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Makan Bergizi Gratis (MBG) program is a national policy designed to improve the nutritional quality of children and support human resource development. However, its implementation at the regional level still faces various institutional and coordination issues. This study aims to analyze the implementation of the Free Nutritious Meals program in Jambi City, focusing on the dynamics of program implementation and the inhibiting factors. This study uses a qualitative approach with a case study method. Data were collected through in-depth interviews with policy implementers and  documentation with informants determined through purposive sampling. Data analysis was conducted using Merilee S. Grindlee policy implementation theory through data reduction, presentation, and conclusion drawing. The results of the study indicate that the implementation of the MBG program in Jambi City has not been running optimally. This condition is characterized by the strong dominance of the central government in the decision making process, weak coordination between actors at the regional level, and inadequate readiness of supporting institutions, especially in aspects of human resources, monitoring system, and clarity of operational standards for implementation.

The Free Nutritious Meal Program (MBG) is a national priority policy under the Prabowo–Gibran administration aimed at improving students’ well-being and learning quality through school-based nutrition interventions. However, its effectiveness largely depends on the collaborative strength between teacher groups as field implementers and the government as policy makers. This study aims to analyze the collaborative synergy between teachers and the government in implementing MBG and to develop a conceptual model of school-based partnership. The study employs a Systematic Literature Review (SLR) method, reviewing national and international articles published between 2018 and 2024 using keywords “free nutritious meals”, “school feeding program”, “government collaboration”, and “primary school teachers”. Thematic analysis was conducted by categorizing findings into four main themes: the role of government, the role of teachers, collaborative implementation, and impact on students. The results show that the success of MBG depends on policy transparency, teacher training, and cross-sector coordination responsive to local conditions. This article contributes to constructing a conceptual collaborative model that positions teachers as policy mediators and social change agents in schools. The findings strengthen the concepts of collaborative governance and empowerment education within the context of educational nutrition policy in Indonesia.

Hemangioma is the most common benign vascular tumor in infancy and is generally characterized by a proliferative phase followed by spontaneous involution. Although most cases resolve without intervention, treatment is required when hemangiomas cause functional impairment, ulceration, or life-threatening complications. Lingual hemangioma is a rare presentation and may result in significant feeding difficulties and airway compromise, requiring prompt and multidisciplinary management. This study aims to report the comprehensive management of a refractory lingual hemangioma in an infant, emphasizing diagnostic evaluation, therapeutic strategy, and nutritional support. A six-month-old female infant presented with a lingual hemangioma associated with progressive feeding difficulties. Prior to initiating therapy, a thorough diagnostic workup was performed, including echocardiography to assess cardiac function, magnetic resonance imaging (MRI) to evaluate lesion extent, and computed tomography angiography (CT-angiography) to delineate vascular anatomy. The patient initially received oral propranolol as first-line therapy; however, due to an inadequate response, combination chemotherapy with Bleomycin–Vincristine (BV) was initiated. To minimize the risk of toxicity, a 50% dose reduction was applied. Clinical evaluation demonstrated a favorable therapeutic response, with a reduction in lesion size and improvement in feeding ability after 10 weeks of treatment. No severe adverse effects were observed during the treatment period. To ensure adequate nutritional intake and support growth, enteral nutrition via a nasogastric tube (NGT) was provided throughout the course of therapy. This case highlights the importance of comprehensive diagnostic assessment, individualized treatment planning, and close monitoring in refractory hemangioma. In addition, optimal nutritional support plays a crucial role in overall patient outcomes. A multidisciplinary approach is essential for the successful management of complex infantile hemangiomas with functional complications.

Stunting remains a major nutritional problem in Indonesia, impacting the quality of human resources. One important factor contributing to stunting is child feeding practices, especially during the First 1,000 Days of Life. Objective: This study aims to analyze the relationship between child feeding practices and stunting in toddlers. Method: This study used a cross-sectional design conducted in the Oesao Community Health Center (Puskesmas Oesao) working area. The sample was 30 toddlers aged 6–59 months selected using a purposive sampling technique. Child feeding practices were measured using a structured questionnaire, while stunting status was determined based on the WHO standard length/height-for-age (PB/U or TB/U) index. Data analysis was performed univariately and bivariately using the Chi-Square test. Results: The results showed that most toddlers with inadequate feeding practices experienced stunting. Bivariate analysis showed a significant relationship between child feeding practices and stunting (p < 0.05). Conclusion: Child feeding practices are significantly associated with stunting in toddlers. It is necessary to increase nutritional education and support families in feeding children as an effort to prevent stunting.

Balanced Nutrition Education and Strengthening Mothers' Participation in Posyandu Activities to Improve Toddler Nutritional Status Toddler nutrition continues to be a key focus in public health initiatives. Mothers' diet and active use of health services, particularly integrated health posts (Posyandu), are two factors that influence the nutritional status of toddlers. To help improve children's nutritional status, this community service project aims to strengthen mothers' involvement in Posyandu activities and raise their awareness of balanced nutrition. Thirty mothers of toddlers were targeted for this project, which was implemented in the Campalagian Community Health Center (Puskesmas) working area. Mothers were encouraged to actively participate in Posyandu activities through mentoring and education on balanced nutrition through counseling and interactive conversations. Mothers' attendance at Posyandu activities was monitored, and knowledge gains were measured using pre- and post-tests. The study found that mothers' average knowledge scores increased from 60 to 82, and mothers' attendance at Posyandu activities increased from 65% to 85%. This project demonstrates that balanced nutrition education and strengthening mothers' participation in Posyandu activities are effective in increasing mothers' knowledge and involvement, potentially supporting efforts to improve and prevent nutritional problems in toddlers on a sustainable basis.

Stunting is a serious health problem that affects the physical and cognitive development of children, especially in toddlers aged 0-24 months, with a prevalence that remains high in Indonesia. Community service at the Kapasa Health Centre aims to provide health education to mothers as a strategic step to prevent stunting, using interactive methods and counselling on balanced nutrition and the importance of monitoring child growth. The program has been successful in improving maternal knowledge, with the average score increasing from 34% before the program to 78% after education, demonstrating its effectiveness in changing knowledge of child nutrition. The interactive approach encourages participant engagement, allowing mothers to actively discuss and ask questions, while visual materials reinforce understanding. To effectively combat stunting, education must be complemented by greater knowledge of nutritious foods and by parental monitoring of child growth. Collaboration with local health authorities and community organizations is critical to sustaining these efforts and ensuring that important information reaches more families. Continuous evaluation and adaptive strategies will be essential to expanding the program's reach and effectiveness, ultimately encouraging healthier future generations and contributing significantly to stunting prevention and increased health awareness in the community.

A literature review on the implementation and evaluation of Convergence Action to Reduce Stunting in Indonesia was conducted as a comprehensive study to understand national patterns, challenges, and factors determining the success of the program. This study aims to examine the effectiveness of cross-sectoral interventions, identify structural barriers, and formulate strategic recommendations for strengthening stunting reduction governance. The method used was a Systematic Literature Review (SLR) with the PRISMA 2020 model, utilizing Crossref and Google Scholar sources through the Publish or Perish application. Of the articles found, only nine studies met the inclusion criteria and were analyzed using a thematic approach based on the CIPP framework. The SLR results showed that in terms of context, government regulations and commitment were strong, but there were geographical disparities, poor sanitation, and low nutrition literacy that affected program outcomes. In terms of inputs, limitations in nutrition human resources, facilities, funding, and the quality of e-PPGBM data were the main obstacles. In terms of process, the implementation of the 8 Convergence Actions has been carried out but remains partial, with suboptimal integration between OPDs and monitoring that has not yet produced adequate feedback. In terms of output, service coverage has increased, but the decline in stunting rates has been inconsistent across regions. The research results emphasize the importance of strengthening human resource capacity, data integration, cross-sectoral coordination, and adapting programs based on local contexts to ensure the accelerated and sustainable reduction of stunting.

Misconceptions are understandings that do not conform to scientifically accepted concepts, but are believed to be true by students. Misconceptions in elementary school students tend to be resistant and difficult to change if not identified early. This study aims to analyze the misconceptions of sixth grade elementary school students on the material of the human movement system. This material is often considered complex because it involves the relationship between bones, joints, muscles, and the health of the movement system. The type of research used is quantitative with a survey design. The research subjects consisted of 19 sixth grade students of SD Negeri Growong Kidul 02 who were selected through a total sampling technique. The research instrument was 10 diagnostic test items in a four-tier format (four levels) which included the level of answer, answer confidence, reasons, and reason confidence. The results showed that students' conceptual understanding was divided into three main categories: Concept Understanding (PK) of 48.42%, Misconception (M) of 50.53%, and Lack of Understanding (KP) of 1.05%. These findings indicate that misconceptions outweigh students' conceptual understanding, particularly regarding the mechanisms of antagonistic and synergistic muscles, the function and types of joints, and the relationship between nutrition and bone health. The use of a four-tier diagnostic test proved effective in accurately distinguishing students with a true understanding from those with misconceptions. This study concludes the need for innovative learning strategies and the use of concrete media to minimize misconceptions so that students have a strong foundation of scientific knowledge for the next level of education.

Posyandu (Integrated Health Post) is a community based health center that demonstrates community participation in health development. Posyandu provides a variety of integrated services, including family planning, maternal and child health (MCH), nutrition, immunization, and diarrhea management, all implemented simultaneously. Posyandu is also included in the Community-Based Health Efforts (UKBM) and is part of the Village Public Health Institution's activities. This study aims to analyze factors influencing mothers' visits to Posyandu by toddlers. The research method used was a literature review, examining ten relevant scientific articles. The article search was conducted through Google Scholar and Garuda databases, with the inclusion criteria being Indonesian-language articles published within the last five years (2021–2025). The study results indicate that factors influencing mothers' visits to Posyandu include knowledge, attitudes, education, employment, family support, the role of cadres, and access to health services. These findings emphasize the importance of strengthening the role of cadres and family support in increasing Posyandu visits.

Stunting is a chronic nutritional problem that is still prevalent in the community and has long-term impacts on physical growth, cognitive development, and the quality of human resources. One effort to prevent stunting is through a community service-based nutrition education program. This activity aims to analyze the implementation of a nutrition education program as a stunting prevention effort in Pasar Rawa Village, Gebang District, Langkat Regency, North Sumatra. The method used was a descriptive qualitative approach with a community service approach. The target group included PKK mothers and local mothers with toddlers. The activity was carried out through the delivery of balanced nutrition education materials, an introduction to stunting, and a discussion and question-and-answer session. The results of the activity showed active participant participation and increased awareness of the importance of fulfilling children's nutritional needs. However, some mothers still did not fully understand the concept of stunting, and some toddlers still experienced stunting. Therefore, nutrition education needs to be carried out sustainably and integrated with other health programs.

The increasing consumption of packaged food products in Indonesia reflects modern lifestyle changes but simultaneously raises public health concerns related to high calorie, sugar, and fat intake. Nutritional information presented on food labels consists of multiple interrelated variables, making it difficult to identify dominant nutritional factors that characterize packaged food products. This study aims to apply Principal Component Analysis (PCA) to reduce the dimensionality of nutritional data and to map the nutritional characteristics of packaged food products in Indonesia. The research employs a quantitative exploratory approach using secondary data obtained from nutrition facts labels of 1,651 packaged food products. Seven nutritional variables were initially analyzed, namely total energy, protein, total fat, total carbohydrates, sugar, sodium, and dietary fiber. Data preprocessing included data cleaning, Z-score standardization, and iterative variable selection based on the Kaiser-Meyer-Olkin (KMO) measure and Bartlett’s Test of Sphericity to ensure sampling adequacy and sufficient correlation among variables. Variables with low sampling adequacy and perfect multicollinearity were eliminated, resulting in five variables retained for the final PCA model. Principal components were extracted using the eigenvalue greater than one criterion and confirmed through a scree plot, followed by Varimax rotation to enhance interpretability. The results indicate the formation of two principal components explaining approximately 69.7% of the total variance. The first component represents energy density and macronutrient richness, while the second component reflects carbohydrate-related characteristics, particularly the contrasting pattern between sugar and dietary fiber. Biplot visualization further illustrates product distribution based on these components. The findings demonstrate that PCA effectively simplifies complex nutritional information and provides a clear nutritional mapping of packaged food products, offering practical insights for consumers, producers, and policymakers in supporting healthier food choices in Indonesia.

Empowering Posyandu cadresis one of the important strategies in improving the effectiveness of community-based health promotion,especially in the digital era. However, the limited skills of cadres in utilizing digital visual media are still anobstacle in creating interesting and communicative health information. This community service activity aims to improve the knowledge and skills of Posyandu cadres in Pondok Petir Village, Depok City, through seminars and training on the use of the Canva application as a medium for developing health promotion. The activity was conducted offline through lectures, discussions, and hands-on practice with intensive guidance. There were 25 participants, consisting of cadres and members of the local PKK. The results of the activity showed that most participants were able to understand and apply Canva's features to create health promotion media such as Posyandu schedule posters, immunization materials, and nutrition education. The enthusiasm of the participants during the practice sessions and their ability to produce informative and attractive visual designs demonstrated the success of this activity. Thus, Canva training has proven effective as a means of empowering Posyandu cadres in improving the quality of health communication and supporting the optimization of Posyandu services.

Adulteration of rice bran is commonly done by mixing it with materials of similar appearance but lower nutritional value, such as ground rice husk. A key indicator of such adulteration is increased lignin content. Adding phloroglucinol solution to the mixture produces a red color that varies with lignin levels. This study aims to estimate lignin content in rice bran-husk mixtures using artificial intelligence and digital image processing. YCbCr color model images of eleven rice bran-husk compositions, treated with phloroglucinol, were analyzed. The lignin content of each variation was measured in the lab and used to define eleven classes. A Probabilistic Neural Network (PNN) was employed as the classifier, with image histograms of varying bin sizes as input. PNN performance was evaluated using 4-fold cross-validation. Results showed the highest average accuracy of 85.80% with 32 bins and histograms from all three YCbCr channels.     

Malnutrition in children remains a serious public health challenge in Indonesia because it directly impacts growth, cognitive development, and the child's future quality of life. Parents play a crucial role in maintaining children's health, particularly in providing balanced nutrition and preventing nutritional problems such as stunting and malnutrition. This study aims to analyze the role of parents in maintaining children's health due to malnutrition based on a literature review. The method used is a qualitative literature study, through a search of various written sources in the form of scientific journals, articles, and relevant books obtained from Google Scholar. The results of the study indicate that the level of knowledge, education, parenting patterns, socioeconomic conditions, and active involvement of parents in monitoring children's growth significantly influence children's nutritional status and health. Parents play a role as providers of nutritious food, nutrition educators, role models of healthy lifestyles, and regular monitors of children's growth and development. Parents' lack of understanding of balanced nutrition, the habit of consuming instant foods, and minimal participation in health programs are risk factors for malnutrition in children. Therefore, increasing parental education and involvement through a family-based approach is an important strategy in efforts to prevent and address child nutrition problems sustainably.

Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua. Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua.

This study aimed to analyze differences in body composition among adult women across three regions with distinct sociocultural and environmental characteristics: Baduy Luar (rural–traditional), Salatiga (semi-urban), and Kota Bambu (urban). Using a cross-sectional design, the study involved 268 participants and assessed total body fat, visceral fat, subcutaneous fat, and skeletal muscle mass using the OMRON HBF-370 analyzer. Significant differences were observed across most body composition parameters (p < 0.001). Women living in the urban area exhibited the highest levels of total fat, visceral fat, and subcutaneous fat, reflecting the influence of urbanization and sedentary lifestyle on adiposity. Conversely, women in the rural–traditional community demonstrated the highest skeletal muscle mass across all body regions, consistent with their physically demanding daily activities and traditional dietary patterns. These findings highlight the substantial role of environmental context in shaping metabolic health and cardiometabolic risk. Targeted public-health interventions—such as structured physical-activity promotion and nutrition education in urban populations, and preservation of active lifestyles in rural communities—are recommended. Longitudinal studies are warranted to clarify causal pathways and further characterize metabolic determinants.

The low level of interest in learning for elementary school students remains a fundamental problem in the implementation of basic education in Indonesia. One factor suspected of contributing to this condition is the lack of optimal fulfillment of students' physical health and nutritional needs. The Free Nutritional Meal Program (MBG) is strategic government policy aimed at improving students' nutritional status as an effort support learning readiness and the quality of learning in schools. This study aims to analyze the effect of the Free Nutritional Meal Program on increasing interest in learning for elementary school students. The study used a quantitative approach with a quasi-experimental design using a one-group pretest-posttest model. The research subjects included elementary school students and teachers directly involved in the implementation of the MBG program. Data collection techniques were carried out through a learning interest questionnaire, observation of student learning activities, and structured interviews with teachers. The data obtained were analyzed using descriptive statistics and inferential statistics in the form of paired t-tests determine differences in learning interest before and after the program implementation. The results of the study are expected to show an increase in student interest learning after participating in the Free Nutritional Meal Program, which is characterized by increased attention, activeness, and motivation in the learning process. These findings are expected to provide empirical evidence that the Free Nutritional Meal Program not only contributes improving students' physical and health conditions, but also has positive impact on the psychological and academic aspects elementary school students.

Concurrent stunting and overweight/obesity (CSO) in adolescents represents a complex form of the double burden of malnutrition, characterized by linear growth faltering coexisting with excess body fat. This condition poses significant metabolic, cognitive, and reproductive risks that may affect long-term health and productivity. This review employs a narrative literature approach by synthesizing evidence from PubMed, Scopus, Web of Science, Google Scholar, and national journal portals. Included literature comprises studies assessing stunting, overweight/obesity, metabolic risk, cognitive function, and reproductive health among adolescents. Indonesian evidence (Harits et al., 2024) indicates that obese adolescents with a history of stunting exhibit a higher prevalence of metabolic syndrome (18.75%), greater abdominal adiposity, and elevated systolic blood pressure compared to non-stunted obese peers. Biologically, stunting impairs neurocognitive development and reduces muscle mass, while obesity promotes metabolic inflammation; the coexistence of these factors may reduce physical fitness, learning capacity, and overall productivity. CSO also affects reproductive health, including increased risks of ovulatory dysfunction, delayed sexual maturation, and intergenerational nutritional disadvantages. Although linear growth recovery is limited due to epiphyseal closure, functional recovery through improved diet quality and physical activity remains possible. In conclusion, adolescents with CSO experience greater metabolic, cognitive, and reproductive vulnerabilities than those affected by stunting or obesity alone. Interventions emphasizing metabolic function, diet quality, physical fitness, and reproductive health preparation are essential to prevent long-term consequences and break the intergenerational cycle of malnutrition. Further national research is required to map the prevalence and implications of CSO comprehensively.

The nutritional status of toddlers is an important indicator that reflects the level of public health in a region. This study aims to analyze the nutritional status of children aged 0–5 years in Teupin Desa Teupin Gapeuh Kecamatan Tanah Pasir Kabupaten Aceh Utara. This research employed a descriptive quantitative method using secondary data obtained from health records and posyandu (integrated health post) reports. The study involved a total of 60 children under five, consisting of 33 boys and 27 girls. The findings revealed that based on the weight-for-age (W/A) index, 81.7% of children had normal nutritional status, 13.3% were undernourished, and 3.3% were severely undernourished. Based on height-for-age (H/A), 90.0% were normal, 5.0% were short, and 3.3% were very short. According to the weight-for-height (W/H) index, 83.3% were normal, 11.7% were undernourished, and 5.0% were at risk of overweight. Furthermore, the prevalence of stunting, wasting, and underweight were 8.3%, 11.7%, and 16.7% respectively. These results indicate that although most children have normal nutritional status, some still experience nutritional deficiencies that require special attention. Therefore, health workers and local governments need to strengthen nutrition education programs, increase community awareness of balanced nutrition, and improve monitoring of child growth to prevent malnutrition in the area

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.