Ni Ketut Aryastami
Pusat Humaniora, Pemberdayaan Masyarakat dan Kebijakan Kesehatan, Badan Litbangkes

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Pendampingan Ibu Hamil Sebagai Upaya Meningkatkan Perilaku Kesehatan dan Persalinan di Fasilitas Kesehatan Isnaeni, Wilya; Wijaya, Ida Bagus Putra; Rasyid, Irna; Suprapti, Suprapti; Aryastami, Ni Ketut; Sudikno, Sudikno
JURNAL SAINS TEKNOLOGI & LINGKUNGAN Vol. 10 No. 2 (2024): JURNAL SAINS TEKNOLOGI & LINGKUNGAN
Publisher : LPPM Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jstl.v10i2.667

Abstract

Low coverage of antenatal care (ANC) and mothers’ delivery conducted not in the health care facilities were two major problems related to maternal health care in of the West Nusa Tenggara Province. The accompaniment to pregnant women could be solution to prevent the risks of pregnancy by increasing the coverage of ANC and directing mother to deliver in health care facilities. This study aims to study the effect of mentoring pregnant women on maternal health behavior during pregnancy until delivery. A quasi-experiment study was conducted in two districts namely East and Central Lombok. Two public health centers ‘Puskesmas’ were selected in each districts. They differed as the intervention and controlled health centers. The criteria for the both health centers were having high number of pregnant women, but low coverage of maternal health services. The control health centers defined as having the closest distance from the intervention one. Study population of this study were all pregnant women in the study area. Sample were selected for those women with the gestational age of 24-26 weeks and willing to be accompanied further or neither not delivery. The total of 130 women were randomly selected from the study population. Results showed the accompaniment of pregnant women was able to increase the score of health behavior as compare to the control group. Pregnant women with accompaniment were 30 times higher chance of better health behavior (OR=30.89; 95%CI=10.72-84.40), and 3 fold prefer to deliver at health facilities (OR=2.89; 95%CI=1.16-7.21). Other positive impact of accompaniment was the obedience of iron pill at least 90 tablets, as well as food supplementation taken. Student accompaniment brought a positive impact to pregnant women on health behavior and delivery in health facility.
Obesity in urban Indonesia: evidence from the 2007 and 2018 Basic Health Research Ferdina, Ayunina Rizky; Arfines, Prisca Petty; Aryastami, Ni Ketut
Medical Journal of Indonesia Vol. 33 No. 2 (2024): June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247183

Abstract

BACKGROUND The prevalence of obesity in urbanizing Indonesia is rising, where the double burden of malnutrition poses a significant challenge. This study aimed to examine the prevalence and increment of obesity-related noncommunicable diseases (NCDs) of diabetes and hypertension. METHODS Secondary data from the latest 2018 Basic Health Research (RISKESDAS) were used to analyze the obesity rate and its associations with lifestyle, sociodemographics, and certain comorbidities among urban Indonesians. This study included non-pregnant adults aged ≥18 years who lived in the urban area and whose blood pressure and glucose levels were measured in the survey. Results were compared to a similar study using data from 2007. RESULTS The proportion of obesity among Indonesia’s urban population was more than doubled from 23.0% in 2007 to 50.1% in 2018 for obesity and 28.0% to 57.2% for central obesity. Additionally, females, individuals with higher socioeconomic status, and higher education levels exhibited a higher obesity prevalence. CONCLUSIONS Urban Indonesia has witnessed a dramatic rise in obesity prevalence. Our findings highlighted the urgent need for policymakers to consider the escalating prevalence of NCDs associated with obesity. Strengthening and concretizing health promotion and prevention policies at the community level are crucial to combat this alarming public health challenge.
Understanding Sacred Food Behaviours: A Salutogenic Framework for Waste Reduction Kurnianiningsih, I Desak Ketut Dewi Satiawati; Aryastami, Ni Ketut; Notobroto, Hari Basuki
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.ISI1.2026.35-49

Abstract

Background: Sacred food waste lies at the intersection of cultural practice, environmental sustainability, and public health. Single-theory approaches have been insufficient to explain this complexity, limiting the development of effective health promotion strategies. This paper addresses this gap by adopting a salutogenic perspective that emphasizes the resources and pathways that promote well-being. Objective: To develop a novel, integrated conceptual framework—grounded in the salutogenic model—that explains sacred food waste across multiple levels. By integrating the Theory of Planned Behaviour (TPB), Social Practice Theory (SPT), and Habitus, the framework provides a foundation for designing health-promoting interventions. Methods: An integrative literature synthesis framed within a salutogenic orientation was conducted. More than 60 studies were systematically reviewed to construct a multi-level framework and generate eight propositions explaining how to foster sustainable sacred food practices by enhancing Sense of Coherence (SOC) and leveraging institutional support as a Generalized Resistance Resource (GRR). Results: The framework illustrates how individual intentions (TPB), collective routines (SPT), and embodied dispositions (Habitus) interact. It argues that interventions should be salutogenic by design, enhancing comprehensibility, manageability, and meaningfulness while aligning with spiritual values. Institutional support emerges as a critical GRR capable of reconfiguring practices and cultivating a sustainable environmental habitus. Conclusion: This integrated framework shifts the focus from merely “preventing waste” to promoting sustainable, health-enhancing practices. It provides an actionable guide for multi-level interventions that reduce waste while strengthening community health, food security, and spiritual well-being.