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This study examines the influence of income inequality and poverty on the prevalence of stunting in ten provinces across Sumatra Island during the 2016–2024 period. Using a panel dataset of 90 observations and applying a Fixed Effect Model, the results indicate that both income inequality—measured by the Gini Ratio—and poverty have a positive and significant effect on stunting. The Gini Ratio shows a coefficient of 1.46 (p = 0.0002), while poverty records a coefficient of 6.28 (p = 0.0140), jointly explaining 52% of the variation in stunting prevalence. Spatial analysis further supports these findings, with Moran’s I values exceeding 0.40, suggesting strong spatial autocorrelation and clustering of high-stunting regions. High-risk clusters—Aceh, Jambi, and Bengkulu—are characterized by Gini Ratios above 0.33 and poverty levels exceeding 12%, reinforcing the existence of an intergenerational poverty–stunting trap, particularly influenced by urban–rural disparities (rural 53.3% vs urban 34.9%). The study highlights that specific nutrition interventions such as supplementary feeding, micronutrient programs, and breastfeeding promotion are insufficient without accompanying structural reforms addressing economic inequality. Therefore, multisectoral convergence strategies are required, including expanded conditional cash transfers, progressive local taxation reforms, nutrition-focused social assistance, and universal basic infrastructure to accelerate stunting reduction toward the 14.2% target by 2029.

Nausea and vomiting are common symptoms experienced during early pregnancy, especially in the first trimester, and can adversely affect maternal comfort, nutritional intake, and overall well-being. In primary health care settings, these symptoms are often managed with pharmacological treatments; however, such approaches may raise concerns regarding safety, potential side effects, and accessibility for pregnant women. Therefore, there is increasing interest in non-pharmacological interventions that are safer and more practical. One alternative method is lemon aromatherapy (Citrus limon), which is believed to reduce nausea and vomiting by stimulating the olfactory system and promoting a relaxing effect. This study aimed to assess the effectiveness of lemon aromatherapy in decreasing the frequency of nausea and vomiting among first-trimester pregnant women diagnosed with emesis gravidarum at the Rum Balibunga Community Health Center. The research applied a pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women in their first trimester were selected through purposive sampling. The intervention involved inhalation of lemon aromatherapy over a specified duration. Data on the frequency of nausea and vomiting were collected before and after the intervention using a structured observation instrument. The data were analyzed using both descriptive and inferential statistics, with the Wilcoxon signed-rank test employed to determine differences between pre- and post-intervention results. The findings revealed a significant reduction in nausea and vomiting frequency after the intervention. Overall, lemon aromatherapy proved to be an effective, safe, and practical non-pharmacological option to support antenatal care services.

This study aims to analyze the acceptability, nutritional content, and financial feasibility of processed food products based on kimpul flour (Xanthosoma sagittifolium) and milkfish (Chanos chanos) as a functional local food innovation with potential for development to support food security. Kimpul flour was selected as a substitute for wheat flour due to its complex carbohydrate content, low glycemic index, and dietary fiber beneficial for digestion. Milkfish was utilized as an economical animal protein source rich in omega-3 fatty acids and widely available in Indonesia. The developed products included milkfish risoles, milkfish satay lilit, and kimpul pancake with various substitution formulations, tested using an experimental laboratory method. A hedonic test was conducted with 30 semi-trained panelists to evaluate color, taste, aroma, and texture. Nutritional content was analyzed using the Fat Secret application, while financial feasibility was assessed through a two-year cash flow projection. The results indicated that kimpul flour substitution at 8% in risoles, 10% in satay lilit, and 50% in pancakes yielded the highest acceptability scores based on organoleptic evaluations favored by the panelists. Nutritional analysis demonstrated an increase in dietary fiber and a balanced macronutrient profile. Financial analysis showed that the business is feasible and profitable for development at the micro, small, and medium enterprise (MSME) scale. This study concludes that kimpul flour and milkfish have strong potential as functional food ingredients with high economic value.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

Community service activities in traditional fish ponds on Tibi Island, Tarakan, aim to increase the productivity of fish and shrimp farming using a simple yet effective approach. The methods applied include manual pond maintenance, such as spreading molasses solution (EM-4) to improve water quality, removing pests such as snails and oysters, and routine net maintenance and water drainage. Feed management is carried out every three days to maintain the nutritional balance of fish and shrimp. Although without the use of sophisticated technology, the success of cultivation depends heavily on the experience and thoroughness of the farmers in managing the pond environment. Overall, this activity demonstrates that a simple and structured approach can support sustainable cultivation, increase productivity, and strengthen collaboration between the implementation team and the pond owners. It is hoped that this method can serve as a useful example for other traditional fish farmers in increasing aquaculture yields and supporting more efficient and environmentally friendly farming practices.

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.

Background: Sectio Caesarea (SC) surgery causes an incision wound in the abdomen, requiring a complex tissue healing process. Nutrition is a primary systemic factor supporting cell regeneration and new tissue formation through the intake of protein, vitamins, and minerals. However, many postpartum mothers still practice dietary restrictions due to misconceptions about the wound healing process. Objective: To determine the relationship between nutritional fulfillment and wound healing duration in post-SC patients at Prof. Dr. R.D. Kandou General Hospital, Manado. Methods:This quantitative research used an observational analytic design with a cross-sectional approach. The sample consisted of 20 postpartum mothers after SC, selected using purposive sampling technique. Research instruments included a questionnaire and an observation sheet. Data were analyzed using Fisher's Exact Test (α=0.05). Results: The majority of respondents (55%) had good nutritional fulfillment, and 60% of respondents experienced rapid wound healing. Statistical test results showed a p-value = 0.005 (p < 0.05), indicating a significant relationship between nutritional fulfillment and wound healing duration. Respondents with good nutrition had a rapid wound healing percentage of 90.9%, while respondents with poor nutrition had a slow wound healing percentage of 77.8%. Conclusion: Adequate nutritional fulfillment plays a crucial role in accelerating the wound healing process after Sectio Caesarea surgery.

Anemia among adolescent girls is one of the health problems that is often overlooked, even though it has serious impacts on learning concentration, productivity, and reproductive health in the future. One of the main causes of anemia is iron deficiency and an unbalanced diet. This community service activity aims to increase adolescent girls’ knowledge about anemia prevention through health promotion using poster media with the approach of “Smart Nutrition for Iron Health.” The activity was carried out at Pesantren Al-Mubarak 12 November 2025, targeting 34 adolescent girls. The method included planning, preparation, implementation, and evaluation stages, with pre-test and post-test conducted to assess participants’ knowledge levels. The results showed a significant increase in adolescents’ knowledge regarding anemia prevention. Before the activity, 55% of respondents had poor knowledge, 35% moderate, and only 10% good. After the intervention, 75% of respondents had good knowledge and 25% moderate, with no respondents in the poor category. These results indicate that poster media is effective in increasing adolescents’ understanding of anemia and the importance of consuming a balanced diet rich in iron as an effort to prevent anemia among adolescent girls.

This study aims to analyze the effect of using cassava (Manihot esculenta crantz) as a carbohydrate-based feed ingredient on body weight gain in beef cattle. The review was conducted using a descriptive literature study approach based on sixteen scientific articles discussing the nutritional composition, processing methods, and performance responses of beef cattle fed cassava-based diets. The analysis shows that cassava contains 17.45–88.6% dry matter, 2.4–21.45% crude protein, and 11.35–92.2% nitrogen-free extract, with variations influenced by plant part, processing method, and hydrocyanic acid (HCN) content. Processing techniques such as fermentation and ensiling can reduce HCN levels by more than 70% while increasing crude protein content up to 25%, thereby improving digestibility and feed efficiency. The inclusion of cassava in the form of flour, dried chips, pulp, or fermented peel consistently enhances dry matter intake and average daily gain (ADG) of beef cattle at inclusion levels of 20–50% in the diet. Overall, cassava has strong potential as a locally available, economical, and sustainable feed ingredient to improve beef cattle productivity.

The rapid development of information technology encourages the use of digital media as an educational tool in the health sector, particularly for pregnant women. One of the problems faced by Klinik Bidan Rima Pondok Meja is the limited use of conventional educational media, such as books and posters, which are considered less attractive and difficult to understand. This study aims to design and develop an Android-based Augmented Reality (AR) application as an educational medium for nutrition and fetal development for pregnant women. The application presents three-dimensional (3D) visualizations of fetal development from week to week, along with information on nutritional needs during pregnancy. The system development method used in this research is the Prototype model, while the Augmented Reality technology applies marker-based tracking. The development tools used include Unity, and Blender 3D. The result of this study is an Android-based AR application prototype that provides interactive and easily understandable information about fetal development and maternal nutrition. This application is expected to increase learning interest and understanding of pregnant women in maintaining a healthy pregnancy at Klinik Bidan Rima Pondok Meja.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Pregnancy is a crucial period that requires special attention to maternal nutritional status, including the prevention of anemia through the consumption of Multiple Micronutrient Supplements (MMS). Compliance with MMS consumption remains a challenge due to physical, psychological, and social factors. This study aims to analyze the role of Posyandu cadres as peer support in improving compliance with MMS consumption and preventing anemia in pregnant women in the Bongo II Community Health Center, Boalemo Regency. The study used a pre-experimental one-group pretest-posttest design with a total sample of 20 pregnant women. Peer support interventions in the form of education, motivation, reminders, and routine monitoring were carried out for 4 weeks. Data were collected through questionnaires, MMS consumption records, and hemoglobin level examinations, then analyzed using the Wilcoxon test and paired t-test. The results showed a significant increase in the mean score of MMS consumption compliance from 61.2 to 80.5 (p = 0.002) and the mean hemoglobin level from 10.7 g/dL to 11.4 g/dL (p = 0.014). This finding confirms the effectiveness of peer support by Posyandu cadres in increasing compliance with MMS consumption and improving anemia status.

Stunting and wasting are nutritional problems in toddlers that remain a double burden of malnutrition in Indonesia and have an impact on the quality of health and future human resource development. Monitoring the nutritional status of toddlers is generally carried out using anthropometric indicators, but the use of this data is still limited to descriptive analysis. This study aims to apply the K-Means algorithm in clustering infants vulnerable to stunting and wasting based on anthropometric indicators, so that groups of infants with different levels of nutritional vulnerability can be identified. The dataset used consists of infant data with variables of gender, age (months), height (cm), and weight (kg). The research stages included data preprocessing, encoding categorical variables, data normalization, determining the optimal number of clusters using the Elbow and Silhouette Score methods, and analyzing the characteristics of each cluster. The evaluation results showed that the optimal number of clusters was four. Each cluster has different anthropometric characteristics and distributions of stunting and wasting status, ranging from groups with relatively normal nutritional conditions, groups with a tendency toward overnutrition, to groups that are vulnerable to acute and chronic malnutrition. These clustering results provide a more comprehensive and segmented mapping of toddlers, which can be used as a basis for formulating more targeted and data-driven nutrition policies and interventions.

Physical fitness is a fundamental determinant of athletic performance and is strongly influenced by dietary intake and lifestyle behaviors. Adequate protein consumption is essential for muscle development and energy metabolism, whereas smoking has detrimental effects on lung function and aerobic capacity. This study aimed to explore the relationship between protein intake and smoking habits with physical fitness, measured by maximal oxygen uptake, among athletes of Persela Football Academy under-eighteen. A quantitative approach with a cross-sectional design was applied, involving adolescent male athletes. Protein intake was assessed using a semi-quantitative food frequency questionnaire, smoking habits were obtained through structured interviews, and maximal oxygen uptake was measured using the multistage fitness test. Findings revealed that the average daily protein intake of athletes was relatively high, while the mean maximal oxygen uptake score fell within the good category. Correlation analysis demonstrated a significant association between protein intake and aerobic fitness, as well as between smoking habits and aerobic fitness. The results indicate that lower protein intake and higher smoking frequency are linked to reduced physical fitness capacity. This study highlights the importance of nutritional interventions and healthy lifestyle promotion as integral components in the development of youth athletes to optimize performance and prevent decline in fitness.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

The development of value-added corn-based beverages representation an emerging opportunity within the agribusiness sector, particularly for student-led entrepreneurial initiatives seeking to utilize local agricultural resources. This study examines consumer perceptions of Zeagrain corn milk, a sweet-corn-derived drink positioned as a healthy, practical, and affordable alternative within the ready-to-drink market segment. The research aims to identify key attributes influencing consumer interest, evaluate perceived product performance, and assess the potential competitiveness of Zeagrain as a new agribusiness product. Data were collected using an online quantitative survey targeting respondents aged 17–35 years who represent potential urban consumers. The questionnaire measured demographic characteristics, consumption patterns of similar beverages, perceived importance and performance of product attributes, and purchase intention. The findings are expected to provide insights into consumer expectations regarding taste, packaging, nutritional value, and price. The results further serve as empirical input for improving product development strategies and enhancing the market readiness of Zeagrain. Ultimately, this study contributes to strengthening the commercialization prospects of corn-based beverages and supports innovation efforts among young agripreneurs seeking to optimize local commodities.  

Stunting is a chronic nutritional problem characterized by a child’s height being inappropriate for their age, particularly among children under five years old. One of the interventions implemented to prevent stunting is immunization. However, immunization coverage, especially complete basic immunization, has not yet reached the target, including in Medan City. Therefore, this literature study aims to explore the determinants of complete basic immunization coverage in Medan City using the Google Scholar database. The literature search identified nine articles that were extracted and discussed in this study. The determinants of complete basic immunization coverage include individual maternal factors such as age, education level, knowledge, attitudes, and mothers’ beliefs or perceptions toward immunization; social support factors including family support, economic conditions, and prevailing norms and cultural practices within families and communities; as well as health service factors. Comprehensive and integrated interventions are urgently needed to achieve optimal complete basic immunization coverage in Medan City.

Indonesia’s projected demographic bonus around 2045 must be harnessed as an advantage rather than becoming a burden. This potential benefit is highly dependent on the quality of human resources prepared from the present time. One of the key national programs in this regard is embodied in the vision of Indonesia Emas 2045. An interesting phenomenon can be observed in Cibeber District, Cilegon City, where the prevalence of stunting was once relatively high. This issue warrants serious attention as it directly affects children’s physical growth and cognitive development.This study analyzes strategies for ensuring adequate nutritional fulfillment as an effort to improve the quality of the golden generation. By employing SWOT analysis, several strategic alternatives were identified, including SO (strength–opportunity), WO (weakness–opportunity), ST (strength–threat), and WT (weakness–threat) strategies. The most critical recommendation highlights the importance of cross-sectoral collaboration and participatory involvement of all stakeholders.

Introduction: Stunting remains a major public health problem in Indonesia, including in Blang Teue Village, North Aceh, where the prevalence of children at risk of stunting reaches 28% (Public Health Center, 2023). The main contributing factors are mothers’ limited knowledge of locally sourced complementary feeding (MP-ASI) and restricted access to nutrition education media. This community service program aimed to empower the community by developing QR Code-based interactive educational posters as an accessible and user-friendly nutrition learning tool. Methods : The method employed was Community-Based Participatory Research (CBPR) with a Participatory Action Research (PAR) approach, involving 30 respondents (mothers of toddlers), health cadres, village officials, lecturers, and students. Results : The results indicated a significant improvement in mothers’ knowledge regarding local MP-ASI, where the percentage of respondents with high knowledge increased from 20% to 67% after the intervention. Utilization of QR Code media was also high, with 60% of respondents accessing it intensively, and a positive relationship was found between the intensity of media utilization and knowledge level (83% of high-intensity users achieved high knowledge). Conclusion : This program not only enhanced community knowledge and skills but also fostered the emergence of local leaders from health cadres and PKK members, as well as promoted social transformation through strengthened digital literacy and the use of local food in stunting prevention.

Background: Stunting remains one of the leading public health problems in Indonesia, including in Blang Teue Village, Lhokseumawe City, where the prevalence reaches 27.6%. Purpose: This community service program aimed to develop an innovative community-based production model for locally sourced complementary feeding (MP-ASI) through the empowerment of PKK women’s groups and Posyandu cadres. The program focused on improving nutritional knowledge, production skills, and digital capabilities related to child growth monitoring. Methods: The Participatory Action Research (PAR) approach was employed through several stages, including identification of local food resources, training on the production of nutrient-dense complementary foods made from mackerel and moringa leaves, and digital education for promotion and child growth recording using Google Sheets. Results: The program demonstrated significant improvements, including an increase in knowledge related to stunting prevention (participants in the “good” category rose from 5% to 72.5%), enhanced production skills for NABUNG complementary food (85%), and improved digital literacy among Posyandu cadres in creating educational media and recording child growth data. Conclusion: This program successfully developed an innovative community-based MP-ASI production model that not only supports stunting prevention but also strengthens digital literacy and fosters community independence in managing child nutrition