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Journal : Amerta Nutrition

Evaluasi Penggunaan Tikar Pertumbuhan Sebagai Alat Deteksi Dini Kejadian Stunting pada Baduta di Kabupaten Kulon Progo, Yogyakarta: Evaluation of the Use of Child Length Mat as A Stunting Early Detection Tool on Children Under Two in Kulon Progo Regency, Yogyakarta Chrisnamurti, Elisabeth Sekar; Kusuma, Mutiara Tirta Prabandari Lintang; Helmyati, Siti
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.454-465

Abstract

Background: Stunting prevention leads to the initiation of child length mats as an early detection tool and the assignment of human development workers as community initiators. There are differences in policy implementation regarding these innovations, particularly in the use of length mats. Objectives: To evaluate the use of a length mat as a stunting early detection tool on children under two in Kulon Progo Regency. Methods: A qualitative research with a case study approach was conducted in two stunting locus villages in Kulon Progo Regency. Data were collected using key informant in-depth interviews, document analysis, and reflective journals. Respondents were recruited using the maximum variation sampling technique, and data were analyzed using thematic analysis in accordance with the theory of diffusion of innovation. Results: Stakeholder acceptance of the length mat was relatively poor. Factors that influenced its adoption in Kulon Progo regency include the pre-existing situation (lack of accurate instruments to measure child length), the easy use of the length mat, and prescribed training. Whereas, factors affecting its rejection include issues related to its relative advantage and validity. This refusal was caused by suboptimal campaigns and a lack of support from the local government. However, the length mat remains in use following its function as a prerequisite for the village fund disbursement. Conclusions: Suboptimal use of the communication channel to introduce the length mat and lack of support from the local government caused the innovation to fail to diffuse at the district level. Hence, strengthening the campaign and inter-stakeholder communication is necessary to improve acceptance and adherence.
Minat Pencarian Masyarakat Terhadap Intervensi Stunting Sebagai Upaya Penurunan Kejadian Stunting di Indonesia Selama Periode 2018-2022: Analisis Google Trends: Minat Pencarian Masyarakat terhadap Intervensi Stunting Sebagai Upaya Penurunan Kejadian Stunting di Indonesia Selama Periode 2018-2022: Analisis Google Trends Prameswari, Najla Aurora; Prawesti, Magdalena Sabda; Astuti, Sukma Dewi; Yapita, Jennifer; Helmyati, Siti; Rosilia, Gifani; Aristyarini, Mitha; Sitorus, Nova Lidia; Pratiwi, Dessy
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.41-49

Abstract

Background: In 2018, the prevalence of stunting in Indonesia was 30.8%, which has led to renewed focus on targeted interventions. Although specific measures such as exclusive breastfeeding, complementary feeding, and immunization have been prioritized, achieving optimal coverage remains a challenge. Limited knowledge has been identified as a potential barrier to the interventions. This study acknowledges the effectiveness of internet platforms in providing stunting prevention information.  Objectives: To analyze search interest trends for exclusive breastfeeding, complementary feeding, and immunization from 2018 to 2022 using Google Trends. Methods: Google Trends was used to analyze search trends for the keywords 'exclusive breastfeeding', 'complementary feeding', and 'immunization' in Indonesia and three provinces with the highest number of searches, namely Central Sulawesi, East Nusa Tenggara, Southeast Sulawesi, Yogyakarta, Central Java, Bangka Belitung, and Bengkulu. The data were compared with the prevalence of stunting and coverage of interventions.   Discussion: Searches for exclusive breastfeeding tended to be stable, while searches for complementary feeding and immunization tended to spike at certain times. Analysis of the provinces with the highest number of searches showed that the high search volume did not necessarily correspond to the trends in the performance of interventions in the regions. Conclusions: Searches for 'exclusive breastfeeding', 'complementary feeding', and 'immunization' from 2018 to 2022 showed different trends. It's impossible to compare the data with the prevalence of stunting because of different trends. However, the data on search interest can illustrate community perceptions and practices around these interventions.
Penerimaan Program Tablet Tambah Darah pada Remaja Putri di Indonesia: Penerimaan Program Tablet Tambah Darah pada Remaja Putri di Indonesia: Studi Literatur Helmyati, Siti; Syarifa, Cut Alima; Rizana, Nisa Ayu; Sitorus, Nova Lidia; Pratiwi, Dessy
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.50-61

Abstract

Background: Anemia poses a significant challenge to the health and productivity of adolescent girls. This has prompted the Indonesian government to initiate a program to distribute iron and folic acid (IFA) supplements. Therefore, it is necessary to address the level of acceptance of or compliance with IFA supplementation among adolescent girls.   Objectives: This study aims to assess the acceptance level of the program among adolescent girls in Indonesia. Methods: A PRISMA-guided literature search was conducted in the NCBI, PubMed, Scopus, ScienceDirect, and Garuda databases for experimental or observational research published in Scopus-indexed journals from Q1 to Q4 or in Sinta 1 to Sinta 3 from 2013 to 2023.  Discussion: Eight studies conducted in five provinces in Indonesia showed that the coverage of IFA supplement distribution programs was less than 50%, with acceptance levels between 0% and 25.2% according to the Indonesian standard. The majority of IFA supplement distribution programs were not implemented in accordance with the standard. In addition, the supplements were not consistently provided every week, nor were they taken immediately at school. Factors that influence the consumption of IFA supplements among adolescent girls included knowledge, motivation, self-efficacy, attitude, parental influence, peer pressure, school policies and commitments, and the IFA supplements provided. Positive factors encouraged consumption, while negative factors discouraged consumption. Conclusions: The acceptance level of the IFA supplement distribution program remains low. To improve this, it is essential to increase the knowledge of adolescent girls and their parents about anemia, including its definition, causes, side effects, and symptoms, as well as the benefits and risks of not taking IFA supplements. Other necessary measures include improving the distribution system and providing supporting facilities.
Hubungan Status Anemia, Kualitas Tidur, dan Kemampuan Kognitif pada Remaja Putri Usia 12-24 Tahun di Indonesia (Analisis Data Indonesian Family Life Survey (IFLS) 5): Hubungan Status Anemia, Kualitas Tidur, dan Kemampuan Kognitif pada Wanita Muda Usia 15-24 Tahun di lndonesia (Analisis Data Indonesian Family Life Survey (IFLS) 5) Helmyati, Siti; Fauziah, Lutfi Afida; Kadibyan, Pinaes; Sitorus, Nova Lidia; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.1-9

Abstract

Background: Anemia is still one of the nutrition problems in Indonesia. Women of reproductive age, including the age group 15-24 years, is a group with higher risk of anemia. Iron deficiency anemia is a common cause of anemia. Iron is one of the micronutrients that important for the body, including brain. Some studies suggest that iron deficiency is associated with sleep quality and cognitive ability.  Iron has a complex effect on the dopaminergic system by being a cofactor of tyrosine hydroxylase which is part of dopamine D2 receptor function. Neuromodulation by the dopaminergic system plays an important role in sleep regulation. It can also interfere with the brain's ability to spread nerve impulses that have potential to cause several disorders, one of which is motor and cognitive disorders. Objectives: This study aims to determine the relationship of anemia status with sleep quality and cognitive abilities in young women aged 15-24 years in Indonesia based on IFLS 5. Methods: This study used cross sectional design and secondary data from IFLS 5 with subjects totaling 2016 young women aged 15-24 years. This study used chi-square as statistical test with significance level  p<0.05. Results: The prevalence of anemia in young women aged 15-24 years was 39.93%. It was found that there was no relationship between anemia status and sleep quality consisting of sleep disturbance (p=0.624) and sleep quality (p=0.693) and there was no relationship between anemia and cognitive ability (p=0.702). Conclusions: Anemia status has no significant relationship with sleep quality and cognitive ability.
Indikator Biokimia untuk Identifikasi Anemia Defisiensi Besi di Indonesia: Tinjauan Literatur: Indikator Biokimia untuk Identifikasi Anemia Defisiensi Zat Besi di Indonesia Helmyati, Siti; Hasanah, Fina Cahya; Putri, Febriani; Sundjaya, Tonny; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.62-70

Abstract

Background: The World Health Organization (WHO) states that adolescents are at risk of developing anemia. The initial step in identifying iron deficiency anemia (IDA) is through screening. In addition, the WHO framework aims to accelerate the reduction of anemia worldwide by achieving specific goals, including an increase in anemia screening. Objectives: This study aims to determine the use of biochemical indicators in screening for the identification of IDA status in Indonesia. Methods: Literature searches were conducted in the PubMed, Scopus, ScienceDirect, and Garuda databases following the PRISMA guidelines. Articles from journals indexed in Scopus Q1 to Q4 or Sinta 1 to Sinta 3 with an experimental or observational research design in Indonesia were reviewed. Discussion: Anemia screening was performed to determine IDA status, which was measured by the following parameters: hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). Hb is an indicator of IDA in populations with a high prevalence of IDA. MCV is calculated by dividing hematocrit by red blood cell count. MCH refers to the average absolute hemoglobin content of the red blood cells, while MCHC refers to the concentration of hemoglobin in the red blood cells. Serum ferritin (SF) is a highly reliable and sensitive indicator for assessing iron stores and clinical status in the field. In addition, serum transferrin receptor (STfR) is a more stable indicator than serum transferrin (ST). SF can differentiate between IDA caused by anemia or chronic diseases. Conclusions: Combining hemoglobin and SF improves sensitivity and specificity in detecting the severity of IDA. STfR can also be used as an indicator for IDA. The use of the STfR and SF indicators is the best biochemical approach to IDA.
Faktor Risiko Kejadian Stunting pada Anak Usia di bawah 2 Tahun: Studi Cross-Sectional di Pulau Jawa-Indonesia dengan menggunakan Data Studi Status Gizi Indonesia Tahun 2021: Faktor Risiko Stunting pada Baduta di Pulau Jawa: Studi Cross-Sectional Menggunakan Data Studi Status Gizi Indonesia Tahun 2021 Paramita, Muthia; Helmyati, Siti; Basrowi, Ray Wagiu; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.20-29

Abstract

Background: Stunting is a malnutrition problem that requires attention, with a prevalence of 24.4% in 2021. As the most populous island in Indonesia, Java Island has a significant impact on the incidence of stunting. Objectives: This study aims to determine the prevalence of stunting in infants and to identify factors associated with the incidence of stunting in each province of Java. Methods: This study used secondary data from the Indonesian Nutrition Status Study (INSS) conducted in 2021 with a cross-sectional design. A logistic regression test with weighting was conducted to determine the relationship between each variable and the incidence of stunting. Results: The prevalence of stunting in infants was measured in several regions of Indonesia, including DKI Jakarta (11.9%), West Java (16.3%), Central Java (13.2%), DI Yogyakarta (12.1%), East Java (15.9%), and Banten (14.6%). Risk factors for stunting were identified in DKI Jakarta, namely economic status in quintile 1 (p = 0.001), and in West Java, namely snack consumption (p = 0.002) and economic status in quintile 1 (p < 0.001). In Central Java, the risk factor was economic in quintile 1 (p = 0.048), while in the Special Region of Yogyakarta, it was age 12-23 months (p = 0.022). In East Java, infants aged 9-11 months (p = 0.013) and 12-23 months (p < 0.001) with low (p = 0.010) and middle (p = 0.017) mother's education level and economic status in quintile 1 (p = 0.005) were found to be at risk. In Banten were male infants (p = 0.011) in rural areas (p = 0.039) and with economic status in quintile 1 (p = 0.019) were found to be at risk. Conclusions: Economic status is a risk factor for stunting on Java Island. Interventions can be targeted towards improving economic status.
Kontribusi Program Pekarangan Pangan Lestari (P2L) terhadap Upaya Percepatan Penurunan Stunting di Kabupaten Sleman: Analisis Masa Pandemi COVID-19: Kontribusi Program Pekarangan Pangan Lestari (P2L) terhadap Upaya Percepatan Penurunan Stunting di Kabupaten Sleman selama Masa Pandemi Covid-19 Renita, Renita; Helmyati, Siti; Purwaningrum, Digna Niken; Sitorus, Nova Lidia; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.30-40

Abstract

Background: There are disparities in the level of household food security achievements between regions and getting worse with Covid-19 pandemic which has also inhibited nutritional improvement acceleration. The P2L is one of the priority programs in maintaining community food security. However, the implementation of this program is still vulnerable to sustainability. Objectives: This study aims to examine the contribution of P2L during Covid-19 pandemic in maintaining community food and nutrition security and its role to accelerate stunting reduction in Sleman Regency. Methods: This research was a descriptive qualitative with case study approach. Sample selection used a purposive maximum variation sampling method for parties actively involved in the P2L. Data collection methods were carried out using in-depth interviews, closed question types questionnaires, documentation, and participatory observation by directly involved in group activities. Results: The P2L acted as a living food barn that can provide food during Covid-19 pandemic. Vegetables were the main commodity that were able to fulfill household needs at 60% and 40% at the medium level. Meanwhile, other food commodities had not been developed optimally in the yard. However, the P2L not only had a positive impact on improving nutrition and the household economy of KWT members, but also for vulnerable communities in the surrounding area. To accelerate stunting reduction, the results from P2L were also used to support Integrated Healthcare Center activities such as providing PMT. Conclusions: The P2L program has a positive impact for the community, but it is necessary to innovate crop-livestock-fruit integration in each area and strengthen institutions in order to make the program sustainable.
The Characteristic of YouTube Video as a Media of Anemia Education in Indonesia : Video YouTube sebagai Media Edukasi Anemia di Indonesia: A Narrative Review Helmyati, Siti; Aryanti, Lintang; Basrowi, Ray Wagiu; Pratiwi, Dessy
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.86-94

Abstract

Background: The effectiveness of Anemia program in Indonesia must be supported by good public knowledge. YouTube can be used as a learning source to educate people about anemia. Anemia educational videos on YouTube have different characteristics that are interesting to analyze. Objectives: To identify the availability and describe the characteristics of anemia educational videos on YouTube. Methods:  Videos were searched via google.com and youtube.com with the keywords "anemia education in Indonesia". Videos were screened according to the criteria. Video form, type of uploader, duration, and number of views were identified. The educational contents were analyzed based on 5 points of anemia information. Discussion: Among 115 videos obtained, 28 videos met the criteria. Most anemia videos on YouTube were animated videos (51.72%), found on non-government/private channels (41.38%), and had more than 3 minutes duration (55.17%). The average video length was 190.68 seconds, ranging from 1,033 to 77,628 number of views, and each video was viewed 24 times a day. The highest number of views were videos featuring presenters/health care professionals, videos from non-government channels, and videos with 3-6 minutes duration. Over 60% of videos explained the definition, causes, impacts, signs/symptoms, and the prevention of anemia. Conclusions: There were many different characteristics of anemia educational videos on YouTube. Besides duration and number of views, the quality of information and feasibility are important aspects in producing educational videos. Further research is needed to see the relationship between duration, video form and type of uploader on people engagement.