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All Journal Archive of Community Health Medicina Buletin Udayana Mengabdi Jurnal Media Gizi Indonesia (MGI) The Indonesian Journal of Occupational Safety and Health Majalah Kesehatan FKUB Jurnal Gizi Klinik Indonesia Journal of Health Sciences and Medicine Public Health and Preventive Medicine Archive Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kadek Tresna Adhi
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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PEMBERDAYAAN KADER POSYANDU DALAM PENCEGAHAN STUNTING MELALUI PENERAPAN PRAKTEK PROMOSI MAKANAN PENDAMPING ASI (MPASI) OPTIMAL Kadek Tresna Adhi; Ni Putu Widarini; Ni Ketut Sutiari; Luh Putu Sinthya Ulandari; I.M.S. Adnyana
Buletin Udayana Mengabdi Vol 20 No 2 (2021): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (332.666 KB) | DOI: 10.24843/BUM.2021.v20.i02.p10

Abstract

Stunting disebabkan oleh ketidakseimbangan antara konsumsi dan kebutuhan tubuh yang berlangsung lama. Data prevalensi stunting balita oleh WHO menunjukkan Indonesia sebagai negara ketiga dengan prevalensi tertinggi di kawasan Asia Tenggara. Berdasarkan hal tersebut maka telah dikembangkan model MP-ASI rekomendasi yang menggunakan bahan pangan lokal, terjangkau, dan tersedia di Kecamatan Susut Kabupaten Bangli. Peran aktif kader posyandu diperlukan untuk menjaga kesinambungan program promosi MPASI optimal sehingga secara tidak langsung dapat mencegah terjadinya stunting pada anak. Lokasi kegiatan ini berada di Desa Abuan, Kecamatan Susut, Kabupaten Bangli. Jumlah kader yang hadir sebanyak 22 orang. Kegiatan yang dilakukan berupa pelatihan berupa edukasi terkait stunting, MP-ASI optimal, dan praktek pemberian makan pada bayi dan anak. Pelatihan ini dilakukan melalui kegiatan interaktif dengan menggunakan Emo-Demo. Hasil kegiatan menunjukkan peningkatan rata-rata pengetahuan sebelum dan sesudah pelatihan adalah 9,09. Nilai p-value juga menunjukkan 0,008 (<0,05), yang berarti terdapat perbedaan yang signifikan untuk hasil pre-test dan post-test. Diharapkan hasil kegiatan ini dapat membantu pencegahan stunting pada anak balita melalui peran kader posyandu.
Status gizi, densitas zat gizi, dan keragaman pangan anak balita selama pandemi COVID-19 di Kabupatan Bangli, Bali Kadek Tresna Adhi; Ni Putu Widarini; Ni Luh Putu Suariyani; Iwan Abdi Suandana; Pande Putu Januraga
Jurnal Gizi Klinik Indonesia Vol 18, No 3 (2022): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.71861

Abstract

Nutritional status, nutrient density, and dietary diversity of children under five during the COVID-19 pandemic in Bangli Regency, BaliBackground: Stunting in children caused the lack of nutritionally balanced food intake in the first two years of life. During the COVID-19 pandemic, the fulfillment of balanced nutrition for children must still be considered to maintain body resistance to avoid COVID-19 infection.Objective: This study was conducted to find out the nutritional status of children and also the knowledge and attitudes of mothers regarding the practice of balanced nutrition based on local food in the COVID-19 pandemic situation. Methods: Cross-sectional study with 202 children aged 23-59 months located in Susut District, Bangli Regency, Bali Province. Data collection includes anthropometric measurements and food recall. Characteristics, knowledge, and attitudes of mothers were conducted by interview using a questionnaire. Results: The nutritional status of subjects showed that the average weight for height z-score (WHZ) was 0.29 ± 1.37, height for age z-score (HAZ) was 0.56 ± 2.38, and weight for age z-score (WAZ) which is -1.18 ± 2.03. The average density of energy intake in the adequate (1.66±0.456), as well as protein density (4.12±0.884 g/100 calories), vitamin B12 (0.225±0.457 mg/100 kcal), and vitamin A (71.7 ±104.6 mg/100 kcal). The majority (61.9%) of subjects consumed less than five food groups in the last 24 hours. The average knowledge of respondents is 69.5±15.3, which is 35.1% in well nutrition knowledge, while most respondent’s attitude has in the good category. Conclusions: Overall children are in normal nutritional status, but it is necessary to attention to the density of vitamins and minerals which are still low, and the lack of food diversity. Suggestion to increase education on balanced nutrition practices based on local food to mothers and families so that they can help grow and also maintain children's health during the COVID-19 pandemic.
Gestational weight gain is a risk factor of stunting among children aged 6-23 months in Bangli District, Bali, Indonesia Ni Putu Ayu Wulan Noviyanti; I Gusti Lanang Sidiartha; Anak Agung Sagung Sawitri; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 7 No. 1 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i1.p04

Abstract

Background and purpose: Stunting in children is a chronic nutritional concern that has short-term and long-term health effects. Several studies have shown inconsistent results related to the association between stunting and anemia and increased maternal weight during pregnancy. This study aims to determine anemia during pregnancy, increased body weight and weight gain during pregnancy based on body mass index (BMI) before pregnancy as the risk factors of stunting. Methods: A case control study was carried out using the baseline data of an intervention study conducted from April to September to prevent stunting in children aged 6-23 months in nine villages in Bangli District, Bali Province. Baseline data collection was conducted from December 2017–February 2018 by interviewing 330 mothers of the children and observation of their ANC records. The number of samples for the case control study was 156 children aged 6-23 months consisting of 78 cases and 78 controls (1:1). Cases were selected by systematic random sampling from 82 children with stunting and controls were selected in the same way from 248 children without stunting. Data analyzed were maternal age at pregnancy, education, employment, number of children, family income, height, hemoglobin level and maternal body weight during pregnancy. Multivariate analysis with logistic regression was conducted to determine the adjusted odds ratio (AOR) of each risk factor. Results: The increase in maternal weight during pregnancy which is not in accordance with maternal BMI before pregnancy and an increase in maternal weight of <10 or >12.5 kilograms are significantly associated with stunting with AOR=3.53 (95%CI: 1,55-8.07) and AOR=3.31 (95%CI: 1.24-8.85). Hemoglobin <11gr/dL during pregnancy was not found to be significantly associated with stunting (AOR=5.02; 95%CI: 0.80–31.71). Conclusion: The increase of maternal weight during pregnancy which is not suitable with BMI before pregnancy and an increase in maternal weight of <10 or >12.5 kilograms are risk factors for stunting in children aged 6-23 months. In addition to monitoring the increase of maternal weight during pregnancy, it is important to consider the mother’s BMI before pregnancy in order to reduce the risk of stunting.
Risk Factors of Moderate and Severe Malnutrition in Under Five Children at East Nusa Tenggara Kadek Dwi Ariesthi; Kadek Tresna Adhi; Dewa Nyoman Wirawan
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p05

Abstract

Background and purpose: East Nusa Tenggara is the province with the prevalence of moderate and severe malnutrition second highest in Indonesia, amounting to 29.4%. The aim of this study was to identify risk factors of moderate and severe malnutrition among under five children at East Nusa Tenggara. Methods: A case control study was carried out at North Kodi Subdistrict, Southwest Sumba District, East Nusa Tenggara, consisted of 38 moderate and severe malnutrition under five children as cases and 76 healthy under five children as controls. Independent variables were maternal and child factors, feeding and health care practises and sanitation. Data were collected by conducting interviews and analysed using Stata SE 12.1. Bivariate analysis was done to calculate crude odd ratio and logistic regression was done to calculate adjusted odd ratio. Results: Bivariate analysis showed that family income, frequency of illness, mother’s knowledge, frequency of visiting health care centres, number of children , and quality of drinking water supply were risk factors of moderate and severe malnutrition among under five children. Multivariate analysis showed that significant risk factors were frequency of illness (adjusted OR=35,4; 95%CI:4,8–256,8), family income (adjusted OR=14.8; 95%CI: 2.1-100.9), mother’s knowledge (adjusted OR=9.8; 95%CI: 1.4-66.1), frequency of visiting posyandu (adjusted OR=9.0; 95%CI: 1.6-50.7) and source of drinking water (adjusted OR=7.1; 95%CI: 1.1-45.5). Conclusion: Frequency of illness, family income, mother’s knowledge, frequency of visiting posyandu and source of drinking water were predominate risk factors of moderate and severe malnutrition at North Kodi Sub-district, Southwest Sumba, East Nusa Tenggara.
Analysis of Inpatients Food Leftover at Sanglah Hospital Bali Province Ni Luh Partiwi Wirasamadi; Kadek Tresna Adhi; I Wayan Weta
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p14

Abstract

Background and purpose: Foods leftover is still very common in many hospitals in Indonesia. Minimum standard of hospitals require that foods leftover of patient is not more than 20%. The aim of this study was to determine the number and cost wasted due to the foods leftover of patient. Methods: The study was cross-sectional involving 68 inpatient subjects in the 1st, 2nd and 3rd ward class and hospitalized up to 10 days and had regular food with a 10-day menu cycle. Data of foods leftover were obtained by three methods: observation, medical records and interview. Foods leftover were measured by Visual Comstock method with the scale of 6 points. Age, sex, length of stay, ward classes, and types of patients’ diseases were obtained from medical records. Patient’s perception of food appearance and taste were gained through interviews. Data were analyzed by independent sample t-test and one-way ANOVA. Results: Average number of patients’ food leftover amounted to 14.79%. Patients who left foods were mostly women, aged 50-64 years, hospitalized in the class 2nd and 3rd with a length of stay ≤5 days. Those who had good perception on appearance and taste of the food tended to leave less food leftovers. The average cost of meal wasted a day was Rp 2,939 per patient. There were significant different leftover foods according to gender, age group, length of stay, ward classes, and the patient’s perception (p<0,05), whereas there were no significant different leftover foods according to the type of diseases and the menu cycles (p>0,05). Conclusion: Average number of patients’ food leftover at Sanglah Hospital Denpasar has satisfied hospital minimum standard (less than 20%) with an average daily cost of meal wasted was Rp 2,939 per patient.
Risk factors of stunting for 12-36 month old children in Dasan Agung Public Health Centre, Mataram, West Nusa Tenggara Province Imtihanatun Najahah; Kadek Tresna Adhi; Gede Ngurah Indraguna Pinatih
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p06

Abstract

A very high stunting prevalence (37.17 %) was reported in Mataram City, West Nusa Tenggara. Dasan Agung Public Health Centre localed at the centre of Mataram City reports the highest stunting prevalence (27.78%) in children under 5 year of age. The study design was a cross sectional, using a sample of 158 children aged 12-36 month. The dependent variable was 12-36 month old children displaying stunting and the independent variables were socio-economic status, mother’s height, maternal age, mother’s level of education, ANC clinic visit frequency and quality of care, birth weight, exclusive breastfeeding, complementary feeding, birth order and main caregiver choice. Data was collected through interviews and anthropometric measurement. The instruments used in collecting the data were RISKEDAS and SUSENAS I modification questionnaires, microtoise and infantometer. Data analysis was conducted in stages that included univariate, bivariate (chi-square) and multivariate (logistic regression). A high prevalence of stunting (48.1%) was evident. There were six variables in the bivariate test results impacted upon of association. These were socio-economic status OR=2.83 (95%CI: 1.35-5.94), mother’s height OR=3.37 (95%CI: 1.69-6.72), ANC clinic visit frequency and quality of care OR=2.3 (95%CI: 1.21-4.36), birth weight OR=20.47 (95%CI: 1.16-354.25), exclusive breastfeeding OR=4.94 (95%CI: 2.51-9.74) and complementary feeding OR=6.38 (95%CI: 3.18-12.78). The variables of maternal age, mother’s level of education, birth order and main caregiver choice were not influencing factors. In the multivariate analysis, the dominant variables increasing risk factors was complementary feeding giving OR=7.4 (95%CI: 1.54-34.97), mother’s height OR=2.9 (95%CI: 1.27-6.42) and ANC clinic visit frequency and quality of care OR=2.4 (95%CI: 1.09-5.19). It is recommended that there be efforts to improve the nutrition intake of young girls, women of productive age, pregnant women and children under five years old.
Family functioning, social support and quality of life among elderly in the Public Health Center III South Denpasar Dewianti; Kadek Tresna Adhi; R.A. Tuty Kuswardhani
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p11

Abstract

The elderly population has increased alongside with the increasing of life expectancy in elderly. Unfortunately, this is not followed by increased quality of life among elderly. Interview with 10 elderly at the Public Health Center III South Denpasar revealed that they experienced loneliness and felt neglected which affect their quality of life. This study aims to determine the relationship between family functioning, social supports (friends, family and community) and quality of life of elderly at the Public Health Center III South Denpasar in 2013. This study is a cross-sectional, involving 125 elderly who still have a partner and was selected using systematic random sampling method. Agreed participants were interviewed to obtain data related to family function, social support (partner, family and community) as well as their quality of life. Data were analysed using univariate, bivariate and multivariate. Statistical testing used were chi-square test and logistic regression. The study revealed that most of the elderly has a low quality of life (62.4%), a low family functioning (72%), lack of family support (54.4%) and lack of community support (67.2%); however, most of them has a high support from their partner (54.4%). The chi square test result showed that function of family, social support (friends, family, and community) were significantly associated with quality of life in elderly (p<0.05). Results of logistic regression showed that function of family has a significant relation with quality of life in elderly (p<0.05). It can be concluded that better family functioning improves the quality of life in elderly.
Association between Cadre Knowledge, Feeding Behaviours and Daily Intake with Changes in Nutritional Status of Undernourished Children in Kawangu Health Centre, East Sumba Maria Kareri Hara; Kadek Tresna Adhi; Alex Pangkahila
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p07

Abstract

Background and purpose: In 2012, in Eastern Sumba 21% of children under 5 were malnourished; at the Kawangu Health Centre (KHC) it was reported that 3.4% of children were underweight. This study aims to investigate relationships between cadre knowledge, motivation and behavior of child carers with the nutritional status changes of children from KHC. Methods: A cross-sectional study with 80 samples was conducted. Variables were cadre knowledge, motivation, feeding behaviors and change in nutritional status. Data on cadre knowledge and motivation was collected through a self-administered questionnaire and through interviews conducted with child carers. Anthropometric measurements were taken to assess changes in nutritional status of children. Analysis used univariate and bivariate chi-square test. Results: Results indicated respondents were aged 26-35 (41.2%), had elementary school education (56.2%), were farmers (91.2%), had experience as cadres for 2 years (53.8%), were trained (72.5%) and had been involved with the program less than <45 days (91.2%). About 55.0% of respondents indicated a high level of knowledge and were highly motivated (86.2%). Carers indicated a fair behaviour change (51.2%), although there was an increase in improvement in nutritional status (63.8%). There was relationship between cadre knowledge and changes in feeding behaviours (p=0.016), but not with cadre motivation (p=0.500). There was an association between feeding behavior (p=0.032) with changes in nutritional status. Conclusion: The good levels of cadre knowledge and high quality feeding practices impacted positively upon improvements in child nutritional status.
Factors Associated with the Behavior of Food Handlers in the Application of Good Manufacturing Practice (GMP) in the Household Food Industry (HFI) in Karangasem Regency Ni Made Astini Handayani; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 3 No. 2 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i2.p12

Abstract

Backgrounds and purpose: Indonesia is considered of the countries in Southeast Asia with low food quality. The poor behaviors of food handlers in applying good manufacturing practice may bring about a decline in food quality which can lead to the risk of health conditions such as diarrhea, worm infection or food poisoning. This study aims to determine the factors associated with the behaviors of food handlers in the application of good manufacturing practice at the household food industry level. Methods: Cross-sectional survey was conducted among 79 food handlers, working at the household food industry in Karangasem. Data were collected through interviews and observations and analyzed using poisson regression to understand the association of knowledge, attitudes and managerial support with behavior of food handlers. Results: The knowledge and attitude of food handlers were relatively poor at respectively 48.10% and 53.16%. The behavior of food handlers classified as good was 49.37%. Behavior of food handlers was significantly associated with knowledge (PR=1.48; 95%CI: 1.01-2.15), attitude (PR=2.13; 95%CI: 1.47-3.08) and managerial support (PR=3.01; 95%CI: 1.77-5.13). Conclusion: The behavior of food handlers in the application of good manufacturing practice at the household food industry remains low and was associated with knowledge, attitude and level of managerial support.
Consumption and Distribution of Iodized Salt in Subamia Village Tabanan District 2014 Manik Ulan Dewi; Kadek Tresna Adhi; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p05

Abstract

Background and purpose: Consumption of iodized salt is essential to prevent iodine deficiency disorders. One of the key success of iodized salt program is the distribution. This study explored the consumption and logistical distribution patterns of iodized salt among housewives in Subamia Village Tabanan District. Methods: The study was a qualitative with data collection using two focus group discussions (FGD) of 6 active and 6 inactive cadres. Indepth interviews were conducted with two health staffs, two community leaders, one staff of Trade/Industrial Office at Tabanan District and one salt seller. Data was analysed using thematic method. Results: Respondents preferred uniodized salt because of several reasons including less bitter, tastier and cheaper than iodized salt. Moreover, the distribution of iodized salt regulated by the government was reported to be impeded the salt distribution, this resulted in the difficulty of villagers to access the iodized salt Conclusion: Appetizing flavor, access and no local regulations on distribution of iodized salt is the cause of low consumption of iodized salt in Subamia Village Tabanan District.
Co-Authors Adriani, Meriyana Alex Pangkahila Anak Agung Ngurah Kusumajaya Andani, Ni Komang Irna Ayu ariesthi, kadek dwi Artha, Luh Putu Wulandari Asmin, Maria Lusi Putri Bambang Wirjatmadi Bambang Wirjatmadi D. S. Lubis Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dewi, Manik Ulan Dewianti Dewianti Dewianti, Dewianti Dinar Lubis Dyah Pradnyaparmita Duarsa Gde Ngurah Idraguna Pinatih Handayani, Ni Made Astini HARA, MARIA KARERI Hertog Nursanyoto Hildagardis Meliyani I Gusti Lanang Sidiartha I Gusti Ngurah Edi Putra I Made Ady Wirawan I Made Suarjana I Made Suka Adnyana I Nengah Sujaya I Wayan Weta I.M.S. Adnyana Ida Ayu Kade Chandra Dewi Imtihanatun Najahah Imtihanatun Najahah, Imtihanatun J. A. Pangkahila Kadek Dwi Ariesthi LPL Wulandari Luga Rizqi Cristenzein Luh Putu Lila Wulandari Luh Putu Sinthya Ulandari Luh Sudemi Luky Adrianto Manik Ulan Dewi Maria Kareri Hara Meriyana Adriani N. K Eka Wati Ni Kadek Lilis Erismawati Ni Ketut Sutiari Ni Luh Gede Karyamitha Ni Luh Partiwi Wirasamadi Ni Luh Putu Suariyani Ni Made Astini Handayani Ni Made Utami Dwipayanti Ni Putu Ayu Wulan Noviyanti Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Ni Wayan Budi Astiti Noviyanti, Ni Putu Ayu Wulan Olwin Nainggolan P. Suariani Pande Putu Januraga Pande Putu Januraga Pinatih, Gede Ngurah Indraguna Putra, I Gusti Ngurah Edi Putra, I Gusti Ngurah Edi Putu Ayu swandewi astuti putu Widarini R. A.T. Kuswardhani Rofingatul Mubasyiroh Rosita, Ni Putu Indah sang gede purnama Sari Andajani Sari Andajani, Sari Sawitri, Anak Agung Sagung Suandana, Iwan Abdi Sudemi, Luh Sudikno Suwandewi, Ni Made Aryati Wirasamadi, Ni Luh Partiwi Wulandari, LPL