relatively high at 37.1%. In Kampar Regency, the rate of anemia among pregnant women in 2016 was 16.03%, while in 2017 it rose to 32.59%. This study aims to analyze multivariate factors that cause the incidence of anemia in pregnant women at Rumbio Public Health Center, Kampar Regency. This type of research is quantitative analytic with a cross-sectional design. This study was conducted in March 2023 with a population of 385 pregnant women and a sample size of 78 people. The sampling technique used was purposive sampling. Bivariate and multivariate data analysis using chi-square statistical tests and logistic regression multivariate analysis. The results of bivariate analysis indicate that nutritional status, parity, and socio-economic variables are not significantly associated with anemia (p value> α 0.05), while the variables adherence to taking Fe tablets and age are significantly associated with anemia (p value < α 0.05). The results of multivariate analysis showed that the variable of adherence to taking Fe tablets was significant to anemia because the p value < 0.05, while the independent variable of age was not significant to anemia because the p value > 0.05. The OR value of adherence to taking Fe tablets is 67, meaning that people who are not adherent are more at risk of developing anemia. In conclusion, the variable of adherence to taking tablets is the variable most associated with the incidence of anemia in pregnant women. It is expected of pregnant women to be obedient and on time in taking Fe tablets to avoid the incidence of anemia in pregnancy.

Anthocyanin and Organoleptic Analysis of Red Bean Flour Steamed Sponge Cake with the Addition of Butterfly Pea Flower Extract (Clitoria ternatea Linn.)

2025-08-01T02:57:09+00:00

Butterfly pea flower is a plant that is commonly found by the public in abundant quantities, which contains anthocyanins, so it is useful for improving human health, acting as an antioxidant, anti-diabetic, anti-obesity, anti-inflammatory, anti-cancer, anti-allergic, anti-arthritis, and anti-hyperglycemic, and treats various diseases, one of which is diabetes mellitus. Type 2 diabetes mellitus predominantly occurs due to lifestyle, so it is susceptible to the whole community and is predicted to increase by 2030. This research aims to determine the anthocyanin and organoleptic levels of steamed red bean flour cake with the addition of butterfly pea flower extract. Measurement of anthocyanin levels uses the AOAC Official method 2002.02 analysis method, and for organoleptic testing uses the hedonic scale test form. Anthocyanin levels increased with the addition of butterfly pea flower extract. Anthocyanin levels experienced a significant increase. The results of organoleptic tests on steamed red bean flour sponge cake with the addition of butterfly pea flower extract showed that the aroma, taste, and texture were not different, while the color was different. The best formulation based on the MPE method is X₃ with a recommended consumption of 1 piece or 50 grams.

Adolescents' Coping Strategies To Adapt To High-Risk Sexual Behavior Urges In Boarding Houses

2025-08-01T02:56:49+00:00

The current adolescent environment increasingly offers many choices. Dating styles that open up opportunities for risky sexual behavior seem to be an attractive offer, especially for adolescents who live in boarding houses. Living in boarding houses without direct supervision from parents and boarding house owners makes adolescents free to do anything, including risky sexual behavior with their boyfriends. This makes boarding houses a dangerous environment for adolescents who live there. This study uses a Descriptive Phenomenology Design, which aims to study in depth how adolescents use coping strategies to adapt to the urge to have risky sexual behavior in boarding houses. Six participants were selected using a purposive sampling technique for this study. The analysis in this study used the Colaizzi method. The results of this study yielded four themes, namely: 1) setting boundaries for dating, 2) rejecting pressure, 3) not wanting to fail, and 4) doing activities in their spare time. This study concludes that adolescents who have good coping strategies will be able to adapt to the urge to engage in risky sexual behavior in boarding houses. This study recommends increasing parental and community control and increasing the role of community nurses through adolescent health programs in the community, such as teenage health posts and Adolescent Health Care programs in schools.

Effectiveness of Health Promotion Through Animation Video On Knowledge And Attitudes In Stunting Prevention Among Mothers in the Baduy Tribe

2025-08-01T02:56:30+00:00

Stunting is a growth and development disorder in children due to prolonged malnutrition. Prolonged malnutrition in children can lead to developmental disorders. Indicators of healthy growth include measurements such as weight, height, and head circumference, whereas development is assessed through motor abilities, social and emotional skills, language proficiency, and cognitive functions. Malnutrition can begin during pregnancy and continue in the early stages of a child’s life. Stunting experienced by children can be caused by ineffectiveness in the first 1000 days of life. The aim of the research to determine the influence of Health Promotion through Animation Video on the knowledge and attitude among mothers in efforts to prevent stunting in the Outer Baduy Tribe Area. The study employs a pre-experimental design, utilizing a single group with both pre-test and post-test assessments, with a sample size of 50 participants of purposive sampling as the method for selecting participants. Data was gathered through the use of a structured questionnaire. The p-value obtained was 0.000. Based on the findings, it can be inferred that a significant difference exists in the influence of health awareness promotion with the video animation method on the awareness and attitude of mothers in efforts to prevent stunting in the Baduy Luar Tribe Area. A significant difference exists in the influence of health awareness promotion programs with the animation video technique on the knowledge and attitude of mothers in efforts to prevent stunting in the Outer Baduy Tribe Area.

Models of the Effects of Ultraviolet Exposure, Temperature, and Humidity on the Quantity of Microplastics in Indoor Air

2025-08-01T02:56:10+00:00

Microplastics are a new pollutant in the air, but the determination of the maximum limit of their existence has not been set in regulations. Microplastics found in the air of building spaces are made from plastic waste. The presence of microplastics in the air is influenced by physical environmental factors. Inhaling microplastics can have a detrimental impact on lung tissue. The research aims to create a mathematical model of the effect of ultraviolet exposure, temperature, and humidity on the quantity of microplastics in indoor air. Mathematical models can be used to predict the quantity of microplastics in the air. The type of research is a true experiment with a posttest-only control group design. Air samples are taken daily for 60 days by the passive method by taking dustfall. The parameters measured include the quantity of microplastics, ultraviolet intensity, temperature, and air humidity. Microplastic examination by visual method using a 40-fold magnification binocular microscope. Analysis of the mathematical model of the effect of ultraviolet exposure, temperature, and humidity on the quantity of microplastics in the form of time series data using linear regression. The results of data analysis show that the effect of the panel regression estimation model, in accordance with the empirical data, is the Fixed Effect Model (FEM). The conclusion based on the results of the study shows that physical environmental factors have an influence on the quantity of microplastics in the air, whose existence can be predicted using FEM modeling that has been made.

Utilization of Nata De Durio as a Constipation Preventive (Preliminary Animal Studies)

2025-08-01T02:55:50+00:00

Constipation is a symptom/problem that arises in the process of defecation, which is not smooth and irregular due to a lack of fiber intake in the body. Nata de durio is an extracellular cellulose made from durian seeds and formed from the activity of the bacterium Acetobacter xylinum, which contains high enough fiber so that it can regulate and maintain intestinal function in the defecation process. The purpose of this study is to assess the effect of using nata de durio as a natural fiber in the defecation process in vivo and to assess its effect on the transition time of feces in the small intestine of mice. The current study was an experimental study using male mice that were given distilled water as a negative control, inulin as a positive control, and nata seed de durio with doses of 0.02 gram, 0.04 gram, and 0.08 gram as a treatment group for 5 weeks. According to the findings of this study, the administration of nata de durio had a better effect on the amount of feces, weight of feces, frequency of defecation, and consistency of feces compared to the control group. The study's conclusion is that nata de durio can be used as a natural fiber in improving the defecation pattern of BALB/c male mice.