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Integrated Situational Analysis of Chronic Energy Deficiency to Inform A Community-Based Mentoring Model in Indonesia

Jurnal Kesehatan Masyarakat · Vol. 21 No. 4 (2026) · hlm. 987–1003

DOI
10.15294/kemas.v21i4.48410
ISSN
2355-3596, 1858-1196
Terbit
2026-04-21
Penerbit
Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)
Bahasa
eng

Abstrak

Maternal malnutrition in Central Lombok remains a challenge. This study aimed to identify multilevel determinants of chronic energy deficiency among pregnant women through an integrated situational analysis using a mixed-methods approach to inform a community-based mentoring model in Indonesia. A sequential exploratory mixedmethods design was conducted in 2025 at the district health office and five community health centers. The qualitative phase used purposive sampling of stakeholders and cadres, while the quantitative phase included 206 pregnant women with mid-upper arm circumference (MUAC) <23.5 cm selected through cluster random sampling. The dependent variable was MUAC status, with independent variables including maternal characteristics, dietary intake, food taboos, antenatal care (ANC), iron–folate supplementation, mentoring exposure, knowledge, and attitudes. Data were analyzed using contingency coefficients and multiple logistic regression. Food taboos were reported by 43.2% and were significantly associated with MUAC (p=0.023). Energy and protein inadequacy were 91.3% and 84.0%, respectively. ANC attendance (94.7%) and iron–folate use (91.3%) were high. High-risk maternal age increased the odds of lower MUAC (OR=2.364; 95% CI:1.208–4.629), while higher education decreased the odds (OR=0.528; 95% CI:0.279–0.998). Mentoring exposure (OR=2.636; 95% CI:1.238–5.612) and parity (OR=1.610; 95% CI:1.122–2.310) were also significant. These findings inform community-based mentoring models focusing on dietary behavior and social context.

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  • Diponegoro University
  • State University of Semarang
  • Hasanuddin University
  • Satya Wacana Christian University
  • Universitas Gadjah Mada
  • St. Paul University Manila
  • Universitas Muhammadiyah Bengkulu
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Tampilkan sebagai tabel
Rekan penulisOrganisasiArtikel bersama
Suhartono SuhartonoDiponegoro University6
Ani MargawatiDiponegoro University5
Martha Irene KartasuryaDiponegoro University4
Suyatno SuyatnoDiponegoro University4
Novia HandayaniDiponegoro University4
Zahroh ShaluhiyahDiponegoro University3
Ratih IndraswariDiponegoro University3
Budiyono BudiyonoDiponegoro University3
Cahya Tri PurnamiDiponegoro University3
Mateus Sakundarno AdiDiponegoro University2
Etika Ratna NoerDiponegoro University2
Lia Awwalia MajidaDiponegoro University2
Siti Fatimah PradigdoDiponegoro University2
Dina Rahayuning PangestutiDiponegoro University2
Aditya KusumawatiDiponegoro University2
Ayun SriatmiDiponegoro University2
Sri WinarniDiponegoro University2
Atik MawarniDiponegoro University2
Ida Leida MariaHasanuddin University1
Oktia Woro Kasmini HandayaniState University of Semarang1
Suratman SuratmanUniversitas Gadjah Mada1
Devi Ayu SusilowatiDiponegoro University1
Ari YuniastutiState University of Semarang1
Suryani As’ádHasanuddin University1
Pingkan FristiwiDiponegoro University1
Fatimah Asri Fadhilah AuliaDiponegoro University1
Shafa Alya KamilaDiponegoro University1
Aisyah Nurul HidayahDiponegoro University1
Nur SiyamState University of Semarang1
Miranda Gita WahyuningtyasDiponegoro University1
Herlina Tri DamailiaDiponegoro University1
Dyah Hapsari PrananingrumSatya Wacana Christian University1
Endang HaryaniSatya Wacana Christian University1
Vivi Retno InteningSt. Paul University Manila1
Sutopo Patria JatiDiponegoro University1
Bintang Agustina PratiwiUniversitas Muhammadiyah Bengkulu1

Afiliasi berasal dari OpenAlex; metadata OAI-PMH jurnal tidak memuatnya. Penulis tanpa ID OpenAlex dicocokkan berdasarkan nama, sehingga dua orang bisa tergabung atau satu orang bisa terpisah.

Sumber metadata: OAI-PMH (metadata jurnal) https://journal.unnes.ac.id/journals/kemas/oai, pertama di-harvest 6 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Integrated Situational Analysis of Chronic Energy Deficiency to Inform A Community-Based Mentoring Model in Indonesia</dc:title>
	<dc:creator xml:lang="en">Hidayatullah, Moch Taufik</dc:creator>
	<dc:creator xml:lang="en">Nugraheni, Sri Achadi</dc:creator>
	<dc:creator xml:lang="en">Widjanarko, Bagoes</dc:creator>
	<dc:creator xml:lang="en">Kartini, Apoina</dc:creator>
	<dc:subject xml:lang="en">maternal undernutrition</dc:subject>
	<dc:subject xml:lang="en">mid-upper arm circumference</dc:subject>
	<dc:subject xml:lang="en">pregnancy</dc:subject>
	<dc:subject xml:lang="en">mentoring</dc:subject>
	<dc:subject xml:lang="en">socio-ecological approach</dc:subject>
	<dc:description xml:lang="en">Maternal malnutrition in Central Lombok remains a challenge. This study aimed to identify multilevel determinants of chronic energy deficiency among pregnant women through an integrated situational analysis using a mixed-methods approach to inform a community-based mentoring model in Indonesia. A sequential exploratory mixedmethods design was conducted in 2025 at the district health office and five community health centers. The qualitative phase used purposive sampling of stakeholders and cadres, while the quantitative phase included 206 pregnant women with mid-upper arm circumference (MUAC) &amp;lt;23.5 cm selected through cluster random sampling. The dependent variable was MUAC status, with independent variables including maternal characteristics, dietary intake, food taboos, antenatal care (ANC), iron–folate supplementation, mentoring exposure, knowledge, and attitudes. Data were analyzed using contingency coefficients and multiple logistic regression. Food taboos were reported by 43.2% and were significantly associated with MUAC (p=0.023). Energy and protein inadequacy were 91.3% and 84.0%, respectively. ANC attendance (94.7%) and iron–folate use (91.3%) were high. High-risk maternal age increased the odds of lower  MUAC (OR=2.364; 95% CI:1.208–4.629), while higher education decreased the odds (OR=0.528; 95% CI:0.279–0.998). Mentoring exposure (OR=2.636; 95% CI:1.238–5.612) and parity (OR=1.610; 95% CI:1.122–2.310) were also significant. These findings inform community-based mentoring models focusing on dietary behavior and social context. </dc:description>
	<dc:publisher xml:lang="en">Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)</dc:publisher>
	<dc:date>2026-04-21</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journal.unnes.ac.id/journals/kemas/article/view/48410</dc:identifier>
	<dc:identifier>10.15294/kemas.v21i4.48410</dc:identifier>
	<dc:source xml:lang="en">Jurnal Kesehatan Masyarakat; Vol. 21 No. 4 (2026); 987 - 1003</dc:source>
	<dc:source>2355-3596</dc:source>
	<dc:source>1858-1196</dc:source>
	<dc:source>10.15294/kemas.v21i4</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journal.unnes.ac.id/journals/kemas/article/view/48410/10963</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2026 Jurnal Kesehatan Masyarakat</dc:rights>
</oai_dc:dc>