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Article
Publication date: 1 September 2023

Riza Sarasvita, Haryanto Haryanto, Siti Isfandari, Raharni Raharni, Yoseph Jody, Debby Hernawati, Anzany Tania Dwi Putri Baringbing, Fitri Isnaini and Linda Octarina

Therapeutic community (TC) is a primary approach that has been used in all Indonesian National Narcotics Board residential treatment centers since 2012. In TC, all daily…

Abstract

Purpose

Therapeutic community (TC) is a primary approach that has been used in all Indonesian National Narcotics Board residential treatment centers since 2012. In TC, all daily activities are strengthened into habits and routines without strong therapeutic or educational reasons. But recently, the TC members become more critical and have growing individual needs. Thus, the Indonesian National Narcotics Board (INNB) tried to combine the TC approach with thematic group activities (TGA) intervention using an integrated individual approach to improve the outcomes. This study aims to evaluate the client’s behavioral changes after undergoing a TC approach added with TGA intervention for two months.

Design/methodology/approach

A mixed-methods study with the pre-post design was applied to 122 participants from six INNB rehabilitation centers. Pre-post behavioral changes were measured by using Client Evaluation of Self Treatment, University Rhode Island Change Assessment Scale, modified-Addiction Severity Index 3.0 and World Health Organization-Quality of Life instruments. Analysis was done by using univariate and bivariate on quantitative data, focus group discussion, and medical record review.

Findings

The participants’ mean age was 30.57 years, majority male, 50% graduated from senior high schools and were employed. Bivariate analysis resulted statistically significant (p-value < 0.05) in tendencies to seek treatment, participate more actively, maintain a good relationship with counselors during the program, and decrease the psychological problems of participants. The client’s social state, as well as adaptation to the program, were also amended.

Originality/value

TGA-added TC approach was proven to improve clients’ behavioral changes, particularly in social functioning, program involvement and psychological conditions, in people with substance use disorders.

Details

Therapeutic Communities: The International Journal of Therapeutic Communities, vol. 44 no. 2/3
Type: Research Article
ISSN: 0964-1866

Keywords

Article
Publication date: 16 July 2024

Lidya Alwina Jokhu, Ahmad Syauqy, Li-Yin Lin, Fillah Fithra Dieny and Ayu Rahadiyanti

Stunting is a major multifactorial health problem in Indonesia that negatively impacts children. Among Southeast Asian countries, Indonesia had the highest prevalence of child…

Abstract

Purpose

Stunting is a major multifactorial health problem in Indonesia that negatively impacts children. Among Southeast Asian countries, Indonesia had the highest prevalence of child stunting (0–59 months old). As Indonesia has also the largest population in Southeast Asia, it is crucial to assess measures to decrease the prevalence of stunting in the country. Therefore, this study aims to examine the prevalence and determinants of stunting among children 6–23 under two years old in Indonesia.

Design/methodology/approach

The study used a cross-sectional design using the national database. A total of 15,641 children aged 6–23 months were included in the study. A multivariate logistic regression was performed to identify the association between the dependent and independent variables.

Findings

The prevalence of stunting was 18% (95% CI = 17.5%–18.7%). This study found that children aged 12–23 months were the dominant factor in stunting (OR = 2.12, 95% CI = 1.92–2.36). Factors associated with stunting include being male (OR = 1.37, 95% CI = 1.26–1.49), low birth weight (LBW) (OR = 1.95, 95% CI = 1.68–2.27), short birth length (SBL) (OR = 1.82, 95% CI = 1.64–2.01), history of infection (OR = 1.15, 95% CI = 1.06–1.26) and lack of dietary diversity (OR = 1.13, 95% CI = 1.04–1.00) consumption of empty calorie drinks (OR = 1.11, 95% CI = 1.01–1.24), unimproved sanitation (OR = 1.16, 95% CI = 1.04–1.30), middle socioeconomic status (OR = 1.34, 95% CI = 1.16–1.55), low maternal education (OR = 1.51, 95% CI = 1.08–2.10) and living in a rural area (OR = 1.15, 95% CI = 1.06–1.26).

Originality/value

To the best of the authors’ knowledge, this is the first study to analyze the prevalence and determinants of stunting among children under two years old in Indonesia using a national which represented a population of interest.

Details

Nutrition & Food Science , vol. 54 no. 8
Type: Research Article
ISSN: 0034-6659

Keywords

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