Tunggal Mutika, Winnie
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Faktor Yang Berpengaruh Terhadap Kekurangan Energi Kronik (Kek) Ibu Hamil Di Puskesmas Mampang, Depok : Factors That Inluence Chronic Energy Deficiency (CED) of Pregnant Women at Puskesmas Mampang, Depok Juliyanti, Mira Fony; Tunggal Mutika, Winnie; Triwulandari, Winarni Naweng
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 15 No. 2 (2024): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v15i2.240

Abstract

Prevalensi Kekurangan Energi Kronis (KEK) ibu hamil di Indonesia adalah 16,9%. Sebanyak 567 ibu hamil yang memeriksa kehamilan di Puskesmas Mampang dan 18 ibu hamil atau sekitar 3,17% mengalami KEK pada kehamilannya. Tujuan penelitian adalah menganalisis berbagai faktor yang mempengaruhi KEK terhadap ibu hamil di Puskesmas Mampang. Jenis studi yang dipergunakan yaitu observasional analitik. Teknik pengambilan sampel menggunakan purposive sampling yaitu 46 ibu hamil di Puskesmas Mampang. Data yang dipergunakan  yaitu data sekunder dari faktor risiko KEK. Analisa yang dipergunakan yakni analisa univariat dan distribusi frekuensi serta bivariar dengan uji chi-square. Hasil : Analisis univariat menunjukkan ibu hamil yang sedang ada dalam keadaan KEK dengan umur ibu <20 tahun sejumlah 4 individu (22.2%) sementara usia ibu > 20 tahun sebanyak 14 orang (77,7%) sedangkan sejumlah 1 (5,5%) ibu hamil mengalami KEK pada kehamilan trimester I, umur kehamilan pada trimester II sejumlah 9 individu (50%), dan usia kehamilan dalam trimester III sejumlah 8 individu (44,4%). Tidak ada hubungan pada usia dengan fenomena KEK terhadap ibu hamil yang memiliki nilai p-value = 0,829. Tidak terdapat hubungan pada umur kehamilan terhadap fenomena KEK pada ibu hamil dengan nilai p-value = 0,589. Kesimpulannya, tidak terdapat hubungan pada LILA terhadap fenomena KEK terhadap ibu hamil di Puskesmas Mampang. Skrining faktor risiko dan edukasi masih menjadi hal yang penting untuk dilakukan di level komunitas. The prevalence of Chronic Energy Deficiency (CED) in pregnant women in Indonesia is 16.9%. There were 567 pregnant women who underwent pregnancy checks at the Mampang Community Health Center and 18 pregnant women or around 3.17%. Analyze the factors that influence CED among pregnant women at the Mampang Community Health Center. The type of research used is analytical observational. The sampling technique used purposive sampling, namely 46 pregnant women. The data used is secondary data from CED risk factors. The analysis used is univariate analysis with frequency distribution and bivariate analysis using the chi-square statistical test. Results: Univariate analysis showed that 4 pregnant women experienced CED with maternal age <20 years (22.2%) while maternal age >20 years were 14 (77.7%). There were 1 pregnant women who experienced CED with gestational age in the 1st trimester (5.5%), 9 people with gestational age in the 2nd trimester (50%), and 8 people with gestational age in the 3rd trimester (44.4%). There is no relationship between age and the incidence of CED in pregnant women with a value (p-value = 0.829). There is no relationship between gestational age and the incidence of CED in pregnant women with a value (p-value = 0.589). Conclusion, There is a relationship between LILA and the incidence of CED in pregnant women at the Mampang Community Health Center. Risk factor screening and education are still important things to do at the community level.
Case Series : Angka Kematian Demam Berdarah Dengue Berdasarkan Jenis Kelamin di Jawa Barat: Case Series: Dengue Fever Mortality Rate Based on Gender in West Java Taufik, Afifah; Hasibuan, Putri Amanda; Putri, Firly Deliana; Wulandari, Aulia; Tunggal Mutika, Winnie; Lisa, Mona
Jurnal Kesmas Untika Luwuk : Public Health Journal Vol. 15 No. 2 (2024): Jurnal Kesmas Untika Luwuk: Public Health Journal
Publisher : Fakultas Kesehatan Masyarakat Universitas Tompotika Luwuk

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51888/phj.v15i2.279

Abstract

Demam Berdarah Dengue (DBD) adalah penyakit endemik yang umum di seluruh Indonesia, termasuk di Provinsi Jawa Barat. Analisis pola kejadian DBD berdasarkan jenis kelamin menjadi penting untuk untuk mendukung upaya pencegahan pencegahan dan pengendalian yang lebih efektif. Penelitian ini bertujuan untuk mengkaji prevalensi kasus DBD berdasarkan jenis kelamin dan angka kematian di Jawa Barat selama periode 2021-2023. Dengan desain studi deskriptif case series, penelitian ini menggunakan data sekunder dari Dinas Kesehatan Provinsi Jawa Barat. Analisis deskriptif untuk dilakukan untuk membandingkan kasus DBD antara laki-laki dan perempuan. Dari hasil analisis didapatkan bahwa laki-laki memiliki risiko 1,17 kali lebih tinggi untuk terinfeksi DBD dibandingkan perempuan (OR=1,17; 95% CI: 1,09-1,25). Proporsi kasus DBD pada laki-laki menunjukkan peningkatan dari 51,4% pada di tahun 2021 menjadi 53,1% di tahun 2023, sedangkan proporsi pada perempuan cenderung menunjukkan tren fluktuatif. Walaupun laki-laki memiliki kerentanan lebih tinggi terhadap infeksi, angka kematian akibat DBD pada perempuan tercatat lebih besar dibandingkan dengan laki-laki selama periode penelitian. Hasil ini menyoroti pentingnya pendekatan pencegahan yang mempertimbangkan aspek berbasis gender. Dinas Kesehatan diharapkan dapat meningkatkan edukasi dan intervensi pencegahan yang lebih spesifik, terutama bagi kelompok perempuan, guna menekan angka kematian. Selain itu, masyarakat perlu didorong untuk secara rutin memberantas sarang nyamuk dan meningkatkan kewaspadaan terhadap gejala awal DBD. Penelitian lebih lanjut direkomendasikan untuk mengeksplorasi faktor biologis, sosial, dan lingkungan yang berkontribusi terhadap perbedaan risiko infeksi dan angka kematian berdasarkan jenis kelamin.  Dengue Hemorrhagic Fever (DHF) is an endemic disease common throughout Indonesia, including in West Java Province. Analysis of DHF incidence patterns by gender is essential to support more effective prevention and control efforts. This study aims to examine the prevalence of DHF cases by gender and mortality rates in West Java during the period 2021-2023. With a descriptive case series study design, this study used secondary data from the West Java Provincial Health Office. A descriptive analysis was conducted to compare DHF cases between men and women. The results of the analysis showed that men had a 1.17 times higher risk of contracting DHF than women (OR = 1.17; 95% CI: 1.09-1.25). The proportion of DHF cases in men increased from 51.4% in 2021 to 53.1% in 2023, while the proportion in women tended to fluctuate. Although men are more susceptible to infection, the mortality rate due to dengue fever in women was recorded to be greater than that of men during the study period. These results highlight the importance of a prevention approach that considers gender-based aspects. The Health Office is expected to improve education and more specific prevention interventions, especially for women, to reduce mortality rates. In addition, the community must be encouraged to routinely become members of mosquito nests and increase awareness of early symptoms of dengue fever. Further research is recommended to explore biological, social, and environmental factors contributing to differences in infection risk and mortality rates based on gender.
Karakteristik Ibu Hamil Dengan Risiko Tinggi di PMB Y Kota Bengkulu Tunggal Mutika, Winnie; damayanti, rini; Puji Astuti, Dwi
Midwifery Science Care Journal Vol. 2 No. 1 (2023): Midwifery Science Care Journal
Publisher : STIKES Telogorejo Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63520/mscj.v2i1.339

Abstract

Abstract: A high-risk pregnancy is a pregnancy that is likely to cause harm or complications to both the mother and the fetus during pregnancy, childbirth, or the puerperium when compared to normal childbirth and postpartum pregnancies. The purpose of this study is to determine high-risk pregnant women characteristics in PMB Y, Kampung Melayu, Padang Serai, Bengkulu, in 2020. The method used in this research is descriptive research with an observational research design. The sample to be taken in this study uses a total sampling of 173 pregnant women. In the results of data processing, univariate analysis is carried out, this analysis is aimed to obtain an overview of the frequency distribution of the various variables studied. The results of the study are as follows: 113 pregnant women based on the characteristics of the majority in the age range 20-35 years (76.9%), 116 high school education (67.1%), 65 nulliparous parity (37.6%), distance pregnancy ≥2 years are 103 people (59.5%), there is no history of abortion as many as 143 people (82.7%), height >145 cm are 157 people (90.8%), and LILA >23,5 cm are 145 people (83.8%). Conclusion: Pregnant women with high risk based on age <20 years and> 35 years are 40 people (23.2%), with a history of abortion as many as 30 people (17.3%), LILA <23,5 cm as many as 28 people (16.2%), height ≤145 cm as many as 16 people (9.2%), parity grand multipara as many as 13 people (7.5%), elementary education as many as 8 people (4.6%), and pregnancy spacing <2 years as many as 4 people (2.3%).
FACTORS AFFECTING MENTAL HEALTH IN PREGNANT AND BREASTFEEDING WOMEN Adisti, Lutfi; Wulandari, Aulia; Tunggal Mutika, Winnie
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Mental health in pregnant and breastfeeding women causes anxiety, stress, insomnia, baby blues, and depression if not handled properly. Pregnant women who have mental disorders can increase the risk to the fetus in the form of poor fetal development, premature birth, and LBW. Objective : To identify risk factors that affect mental health in pregnant and breastfeeding women. Research Methods/ Implementation Methods : A literature review using four databases, namely Elsevier, Pubmed, Google Scholar, and Garuda using the keywords “mental health”, “depression”, “pregnant women”, “breastfeeding mothers”, and “related factors”. Results : Twenty journals have eleven significant journals with age, six significant journals with education, eight significant journals with social support, eight significant journals with parity, two significant journals with knowledge, six significant journals with exercise and physical activity, four significant journals with income, six significant journals with employment, four significant journals with anxiety, towards mental health in pregnant and breastfeeding mothers. Conclusion/Lesson Learned : Age, parity, education, knowledge, income, physical activity, type of labor, and social support are important in maintaining the mental health of pregnant and lactating women. Structured interventions that involve the family can be an effective preventive effort to reduce mental stress and improve maternal readiness for pregnancy and childbirth.
Vulnerable Workers: Profile of Drug Abusers Lisa, Mona; Tunggal Mutika, Winnie; Rismiawati, Riris; Sulistyorini, Dwi
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Introduction The use of illicit drugs is a global epidemic, with prevalence varying depending on the type of drug and the location of use (Degenhardt and Wall, 2012). Social factors at the individual, family, and community levels are associated with the initiation and use of illicit drugs. The use of illicit drugs that is prevalent among young adult males with sufficient economic status can negatively impact the productivity of future generations (Blumstein, 1995). Objective : Objective The objective is to identify the characteristics of respondents who were illicit drug users in Indonesia in 2017. The characteristics examined include gender, education level, marital status, closeness to family, risk environment, access to drugs, and workplace location. Research Methods/ Implementation Methods : Method This research design uses a cross-sectional study. Data were obtained from a national survey conducted by the National Narcotics Board (BNN) and Center for Health Research, University of Indonesia, in 2017. This survey was conducted on groups of workers in various cities and districts throughout the provinces in Indonesia, with a sample size of 34,397 respondents. Data collection used a structured questionnaire filled out by the respondents themselves. The analysis used is a descriptive Results : Result The results of the study showed the characteristics of drugs. where men were 77.8%, medium education was 60.5%, married were 51.5%, closeness to family was 84.5%, non-risk environment was 64.6%, difficult access to drugs was 78.0%, and urban areas were 57.9%. Conclusion/Lesson Learned : The results of this study indicate that despite family support and limited access to drugs, drug abuse continues to occur, especially in certain population groups. These findings highlight the importance of a more holistic prevention approach, which takes into account social and environmental factors to reduce future drug abuse.
Factors Influencing the Occurrence of Chronic Energy Deficiency in High-Risk Pregnant Women Eka Wira Adesty, Riana; Anggadita, Tania; Damayanti, Rini; Tunggal Mutika, Winnie
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Pregnant women suffering from CED are at risk of sudden maternal death in the perinatal period or at risk of giving birth to a low birth weight (LBW) baby (Pamangin, 2024) Objective : To find out the factors that influence the occurrence of chronic energy deficiency in pregnant women Research Methods/ Implementation Methods : A literature review using two databases namely Google Scholar and Garuda with keywords "pregnant women", "chronic energy deficiency", "high risk", and "influencing factors". Results : Twenty-five journals, fifteen were significant with knowledge, three journals were significant with hb history, four journals were substantial with age, three journals were significant with parity, two journals were significant with pregnancy spacing, one journal was significant with diet, one journal was significant with body mass index (BMI), two journals were significant with education in high-risk pregnant women, especially with Chronic Energy Deficiency (CED). Conclusion/Lesson Learned : Knowledge, blood pressure history, age, parity, parity spacing, diet, BMI, and education play an important role in maintaining the health of high-risk pregnant women, especially those with chronic energy deficiency (CED). Structured interventions that include education, antenatal care, and supplemental feeding may be an effective preventive measure to prevent high-risk pregnancies in pregnant women, especially pregnant women with Chronic Energy Deficiency (CED).