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Stunting : Studi Konstruksi Sosial Masyarakat Perdesaan dan Perkotaan Terkait Gizi dan Pola Pengasuhan Balita di Kabupaten Jember Weny Lestari; Lusi Kristiana; Astridya Paramita
Jurnal Aspirasi Vol 9, No 1 (2018)
Publisher : Pusat Penelitian Badan Keahlian DPR RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (629.472 KB) | DOI: 10.46807/aspirasi.v9i1.985

Abstract

Indonesia’s rank in world was 5th on stunting case. 5 million of children under five (38.6 % from 12 milion) got stunting in Indonesia. The aims of this study were to descript the social construction of rural-urban community about the meaning of children’s health and illness, and the pattern of nurturing which was related to stunting. The study used qualitative’s method, datas collected with depth interview and observation partisipation. The study was conducted in rural-urban communities which had stunting cases in Jember (Kalisat and Jelbuk). The study was conducted in June to December 2013. The study showed that stunting were related to social construction. Difference social construction in rural-urban which constructed the meaning of healthy or illness and nuruturing the stunting’s children was affected by maternal education, early-age marriage, after marriage’s residence, responsibilities of nurturing, and valuable concept in community that causes the lack of knowledge about nutrition. The study concluded that stunting was not a single cause of heatlh’s problems, but it related to social construction. Causes lied in the distinction of social construction, patterns of communication and interpretation between health providers and community, so there was no meeting point for the success of nutritional improvement children under five’s programs. Kejadian balita pendek (stunting) di Indonesia masih menempati urutan ke-5 di dunia. Terdapat lima Juta (38,6% dari 12 juta) Balita di Indonesia yang memiliki tinggi badan dengan kategori pendek. Penelitian ini bertujuan untuk menggambarkan konstruksi sosial masyarakat perdesaan dan perkotaan terkait pemaknaan sehat dan sakit pada balita, dan pola pengasuhan anak terkait dengan stunting. Metode penelitian adalah kualitatif. Pengumpulan data dilakukan dengan cara wawancara mendalam dan observasi partisipasi. Penelitian dilakukan di wilayah perkotaan (Kecematan Kalisat) dan perdesaan (Kecamatan Jelbuk) dengan kasus stunting tertinggi di Kabupaten Jember. Waktu penelitian adalah 7 bulan (Juni-Desember 2013). Hasil penelitian menunjukkan bahwa masalah stunting terkait erat dengan konstruksi sosial masyarakat. Terdapat perbedaan konstruksi sosial yang membentuk pemahaman sehat/sakit dan pola asuh balita stunting di perdesaan dan perkotaan di Jember. Konstruksi sosial tersebut dipengaruhi oleh pendidikan ibu, usia perkawinan dini, tempat tinggal setelah menikah, tanggung jawab pengasuhan balita, dan prioritas ekonomi pada masyarakat yang menyebabkan minimnya pengetahuan masyarakat tentang gizi. Hasil penelitian menyimpulkan bahwa kejadian stunting bukan merupakan akibat tunggal masalah kesehatan balita, namun terkait erat dengan konstruksi sosial masyarakat. Penyebabnya terletak pada perbedaan konstruksi sosial yang dibangun, pola komunikasi dan pemaknaan antara tenaga kesehatan dengan masyarakat, sehingga tidak ada titik temu untuk keberhasilan program peningkatan gizi balita.
Clustering of Provinces in Indonesia based on Maternal Health Indicators Herti Maryani; Lusi Kristiana; Astridya Paramita; Pramita Andarwati; Nailul Izza
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.16913

Abstract

Indonesian health issues that deserved top priority was maternal and child health because it determines thequality of the human resources of future generations. The objective of this research is to analyze the clusteringof provinces in Indonesia based on maternal health indicators. This cross-sectional study was conducted in34 provinces using secondary data from the Basic Health Research and Statistics Indonesia. Analysis ofprovincial clustering used FUZZY C-MEANS. Analysis produces six clusters. Cluster 2 has a high meanvalue of maternal health indicators that exceeded the Indonesian target, consisting of the provinces of DKIJakarta, DI Yogyakarta, and East Nusa Tenggara. Cluster 2 was formed by the value equation variable Age offirst mating, Ownership of maternal and child health monitoring book, Vitamin A Provision, K4, postpartumvisits, Iron supplementation tablets consumption and Childbirth delivery in health facilities. Indicators ofownership of the maternal and child health monitoring book for pregnant women had met Indonesia targetin all clusters. Meanwhile, the active participation of family planning program indicator was still below theIndonesia target in all clusters.
Ecological Study of Healthcare Childbirth in Indonesia: Does Antenatal Care Matter? Zulfa Auliyati Agustina; Mara Ipa; Pramita Andarwati; Lusi Kristiana; Agung Dwi Laksono
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 3 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i3.16013

Abstract

The Indonesian government is encouraging childbirth in healthcare to reduce maternal mortality in Indonesia, which is still high.This study aims to conduct an ecological analysis related to the factors that affect Indonesia’s healthcare childbirth.The researchconducted the ecological analysis using secondary data from the Ministry of Health of the Republic of Indonesia report in 2018. The study takes all provincesas samples. Apart from the proportion of healthcare childbirth, four other variables analyzed as independent variables were the proportion of antenatal care 1st visit, the proportion of antenatal care 4th visit, the ratio of health center per district, and the hospital per 100,000 population ratio. Data were analyzed using a scatter plot.The study results found a tendency for the proportion of healthcare childbirth to be lower in the eastern than other Indonesia regions. The study also found that the higher the antenatal care 1st visit in a province, the higher the proportion of healthcare childbirth in that province.Meanwhile, the higher the antenatal care 4th visit in a region, the higher the proportion of healthcare childbirth in that region. The higher the ratio of health centers per district in a province, the higher the proportion of healthcare childbirth in that province. Moreover, the higher ratio of health centers per district in an area, the higher the proportion of healthcare childbirth in that area.The study concluded that four independent variables were analyzed ecologically related to healthcare childbirthin Indonesia.