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All Journal JURNAL GIZI INDONESIA Jurnal Gizi Klinik Indonesia PUBLIKASI PENELITIAN TERAPAN DAN KEBIJAKAN Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences
Nur Alam Fajar
Fakultas Kesehatan Masyarakat Universitas Sriwijaya
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Economics, Econometrics & Finance Environmental Science Health Professions Public Health Social Sciences

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Hubungan pola asuh dengan kejadian stunting balita dari keluarga miskin di Kota Palembang Bella, Febriani Dwi; Fajar, Nur Alam; Misnaniarti, Misnaniarti
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 8, No 1 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.248 KB) | DOI: 10.14710/jgi.8.1.31-39

Abstract

Background: Nutritional problems do not always occur in poor families, in fact many of under five years in poor families in good nutritional status which have normal height (not stunting) based on the parenting in the family. The positive parenting in poor families are feeding habit, parenting habit, hygiene habit and health services habit. Objectives: This research aim to observe the parenting of feeding habits, parenting habits, hygiene habits and health services habits on the incidence of toddler’s stunting on poor families in the city of Palembang.Methods: This research was an observational study which using a quantitative approach with a Cross Sectional Study design. It took 100 mothers who have children aged 24-59 months from poor families in the city of Palembang were chosen by proportional random sampling.Data taken regarding feeding habits, parenting habits, hygiene habits, and health services habits obtained through questionnaires, and the incidence of child stunting obtained from measurements of children's height using a toddler's height measurement tool. Data analysis to observe the relationship between variables using the Chi-Square test.Results: The results showed the proportion of toddler stunting in poor families in the city of Palembang was 29%. There was a significant correlation between feeding habits (p-value = 0.000); parenting habits (p-value = 0.001; hygiene habits (p-value = 0.021) and health services habits (p-value = 0.000) on the incidence of toddler’s stunting.Conclusion: Normal height (not stunting) toddlers have positive deviance of feeding habits, parenting habits, hygiene habits and health services habits better than stunting under five years with same economic backgrounds family
Faktor sosial, ekonomi, dan pemanfaatan posyandu dengan kejadian stunting balita keluarga miskin penerima PKH di Palembang Rahmawati, Nur Farida; Fajar, Nur Alam; Idris, Haerawati
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.49696

Abstract

Social, economic factors, and utilization of posyandu towards stunting among toddlers of poor families of PKH recipients in PalembangBackground: Stunting is a nutritional problem caused by chronic malnutrition. Stunting can result in decreased concentration, memory damage, decreased learning, and school performance, decreased cognitive function, impaired motor development, and has a long-term impact on reducing productivity, thus inhibiting economic growth and causing intergenerational poverty. Stunting can be influenced by social, economic, and access to health services factors. Objective: To analyze the correlation of social, economic, and utilization of integrated services post (pos pelayanan terpadu/posyandu) with the incidence of stunting of under-fives in poor families in Palembang. Methods: This study used a quantitative method with a cross-sectional design in March-April 2019. The population was toddlers aged 24-59 months from poor families in Palembang, with the criteria receiving the cash transfer program from the Indonesian Government, called Program Keluarga Harapan (PKH). Samples were 100 people were chosen by proportional sampling. Data were analyzed by using the Chi-Square test and regression logistic test. Results: The proportion of stunting among toddlers in poor families of PKH recipients in Palembang was 29%. Multiple logistic regression test shows 4 (four) independent variables have a significant correlation to the incidence of stunting simultaneously. Those variable are maternal education (p=0.003, OR=7.278, 95% CI: 1.928-27.474), birth order (p=0.013, OR=0.144, 95% CI: 0.031-0.664), number of family members (p=0.013, OR=10.809, 95% CI:  1.639-71.278),irregular utilization of Posyandu (p=0.041, OR=3.524, 95% CI:1.055-11.768), and never using Posyandu (p=0.019, OR=5.282, 95% CI: 1.313-21.239). Low maternal education, huge family members (more than 4), irregularly and never use Posyandu increase risk of stunting 7.2 times, 10.8 times, 3.5, and 5.2 times, otherwise first or second birth order was a protective factor of stunting. Conclusions: Maternal education and utilization of Posyandu are protective factors, meanwhile huge family members (more than 4) and third or more birth order can increase stunting incidence among toddlers of poor families of PKH recipients.
DAMPAK PSIKOSOSIAL PENDERITA KUSTA DALAM PROSES PENYEMBUHANNYA Fajar, Nur Alam; Fajar, Nur Alam
Publikasi Penelitian Terapan dan Kebijakan Vol 4 No 1 (2010): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Leprosy remains a health problem in Indonesia that has complicated impact. It results in a highly complicated impact which is not only on medical aspect, but also in other aspects such as social, economic, culture, and national defense and security3. Till now, leprosy has been considered as a frightening disease by some patients including their family and even by small number of healthcare staffs. That problems are often assumed as causing factors for physical and social disorders because of the morbidity (as concomitant) and tendency seem to be more dominant than its medical problem. This is supported by a survey conducted in South Sulawesi, East Java, and West Java that states there is wrong sociocultural understanding about leprosy which still develops in society, such as leprosy as a genetic and witchery disease, a curse from God, a result of wrong choice of food, very contagious disease, and untreatable an uncurable diseases11. The sociocultural impacts have caused an excessive fear (leprophobia). With leprophobia and negative stigma, patients tend to be isolated from social interaction and they are not treatedhumanely7. The aim of this paper is to give an understanding to all parties concerned of the importance of psychosocial aspects experienced by leprosy patients in order to overcome and prevent the disease in the community. In this paper, a theoretical exploration of the methodology were used to provide a basic understanding about the progress of efforts to eliminate (leprophobia) in thecommunity through a psychosocial approach in our environments.
DAMPAK PSIKOSOSIAL PENDERITA KUSTA DALAM PROSES PENYEMBUHANNYA Fajar, Nur Alam; Fajar, Nur Alam
Publikasi Penelitian Terapan dan Kebijakan Vol 4 No 1 (2010): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Leprosy remains a health problem in Indonesia that has complicated impact. It results in a highly complicated impact which is not only on medical aspect, but also in other aspects such as social, economic, culture, and national defense and security3. Till now, leprosy has been considered as a frightening disease by some patients including their family and even by small number of healthcare staffs. That problems are often assumed as causing factors for physical and social disorders because of the morbidity (as concomitant) and tendency seem to be more dominant than its medical problem. This is supported by a survey conducted in South Sulawesi, East Java, and West Java that states there is wrong sociocultural understanding about leprosy which still develops in society, such as leprosy as a genetic and witchery disease, a curse from God, a result of wrong choice of food, very contagious disease, and untreatable an uncurable diseases11. The sociocultural impacts have caused an excessive fear (leprophobia). With leprophobia and negative stigma, patients tend to be isolated from social interaction and they are not treatedhumanely7. The aim of this paper is to give an understanding to all parties concerned of the importance of psychosocial aspects experienced by leprosy patients in order to overcome and prevent the disease in the community. In this paper, a theoretical exploration of the methodology were used to provide a basic understanding about the progress of efforts to eliminate (leprophobia) in thecommunity through a psychosocial approach in our environments.
ANALYSIS OF MOTHER’S BEHAVIOR TOWARDS THE LOW OF EXCLUSIVE BREASTFEEDING IN KECAMATAN GANDUS PALEMBANG Ananingsih, Esti Sri; Pulungan, Annie Kholila Oktora; Fajar, Nur Alam
Publikasi Penelitian Terapan dan Kebijakan Vol 3 No 3 (2009): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Exclusive breastfeeding is normal way of providing young infants with best nutrients. Besides, it also offers many benefits that can be seen from several aspects such as from nutrient content, immunity level, and mental activity through love and affection essentially needed for mental and intelligence development in a child (Message 7 PUSGS). The objective of the research was to investigate mother’ behavior and other factors influencing the exclusive breastfeeding in Kecamatan Gandus, Palembang . This was analytical descriptive study applying cross sectional design. The research population was all mothers breastfeeding their baby of 6 – 12 months old. The total population was 312 breastfeeding mothers taken from different five areas in Kecamatan Gandus; Kelurahan Gandus, Kelurahan Pulokerto, Kelurahan Karang Anyar, Kelurahan Karang Jaya, and Kelurahan 36 Ilir. 95 out of the total population served as sample and collected using Simple Random Sampling. The result of the research showed that the factors related to mother’s behavior in giving exclusive breastfeeding were mother’s occupation (P value = 0.010), attitude (P value = 0.005), and family’s role (P value = 0.025). On the other hand, the factors not related to mother’s behavior in giving exclusive breastfeeding were age (P value = 0.477), education (P value = 0.91), knowledge (P value = 0.917), and economic status (P value = 0.225). It may be expected from the research that the information should be delivered periodically and continually using modified method and media; the standard room equipped with good facility is needed and the governmental regulation that regulates the exclusive breastfeeding procedure should be available; and the leaders in the scope of small community, NGO, and government should involve in enhancing family’s role in order to support exclusive breastfeeding.
KEPUASAN PASIEN JAMKESMAS TERHADAP KUALITAS PELAYANAN KESEHATAN DI POLI UMUM PUSKESMAS PETALING KABUPATEN BANGKA TAHUN 2009 Fajar, Nur Alam; Kartikasari, Erma; Ainy, Asmaripa
Publikasi Penelitian Terapan dan Kebijakan Vol 4 No 2 (2010): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Community Health Insurance is the government's social assistance programs for the poor. Research from the Indonesian Corruption Watch (ICW) found out that the quality of health services for the poor through the program of community health insurance is still low. This problem can be seen from the report of implementation program JPKM ASKESKIN in 2007 and report on the implementation of public health insurance program in 2008 at Petaling Health Center that decreased the number of patient visits by 60,52%. Therefore, this study aims to determine patient satisfaction of community health insurance to quality health services at the General Out Patient Clinic Petaling Public Health Center of Bangka. This research is a quantitative study using importance-performance analysis. This sample amount of 73 patients of community health insurance taken by purposive sampling technique. Tools of data collection primary data derived from the results of questionnaires and secondary dataderived from health profiles Petaling Public Health Center. The results of this study indicated that the average value of fitness levels for all dimensions are 82.49% which the level of concordance 78.47% reliability dimension, responsiveness 80.70%, assurance 85.01%, empathy 82.68% and tangible 85, 63%. Based on the importance-performance analysis of 25 factors which are investigated there are 8 (eight) factors that are in quadrant I, 7 (seven) factors in quadrant II, 3 (three) factors in quadrant III and 7 (seven) factors in quadrant IV. Advice given to the Petaling Health Center of Bangka is to improve health worker performance in terms of reliability and responsiveness in a way to supervise the implementation of service provided and give awards to outstanding officers. In addition, health workers also need to maintain the performance of the services provided in terms of empathy, assurance and tangibles with means to evaluate the services routinely provided.
HUBUNGAN KONDISI FISIK RUMAH DAN PERILAKU KELUARGA TERHADAP KEJADIAN ISPA PADA BALITA DI KELURAHAN CAMBAI KOTA PRABUMULIH TAHUN 2010 Oktaviani, Della; Fajar, Nur Alam; Purba, Imelda G
Publikasi Penelitian Terapan dan Kebijakan Vol 4 No 3 (2010): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Infeksi saluran pernafasan akut (ISPA), merupakan salah satu penyebab kesakitan utama pada balita di negara berkembang. Penelitian ini bertujuan untuk mengetahui hubungan antara kondisi fisik rumah yang meliputi atap, lantai, dinding, ventilasi, luas lantai, kepadatan hunian,tempat pembuangan sampah serta perilaku keluarga (pengetahuan dan sikap keluarga) dengan kejadian ISPA. Penelitian ini dilakukan pada Bulan Mei 2010 di Kelurahan Cambai. Jenis penelitian ini adalah penelitian observasional dengan pendekatan cross sectional.Subjek yang diteliti yaitu seluruh rumah yang di dalamnya terdapat balita berusia nol sampai lima tahun dengan besar sampel 82 responden. Teknik pengambilan sampel yang digunakan adalah simple random sampling. Uji statistik menggunakan uji chi square dengan menggunakan program SPSS versi 17. Hasil penelitian menunjukkan bahwa ada hubungan antara pengetahuan dan sikap keluarga (p= 0,049), atap (p=0,010), lantai (p=0,001), ventilasi rumah (p=0,009), luas lantai dan kepadatan hunian rumah (p=0,032) dengan kejadian ISPA, sedangkan dinding rumah (p=0,299), dan tempat pembuangan sampah (p=0,068) tidak ada hubungan dengan kejadian ISPA. Berdasarkan hasil penelitian, dapat disimpulkan bahwa kejadian ISPA pada balita selain dipengaruhi oleh pengetahuan dan sikap keluarga juga dipengaruhi oleh kondisi fisik rumah (atap, lantai, ventilasi, luas lantai dan kepadatan penghuni rumah). Saran yang diajukan untuk mencegah dan menanggulangi kejadian ISPA pada balita adalah perlunya peningkatan perilaku hidup sehat seperti tidak merokok baik dalam lingkungan keluarga maupun bermasyarakat dan peningkatan kegiatan penyuluhan oleh petugas kesehatan kepada masyarakat mengenai syarat rumah sehat sehingga tindakan pencegahan dapat dilakukan.
HUBUNGAN PENGETAHUAN DAN SIKAP TERHADAP PERILAKU CUCI TANGAN PAKAI SABUN PADA MASYARAKAT DI DESA SENURO TIMUR Fajar, Nur Alam; Misnaniarti, Misnaniarti
Publikasi Penelitian Terapan dan Kebijakan Vol 5 No 1 (2011): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Penyakit menular seperti diare dan ISPA (Infeksi Saluran Pernapasan Akut) masih menjadi masalah kesehatan di Indonesia. Berdasarkan data tahun 2007 diketahui bahwa Kabupaten Ogan Ilir merupakan salah satu kabupaten dengan angka penderita diare dan ISPA yang cukup tinggiyakni 8358 penderita diare dan 23.308 penderita ISPA. Menurut WHO, salah satu upaya yang dapat dilakukan untuk menurunkan angka kejadian diare dan ISPA adalah perilaku cuci tangan pakai sabun. Oleh karena itu perlu dicari informasi tentang hubungan antara pengetahuan dansikap terhadap perilaku Cuci Tangan Pakai Sabun (CTPS) pada masyarakat di Desa Senuro Timur Tahun 2010. Metode ini merupakan penelitian observasional dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh masyarakat Desa Senuro Timur Kecamatan Tanjung Batu Kabupaten Ogan Ilir. Sampel berjumlah 93 orang yang dipilih dengan menggunakan cara purposive sampling dengan hasil yang didapatkan bahwa sebanyak 52,7% responden memiliki pengetahuan baik, dan 56,1% responden mempunyai sikap mendukung terhadap perilaku CTPS. Diketahui tidak ada hubungan antara pengetahuan masyarakat terhadap perilaku CTPS dengan nilai PValue=0,615, ada hubungan antara sikap masyarakat terhadap perilaku CTPS dengan nilai PValue=0,0001. Dengan demikian maka perlu diupayakan kegiatan penyuluhan secara terprogram dan kontinyu serta upaya evaluasi dan monitoring secara berkala dalam setaip program kegiatan CTPS di masyarakat. Selain itu, juga perlu melibatkan Pemerintah, TOMA, TOGA, dan LSM dalam setiap program kegiatan CTPS di masyarakat.
The Relationship of Stunting Events with Intelligence Level in Elementary School Children at Air Beliti Health Center Kurniati, Desi; Fajar, Nur Alam; Novrikasari, Novrikasari
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 4, No 3 (2021): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i3.2219

Abstract

Stunting is a failure of growth and development experienced by children for a long time which can indicate a disturbance in the organs of the body, where one of the organs that is most rapidly damaged in nutritional disorders is the brain. Stunting is still a health problem in the world, especially in developing countries. The magnitude of the problem is due to the high prevalence of stunting, above the world standard of 20%. The incidence of stunting is caused by lack of nutritional intake during pregnancy and during growth. The purpose of the study was to determine the relationship between the incidence of stunting and the level of intelligence in elementary school children. This study used a cross-sectional design. The research population was elementary school children in grades 4, 5 and 6 of 5 elementary schools in the working area of the Air Beliti Health Center, as many as 156 children using a simple random sampling technique. The sample in this study was 85 with random sampling technique. Data were analyzed by univariate, bivariate using chi square test, and multivariate using linear regression test. The results obtained from the level of intellectual intelligence above the average of 67.1%, and children who did not experience stunting were 72.9%, the results of the hypothesis test showed a significant relationship between the incidence of stunting (p = 0.011) and the level of intelligence in elementary school children. The results of the study indicate that there is a relationship between the incidence of stunting and the level of intelligence of elementary school children. The results of the study indicate that there is a relationship between the incidence of stunting and the level of intelligence of elementary school children, parents pay more attention to nutritional intake in accordance with the needs of elementary school children because stunting events can affect the growth and level of intelligence in children, health center health workers in order to create innovations in stunting prevention, especially in elementary school age children by involving the school through UKS activities ( School health).
Relationship of Environmental Sanitation with Stunting Events in School Children in the Work Area Air Beliti Kab Musi Rawas Ningsih, Yusria; Fajar, Nur Alam; Novrikasari, Novrikasari
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 4, No 3 (2021): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i3.2343

Abstract

Environmental sanitation is closely related to nutritional problems. One of the indicators in assessing the degree of public health is the environment, hygiene and sanitation. The purpose of this study was to determine the relationship between environmental sanitation and the incidence of stunting in school children in the Air Beliti PKM Working Area, Musi Rawas Regency. Quantitative research method with cross-sectional design. The population in this study is elementary school age children in 2021 with a total of 200 people. The school's sampling technique was random sampling and the selection of school children was quata sampling of 40 children per class, the sample in this study was 162 students through a randomization process. This research design uses chi square through logistic regression test. Result: There is a significant relationship between environmental sanitation and the incidence of stunting (p=0.004). Conclusion: briefly explained the relationship between stunting and the environment, it is therefore recommended to the puskesmas to always provide socialization on the importance of maintaining and improving environmental sanitation such as waste disposal facilities, latrines and waste water disposal, as well as the importance of providing balanced food so that the development and growth of children is not disturbed and supported by good hygiene behavior of children and families.
Co-Authors Ananingsih, Esti Sri Anni Holila Pulungan Annisa Rahmawaty Asmaripa Ainy Bella, Febriani Dwi Desi Halimah Lubis, Desi Halimah Eka Oktarina, Eka Elvi Sunarsih Eva Nanda, Eva Fatmalina Febry Febbryanti, Ririn Fratiwi Feranita Utama Haerawati Idris Iche Andriyani Liberty, Iche Andriyani Imelda G Purba, Imelda G Indah Eliyanti, Indah Indah Purnama Sari Iwan Stia Budi Kartikasari, Erma Kurniati, Desi Marisa Apriyanti, Marisa Medias Imroni Misnaniarti Misnaniarti Najmah, Najmah Nike Warta, Nike Ningsih, Yusria Novrikasari Novrikasari, Novrikasari Nurhayati, Anissa Oktarina, Silvia oktaviani, Della Prima Sari Putri, Prima Sari Rahmawati, Nur Farida Resti Irmalasari, Resti Retri Primasari, Retri Ridwan Ikob, Ridwan Rini Mutahar Yeni Yeni Yulda, Apri