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Evaluasi Proses Program Penanggulangan Gizi Kurang Pada Balita Di Upt Puskesmas Pasundan Kota Bandung Azizah, Elita Al; Kumalasari, Isti; Fitrianingsih, Asti Dewi Rahayu; Insani, Hurry Mega
Jurnal Ilmu Kedokteran dan Kesehatan Vol 13, No 2 (2026): Volume 13 Nomor 2
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v13i2.22161

Abstract

Masalah gizi kurang pada balita berdampak serius terhadap tumbuh kembang anak dan membutuhkan intervensi berkelanjutan berbasis pelayanan primer. Berdasarkan data Dinas Kesehatan Kota Bandung tahun 2022 sampai 2023, UPT Puskesmas Pasundan mencatat penurunan prevalensi gizi kurang tertinggi dibandingkan puskesmas lain. Penelitian ini bertujuan untuk mengetahui dan mengevaluasi program penanggulangan gizi kurang di UPT Puskesmas Pasundan dari aspek perencanaan, implementasi, output, dan outcome dengan menggunakan metode kualitatif pendekatan grounded theory. Program disusun sesuai standar manajemen Puskesmas dengan pola USG dan mencakup tiga program utama yaitu pemantauan pertumbuhan, penyuluhan dan konseling gizi, serta pemberian makanan tambahan yang dilaksanakan secara terstruktur meskipun menghadapi kendala seperti keterbatasan pelatihan kader, media edukasi, dan alokasi dana. Implementasi program dinilai cukup efektif dengan pelaksanaan rutin dan partisipasi aktif masyarakat, meski masih terdapat hambatan dalam ketepatan sasaran. Output program meliputi peningkatan cakupan, pemahaman orang tua, dan perbaikan status gizi balita, sedangkan outcome menunjukkan tren penurunan prevalensi gizi kurang setiap tahun. Meskipun demikian, peningkatan pemantauan dan koordinasi lintas sektor masih diperlukan untuk menjaga keberlanjutan program. Temuan ini menjadi dasar perbaikan intervensi melalui optimalisasi sumber daya dan penguatan kolaborasi antar pihak. Secara keseluruhan, program penanggulangan gizi kurang di UPT Puskesmas Pasundan telah sesuai dengan standar prioritas masalah dan menunjukkan hasil positif, namun perlu ditingkatkan pada aspek pelatihan, sumber daya, dan pemerataan pelaksanaan.
The Role of Nutritional and Lifestyle Factors in Musculoskeletal Disorders among Porters Rivaldy, Wahid; Fitrianingsih, Asti Dewi Rahayu; Kumalasari, Isti; Santanu, Ayu Mutiara
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 3 (2025): Volume 7 Nomor 3 Desember 2025
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i3.1577

Abstract

Musculoskeletal disorders (MSDs) represent a frequent occupational health issue arising from mechanical stress, particularly repetitive lifting and long periods of standing. These conditions are especially prevalent among workers performing strenuous manual tasks, such as porters. Initial observations at Bandung Railway Station revealed recurring shoulder and calf discomfort reported by porters, suggesting the need to investigate whether nutritional intake, nutritional status, and lifestyle behaviors contribute to these complaints. This research sought to determine the association between nutrient consumption, nutritional status, lifestyle factors, and musculoskeletal disorder (MSDs) symptoms among porters at Bandung Railway Station. The study utilized a quantitative design with a cross-sectional framework. All 67 porters at the station were included through total sampling. Data were gathered through structured interviews using validated tools: the Nordic Body Map to identify MSD symptoms; a 24-hour dietary recall to quantify macro and micronutrient intake; the Pittsburgh Sleep Quality Index (PSQI) to assess sleep patterns; and anthropometric measurements to determine body mass index (BMI). Data analysis showed that sleep quality was the dominant factor (p-value = 0,002), with a 59,6% MSDs prevalence in poor sleepers versus 5% in good sleepers. Carbohydrate intake was also significant (p-value = 0,033), where adequate intake surprisingly recorded higher MSDs (59,3%) than deficient intake (32,5%); thus, MSDs in this study are primarily driven by poor sleep and suboptimal carbohydrate intake.
SODIUM ADEQUACY, FIBER, AND NUTRITIONAL STATUS IN RELATION TO BLOOD PRESSURE OF STUDENTS AT SMPN 13 BANDUNG Gosal, Divania Putri Salsabila; Rosdiana, Delita Septia; Prameswari, Fajria Saliha Puspita; Fitrianingsih, Asti Dewi Rahayu
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21570

Abstract

Hypertension is a growing health concern that can begin in adolescence and persist into adulthood. Nutritional factors such as nutritional status, sodium intake, and fiber intake play a key role in influencing blood pressure. This study aims to examine the relationship between nutritional status, sodium adequacy, and fiber adequacy with the incidence of hypertension among junior high school students. This research employed a cross-sectional design with a total of 64 students selected through purposive sampling. Nutritional status was assessed using Body Mass Index-for-Age (BMI/A), while sodium and fiber adequacy were measured using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Blood pressure was measured using a digital sphygmomanometer. Data were analyzed using the Spearman correlation test. The findings showed a significant relationship between nutritional status, sodium adequacy, and fiber adequacy with both systolic and diastolic blood pressure (p < 0.05). Nutritional status had a positive correlation with blood pressure, while sodium intake and fiber intake showed a negative correlation. There is a significant association between nutritional status, sodium adequacy, and fiber adequacy with blood pressure in adolescents. Promoting balanced nutrition from an early age is important to prevent the onset of hypertension.
PRIMARY DYSMENORRHEA LEVEL BASED ON FOOD CONSUMPTION AND DIETARY HABITS IN FEMALE STUDENTS AT YWKA HIGH SCHOOL BANDUNG Hidayah, Chintya Fatma; Sentani, Muchamad Rizki; Fitrianingsih, Asti Dewi Rahayu; Fauza, Ahdiyatul
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.21726

Abstract

Background: Primary dysmenorrhea refers to menstrual pain that occurs before or during menstruation without any abnormalities in the reproductive organs and is most commonly experienced by adolescent girls aged 15-25 years. Globally, the prevalence reaches up to 90%, while in Indonesia it is 54.89%. Factors associated with primary dysmenorrhea include age under 30 years, early menarche, BMI under 18 kg/m², family history, and nutritional status. Objective: To examine the difference in primary dysmenorrhea level based on food consumption and dietary habit among female students at YWKA High School Bandung. Methods: This study used a quantitative design with a retrospective case-control approach. The population consisted of 96 female students from grades X and XI, with 58 students in the case group and 38 in the control group, selected using a total sampling technique. Data were collected using the SQ-FFQ and AFHC questionnaires, and analyzed using multivariate logistic regression. Results: there was an association of primary dysmenorrhea with food consumption of magnesium (OR: 2.670; 95%CI: 1.057-6.741; p-value: 0.038), family history (OR: 0.336; 95%CI: 0.133-0.853; p-value: 0.022), and dietary habit (OR: 3.432; 95%CI: 1.348-8.743; p-value: 0.01). Meanwhile, BMI (OR: 1.58; 95%CI: 0.59-4.231; p-value: 0.362) was a confounding variable. Conclusion: These findings emphasize the importance of education on balanced nutrition as part of promotive efforts to enhance reproductive health and reduce the incidence of primary dysmenorrhea among adolescent girls.