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All Journal Aesculapius Medical Journal Warmadewa Minesterium Medical Journal Proceeding Muhammadiyah International Public Health and Medicine Conference Journal of International Surgery and Clinical Medicine
Komang Triyani Kartinawati
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Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Library & Information Science Medicine & Pharmacology Nursing Public Health

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Faktor Risiko Tingginya Angka Kejadian Diare Pada Balita Di Puskesmas Kabupaten Gianyar, Bali Natasha Arivia; IGA Asih Ratnadi; Komang Triyani Kartinawati
AMJ (Aesculapius Medical Journal) Vol. 1 No. 1 (2021): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

Faktor Risiko Tingginya Angka Kejadian Diare Pada Balita Di Puskesmas Kabupaten Gianyar, Bali Angka kematian balita akibat diare di Indonesia masih tinggi, mencapai 7.499 jiwa (0.03%) pada tahun 2018. Di Provinsi Bali, khususnya Kabupaten Gianyar, dari 13 puskesmas yang ada, angka kejadian diare balita pada UPT Kesmas Ubud I dan Sukawati II merupakan yang tertinggi dan cenderung meningkat setiap tahunnya. Penelitian bertujuan mengetahui faktor risiko tingginya angka kejadian diare balita pada Puskesmas di Kabupaten Gianyar, Bali. Penelitian ini mempergunakan metode analitik kuantitatif, desain studi cross sectional. Sampel meliputi 106 ibu yang mempunyai balita (umur 0 - 59 bulan) serta pernah mengalami diare dalam 3 bulan terakhir yang berkunjung ke Posyandu Wilayah Kerja Puskesmas Ubud I dan Sukawati II. Hasil penelitian menunjukan adanya hubungan signifikan antara pemberian ASI eksklusif (p=0,005), status gizi (p=0,029), status imunisasi (p=0,024), sarana pengelolaan sampah (p=0,027), serta kebersihan lantai (p=0,011) pada terjadinya diare pada balita di Puskesmas Kabupaten Gianyar, Bali. Sedangkan tidak terdapat hubungan signifikan anatara sarana air bersih (p=0,316), sarana pembuangan tinja (p=0,503) serta perilaku ibu (p=0,254) pada kejadian diare yang menyerang balita yang ada di Puskesmas Kabupaten Gianyar, Bali. Faktor yang paling berpengaruh adalah ASI eksklusif (p= 0,006). Kata kunci: diare, balita, faktor risiko, cross sectional, asi eksklusif Risk Factors for the High Incidence of Diarrhea in Children at the Gianyar District Health Center, Bali In 2018, number of death from children age 0 – 59 month caused by diarrhea in Indonesia is about 7.499 (0.03%). The highest incidence of diarrhea in Gianyar Public Health Centre was found in UPT Kesmas Ubud I and Sukawati II which increased annually. This study aims to find the risk factor of the high incidence of diarrhea among children age 0 – 59 month in Gianyar Public Health Centre. This study uses quantitative analytical methods, with a cross-sectional study design. The sample size in this study was 106 mothers who had children age 0-59 months and their children had experienced diarrhea in the last 3 months who came to the posyandu in the Ubud I and Sukawati II Puskesmas Working Areas. The results of this study showed a significant relationship between exclusive breastfeeding (p= 0.005), nutritional status (p= 0.029), immunization status (p=0.024), waste management facilities (p=0.027), and floor cleanliness (p=0.011) with the incidence of diarrhea in children under five years old at the Gianyar District Health Center, Bali. Meanwhile, there was no significant relationship between clean water facilities (p=0.316), fecal disposal facilities (p=0.503), and mother's behavior (p=0.254) with the incidence of diarrhea in children under five years old at the Gianyar District Health Center, Bali. The most influential factor was exclusive breastfeeding (p= 0.006). Keywords : diarrhea, children, risk factor, cross sectional, breastfeeding
Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Anak Usia 2-5 Tahun di Puskesmas Ubud 1 Gianyar Ni Kadek Ratih Riska Yanti; Komang Triyani Kartinawati; I Wayan Darwata
AMJ (Aesculapius Medical Journal) Vol. 2 No. 1 (2022): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

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Abstract

[Factors Influencing The Incidence Of Stunting In Children Aged 2-5 Years At The Ubud 1 Gianyar Public Health Center] Stunting is a chronic nutritional disease caused by inadequate nutritional intake during the growth period. The diagnosis of stunting is made if the Z-score of length or height per age is less than -2 SD (Standard Deviation) based on the WHO child growth standard. This study aims to explain the factors that influence the incidence of stunting in children aged 2-5 years at the Ubud 1 Gianyar Public Health Center. This research was carried out in the working area of the Ubud 1 Health Center, Gianyar in January-June 2022. This study was a quantitative analytic study with a case-control design, which used 60 samples, consisting of 30 cases and 30 controls. Sampling was collected with a consecutive sampling technique, where all subjects who met the inclusion criteria were included in the study until the required number of samples were met. Data was collected by measuring height, interviews and filling out questionnaires. The research was analyzed by univariate, bivariate, and multivariate. Based on the Chi-square test, there was a significant relationship between the level of feeding patterns (p-value 0.038), exclusive breastfeeding pattern (p-value 0.000), parental education (p-value 0.001), infectious diseases (p-value 0.019). However the utilization of health services could not be measured in this study. This study concluded that the nonexclusive breastfeeding pattern was the most influential factor in the incidence of stunting compared to other risk factors (odds ratio = 9,333). Further research is needed with a mixed method approach in order to obtain better analytical results in assessing the effect on stunting. Keywords : stunting, children 2-5 years, risk factors, case-control
PKM Pemberdayaan Pedagang Perempuan dalam Pencegahan IMS dan HIV/AIDS di Pasar Umum Payangan Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
Warmadewa Minesterium Medical Journal Vol. 2 No. 3 (2023): September 2023
Publisher : Warmadewa University Press

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Abstract

Selain populasi kunci seperti pekerja seks, LGBT, penasun, para pedagang perempuan merupakan kelompok yang berisiko juga tertular IMS dan HIV/AIDS. Para pedagang perempuan, ibu rumah tangga merupakan kelompok berisiko rendah yang rentan tertular. Pasar merupakan tempat dengan mobilisasi dan interaksi masyarakatnya yang tinggi, sehingga tidak memungkiri terjadinya perilaku seksual yang berisiko. Selain itu Payangan merupakan kecamatan yang tinggi kunjungan treveler di Provinsi Bali, dimana daerahnya termasuk daerah agraris dan ekowisata sangat digalakkan. Berdasarkan wawancara dengan mitra didapatkan permasalahan bahwa kurangnya pengetahuan mitra tentang pencegahan IMS dan HIV/AIDS. Selain itu kurangnya pengetahuan pedagang perempuan tentang pemasaran dagangan online yang mana mereka cenderung berdagang hanya di tempat saja. Dari hasil kegiatan yang dilakukan oleh tim pengabdi didapatkan hasil bertambahnya pengetahuan para kader tentang pencegahan IMS dan HIV AIDS sebesar 100%. Para kader pedagang juga sudah terlatih dalam hal pemasaran online hasil dagangan. Pedagang juga sudah bisa secara mandiri dalam bertransaksi melalui platform digital. Kontribusi mitra terhadap pelaksanaan kegiatan program kemitraan masyarakat ini sangat baik. Mitra sangat antusias dan berpartisipasi aktif dalam kegiatan pemberdayaan pedagang perempuan dalam pencegahan IMS dan HIV/AIDS di Pasar Payangan.
Overview of the first 1000 days of life and stunting in toddlers 0-2 years old in Tegallalang District, Bali Province Pradnyawati, Luh Gede; Dewa Ayu Putu Ratna Juwita; Komang Triyani Kartinawati; Made Indra Wijaya; Anak Agung Sagung Mirah Prabandari
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.41

Abstract

Introduction: The most crucial time for a child's physical and cognitive development is the first 1000 days of life. Their nutritional state will influence toddlers' future health, intelligence, and productivity in the first 1000 days of life. The study aimed to describe the first 1000 days of life in toddlers aged 0-2 years. Methods: This cross-sectional study used a household survey in 30 clusters. Five samples of children between 0-1 years old and five samples between the ages of 1-2 years old were selected by simple random sampling from each census block for 300 respondents. Nutrition adequacy was analyzed in Nutrisurvey 2007 program. All data were analyzed descriptively in the SPSS program. Results: The prevalence of stunting in children aged 0-2 in Tegallalang District was 12%. Among children 0-1 years old was 8%, while in children aged 1-2 years was 17%. 41% of pregnant women and toddlers were exposed to secondhand smoke. The rate of exclusive breastfeeding was 44%, vitamin A supplementation was 43.7%, deworming treatment was 52%, and only 20% of people had clean water. There were 115 toddlers aged 1-2 years w    deficits in carbohydrates, 140 toddlers with deficits deficiencies, and 80 toddlers with deficits in iron. Conclusion: The problem of stunting in Tegallalang District still exists. Community health workers should encourage women and their male partners regarding second-hand smoke, exclusive breastfeeding, vitamin A supplementation, and deworming treatment. Access to clean water is also urgently required. Further study is needed to determine the modifiable risk factors for stunting.
BARRIERS TO STUNTING PRIMORDIAL PREVENTION THROUGH PROSPECTIVE BRIDE’S ADVISORY SERVICE: A QUALITATIVE STUDY USING SOCIAL ECOLOGICAL MODEL Wijaya, Made Indra; Komang Triyani Kartinawati; Luh Gede Pradnyawati; I Gusti Ngurah Made Bayuningrat; Tanjung Subrata; I Made Pariartha; A.A. Gede Indraningrat; Made Dharmesti Wijaya; Kartika Sari
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.355

Abstract

Since the Faculty of Medicine and Health Sciences, University of Warmadewa, launched community-oriented medical education (COME), the stunting prevalence in Gianyar Residence decreased from 12.1% (2018) to 11.1% (2019). In 2021, it decreased to 5.1% which was lower than Bali province (10.9% in 2021) and much less than the Republic of Indonesia (24.4%). The PentaCOME (Pentahelix Community-Based Medical Education) project, the modification of COME, was the collaboration of the Indonesian Ministry of Education, Culture, Research, and Higher Education, the Warmadewa University, as well as PT. Sido Muncul is implemented to further lower stunting prevalence via the “Stunting Primordial Prevention Through Prospective Brides Advisory Service” initiative in Payangan District. The present study was intended to figure out barriers to implementing such initiatives. This is a qualitative study using in-depth interviews and focus group discussions (FGDs) in obtaining data. Purposive sampling was used to select informants who represented academicians (3), businessmen (2), community (9), government (3), and media (3) (i.e., Penta helix components). Twenty in-depth interviews and two FGDs involving academician, community, government, and media were conducted during the 1 September 2022 – 15 October 2022 period. Two coders transcribed and coded independently. The social-ecological model was used to categorize the codes. Informants described that they never heard about the ELSIMIL application (ELSIMIL stands for Electronic Siap Nikah dan Hamil which means ‘prepared to get married and pregnant application’) at the personal level. The “No pregnancy, no marriage” motto (i.e., social pressure to get pregnant before marriage among Balinese) was found a barrier at the interpersonal level. At the institutional level, key informants stated the prospective bride’s advisory service and ELSIMIL application campaign were not adequate. At the community level, the family support team community has been established, however, they could not fulfill their function properly due to the “no pregnancy, no marriage” motto. At the policy level, the traditional village assembly (i.e., “Majelis Desa Adat”) has not issued regulations regarding the prospective bride’s advisory service.  A lack of cross-sector collaboration was also reported as a barrier to this initiative. A well-planned promotion could socialize ELSIMIL application among prospective brides. Advocacy to the traditional village assembly might diminish the “no pregnancy, no marriage” motto. Pentahelix collaboration needs to be established to achieve the “zero stunting for golden generation” goal.
Co-Authors A.A. Gede Indraningrat Anak Agung Sagung Mirah Prabandari Dewa Ayu Putu Ratna Juwita I Gusti Ngurah Made Bayuningrat I MADE PARIARTHA I Wayan Darwata IGA Asih Ratnadi Kartika Sari Luh Gede Pradnyawati Luh Gede Pradnyawati Made Dharmesti Wijaya Made Indra Wijaya Natasha Arivia Ni Kadek Ratih Riska Yanti Pradnyawati, Luh Gede Tanjung Subrata Wijaya, Made Indra