Abstract

Introduction
Due to the high risk of contamination, the practice of bottle feeding with a nipple is discouraged by the governments around the world. This study aims to examine the prevalence and factors associated with bottle feeding among children aged 0–23 months in Indonesia.

Methods
Data from the 2017 Demographic Health Survey (DHS) of Indonesia were used with a cross-sectional study design. The research included last-born children aged 0–23 months using a sample of 6,763 mother–baby pairs. The independent variables included marital status, mother’s education and occupation, wealth quintile, place of residence, type of delivery, sex of child, and child’s age. The dependent variable in this study was using bottle feeding. Chi-square tests and binary logistic regression were used to examine the association between bottle feeding and related factors.

Results
The prevalence of bottle feeding in Indonesia was 37.9%. Multivariate analysis showed that mothers with a higher education level (Adjusted Odds Ratio [AOR] 4.9, 95% Confidence Interval [CI] 2.3–10.3), working mothers (AOR 1.6, 95% CI 1.4–1.8), richest family (AOR 1.8, 95% CI 1.5–2.3), urban living (AOR 1.5, 95% CI 1.3–1.8), caesarean delivery (AOR 1.6, 95% CI 1.3–1.8), female child (AOR 0.8, 95% CI 0.7–0.9) and children aged 6–23 (AOR 1.4, 95% CI 1.2–1.6) were significantly associated with the use of bottle feeding relative to their counterparts.

Conclusion
The increased risks of using bottle feeding have been significantly associated with maternal and child factors as well as the wealth index and urban residence. Continued support of discouragement of bottle feeding policy needs to be enhanced by considering significant variables in this study.

Pelajari Lebih Lanjut

Abstract

Children are characterized as healthy when they grow and develop adequately. This is determined through age-appropriate ideal height and weight measurements. This study aimed to quantify the prevalence of stunting among 10-year old children. This observational study had a cross-sectional design. This descriptive research was conducted from October to November 2019 using a total sample of 392 children obtained through the multistage proportional sampling to select participants from the student in 19 first elementary school in the study area. The anthropometric measurements of height were taken using a microtoice. The measurement results were compared with the World Health Organization (WHO) AntroPlus 2007 standards for 10-year old children. Height was measured using standard methods and height for age and the z-score was computed to assess stunting. The hypothesis test was done using ANOVA. The prevalence of stunting among 10-year old children in central Sulawesi, Indonesia is 24.7%. Poso's district has the highest percentage at around 35.9%, Donggala district is around 35.7%, Sigi district is around 16.5% and Palu City is around 12.5%. The highest mean for height was found in Palu City at 135,7 cm and the lowest was in Donggala district at 129,9cm. ANOVA showed a significant value of < 0.001 with z-scores of -0.72, -1.63, -1.45 and -1.09 in Palu City, Donggala District, Poso and Sigi respectively. The prevalence of stunting in Central Sulawesi for children aged 10 years old is 24.7%. Donggala and Poso district have the highest prevalence of stunting. Some strategies need to be executed in order to improve the level of nutrition of elementary school children. This can be done by providing safe and hygienic school canteens, promoting healthy food diversity, encouraging more fish consumption and other healthy protein ingredients.

Pelajari Lebih Lanjut

Abstract

Background
Nutrition specific reflects most of the evidence of programmatic successes, such as improving breastfeeding. Specific intervention is an action or activity that is specifically directed at the first 1000 days of life. In general, these activities are carried out by the health sector.

Aim
Study aims to analyze specific interventions for preventing stunting in children under 2 years of age in post-natural disaster areas.

Methods
This type of quantitative analytic research with a cross-sectional design conducted in Palu City central of Sulawesi Indonesia from October until November 2020. The population in this study were mothers and children under 2 years. Sampling using consecutive sampling technique with a total of 384 samples. Data analysis using a frequency distribution, height Z score table according to the Ministry of Health of the Republic of Indonesia.

Result
The prevalence of stunting in children under 2 years of age in Palu was 37.24%. The only specific intervention behavior in preventing stunting that was statistically significant was breastfeeding for up to 2 years (p = 0.025).

Conclusions
Specific interventions to prevent stunting in children under 2 years after natural disasters are breastfeeding children up to 2 years. The prevalence of stunting in children under 2 is 37.24%. To reduce stunting problems in the city of Palu Central Sulawesi, Indonesia, mothers need to be informed about the risks and assistance from local and central government.

Pelajari Lebih Lanjut

Abstract

Background
Counseling is an important part of successful infant and young child feeding (IYCF). Optimal IYCF is a key area for improving child survival and promoting healthy growth and development.

Aim
The purpose of this study is to determine the characteristics and to provide an overview of the input, process, and output components of IYCF counseling in the Central Sulawesi stunting area.

Materials and Methods
This type of research is a semi-quantitative study which describes the knowledge and abilities of counselors. The population in this study were nutrition officers, midwives, and cadres who had received IYCF training and had followed the orientation of the IYCF module for at least 30 h in stunting focus locations. The sample in the study was counselors who received training in three subdistricts of Central of Sulawesi.

Result
The informants were 14 IYCF counselors. All respondents were female, aged 22–48 years. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. In general, inadequate counseling room facilities are the barrier faced by counselors. Training was only limited to orientation and there was no post-training monitoring. The activities carried out by the counselor are in the range of 70–86%. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children. IYCF increases knowledge about breastfeeding better than milk formulas, the right type and age of feeding. The training has referred to the module referring to the WHO/UNICEF module which is presented in 37 h of field lessons.

Conclusions
Counseling is an important part of successful IYCF. The method of counseling is by the counselor visiting pregnant women/mothers of toddlers/caregivers directly and face to face. Benefit of giving counseling for IYCF is that mothers will know nutritional status of their children.

Pelajari Lebih Lanjut

Abstract

Background
Reducing and preventing stunting is currently a priority for health programs in Indonesia. As providers of midwifery care, midwives have a strategic position to play a role in accelerating stunting reduction. The provision of continuity of midwifery care is expected to be able to prevent stunting in infants.

Aim
This study aims to determine the effectiveness of providing continuity of midwifery care for the incidence of stunting.

Methods
The study design was a cohort from the third trimester of gestation until the baby reached 6 months of age, with the population were all third-trimester pregnant women in the working area of Mapane Health Center. The number of samples was 32 as case and 32 as control. The research variables were the characteristics of the respondents, early initiation of breastfeeding, chronic energy deficiency, hypertension, place of birth, and the incidence of stunting. The hypothesis test was used as Chi-square. Data analysis used the WHO Anthro and STATA applications.

Result
The proportion of children who were stunted at the age of 6 months was 15.6%, where the proportion of children who experienced stunting at 6 months of age in the control group was 28.1%, while in the intervention group it was only 3.1%. Providing effective midwifery care to prevent stunting in children showed that maternal age (p = 0.017) and exclusive breastfeeding (p = 0.009) were associated with the incidence of stunting.

Conclusions
Exclusive breastfeeding can prevent the occurrence of stunting in children.

Pelajari Lebih Lanjut

Abstract

Background
Stunting is caused by multi-dimensional factors and the most decisive intervention should be carried out in the first 1,000 days of life. Poor parenting practices, lack of knowledge about health and nutrition before and during pregnancy are some of the contributing factors and 60% of children aged 0-6 months do not receive exclusive breastfeeding.

Aim
To assess the role of midwives and the Indonesian Midwives Association Professional Organization in reducing the risk of stunting in Indonesia.

Methods
This type of descriptive research uses an exploratory study approach by assessing the role of midwives and the professional organization of the Indonesian Midwives Association (IBI) in reducing the risk of stunting in Central Sulawesi. The data of 288 midwives were collected using google form from 22 July 2020 to 22 August 2020. Data were analyzed by SPSS.

Result
In general, midwives have provided maternal and child health books to pregnant women, recorded complete maternal and child health records, conducted antenatal care for pregnant women, provided nutritional food counseling for pregnant women, gave Fe 90 tablets to pregnant women, provided calcium tablets to pregnant women, conducting classes for pregnant women, delaying umbilical cord cutting (>30 minutes), providing vitamin A to postpartum mothers, conducting exclusive breastfeeding counseling, providing family planning services, providing IYCF counseling. However, for the activities of Implementing a special stunting prevention program, implementing postnatal care and initiating early breastfeeding still need improvement.

Conclusions
The role of midwives in efforts to prevent stunting in Indonesia with midwives have provided maternal and child health books to pregnant women. Delaying umbilical cord cutting to 30 minutes, giving vitamin A to postpartum mothers, breastfeeding counseling, providing family planning services, providing IYCF counseling.

Pelajari Lebih Lanjut

Abstract

The use of pesticides that do not conform to recommendations have a negative impact on health and the environment. The purpose of this study was to determine the relationship between age, duration of spraying, dosage, position of spraying and the use of personal protective equipment with pesticide poisoning on farmers in Tolai Village. This study was an observational study with cross sectional design. A sample of 96 people was obtained by purposive sampling technique. Independent variables include age, duration of spraying, dosage, spraying action, use of personal protective equipment, while the dependent variable is pesticide poisoning. The results showed that 20.8% of respondents were poisoned with < 75% cholinesterase levels. Knowledge and behavior of farmers about the use of pesticides was still low such as the length of pesticide spraying > 3 hours (20.8%), dosage dosage > 0.5/10 liters of water (34.4%), the position of spraying is not in the direction of the wind (33.3%) and use of incomplete personal protective equipment (86.5%). Factors associated with pesticide poisoning were the length of spraying (p= 0,000), dose (p= 0,003), spraying position (p= 0,041), but not related to age (p = 0,683) and use of personal protective equipment (p= 0,461). Conclusion, there was a relationship between the length of spraying, dosage and position of spraying with pesticide poisoning on farmers in Tolai Village.

Pelajari Lebih Lanjut

Abstract

Health Polytechnic of Health Ministry Palu is one of the institutions that implement interprofessional education in the health sector such as midwifery, nursing, environmental health and nutrition. Interprofessional education and collaborative practices are needed by health professionals to deal with natural disasters. The flash flood disaster has hit South Dolo Subdistrict, Sigi Regency, Central Sulawesi on April 28, 2019. This study aims to describe the collaboration of the Academic Community of the Health Polytechnic of Health Ministry Palu in reducing health risks after a flash flood disaster. This study was a case study conducted in the Bangga Village of South Dolo Subdistrict from April 29 to May 2, 2019. The location of the study and informants was determined purposively. Data collection through observation and interviews of 25 students of Health Polytechnic of Health Ministry Palu, 5 lecturers, 5 families affected by disasters, Bangga Village secretary, officers of the Social Service and Sigi District Health Office, each one person. The results showed that on the first day a number of mineral water supplies, basic food needs, cooking utensils, toiletries, adult clothing, children’s and baby clothing had been collected and assessments had been performed on refugee needs, refugee physical health conditions, environmental health conditions of refugee tents.

Pelajari Lebih Lanjut

Abstract

Background:
The behavior of families victims of natural disasters in Central Sulawesi who have just lived at temporary shelters urgently needs attention, especially efforts to fulfill nutrition for toddlers. This research aims to determine changes in behavior of mothers and toddlers related to nutrition and health by usingpositive deviance - nutrition post approach.

Methods:
This research was a nutritional intervention research using the Positive Deviance approach. The numbers of toddlers were 92 toddlers. Positive Deviance family includes eating behavior, hygiene behavior, child care behavior, health maintenance behavior. Analysis of changes in nutritional behavior practiced by toddlers during the nutrition post activities.

Results:
Behavior practiced in shelters is washing hands before eating, reading prayers before eating, eating together, children eating independently without being bribed by their mother, children spend their food. Thus, behavior change after participating in nutrition post activities at the temporary shelter are eating with family members to increase appetite, consuming fruits and vegetables, washing hands before touching food, not yelling at children when children make mistakes, parents watching over children while playing, children eating while sitting, bathing twice a day, getting children to eat using their hands, children eat independently, not bribed except babies, children brushing their teeth after meals and before going to bed.

Conclusion:
The implementation of the Positive Deviance approach can positively change the nutrition and health behavior of toddlers and increasing food consumption and weight of toddlers.

Pelajari Lebih Lanjut

Abstract

Stunting adalah retardasi pertumbuhan linier kurang dari -2 SD standar WHO pertumbuhan anak panjang badan menurut usia. Penelitian ini bertujuan untuk menganalisis faktor risiko stunting anak usia 6-23 bulan di Kecamatan Bontoramba Kabupaten Jeneponto. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional study. Populasi penelitian ini sebanyak 410 set e-files data survei gizi & kesehatan ibu dan anak Kecamatan Bontoramba, Kabupaten Jeneponto 2014 dengan sampel sebanyak 350 set data yang diambil dengan teknik exhaustive sampling. Data dianalisis dengan uji chi square dan regresi logistic. Hasil penelitian menunjukkan bahwa faktor risiko stunting dalam penelitian ini adalah (OR; p value), berat badan lahir rendah (OR=3,651; p=0,002), usia anak 12-23 bulan (OR=2,708; p=0,000), tinggi badan ibu < 150cm dengan (OR=1,970; p=0,006), pengasuh tidak mencuci tangan menggunakan sabun (OR=1,765; p=0,021) dan imunisasi dasar yang tidak lengkap (1,640; p=0,037). Faktor risiko stunting dominan pada anak usia 6-23 bulan di Kecamatan Bontoramba Kabupaten Jeneponto adalah berat badan lahir rendah, usia anak 12-23, tinggi badan ibu < 150cm, pengasuh tidak mencuci tangan menggunakan sabun dan imunisasi dasar yang tidak lengkap.

Pelajari Lebih Lanjut

Abstract

Program stop buang air besar sembarangan (SBABS) merupakan program sanitasi total berbasis masyarakat yang membudayakan perilaku hidup bersih dan sehat, mencegah penyebaran penyakit berbasis lingkungan, meningkatkan kemampuan masyarakat merubah perilaku untuk tidak melakukan aktivitas buang air besar sembarangan. Tujuan penelitian ini untuk menganalisis pengaruh program stop buang besar sembarangan terhadap pencegahan stunting anak baduta di Kabupaten Banggai dan Sigi. Desain penelitian yang digunakan case control. Penelitian dilaksanakan pada wilayah pelaksanaan program stop buang air besar di Sulawesi Tengah dengan prevalensi stunting yang tinggi yaitu Kabupaten Banggai dan Sigi pada tanggal 8 September hingga 7 Oktober 2016. Sampel sebanyak 352 orang anak usia 1-2 Tahun. Pengambilan sampel dengan metode consecutive sampling. Uji perbedaan menggunakan uji Mann-Whitney U. Hasil analisis menunjukkan proporsi baduta stunting sebesar 15,6%. Jumlah sampel pada kelompok SBABS sebanyak 116 orang (33,0%) dengan rerata tinggi badan -0,36±1,6 sedangkan pada kelompok non SBABS sebanyak 236 orang (67,0%) dengan rerata tinggi badan -0,94±1,5. Terdapat perbedaan yang bermakna antara pertumbuhan baduta kelompok SBABS dengan non SBABS (p=0,002). Program stop buang air besar sembarangan mencegah stunting anak baduta di Kabupaten Banggai dan Sigi.

Pelajari Lebih Lanjut

Abstract

Flipchart and banner are communications media in behavioral change that can improve the effectiveness ofthe specific program effort of the first 1000 days of life. This study aims to prove the benefits of Flipchart media andbanners in health behavior of 1000 HPK in Central Sulawesi. The quasi-experimental design of pretest and posttest with control design is consisted of three groups of flipchart (n=32), banner (n=32) and control (n=31). The Intervention of study is held for 6 months in Sigi, Touna and Bangkep regencies from April 15 to October 28, 2016. The population is mothers with children aged 6-23 months with 95 people sample. The data were analyzed by chisquare,paired t test and anova test. The results showed that after 6 months intervention there was an increase inthe mean behavior of 0.53±0.8 in group I with the Flipchart intervention and the mean behavior improvement of0.71±0.7 in group II with banner intervention. Increased mean behavior of intergroup I with Flipchart intervention, group II with banner and control interventions was significantly different (p=0,002). A significantly improvedbehavior is the regular weighing behavior of children. Flipcharts and beneficial banners improve the health behaviorof the first 1000 days of life in Central Sulawesi.

Pelajari Lebih Lanjut

Abstract

The purpose of this study was to create monitoring model of a satisfaction of hospital health services based on Smartphone in Central Sulawesi. The research design was Cross-sectional. The sample was 384 respondents through accidental sampling that were implemented at RSU Anutapura Palu, RSU Anutaloko Parigi and RSUD Luwuk. Data was collected by electronic forms in smartphone through google apps, analyzed with SPSS version 17.0. The results showed respondents at Anutapura Palu hospital 44.8%, Anutaloko Parigi 35.4% and Luwuk 19.8%. Male 60.2%. Bachelor (S1) 53.9%, State civil apparatus 51.8%. BPJS Insurance 53.5%. Respondents selected a hospital because of the location easy to reach (54.9%) Visit of Polyclinic (50%) to control health (44.3%). Respondents expressed satisfaction with hospital service in Central Sulawesi (78,6%) based on requirement, service time, Product Specification, Executor's competence, Service report, Complaints Handling, Suggestion and Input respectively were 72,9%, 69,3% , 68.7%, 70.3%, 73.2%, 75.5, 69.5% and 71.7% respectively. Model monitoring by using google apps (Documents, Sheets and Bit.ly). This research suggests that hospitals can use google apps via smartphones to measure patient satisfaction with hospital services. Monitoring hospital service satisfaction and responding promptly to complaints can increase public confidence in hospital services.

Pelajari Lebih Lanjut

Abstract

Antenatal Care (ANC) adalah perawatan oleh profesional kesehatan kepada wanita hamil untuk memastikan kondisi kesehatan terbaik bagi ibu dan bayi selama kehamilan. Belum diterapkannya model ANC WHO 2016 dan bagaimana manfaatnya terhadap pencegahan kematian ibu hamil mendasari penelitian ini dilaksanakan. Desain penelitian prospektif rancangan case control dilaksanakan 12 Juli-26 Nopember 2018, Populasi adalah ibu hamil di Kabupaten Poso dan Parigi Moutong. Sampel sebanyak 36 orang, yang terdiri dari 18 ibu ANC biasa dan 18 Model ANC WHO 2016. Metode simple random sampling, Wawancara dengan kuesioner, Informasi sekunder dari Buku KIA dan audit kematian maternal. Hasil penelitian menunjukkan ANC WHO 2016 lebih dapat diterima oleh ibu hamil yang memiliki umur 25-35 (p-value=0,034). Pengukuran berat dan tinggi badan (p-value=0,003), pengukuran tekanan darah (p-value=0,003), pengukuran lingkar lengan atas (p-value=0,026), pengukuran tinggi puncak rahim (p-value=0,016), asupan Tablet Fe minimal 90 tablet selama kehamilan (p-value=0,003), penentuan letak janin dan denyut jantung janin (p-value=0,003) dan tatalaksana kasus (p-value=0,007). Indikator penting dalam mencegah faktor risiko kematian ibu hamil di Sulawesi Tengah adalah kontak ≥8 kali dan Hb ≥10gr% (p-Value=0,035). Kesimpulan; ANC WHO 2016 lebih dapat diterima oleh ibu hamil yang memiliki umur 25-35 dengan kegiatan sesuai hasil penelitian. Diharapkan agar penelitian ini dapat menjadi pilihan percepatan penurunan angka kematian ibu secara terpadu (Gertak Penkina Menuju Sulteng Akino) agar kepercayaan publik masyarakat tentang pentingnya ANC meningkat.

Pelajari Lebih Lanjut

Abstract

Kelebihan berat badan (overweight) dan obesitas pada remaja merupakan faktor risiko penyakit diabetes, kardiovaskular, dan kanker. Hal ini disebabkan karena terjadinya penimbunan lemak pada jaringan adiposa. Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik dan konsumsi makanan cepat saji (fast foods) dengan komposisi lemak tubuh pada remaja di SMA Karuna Dipa Palu. Jenis penelitian ini adalah penelitian analitik dengan menggunakan pendekatan cross sectional. Sampel penelitian berjumlah 74 orang yang diambil menggunakan teknik systematic random sampling. Data komposisi lemak tubuh diketahui melalui pengukuran menggunakan alat BIA (Bioelectrical Impedance Analysis) merk KERN, data aktivitas fisik didapatkan melalui pengisian kuesioner aktivitas fisik selama seminggu terakhir, dan data konsumsi makanan cepat saji (fast foods) sebulan terakhir didapatkan melalui pengisian formulir FFQ (Food Frequency Questionnaire). Analisis data menggunakan uji chi square dengan nilai α=0,05. Hasil penelitian menunjukkan 29,7% remaja memiliki komposisi lemak tubuh yang tinggi. Persentase remaja yang tergolong inaktif sebesar 73,0%, dan 59,5% remaja sering mengkonsumsi makanan cepat saji (fast foods). Remaja tergolong inaktif beraktivitas fisik yang memiliki komposisi lemak tubuh yang tinggi sebesar 35,2% (p-value = 0,161; α>0,05). Dan persentase remaja yang sering mengkonsumsi fast foods memiliki komposisi lemak tubuh yang tinggi sebesar 36,4% (p-value = 0,210; α>0,05). Kesimpulan pada penelitian ini yaitu tidak ada hubungan yang bermakna antara aktivitas fisik dan konsumsi makanan cepat saji (fast foods) dengan komposisi lemak tubuh pada remaja.

Pelajari Lebih Lanjut

Abstract

Siklamat adalah pemanis buatan yang diproses secara kimiawi. Siklamat tidak boleh dipakai pada hasil pangan untuk bayi, anak batita, ibu hamil serta ibu menyusui. Batas maksimum penggunaan Siklamat adalah 0-11 mg/kg berat badan. Tujuan penelitian untuk mengetahui kadar siklamat pada minuman jajanan sekolah di Kota Palu, Penelitian ini menggunakan metode observasi di 8 (delapan) lokasi di Kota Palu pada tanggal 8-24 Agustus 2018. Analisis kadar Siklamat di Balai Pengawas Obat dan Makanan di Palu. Sampel sebanyak 20 minuman jajajan diperoleh dengan cara accidental sampling. Metode analisis dengan kromatografi cair kinerja tinggi (KCKT). Hasil penelitian menunjukkan bahwa kadar siklamat pada minuman jajanan sekolah di Kota Palu yang melebihi ambang batas perka BPOM < 350 mg/Kg sebanyak 35% dengan kadar 514,63 hingg 2963,43 mg/Kg. Disarankan agar melakukan penelitan lebih lanjut tentang pengetahuan, sikap dan perilaku penjaja minuman dilokasi yang melebihi ambang batas perka BPOM < 350 mg/Kg serta edukasi tentang gerakan masyarakat sadar pangan.

Pelajari Lebih Lanjut

Abstract

SIMAMA adalah Penerimaan Mahasiswa Baru Melalui Seleksi Bersama Poltekkes Kemenkes se Indonesia. Tujuan penelitian ini untuk menggambarkan pelaksanaan penerimaan mahasiswa baru melalui seleksi bersama oleh Poltekkes Kemenkes Palu pada masa pandemi COVID-19. Jenis penelitian deskriptif, menggunakan data sekunder SIMAMA dan wawancara panitia sipensimaru Poltekkes Kemenkes Palu tanggal 18 April 2020. Data meliputi wilayah asal, asal sekolah, jenis kelamin, prodi pilihan, jumlah pendaftar, peserta Portofolio dan kuota yang tersedia. Data disajikan dalam bentuk persentase dan grafik batang. Hasil penelitian pertanggal 18 April 2020 menunjukkan bahwa pendaftar yang berasal dari Provinsi Sulawesi Tengah sebesar 96,3%. Lulusan SMA sebesar 79,8%, SMK sebesar 19,9%. Pendaftar perempuan sebanyak 87,5%. Program studi tertinggi yang menjadi pilihan pertama pendaftar adalah DIII Keperawatan Toli-toli sebesar 93,4%, menyusul Sarjana Terapan Kebidanan 67,0% dan Sarjana Terapan Keperawatan + Ners sebesar 63,8%. Kuota 377 orang akan diisi oleh 609 orang peserta (1:2). Persaingan yang paling ketat pada prodi D-III Keperawatan Palu dengan perbandingannya 1:12. Peserta ujian portofolio sebanyak 609 orang dari 1.031 orang pendaftar (59,7%). Kesimpulan; Pendaftar SIMAMA Poltekkes Kemenkes Palu dari Sulawesi Tengah 96,3%. SMA 79,8%, SMK 19,9%. Perempuan 87,5%. Pilihan pertama pendaftar adalah DIII Keperawatan Toli-toli sebesar 93,4%. Kuota 377 orang akan diisi oleh 609 orang peserta (1:2) paling ketat pada prodi D-III Keperawatan Palu (1:12). Peserta ujian portofolio sebanyak 609 orang dari 1.031 orang pendaftar (59,7%). Dengan informasi SIMAMA ini, Poltekkes Kemenkes Palu akan menyesuaikan pola promosi, penyediaan fasilitas dan sistem pembelajaran yang lebih baik.

Pelajari Lebih Lanjut

Abstract

Anak usia di bawah dua tahun (Baduta) sehat jika mereka tumbuh dan berkembang secara memadai. Pertumbuhan anak baduta adalah proses yang dinamis dimana dibutuhkan kurva pertumbuhan sebagai alat pembanding untuk mengetahui pertumbuhannya sesuai usia. Tujuan penelitian untuk mengetahui status gizi dan grafik pertumbuhan anak usia 0-23 bulan di wilayah kerja Puskesmas Pantoloan. Penelitian deskriptif ini menggunakan data sekunder laporan rutin Puskesmas Pantoloan pada bulan Februari 2020. Sampel adalah seluruh anak baduta usia 0-24 bulan di wilayah kerja Puskesmas Pantoloan sebanyak 319 anak baduta. Status gizi ditentukan dengan indikator berat badan menurut usia (BB/U) serta tinggi badan menurut usia (TB/U) yang dibandingkan dengan standar WHO 2005. Hasil penelitian menunjukkan bahwa status gizi menurut indeks Berat badan menurut usia (BB/U) sebagian besar normal (84,6%), Panjang badan menurut usia (PB/U) sebagian besar normal (83,7%), dan berat badan menurut panjang bandan (BB/PB) sebagian besar gizi baik (87,1%). Grafik median berat badan dan panjang badan anak baduta menunjukkan kurva pertumbuhan berada di bawah kurva median standar WHO-Antro mulai usia 9 bulan dan tampak jelas ketika anak masuk usia 20-21 bulan. Kesimpulan pada umumnya status gizi normal dan baik, grafik kurva median anak baduta berada di bawah kurva median standar WHO Antro. Disarankan agar pemantauan pertumbuhan dilakukan untuk mengetahui status gizi anak baduta secara teratur.

Pelajari Lebih Lanjut

Abstract

Pemerintah Indonesia memberikan kapsul Vitamin A 200.000 IU untuk ibu nifas.Tujuan penelitian ini untuk mengetahui Implementasi pemberian Vitamin A Ibu Nifas di Kota Palu dan Kabupaten Sigi. Teknik Sampling dengan proportional multi stage random sampling, Penelitian dilaksanakan di wilayah kerja Dinas Kesehatan Kota Palu dan Kabupaten Sigi tanggal 02 Agustus hingga 15 September 2017. Sampel sebanyak 384 responden. Hasil penelitian menunjukkan responden berusia reproduktif 20-35 tahun (80,7%) berpendidikan sekolah menengah umum 50%, bekerja sebagai ibu rumah tangga 81,0%. Implementasi pemberian Vitamin A Ibu Nifas di Kota Palu dan Kabupaten Sigi sebesar 33,3%. Bidan merupakan profesional Kesehatan yang paling berperan dalam pemberian Vitamin A ibu nifas (95,4%). Dari 130 orang, responden yang segera mengonsumsi vitamin A setelah melahirkan sebesar 76,2%, 6 jam setelah melahirkan 12,3%. Jumlah vitamin A yang diasup secara lengkap 2 kapsul per orang sebesar 66,9%. Cara mengonsumsinya pada umumnya sudah benar yaitu 1 kapsul hari pertama dan 1 kapsul hari berikutnya sebesar 56,9%. Disarankan agar pemberian kapsul Vitamin A Ibu Nifas tetap dijalankan terutama pada kelompok rentan yaitu ibu yang berpendidikan dan berpendapatan rendah. Temuan ini dapat disosialisasikan sebagai upaya mencegah kekurangan Vitamin A pada ASI ibu yang menyusui. Konsumsi minyak goreng terfortifikasi vitamin A dapat membantu memenuhi kebutuhan vitamin A pada ibu nifas terutama di kalangan wanita di komunitas berpenghasilan rendah.

Pelajari Lebih Lanjut

Abstract

The prevalence of smoking habits among children and adolescents has increased quantitative and qualitative, which further elevates the risk of diseases. Furthermore, the 2014 Global Youth Tobacco Survey (GYTS) (data showed the intention to quit smoking by 88.2% of students, although only 24% received assistance in affiliated programs; hence support is required from the immediate environment. Therefore, the purpose of this research, was to determine the effect of counseling in the success of smoking cessation in junior high school students. The research design used was a prospective cohort. The subjects of this research include all junior high school students with the smoking habit, of which 40 participants were selected. These respondents were provided with smoking cessation counseling for six sessions (4 months). Survival analysis was used to evaluate the data collected. After the six counseling sessions, the cessation success and failure rates were 75% and 25%, respectively. Smoking cessation was related to nicotine addiction (p=0.001; Adj.HR 25.2;95% CI 4.9-129.9) and activeness in counseling (p=0.001; Adj.HR 12.8; 95% CI 2.8-57.9). This research is expected to help students with the smoking habit terminate the practice, subsequently reducing the prevalence in Poso Regency.

Pelajari Lebih Lanjut

Abstract

Women in Indonesia are a group at risk of experiencing high blood glucose levels with increasing age. The purpose of the study was to analyze the relationship between physical activity and central obesity on hyperglycemia in adult women. The type of research is quantitative with a cross-sectional design on adult women at the Telaga Biru Public Health Center, Gorontalo Regency in 2019. The sample size is 248 people using purposive sampling. The method of collecting physical activity data is measured using a Physical Activity Level (PAL) questionnaire, central obesity is measuring waist circumference, and current blood glucose levels for hyperglycemic status. The statistical test is the chi-square test with 95% CI. The results showed that physical activity included in the light category was very high at 91.1% and central obesity status was also high at 61,3%. The results of current blood glucose levels showed that respondents who experienced hyperglycemia were low at only 15,3%. Physical activity had no significant association with hyperglycemia (p= 0,142), central obesity had a significant association with hyperglycemia (p= 0,005). The conclusion is that central obesity has a significant relationship with the incidence of hyperglycemia in adult women with an OR value of 3,52.

Pelajari Lebih Lanjut

Abstract

Background & Objective :
Trend and prevalence of stunting are required to see the success of community health nutrition outcomes over time. The purpose of this research is to know the trend and stunting prevalence in baduta year 2007, 2011 and year 2016 in Central Sulawesi.

Material and Method :
This research used a retrospective cohort design. This research is conducted on June 7, 2017 until October 3, 2017 in Palu City and Donggala Regency Central Sulawesi. The population in this study was the data sets of PSG in 2007, 2011 and 2016 as much as 16,105. Samples were 6391 sets of data baduta.

Results :
Prevalence of stunting in 2007, 2011 and 2016 was 32.3%, 31.5% and 26.0%, respectively. In the last 9 years there was a 6.2% decline or an average of 0.6% per year.

Conclusion :
The prevalence of Baduta in 2007, 2011 and 2016 consecutively was 32.3%, 31.5% and 26.0%. Prior programs that have been undertaken by the health department are continued by improving cross-sectoral cooperation in sensitive programs the first 1000 days of life. The highest stunting problem in the 12-23 month age group means stunting prevention focuses on strengthening the complementary feeding program.

Pelajari Lebih Lanjut

Abstract

Stunting is a nutritional problem which its overcoming effort should be started from thousand days of early life. Age of 6 to 24 months is a golden life phase that when its nutritional fulfillment are insufficient, it will give a big impact for the future life. On this phase, the childs are started for recognition of breastmilk complementary food which its texture and amount are different based on the age. There are still many problems in Indonesia regarding the golden standard implementation of infant and child feeding such as Early Breastfeeding Initiation, Exclusive Breastfeeding, and Breastfeeding till 24 months or more.

Workshop using andragogy training technique in rilex but serious situation is expected to increase knowledge of training material. Workshop is conducted by utilizing the available space with group dynamics and games.

The results of public service activity with 24 cadres as participant showed that there are 20 cadres that increase their knowledge after attending workshop and there are 4 cadres that there is no change in knowledge. Wilcoxon test showed p value as 0.001. This is indicate that statistically there is a significant different of knowledge after attending workshop. The common child and infant feeding practice in our community is early complementary feeding with excuses that breastmilk is not enough to increase baby weight and food taboo such as forbidden for consumption of milk banana.

Pelajari Lebih Lanjut