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Pembinaan Perilaku Remaja Putri Dalam Perencanaan Keluarga Dan Pencegahan Anemia Melalui Pemberdayaan Peer Group Sebagai Upaya Pencegahan Stunting Demsa Simbolon; Bringwatty Batbual; Ina Debora Ratu Ludji
Media Karya Kesehatan Vol 5, No 2 (2022): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v5i2.36716

Abstract

Permasalahan remaja putri adalah anemia, pernikahan usia anak dan kesehatan reproduksi. Prevalensi anemia pada remaja putri di Indonesia meningkat dari 26,4% menjadi 48,9%. Perlu dibentuk peer group untuk menjadi pendamping teman sebaya yang bertujuan meningkatkan pengetahuan, sikap dan tindakan tentang perencanaan keluarga, penundaan usia perkawainan, kesehatan reproduksi dan pencegahan anemia dengan menerapkan media booklet dan kartu pantau konsumsi Tablet Fe. Khalayak sasaran adalah 50 remaja putri di SMP 9 Kota Bengkulu dan 50 remaja putrid Kota Kupang. Pendampingan dilakukan selama 4 bulan (Agustus-November 2020) dengan metode kelompok kecil. Terjadi peningkatan skor pengetahuan sebesar 13,98 poin (p=0,0001). sebelum dan sesudah kegiatan pendampingan. Peningkatan skor pengetahuan di Kota Bengkulu (12,11 poin) dan di Kota Kupang (15,32 poin). Terjadi peningkatan skor sikap yang signifikan sebesar 0,73 poin (p=0,0001). Sebelum dan sesudah kegiatan pendampingan di Kota Bengkulu (0,67 poin) dan di Kota Kupang (0,40 poin) dan remaja putri menjadi patuh mengkonsumsi tablet Fe. Pihak sekolah bekerjsama dengan tenaga kesehatan perlu terus memberdayakan Peer Group untuk melakukan pendampingan metode kelompok kecil untuk meningkatkan kesehatan remaja, mencegah anemia, dan mencegah melahirkan anak stunting dimasa yang akan datang.    Kata Kunci: Peer Group, remaja putri, perencanaan keluarga, anemia, stunting.
PENINGKATAN PERILAKU IBU DENGAN ANAK STUNTING USIA 0-24 BULAN MELALUI PENDAMPINGAN OLEH KADER KESEHATAN MENUJU KAMPUNG KB BEBAS STUNTING Demsa Simbolon; Emy Yuliantini; Yusmidiarti; Bringwatty Batbual; Ina Debora Ratu Ludji; Eliana
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 6 No. 4 (2022): Jurnal Panrita Abdi - Oktober 2022
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v6i4.13422

Abstract

Stunting is a nutritional health problem that shows the failure to thrive in children under five due to chronic malnutrition. Liner growth failure in stunting is associated with increased morbidity and mortality. The service activities aim to foster and empower groups of toddlers as nutritional companions to increase mothers' knowledge, attitudes, and actions of mothers with stunting children aged 0-24 months to prevent and control stunting. The target audience is 80 mothers with stunted children aged 0-24 months, consisting of 40 mothers in the Kampung KB area of ​​ working area Padang Serai Health Center, Bengkulu City, and 40 mothers in the Kampung KB  of the working area of ​​Pasir Panjang Health Center, Kupang City. Community service results showed a significant increase in the knowledge, attitudes, and action of cadres under five in preventing stunting before and after the training. The cadres formed are fostered and involved in community empowerment activities in the working area of ​​the Public health center. And there is an increase in the knowledge, attitudes, and actions of mothers under five in preventing stunting. Follow-up is needed for Cadres who are responsible for continuing activities in the target group until the age of 5 years with guidance by health workers by making regular mentoring schedules until the child is five years old. --- Stunting masih menjadi masalah kesehatan prioritas untuk dicegah dan ditanggulang karena penyebab dan dampaknya yang kompleks. Kegiatan pengabdian kepada masyarakat menerapkan intervensi satu rumah satu meteran deteksi risiko stunting (MDRS). Tujuan kegiatan pengabdian untuk membina dan memberdayakan kelompok kader balita sebagai pendamping gizi untuk meningkatkan pengetahuan, sikap dan tindakan ibu balita stunting usia 0-24 bulan dalam pencegahan dan penanggulangan stunting. Kalayak sasaran adalah ibu balita stunting usia 0-24 bulan sebanyak 80 ibu yang terdiri dari 40 ibu baduta di Kampung KB Padang Serai Kota Bengkulu dan 40 ibu baduta di Kampung KB Pasir Panjang Kota Kupang. Hasil Pengabdian kepada masyarakat menunjukkan terjadi peningkatan signifikan pengetahuan dan sikap kader dalam pencegahan stunting sebelum dan sesudah pelatihan. Kader yang terbentuk dibina dan dilibatkan dalam kegiatan-kegiatan pemberdayaan masyarakat di wilayah kerja puskesmas. Terjadi peningkatan yang signifikan pengetahuan, sikap, serta tindakan Ibu baduta dalam pencegahan stunting. Perlu tindak lanjut untuk kader bertanggung jawab melanjutkan kegiatan pada kelompok sasaran sampai berusia 5 tahun dengan pembinaan oleh tenaga kesehatan  dengan  membuat jadwal pendampingan secara berkala sampai anak berusia 5 tahun.
Variasi Kejadian Stunting Usia 6 - 24 Bulan menurut Karakteristik Keluarga, Orang Tua, dan Anak Demsa Simbolon; Ina Debora Ratu Ludji; Beatrix Soi
Jurnal Kesehatan Manarang Vol 7 No Khusus (2021): November 2021
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v7iKhusus.503

Abstract

Child stunting is a global problem, including in Indonesia. The variation of stunting prevalence in Indonesia is very wide between provinces, but the interventions carried out tend to be the same. Variations in stunting prevalence at the stunting locus according to family, mother and child characteristics need to be known as an evidence based in planning appropriate intervention efforts. The study used a cross sectional design which aims to determine the variation in the proportion of stunting according to the characteristics of parents, families and children aged 6 – 24 months in South Central Timor District (TTS) and North Bengkulu District (BU). The research was conducted in June-November 2019. The population is all stunting children aged 6 – 24 months. The sample was selected by purposive sampling with inclusion criteria, namely stunting children, children aged 6 – 24 months, biological children, single births, no defects, and no comorbidities. The total sample was 120 stunting children aged 6 – 24 months, consisting of 60 stunting children in BU District and 60 stunting children in TTS District. The research instrument used a structured questionnaire. Data analysis used homogeneity test with chi square test. The results showed a high proportion of stunting in small families, while based on socio-economic heterogeneous families in both districts. In BU District, 30% of stunting children came from pre-prosperous families and 56.7% occurred in small families, while in TTS District all (100%) stunting children came from poor families and 65% from small families. The proportion of stunting was higher in mothers with normal height, age at the time of marriage 20 – 35 years, education of fathers and mothers were middle to high, mothers did not work, and fathers worked, children were born with normal weight, normal birth length, received breastmilk initiation, and exclusively breastfed. Stunting can occur in all families, so efforts are needed to improve family characteristics, parents and birth history to prevent stunting in Indonesia.
Education Pillar As A Community-Based Prevention Stunting During Covid-19 Pandemic Simbolon, Demsa; Yusmidiarti; Ludji, Ina Debora Ratu
Jurnal Pemberdayaan Masyarakat Madani (JPMM) Vol. 6 No. 1 (2022): Jurnal Pemberdayaan Masyarakat Madani (JPMM) (DOAJ & SINTA 3 Indexed)
Publisher : Fakultas Ekonomi dan Bisnis Universitas Negeri Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21009/JPMM.006.1.08

Abstract

The high prevalence of stunting and poor environmental health conditions at Bengkulu and Kupang City, baseline the need for assistance to families to provide education on Community-Led Total Sanitation (CLTS). Through the implementation of the CLTS module science and technology, the purpose is to foster and empower CLTS cadre groups as family companions to educate about the 5 pillars of CLTS by increasing family knowledge, attitudes, and actions in preventing and overcoming stunting. The target audience is 40 families in Bengkulu and 40 families in Kupang City. Community Service activities were preceded by socialization with local governments and health workers, followed by training and coaching of cadres, and family assistance activities, by providing CLTS sanitation education for 4 months through home visits, assessed once a month. The results show that cadre training is effective in increasing the knowledge and attitudes of cadres. Family assistance activities are effective in increasing family knowledge, attitudes, and actions about CLTS in stunting prevention. Environmental health officers together with cadres need to improve programmed triggering activities, monitoring, and evaluation, as well as assistance for the community and local government advocacy to support the success of the CLTS implementation.
PENGARUH FAKTOR INTRA PERSONAL “SOCIAL ECOLOGICAL MODEL OF HEALTH BEHAVIOUR” TERHADAP PENURUNAN ANGKA KEMATIAN IBU (AKI) DI KABUPATEN KUPANG, NTT INA DEBORA RATU LUDJI
JURNAL INFO KESEHATAN Vol 12 No 1 (2014): JURNAL INFO KESEHATAN, HALAMAN 500 - 709, ISSN 0216-504X, JUNI
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Maternal Mortality Rate (MMR) in the District of Kupang, NTT is still high.Therefore to accelerate reduction of the MMR a research was made with main objective to identify the influence of intra personal factor of ‘Social Ecological Model of Health Behaviour” which covered age, education, job, knowledge, attitude, intention, value and belief, self efficacy, distance, time travel and reproduction characteristics to the reduction of MMR with indicators K1, K4, delivery place, birthing assistant, post partum visit, and family planning in the District of Kupang. The type of research was observational analytic, cross sectional design with postpartu’s age to 3 months (126 women), analized with simple logistic regretion and double logistic regretion. The result of the research: The influence of Intra personal factor to pure K1 was contributed by job variable with OR 3.892; p = 0.027(Exp B=3.892; 95% CI: 1171 -12937. Attitude variable obtained OR 1.107 p = 0.004 ( Exp B = 1,107 ; 95% CI: 1,034 – 1,186). Value and bw variable obtained OR 1,202. p< 0,0001 ( Exp B = 1,202 ; 95% CI : 1,100 – 1,314). Influences of intrapersonal factor to K4 trimester 3: Job variable obtained OR 3,948. p = 0,013 ( Exp B = 3,984 ; 95% CI : 1,336 – 11,662). On the Attitude variable OR optained 1,086. p = 008 ( Exp B = 1,086 ; 95% CI : 1,022 – 1,155). Belief and Values vaiable obtained OR 1,156. p< 0,0001 ( Exp B = 1,156 ; 95% CI : 1,068 – 1,252). The influence of intrapersonal factor to birthing place. Knowledge variable obtained OR 1,022. p = 0,048 ( Exp B = 1,022 ; 95% CI : 1,000 – 1,045). Attitude variable obtained OR 1,038. p = 0,025 ( Exp B = 1,038 ; 95% CI : 1,005 – 1,073). Influence of intrapersonal factor to birthing assistant: Attitude variable obtained OR 1,075. p = 0,002 ( Exp B = 1,075 ; 95% CI : 1,027 – 1,126). Weight Gain variable obtained OR 1,219. p = 009 ( Exp B = 1,219 ; 95% CI : 1,050 – 1,414). Influence of intrapersonal factor to postpartum mothers obtained OR 1,063. p< 0,001 ( Exp B = 1,063 ; 95% CI : 1,026 – 1,101). Intention variable obtained OR 1,063. Influence of intrapersonal factor to family planning. Abortion variable obtained OR 0,416. p = 0,024 ( Exp B = 0,416 ; 95% CI : 0,194 –0,890). It is concluded that intrapersonal factor of “Social Ecological Model of Health Behaviour that influence the reduction of MMR in the District of Kupang, NTT was job, values and belief, attitude, knowledge, weight gain, intention and abortion.
Pendampingan Gizi Spesifik dan Perilaku Ibu dalam Pola Asuh Anak Stunting Usia 6-24 Bulan Simbolon, Demsa; Soi, Beatrix; Ludji, Ina Debora Ratu; Bakoil, Mareta Bakale
Jurnal Promosi Kesehatan Indonesia Volume 17 No.1 Januari 2022
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.17.1.13-24

Abstract

Background: From pregnancy, until the child is two years old, it is a prone period for stunting due to inadequate nutritional care at the family level. Mothers' ability in parenting and child health will affect their nutritional status and health, especially mothers who have stunted children. This study aimed to determine the effectiveness of specific nutrition assistance (SNA) through empowering cadres to change the behavior (knowledge, attitudes, practices) of mothers who have stunted children aged 6-24 months.Method: The research used a quasi-experiment with pre-post design with a control group. The research was conducted in Bengkulu Utara (BU) District and Timur Tengah Selatan (TTS) District. The intervention group received SNA for six months (June-November 2019) by Posyandu cadres and health workers. The control group received standard services from the Health Center or the Posyandu. Whilst, the intervention group received nutrition and health counseling during home visits. Mothers' knowledge, attitudes, and practices in parenting and child health nutrition were measured as dependent variables. Sample of 120 mothers with stunted children aged 6-24 months. Data analysis used independent t-test and dependent t-test.Results: The SNA was effective in increasing the knowledge, attitudes, and practices of mothers. The increased knowledge, attitudes, and practices were higher in the intervention group both in BU District (116%) and TTS District (26.33%). In BU District, there was an increase in knowledge (116%), attitude (40%), and practices (20.07%), likewise in TTS District; there was an increase in knowledge (26.33%), attitudes (42.5%), and practices (22.15%) which are significantly different from the increase in the practices of the control group. SNA needs to be carried out continuously to increase mothers' ability in parenting and child health. Therefore, that stunted children can catch up with their height growth. 
Determinants of Exclusive Breastfeeding to 0-6 Month Babies in Stunting Handling in The District of Kupang Ludji, Ina Debora Ratu
Eduvest - Journal of Universal Studies Vol. 4 No. 2 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i2.1065

Abstract

Stunting is a form of failure to thrive at high altitude (stunting) due to accumulation of malnutrition that persists from conception to 24 months of age (Bloem et al, 2013). This situation is exacerbated by insufficient catch-up growth (Kusharispeni, 2002). The index for identifying stunted young children is based on the age index (TB/U) according to the WHO criteria (2015). -2 standard deviations (SD). The aim of this study was to analyze the determinants of exclusive breastfeeding at 0-6 months of age to prevent stunting in NTT's Kupang County. This type of study is quantitative with a cross-sectional design. The study population consisted of breastfeeding mothers and infants aged 0-6 months from Kupang District, East Nusa Tenggara. The sample was a breastfeeding mother aged 0–6 months who met the inclusion criteria, i.e., live birth willing to be a respondent, single birth, nondisabled, free of comorbidities mothers and infants. was an infant. The number of samples is 75. The sampling technique is cluster random sampling. Results showed that there was no significant association between respondents' workplace characteristics and incidence of stunting, p=0.21 >α=0.05. There are important relationships. Age p=0.0001 <; = 0.05; Education 0.028 <; α = 0.05 Knowledge p = 0.003 <; = 0.05; Role p = 0.0001 <; = 0.05. It was concluded that age, education, knowledge, family support, officer role, and family role were determinants of exclusive breastfeeding to prevent stunting. We recommend using this model to prevent growth retardation.