Sedentary behavior and lack of physical activity among children in Indonesia is an important issue that needs to be addressed. It is estimated that 57% of children in Indonesia have insufficient physical activity. Studies have shown that children who engage in sedentary behaviors are at an increased risk for various negative health outcomes, including obesity, type 2 diabetes, cardiovascular disease, and poor mental health, compared to physically active ones. This article aims to provide recommendations to increase physical activity and reduce passive behavior in children in Indonesia. This is a commentary article developed from observing the recent progress of sedentary behavior and lack of physical activity among children in Indonesia and the potential consequences. The level of inactive behavior in children in Indonesia is relatively high. Factors that contribute to sedentary behavior and lack of physical activity among children in Indonesia are the increasing use of electronic devices and screen time, the lack of safe and accessible places to be physically active, the COVID-19 pandemic, as well as cultural and social norms that prioritize academic achievement over physical activity. To address sedentary lifestyles among children, there is a need for a comprehensive approach that addresses both the individual and societal factors contributing to the problem. This might include increasing access to healthy food options, promoting physical activity, and implementing education programs to raise awareness about the importance of healthy eating and physical activity, as well as limiting screen time.

Introduction: The level of human immunodeficiency virus (HIV) transmission from mother to child in Indonesia ranks first worldwide. Newborn babies in Indonesia are at greater risk of experiencing the burden of HIV infection than babies born in other countries. Objectives: To explore the full extent of Prevention of Mother to Child Transmission (PMTCT) in South Sulawesi Province in 2020 and to discuss program and policy implications for PMTCT. Methods: This is a health system analysis study with a qualitative approach using focus group discussion, in-depth interviews, and observations in primary health centers and hospitals. Results: There is no local policy and guidelines for PMTCT programs and services; the coverage of HIV testing in pregnant women has not achieved 100% according to the target. There are limitations to human resources in public and private services to conduct the program. The assistance’s activities to ensure antiretroviral (ARV) adherence are limited, and HIV-positive women faced stigma and discrimination, not only from the community but also from health workers. Recommendations: Some recommendations are to improve the HIV test coverage to 100% in pregnant women as well as the coverage and quality of ARV treatment.

Background: The achievement towards 100% exclusive breastfeeding still a challenge in many countries despite adverse impacts due to the absence of exclusive breastfeeding. One consequence from the low practice of exclusive breastfeeding is malnutrition, including stunting that can be prevented by providing optimal food to infants, starting with providing exclusive breastfeeding from birth to 6 months of age. However, the practice of exclusive breastfeeding still low and it is suspected that this practice also decreased during the COVID- 19 pandemic. This study aims to analyze the determinants of exclusive breastfeeding in sub-urban areas during the COVID-19 pandemic. Methods: This study using cross sectional design conducted from interviewing 206 mothers in 2022 who meet the inclusion criteria, consisted of breastfeeding their babies in the last 1 year and live in Sub-urban area in Depok City, West Java. Multiple binary logistic regression used to measure the association and strength between independent variables with the outcome variable. Independent variables with a p-value < 0.25 during the Chi-square test were included in the logistic regression model. Results: Prevalence of exclusive breastfeeding and early initiation of breastfeeding (EIB) was 58.3% and 57.8% respectively. Factors associated with exclusive breastfeeding practices are education, employment status, knowledge and attitude about exclusive breastfeeding, self-efficacy in providing exclusive breastfeeding, EIB practice, and eating pattern. From multivariate analysis, it was found that the dominant factors to exclusive breastfeeding are EIB. Conclusions: The study highlights the importance of improving exclusive breastfeeding practice through early initiation of breastfeeding, mother’s knowledge, education and self-efficacy. Therefore, health promotion and education should emphasize the importance of those factors, supported by the health policy and massive campaign as a key success in exclusive breastfeeding.

Introduction: Obesity is associated with concomitant chronic conditions. An early metabolic consequence of obesity is disruption of glucose and insulin homeostasis. One of the consequences is impaired fasting glucose (IFG). Visceral fat is metabolically more harmful than subcutaneous fat, but few information is available regarding the association between the risk of abnormal glucose in increased waist circumference. Methods: This study is based on a cross sectional of 1,381 population-based from Palembang, Indonesia. The eligibility requirements subject were to be older than 18 and consent to taking fasting glucose and lipid profile tests as well as physical exams measuring their body weight, height, blood pressure, abdominal circumference, and waist circumference. Results: The number of subjects consisting of 798 noncentral obesity with normoglycemia, 376 central obesity with normoglycemia, and 207 central obesity with concomitant IFG. The prevalence central obesity with concomitant IFG was 35.51%. In subjects with central obesity, there were significant differences in proportions based on sex, age, marital status, education, and occupation. In multivariate analysis show that the risk factors that contribute to having a significant association with central obesity with concomitant IFG are sex (female), age (>40 years), blood pressure (hypertension), and HDL-C <50 mg/dL (p<0.001). The analysis also founded that there was a significant difference in the dietary pattern of sweet foods (p = 0.018), sweet drinks (p = 0.002), soft drinks (p = 0.001) and smoking habit (p6 times/week. Conclusion: The prevalence of central obesity with IFG is quite high. There are significant differences in the characteristics, lipid profile, blood pressure, dietary pattern, and smoking habit of central obesity with concomitant IFG was confirmed in this population-based observational study.

Background:E-cigarettes are a concerning issue since e-smoking has affected young people. This phenomenon will be influenced by how common e-cigarette use is among youth. Nevertheless, health experts have found that e-cigarettes have negative effects on health. Objectives:The purpose of this study was to determine factors connected with electronic smoking habits among adolescents in Indonesia. Methods:The 2019 Global Youth Tobacco Survey was used in this cross-sectional study employing a multistage cluster random sampling approach. A total of 7,758 samples were taken after selection based on inclusion criteria. Results:According to this study, 21% of adolescents had tried e-cigarettes. Furthermore, multiple logistic regression analyses revealed that sex (POR: 5.834, 95% CI: 4.749—7.167), allowance (POR: 2.432, 95% CI: 1.874—3.157), obtaining e-cigarette information from friends, shopkeepers, and promotion events (POR: 2.422, 95% CI: 1.959—2.994), and knowledge and attitude (POR: 2.030, 95% CI: 1.683—2.449) were the most influential factors on electronic smoking habits among adolescents in Indonesia. Conclusion:The results indicated that sex, allowance, access to information on e-cigarettes, and the knowledge and attitudes of adolescents strongly influence the likelihood of trying e-cigarettes. Strict policies regarding the use of e-cigarettes among adolescents need to be enforced, especially in regulating advertising and pricing to make them less affordable for adolescents. Keywords:determinants, e-cigarette, smoking, behaviour, adolescent

Abstrak: Perubahan cepat selama masa pubertas sering kali memunculkan ketidaknyamanan pada remaja misalnya masalah kesehatan reproduksi dan kerap diiringi dengan munculnya perilaku yang kurang baik seperti merokok dan bully. Oleh karena itulah sangat penting untuk diberikan edukasi mengenai pubertas, bahaya merokok dan cara mencegah bully. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan siswa/i mengenai kesehatan reproduksi, bahaya merokok dan pencegahan bullying. Pengabdian masyarakat ini dilakukan kepada 163 siswa/i di salah satu SMP di Depok menggunakan metode ceramah dan diskusi. Dalam melihat efektivitas pengabdian masyarakat ini menggunakan angket pre-test dan post-test dengan dilakukan analisis statistik uji Wilcoxon ..… Hasil uji pre-test dan post-test sebagai indikator penilaian pengetahuan menunjukkan p-value sebesar 0,000,Rata-rata skor pre-test adalah 51,23 dan setelah diberikan edukasi meningkat menjadi 65,83 artinya edukasi yang disampaikan dapat meningkatkan pengetahuan siswa sebesar 28,5%. Rapid changes during puberty often give discomfort in adolescents due to reproductive health problems and sometimes accompanied by bad behavior such as smoking and bullying. Therefore, it is very important to provide education about puberty, the harmful aspect of smoking and how to prevent bullying. The aim of this community service is to increase students' knowledge about reproductive health, the harmful aspect of smoking and preventing bullying. This community service was conducted to 163 students in one of the junior high schools in Depok using lecture and discussion methods. In seeing the effectiveness of this community service using pre-test and post-test questionnaires with Wilcoxon test statistical analysis. The average pre-test score was 51.23 and after being given education it increased to 65.83, meaning that the education delivered can increase student knowledge by 28.5%.