The problem of stunting is not only related to children’s short height, but also has an impact on high morbidity rates, due to long-term nutritional deficiencies. which hinders motor and mental development in children. The objectives of this research are: 1) to understand household food security, 2) to understand the eating habits of pregnant women and toddlers regarding existing belief systems and traditions, and 3) to understand resilience mechanisms in overcoming food emergencies to prevent stunting. The data collection process uses a mixed methods approach by combining qualitative and quantitative research. The research results show that the determining factor for the incidence of stunting in coastal areas of Indonesia is the lack of household food availability due to subsistence economic life which then has an impact on eating behavior in the household, namely the lack of quality and quantity of the types of food consumed. daily. Apart from that, there is still a lack of understanding by pregnant women regarding the importance of providing complementary breast milk food to toddlers, low literacy of food diversity among toddlers, and low public trust in the importance of immunization. Furthermore, the high rate of early marriage in society and the limited awareness of using clean water is caused by a philosophy that still considers rivers as a source of life, so the water is used for consumption. Apart from that, socio-cultural mechanisms as a strategy to resolve the problem of food shortages have not yet been implemented.
This study examines the determinants of stunting prevention among toddlers in fishing families residing in the coastal areas of Bengkulu City. Utilizing a mixed-method approach, the research combined survey data from 70 respondents and in-depth interviews with 11 informants. Findings indicate that health behavior and genetic factors from health status, alongside education level and occupation from socioeconomic status, play pivotal roles in stunting prevention. Consumption patterns, particularly the consistent provision of animal protein and vegetables in daily meals, significantly contribute to the absence of stunting cases in the studied population. However, limited fruit intake persists due to economic barriers. The study underscores the necessity of integrated strategies, including nutrition education, enhanced access to nutritious foods, and economic support for fishing families, to sustain stunting prevention in coastal communities.
Introduction: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The primary objectives of the Semmelweis Plan include the optimisation and transformation of the health care system, starting with the integration of hospitals and the state control of previously municipally owned hospitals. The transformation of the health care system can have an impact on health services and thus on meeting the needs of the population. In addition to reducing health inequalities and costs, the relevant benefits include improving patients’ chances of recovery and increasing patient safety. The speciality under study is decubitus care. Our hypothesis is that integration will improve the chances of recovery for decubitus patients through access to smart dressings to promote patient safety. Objective: to investigate and demonstrate the effectiveness of integration in improving the chances of recovery for decubitus ulcer patients. Material and methods: The research compared two time periods in the municipality of Kalocsa, Bács-Kiskun County, Southern Hungary. We collected the number of decubitus patients arriving and leaving the hospital from the nursing records and compared the pre-integration period when decubitus patients were provided with conventional dressings (01.01.2006–2012.12.31) and the post-integration period, which entailed the introduction of smart dressings in decubitus care (01.01.2013–2012.12.31). The target population of the study was men and women aged 0–99 years who had developed some degree of decubitus. The sample size of the study was 4456. Independent samples t-test, Chow test and linear trend statistics were used to evaluate the results. Based on the empirical evidence, a SWOT analysis was conducted to further examine the effectiveness of integration. Results: The independent samples t-test model used was significant (for Phase I: t (166) = −16.872, p < 0.001; for Phase II: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −19.928, p < 0.001; for Phase III: t (166) = −16.872, p < 0.001). For stage III: t (166) = −10.078, p < 0.001; for stage IV: t (166) = −10.078, p < 0.001; for stage III: t (166) = −10.078, p < 0.001). for stage III: t (166) = −14.066, p < 0.001). For the Chow test, the p-values were highly significant, indicating a structural break. Although the explanatory power of the regression models was variable (R-squared values ranged from 0.007 to 0.617), they generally supported the change in patient dynamics after integration. Both statistical analyses and SWOT analysis supported our hypothesis and showed that integration through access to smart dressings improves patients’ chances of recovery. Conclusions: Although only one segment of the evidence on the effectiveness of hospital integration was examined in this study, integration in the study area had a positive impact on the effective care of patients with decubitus ulcers, reduced inequalities in care and supported patient safety. In the context of the results obtained, these trends may reflect different systemic changes in patient management strategies in addition to efficient allocation of resources and quality of care.
With the development of the times and changes in the environment of traditional martial arts, Choi Lei Fut (a Chinese martial arts system), a Chinese state-level intangible cultural heritage, is facing many difficulties in its inheritance and sustainable development. Especially in the context of COVID-19 pandemic prevention and control measures, the sustainable development of Choi Lei Fut is facing increasingly serious challenges. In order to understand the current situation of Choi Lei Fut’s survival and development in the new era, and to enhance the momentum and vitality of its sustainable development, this study combines questionnaire survey and field interviews to investigate and analyze the current situation. Based on this, it proposes strategies to promote the sustainable development of Choi Lei Fut. This study will not only provide methodological reference for the inheritance and development of Choi Lei Fut but also offer insights for the inheritance and sustainable development of other Chinese martial arts gyms and even martial arts practices elsewhere.
The new cases of HIV/AIDS are being reported in Indonesia tend to increase. for over two decades, the Indonesian government has issued policies to reduce the number of cases through several ministries and local governments, but the results have not indicated signs of success. Therefore, this research aims to analyze the failure of prevention policies to improve policymaking in the future. It focuses on policy and institutional substance aspects using a qualitative design with documentary analysis approach. The results show that the policy failure in dealing with cases is caused by inappropriate rationalization, medicalization, and weak institutional and regulatory roles. Based on these descriptions, stakeholders are expected to emphasize a multi-perspective and holistic approach and rationalize policy objectives with institutional capacity. Moreover, the government needs to increase public and community involvement, strengthening the role of religious leaders and the media, and increase public literacy regarding HIV/AIDS.
Malaria is an infectious disease that poses a significant global health threat, particularly to children and pregnant women. Specifically, in 2020, Rampah Village, Kutambaru sub-district, Langkat Regency, North Sumatra Province, Indonesia, reported 22 malaria cases, accounting for 84% of the local cases. This study aims to develop a malaria prevention model by leveraging community capital in Rampah Village. A mixed-method sequential explanatory approach, combining quantitative and qualitative methods, was employed. Quantitative data were collected through questionnaires from a sample of 200 respondents and analyzed using structural equation modeling (SEM) with Smart PLS (Partial Least Squares) software. The qualitative component utilized a phenomenological design, gathering data through interviews. Quantitative findings indicate that natural capital significantly influences malaria prevention principles. There is also a positive and significant relationship between developmental capital and malaria prevention. Cultural capital shows a positive correlation with malaria prevention, as does social capital. The qualitative phase identified cultural capital within the Karo tribe, such as ‘Rakut si Telu,’ which signifies familial bonds fostering mutual aid and respect. The results of this study are crucial for formulating policies and redesigning community-capital-based malaria prevention programs. These programs can be effectively implemented through cross-sectoral collaboration among health departments, local government, and community members. Malaria is a communicable disease threatening global health, particularly affecting children and pregnant women. In 2020, there were 229 million cases of Malaria worldwide, resulting in 409,000 deaths. In Indonesia, specifically in North Sumatra’s Langkat Regency, Kutambaru District, Rampah Village had 22 cases (84%). The purpose of this research is to formulate a Malaria prevention model using community resources in Rampah Village, Kutambaru District, Langkat Regency. The study employed a mixed-methods sequential explanatory approach, combining quantitative and qualitative methods. Quantitative data was collected through questionnaires, with 200 respondents, and structural equation modeling (SEM) analysis using smart PLS (Partial Least Squares) software. Qualitative data was gathered through interviews. The research findings showed a positive relationship between cultural modalities and Malaria prevention (p = 0.000) with a path coefficient T-value of 12.500. The cultural modality and Malaria prevention relationship were significantly positive (p = 0.000) with a path coefficient T-value of 3.603. A positive and significant correlation also exists between development modalities and Malaria prevention (p = 0.011) with a path coefficient T-value of 2.555. Qualitative research revealed the Rakut si Telu cultural modality of the Karo tribe, meaning that family-based social connections create a sense of helping and respecting one another. The Orat si Waluh cultural modality represents daily life practices in the Karo tribe as a form of community-based Malaria prevention.
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