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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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Relationship of Knowledge and Attitude among Midwives with the Implementation of Early Initiation of Breastfeeding in Badung Regency Luh Sudemi; 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.p12

Abstract

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it. Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data  were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method. Results: The EIB was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the EIB more compared with those having ≤4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of EIB had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% p<0.001 and those having received supervision, namely 77.5% vs. 33.3%(p=0.001). Multivariate analysis showed that factors associated with implementation of EIB were knowledge with APR=1.5 (95%CI: 1.04- 2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3). Conclusion: Knowledge and attitude had a significant relationship to the implementation of EIB by midwives.
Low Participation of Children's Weight as a Barrier to Acceleration Stunting Decrease in the Rural Area Bali Province: Further Analysis of Riskesdas 2018: Rendahnya Partisipasi Penimbangan Balita Sebagai Penghambat Percepatan Penurunan Stunting Di Wilayah Perdesaan Provinsi Bali: Analisis Lanjut Riskesdas 2018 Hertog Nursanyoto; Anak Agung Ngurah Kusumajaya; Rofingatul Mubasyiroh; Sudikno; Olwin Nainggolan; Ni Ketut Sutiari; I Made Suarjana; Pande Putu Januraga; Kadek Tresna Adhi
Media Gizi Indonesia Vol. 18 No. 1 (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i1.8-18

Abstract

Stunting in rural areas tends to be higher than in urban areas. This study aims to determine the risk factors for stunting in rural areas in Bali. The analysis carried out is a further analysis of the 2018 basic health research (RISKESDAS 2018). The independent variable was the stunting status of children, which was determined based on the height-for-age index (HAZ). The independent variables consist of socio-demographic; the environment; and health services factors. The relationship between variables was analyzed by logistic regression method. Estimation of the proportion of stunting that can be prevented using Population Attributable Fraction (PAF) analysis. RISKESDAS 2018 data shows that the percentage of stunting in rural Bali is 29.3% higher than urban areas which is only 19.1%. The results of logistic regression analysis showed that under-fives weighing less than 8 times/year were at risk of stunting by 2.02 times compared to the other. PAF analysis shows that 3.5 percent of stunting under five in rural areas can be prevented by Monthly Weighing for children under five years old. Monthly Weighing in rural Bali through the Integrated Service Care (POSYANDU) is one of the efforts to prevent stunting children and monitor their the growth and development early.
FAKTOR YANG BERHUBUNGAN DENGAN KESIAPSIAGAAN KEBAKARAN PADA PEKERJA DI BANDAR UDARA INTERNASIONAL I GUSTI NGURAH RAI BALI Ni Kadek Lilis Erismawati; Kadek Tresna Adhi
ARCHIVE OF COMMUNITY HEALTH Vol 10 No 1 (2023): April 2023
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2023.v10.i01.p04

Abstract

Airport is a workplace that has a potential to cause fires. Even though, protection facility provided, it has still been reported many fires happened recently,because influenced by preparednes workers. Fire preparedness is disaster management activities to anticipating fires through organizing to help the risky community. This research aims to determine the factors related to the fire preparedness of workers at I Gusti Ngurah Rai International Airport I in Bali. The research design used was quantitative research analytic with cross-sectional study. The samples were 147 workers of PT. Angkasa Pura 1 involved who were selected using accidental sampling technique. It was conducted during May to June on 2020. Data research instrument used was questionnaire which was analyzed in univariate, bivariate and multivariate ways. The results revealed that 51.70% of respondents had good preparedness. There was a significant relationship among all variables of individual factors and management factors on fire preparedness (p<0.05). Multivariate analysis showed that the variable of unsafe condition prevention effort was a variable that had the strongest influence. As an effort to improve preparedness, it is expected to provide socialization of SOP and workers training of facing fires. Keywords: Preparedness, Fire, Airport, Worker
Supports from place of delivery and mother in-law were associated with successful exclusive breastfeeding Ni Wayan Budi Astiti; Ni Putu Widarini; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 10 No. 2 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i2.p06

Abstract

Background and purpose: The 2019 Health Profile of Klungkung District in Bali Province shows that the area of Dawan I Public Health Center has the coverage of exclusive breastfeeding below 80% (72.6%). This study aimed at determining factors associated with the success of exclusive breastfeeding. Methods: This cross-sectional study involved all breastfeeding mothers with children aged 6-11 months old at the time of the data collection who resided in the area of Dawan I Public Health Center. The total number of samples was 105 mothers. Data was obtained from an online survey, using a structured questionnaire. The variables include maternal age, education and working status, parity, birth spacing, mother's attitude and knowledge on breastfeeding, supports from place of delivery and family, including husband and mother-in-law. Data were analyzed using Chi Square Test and Logistic Regression. Results: We found 81.90% of mothers were 20-35 years old, had high education (76.19%) and were working (53.33%). The success rate of exclusive breastfeeding in the working area of Dawan I was only 40.95%. The strongest predictors were the supports from place of delivery and mother-in-law. Mothers who received good supports from the place of delivery had a 4.12 times higher chance (p=0.03; 95%CI: 1.10-15.35) to successful exclusive breastfeeding. Mothers who received good supports from their mother-in-law had a 2.68 times higher chance (p=0.02; 95%CI: 1.13-6.34) to successfully give exclusive breastfeeding to their baby. Conclusion: Supports from place of delivery and mother-in-law are important determinants to be considered in increasing the success rate of exclusive breastfeeding.
The relationship of sociodemographic and clinical characteristics with the length of stay of COVID-19 patients at Dr. R. Soedjono Hospital, Selong, East Lombok Junaedi , Muhammad; Wirawan, I Made Ady; Adhi, Kadek Tresna
Public Health and Preventive Medicine Archive Vol. 10 No. 1 (2022)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2022.v10.i1.p10

Abstract

Background and purpose: By December 2020, 678 confirmed cases of COVID-19 were recorded in East Lombok District, and more are anticipated. The capacity of the available healthcare institutions is now impacted by the inclusion of these cases. In this study, the duration of stay of COVID-19 patients at Dr. R. Soedjono Hospital in Selong, East Lombok will be described, as well as the association between sociodemographic and clinical factors with length of stay. Methods: This is an observational study with a cross-sectional design using medical records of 409 patients who were confirmed positive for COVID-19 then treated in April-December 2020 and declared cured after completed the treatment period. The data collected included the date of admission and discharge of patients, age, gender, marital status, education, occupation, history of comorbidities and laboratory test results. Data analysis was performed using multiple logistic regression. Results: The average length of stay for COVID-19 patients at Dr. R. Soedjono Hospital Selong, East Lombok was 16 days (SD±7,366) and the median was 14 days (IQR=7). Multivariate analysis shows factors for patients being treated for longer time (the average length of stay ≥17 days) were male (AOR=1.87; 95%CI: 1.21-2.86) and low education level (AOR=1.91; 95%CI: 1.19-3.06). Conclusion: The average length of stay of COVID-19 patients in this hospital was quite long at 16 days. Male COVID-19 patients and those with low education have higher likelihood to stay longer in hospital. The hospital should consider this information to improve hospital planning for COVID-19 patients
Associations between knowledge, beliefs, and self-efficacy with COVID-19 preventive behavior in Denpasar, Bali Province Rosita, Ni Putu Indah; Wirawan, I Made Ady; Kadek Tresna Adhi
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p08

Abstract

Background and purpose: Positive cases of COVID-19 in Bali have been growing rapidly during the pandemic. Denpasar City has contributed almost one-third of all cases with a high incidence of local transmission. Preventive action is pivotal to halt transmission; thus, this study aims to determine the association between knowledge, belief, and self-efficacy with COVID-19 preventive behavior in the Denpasar, Bali Province community. Methods: This cross-sectional study was conducted in Denpasar City, Bali. The study involved 1040 respondents with an age range of 18-59 years. Data collected include sociodemographic characteristics, knowledge and perception on COVID-19 and preventive behaviour. Online questionnaires in Google form format were distributed via WhatsApp groups from February to March 2021. Data obtained were analyzed using the Chi-Square test followed by Logistic Regression. Results: The respondents' mean (SD) age was 35 years (4.98), and 52.7% were male. The education level was considered high, with the majority finishing Senior High School/College (99.2%), and most were working or holding a job (94.4%). Factors that were significantly associated with COVID-19 prevention behavior in Denpasar City were knowledge about COVID-19 (AOR=2.43; 95%CI: 1.70-3.48), a belief in susceptibility to COVID-19 (AOR=4.03; 95%CI: 2.34-6.94), a belief in the seriousness of the disease (AOR=2.91; 95%CI: 1.84-4.60), a belief in the benefits of prevention (AOR=8.38; 95%CI: 4.37–16.06), and self-efficacy (AOR=2.10; 95%CI: 1.45-3.05). Conclusion: Knowledge, belief, and self-efficacy are associated with COVID-19 preventive behavior in the community of Denpasar City. Awareness campaign is important to ensure adequate knowledge level attained especially for such a new emerging disease.
FAKTOR DETERMINAN PENGGUNAAN KONTRASEPSI PADA WANITA USIA SUBUR DENGAN DISABILITAS DI PROVINSI BALI Suariyani, Ni Luh Putu; Artha, Luh Putu Wulandari; Widarini, Putu; Tresna Adhi, Kadek
Majalah Kesehatan Vol. 10 No. 2 (2023): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2022.010.02.4

Abstract

Penyandang disabilitas memiliki masalah yang sangat kompleks. Penyandang disabilitas perempuan memiliki fungsi dan organ reproduksi yang sama dengan perempuan nondisabilitas. Untuk mengendalikan jumlah penduduk, perempuan dengan disabilitas juga membutuhkan akses penggunaan kontrasepsi. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi penggunaan kontrasepsi pada wanita usia subur dengan disabilitas di provinsi Bali. Metode penelitian yang digunakan adalah penelitian cross-sectional dengan analisis univariat dan bivariat. Teknik pengambilan sampel dilakukan dengan purposive sampling dan snowball. Jumlah responden dalam penelitian ini adalah 160 orang dengan kriteria wanita disabilitas usia subur baik yang sudah menikah atau belum menikah dan berdomisili di provinsi Bali. Hasil penelitian ini menunjukkan bahwa sebagain besar responden tidak menggunakan alat kontrasepsi (70,6%). Faktor usia dan tingkat pendidikan berpengaruh secara bermakna pada penggunaan alat kontrasepsi (p < 0,05), sedangkan faktor pekerjaan tidak berpengaruh signifikan (p = 0,749). Diharapkan dapat dilakukan penelitian lanjutan mengenai faktor-faktor lain yang dapat mempengaruhi penggunaan alat kontrasepsi pada wanita usia subur dengan disabilitas.
DETERMINAN KEJADIAN ANEMIA PADA REMAJA PUTRI USIA 15-24 TAHUN PADA DAERAH PEDESAAN DI INDONESIA (ANALISIS DATA RISKESDAS 2018) Adhi, Kadek Tresna; Asmin, Maria Lusi Putri
ARCHIVE OF COMMUNITY HEALTH Vol 11 No 1 (2024): April 2024
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2024.v11.i01.p02

Abstract

Anemia pada kelompok usia 15-24 tahun di Indonesia menjadi salah satu masalah gizi yang sangat memprihatinkan. Tujuan penelitian ini adalah untuk untuk mengetahui apa faktor-faktor yang berhubungan dengan kejadian anemia pada remaja putri usia 15-24 tahun pada daerah pedesaan di Indonesia. Penelitian ini menggunakan data sekunder yang diperoleh dari data Riskesdas 2018. Desain penelitian yang digunakan adalah cross sectional study dengan sampel sebanyak 1158 remaja putri berusia 15-24 tahun. Analisis data dilakukan dengan analisis deskriptif, chy-square dan uji regresi logistik berganda. Hasil analisis menunjukkan determinan yang mempengaruhi kejadian anemia pada remaja putri usia 15-24 tahun pada daerah pedesaan Indonesia yaitu jumlah konsumsi sayur (p<0,001, aOR= 15,03, 95%CI= 8,05-28,03), umur remaja putri (ip<0,001, aOR = i2,81, 95%CI= i1,61-4,91) dan pekerjaan ibu i(p= 0,016, aOR= i1,95, 95%CI= 1,33-3,35), masing-masing variabel berkontribusi dalam peningkatan risiko terjadinya anemia pada remaja putri. Maka dari itu perlu digencarkannya lagi promosi dan edukasi kesehatan yang berkaitan dengan pencegahan anemia pada remaja putri terutama di wilayah pedesaan Indonesia terutama pentingnya mengkonsumsi tablet tambah darah (TTD) guna mencegah risiko terjadinya anemia pada remaja putri usia 15-24 tahun pada daerah pedesaan Indonesia.Kata Kunci: Anemia, remaja putri Indonesia, Pedesaan
KARAKTERISTIK SOSIODEMOGRAFI, KERAGAMAN KONSUMSI PANGAN SERTA TINGKAT KECUKUPAN ENERGI DAN PROTEIN TERHADAP KEJADIAN KEKURANGAN ENERGI KRONIS PADA REMAJA PUTRI Adhi, Kadek Tresna; Andani, Ni Komang Irna Ayu
ARCHIVE OF COMMUNITY HEALTH Vol 11 No 1 (2024): April 2024
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2024.v11.i01.p07

Abstract

Kekurangan Energi Kronis atau KEK merupakan suatu keadaan yang terjadi pada remaja putri atau Wanita Usia Subur (WUS) akibat kekurangan asupan energi dan protein yang berlangsung lama. Kejadian KEK dapat ditandai dengan ukuran Lingkar Lengan Atas (LILA) <23,5 cm. Prevalensi KEK di Indonesia mengalami fluktuatif dari tahun 2007-2018. KEK dapat memberikan dampak kesehatan jangka pendek dan jangka panjang pada remaja putri. Faktor sosiodemografi dan asupan gizi merupakan dua faktor penyebab kejadian KEK pada remaja. Penelitian ini bertujuan untuk membuktikan karakteristik sosiodemografi, keragaman konsumsi pangan, serta tingkat kecukupan energi dan protein sebagai faktor risiko kejadian KEK pada remaja putri. Penelitian ini menggunakan rancangan case control. Data diperoleh dari hasil survei gizi di seluruh SMA dan SMK se-Kabupaten Bangli. Pemilihan sampel kontrol dilakukan dengan sistem matching. Analisis data dilakukan secara univariat dan bivariat. Analisis bivariabel menunjukkan bahwa karakteristik sosiodemografi yakni jumlah anggota keluarga (p=0,001;OR= 0,23 95%CI= 0,09-0,56) berhubungan secara signifikan dengan kejadian KEK pada remaja putri. Monitoring status gizi dan pemberian edukasi gizi terhadap remaja dapat dilakukan untuk mecegah kejadian KEK Kata Kunci: KEK, Keragaman, Energi, Protein, Remaja.
HUBUNGAN FAKTOR LINGKUNGAN DAN RIWAYAT DIARE DENGAN STATUS GIZI PENDEK PADA ANAK BALITA USIA 6-59 BULAN DI KAWASAN TIMUR PROVINSI PRIORITAS PENANGANAN STUNTING INDONESIA Adhi, Kadek Tresna; Suwandewi, Ni Made Aryati
ARCHIVE OF COMMUNITY HEALTH Vol 11 No 1 (2024): April 2024
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2024.v11.i01.p12

Abstract

Stunting adalah kondisi ketika anak mengalami gangguan pertumbuhan tinggi badan menurut usianya. Penelitian ini bertujuan untuk menganalisis hubungan faktor lingkungan dan riwayat diare dengan status gizi pendek pada anak balita usia 6-59 bulan di kawasan timur provinsi prioritas penanganan stunting Indonesia. Penelitian ini dilakukan dengan desain cross-sectional menggunakan data sekunder dari data SSGI 2021. Sampel penelitian ini sebanyak 9.124 orang anak berusia 6-59 bulan. Data dianalisis secara deskriptif dan bivariat menggunakan analisis chi-square. Penelitian menemukan kepemilikan jamban (p<0,001; OR=1,56; 95%CI=1,39-1,73) berhubungan dengan terjadinya stunting pada anak balita. Dengan ini maka, perlu dilakukannya edukasi Perilaku Hidup Bersih dan Sehat (PHBS) serta peningkatan kebersihan lingkungan. Kata kunci: Stunting, riwayat diare, sumber air minum, kepemilikan jamban
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