Media Karya Kesehatan is a journal published by the Faculty of Nursing at Universitas Padjadjaran. Media Karya Kesehatan is a journal that concerned a collection of articles from community service/engagement, or research activities that are integrated with community service. The theme of community service and research based on engagement programs, the impact of a development or innovation program, the results of surveys, experiments, and action research. Articles are analyzed and interpreted provided on theoretical and empirical studies in accordance with existing problems in the community. Media Karya Kesehatan is registered on ISSN: 2621-9026 (online). Media Karya Kesehatan publish paper under a Creative Commons Attribution - Non Commercial 4.0 International License. The scope of the journal is nursing and health areas. Media Karya Kesehatan provides an open access to the public for reading abstracts and full papers. Articles submitted to the journal will be screened by the editors and decide whether the article will be sent to the reviewer or not. The article are required to review by reviewers, after reviewed the authors must be revised the article. These processes take around three months. The reviewer are expertise in area of Nursing and health. • ISSN: 2621-9026 (online)
Surveillance of Central Obesity Using the Sehat Indonesiaku (ASIK) App in Denpasar City in 2025: An Evaluation Based on the Logic Model and Surveillance Attributes
Central obesity was a major risk factor for noncommunicable diseases (NCDs), with an increasing trend in Denpasar City, highlighting the need for an effective surveillance system. This study evaluated the performance of the ASIK-based central obesity surveillance system using a logic model framework (input, process, and output) and surveillance attributes. A mixed-methods descriptive evaluative study was conducted among NCD program officers at the Denpasar City Health Office and community health centers. The quantitative component used a cross-sectional approach, while qualitative data were collected through in-depth interviews, involving 12 respondents selected through total sampling. Data were collected using structured Likert-scale questionnaires and in-depth interviews and were analyzed descriptively based on CDC surveillance system evaluation guidelines. The results showed that input components were relatively adequate; however, challenges included dual workloads, limited technical training, and insufficient operational support. At the process level, the system operated as a non-integrated manual-digital hybrid, characterized by delayed data entry, duplication of recording, and lack of routine data verification. At the output level, data utilization remained limited to administrative reporting and was not optimally used for program planning or decision-making. In terms of surveillance attributes, simplicity (83.3%), flexibility (100%), and acceptability (91.7%) were categorized as good, while data quality (16.7%), representativeness (25.0%), stability (8.4%), and timeliness (50.0%) were low. In conclusion, the ASIK-based central obesity surveillance system was operational but not yet optimal. Strengthening system integration, improving data quality assurance mechanisms, and enhancing data utilization were essential to improve surveillance effectiveness and support evidence-based decision-making. Keywords: ASIK application, central obesity, logic model, surveillance system evaluation.
Copyright (c) 2026 Media Karya Kesehatan
Effectiveness of SEFCC Interventions on Increasing Maternal Self-Efficacy in Preventing Child Stunting in Gorontalo City
Stunting is a health management issue for toddlers that negatively impacts the growth and cognitive development of preschool children. This study aims to analyze the effect of Family-Centered Care (SEFCC)-based Supportive Educational Intervention on stunting prevention self-efficacy in mothers with children aged 3–5 years. This study used a quasi-experimental design with a pretest-posttest with control group design. The instrument in this study was a questionnaire analyzed using a normality test and paired t-test. The number of samples in this study was 60 mothers with preschool-aged children, who were divided evenly into 30 respondents in the intervention group and 30 respondents in the control group. The results of the study in the intervention group showed a significant increase in the average (mean) score of mothers' self-efficacy, namely from 21.00 at the pre-test to 48.63 after the intervention (post-test). The bivariate Paired T-Test for the intervention group yielded a t-value of 34.78 with a significance level of p-value <0.001, indicating a very significant effect of the intervention. In contrast, in the control group, the average score increased slowly (from 17.90 to 22.10). The final comparative analysis using the Independent T-Test demonstrated a highly significant and unequal difference in self-efficacy between the two groups at the post-test stage (t-value = 26.849; p <0.001), with the intervention group having a significantly greater influence on the belief in stunting prevention. Family-Centered Care (SEFCC)-based Supportive Educational Interventions have been shown to significantly increase the implementation of self-efficacy in stunting prevention among mothers with children aged 3–5 years. Active involvement of the nuclear family has been shown to reduce maternal parenting distress and foster strong intrinsic motivation. Keywords: Family-centered care, maternal self-efficacy, supportive educational interventions, stunting prevention.