Window of Health : Jurnal Kesehatan

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

Sun, 13 Jul 2025 15:18:56 +0000

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

Irviani Anwar Ibrahim, Nur Ainin Alfi, Syahrul Basri — Sun, 13 Jul 2025 00:00:00 +0000

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

Agnes Felicia Lubis, Lidwina Septie Christyawardani, Lusia Sudarmi — Wed, 16 Jul 2025 00:00:00 +0000

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

Wed, 16 Jul 2025 02:37:22 +0000

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

Risqi Dewi Aisyah, Lia Dwi Prafitri, Hasriwiani Habo Abbas — Thu, 17 Jul 2025 01:22:39 +0000

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

Thu, 17 Jul 2025 02:07:55 +0000

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.