International Journal of Public Health Excellence (IJPHE)

Family Food Availability Income and Consumption Patterns Cause Wasting in Toddlers in Martapura Timur District

Rijanti Abdurrachim — 2025-01-16

Asting, a condition characterized by low body weight in toddlers, has a prevalence of 28.94% in Martapura Timur District. This study aimed to explore the relationship between income, food availability, and consumption patterns as factors contributing to wasting among toddlers aged 12-59 months. Using a Cross-Sectional design, data were collected from 45 purposively sampled toddlers through questionnaires, food availability forms, and food frequency forms. Spearman Rank correlation (α=0.05) was employed for data analysis. Findings revealed that most mothers were under 20 or over 35 years old, with junior high school education and predominantly unemployed. Male toddlers were slightly more prevalent, with 82.2% classified as wasting and 17.8% in severe wasting. Low family income (below the minimum wage) was common (71.1%), and food availability ranged from insufficient to barely sufficient. Consumption patterns were largely suboptimal (64.4%), with staple food intake (<150 g/day) limited to rice and corn, animal protein (50 g/day) from eggs only, plant protein (<40 g/day) primarily from tofu, and minimum vegetable consumption (30 g/week of pumpkin, 1-3 times weekly). Statistical analysis indicated significant relationships between family income (p=0.048, r=0.296), food availability (p=0.048, r=0.296), and consumption patterns (ρ=0.002, r=0.455) with wasting. The strongest relationship was found in food availability. Efforts are being made to increase awareness through health centers, encouraging mothers to utilize home yards for food production, enhancing food availability, and improving children's diets. Addressing these factors can help reduce the prevalence of wasting and promote better nutrition in toddlers.

The Effect of Smart Monitoring System on Attitudes and Adherences of Consuming Iron Supplement Tablets in Pregnant Women

Mellia Silvy Irdianty — 2025-01-22

Anemia is a condition of hemoglobin or red blood cells below 7gr/dl. The government's efforts to encourage pregnant women to consume 90 Fe tablets during pregnancy have not achieved national coverage due to the absence of a monitoring and evaluation program that is direct to low attitudes and adherence. Therefore, it is necessary to design an effective strategy with a smart monitoring system to observe the attitudes and adherence of pregnant women in consuming Fe tablets. The study aimed to determine the effect of a smart monitoring system on attitudes and adherence to the consumption of iron supplement tablets in pregnant women in the work area of Puskesmas Klego 1.The type of research adopted quantitative with the pre-experimental method using the one-group pre-test and post-test design research design. The sampling used a total sampling technique with 50 respondents. Data analysis utilized paired T-test and Wilcoxon test to determine the effect of a smart monitoring system on attitudes and adherence.The analysis of the Paired T-Test presented p value = 2.61 (p = 2.61->0.05). It indicated no effect of the smart monitoring system on attitudes. The results of the Wilcoxon test analysis obtained a p-value = 0.000 (p = 0.00-<0.05. There are differences in the effect of using the smart monitoring system on the attitudes of pregnant women in the work area of Puskesmas Klego 1. Recommendations for further research are to enhance the application features.

Degree of Burn: A Digital Tool for Burn Area Assessment and Fluid Requirement Calculation Using Wound Image Analysis

Wahyu Rima Agustin — 2025-01-22

Burns are tissue damage due to contact with a heat source, such as fire, hot water, chemicals, electricity, or radiation. Burns are a type of trauma with high morbidity and mortality rates and require high treatment costs. In Indonesia, burns are still a serious problem that requires special care, high costs, and skilled personnel. Currently, burn assessments are carried out manually, which is time-consuming and the results are subjective. Treatment efforts include preventing infection and encouraging epithelial cell regeneration to close the wound. Therefore, innovation is needed in the form of a system that helps assess burns more effectively, including classifying wound tissue, measuring wound area, and monitoring wound development. The use of an Android-based system can provide more accurate measurements through a digital planimetry approach or image segmentation, which can identify wound boundaries and tissue types. Technology-based health applications, such as the "Degree of Burn" application, allow for more efficient calculation of burn area and fluid requirements. This study uses a literature review method from international journals, national journals, books, and conference results related to burn assessment to support the development of this system.

The Impact of Telemedicine on Patient Outcomes During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Kori Puspita Ningsih — 2025-01-22

The ongoing global pandemic has precipitated the rapid adoption of telemedicine as an alternative means of delivering healthcare, particularly with a view to reducing direct contact between patients and medical personnel. The objective of this study is to examine the influence of telemedicine on patient health outcomes during the ongoing pandemic through a comprehensive review and meta-analysis of pertinent literature. A qualitative research methodology was employed to analyse 20 articles selected based on pre-established inclusion and exclusion criteria. The findings indicate that telemedicine has a favourable impact on enhancing healthcare accessibility, time efficiency and cost reduction, despite challenges pertaining to technological constraints and patient digital proficiency. This research offers valuable insights for policymakers in optimising the future implementation of telemedicine.

Assessing the Effectiveness of Mindfulness-Based Stress Reduction (MBSR) Programs in Reducing Anxiety and Depression in Chronic Illness Patients

Prima Dewi Kusumawati — 2025-01-22

The objective of the present study was to evaluate the efficacy of a mindfulness-based stress reduction (MBSR) program in mitigating anxiety and depression levels in patients suffering from chronic illnesses. To this end, qualitative research techniques were employed, encompassing in-depth interviews and participant observation, in order to gather data from a cohort of twelve patients who had engaged in the MBSR program for a duration of 8 weeks at Sam Marie Clinic.Thematic analysis was subsequently implemented for the purpose of data analysis. Findings indicated that the MBSR program effectively reduced anxiety and depression levels by fostering heightened self-awareness, acceptance of emotions, and effective stress management.The study's findings offer crucial insights for the advancement of mindfulness-based psychosocial interventions in chronic disease patient care.