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Implementation Of Public Health Program Model To Manage Malnutrition Among Under-Five Children In Purworejo District, Central Java Risnawati, Risnawati; Susilowati, Tuti; Apreliasari, Helmy
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 15, No 1 (2024): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v15i1.949

Background:Purworejo District in Indonesia has a persistent issue of high malnutrition rates among children under five years old. Despite efforts, the prevalence of malnutrition in this demographic continues to rise, highlighting the urgent need for effective health interventions.Aim:This study aimed to develop and evaluate the "Implementation of Public Health Program Model to Manage Malnutrition among Under-five Children in Purworejo District, Central Java". The study utilized both qualitative and quantitative research designs, incorporating descriptive and analytical methods. The research spanned from understanding health issues through program evaluation, conducted in Grantung Village, Bayan Sub-District, Purworejo District, from August to November 2023.Method:The study employed a mixed-methods approach, beginning with advanced identification of health issues, followed by model creation, implementation of the health program, community education, and evaluation of the "Implementation of Public Health Program Model to Manage Malnutrition among Under-five Children in Purworejo District, Central Java”. Ethical approval was obtained from the Health Research Ethics Commission of Semarang State University and research permission from the Purworejo District Government. Participants provided informed consent before taking part in the study.Result:The study found that the implemented public health program model effectively addressed malnutrition among under-five children in Purworejo District. Significant improvements were observed in the knowledge (p-value=0.001), attitude (p-value=0.001), and perception (p-value=0.023) of parents/caretakers regarding malnutrition.Conclusion:The "Implementation of Public Health Program Model to Manage Malnutrition among Under-five Children in Purworejo District, Central Java” demonstrated its efficacy in indirectly managing malnutrition among children in the region. The findings underscore the importance of tailored health interventions in addressing community health challenges like malnutrition effectively.

Pemberian Susu Formula terhadap Kejadian Berat Badan Berlebih pada Anak Usia Kurang dari Lima Tahun: Formula Milk Provision on The Incidence of Overweight in Children Aged Less Than Five Years Risnawati; Apreliasari, Helmy; Fazar Kumaladewi Soedjarwo; Nur Sri Atik; Romdiyah; Mudy Oktiningrung; Iin Wahyuni; Tuti Susilowati
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3574

Overweight is a common problem in both adults and children, and this problem is quite risky to health. Giving formula milk to children is one factor that can make children overweight. The purpose of this study was to determine the relationship between the history of giving formula milk and the incidence of overweight in children under five years of age. This study used a quantitative design with a cross-sectional approach, conducted in Grantung Village, Bayan District, Purworejo Regency, Central Java, carried out from September to November 2023. The study was conducted after obtaining approval from the Health Research Ethics Commission of Semarang State University with Number: 335 / KEPK / EC / 2023 and had obtained a research permit from the Purworejo Regency Government through the Investment and One-Stop Integrated Service Office with Number: 562.42 / 209/2023. Research respondents have signed the consent form to become respondents before participating in the study. The results of the study showed that of the 19 respondents there were 7 respondents who had no history of being given formula milk, all of these respondents did not have problems with being overweight (0%), while of the 12 respondents who had a history of being given formula milk, 4 (33.33%) of them were overweight, although statistically there was no significant relationship (p-value: 0.0245). Suggestions for future researchers are that further research needs to be carried out using a cohort study method to obtain more complete information about giving formula milk and its relation to the risk of being overweight in children aged less than five years. Abstrak Berat badan berlebih merupakan masalah yang sering terjadi baik pada orang dewasa maupun pada anak, dan masalah ini cukup berisiko terhadap kesehatan. Pemberian susu formula pada anak salah faktor yang dapat membuat berat badan pada anak berlebih. Tujuan penelitian ini untuk mengetahui hubungan riwayat pemberian susu formula terhadap kejadian berat badan berlebih pada anak usia kurang dari lima tahun. Penelitian ini menggunakan desain kuantitatif dengan pendekatan croos sectional, dilakukan di Desa Grantung, Kecamatan Bayan, Kabupaten Purworejo, Jawa Tengah dilaksanakan pada September sampai November 2023. Penelitian dilakukan setelah mendapat persetujuan Komisi Etik Penelitian Kesehatan Universitas Negeri Semarang dengan Nomor: 335/KEPK/EC/2023 dan telah mendapatkan ijin penelitian dari Pemerintah Kabupaten Purworejo melalui Dinas Penanaman Modal Dan Pelayanan Terpadu Satu Pintu dengan Nomor: 562.42/209/2023. Responden penelitian sudah menandatangai lembar persetujuan menjadi responden sebelum mengikuti penelitian. Hasil penelitian menunjukkan bahwa dari 19 responden ada 7 responden yang tidak mempunyai riwayat diberikan susu formula, kesemuanya responden tersebut tidak mempunyai masalah berat badan berlebih (0%), sedangkan 12 respoden yang mempunyai riwayat diberikan susu formula, 4 (33,33%) diantaranya mengalami berat badan berlebih, walaupun secara statistik tidak mempunyai hubungan yang bermakna (p-value: 0,0245). Saran untuk peneliti selanjutnya, perlu dilakukan penelitian lebih lanjut dengan metode lain seperti kohort study untuk mendapatkan informasi yang lebih lengkap tentang pemberian susu formula dan kaitannya dengan risiko berat badan berlebih pada anak usia kurang dari lima tahun.

Edukasi Kesehatan Mengurangi Gejala Hot Flashes Pada Masa Menopause Soedjarwo, Fazar Kumaladewi; Apreliasari, Helmy; Risnawati
Jurnal Pengabdian Masyarakat Aufa (JPMA) Vol. 6 No. 3 (2024): Vol. 6 No. 3 Desember 2024
Publisher : Universitas Aufa Royhan Di Kota Padangsidipuan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51933/jpma.v6i3.1867

Periode menopause merupakan tahapan normal dalam tahapan fisiologis yaitu menuanya ovarium yang mengakibatkan menurunnya produksi hormon esterogen. Estrogen yang berkurang berakibat timbulnya hot flashes (semburan panas). Keluhan hot flashes yang dirasakan wanita menopause yaitu merasakan panas pada tubuh, dari gejala tersebut membuat wanita menopause merasakan panas yang esktrim yang menyebabkan wanita tersebut tidak nyaman dan panas akan menyebar ke atas dari dada, belakang leher, dan wajah. Hal ini dapat menyebabkan keringat berlebihan dan kemerahan, beberapa wanita menopause juga mengalami kelemahan, jantung berdebar, dan cemas sehingga menyebabkan gangguan tidur. Salah satu terapi gizi saat menopause untuk mengurangi hot flashes adalah mengkonsumsi makanan yang kaya akan fitoestrogen dimana dapat meningkatkan kembali produksi hormon estrogen dalam tubuh. Makanan yang kaya fitoestrogen tersebut di antaranya adalah makanan olahan kedelai salah satunya adalah minuman sari kedelai atau susu kedelai. Kegiatan pengabdian ini dilakukan di Patra Regency Kelurahan Rawakalong Kecamatan Gunung Sindur Bogor yang diikuti oleh 10 orang ibu yang berusia 40 – 48 tahun dengan hasil yang didapatkan adalah semua ibu belum mengetahui manfaat sari kedelai untuk mengurangi gejala hot flashes. Kegiatan edukasi ini meningkatkan pengetahuan ibu tentang gejala menopause yang terjadi dan dapat mengurangi gejala hot flashes dengan terapi gizi susu kedelai. Kata kunci : Sari Kedelai, Menopause, Hot Flashes ABSTRACT Menopause is a normal stage in the physiological stage, namely the aging of the ovaries which results in decreased production of the hormone estrogen. Reduced estrogen results in hot flashes. Complaints of hot flashes felt by menopausal women are feeling hot in the body, from these symptoms make menopausal women feel extreme heat that causes the woman to be uncomfortable and the heat will spread upwards from the chest, back of the neck, and face. This can cause excessive sweating and redness, some menopausal women also experience weakness, palpitations, and anxiety which causes sleep disorders. One of the nutritional therapies during menopause to reduce hot flashes is to consume foods rich in phytoestrogens which can increase the production of the hormone estrogen in the body. Foods rich in phytoestrogens include processed soy foods, one of which is soy juice or soy milk. This community service activity was carried out at Patra Regency, Rawakalong Village, Gunung Sindur District, Bogor, which was attended by 10 mothers aged 40-48 years with the results obtained being that all mothers did not know the benefits of soy juice to reduce symptoms of hot flashes. This educational activity increases mothers' knowledge about the symptoms of menopause that occur and can reduce hot flashes symptoms with soy milk nutritional therapy.

Faktor-Faktor yang Berhubungan dengan Perilaku Berisiko terhadap Kesehatan Reproduksi Remaja: Factors of Risky Health Behaviors of Adolescents in the Sukabumi Region Soejarwo, Fazar Kumaladewi; Apreliasari, Helmy; Risnawati
Journal of Holistics and Health Sciences Vol. 7 No. 1 (2025): Journal of Holistics and Health Sciences (JHHS), Maret
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat, Universitas Ngudi Waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/jhhs.v7i1.595

Adolescent reproductive health is a healthy condition involving the reproductive systems, functions, components and processes possessed by adolescents. Adolescents who are unable to maintain their reproductive health can lead to risky behavior, risky behavior, which is defined as a behavior that is risky to health. The aim of this study is to determine the relationship between the role of parents, the role of teachers, the role of health workers on the risk behavior of adolescent reproductive health at YASPIM Vocational High School 2020. Adolescent reproductive health can also be defined as a healthy condition that concerns the reproductive systems, functions and processes of adolescents. Behavior is a reaction / activity due to stimulation by a person to something, which can be observed or cannot be observed by others. Role is a form of behavior expected of a person in certain social situations. This research is a descriptive study with a cross-sectional design, as it takes samples from one population, namely Class X of Yaspim Vocational School, using total sampling technique amounting to 88 people. The instrument used is a questionnaire with chi-square data analysis technique. The validity test results show that the table r value is 0.444. If the calculated r value > table r, it means it is valid. The research results indicate that there is a relationship between reproductive health risk behaviors and the role of parents with a value of (p=0.009 with OR 0.04). There is a relationship between reproductive health risk behaviors and the role of teachers with a value of (p=0.001 with OR 0.05), and there is a relationship between reproductive health risk behaviors and the role of healthcare providers with a value of (p=0.005 with OR 0.06). The author hopes that parents can increase their role towards adolescents, and for teachers to be able to provide reproductive health knowledge for students, as well as health workers to improve the promotion of reproductive health for adolescents. ABSTRAK Kesehatan reproduksi remaja adalah suatu kondisi sehat yang menyangkut sistem, fungsi, komponen, dan proses reproduksi yang dimiliki oleh remaja. Remaja yang tidak dapat menjaga kesehatan reproduksinya dapat menimbulkan perilaku berisiko, Perilaku berisiko, yang dimaksud adalah perilaku yang berisiko terhadap kesehatan Tujuan penelitian ini mengetahui hubungan peran orangtua, peran guru, peran petugas kesehatan terhadap perilaku beresiko kesehatan reproduksi remaja SMK YASPIM Sukabumi Tahun 2024. Kesehatan reproduksi remaja dapat diartikan juga suatu keadaan sehat yang menyangkut sistem, fungsi dan proses reproduksi yang dimiliki oleh remaja. perilaku adalah reaksi/aktivitas karena rangsangan yang dilakukan seseorang terhadap suatu hal, baik yang dapat diamati atau tidak dapat diamati oleh orang lain. Peran adalah bentuk dari perilaku yang diharapkan dari seseorang pada situasi sosial tertentu. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional, karena mengambil sampel dari satu populasi yaitu Kelas X SMK Yaspim dengan teknik total sampling berjumlah 88 orang. Instrumen yang digunakan adalah kuesioner dengan teknik analisa data chi square. Hasil uji validitas diperoleh angka r tabel sebesar 0,444. Jika nilai r hitung > r tabel berarti valid. Hasil penelitian menunjukkan bahwa Ada Hubungan Antara Perilaku Beresiko Kesehatan Reproduksi dengan Peran Orang Tua diperoleh nilai (p= 0,009 dengan OR 0,04). Ada Hubungan Antara Perilaku Beresiko Kesehatan Reproduksi dengan Peran Guru diperoleh nilai (p= 0,001 dengan OR 0,05), dan Ada Hubungan Antara Perilaku Beresiko Kesehatan Reproduksi dengan Peran Tenaga Kesehatan diperoleh nilai (p= 0,005 dengan OR 0,06). Penulis mengharapkan orangtua dapat meningkatkan peran nya terhadap anak remaja, dan bagi para guru agar dapat memeberikan pengetahuan kesehatan reproduksi untuk para siswanay, serta petugas kesehatan dapat meningkatkan promosi kesehatan reproduksi untuk remaja.

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