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All Journal JURNAL GIZI INDONESIA Jurnal Kesehatan Lingkungan indonesia Jurnal Kesehatan Masyarakat Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat PUBLIKASI PENELITIAN TERAPAN DAN KEBIJAKAN
Setiyowati Rahardjo
Jurusan Kesehatan Masyarakat FIKes Universitas Jenderal Soedirman Purwokerto
Agriculture, Biological Sciences & Forestry Economics, Econometrics & Finance Environmental Science Health Professions Public Health Social Sciences

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Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency Kusumawati, Erna; Rahardjo, Setiyowati; Sistiarani, Colti
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.4990

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency Kusumawati, Erna; Rahardjo, Setiyowati; Sistiarani, Colti
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.4990

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP POLA ASUH IBU BALITA DI KABUPATEN BANYUMAS (Studi di Puskesmas Banyumas dan Puskesmas II Kembaran) Kusuma Aji, Dimas Setio; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 8 No 1 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Maternal parenting plays an important role in determining the nutritional status of children, when parenting less well in terms of feeding, health care and stimulation of development, can affect the growth and development of children. The purpose of this research is to determine factors that influence parenting mothers in Banyumas district. This type of research is observational analytic with cross sectional design approach. Number 97 children of samples (0-59 months) are taken proportionally by cluster random sampling while the respondents is children?s mother. The data collection used structure interview with questionnaires. Data analysis used univariate (frequency distribution), bivariate (chi-square) and multivariate (logistic regression). The results showed an association between knowledge (p=0.000) and attitude (p=0.000) with the mother's parenting. The results of multivariate showed knowledge and attitudes affect maternal parenting together, while knowledge is the most dominant factor that influence the mother's parenting. Effort to increase maternal parenting behavior that is held guidance in the form of training to midwife and cadres in order to enhance the skills and capabilities of counseling to the community to be able to deliver better information on nutrition and maternal parenting.
UPAYA PERBAIKAN GIZI 1000 HARI PERTAMA KEHIDUPAN DALAM RANGKA PENCEGAHAN STUNTING BALITA MELALUI OPTIMALISASI PERAN TENAGA GIZI DI KABUPATEN BANYUMAS Kusumawati, Erna; Rahardjo, Setiyowati; Permata Sari, Hesti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 8 No 2 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTThe first period of 1,000 days of life is a sensitive period due to the impact of the baby during this period. It will be permanent and can not be corrected. One of effort to prevent stunting is provide nutrition services in health centers by using surveillance stunting. The method used participatory by involving partners to play an active role in the activities and accompanied by a team act as a resource and facilitator. The data analysis useddependentt-test measured by changes in pretest and posttest scores. There are 80 % diploma of nutrition, most of them (60%) have 5 years work experience. There was an increased knowledge before and after training is of 9.63 to 9.94, but there was no significant differences in knowledge before and after training p=0,078 (>0.05). For the training, there was an increased skills before and after the training (3.66 to 6.09), p= 0.000 (<0 , 05), it mean that there was significant differences in the skills before and after the intervention. In order stunting surveillance program is expected to involve the health department for nutritionist and midwife to monitor nutrition tracking and reporting activities, especially stunting routine.Keywords : Stunting, Nutritionist, Surveilans Kesmasindo, Volume 8(2) Juli 2016, Hal. 90-98
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Kusumawati, Erna; Sri Rejeki, Dwi Sarwani; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

TB of children in community show of TB case's proportion which will occur in the future.Besides, TB of children 's distribution could be  the indicator of the ongoing transmission of TB in the community. This study conducted to explore the prediction factor of positive tuberculin tedt which were children's characteristic (age, gender), parent's characteristic (parent's education ,parent's occupation) and household size. A case control study held in primary school children attending class I-IV (8-13 years age) in Kabupaten Cilacap from September - Desember  2008. Sample divided in two group, there are 109 case 109 control. School children two had result of tuberculin test ? 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proportional random sampling. Informations about children's  results of tuberculin test were obtained from secondary data of tuberculin data survey which held on center Java. Primary data obtained by interviewing of school children. Logistic regression demonsrtated prediction factors of positive tuberculin test were BCG scar (p value = 0,049, OR= 0,432, 95% CI = 0,250-0,753) and age (p value= 0,003, OR= 0,434, 95% CI= 0,187 - 0,996).
PENGARUH BCG SCAR TERHADAP HASIL UJ TUBERKULIN ANAK SEKOLAH DASAR (SD) KELAS I-IV (8-13 TAHUN) DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Sri Rejeki, Dwi Sarwani; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Objective research to explore the influence of BCG scar for results of tuberculin test after controlled by covariat variable e.g childrens?s characteristic (age, gender), parents?s characteristic (parents?s education, parents?s occupation) and household size. Method using a case control study held in primary school children attending class I-IV (8-13 years age) in Cilacap district from September?Desember 2008. Sample divided in two group, there are 109 case and 109 control. School children who had result of tuberculin test ? 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proporsional random sampling. Informations about children?s result of tuberculin test were obtained from secondary datas of tuberculin survey which held on center of Java. Primary datas obtained by interviewing with school children. Result logistic regression demonstrated influence of BCG scar for result pf tuberculin test showed result OR = 0.432, p value = 0,409, it means childrens who had BCG scar had a risk for positive tuberculin 0.432 greater than childrens who had not BCG scar. Based on result, age was confounding variable for influence of BCG scar for results of tuberculin test (OR = 0.434, nilai p = 0.003).
HUBUNGAN PENGETAHUAN GIZI IBU DAN DAYA BELI KELUARGA DENGAN KETAHANAN PANGAN RUMAH TANGGA DI KABUPATEN BANYUMAS Rahardjo, Setiyowati; Wati, Erna Kusuma
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Household food security was condition that all family have access for food both physical and economy, until all family have not under nutrition risk. The nutrition problem and unsafe food indication that household food security not good yet. Household food security were measured by daily energy and protein consumtion per capita and persentase of household with defisit protein and energy. Household food security were correlated with availability of food in the market, food price, capability of household for fulfill the foods and health and nutritional knowledge. This research aimed to study the correlation between nutritional knowledge of the mothers and capability of household for fulfill the foods with household foof security in Banyumas District. Research design implemented was control case with retrospective approach to 92 children under five years. Data collection by interviewed to their mothers with structured questioners. Data analysis were univariat analysis and bivariat analysis with chi square test. Descriptive analysis showed that most of the family have household food security for protein were law (55%), household food security for energi of respondents were less (88%), most of the mother (77,2%) have nutritional and health knowledge were bad, (56,5%) family have capability of household for fulfill the foods were bad category. Bivariat analysis showed that there was correlation between mother?s nutritional knowledge with household food security for protein with p value 0,038. To increase household food security were need routine nutrition and health education for mother who have children under five years and derived food for fulfill their family nutrition need.
ANALISIS DETERMINAN-DETERMINAN YANG MEMPENGARUHI KEMATIAN BAYI (STUDI KASUS DI KABUPATEN BANYUMAS) Rahardjo, Setiyowati; Dardjito, Endo
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Infant Mortality Rate (IMR) is a common indicator used as economic development index, quality of life indicator and main component determining life expectancy rate of a society. Data from Banyumas Regency Health Office showed that infant mortality in 2006 was 5,65 per 1000 live birth and it increased in 2007 to 9,60 per 1000 live birth. The research aims to determinants analysis that influence infant mortality in Banyumas Regency. The research method used case control approach. The case was baby that died in year of 2007 to July 2008. The contol was baby those who live as the case?s neighbours. The case sample were taken from the data of Banyumas Regency Health Office as many as 44 newest infant mortality, while the control sample taken by using population based technique with the closest neighbours of the cases as the control source. The analysis used univariat, bivariat and multivariat. The result of the research states that determinant which correlated with infant mortality were close determinant that : birth weight (p = 0,004 dan OR = 4) and congenital disorder (p = 0,030 dan OR = 6,17). While the most dominant relevant factor was congenital disorder OR = 8,18 (95%CI 1,57-42,55) which means baby with congenital disorder risked 8,18 times to experience mortality compared to babies that who have congenital disorders. The result of the research suggested to make coordination with health service officer to give information and eduction about effects of congenital disorders in new born babies, and the mothers visit antenatal helath service regulary.
BEBERAPA FAKTOR YANG MEMPENGARUHI TERHADAP KEHADIRAN PARA LANJUT USIA DI POSYANDU LANSIA DESA KEBUMEN KECAMATAN BATURADEN KABUPATEN BANYUMAS Baharudin, Baharudin; Marsum, Marsum; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

In building heatly elderly people were not easy and need team work from many sector for instance: elderly themselves, families, communities, gouvernment, non gouvernment organization, health professional groups. Integrated health, services for ederly were health services for ederly in health promotion aspect. The aim was to promote health degree and quality of life to gain old age that be happy and meaningfull in their families and their communities. The research object ws found out some factor influencing elderly to present at integrated health services in Kebumen Baturraden Of Banyumas District. This researches fall in survey researches by cross sectional approach. The research population is all elderly people in Kebumen Baturraden (722) people. Descriptive researchs findings shows that respondens that have near distances from their house to integrated health service are 69.4% illiterate respondent and not finish from elementary school are 60.0%, 25.9% and 14.1%. Knowledge level of responden show that almost the same between goods knowledge and not enough good knowledge (50.6% and 49.4% irrespectly). Psychososial potention of responden are middle category (36.5%). And precency of active elderly at integrated health services are 28.24% and 71.76% for passive. Analitic statistical shown that distance, level of knowledge, and psychososial potention have a significant influences toward procency elderly to integrated health services (p=0.034, p=0.020, p=0.185). It hopes that every elderly people could present at integrated health services periodically (i.e: monthly) and needs increasing number of integrated health services, at least one integrated health services every citizen areas, and also increasing the frequency of health promotion program by staff of health community center as supervisor of activities for elderly integrated health services.
PEMBERDAYAAN IBU SEBAGAI UPAYA DETEKSI DINI KEKURANGAN GIZI BALITA DI PUSKESMAS II SUMBANG KABUPATEN BANYUMAS Kusumawati, Erna; Rahardjo, Setiyowati; Dardjito, Endo
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 7 No 3 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

A mother has a mayor role in child growth, especially for their nutritional status. The objective of this research was to identify the incidence of undernutrition by identifying factors that cause undernutrition such as child factor, family factor, maternal factor and environmental factor using quantitive approach, identifying how far the interaction of community with the publich health, identifying the effectiveness programs to prevent undernutrition The factors analyzed using multiple regression logistic. Interactive model1) used to analyzed the extent of publich health for the undernutrition preventing programs. The sample of this study were the children with undernourished from January-July 2012, there were 50 subject. As a control, researcher use 50 children with wellnourished status who lives near the subject with undernourished status. Analysis of quantitative data obtained from the results of the causes of malnutrition in gender, maternal employment, and environmental sanitation. The most dominant factor is maternal employment. Qualitative analysis concluded institutional issues include the provision of supplementary feeding has been unable to overcome the problem of malnutrition, a history of maternal nutrition and low birth weight, low maternal education and knowledge, lack of exclusive breastfeeding, complementary feeding premature delivery, low maternal participation in posyandu and low income families. Early detection of malnutrition can be done by empowering housewives with increased knowledge of breastfeeding / complementary feeding and nutrition during pregnancy, maintenance of environmental sanitation, as well as increased participation of mothers in the Posyandu.
Co-Authors Agnes Fitria Widiyanto Baharudin Baharudin Colti Sistiarani Dimas Setio Kusuma Aji, Dimas Setio Dwi Sarwani Sri Rejeki Dyah Umiyarni Purnamasari Endo Dardjito Erna Kusuma Wati, Erna Farida Aprilianingrum, Farida Hesti Permata Sari Kuswanto Kuswanto Marsum Marsum Rachma Purwanti Siwi Pramatama Mars Wijayanti, Siwi Pramatama Sri Nurlaela Suratman Suratman Zaki, Ibnu Zeha, Hamdan Nur