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Empowerment of Health Cadre in Managing Antenatal Class in Tulikup Village, Gianyar-Bali Aryastuti, Sri Agung; Ratna Juwita, Dewa Ayu Putu; Cahyawati, Putu Nita; Witari, Ni Putu Diah; Pradnyawati, Luh Gede
International Journal of Community Service Learning Vol 4, No 4 (2020): November 2020
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.348 KB) | DOI: 10.23887/ijcsl.v4i4.22284

Abstract

Lack of public awareness and knowledge of pregnant women in maintaining their health during pregnancy was one of the problem found in Tulikup Village, Gianyar-Bali. The limited number of health workers in Puskesmas has resulted in the lack of information obtained by the community regarding pregnancy, childbirth and the puerperium. Therefore, cadre empowerment programs as a driving force in managing antenatal classes for pregnant women are expected to overcome these problems. This activity was held in  Tulikup Village Hall, and was attended by 6 cadres and 6 pregnant women. The counseling, training and simulation method was used to increase their knowledge and skills about the antenatal class. At the end of the activity, it was found that there was an increase in knowledge regarding the antenatal class. Cadres were able to design an antenatal class, arrange the material that could be given and become a facilitator in activities in it.
Risk Factors of Stunting in Kedisan, Gianyar District, Bali, Indonesia Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Nia Reviani
Jurnal Berkala Epidemiologi Vol. 9 No. 3 (2021): Jurnal Berkala Epidemiologi (PERIODIC EPIDEMIOLOGY JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V9I32021.266-274

Abstract

Background: Stunting is a nutritional status based on measurements of the Length-for-Age or Height-for-Age index of the anthropometric standards assessment of nutritional status of children. The report of the Public Health Center (PHC) of Tegallalang I revealed the largest number of stunting cases in Kedisan Village, with 28 toddlers suffering from stunting based on 2017 data. Purpose: This study aims to investigate the risk factors associated with stunting at Kedisan Village, Tegallalang Sub-district, Gianyar District. Methods: This is an analytic study employing a case-control approach. Sampling was carried out using a total sampling technique; that is, by utilizing all cases of children under five who were declared stunted in the village in question (a total of 28 cases). The case:control ratio used was 1:1; thus, the total sample used in the study was 56 samples from May 2017. Bivariate analysis was conducted using a chi-square test. Results: The majority of respondents were employed (i.e., 67.80% in the case group and 53.50% in the control group); in terms of the most recent level of education, 35.70% of respondents in the case group had a junior high school education, while 46.40% in the control group had a senior high school education. The results of the bivariate analysis found that the risk factor that was most significantly related with the incidence of stunting was complementary foods with breast milk (p = 0.03; OR: 4.63), while other risk factors were not related to the occurrence of stunting. Conclusions: The factor that influenced the occurrence of stunting in Kedisan Village was complementary foods with breast milk.
Pemberdayaan Kelompok Pekerja Bella Café dalam Penerapan Hygiene Perusahaan di Desa Jimbaran, Kuta, Badung Asri Lestarini; Tanjung Subrata; Ni Wayan Rusni; Dewa Ayu Putu Ratna Juwita
COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat Vol. 1 No. 11 (2022): COMSERVA : Jurnal Penelitian dan Pengabdian Masyarakat
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/comserva.v1i11.70

Abstract

Indonesia has been experiencing the COVID-19 pandemic for more than a year. This pandemic has paralyzed the tourism industry, especially in Bali. The recovery of this industry must of course be accompanied by awareness from the public and tourism actors about the needs of tourists regarding the guarantee of high cleanliness, health, safety and environmental sustainability of the service products provided to tourists. One of the tourism actors in Bali is the owner and worker of the Café in Jimbaran, Kuta, Badung. The café, which sells entirely fish and seafood-based dishes, must prepare itself for the recovery of the tourism industry. The low hygiene behavior and health protocols cause the need for training and assistance regarding company hygiene for the owners and workers of Bella Café in Jimbaran, Kuta, Badung who are members of the Café 19 Group. After the training, an evaluation of the training that has been provided will be carried out. The result of this activity is an increase in knowledge as seen from the average posttest (94.00) which is higher than the pretest average (62.00). After being observed, there was an increase in the behavior of Bella Café workers in following the company's health and hygiene protocols. It is hoped that similar activities can be carried out so as to refresh Bella Café workers in maintaining behavior in accordance with the health protocol to support the quality of service to guests during the COVID-19 pandemic.
Parenting pattern of feeding in stunting toddlers at the working area of Tegallalang I Primary Health Centre Luh Gede Pradnyawati; Komang Triyani Kartinawati; Dewa Ayu Putu Ratna Juwita
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.314 KB) | DOI: 10.22146/jcoemph.47019

Abstract

Stunting is a growth disorder that affects the measurements of Length-for-Age or Height-for-Age, which is characterized by a body condition that tends to be short. Children under five are categorized as short-bodied if the z-score is less than -2SD. In Indonesia, approximately 29% of children under five are included in the short-bodied category. A good nutritional intake at this time is a depiction of proper growth and development in the future. The health status of infants is related to parenting patterns of feeding. This study aimed to find out the description of parenting patterns of feeding in stunting toddlers in the working area of Tegallalang I Primary Health Centre. The study belongs to qualitative research with a phenomenological approach. The sample of this study was 5 mothers who had stunting toddlers. Data were collected by applying a purposive sampling technique. Data that had been collected consists of two types, i.e., primary data and secondary data. Data were analyzed using thematic analysis techniques. Some respondents had fed their toddlers with exclusive breastfeeding until they were 6 months old, but the frequency of feeding was ruled out. In addition, most respondents had only started to feed their babies with complementary food for breastfeeding at the time they were 6 months old. Still, they had not paid attention to their nutritional needs, the precise frequency of feeding, the kinds of better food for toddlers, and appropriate food variations. These results indicate that the wrong parenting pattern of feeding in children under five has the potential to cause stunting. Therefore, more attention to this matter is necessarily needed to reduce the severe incidence of stunting.
Pemberdayaan Kader Bina Keluarga Balita Dalam Penanggulangan Stunting Di Desa Bukian, Kecamatan Payangan Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Ni Made Hegard Sukmawati; Anny Eka Pratiwi
Paradharma: Jurnal Aplikasi IPTEK Vol. 7 No. 1 (2023): Paradharma: Jurnal Aplikasi IPTEK
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Dhyana Pura – Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (496.534 KB) | DOI: 10.36002/jpd.v7i1.2509

Abstract

Stunting adalah salah satu bentuk gangguan gizi dari segi ukuran tubuh yang ditandai dengan kondisi tubuh yang pendek melebihi defisit -2SD menurut standar WHO. Berdasarkan hasil Riset Kesehatan Dasar Provinsi Bali tahun 2007, Kabupaten Gianyar merupakan salah satu kabupaten di Bali dengan prevalensi stunting yang tinggi. Salah satunya di Desa Bukian, Kecamatan Payangan, Kabupaten Gianyar. Berdasarkan uraian di atas, terlihat bahwa masalah stunting cukup tinggi. Dari hasil wawancara dengan kader diperoleh beberapa permasalahan terkait program pencegahan stunting yaitu minimnya informasi yang diperoleh kader dan rendahnya pengetahuan kader tentang pencegahan stunting. Mitra yang diberdayakan adalah Kader BKB (Bina Keluarga Balita). Dari hal tersebut maka pemberdayaan kader sangat diperlukan untuk pencegahan stunting di Kabupaten Payangan. Target luaran dari kegiatan ini adalah menurunkan stunting di Desa Bukian, Kecamatan Payangan, Kabupaten Gianyar. Hasil dari kegiatan ini adalah kelompok mitra berperan aktif dalam setiap kegiatan PKM dengan persentase kehadiran 100% dan partisipasi aktif 100%. Secara umum program ini dapat dikatakan berhasil karena telah terjadi penurunan angka stunting di Desa Bukian Kecamatan Payangan. Saran yang dapat disampaikan adalah Kader BKB dapat menjadi ujung tombak keberlanjutan program penanggulangan stunting secara berkesinambungan di wilayahnya masing-masing sehingga dapat memberdayakan kader untuk mengurangi permasalahan stunting di Kabupaten Gianyar.
Gambaran Tingkat Capaian Indikator Spesifik dan Sensitif 1000 HPK pada Balita 0-2 Tahun di Kecamatan Tegallalang Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Anak Agung Sagung Mirah Prabandari
Jurnal Genta Kebidanan Vol 12 No 2 (2023)
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.113 KB) | DOI: 10.36049/jgk.v12i2.113

Abstract

Banyak negara di dunia mengalami permasalahan gizi ganda yaitu stunting, wasting dan overweight pada anak balita, dan Indonesia termasuk salah satunya. Dalam gerakan 1000 Hari Pertama Kehidupan (HPK) telah dijelaskan bahwa untuk menanggulangi masalah kurang gizi diperlukan intervensi yang spesifik dan sensitif. Intervensi spesifik dilakukan oleh sektor kesehatan seperti penyediaan vitamin, makanan tambahan, dan lainnya sedangkan intervensi sensitif dilakukan oleh sektor non kesehatan seperti penyediaan sarana air bersih, ketahanan pangan, jaminan kesehatan, pengentasan kemiskinan dan sebagainya. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat capaian indicator spesifik dan sensitif pada 1000 HPK di Kecamatan Tegallalang. Rancangan penelitian yang ini adalah penelitian deskriptif dengan survey rumah tangga dengan pendekatan cross-sectional pada 30 cluster. Dari setiap block sensus yang terpilih akan dipilih sebanyak 5 sampel anak berusia 0-1 tahun dan 5 anak berusia 1-2 tahun dengan cara simple random dengan total sampel 300 responden. Dalam penerapan 1000 hari pertama kehidupan, khususnya dalam tingkat capaian intervensi spesifik terdapat ibu hamil yang terekspose asap rokok atau perokok pasif sebesar 41%. Ibu yang menyususi balitanya secara eksklusif sebesar 44%. Pada tingkat capaian indikator sensitif khususnya penyediaan air bersih dan sanitasi dalam penerapan 1000 hari pertama kehidupan didapatkan yang mengakses air bersih berupa sumber air PDAM atau kemasan hanya 20%. Perlunya penelitian lebih lanjut dengan menambah atau memperluas variabel lainnya serta mengembangkan metode penelitian.
Pemberdayaan LSL dalam Penanggulangan IMS dan HIV/AIDS di Kota Denpasar Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Vol 2 No 1 (2023): Juni
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36049/genitri.v2i1.112

Abstract

Di Indonesia dari tahun ke tahun kasus Lelaki Seks Lelaki (LSL) mengalami jumlah peningkatan yang signifikan. Bali merupakan provinsi yang memiliki jumlah kasus HIV/AIDS yang tinggi dimana Kota Denpasar adalah kota yang tertinggi atas keberadaan LSL. Dari hasil penelitian didapatkan walaupun pemakaian kondom sudah digalakkan, tetapi mereka masih ada yang tidak menggunakan kondom saat berhubungan seksual. Mereka sebagian besar beralasan bahwa pasangan mereka tidak menyukai penggunaan kondom dalam berhubungan seksual. Minimalnya pengetahuan mitra mengenai pencegahan IMS dan HIV/AIDS tersebut. Mitra yang dalam hal ini sebagai perpanjangan tangan dari tenaga kesehatan di puskesmas tidak memiliki gambaran mengenai pelaksanaan program pencegahan tersebut. Mereka tidak mengetahui apa saja bahaya dari IMS, faktor risiko, cara penularannya serta cara pencegahannya termasuk juga program VCT. Dengan adanya pandemi Covid-19 yang sudah berlangsung 2 tahun, membuat terjadinya penurunan pemasukan dari pelanggan yang berdampak pada perekonomian mereka. Sehingga mereka membutuhkan penghasilan tambahan selain dari memuaskan pelanggan. Dari kegiatan ini telah meningkatkan pemahaman LSL serta orang-orang di sekitarnya mengenai pentingnya pencegahan IMS dan HIV/AIDS. Peningkatan skill LSL melalui pelatihan bagi mitra dalam pembuatan APD seperti masker, handsanitizer, face shield. Pelatihan ini dilakukan untuk membantu LSL dalam mencari pemasukan tambahan selain bekerja di Yayasan Kapelata sehingga permasalahan perekonomian mereka terbantu di masa pandemi Covid-19.
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.
The Program Pre-Exposure Prophylaxis Dalam Penurunan Penyebaran HIV Pada Lelaki Seks Lelaki Pradnyawati, Luh Gede; Santosa, Agus; Juwita, Dewa Ayu Putu Ratna
Paradharma: Jurnal Aplikasi IPTEK Vol. 8 No. 2 (2024): Paradharma: Jurnal Aplikasi IPTEK
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Dhyana Pura – Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/jpd.v8i2.3710

Abstract

Perkembangan masalah IMS (Infeksi Menular Seksual) dan HIV/AIDS (HumanImmunodeficiency Virus/Acquired Immune Deficiency Syndrome) sangat mengkhawatirkansecara kuantitatif dan kualitatif. Bali merupakan provinsi yang berada pada urutan kelimadengan jumlah kasus HIV dan AIDS tertinggi di Indonesia, setelah Papua, Jawa Timur, DKIJakarta, dan Jawa Barat. PrEP atau Pre-Exposure Prophylaxis merupakan suatu tindakanpencegahan penularan HIV dengan menggunakan basis antiretroviral (ARV). OPSI atauOrganisasi Perubahan Sosial Indonesia merupakan lembaga baru yang bergerak di isupencegahan dan penanggulangan infeksi menular seksual seperti HIV/AIDS serta bergerak jugadi bidang hak asasi manusia (HAM) untuk kelompok minoritas secara gender dan seksualitas.Hasil wawancara dengan mitra didapatkan beberapa permasalahan terkait program pencegahanHIV yaitu minimalnya pengetahuan mitra mengenai penyebaran dan pencegahan HIV/AIDStersebut. Mereka juga kurang memahami program PrEP untuk menurunkan angka HIV. Mitratidak memiliki gambaran mengenai pelaksanaan program pencegahan tersebut dan caramendapatkan PrEP. Kegiatan program Pre-Exposure Prophylaxis dalam penurunan penyebaranHIV pada lelaki seks lelaki berjalan dengan lancar. Dari program pendampingan tersebutterdapat 80% mitra mengalami peningkatan pengetahuan tentang program PrEP. PrEP telahterbukti menjadi metode pencegahan HIV yang aman dan sangat efektif untuk LSL. PrEPmemungkinkan untuk diterapkan sebagai intervensi pencegahan penularan HIV pada orangdengan risiko tinggi terinfeksi HIV selama penggunaannya teratur.
Empowerment of Health Cadre in Managing Antenatal Class in Tulikup Village, Gianyar-Bali Aryastuti, Sri Agung; Ratna Juwita, Dewa Ayu Putu; Cahyawati, Putu Nita; Witari, Ni Putu Diah; Pradnyawati, Luh Gede
International Journal of Community Service Learning Vol. 4 No. 4 (2020): November 2020
Publisher : Universitas Pendidikan Ganesha

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (348.348 KB) | DOI: 10.23887/ijcsl.v4i4.22284

Abstract

Lack of public awareness and knowledge of pregnant women in maintaining their health during pregnancy was one of the problem found in Tulikup Village, Gianyar-Bali. The limited number of health workers in Puskesmas has resulted in the lack of information obtained by the community regarding pregnancy, childbirth and the puerperium. Therefore, cadre empowerment programs as a driving force in managing antenatal classes for pregnant women are expected to overcome these problems. This activity was held in  Tulikup Village Hall, and was attended by 6 cadres and 6 pregnant women. The counseling, training and simulation method was used to increase their knowledge and skills about the antenatal class. At the end of the activity, it was found that there was an increase in knowledge regarding the antenatal class. Cadres were able to design an antenatal class, arrange the material that could be given and become a facilitator in activities in it.