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All Journal Jurnal Gizi dan Pangan Jurnal Gizi Klinik Indonesia Althea Medical Journal Sari Pediatri Jurnal Sistem Kesehatan Jurnal Gizi Klinik Indonesia Journal of Community Empowerment for Health
Viramitha Kusnandi Rusmil
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Padjadjaran/RSUP Dr. Hasan Sadikin, Bandung
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Deteksi Dini Pengalaman Kekerasan Pada Anak Di Tingkat Keluarga Di Kecamatan Jatinangor Dewi, Nurusofa Surti; Arisanti, Nita; Rusmil, Viramitha Kusnandi; Sekarwana, Nanan; Dhamayanti, Meita
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.064 KB) | DOI: 10.24198/jsk.v2i3.11956

Abstract

Undang-Undang Republik Indonesia No. 35 Tahun 2014, menyatakan setiap anak memiliki hak untuk mendapatkan perlindungan dari kekerasan dan diskriminasi. Kejadian  terbanyak  kekerasan  pada  anak  terjadi  di  tingkat  keluarga.  Penelitian dilakukan untuk mengetahui gambaran dan karakteristik kekerasan pada anak di tingkat keluarga di Kecamatan Jatinangor sebagai deteksi dini terhadap kekerasan. Penelitian ini dilakukan menggunakan studi desain deskriptif kuantitatif dengan rentang waktu pengambilan data September sampai November 2016 secara satu kali potong lintang pada siswa/i Sekolah Menengah Pertama (SMP) aktif berusia 13-15 tahun di Kecamatan Jatinangor, Kab. Sumedang dengan sampel valid diambil sebanyak 98 orang. Ditinjau dengan kejadian terbanyak berdasarkan pengalaman kekerasan di rumah dan lingkungan yaitu pernah melihat orang dewasa di rumah meneriaki dan berteriak yang membuat takut (37.8%), serta berdasarkan jenis pengalaman disiplin dan mendapatkan tindak kekerasan   yaitu   memberi   sesuatu   istimewa   atau   uang   (90.82%).   Berdasarkan pengalaman  pola  asuh  yaitu  terluka/jatuh  karena  tidak  ada  orang  dewasa  yang mengawasi (27.6%), berdasarkan pengalaman kejadian menakutkan yaitu seseorang masuk ke rumah untuk mencuri sesuatu (16.34%), dan berdasarkan pengalaman kekerasan  seksual  yaitu  menyuruh  melihat  organ  vital/pribadinya  atau  sebaliknya (8.2%). Sebagian besar anak pernah mengalami kekerasan di rumah dan sekitarnya.Kata Kunci: kekerasan pada anak, keluarga, pengalaman
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Rusmil, Viramitha Kusnandi; Wiramihardja, Siska; AP, Adhitya; Gurnida, Dida A
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB)

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Perbedaan status gizi bayi usia 6-9 bulan yang diberi MPASI buatan pabrik dan rumah Anggraeni, Erizvina Marisa; Herawati, Dewi Marhaeni Diah; Rusmil, Viramitha Kusnandi; Hafsah, Tisnasari
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.227 KB) | DOI: 10.22146/ijcn.43358

Abstract

The differences of nutritional status of 6-9 months old infant given factory-made and homemade complementary foodsBackground: The nutritional status of 6-9 months old babies depend on the amount of nutrition acquired from breastmilk and complementary food. The incorrect feeding of complementary food may contribute to poor nutritional status. Objective: This study aims to illustrate the nutritional status of factory-made and homemade complementary food, and analyze the difference in the nutritional status of infants given factory-made and homemade complementary food.Methods: This is an analytic, observational, and cross-sectional study, conducted in seven villages within the scope of Puskesmas Jatinangor, Jatinangor Sub-district, Sumedang Regency in August-October 2018. The samples were 102 babies 6-9 months old obtained through total sampling. The variables of this study include the type of complementary food, and infant nutritional status with weight for age, length for age, and weight for height index.Results: Complementary food consumption is dominated by factory-made type (69.6%). Macronutrients which are energy and protein and micronutrients which are vitamins from both types of complementary food already fulfill the daily recommended dietary allowances for babies, except for minerals which are calcium, iron, and zinc. Chi-Square test results showed an insignificant difference in the nutritional status of babies (p=0,881 for BW/A; p=0.194 for BH/A; and p=0,599 for BW/BH) based on the type of complementary food given.Conclusions: Nutritional contents of macro and micronutrients from both types of complementary food have fulfilled the recommended dietary allowances for complementary food, except for the minerals calcium, iron, and zinc. There wasn’t a considerable difference in nutritional status between those acquired through factory-made and homemade complementary food.
Validation of Iron-Food Frequency Questionnaire for Assessing Iron Intake in Women of Reproductive Age: A Cross-Sectional Study on Female Undergraduate Students in Indonesia Dimas Erlangga Luftimas; Ardya Lucita; Siska Wiramihardja; Viramitha Kusnandi Rusmil
Jurnal Gizi dan Pangan Vol. 16 No. 2 (2021)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.094 KB) | DOI: 10.25182/jgp.2021.16.2.63-70

Abstract

The aim of this study is to develop and assess the validity of the Iron-Food Frequency Questionnaire (Iron-FFQ) in assessing the iron intake of reproductive age women. This cross-sectional study involved randomly selected female undergraduate students at Jantinangor, Sumedang district, West Java (n=94) as respondents. The validity test compared the iron intake using Iron-FFQ with the 3-Days Food Diary (FD). The iron contents of each food from both methods were obtained from Indonesian Food Composition Table (2017). Iron contents were analyzed using the Wilcoxon signed rank test and Spearman’s rank correlation. The results showed significant correlation in iron content between Iron FFQ and the 3 Days FD with r=0.25 for the tubers, nuts, and vegetables group, and r=0.21 for milk and fish (p<0.05). While, statistically non-significant correlations were found for the rest of the food groups (cereal, meat, poultry, eggs, fruits, fats, sugar, syrup, confectionary, and spices) with r ranged from r=0.19 to r=0.01. The average assessment value using Iron-FFQ was lower than the 3-Days Food Diary, especially in the food and beverages group (-100%), sugar, syrup, and confectionary (-93.8%), and vegetables (-88.5%). In conclusion, Iron-FFQ can be declared valid for measuring iron intake from some food group such as starchy tubers, fish, shellfish and shrimp, nuts, vegetables, and milk as they have an acceptable correlation value.
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Viramitha Kusnandi Rusmil; Siska Wiramihardja; Adhitya AP; Dida A Gurnida
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB) | DOI: 10.15850/amj.v5n2.1246

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Exclusive and Non-Exclusive Breastfeeding among Stunted and Normal 6–9 Month-Old-Children in Jatinangor Subdistrict, Indonesia Viramitha Kusnandi Rusmil; Tri Oktaviani Prahastuti; Dimas Erlangga Luftimas; Tisnasari Hafsah
Althea Medical Journal Vol 6, No 1 (2019)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.879 KB) | DOI: 10.15850/amj.v6n1.1598

Abstract

Background: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6–9 month-old-children. Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-for-age z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test. Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05).Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6–9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged.
Perbedaan antara Pemberian MPASI Komersil dan Buatan Rumah Tangga dengan Kejadian Perawakan Pendek pada Anak Usia 11-23 Bulan di Wilayah Kerja Puskesmas Jatinangor Tisnasari Hafsah; Nisita Widyastari; Rodman Tarigan; Viramitha Kusnandi Rusmil
Sari Pediatri Vol 21, No 5 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp21.5.2020.295-301

Abstract

Latar belakang. Perawakan pendek masih menjadi masalah yang cukup serius di Indonesia. Data Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2013 menunjukkan bahwa prevalensi pendek secara nasional adalah 37,2%. Pemilihan dan pemberian makanan pendamping ASI yang tepat berperan sangat penting demi memenuhi kebutuhan gizi anak, terutama pada 1000 hari pertama kehidupan guna mencapai pertumbuhan yang optimal. Tujuan. Mengetahui perbedaan antara pemberian makanan pendamping ASI komersil dan buatan rumah tangga terhadap kejadian perawakan pendek pada anak usia 11-23 bulan.Metode. Jumlah subjek penelitian adalah sebanyak 82 anak kasus dan kontrol yang dipilih menggunakan metode consecutive sampling secara berpasangan. Mengacu pada kurva pertumbuhan WHO, kasus adalah perawakan pendek yang didefinisikan sebagai anak dengan z-score TB/U <-2 SD dan kontrol adalah anak yang tidak pendek. Kedua kelompok dipilih secara matching berdasarkan usia dan jenis kelamin.Hasil. Jenis pemberian makanan pendamping ASI ketika usia 9-11 bulan merupakan faktor dominan yang dapat menyebabkan perawakan pendek.Kesimpulan. Terdapat hubungan yang bermakna antara pemberian jenis makanan pendamping ASI komersil dan buatan rumah tangga yang diberikan pada rentang usia 9-11 bulan dengan kejadian perawakan pendek pada anak usia 11-23 bulan (OR=0,22;p=0,01).
Hubungan Perilaku Ibu dalam Praktik Pemberian Makan pada Anak Usia 12-23 Bulan dengan Kejadian Stunting di Wilayah Kerja Puskesmas Jatinangor Viramitha Kusnandi Rusmil; Rizkania Ikhsani; Meita Dhamayanti; Tisnasari Hafsah
Sari Pediatri Vol 20, No 6 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (54.166 KB) | DOI: 10.14238/sp20.6.2019.366-74

Abstract

Latar belakang. Stunting merupakan kondisi kurang gizi kronis disebabkan asupan makanan yang kurang dalam waktu lama. Kejadian stunting dapat direduksi oleh salah satu faktor yang memengaruhi pemenuhan gizi anak, yaitu perilaku ibu dalam praktik pemberian makan.Tujuan. Mengetahui hubungan perilaku ibu dalam praktik pemberian makan dengan kejadian stunting.Metode. Studi analitik potong lintang yang dilakukan pada ibu dan anak usia 12-23 bulan di wilayah kerja Puskesmas Jatinangor. Pengambilan data dilakukan dengan wawancara menggunakan instrumen kuesioner yang disusun berdasarkan panduan Ikatan Dokter Anak Indonesia (IDAI) dan World Health Organization (WHO). Pengukuran panjang badan anak menggunakan infantometer. Analisis menggunakan uji chi kuadrat dan Mann Whitney. Hasil. Lima puluh sembilan subjek (27,2%) dari 217 total subjek termasuk kelompok stunting. Angka kemaknaan pemberian makan cukup dan pemberian makan secara responsif dengan kejadian stunting sebesar 0,003 dan 0,012. Ketepatan waktu dan pemberian makan secara aman dengan kejadian stunting memiliki nilai p>0,05. Perilaku ibu dalam praktik pemberian makan secara keseluruhan menunjukkan nilai p<0,05.Kesimpulan. Praktik pemberian makan secara keseluruhan memiliki hubungan dengan kejadian stunting. Kecukupan dalam pemberian makan dan pemberian makan secara responsif memiliki hubungan dengan stunting, tetapi pemberian makan secara tepat waktu dan aman tidak memengaruhi kejadian stunting.
Deteksi Dini Pengalaman Kekerasan Pada Anak Di Tingkat Keluarga Di Kecamatan Jatinangor Nurusofa Surti Dewi; Nita Arisanti; Viramitha Kusnandi Rusmil; Nanan Sekarwana; Meita Dhamayanti
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.064 KB) | DOI: 10.24198/jsk.v2i3.11956

Abstract

Undang-Undang Republik Indonesia No. 35 Tahun 2014, menyatakan setiap anak memiliki hak untuk mendapatkan perlindungan dari kekerasan dan diskriminasi. Kejadian  terbanyak  kekerasan  pada  anak  terjadi  di  tingkat  keluarga.  Penelitian dilakukan untuk mengetahui gambaran dan karakteristik kekerasan pada anak di tingkat keluarga di Kecamatan Jatinangor sebagai deteksi dini terhadap kekerasan. Penelitian ini dilakukan menggunakan studi desain deskriptif kuantitatif dengan rentang waktu pengambilan data September sampai November 2016 secara satu kali potong lintang pada siswa/i Sekolah Menengah Pertama (SMP) aktif berusia 13-15 tahun di Kecamatan Jatinangor, Kab. Sumedang dengan sampel valid diambil sebanyak 98 orang. Ditinjau dengan kejadian terbanyak berdasarkan pengalaman kekerasan di rumah dan lingkungan yaitu pernah melihat orang dewasa di rumah meneriaki dan berteriak yang membuat takut (37.8%), serta berdasarkan jenis pengalaman disiplin dan mendapatkan tindak kekerasan   yaitu   memberi   sesuatu   istimewa   atau   uang   (90.82%).   Berdasarkan pengalaman  pola  asuh  yaitu  terluka/jatuh  karena  tidak  ada  orang  dewasa  yang mengawasi (27.6%), berdasarkan pengalaman kejadian menakutkan yaitu seseorang masuk ke rumah untuk mencuri sesuatu (16.34%), dan berdasarkan pengalaman kekerasan  seksual  yaitu  menyuruh  melihat  organ  vital/pribadinya  atau  sebaliknya (8.2%). Sebagian besar anak pernah mengalami kekerasan di rumah dan sekitarnya.Kata Kunci: kekerasan pada anak, keluarga, pengalaman
Perbedaan status gizi bayi usia 6-9 bulan yang diberi MPASI buatan pabrik dan rumah Erizvina Marisa Anggraeni; Dewi Marhaeni Diah Herawati; Viramitha Kusnandi Rusmil; Tisnasari Hafsah
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.227 KB) | DOI: 10.22146/ijcn.43358

Abstract

The differences of nutritional status of 6-9 months old infant given factory-made and homemade complementary foodsBackground: The nutritional status of 6-9 months old babies depend on the amount of nutrition acquired from breastmilk and complementary food. The incorrect feeding of complementary food may contribute to poor nutritional status. Objective: This study aims to illustrate the nutritional status of factory-made and homemade complementary food, and analyze the difference in the nutritional status of infants given factory-made and homemade complementary food.Methods: This is an analytic, observational, and cross-sectional study, conducted in seven villages within the scope of Puskesmas Jatinangor, Jatinangor Sub-district, Sumedang Regency in August-October 2018. The samples were 102 babies 6-9 months old obtained through total sampling. The variables of this study include the type of complementary food, and infant nutritional status with weight for age, length for age, and weight for height index.Results: Complementary food consumption is dominated by factory-made type (69.6%). Macronutrients which are energy and protein and micronutrients which are vitamins from both types of complementary food already fulfill the daily recommended dietary allowances for babies, except for minerals which are calcium, iron, and zinc. Chi-Square test results showed an insignificant difference in the nutritional status of babies (p=0,881 for BW/A; p=0.194 for BH/A; and p=0,599 for BW/BH) based on the type of complementary food given.Conclusions: Nutritional contents of macro and micronutrients from both types of complementary food have fulfilled the recommended dietary allowances for complementary food, except for the minerals calcium, iron, and zinc. There wasn’t a considerable difference in nutritional status between those acquired through factory-made and homemade complementary food.
Co-Authors Adhitya AP Anggraeni, Erizvina Marisa AP, Adhitya Ardya Lucita Dewi Marhaeni Diah Herawati Dida A Gurnida Dida A Gurnida, Dida A Dimas Erlangga Luftimas Dimas Erlangga Luftimas Erizvina Marisa Anggraeni Kuswandewi Mutyara Meita Dhamayanti Meita Dhamayanti Meita Dhamayanti Meita Dhamayanti Nanan Sekarwana Nisita Widyastari Nita Arisanti Nita Arisanti Nita Arisanti Nurusofa Surti Dewi Nurusofa Surti Dewi, Nurusofa Surti Reizkiana Feva Kosmah Dewi Rizkania Ikhsani Rodman Tarigan Siska Wiramihardja, Siska Sri Endah Rahayuningsih Tisnasari Hafsah Tisnasari Hafsah Tisnasari Hafsah Tisnasari Hafsah Tisnasari Hafsah, Tisnasari Tri Oktaviani Prahastuti