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PENGARUH PENAMBAHAN TEPUNG CEKER AYAM RAS TERHADAP DAYA TERIMA DAN KANDUNGAN GIZI MUTIARA TAPIOKA (Tapioca Pearl) Anna Tirawani Ambarita; Etti Sudaryati; Ernawati Nasution
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 1 (2018): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Tapioca pearl is one of snacks in the form of beverage contents - small and chewy balls that are popular today especially among adolescents. Drinks for tapioca pearls are sweet, where snacks should contain nutrients, especially calcium and protein for growth in adolescence. One source of calcium and protein is chicken claws. Chicken claws can be utilized as flour and serve as an additive in making tapioca pearls. This research type is experiment. The power test receipt uses a complete randomized design study with organoleptic test to see the panelist's preference level against the test food. Panel of power test receipt amounted to 30 people, namely students of the Faculty of Public Health University of North Sumatra. The object of this research is tapioca pearl (tapioca pearl) with chicken starch added 5%, 10%, and 15%. The nutrient content test is done at Food Technology Science Laboratory of University of Sumatera Utara and the content seen include calcium and protein. The result of panelist organoleptic test liked the color, smell, flavor, and texture of tapioca pearls with the addition of chicken 5% chicken flour (A1), while for panelist flavor likes tapioca pearls with 10% (10%) chicken flour added (A2). Based on analysis of Kruskal Wallis test at 5% significant level (<0,05), there were difference of quality two of three treatment on color indicator. The highest nutrient content of protein and calcium is found in tapioca pearls with 15% (A3) chicken ketcher flour. Protein content was measured by Kjeldhal method and Calcium content was measured by permanganometric method. Tapioca pearls with the addition of chicken chicken flour can be an alternative contents of beverages that are high in protein and high in calcium. Further research on the acceptance of tapioca pearls and beverages needs to be done. Keywords: Tapioca Pearl (Tapioca Pearl), chicken claw, The Acceptability, Nutrition Content

Analysis of Implementation Chronic Disease Program (PROLANIS) During Pandemic COVID-19 on Primary Health Care Anna Tirawani Ambarita; Atik Nurwahyuni
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 9, No 1 (2022): April 2022
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v9i1.5240

The PROLANIS program is a health program initiated by BPJS Kesehatan to prevent diabetes mellitus and hypertension complications. According to Riskesdas data, in 2018, there were 1,017,290 people with diabetes mellitus and 658,201 people with hypertension in Indonesia. This research method is qualitative, and the data collection technique uses in-depth interviews with five types of informants and secondary data observations, namely the coverage of active participants and the number of primary health care employees. There are five types of informants: the head of the primary health care, the doctor in charge, the PROLANIS officer at the primary health care, the BPJS Kesehatan officer, and the PROLANIS participant. The target number of PROLANIS controlled before the pandemic was not achieved. The COVID-19 pandemic conditions increasingly made the target number of PROLANIS participants increasingly unattainable because several PROLANIS activities involved not being implemented. Participants fostered in clubs are limited and selected according to the participants' commitment to participating in PROLANIS activities. Primary health care is expected to carry out innovations so that PROLANIS activities can be carried out in other forms that reduce but still control the health status of the trained participants

ANALISIS CASE MIX INDEX PELAYANAN RAWAT INAP RUMAH SAKIT YANG BEKERJA SAMA DENGAN BPJS KESEHATAN TAHUN 2019-2020 Ambarita, Anna Tirawani; Nurwahyuni, Atik
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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BPJS Health experienced various challenges in achieving Universal Health Coverage / Jaminan Kesehatan Nasional (JKN), including a referral system. According to the 2018 National Health Account, curative spending costs reached 69.1%. The Case Mix Index (CMI) is a benchmark for hospital performance abroad, but Indonesian hospitals have not used it. In 2019, BPJS Health tested CMI in 30 hospitals. The research uses sample data from 2019-2020 based on province, hospital type and ownership. The methods used are anova test, independent T, linear regression and multiple linear regression. The research results show a decrease in cases in 2019-2020. The highest CMI was in region 1, hospital A, and the private sector. The beta coefficient value for the proportion of male gender, elderly age, PBI APBD participants, and class 1 is greater than for CMI. CMI inpatients in 2019 is related to region, type of hospital, hospital ownership, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of PBI APBD, proportion of PBPU, and proportion of class 1. CMI of inpatients in 2020 related to region, type of hospital, hospital ownership, proportion of men, proportion of women, proportion of children, proportion of productive, proportion of elderly, proportion of BP, proportion of PBI APBN, proportion of class 1, and proportion of class 3. It is hoped that the government will accelerate the distribution of services health and BPJS Health monitor hospital CMI.

Implementation of JKN Mobile Application-Based Health Services in Reducing Queues at the Karang Anyer Health Center Beringin District Deli Serdang Regency Nainggolan, Fikriyah Arfina; Anna Tirawani Ambarita; Agustatius Sitepu; Keleng Ate Ginting; Layari Tarigan
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2679

The JKN mobile application is a digital transformation of the BPJS health business model which originally consisted of administrative activities carried out at branch offices or health facilities. Now, participants can use this application wherever and whenever they want (self service). By using the JKN mobile application, the public and participants can obtain many conveniences, such as ease of paying and changing membership data, ease of accessing information about family participant data. The aim of this research is to implement health services based on the JKN mobile application to reduce queues at the Karang Anyer Health Center. The type of research taken is qualitative research. The subjects in this study were 5 people. Meanwhile, data collection techniques use observation, interview and documentation techniques. The research results show that the National Health Insurance (JKN) mobile application at the Karang Anyer Community Health Center is very effective and efficient in helping patients with registration, referrals and doctor consultations at the Community Health Center. Conclusion By using this application, patients can speed up the registration and referral process and get information more quickly. Patients can also make direct referrals to specialist facilities, which saves time and speeds up the service process. The JKN mobile application for doctor consultations can also be accessed directly by patients via the application. This helps doctors plan their schedules better.

Factors for Improving Patient Health Facility Services at the Karang Anyer Health Center Beringin District Deli Serdang Regency Ambarita, Anna Tirawani; Nainggolan, Fikriyah Arfina
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2736

Health is a basic need of every individual which is an important part in improving the quality of human life. The quality of health facility services is one of the main indicators in assessing the success of a country's health care system. Good services not only contribute to improving the health status of the community, but also reflect the effectiveness of the management system and health policy as a whole. Good service quality will have a direct impact on increasing public trust and the effectiveness of patient handling. This study used a quantitative approach with descriptive analytic research. The number of samples determined based on the Slovin formula with a margin of error of 5% amounted to 100 respondents. Based on the results obtained, the variables of officer attitude, availability of medical personnel, and infrastructure have a significant influence on improving service quality (p < 0.05). The variable waiting time has an influence, but is not statistically significant (p> 0.05). Thus, improving service quality at the Karang Anyer Health Center can focus on developing the attitude and competence of officers, equitable distribution of medical personnel, and providing more patient-friendly service facilities.

Intervention of Balanced Nutrition Education for Adolescents to Prevent Obesity and Degenerative Diseases at SMP Swasta 102114244 Nusantara Lubuk Pakam Aisyah, Siti; Batubara, Winda Rizki Pebrina; Manurung, Jelita; Ambarita, Anna Tirawani; Nainggolan, Fikriyah Arfina
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/46cazv59

Background: Changes in lifestyle and consumption patterns of Indonesian adolescents in recent years have shown an increasing trend towards a diet high in calories, fat, sugar, and salt and low in fiber. This condition has led to an increase in the rate of adolescent obesity, which is a major risk factor for degenerative diseases in adulthood. Based on the 2023 Riskesdas, the prevalence of adolescent obesity in Indonesia reached 18.7%, up from 13.5% in 2018. One of the effective promotive-preventive efforts is through balanced nutrition education in the school environment. Objective: This activity aims to improve the knowledge, attitudes, and behavior of adolescents about the principles of balanced nutrition and encourage the implementation of healthy eating patterns to prevent obesity and degenerative diseases. Methods: The activity was carried out through the stages of preparing educational materials, implementing interactive education, demonstrating the contents of my plate, and evaluating using pre-test and post-test. Results: The balanced nutrition education activity held at SMP Swasta 102114244 Nusantara Lubuk Pakam successfully attracted the attention and interest of all students. The participants' enthusiasm was evident from the start of the activity, from the presentation of the material, the question and answer session, to the simulation of preparing a balanced nutrition menu based on the “Isi Piringku” guidelines. This is shown by the results of an increase in knowledge of 41.12% with a p value of <0.001. Conclusion: Balanced nutrition education is proven to be effective in increasing knowledge and forming healthy eating habits in adolescents. This program should be implemented sustainably in schools to prevent obesity and degenerative diseases

Relationship Between Junk Food Consumption Behavior and Calcium Intake with the Incidence of Dysmenorrhea Among Female Students at Poltekkes Kemenkes Riau 2025 Ambarita, Anna Tirawani; Anggraini, Natashia Yulia
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/g1btkz73

Dysmenorrheaiis a frequent menstrual discomfort among adolescent girls that may greatly disrupt both school performance and everyday activities. Eating patterns, especially junk food consumption and calcium intake, may play a role in the occurrence of dysmenorrhea. This research sought to examine the association between these dietary factors and the incidence of dysmenorrhea among first-year nutrition students at Poltekkes Kemenkes Riau. A quantitative, cross-sectional_design was_employed involving_54 respondents selected through total sampling. Data were collected using a Food Frequency Questionnaire (FFQ), Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and a menstrual pain scale questionnaire. The results revealed that the majority of respondents frequently consumed junk food (57.4%) and had inadequate calcium intake (53.5%). Chi-square analysis showed a significant association between_junk_food consumption (p = 0.037) and calcium intake (p = 0.037) with the incidence of dysmenorrhea. The findings suggest that high junk food consumption and low calcium intake may increase the risk of dysmenorrhea. Therefore, nutrition education promoting healthy eating habits is essential to prevent menstrual disorders among young women.

Systematic Review: Effectiveness of Health Promotion in Preventing Non-Communicable Diseases in the Digital Era Fikriyah Arfina Nainggolan; Agustatius Sitepu; Anna Tirawani Ambarita
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/pma5bs21

Noncommunicable diseases (NCDs) are the leading cause of death globally and continue to rise, including in Indonesia. Unhealthy lifestyle changes among the population are a major factor in the rise of NCDs, necessitating effective promotive and preventive strategies. With the advancement of digital technology, health promotion has undergone a transformation through the use of digital media such as mobile health (mHealth), social media, and short message service (SMS). However, the effectiveness of digital health promotion in preventing NCDs still yields mixed results. This study aims to enhance the effectiveness of digital health promotion in preventing NCDs through a Systematic Literature Review (SLR) approach. The research method follows the PRISMA guidelines, with a literature search based on data from Scopus, PubMed, and ScienceDirect for articles published between 2020 and 2025. Inclusion criteria included Scopus-indexed journals discussing digital interventions in health promotion, while articles in the form of opinions, editorials, and studies without empirical data were excluded. A total of 15 articles met the criteria and were analyzed narratively. The results indicate that digital health promotion is consistently effective in increasing public knowledge and awareness regarding NCD prevention. However, its impact on changes in health behavior remains variable. Mobile health (mHealth)-based interventions demonstrated higher effectiveness in increasing physical activity and reducing body mass index (BMI), while SMS-based interventions were shown to improve adherence to healthy eating patterns. In general, digital health promotion has moderate effectiveness in influencing public health behavior. The study’s conclusions indicate that digital health promotion is a promising strategy for NCD prevention, but requires further development—particularly in integrating behavioral change theory, enhancing user engagement, and ensuring equitable access to technology. Future research is recommended to develop more interactive, personalized, and sustainable interventions to enhance the effectiveness of long-term behavioral.

Characteristic of Chronic Kidney Disease Patients with Haemodialisa Anna Tirawani Ambarita; Teja Kusuma Aisyah; Raisha Octavariny
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/d22mc027

Chronic kidney failure is a progressive and irreversible decline in kidney function, and it is one of the catastrophic diseases with high financial burden in Indonesia. The increase in chronic kidney failure cases is influenced by the prevalence of hypertension, diabetes mellitus, obesity, as well as changes in community lifestyle. This study aims to identify the characteristics of chronic kidney failure patients undergoing hemodialysis in North Sumatra Province from 2015 to 2020 based on gender, age, type of National Health Insurance membership, and average service claim costs. The study uses a descriptive quantitative approach with a non-experimental cross-sectional design. The data used are secondary data of a 1% sample from BPJS Kesehatan for 2015–2020, which has obtained data usage permission from the BPJS Kesehatan Central Office. The variables analyzed include gender, age, membership segmentation, diagnosis, and claim verification costs.Keywords: chronic kidney disease, hemodialysis, BPJS Kesehatan, claim cost, patient characteristics. The analysis was carried out descriptively by taking into account individual weights to reflect the population. The study results showed that the proportion of chronic kidney failure patients undergoing hemodialysis was mostly male, totaling 66.17 percent. Based on age, the adult group (19–59 years) dominated with 67.79 percent, followed by the elderly proportion at 28.07 percent. The largest proportion by type of participation came from the PBPU group at 62.05 percent, followed by PPU at 17.29 percent. The average cost of chronic kidney failure claims with hemodialysis was Rp816.713,9 with a standard deviation of Rp209.344,8, a minimum claim of Rp95.900, and a maximum of Rp4.219.800. Chronic kidney failure patients in North Sumatra were dominated by the productive age group, males, and PBPU participants, with a fairly high financial burden on the health insurance system. These findings indicate the need to strengthen promotive and preventive efforts against risk factors for chronic diseases to curb the increase in cases and the burden of health care costs

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