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All Journal Journal of Nutrition College Public Health of Indonesia Journal of Health Education AcTion: Aceh Nutrition Journal Amerta Nutrition Aspirasi : Jurnal Masalah-masalah Sosial Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Paramashanti, Bunga Astria
Department of Nutrition, Faculty of Health Sciences, Alma Ata University
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KAITAN STUNTING DENGAN FREKUENSI DAN DURASI PENYAKIT INFEKSI PADA ANAK USIA 24-59 BULAN DI KECAMATAN SEDAYU, KABUPATEN BANTUL Sahitarani, Agustina Swastika; Paramashanti, Bunga Astria; Sulistiyawati, Sulistiyawati
Journal of Nutrition College Vol 9, No 3 (2020): Juli
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v9i3.26952

Abstract

Latar belakang: Stunting pada balita perlu menjadi perhatian khusus karena dapat menghambat perkembangan fisik dan mental anak. Stunting juga dikaitkan dengan peningkatan risiko kesakitan dan kematian, serta gangguan perkembangan lainnya.Tujuan: Untuk menganalisis hubungan stunting dengan frekuensi dan durasi penyakit infeksi pada anak berusia 24-59 bulan di Kecamatan Sedayu, Kabupaten Bantul.Metode: Penelitian ini bersifat observasional dengan menggunakan desain penelitian cross-sectional. Variabel dalam penelitian ini meliputi stunting pada anak bulan sebagai variabel bebas, serta frekuensi dan durasi penyakit infeksi sebagai variabel terikat. Subjek penelitian yaitu sebanyak 185 anak dan dipilih berdasarkan metode Probability Proporsionate to Size (PPS). Kriteria inklusi yaitu anak usia antara 24-59 bulan yang terdaftar dalam posyandu pada bulan Februari 2017, sedangkan kriteria ekslusi yaitu anak yang tidak hadir di posyandu saat penelitian berlangsung. Uji statistic deskriptif dan kai kuadrat dilakukan dalam penelitian ini.Hasil: Tiga puluh persen anak menderita stunting dimana 21% memiliki riwayat ISPA, 31% memiliki riwayat diare dan 12% memiliki riwayat pneumonia dalam kurun waktu tiga bulan terakhir. Tidak ditemukan hubungan yang signifikan antara stunting dengan frekuensi diare, frekuensi ISPA, dan frekuensi pneumonia. Tidak ada hubungan yag bermakna antara stunting dan durasi diare, durasi ISPA, dan durasi pneumonia.Simpulan: Tidak ada hubungan antara stunting dengan frekuensi dan durasi penyakit infeksi. Hasil penelitian mengindikasikan bahwa kemungkinan terdapat faktor lain yang berkontribusi terhadap morbiditas akut seperti asupan gizi, akses ke fasilitas kesehatan, kondisi lingkungan dan penyebab sosial ekonomi pada anak usia 24-59 bulan.
TINGGI BADAN IBU SEBAGAI FAKTOR RISIKO STUNTING PADA ANAK USIA 24-59 BULAN DI KECAMATAN PLERET DAN KECAMATAN PAJANGAN, KABUPATEN BANTUL, YOGYAKARTA Andari, Wiwid; Siswati, Tri; Paramashanti, Bunga Astria
Journal of Nutrition College Vol 9, No 4 (2020): Oktober
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v9i4.26992

Abstract

Latar belakang:Prevalensi stunting pada balita di Indonesia masih tinggi (30,8%). Salah satu faktor risiko stunting yaitu siklus malnutrisi kronis antar generasi yang terjadi antara ibu dan anak.Tujuan: Untuk menganalisis apakah tinggi badan ibu merupakan factor risiko stunting pada anak usia 24-59 bulan di Kecamatan Pleret dan Kecamatan Pajangan, Kabupaten Bantul, Daerah Istimewa Yogyakarta.Metode: Penelitian ini menggunakan rancangan kasus kontrol dengan total kasus sejumlah 43 anak dan total kontrol sebanyak 43 anak. Seluruh sampel diambil dengan menggunakan teknik pengambilan sampel multistage cluster sampling. Variabel dependen yang diteliti adalah stunting, sedangkan variabel independent adalah tinggi badan ibu. Data dianalisis dengan menggunakan deskriptif statistik, uji chi-square dan regresi logistik ganda.Hasil: Tinggi badan ibu secara signifikan merupakan prediktor stunting (adjusted OR= 2,720; 95%CI: 1,050-7,049). Faktor lain seperti tinggi badan ayah, tingkat pendidikan ayah dan ibu, jenis pekerjaan ayah dan ibu, serta jenis kelamin anak bukan merupakan faktor risiko stunting.Simpulan: Tinggi badan ibu merupakan faktor risiko stunting pada anak usia 24-59 bulan. Intervensi yang difokuskan pada periode 1000 hari pertama kehidupan dibutuhkan untuk mencegah terjadinya stunting akibat dari siklus malnutrisi antar generasi.
Edukasi gizi pada ibu oleh kader terlatih meningkatkan asupan energi dan protein pada balita Abdillah, Faza Muhammad; Sulistiyawati, Sulistiyawati; Paramashanti, Bunga Astria
AcTion: Aceh Nutrition Journal Vol 5, No 2 (2020): AcTion Vol 5 No 2 Tahun 2020
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v5i2.313

Abstract

Child nutrition can have a long-term impact on the development of future human capital, particularly in relation to cognitive capability, productivity, and economic development. We aimed to investigate the influence of maternal nutrition education on energy and protein intakes of children in community feeding centers. This study used a quasi-experimental design with pre- and post-intervention control group. A total of 38 child-mother pairs were involved in this research. Mothers in the intervention group received nutritional education delivered by trained cadres for eight sessions in a period of four weeks. Nutritional intake data collection using 24-hour recall. Data were analyzed used the Dependent T-test and Wilcoxon test.  The results showed that nutrition education by trained cadres had a statistically significant effect on increasing energy intake (p= 0,000) and also on protein intake (p= 0,001) in children under-five. Educating mothers about child nutrition significantly increased child energy and protein intake. Involving trained cadres as the educators may result in an effective intervention to improve child dietary intake.
The impact of behavior change communication on healthy living movement-related knowledge and behavior among adolescents: A mixed-methods study Siswati, Tri; Widiyanto, Santo Yoseph Didik; Olfah, Yustiana; Setyowati, Setyowati; Paramashanti, Bunga Astria
Public Health of Indonesia Vol. 9 No. 1 (2023): January - March
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i1.654

Abstract

Background: Behavior change communication (BCC) is a validated health communication technique for influencing changes in knowledge and behaviors. Objective: This study aimed to investigate the impact of BCC on the knowledge and practice of the Healthy Living Movement (HLM) or called Gerakan Masyarakat Hidup Sehat (Germas). Methods: This was a mixed-methods study. A single group pre-posttest design was conducted in Yogyakarta and Central Java, Indonesia, from May to October 2019. Participants are all first-year students from selected schools, as many as 713 persons. The intervention was the BCC strategy, while the outcomes were knowledge and behavior. The BCC intervention was carried out through several stages, from need assessment, designing an educational intervention, the intervention with pre-and post-test, evaluation, and networking. Specifically, the educational intervention was conducted 60 minutes weekly for three weeks. The contents of HLM included a balanced diet, physical activity, and the relationship between health and academic achievement. The knowledge and practice scores were measured using a structured questionnaire before and after the BCC intervention. STATA 13 was used to calculate the mean difference (MD) using a t-test. To evaluate the BCC intervention, qualitative in-depth interviews were used, and data were analyzed thematically. Results: BCC intervention significantly increased knowledge and behavior on a balanced diet, physical activity, and the relationship between health and academic achievement (p <0.05). Internal social norms were carried out through the HLM campaign and declarations, as well as assigning HLM ambassadors, while advocacy by establishing networking between universities, schools, and public health centers strengthened the sustainability program. Conclusion: BCC intervention improves knowledge and behavior among adolescents. Moreover, the environment is crucial to support and maintaining the program.
Effect of mHealth based intervention on Maternal Knowledge and Practices of Child Care: A quasi-experimental study Siswati, Tri Siswati; Sitasari, Almira; Paramashanti, Bunga Astria; Tjaronosari, Tjaronosari; Nurhidayat, Nurhidayat; Wijanarka, Agus; Waris, Lukman
Public Health of Indonesia Vol. 10 No. 1 (2024): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i1.756

Abstract

Background:Child malnutrition contributes to elevated rates of mortality and morbidity, profoundly affecting child welfare. Maternal childcare knowledge and practices play a pivotal role in addressing this issue. Objective:This study aims to evaluate the impact of the mHealth App on maternal knowledge and practices in child care. Method:A randomized controlled trial was conducted in Yogyakarta, Indonesia, from May to August 2022. Mother-child pairs were assigned to either the intervention (n=100) or control (n=100) groups. Data on maternal knowledge and practices were collected at baseline, follow-up 1, and follow-up 2. Maternal knowledge was assessed using a structured questionnaire covering child growth and development, while feeding practices were evaluated using a yes-no checklist. The analysis of maternal knowledge and practices involved mean difference, t-test, and general estimating equations in STATA-15. Result:The results revealed a consistent increase in knowledge and practice scores between follow-ups 1 and 2. The mHealth application significantly enhanced maternal knowledge about child growth, development, and feeding at follow-up 2 compared to baseline, with improvements of 1.42 (CI 95% 1.34-1.89), 1.32 (CI 95% 1.22-1.72), and 1.45 (CI 95% 1.34-2.42), respectively. Additionally, growth and development monitoring practices increased by 0.80 (CI 95% 0.08-0.99) and 0.98 (CI 95% 0.21-0.99). Conclusion:The mHealth application significantly enhances maternal knowledge and practices related to child growth, development, and feeding. Key words: mHealth; maternal; knowledge; practices; children
How Adolescents Perceive Stunting And Anemia: A Qualitative Study In Stunting Locus Area In Yogyakarta Indonesia Siswati, Tri; Kasdjono, Heru Subaris; Olfah, Yustiana; Paramashanti, Bunga Astria
Jurnal Aspirasi Vol 13, No 2 (2022)
Publisher : Pusat Analisis Keparlemenan Badan Keahlian Sekretariat Jenderal DPR RI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46807/aspirasi.v13i2.3097

Abstract

Persepsi merupakan interpretasi unik dari suatu situasi sebagai proses kognitif kompleks yang memengaruhi perilaku seseorang. Penelitian ini bertujuan untuk membahas persepsi remaja tentang stunting dan anemia. Penelitian ini dilakukan di wilayah lokus stunting yang mencakup Kabupaten Kulon Progo dan Gunung Kidul, Yogyakarta, Indonesia pada tahun 2020. Penelitian ini dilakukan dengan metode rapid assessment procedures (RAP) dengan wawancara mendalam. Sebanyak 33 orang terdiri dari 25 siswa SMP baik laki-laki maupun perempuan serta 8 guru, orang tua, dan tokoh masyarakat berpartisipasi dalam penelitian ini. Analisis data dilakukan berdasarkan tema definisi, penyebab, dampak, pencegahan, dan hambatan dalam penanggulangan stunting dan anemia. Berdasarkan hasil wawancara mendalam, beberapa remaja menyatakan bahwa anemia sama dengan tekanan darah rendah. Di antara hambatan untuk mengatasi anemia adalah remaja sering memiliki citra tubuh ingin menjadi lebih ramping, lebih kurus, membatasi makanan bergizi, kurang tidur, dan khawatir berlebihan terhadap tubuhnya. Ada beberapa kendala dalam mencegah dan mengendalikan stunting, antara lain tabu tentang makanan tertentu, persepsi stunting yang keliru, genetik sebagai penyebab utama, dan stigma. Namun, untuk mendorong persepsi ini, diperlukan dukungan serta strategi komunikasi, informasi, dan edukasi sehingga target penurunan stunting dapat tercapai. Tenaga kesehatan perlu merancang strategi komunikasi perubahan perilaku yang tepat untuk menanggulangi anemia dan stunting pada remaja. AbstractPerception is an individual’s unique interpretation of a situation as a result of a complex cognitive process that influences behavior. This study aims to explore adolescents’ perceptions of stunting and anemia. This qualitative study was conducted in Kulon Progo and Gunung Kidul Districts, Yogyakarta, Indonesia, in 2020. The study was carried out by rapid assessment procedures (RAP) using in-depth interviews. A total of 33 informants consists of 25 male and female of junior high school students, and 8 persons, including teachers, parents, and the community involved in this research. We thematically coded the data by definitions, causes, impacts, prevention, and obstacles in tackling stunting and anemia. This finding is that some adolescents state that anemia equals to low blood pressure. The barriers to prevent anemia are body image, lack of nutritious food intake, less sleep, and excessive upset. Meanwhile, stunting is a genetic problem, so if the parents are short, their children must be short too. To achieve the goal of reducing stunting, however, it is required to implement methods for communication, education, and information dissemination. So health professionals must develop suitable behavior change communication strategies.
Challenges for Indonesia Zero Hunger Agenda in the Context of COVID-19 Pandemic Paramashanti, Bunga Astria
Kesmas Vol. 15, No. 5
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The rapid spread of COVID-19 has not only threatened the lives of the infected people but also socially and economically affected a broader community. The pandemic has also challenged the second goal of the 17 Sustainable Development Goals (SDGs) to eliminate all the forms of hunger by 2030. The most disadvantaged people may have a greater risk of having malnutrition and poor health as they cannot access a diet that is safe, nutritious, affordable, and sustainable. At this moment, saving lives by focusing on the health-care system should not be the only priority; the emphasis should be made in other essential aspects, including agri-food sector, in order not to cause any additional burden of hunger, malnutrition, and overall health.
Exploring Knowledge of Gene-Based Nutrition Services Among Indonesian Nutritionists: Gambaran Pengetahuan Ahli Gizi Tentang Pelayanan Gizi Berbasis Gen di Indonesia Zulfa, Ifana Fitria; Aji, Arif Sabta; Rahayu, Herwinda Kusuma; Paramashanti, Bunga Astria; Hafizhah, Rafiqah Dwita; Putri, Sintia Aurilia; Alfiana, Rina; Farhan, Alfina Ulfah; Surendran, Shelini
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.283-292

Abstract

Background: Individuals possess unique genes that influence their susceptibility to diseases and their response to dietary interventions. The emergence of nutritional genomics has made it possible to identify disease predispositions and mitigate risks through gene-based dietary guidance. Consequently, understanding gene-based nutrition services is crucial for nutritionists, as it facilitates the integration of genetic insights into dietary recommendations. Objectives: This study aims to evaluate the familiarity of dietitians in Indonesia with gene-based nutrition services. Methods: Employing a qualitative approach with a phenomenological orientation, this study was conducted in DKI Jakarta, Jawa Barat, Jawa Tengah, Jawa Timur, and DI Yogyakarta. Purposive sampling was employed, involving a total of seven nutritionists. Data were gathered through in-depth interviews conducted both in person and online via Zoom meetings. Thematic analysis was carried out utilizing Nvivo 12.0. Results: The knowledge of nutritionists regarding nutritional genomics is limited. While they could explain fundamental concepts, their understanding lacked depth. Similarly, their comprehension of gene-based nutrition services was restricted, leading to uncertainties about their role in such services. Nutritionists generally expressed positive attitudes towards gene-based nutrition services, recognizing their significance and advocating for their provision by relevant agencies. There was a strong interest among nutritionists in offering gene-based nutrition services and a willingness to expand their understanding of nutritional genomics. Conclusions: The knowledge of nutritionists regarding gene-based nutrition services remains insufficient. There is a need for nutritionists to undergo training, attend seminars, and enhance their understanding of nutritional genomics in academic settings.
Gambaran Pengetahuan Masyarakat Terhadap Pelayanan Gizi Berbasis Gen Dalam Pencegahan Penyakit Tidak Menular di Indonesia: Gambaran Pengetahuan Masyarakat Terhadap Pelayanan Gizi Berbasis Gen dalam Pencegahan Penyakit Tidak Menular di Indonesia Wulandari, Fatma Annisa; Aji, Arif Sabta; Afifah, Effatul; Paramashanti, Bunga Astria; Listiyana, Fani; Khouridhiya, Mumtaz; Surendran, Shelini
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.293-302

Abstract

Background: Non-Communicable Diseases (NCDs) are the primary health issues in Indonesia, with their prevalence increasing each year. The advancement of technology, such as gene-based nutrition services, could offer an alternative approach to prevent NCDs in the present and future.  Objectives: This study aims to assess the current level of knowledge regarding gene-based nutrition services among Indonesians for NCD prevention.  Methods: A qualitative phenomenological study was conducted across five provinces in Indonesia. In-depth interviews were conducted with ten informants, selected using the snowball sampling technique. The research focused on themes such as understanding gene-based nutrition services, genetic knowledge, and the role of gene-based nutritional analysis in NCD prevention. Thematic analysis was performed using NVivo v.14.  Results: The community demonstrated a solid grasp of the concept of genetics and inherited traits. However, they struggled with genetic terminology. Most Indonesians had limited awareness of gene-based nutrition services, although they recognized their benefits in disease detection and dietary management. They also knew that the cost of this inspection was expensive, and individuals expressed concerns about the potential implications of disease risk detection. Participants notably clarified that NCDs are not communicable diseases and can be prevented through gene-based nutritional interventions. Interest in gene-based nutrition services was substantial, yet barriers included cost and facility accessibility.  Conclusions: Indonesians generally possess limited knowledge about genetics, gene-based nutrition services, and genetic testing. However, they acknowledge the significance of genetic-based nutrition services in early NCD prevention, as these services can help determine appropriate dietary patterns and lifestyles.
Implementation of a community-based nutrition program in the community feeding center: a case study from Bantul Piliang, Nelfi Putri; Sulistiyawati, Sulistiyawati; Paramashanti, Bunga Astria
Journal of Health Education Vol 6 No 2 (2021): September 2021
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v6i2.38320

Abstract

Background: Malnutrition among children becomes one of public issues in the population. Community-based nutrition programs provide opportunities to improve current child nutrition and in later life. Objective: To explore the implementation of a community-based nutrition program in Sedayu Subdistrict, Bantul District. Methods: A qualitative study with a single study case was conducted between March and May 2017 in the community feeding center in Argorejo Village, Sedayu Subdistrict, Bantul District. Data were collected from a focus group discussion among mothers of children under-fives, in-depth interviews to community health workers and a nutritionist, and observation during the program activities. Analysis was done by developing coding and themes on the implementation of the program. Results: Several activities were identified in the community-based nutrition program such as anthropometric measurement, nutrition counselling and education, providing healthy snacks during the program, and weekly food supplementation distribution to targeted children. Facilitators of this program included active participation from community health workers, acceptance and supports from the community, and self-subsistent food supplementation. Meanwhile, the barriers of this program were budget allocation, limited numbers and time of health workers, and lacked tools and facilities. Conclusions: Community-based nutrition program in the community feeding center is community-driven program which is from and to the community. The sustainability of this program needs a strong commitment from the government, multisectoral stakeholders, and the community.
Co-Authors Abdillah, Faza Muhammad Agus Wijanarka, Agus Alfiana, Rina Almira Sitasari Anak Agung Istri Sri Wiadnyani Andari, Wiwid Arif Sabta Aji Effatul Afifah. Farhan, Alfina Ulfah Hafizhah, Rafiqah Dwita Kasdjono, Heru Subaris Khouridhiya, Mumtaz Lestari, Prasetya Listiyana, Fani Lukman Waris Marsiswati, Marsiswati Nurhidayat Nurhidayat Piliang, Nelfi Putri Puspitorini Puspitorini Putri, Sintia Aurilia Rahayu, Herwinda Kusuma Sahitarani, Agustina Swastika Setyowati Setyowati Siswati, Tri Siswati Stella Benita, Stella Sulistiyawati Sulistiyawati Surendran, Shelini Tjaronosari, Tjaronosari Tri Siswati, Tri Widiyanto, Santo Yoseph Didik Wulandari, Fatma Annisa Yhona Paratmanitya Yustiana Olfah Zulfa, Ifana Fitria