Background Studies have demonstrated that health care students and practitioners are not immune to stigma towards people living with HIV (PLHIV). This attitude could lead to poor quality of care if it remains uncorrected. However, little is known about dietetic students’ acceptance of PLHIV despite their substantial role in treatment. This study aimed to measure the extent of knowledge and stigma towards PLHIV among dietetic students and to determine the associated factors using the attribution theory. Methods Students from three dietetics schools in Indonesia (n = 516) were recruited to participate in this cross-sectional study. Survey questions covered demographic information, interaction with PLHIV, access to information sources, cultural values, and beliefs as predictor variables. The outcome variables were comprehensive knowledge of HIV, HIV and nutrition-specific knowledge, and attitudes. Analyses with linear regression and the stepwise selection were performed to determine factors related to the outcome. Results The levels of HIV comprehensive knowledge and HIV-nutrition specific knowledge among dietetic students were low, as indicated by the average score of 19.9 ± 0.19 (maximum score = 35) and 8.0 ± 0.11 (maximum score = 15), respectively. The level of negative attitudes towards PLHIV was high, with 99.6% of participants reported having a high stigma score. Types of university affiliation (public or private), beliefs and values, exposure to HIV discourse, access to printed media, and years of study were significantly related to HIV comprehensive knowledge (p < 0.05). Nutrition-specific knowledge was also correlated with university affiliation, beliefs and values, participation in HIV discussion, and years of study (p < 0.05). HIV comprehensive knowledge, university affiliation, discussion participation, and ethnicities were associated with attitudes (p < 0.05). Conclusions Awareness and acceptance of PLHIV must be further improved throughout dietetic training to ensure patients’ quality of care since students represent future dietary care providers. Considering the consistent findings that affiliation to education institution correlates with HIV knowledge and attitude, some examinations concerning the curriculum and teaching conduct might be necessary.

Background: Adolescent is a transition phase from childhood to adulthood that marked by the change on physical, mental and psychosocial aspect. Adaptation on the change that people met in their life is called psychosocial stress. Stress makes a change on food habit and a disturbance on nutrition’s absorbance. Those circumstances affect people’s nutritional status.Objectives: To identify the correlation between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.Methods: This study was an observational study which used a cross sectional design. It held by quantitative approach to identify the relationship between psychosocial stress and nutritional status. Subject of the study were 85 students of SMP Stella Duce 1 Yogyakarta. Respondent’s identities were collected by using identity questionnaire. Psychosocial stress’s status was collected by using SRRS questionnaire (social readjustment rating scale) that was modified for adolescent. Respondent’s calories intakes were assessed by using the form food recall 3 x 24 h. Anthropometrics data collected were weight and height. The adjustment of psychosocial stress’s status used SRRS questionnaires. Calories intake were measured by using nutrition software (Fp2). Student’s nutritional status was measured by using Epi 2000 software. Relationship’s analysis among variables uses statistical test of SPSS 12.00, with the correlation or linear regression test.Result: From this study, 49.4% (42 people) have normal nutritional status, 4.7 % at under nutrition level, 25.9% at risk of obesity, and 20% obesity. From the measurement of psychosocial stress’s score, there were 61.2% (52 people) in a non-tress condition, while the other was on stress at different level. Statistical test showed that there was no relationship between psychosocial stress and nutritional status (p > 0.05).Conclusion: There was no significant relationship between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.

Responding to the increasing reports of health students and professionals demonstrating stigmatized attitudes toward people living with HIV (PLHIV), this article examined the learning process that takes place during their academic training. Using symbolic interactionism as a theoretical framework, we studied the way lecturers in dietetic schools in Indonesia make meaning of their understanding and experience of HIV in relation to their teaching conduct. We found that the current curriculum does not provide adequate opportunities for students to learn and interact with PLHIV. Participants described HIV discussion is mainly limited to the clinical aspects and essential treatment as they were uncomfortable discussing HIV with the students. The ostensible symbolic meaning of HIV among dietetic lecturers in Indonesia was compounded with limitations and restrictions affecting their teaching practices and attitudes to PLHIV. Future intervention is required to help lecturers recognize their degree of awareness and personal values about HIV.

Peran ahli gizi sebagai tenaga keolahragaan pada dasarnya merupakan mandat hukum dari Undang-Undang No. 3 Tahun 2005 tentang Sistem Keolahragaan Nasional, khususnya Pasal 63 yang menyebutkan bahwa ahli gizi merupakan salah satu tenaga keolahragaan. Pada praktiknya, implementasi peran ahli gizi sebagai tenaga keolahragaan di pusat pembinaan atlet masih belum optimal. Keterbatasan sumber daya manusia dan anggaran, serta belum adanya kebijakan operasional yang mengatur tentang penempatan ahli gizi di pusat pembinaan atlet menjadi beberapa kendala yang perlu solusi. Pengkajian ini menggunakan pendekatan kualitatif dengan melakukan studi dokumen terhadap delapan peraturan yaitu 1 undang-undang, 1 perpres dan 6 permen. Seluruh dokumen kebijakan tersebut selanjutnya ditetapkan pasal-pasal kritis yang dianalisis lebih lanjut untuk diberikan diskripsi penjelas, analisis mendalam pasal demi pasal, perumusan rekomendasi dan output kebijakan. Pengkajian ini telah memperoleh Ethical Clearance dari Komisi Etik FKKMK UGM dengan nomor: KE/FK/0292/EC/2020 pada tanggal 10 Maret 2020. Kajian terhadap Undang – Undang Nomor 3 Tahun 2005 dan peraturan hukum pendukungnya menunjukkan bahwa peran ahli gizi memiliki urgensi tinggi dalam pembinaan atlet. Namun demikian masih perlu kebijakan operasional yang mengatur tentang penempatan ahli gizi sebagai tenaga keolahragaan, meliputi tugas dan wewenang, serta standar kompetensi dan sertifikasi ahli gizi sebagai tenaga keolahragaan.

Background: Adolescents begin to have eating autonomy which causes changes in behavior and habits related to food selection. Various factors are considered to be able to influence food choice motives. Objective: The study aimed to determine factors related to adolescents' food choice motives. Methods: A cross-sectional study involving 121 students who studied at two state Junior High schools in Yogyakarta Special District (YSD) from April to May 2020. The independent variables are gender, perception of body image, nutritional knowledge, peer influence, school location, amount of pocket money, family income, parental education, and media influence. The dependent variables are nine food choice motives. Data collection was used online questionnaires via an online form. The data were analyzed by using multiple linear regression. Results: Most respondents had health motive as their primary motive in food choice, followed by natural content, price, and ethical concern. This research also found that there was a relationship between nutritional knowledge with a natural content motive; media influence, nutritional knowledge, and amount of pocket money with ethical concern motive; parental education with price motive; perception of body image, media influence, amount of pocket money, and nutritional knowledge with weight control motive (p<0,05). Conclusions: Perception of body image, nutritional knowledge, media influence, amount of pocket money, and parental education were related to the food choice motives of adolescents. Future intervention strategies related to healthy eating behavior in adolescents can be designed based on these factors.* Presented at the International Nutrition and Health Symposium (INHESION) on Sunday, November 15th, 2020, in Yogyakarta, organized by HIMAGIKA and the Department of Health Nutrition, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Background: Despite rapid economic growth, stunting affects one third of the child­ren under five population in Indonesia. The Government of Indonesia (GoI) realizing the problem, established the National Strategy to Accelerate Stunting Prevention as a national priority program for 2017 to 2021. The GoI plans to maximize the use of resources, policies, and programs that encompasses nutrition-specific and sensitive interventions directed to the first 100 days of life. This study aimed to explore the extent of program planning, budgeting, and implementation related to stunting prevention at district and village level as well as to understand the challenges presented to converge intervention. Subjects and Method: A case study with ecological approach was conducted in 10 villages from five districts in Indonesia. The study method included focus group discussions with 70 district officials and 100 village representatives, interviews with 12 key informants from district planning agency, document analysis, and reflective journaling. The data were reported descriptively. Results: Most head districts, officials from relevant departments and village leaders committed to stunting prevention following the vice president decree of stunting as a national priority. As a result, programs and budget were in place and local initiatives to prevent stunting were on the rise. Despite the commitment, many expressed ambivalences and disregarded the issue as a mere short stature (genetic variation). Thus, problems related to efficiency, coverage, and sustainability persists as maintaining motivation among staffs were difficult. In some settings, the situation was exacerbated by factors such as high financial dependency, misconception, and poor gender relation. Conclusion: The policy and programs to control stunting among children in Indonesia are in place. However, challenges occur due to the complexity in governance system as well as lack of political will. Better communication and cooperation are essential for well implemented policies. Keywords: stunting, ecological approach, case study, nutrition intervention, nutrition policy Correspondence: Mutiara Tirta Prabandari Lintang Kusuma. Department of Health Nutrition, Faculty of Medicine, Nursing, and Public Health, Universitas Gadjah Mada, Indonesia. Jl. Farmako, Sekip Utara Yogyakarta 55281. Email: mutiara.tirta@gmail.com. Mobile: +62­8­139880­320 DOI: https://doi.org/10.26911/the7thicph.04.34

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Background: COVID-19 pandemic poses various challenges to any organization to maintain their work due to prolonged movement restriction and the ambiguity surrounding its end. Dompet Dhuafa Yogyakarta, a philanthropic organization based on Islam, has implemented changes to ensure service delivery and their reach to the targeted populations. This study aimed to identify the way Dompet Dhuafa Yogyakarta adapt with changes as well as explore innovation, best practice, and lesson learned. Subjects and Method: This was a qualitative case study conducted at Dompet Dhuafa Yogyakarta, from June to October, 2021. The informants included branch manager, head of health program, and project assistant. The data were collected through focus group discussion. The data were analyzed according to themes (thematic analysis) using the IPO logic model (input-process-output) as a framework for analysis. Results: Three major themes emerged: (1) Surviving the pandemic; (2) Making greater contributions; and (3) Ensuring sustainability. Several changes had been made in order to sustain the work of Dompet Dhuafa Yogyakarta and achieve organizational mission as part of crisis exit strategies. Crisis management was a part of strategic management aiming at ensuring organizations survive during major disruption. As part of the crisis responses, Dompet Dhuafa Yogyakarta implemented adaptive approaches by initiating new projects, collaborating with new partners, and diversifying funding sources. The key informants also stated that the digital technology was low-cost, flexible, sustainable, and was able to reach the poor population. The digital technology could be used to help support the newly implemented telemedicine and social media-based health education programs. Conclusion:This study highlights how Dompet Dhuafa Yogyakarta responded to the pandemic. Several changes have been made in order to sustain their work and achieve organizational mission as part of crisis exit strategies. Lessons learned should be taken from this pandemic to develop future emergency preparedness plans.