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Evaluation implementation growth monitoring and promotion: a case study East Lampung district Kamilah, Kiki; Herawati, Dewi Marhaeni Diah; Indraswari, Noormarina
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24094

Abstract

The implementation of growth monitoring and promotion (GMP), which functions to monitor the growth and development of toddlers, is carried out by integrated service post community health volunteers (CHVs) (in Indonesia called Posyandu), allegedly has not been implemented properly. This research aimed to evaluate the implementation of GMP, its barriers, and supporting factors. The research design is concurrent mixed methods. Quantitative data collection was carried out using GMP practice observation sheets with a sample of 30 CHVs. GMP practice observations were carried out by three observers and the results were analyzed using multi facet Rasch measurement (MFRM). Qualitative data was collected through in-depth interviews and focus group discussion (FGD) with 27 informants. The research results show that GMP practices in the components of growth measurement, plotting measurement results, interpretation of growth indicators, and counseling still need to be improved. Barriers to implementing GMP are human resources, facilities, and infrastructure, lack of motivation, attitude of mothers of toddlers, inadequate capacity of CHV Posyandu, and lack of village government support. Supporting the implementation of GMP is the participation, monitoring, and role of CHVs in human development. The research concludes that the practice of implementing GMP in these four components is considered not optimal. It is recommended that Posyandu CHVs need to increase their capacity in implementing GMP so that the growth and development of children under five can be properly monitored to prevent early malnutrition and stunting.
Effect of nutritional intake towards Angular cheilitis of orphanage children Rakhmayanthie, Nurdiani; Herawati, Erna; Herawati, Dewi Marhaeni Diah
Padjadjaran Journal of Dentistry Vol 28, No 3 (2016): November 2016
Publisher : Faculty of Dentistry Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (398.872 KB) | DOI: 10.24198/pjd.vol28no3.13674

Abstract

Introduction: Angular cheilitis is one of the oral manifestations of iron, vitamin B12, and folate deficiency. This manifestation frequently seen in people at first and second decade. The purpose of this study was to obtain the prevalence of angular cheilitis and its classifications related to the nutritional intake level in 6-18 years old children. Methods: This research was a descriptive study with 53 children between 6-18 years old from Muhammadiyah Orphanage Bandung as the samples. The oral cavity was examined clinically and their food consumption in a week was noted in Food Recall 24 hours and Food Frequency Questionnaire (FFQ) in order to measure their nutritional intake level. Results: There are 23 children with angular cheilitis. 13% has iron and folate deficiencies, and 87% has iron, vitamin B12, and folate deficiencies. Angular cheilitis types that has been found are Type I (39%), Type II (48%) and Type III (13%). Conclusion: The prevalence of angular cheilitis in 6-18 years old children in Muhammadiyah Orphanage Bandung was moderately high, most of them were having iron, vitamin B12, and folate deficiencies. Type II angular cheilitis was the most frequently seen.
Peningkatan Pengetahuan Tuberkulosis Kehamilan dan Perinatal di Kalangan Tenaga Kesehatan Judistiani, Tina Dewi; Handono, Budi; Sunjaya, Deni i Kurniad; Diah, Dewi Marhaeni; Linasari, Desy; Gumilang, Lani
Jurnal Abdimas Kartika Wijayakusuma Vol 4 No 1 (2023): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v4i1.301

Abstract

Indonesia merupakan negara terbanyak ketiga dengan kasus Tuberkulosis (TB) terbanyak di dunia setelah India dan Cina. Penyakit TB masih menjadi masalah kesehatan yang memerlukan pencegahan dan pengendalian untuk menurunkan jumlah kasus TB. Peningkatan kasus TB pada wanita usia reproduktif mengakibatkan naiknya angka TB pada ibu hamil. Ibu hamil dengan infeksi TB dapat meningkatkan risiko kematian dan berat badan lahir rendah. Tenaga kesehatan di rumah sakit memerlukan pengetahuan yang cukup untuk upaya pencegahan penularan dan upaya untuk mendukung Indonesia bebas TB tahun 2050. Kegiatan pengabdian masyarakat ini bertujuan memberikan pengetahuan untuk tenaga kesehatan tentang TB pada kehamilan dan penatalaksanaanya. Metode pelaksanaan kegiatan ini dengan melakukan kegiatan webinar lewat aplikasi zoom meeting. Kegiatan webinar dihadiri oleh 562 peserta. Hasil kegiatan dievaluasi menggunakan kuesioner yang dibagikan sebelum dan sesudah pemaparan materi webinar. Rata-rata pengetahuan sebelum webinar sebesar 36,23 dan setelah pemaparan materi webinar oleh para narasumber pengetahuan peserta naik menjadi 80,60. Berdasarkan hasil kuesioner terdapat peningkatan pengetahuan peserta webinar antara sebelum dan sesudah pemaparan materi.
Rebon Shrimp Powder Addition Influence to Nutritional Values, Organoleptic Properties and Acceptance of Supplementary Food by Children Aged 4-5 Years Old Sulistiyono, Priyo; Herawati, Dewi Marhaeni Diah; Arya, Insi Farisa Desy
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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Abstract

Prevalensi gizi kurang dan stunting pada anak bawah lima tahun (balita) di Kota Cirebon masih cukup tinggi yaitu mencapai 13,9% dan 15,7%. Udang rebon (Acetes erythraeus) memiliki kandungan protein dan kalsium yang tinggi. Pengaruh penambahan udang rebon dalam makanan tambahan (bubur lemu dan bolu kukus) terhadap kualitas gizi diteliti. Penelitian ini bertujuan untuk mengetahui pengaruh bubuk udang rebon terhadap nilai gizi, sifat organoleptik dan daya terima. Uji laboratorium dan perangkat lunak Nutriservey digunakan untuk analisis nilai gizi bubuk udang rebon dan gizi makanan tambahan. Uji organoleptik menggunakan rancangan acak lengkap dengan empat perlakuan (bubuk udang rebon 0%, 5%, 10%, 15%) dilakukan dua kali pengulangan. Responden adalah 30 mahasiswa program studi gizi Cirebon, mrnggunakan 7 skala hedonik (uji organoleptik) dan 50 anak-anak usia 4-5 tahun di posyandu (uji daya terima). Hasilnya adalah kadar abu, protein dan kalsium bubuk udang rebon memenuhi Standar Nasional Indonesia. Energi, protein dan kalsium meningkat signifikan (nilai p < 0,05). Kandungan gizi per 100 gram bolu kukus dengan bubuk udang rebon 5% memenuhi angka kecukupan gizi energi 21,6%, protein 18,9% dan kalsium 25,9%. Tingkat kesukaan pada warna, aroma, rasa, tekstur dan keseluruhan berbeda signifikan (nilai p < 0,05). Bubur lemu dengan bubuk udang rebon 5% dapat diterima oleh 80% balita dan bolu kukus mencapai 88%. Malnutrition and stunting prevalence in under-five children in Cirebon City are still high that reach 13.9% and 15.7%. Rebon shrimp (Acetes erythraeus) contains high protein and calcium. Influence of adding rebon shrimp in supplementary food (lemu porridge and steamed sponge) towards nutrition quality was investigated. This study aimed to determine effects of rebon shrimp powder on nutritional values, organoleptic properties and food acceptance. Laboratory test and Nutriservey software were used to measure nutritional value of rebon shrimp powder and nutrition of supplementary food. Organoleptic test used completely randomized design with four treatments (0%, 5%, 10%, 15% shrimp powder) and two repetitions. Respondents were 30 students of Nutrition Studies Program in Cirebon with 7 hedonic scale (organoleptic test) and 50 children aged 4-5 years in integrated health care (acceptance test). As the result, the level of ash, protein and calcium of rebon shrimp powder met the Indonesian National Standard. Energy, protein and calcium significantly increased (p value < 0.05). Nutrient content of steamed sponge per 100 gram with 5% rebon shrimp powder supplied 21.6% energy, 18.9% protein and 25.9% calcium on recommended dietary allowances. Preference level of color, flavor, taste, texture and overall were significantly different. Lemu porridge with 5% rebon shrimp powder was accepted by 80% of the children and the steamed sponge acceptance reached 88%.
Evaluasi Pelaksanaan Konseling Menyusui Murtiyarini, Ika; Herawati, Dewi Marhaeni Diah; Afriandi, Irvan
Kesmas Vol. 9, No. 1
Publisher : UI Scholars Hub

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Abstract

Salah satu upaya pemerintah dalam meningkatkan pemberian ASI di Indonesia adalah dengan memberikan konseling menyusui di pelayanan kesehatan. Penelitian perlu dilakukan untuk mengevaluasi pelaksanaan konseling menyusui di Kota Jambi dengan mengeksplorasi komponen input, activity, output, dan outcome. Penelitian ini merupakan penelitian kualitatif menggunakan strategi studi kasus. Penelitian dilakukan di empat puskesmas Kota Jambi pada bulan Desember 2013 sampai dengan Februari 2014. Pengumpulan data dilakukan dengan studi dokumen, observasi pelaksanaan konseling menyusui dan sarana prasarana, wawancara mendalam, serta focus group discussion. Analisis data yang digunakan adalah analisis tematik. Hasil penelitian menunjukkan bahwa komponen input dan activity kurang optimal seperti kurangnya sumber daya manusia, keterbatasan sarana prasarana, belum ada petunjuk teknis pelaksanaan konseling menyusui, belum ada pemantauan pascapelatihan, kurangnya komitmen personal konselor, belum ada penegasan program, serta lemahnya pengawasan. Komponen output masih kurang baik, terlihat pada belum terdapat data jumlah klien yang diberi konseling menyusui dan jumlah monitoring/supervisi. Komponen outcome menunjukkan bahwa kepuasan klien konseling menyusui kurang. Pelaksanaan konseling menyusui di Kota Jambi masih kurang optimal. Terlihat dari komponen input masih kurang memadai, komponen activity belum berjalan optimal, sedangkan komponen output dan komponen outcome belum mencapai hasil yang diharapkan. The government’s efforts in improving breastfeeding in Indonesia is to provide breastfeeding counseling services in health care especially at primary health care centre. Therefore it is necessary to evaluate the implementation of breastfeeding counseling in the City of Jambi by exploring its input, activity, output, and outcomes components. This study was a qualitative research using case study strategy. The study was conducted in four health centers City of Jambi during December 2013 to February 2014. Data were collected through document study, breastfeeding counseling and execution infrastructure observation, in-depth interviews, and focus group discussion. Data analysis includes transcription, reduction, coding, categorizing, themes, and interpretation of research results. The results showed that the component inputs and activity were not done optimally due to a lack of human resources, infrastructure limitations, unavailability of technical guidelines, non-existence of post training monitoring or supervision, lack of counselor’s personal commitment, lack of program clarity, as well as poor management and supervision of the health department. Aservice output were not also good as indicated by data unavailability of clients served and none of monitoring has been conducted. Outcome component showed that there were still a lack of client satisfaction and resolved breastfeeding problems after acquiring breastfeeding counseling as an conclusion, implementation of breastfeeding counseling in the City of Jambi is still less than optimal, seen from the input components is still inadequate, activity components are not yet optimal, while the outputs and outcomes components not achieving the expected.
Co-Authors Ahmad Yani ahmad yani Aldi Harry Ramdani, Aldi Harry Alfi Syahri Amani Sakinah Augiani Ananda Sagita Anggraeni, Erizvina Marisa Anggun Rafisa Ari Andriyani Ari Andriyani Arief S. Kartasasmita Augiani, Amani Sakinah Bambang Sasongko Noegroho Budi Handono Dadi Argadiredja Dadi Argadiredja, Dadi Dany Hilmanto Dedeh Dedeh Dedeh Dedeh, Dedeh Dedi Rachmadi Dedi Rachmadi Deni Kurniadi Sunjaya Deni Sunjaya Deni Sunjaya, Deni Devi Pratiktowati Dewi Kania Intan Permatasari Dida Akhmad Gurnida Dida Akhmad Gurnida Dida Akhmad Gurnida Dida Gurnida Dwi Kusumayanti Dwi Kusumayanti Dzulfikar Djalil Lukmanul Hakim Eddy Fadlyana Eko Fuji Ariyanto Elsa Pudji Setiawati Elsa Pudji Setiawati Erizvina Marisa Anggraeni Erna Herawati, Erna Farid Husin Farid Husin Farid Husin Fauzah Cholashotul I’anah Fedri Rinawan, Fedri Firman Fuad Wirakusumah Fitria Nurwulansari Fiva Aprilia Kadi Fiva Aprilia Kadi Fransisca Sri Susilaningsih Fransisca Sri Susilaningsih Ginna Megawati Ginna Megawati Gizella Gizella Guswan Wiwaha Heda Melinda Nataprawira Herry Herman Ibnu Suryatmojo Ida Siti Nurparida Ieva Baniasih Akbar Ignatius Setiawan Iis Rosita Ika Murtiyarini Insi Farisa Desy Insi Farisa Desy Arya Insi Farisa Desy, Insi Farisa Irna Sufiawati Irvan Afriandi Irvan Afriandi Ita Susanti Johannes C. Mose Julistio T.B. Djais Julistio TB Djais Jusuf Sulaeman Jusuf Sulaeman Jusuf Sulaeman Kamilah, Kiki Kusnandi Rusmil Kusumaningrum, Hesti Lani Gumilang Lastri Asmuniati Lazuardi Dwipa Linasari, Desy Lulu Eva Rakhmilla Lulu Eva Rakhmilla, Lulu Eva M Aris Rizqi Majid, Tita Husnitawati Miftahurachman Miftahurachman Miftahurachman Miftahurachman, Miftahurachman Nanan Nur&#039;aeny Nanan Nur&#039;aeny Nendhi Wahyunia Utami Nilavenmalar Perianan nina triana Nina Triana Nita Arisanti Noormarina Indraswari Nugraha, Gaga Irwan Nur Eva Aristina Nurdiani Rakhmayanthie, Nurdiani Oktarina Sri Iriani Palomina Caesarea Nurhasanah Palomina Caesarea Nurhasanah, Palomina Caesarea Perianan, Nilavenmalar Priyo Sulistiyono puteri fadillah zahra puteri fadillah zahra, puteri fadillah Raden Tina Dewi Judistiani Rahmatia Djou Ravika Khaila Arrum Resnaldi Resnaldi Resnaldi, Resnaldi Santi Suarsih, Santi Setiawan . Shinta Tresna Fujianti Shinta Tresna Fujianti, Shinta Tresna Siti Damayanti Sri Endah Rahayuningsih Sulistiyono, Priyo Sunardhi Widyaputra Sunjaya, Deni i Kurniad Susiarno, Hadi Tenny Setiani Dewi Tisnasari Hafsah Tisnasari Hafsah, Tisnasari Tita Husnitawati Majid Viramitha Kusnandi Rusmil Vita Murniati Terawan Wardani, Yusrima Syamsina Yopi Suryatim Pratiwi Yudi Wahyudi Yusrima Syamsina Wardani