To implement an online system to evaluate the impact of the coronavirus disease 2019 (COVID-19) pandemic on maternal and child health and nutrition essential health services in Indonesia. We developed an electronic monitoring and evaluation system to assist district health offices in making rapid assessments of the impact of COVID-19 on maternal and child health and nutrition programmes in their area and in developing policy and programme responses. This implementation research was conducted from September to December 2020 in 304 districts. The strategies consisted of technical assistance for district offices by 21 partner universities and development of an online dashboard for rapid situation analyses and reporting. We collected qualitative data on feasibility and adherence to the intervention, as well as quantitative data from routine health databases to analyse the impact of COVID-19 on maternal and child health and nutrition indicators. In the majority of districts key maternal and child health and nutrition services were moderately or severely affected by the pandemic, particularly child growth monitoring and antenatal care services. Adherence to the protocol of the intervention varied across districts but the system is a feasible approach to be scaled up to other regions and health programmes. High uptake by the health ministry, district office and university partners provided the platform with collaborative efforts for health-systems strengthening. The electronic monitoring and evaluation system could be implemented and completed with several modifications to accommodate district offices and universities. There is a potential to scale up the intervention with better implementation planning and training.

Objectives: This study aimed to examine the association between maternal health behaviors and neonatal outcomes among the Indonesian population. Methods: Articles were collected from PubMed, EBSCO, ProQuest, DOAJ, and GARUDA. Funnel plots and Egger’s tests analyzed indications of publication bias. A Mantel–Haenszel random-effects model was used to see the overall effect size of exposures on outcomes. Heterogeneity was seen based on I². Data collected from articles included the author, year of publication, location of the study, study design, number of samples, risk factors, and effect sizes. Results: We identified 24 relevant studies, including eight from the primary databases and 16 from an additional database. A total of 12 studies were included in the meta-analysis, examining the association between maternal health behaviors and neonatal outcomes. The pooled odds ratio (OR) for passive smoking and low-birth-weight (LBW) was 3.41 (95% CI: 1.75–6.63, I² = 40%, four studies). The pooled OR for incomplete antenatal care (ANC) and LBW was 6.29 (95% CI: 2.11–18.82, I² = 70%, four studies). The pooled OR for incomplete ANC and neonatal mortality was 2.59 (95% CI: 1.01–6.66, I² = 93%, four studies). Conclusions: The results indicated that pregnant women with incomplete ANC had a higher risk of LBW and neonatal mortality, and those who were passively exposed to smoking had a higher risk of LBW. Further investigations are needed, considering the high heterogeneity found, and additional meta-analyses should be based on the variations of socio-demographic conditions.

Introduction: Dengue has been a burden, especially in tropical country. Indonesian Ministry of Health promote dengue prevention through environmental control with 3 M (covering water storage, cleaning water storage, and recycling unused items) practices. Here we analyzed factors associated with dengue prevention behavior in riverbank area of Yogyakarta Province. Methods: The study employed cross-sectional survey covering riverbank area of Sendowo, Yogyakarta Province. This study systematically sampled 1 representative from every household to describe the condition of 1 house. We analyzed the associations between subjects' characteristics and dependent variables using Pearson's chi-square test. Results: Overall, 89 subjects were enrolled in this study, of whom 11.2% males and 88.8% females. Age and occupation were associated with covering water storage variable with p-value of <0.001 and 0.007, respectively. Recycling unused items variable was associated with monthly income with p-values of 0.045. Furthermore, there were no significant associations between cleaning water storage variable with sex, age, marital status, education level, monthly income, and occupation. Conclusion: Age and occupations were associated with covering water storage variable. Recycling unused items variable shows significant association with income. Further multiarea study is necessary to compare our findings with other areas.

This study aimed to explore the effect of Zumba training on body composition and its compensatory effect on dietary intake and sleep in sedentary overweight women. This was an experimental study with crossover design conducted in 34 subjects. We showed that Zumba training was associated with the reduction of body fat (P = .023) but not body weight (P = .783). This training was also associated with increased fat intake (P = .004) and sleep duration (P = .043). After compiling the effect of dietary intake, physical activity, and sleep, we found that fat intake during Zumba training was an important determinant of weight changes.

Purpose: This study investigated the relationship between exclusive breastfeeding and stunting incidence in young children aged 0-59 months. Method: This is an observational study with a cross-sectional approach. There were 100 mothers with young children aged 0-59 months as respondents from Palaran, Samarinda. The dependent variable was children's height-for-age nutritional status, as in normal or stunting, and the independent variable was exclusive breastfeeding. Young children's height was collected by checking their Maternal and Child Health (KIA) book. Parity, family income, mother's education, mother's knowledge, and family support information were also collected by interview. Bivariate analysis was measured with the Chi-square test. Results: There is no association between exclusive breastfeeding and stunting (p-value>0.05). We also found no association between stunting and parity, family income, mother's knowledge, and family support (p-value<0.05). However, we found a significant relationship between stunting and mother education. Conclusion: Exclusive breastfeeding is not associated with stunting in Palaran, Samarinda. Further research is needed to determine the factors associated with stunting in Samarinda.

Anemia merupakan keadaan kadar sel darah merah dalam darah yang rendah dan sering dialami oleh remaja putri akibat menstruasi serta kebutuhan gizi tinggi selama masa pertumbuhan. Di wilayah kerja Puskesmas Loa Bakung, Samarinda, kasus anemia tertinggi tahun 2023 ditemukan pada siswi SMP Negeri 16 Samarinda, dengan prevalensi 25% dari 190 kasus. Tujuan penelitian ini adalah untuk mengevaluasi hubungan asupan zat besi, protein, serta kebiasaan melewatkan makan dengan kejadian anemia pada remaja putri di SMP Negeri 16 Samarinda. Penelitian ini menggunakan desain cross-sectional. Sebanyak 72 responden dipilih melalui teknik purposive sampling. Data dikumpulkan melalui pemeriksaan hemoglobin (Hb), wawancara dengan kuesioner SQ-FFQ, dan kuesioner kebiasaan makan. Sebanyak 37 (51,4%) siswi mengalami anemia, 56 (77,8%) siswi mengonsumsi asupan protein cukup, dan 67 (93,1%) kekurangan asupan zat besi harian. Sebanyak 55 (76,4%) siswi tidak terbiasa sarapan. Analisis statistik menunjukkan adanya hubungan antara asupan zat besi (p=0,023), protein (p=0,010), dan kebiasaan melewatkan sarapan (p=0,038) dengan kejadian anemia, namun tidak ditemukan hubungan antara kebiasaan melewatkan makan siang (p=0,207) dan makan malam (p=0,658) dengan anemia. Diperlukan peningkatan kesadaran remaja putri mengenai pentingnya sarapan dan konsumsi makanan bergizi, khususnya yang mengandung zat besi dan protein, untuk mencegah anemia dan menunjang kesehatan selama masa pertumbuhan.