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Determinan Kejadian Anak Balita Gizi Buruk dan Gizi Kurang Usia 6-24 Bulan Pada Keluarga Non Miskin di Wilayah Kerja Puskesmas Rogotrunan Kecamatan Lumajang Kabupaten Lumajang Sulistiyani, Sulistiyani; Listyowati, Lita Dwi; Ningtyias, Farida Wahyu
IKESMA Vol 6, No 2 (2010)
Publisher : FKM - UNEJ

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Abstract

This research is a qualitative study that analyzed the determinant factor is the occurrence of malnutrition  among children under the age of 6-24 months of non-poor families in the working area Rogotrunan District Health Center Lumajang, Lumajang.  The target of this research is the mother of a toddler, who has a child under five with poor nutrition or malnutrition 6-24 months of age on non-poor families as much as 8 informants. The samples taken by purposive. The results showed that characteristics of children under five who became the subject of research is mostly women. Although the nutritional status of all children under five in this study were malnourished and underweight but their weight at birth was normal, all born with a weight > 2500 grams. Spacing of all children under five with a brother or sister is more than 2 years, and nearly all children under five was the second child. The characteristics of mothers, the average education level is high, and most are workers. The level of nutrition knowledge of mothers is enough. Based on the informant in-depth interview study that parenting becomes a major determinant, although the level of higher education and high levels of maternal knowledge but in terms of child care that is the practice of exclusive breastfeeding and complementary breastfeeding is really not done well. In terms of time less than the maximum care and parenting than mothers who tend to be left to the maid or grandmother for informants who worked without any special attention by the mother also helped support the occurrence of malnutrition and undernourishment among the children. Key words:  malnourished, underweight, non-poor family
TINGKAT KONSUMSI MAKAN DAN STATUS GIZI ANAK USIA 2-5 TAHUN PADA KELUARGA MISKIN DI DAERAH PESISIR SITUBONDO Thohirun, Thohirun; Sulistiyani, Sulistiyani; Wahyuningrum, Rosi Marta
IKESMA Vol 6, No 1 (2010)
Publisher : FKM - UNEJ

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Abstract

This study intended to discuss the correlation between food consumption (energy, carbohydrate, protein and fat) and nutritional status of 2-5 years old children of poor family. This observational-analytical study is implemented by involving 83 samples taken by proportional random sampling. The result showed that 75% of the children were in good nutritional status. All respondents’ families had income below regional minimum income standard. Furthermore, 69.9% of mothers were elementary school graduates, and 86.8% of mothers had little knowledge of nutrition. Respondents’ consumption degree was also low; 58% suffered from energy deficit, 94% suffered from carbohydrate deficit, 67% good protein consuming, and 71% good fat consuming. The analysis showed that there was a correlation between energy and fat consumption degree and nutritional status, and there was no correlation between carbohydrate and protein consumption degree and nutritional status. Keywords: food consumption, nutritional status, poor family
POLA ASUH GIZI PADA ANAK BALITA DENGAN PERTUMBUHAN BAIK (TUMBUH KEJAR DAN TUMBUH NORMAL) DI KECAMATAN ARJASA KABUPATEN JEMBER (POSITIVE DEVIANCE) Sulistiyani, Sulistiyani
IKESMA Vol 5, No 1 (2009)
Publisher : FKM - UNEJ

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Abstract

The child caring constitutes the deeds conducted by their family (mother, father, grand mother or other person) in giving the food, taking care of the health, giving stimulate and emotional support required for growth and development. Arjasa is one of the sub districts having high percentage of poor families and a nutrition vulnerable area. However, we can still find children under five years of age having good nutrition status. This is the reason why the writer is interested in studying further about the case of how among the aforesaid poor families are still able to prioritize the nutrition for their under five year children (positive deviance). The first step taken in this research was selected the subject of research by using the purposive method. It was intended to get the subject with the criteria of mothers from poor families, having the children of 6 to 59 months of age with good nutrition status and in possession of Kartu Menuju Sehat/KMS (Growth Monitoring Chart). The second step was carried out exploration. It was intended to explore and in this research three approaches had been applied, namely by combining the three methods of in depth interview, documentation study, and observation to cross check the data as well as to keep validity of the data. The third step taken in this research was applied the qualitative analysis. It was intended to analyze the practice of nutrition caring pattern by the family upon good nutrition status on children of 6 to 59 months of age at the poor families (positive deviance) at Sub-district of Arjasa, Regency of Jember. The result of this research showed that the factors that influence positive deviance at Sub-district Arjasa is the role of health officer, in this case is midwife in giving motivation to others, whether through certain approach at Posyandu or through individual approach. Keywords:Nutrition caring pattern, good growth
PERAN POLA KONSUMSI TIOSIANAT TERHADAP KEJADIAN GONDOK PADA SISWA SEKOLAH DASAR DI DAERAH ENDEMIK DAN NON-ENDEMIK GONDOK DI KABUPATEN JEMBER Ningtyias, Faruda Wahyu; Sulistiyani, Sulistiyani; Ratnawati, Leersia Yusi
IKESMA Vol 4, No 2 (2008)
Publisher : FKM - UNEJ

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Abstract

Goitre still become one of especial health problem in Indonesia. Prevalency TGR (Total Goitre Rate) is true tend to downhill, however there is endemic area tendency extend to coastal area and lowland.This research target is know the relation of thiocyanat consumption on the thyroid occurence in area non-endemic (Countryside Wirolegi ) and endemic area (Countryside Kamal) in Regency Jember.This research was inclusive of analytic descriptive. This sample research was consisted of  30 school age children become 2 group, that was thyroid patient group and non thyroid patient group. Goitre identified by palpasi, hereinafter sampel taken  their urine to know the rate of urine iodine and thiocyanat. As supporter data also interviewed by questionnaire to measure food intake and food frequency. Data which have been gathered to be analysed by using Regresi Logistics to see the variable relation with the thyroid occurence.Result of statistical test show there is relation which significant  between rate of Thiocyanat Urine with the thyroid occurence. Thiocyanat has the character of goitrogen personating of competitor and blocking agent in course of thyroid hormone forming. Sufficiency of energy and fat needed in contributing protein function in thyroid hormone forming, insufficiency of protein will bother the thyroid hormone forming process.Concluded that thyroid occurence not because of iodine insufficiency but because height of rate of thiocyanat as well as lowering sufficiency  consume the protein. Hence suggestion which we give is furthermore research to know the source of high and thiocyanat, as well as furthermore research use the more complete indicator, perform the counselling about food processing to eliminating thiocyanat. Keywords : rate of thiocyanat urine, thiocyanat consumption and Goitre
STATUS GIZI ANAK USIA BALITA PADA KELUARGA SADAR GIZI (KADARZI) DAN NON KADARZI DI DESA SUKOJEMBER KECAMATAN JELBUK KABUPATEN JEMBER Sulistiyani, Sulistiyani; Zulkarnain, Elfian; Amaliyah, Rizky
IKESMA Vol 4, No 2 (2008)
Publisher : FKM - UNEJ

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Abstract

Nutrition problem is one of the determinant of human resource quality. One of the strategy in conquering the nutrition problem is Kadarzi program. The purpose of this research is to analyze the difference of nutrition status of child under five years old at Kadarzi and non Kadarzi. Research design is analytic observational and based on the time was cross sectional. The number of samples were 101 samples, consisted of 38 Kadarzi and 63 non Kadarzi. The data which had been obtained were analyzed statistically by using Mann-Whitney’s test, with α=0,05. The result of research showed that there was no significantly difference on the father’s educational level (p=0.397), family’s income (p=0.106), TB/U nutrition status index (p=0.369) and BB/TB nutrition status index (p=0.051). The result with Mann-Whitney’s test showed that there was significantly difference on the mother’s educational level (p=0.024), family’s nutrition knowledge (p=0.003), energy consumption (p=0.023), protein consumption (p=0.033), BB/U nutrition status index (p=0.016) and combined nutrition status index (p=0.029). Continual nutrition counseling for family, especially non Kadarzi was needed to improve nutrition knowledge. Keywords : nutrition status, child under five years old, keluarga sadar gizi (Kadarzi)
PENGARUH PENAMBAHAN KELUWIH(Artocarpus camasi) TERHADAP MUTU FISIK, KADAR PROTEIN, DAN KADAR AIR ABON LELE DUMBO (Clarias gariepinus) Rohmawati, Ninna; Sulistiyani, Sulistiyani; Ratnawati, Leersia Yusi
IKESMA Vol 9, No 2 (2013)
Publisher : FKM - UNEJ

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Abstract

One of the main nutritional problems in Indonesia is Protein Energy Malnutrition (PEM). Fish as protein source can be an alternative solution for PEM. Abon made from meat or fish have a high price.In order to make affordable price to the public,it is combined with plant-based ingredients (also known as abon modification). Objective of this research is to gain more understanding the influence of the addition of keluwih (Artocarpus camasi) against physical quality, protein content, and water content of the abon lele dumbo (Clarias gariepinus). Research experiment by using a quasi experimental design, there are 4 levels of treatment: P0 (abon lele dumbo without additional keluwih as control group), P1 (abon lele dumbo with additional keluwih 20 %), P2 (abon lele dumbo with additional keluwih 40 %), P3 (abon lele dumbo with additional keluwih 60 %) and 12 units experiment. Analysis of the first modifications done abon test power received (Hedonic Scale Test). Chemical analysis of protein levels with Semi Micro Kjeldahl Test and water content by using the way of heating (cawan method). The results of the analysis using the test results are significant, when Friedman then proceeded to test the Wilcoxon Signed Rank Test for knowing the difference of 4 degrees of treatment. Keluwih can be used in the manufacture of mixtures of abon lele dumbo (abon modification). There is a trend of decrease in the levels of protein with the increasing proportion of keluwih is added to the abon (ranges from 18.1% to 36.2%). There is a tendency of an increase in water content with the increasing proportion of keluwih is added to the modifications ranged from tivoid languages (6.7% to 12.1%). The right proportion of the addition of keluwih in making abon modifications is P1 (abon lele dumbo with additional keluwih 20 %). Keywords: keluwih, physical quality, protein content, water content, abon lele dumbo.
Analisis Hubungan Antara Sanitasi Lingkungan dengan Kejadian Stunting di Kecamatan Cepu, Kabupaten Blora, Jawa Tengah Slodia, Maudy Risma; Ningrum, Prehatin Trirahayu; Sulistiyani, Sulistiyani
Jurnal Kesehatan Lingkungan Indonesia Vol 21, No 1 (2022): Februari 2022
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.21.1.59-64

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Latar belakang: Permasalahan gizi, sanitasi, dan lingkungan menjadi pemicu masalah stunting di Indonesia. Kejadian stunting yang terdapat di Indonesia sebesar 30,8% dan Kabupaten Blora Provinsi Jawa Tengah menjadi yang mempunyai prelevansi stunting yang cukup tinggi. Kecamatan Cepu di Kabupaten Blora mencatat warganya 52,61% memiliki jamban yang tidak aman dan 24,67% masih buang air besar sembarangan serta pengelolaan sampah juga masih tidak teratur. Tujuan dari penelitian ini adalah untuk menggambarkan kondisi sanitasi lingkungan dan menganalisis hubungan sanitasi lingkungan dengan terjadinya stunting di wilayah kerja Puskesmas Kapuan, Cepu.Metode: Jenis penelitian ini adalah penelitian analitik observasional dengan pendekatan kuantitatif dan desain studi case-control. Data yang diperoleh pada penelitian ini adalah data primer berupa kuesioner melalui wawancara dan observasi. Sedangkan data sekunder adalah dokumentasi dan laporan dari dinas terkait. Uji yang digunakan adalah cross tabulation, chi-square, dan regresi logistic.Hasil: Faktor terkuat penyebab stunting adalah asupan makanan yang diterima balita, yaitu dengan hasil uji nilai p asupan energi terhadap stunting adalah 0,03 atau < 0,05. Sedangkan sanitasi lingkungan tidak berhubungan dengan jenis infeksi yang menyebabkan stunting. Mayoritas balita kelompok kasus memiliki riwayat infeksi akan mudah mengalami stunting.Simpulan: Variabel yang memiliki hubungan dengan stunting adalah asupan gizi dan riwayat infeksi balita. Sedangkan variabel yang tidak berhubungan langsung seperti sanitasi dan karakteristik responden tidak berhubungan dengan stunting. ABSTRACT Title: Analysis of Relation Between Environmental Sanitation and Stunting Cases in Cepu, Blora District, Central Java Province.Background: Nutrition, sanitation, and environmental problems have triggered the emergence of stunting problems in Indonesia. The incidence of stunting in Indonesia is 30.8%) and Blora Regency, Central Java Province, has a fairly high prevalence of stunting. Cepu Subdistrict in Blora Regency recorded that 52.61% of residents have unsafe toilets and 24.67% still defecate in open defecation and irregular waste management. The purpose of this study was to describe environmental sanitation conditions and to analyze the relationship between environmental sanitation and the incidence of stunting in the working area of Puskesmas Kapuan Cepu.Method: The type of research was an observational analytic study with a quantitative approach and a case control study design. The data obtained in this study were primary data in the form of a questionnaire through interviews and observations. Meanwhile, secondary data was documentation and reports from related agencies. Analysis using cross tabulation, chi square and logistic regression.Result: Main caused of stunting is food intake received by toddlers with the p value of energy intake is 0.03 or <0.05. Meanwhile, environmental sanitation is not related to the type of infection that causes stunting. The majority of toddlers in the case group have a history of infection and will easily experience stunting.Conclusion: Variables that have a relation with stunting are nutritional intake and infection history of toddlers. Meanwhile, variables that are not directly related, such as sanitation and respondent characteristics, are not related to stunting. 
Periodontal Health Status and Treatment Needs of Visually Impaired Student Attending “Extraordinary School in Jember Regency Ni Luh Putu Diah Laksmi Dewi; Roedy Budirahardjo; Sulistiyani Sulistiyani
Health Notions Vol 4, No 11 (2020): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn41102

Abstract

Visually impaired people usually have limitation to do their activities in maintaining oral health including the periodontal tissue. This condition leads to inadequate efforts to maintain oral health that can cause various diseases, one of which is periodontal disease. Periodontal disease will gradually develop become severe, and therefore it is necessary to take proper care in handling it. The aim of this study was to determine the periodontal health status and the level of periodontal disease care needs of blind students in SLB Jember Regency. This research was a descriptive observational study with a cross sectional approach. The research sample of 20 people were obtained using the total sampling method. The health status of the periodontal tissue and the need for treatment are examined using CPITN. Subsequent research data are grouped and distributed based on gender and age. The result showed that the most common periodontal tissue health status was score two with clinical features of subgingival calculus or supragingival calculus with a total of 50%, while the most needed treatment needs were improvement in oral hygiene accompanied by 85% professional scaling. Keywords: periodontal health status; periodontal treatment needs; CPITN; visually impaired
Pengetahuan, dukungan keluarga, dan teman sebaya berhubungan dengan konsumsi tablet tambah darah pada remaja putri Erlina Tri Rahayu Utomo; Ninna Rohmawati; Sulistiyani Sulistiyani
Ilmu Gizi Indonesia Vol 4, No 1 (2020): Agustus
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/ilgi.v4i1.147

Abstract

Latar Belakang: Program sumplementasi tablet tambah darah (TTD) sudah dilaksanakan oleh Dinas Kesehatan Kabupaten Jember untuk menyukseskan program 1000 Hari Pertama Kehidupan (HPK). Menurut penelitian terdahulu, siswi SMP Negeri 9 Jember memiliki proporsi niat positif untuk mengkonsumsi TTD secara teratur. Terdapat beberapa faktor yang diduga berhubungan dengan konsumsi TTD seperti faktor pengetahuan, dukungan keluarga, dukungan guru, dan dukungan teman sebaya. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan konsumsi tablet tambah darah pada remaja putri di SMP Negeri 9 Jember. Metode: Jenis penelitian observasional dengan rancangan cross sectional. Subjek penelitian adalah seluruh siswi kelas VIII dan IX SMP Negeri 9 Jember sebanyak 129 siswi. Data yang dikumpulkan meliputi karakteristik remaja (umur, umur menarche, gejala anemia, konsumsi TTD), pengetahuan remaja tentang anemia, dukungan guru, dukungan keluarga, dan dukungan teman sebaya. Penyebaran kuesioner dilakukan untuk mengetahui tingkat pengetahuan remaja, sedangkan wawancara dilakukan untuk memperoleh data dukungan. Analisis data menggunakan uji Chi Square. Hasil: Remaja putri dengan tingkat pengetahuan tinggi tentang anemia, dukungan keluarga yang baik, serta dukungan teman sebaya yang baik cenderung lebih teratur dalam mengkonsumsi TTD. Dukungan guru tidak berhubungan dengan konsumsi TTD. Kesimpulan: Faktor yang berhubungan dengan konsumsi TTD pada remaja putri SMP Negeri 9 Jember yaitu pengetahuan remaja serta dukungan keluarga dan teman sebaya.
Tinggi badan orang tua, pola asuh dan kejadian diare sebagai faktor risiko kejadian stunting pada balita di kabupaten Bondowoso Siti Nadiah Nurul Fadilah; Farida Wahyu Ningtyias; Sulistiyani Sulistiyani
Ilmu Gizi Indonesia Vol 4, No 1 (2020): Agustus
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/ilgi.v4i1.148

Abstract

Latar Belakang: Stunting merupakan kondisi gagal tumbuh pada balita sehingga balita menjadi pendek dan tidak sesuai dengan usianya. Stunting disebabkan oleh multifaktor, antara lain faktor genetik, pola asuh, serta perilaku hidup bersih dan sehat. Perilaku hidup bersih dan sehat pada balita memiliki hubungan dengan penyakit infeksi, terutama diare. Balita bergantung pada ibu yang berperan dalam pengasuhan dan perawatan. Salah satu faktor genetik yang mempengaruhi kejadian stunting balita adalah tinggi badan orang tua. Tujuan: Untuk mengetahui hubungan tinggi badan orang tua, pola asuh praktik pemberian makan, rangsangan psikososial, dan perawatan kesehatan, serta kejadian diare sebagai faktor risiko stunting pada balita di wilayah kerja Puskesmas Ijen Kabupaten Bondowoso. Metode: Penelitian ini menggunakan desain cross sectional. Subjek penelitian ini adalah 76 balita berusia 24-59 bulan beserta orang tua sesuai kriteria inklusi dan eksklusi dengan teknik cluster sampling. Penelitian ini dilakukan di wilayah kerja Puskesmas Ijen, Kabupaten Bondowoso pada Agustus 2019. Data dikumpulkan dengan alat bantu berupa kuesioner dan microtoice. Analisis data menggunakan uji Chi Square dengan derajat kemaknaan 95% (p<0,05). Hasil: Tidak ada hubungan antara tinggi badan orang tua, pola asuh rangsangan psikososial, dan kejadian diare dengan kejadian stunting pada balita (p>0,05). Ada hubungan antara pola asuh praktik pemberian makan dan perawatan kesehatan dengan kejadian stunting pada balita (p<0,05). Kesimpulan: Ada hubungan yang signifikan antara pola asuh praktik pemberian makan dan perawatan kesehatan dengan kejadian stunting pada balita berusia 24-59 bulan.