@article {2464, title = {Preconception Posyandu Performance Assessment Instrument with Europan Foundation Quality Management (EFQM) Method: Indicators, Validity and Reliability}, journal = {Pharmacognosy Journal}, volume = {17}, year = {2025}, month = {January 2025}, pages = {40-46}, type = {Original Article}, chapter = {40}, abstract = {

Preconception Posyandu is one of the preconception women{\textquoteright}s health services created to help reduce MMR, IMR and stunting prevalence in Banggai District. This study aims to create a performance assessment instrument for the Preconception Posyandu so that it can maintain the existence of the service. The development of performance assessment indicators through Focus Discussion Group (FGD) activities using the Europan Foundation Quality Management (EFQM) method consists of using 9 variables. We involved 30 village midwives and 30 preconception women at three health centers within Luwuk City to test the performance assessment instrument. Internal reliability was assessed with Cronbach{\textquoteright}s alpha and criterion validity. The performance appraisal instrument using the EFQM method obtained development results, namely from 52 indicator questions made into 92 questions, then after testing the validity of the instrument, 81 questions were declared valid and 11 questions were invalid. The results of Cronbach{\textquoteright}s alpha value, there are 5 variables with strong reliability (alpha\> 0.80), namely leadership variables, strategic policies, staff management and partnerships and resources, while there is 1 variable with perfect reliability (alpha\> 0.90), namely process variables, and 3 variables with sufficient reliability (alpha \> 0.70), namely performance outcome variables, customer satisfaction and impact on society. The questions generated from the development of indicators can be used to measure performance. The service of the Preconception Posyandu Program that has been running so far, this is evidenced by the average value of the reliability test which is 0.83, which means strong reliability.

}, keywords = {EFQM, Instrument, Performance Appraisal, Preconception Health Post}, doi = {10.5530/pj.2025.17.5}, author = {Fitrianty Sutadi Lanyumba and Muhammad Syafar and Darmawansyah D and Apik Indarty Moedjiono and Healthy Hidayanty and Wahiduddin W and Faizal Fahmi and Anang S Otoluwa and Anwar Mallongi} } @article {2362, title = {Application-based Reproductive Health Education on Reproductive Health Risk Behavior among Adolescents in Ternate City}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {August 2024}, pages = {942-948}, type = {Research Article}, chapter = {942}, abstract = {

Background: The current era of digitalization is encouraging public health literacy to increase, especially among teenagers who are close to gadgets, so that the term e-health literacy is known, namely digital health literacy is defined as the ability to search, find and understand health information available in resources. electronically and use information obtained from these resources to overcome health problems. Objective: To determine the effectiveness of application-based reproductive health education to increase positive behavior of adolescents in Ternate City. Method: This research uses a Quasi-experimental method (Pre-post Control Design). The number of samples in this study was 300 teenagers aged 12- 15 years, in Ternate City. The measurement uses a questionnaire to measure knowledge, attitudes, actions, subjective norms, perceived behavioral control, and health literacy. The analysis used is the mean difference test, namely the Wilcoxon test and the Mann-Whitney test. Research Results: The distribution of respondents based on age groups in the control group and in the intervention group was mostly in the 13 year age group, namely 119 people (79.3\%) and 111 people (74.0\%), the most common gender was female. The results of the analysis showed that there were no differences between the control and intervention groups before treatment, there were differences between the control and intervention groups after treatment, there were differences before and after treatment in the variables knowledge (p value = 0.000), action (p value = 0.000), and health literacy (0.007) (p value \< 0.05). However, there is no difference for the variables Attitude, Subjective Norms, Behavioral Control. There are differences before and after treatment in the variables knowledge (p value = 0.000), attitude (p value = 0.000), action (p value = 0.000), subjective norms (p value = 0.000), behavioral control (p value = 0.000) and health literacy (p value = 0.000) (p value \< 0.05). Conclusion: Application-based reproductive health education has a good impact in increasing positive behavior among teenagers in Ternate City, this is based on changes in knowledge, attitudes, subjective norms, behavioral control and health literacy.

}, keywords = {Adolescents., Application, Reproductive Health, Risk Behavior}, doi = {10.5530/pj.2024.16.152}, author = {Muhlisa and Ridwan Amiruddin and Apik Indarty Moedjiono and Suriah and Rizal Damanik and Ummu Salmah and Sudirman Nasir and Intan Sari Areni and Anwar Mallongi} } @article {2339, title = {The Effect of Giving Iodized Salt and Multi Micro Nutrients to Pregnant Women on the Nutritional Status of Pregnant Women in Majene Regency}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {August 2024}, pages = {779-784}, type = {Original Article}, chapter = {779}, abstract = {

Background: Maternal nutritional needs during pregnancy increase due to physiological, metabolic and anatomical changes. If the intake is insufficient, there will be deficiencies in both macro and micro nutrients. Multimicronutrient deficiency will affect the growth and anemia status of pregnant women. Objective: This study aims to determine the effect of giving iodized salt and Multi Micronutrient Supplements to pregnant women on hemoglobin levels, body weight, iodine levels in urine and pregnancy outcomes. Method: This research is an analytical research using an experimental design that controls several nonexperimental variables and there is a control group as a comparison group to understand the effect of treatment. Determining the sample in this study used a random experimental method where 200 pregnant women were used as the research sample. The results showed that there was a significant change or increase in Hb levels (p=0.006; \<0.000; \<0.000), body weight (p=0.001; \<0.000; \<0.000), lila (\<0.0015; \<0.000; \<0.000 ), Iodine levels (\<0.000; \<0.000; \<0.000), between the group given iodized salt and MMS and the group given MMS. In this study, in the group of pregnant women who received iodized salt and MMS intervention, on average there was an increase or change in HB levels, iodine levels, mother{\textquoteright}s weight, baby{\textquoteright}s weight and abdominal length and circumference compared to those who received MMS. for pregnant women is to regularly maintain nutritional intake during pregnancy, especially consuming iodized salt and MMS which is beneficial for the health of pregnant women and the baby they are carrying.

}, keywords = {Pregnant women; Iodine Salt; Multi Micro Nutrient Supplement; Nutritional status.}, doi = {10.5530/pj.2024.16.129}, author = {Darmin Dina and Nurhaedar Jafar and Veni Hadju and Hasnawati Amqam and Ridwan Amiruddin and Wahiduddin and Anwar Mallongi and Apik Indarty Moedjiono and Anang S. Otoluwa and Yulianah Sulaiman} } @article {2403, title = {Effect of Moringa Oleifera Plus Royal Jelly Capsules in The Gestation Age and Placenta Weight of Newborns in Indonesia}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {October 2024}, pages = {1177-1182}, type = {Research Article}, chapter = {1177}, abstract = {

Background: The incidence of adverse birth outcomes (ABO) in low- and middle-income countries (LIMC) remains significantly elevated. Moringa oleifera (MO), rich nutritional profile, offers to reduce ABO. Therefore, this study aimed to evaluate the impact of MO plus royal jelly capsules on the gestational age and placental weight of newborns in Indonesia. Materials and Methods: A quasi-experimental design setup in the Banggai district, Central Sulawesi Province. The study used a purposive sampling of 80 pregnant women from each sub-district. Moilong District received MRJ, while South Batui District was the Multiple Micronutrient Supplement (MMS) control group. Both groups took one capsule daily for six months. Data analysis using SPSS v28 for Windows, including Chi-square/Fisher{\textquoteright}s exact test, Kolmogorov- Smirnov test, Mann-Whitney test, and ANCOVA, with a significance level of p \< 0.05. Results: The demographic characteristics in both groups were similar (p \> 0.05), except for BMI (p=0.031). Pregnancy outcomes data were also identical (p \> 0.05). The Mann-Whitney test did not show a significant difference (p = 0.696) in the gestational age of delivery between the groups. However, there was a significant difference (p \< 0.05) in the PW variable within the MRJ group, as shown by the Mann-Whitney test. After adjusting for BMI in PW, the ANCOVA test indicated a significant difference (p = 0.001). Conclusions: The study concludes that MRJ and MMS interventions are effective and safe in preventing ABO in newborns based on gestational age and placental weight.

}, keywords = {Adverse Birth Outcomes, Moringa oleifera, Multiple Micronutrient Supplement, Pregnancy outcomes, Pregnant women}, doi = {10.5530/pj.2024.16.192}, author = {Lina Fitriani and Citrakesumasari and Veni Hadju and Sudirman Nasir and Apik Indarty Moedjiono and Masyitha Muis and Nurpudji Astuti Taslim and Sri Sumarni and M.Bambang Uswatul Firdaus} } @article {2316, title = {Implementation of Preconception Health Services in Some Southeast Asian Countries: A Literature Review}, journal = {Pharmacognosy Journal}, volume = {16}, year = {2024}, month = {June 2024}, pages = {677-681}, type = {Review Article}, chapter = {677}, abstract = {

Objective: This literature discusses various forms of implementation of preconception health services in Indonesia, Malaysia, Singapore, Thailand, Vietnam, and the Philippines. Methods: This literature uses a narrative review with a time limit of 10 years (2011{\textendash}2021) and sources from online database journals that provide free journal articles in PDF format. These include Q1{\textendash}Q4 open access journals, Google Scholar, PubMed, Elsevier, and other sources, such as data from the Ministry of Health of the Republic of Indonesia. Of the 52 studies identified in the search phase, 17 were eligible for inclusion in this review. The keywords used in the literature search are preconception, health services, and Southeast Asia. The analysis carried out in this study is to group and combine the same types of preconception services from each country. Results: There is literature showing the implementation of preconception health services in some countries in Southeast Asia. These services include increasing preconception knowledge (in couples of childbearing age and adolescents), providing preconception care in the form of micronutrients, iron administration, use of contraceptives, counseling, screening for infectious diseases, increasing the participation of health workers in the village, and developing web-based preconception electronic modules and platforms. Conclusions: Providing micronutrients to women of childbearing age is a preconception service that is carried out in almost every country in Southeast Asia; some countries have developed preconception health service information systems, and other countries have not. It is necessary to evaluate the performance of existing preconception health services.

}, keywords = {Health Services, Preconception, Southeast Asia}, doi = {10.5530/pj.2024.16.113}, author = {Fitrianty Sutadi Lanyumba and Muhammad Syafar and Darmawansyah and Apik Indarty Moedjiono and Anang S Otoluwa} } @article {2126, title = {Analysis of Knowledge and Skills of Cadres in Early Detection of Stunting Toddler Development in Soppeng Regency, Indonesia}, journal = {Pharmacognosy Journal}, volume = {15}, year = {2023}, month = {October 2023}, pages = {833-838}, type = {Research Article}, chapter = {833}, abstract = {

Background: About 16\% of Indonesian toddlers experience neuro developmental and brain disorders ranging from mild to severe, every two days 1,000 babies experience motor development disorders. The prevalence of stunting in South Sulawesi is in the 20th lowest ranking, namely 27.4\% based on the provincial level in 2021. Objective: Recognizing the increased knowledge and skill of cadre and mothers and toddlers in early development detection of stunted infants using a Developmental Pre-Screening Questionnaire (DPQ) in the working area of the Panincong Health Center, Soppeng Regency. Method: This study used a quasi-experimental design with a pretest-posttest control group involving 30 cadres and 30 mothers with 15 children in each group selected by systematic random sampling. Data were analyzed using paired t-tests and Independent t-tests. Results: The results showed that there were differences in knowledge (p=0.000) in the intervention group and differences in knowledge levels in the control group (p=0.044). The level of knowledge after treatment was greater in the intervention group (11.8\%), while the knowledge after treatment in the control group was only (2.9\%). There was a difference in the skills of the cadres (p=0.000) after being given the Android-based DPQ intervention. There was a difference in the knowledge (p=0.000) and skills of toddler mothers (p=0.000) after being given the Android-based DPQ intervention applied by the cadres. Conclusion: Android-based DPQ is effective as an educational medium and as an alternative to cadres and parents in monitoring or early detection of child development using Android-based DPQ.

}, keywords = {Cadre, Development Disorders, Questionnaire., Stunting, Survey}, doi = {10.5530/pj.2023.15.159}, author = {Hasriani and Andi Ummu Salmah and Masni and Apik Indarty Moedjiono and Healthy Hidayanty and Wahiduddin and Anwar Mallongi} }