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All Journal Media Gizi dan Keluarga Medikora: Jurnal Ilmiah Kesehatan Olahraga Archive of Community Health Jurnal Ilmu Keluarga dan Konsumen Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Epidemiologi Kesehatan Komunitas The Indonesian Journal of Infectious Diseases Journals of Ners Community Care : Jurnal Ilmiah Ilmu Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Cahaya Mandalika Jurnal Kesmas Jambi Action Research Literate (ARL) Indonesian Journal of Social Science Research Jurnal Impresi Indonesia Makara Journal of Health Research Psychological Research on Urban Society Indonesian Research Journal on Education Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Epidemiologi Kesehatan Indonesia

Ratna Djuwita

Departemen Epidemiologi Fakultas Kesehatan Masyarakat Universitas Indonesia

Author-ID : 255292

Religion Arts Humanities Biochemistry, Genetics & Molecular Biology Chemistry Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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The Relationship between Energy Consumption Status and Nutritional Status of 6--18 Years Age Orphanage Children in Jakarta 1999 Mochamad Rachmat; Ratna Djuwita
Media Gizi dan Keluarga Vol. 24 No. 2 (2000): Jurnal Media Gizi dan Keluarga
Publisher : Media Gizi dan Keluarga

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This study was conducted to investigate the nutritional status and food consumption of children in the Jakarta orphanages.The aim of the study is to examined the relationship between energy consumption and nutritional status included its related factors of orphanage children 6 to 18 years of ages in Jakarta in 1999.The design of this study was cross sectional, 308 respondents were involved from 48 PSAA. Nutritional status as the dependent variable determined by height for age and weight for age using z-score. The independent variables which related to nutritional status were: energy consumption status, protein consumption status, length of stay in the orphanage, age, and gender.The result of this study shows that the prevalence of protein energy malnutrition (PEM) is 49.7% (height for age) and 32.8% ( weight for age ). Energy consumption, protein consumption, and iron consumption were 54.5%, 62.0%, and 68.2% resvectively. Significance relationship was found between energy consumption status and nutritional status (OR= 1.7; at p-value=0.0001; 95%CI: 1.3-2.2) using height for age indices and OR = 2.2 (p=0.0067; 95%CI: 1.2-3.8) using weight for age indices. Based on weight for age, the risks of respondent who stayed at orphanage for 36 months or more to become PEM was 0.59 times (p=0.0325; 95%CI: 0.36-0.95) compared to them whose stayed less then 36 months in the orphanage.The risks of female respondents to become PEM was 0.59 times (p=0.0230; 95%CI:0.38-0.93) using height for age and 0.42 times (p=0.0005; 95%CI: 0.25-0.68) using weight for age compared to male respondents.The result of logistic multiple regression analysis to nutritional status as a dependent variable using height for age as follows: ln p/1-p = -0.4482 + 0.9090 (energy consumption status) + 0.3129 (protein consumption status) - 0.7004 (age) - 0.4208 (gender). While based on weight for age, the regression equation was: ln p/1-p = -0.9249 + 0.9116 (energy consumption status) + 0.5611 (protein consumption status) - 0.6561 (length of stayed in orphanage) - 0.8256 (gender) - 0.3110 (age). Refers to the result of this study, we recommend to every institution or non goverment organization (NGO) which relate to orphanage could give their participation, funding and guidance in order to increase the quantity and quality of food consumed by the orphanage child. This study recommend a further study in order to know the real condition of this problem especially in others independent variables.Keywords: consumption, nutritional status, children

PENINGKATAN PENGETAHUAN DAN PENERAPAN MANAJEMEN TERPADU BAYI MUDA OLEH BIDAN DESA DI KABUPATEN TEMANGGUNG TAHUN 2012 wayan gede artawan; Ratna Djuwita
ARCHIVE OF COMMUNITY HEALTH Vol 1 No 2 (2012): Desember (2012)
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Rendahnya penerapan manajemen terpadu bayi muda (MTBM) oleh bidan di desa (53,6%)merupakan hambatan utama untuk menurunkan angka kematian neonatal (AKN) dan angkakematian bayi . Penelitian ini bertujuan untuk meningkatkan pengetahuan dan penerapan MTBMoleh bidan setelah menerima pelatihan dan bimbingan teknis (intervensi).Penelitian operasional ini merupakan penelitian non eksperimental dengan desain pretest-di 4 dari 24 pusat kesehatan masyarakat yang dipilih secara acak.Penelitian ini mendapatkan bahwa intervensi dapat meningkatkan pengetahuan bidan danpenerapan MTBM. Perlu pelatihan dan sosialisasi terus menerus untuk mendorong para bidanuntuk menerapkan MTBM secara berkelanjutan.

Gambaran Kegagalan Perbaikan CD4 Pasien Koinfeksi TB-HIV Berdasarkan Jarak Waktu Pemberian Antiretroviral Pasca Obat Anti Tuberkulosis di Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso NFN Musdalifah; Ratna Djuwita; Adria Rusli; Mondastri Korib
The Indonesian Journal of Infectious Diseases Vol 3, No 2 (2016): The Indonesian Journal of Infectious Diseases
Publisher : Rumah Sakit Penyakit Infeksi Prof Dr. Sulianti Saroso

AbstrakLatarbelakang : Memulai terapi Antiretroviral (ARV) lebih awal berisiko menimbulkan interaksi Obat Anti TB (OAT) dengan ARV, efek samping obat, keracunan akibat obat, tantangan kepatuhan minum obat dan terjadinya Immune Reconstitution Inflammatory Syndrome (IRIS).Metode : Penelitian ini menggunakan design penelitian kohort restrospektif dengan follow-up selama satu setengah tahun. Penelitian dilaksanakan di Rumah Sakit Penyakit Infeksi (RSPI) Prof. Dr. Sulianti Saroso Tahun 2016. Populasi studi adalah pasien Ko-infeksi TB-HIV yang naive ART dan tercatat pada rekam medis periode Januari 2010 - November 2014. Data pasien diperoleh dari rekam medis pasien dengan kriteria inklusi sampel adalah pasien usia ≥15 tahun, mendapat OAT minimal 2 minggu sebelum ART dimulai, dan memiliki data hasil pemeriksaan CD4 sebanyak dua kali dengan total sampel sebanyak 164 orang.Hasil : Probabilias kumulatif kegagalan perbaikan CD4 pasien ko-infeksi TB-HIV sebesar 14,43%. Hazard rate kegagalan perbaikan CD4 pada pasien yang memulai terapi ARV 2-8 minggu setelah OAT dibandingkan dengan yang menunda terapi ARV 8 minggu setelah OAT masing-masing 767 per 10.000 orang tahun dan 447 per 10.000 orang tahun (p=0,266).Kesimpulan : Hazard rate kegagalan perbaikan CD4 pada pasien yang memulai terapi ARV 2-8 minggu setelah OAT lebih tinggi dibandingkan dengan hazard rate pada pasien yang menunda terapi ARV 8 minggu setelah OAT. AbstractBackground : Starting Antiretroviral Treatment (ART) earlier was assosiated to pharmacologic interactions, side effect, high pill burden, treatment interruption, and Immune Reconstitution Inflammatory Syndrome (IRIS).Methods : This study used cohort restrospective design with one and half year time to follow up. This study was conducted from May to June 2016 at Infectious Disease Hospital Sulianti Saroso. Study population were TB-HIV coinfected patients, noted as a naive ART patient in medical records from january2010-november 2014. A total 164 patients ≥ 15 years old, had ATT 2 weeks before ART and had minimum 2 CD4 sell count laboratorium test results.Result : The cumulative probability of CD4 response failure among TB-HIV co-infected patients was 14,43%. Hazard rate of CD4 response failure was 767 per 10.000 person year in early ART (2-8 weeks after OAT) versus 474 per 10.000 person year in delayed ART (8 weeks after OAT) (p=0,266).Conclusion : Hazard CD4 repair failure rate in patients who started ARV therapy 2-8 weeks after OAT higher than the hazard rate in patients who deferred antiretroviral therapy 8 weeks after OAT.

Teaching Pro-Environmental Behavior: A Challenge in Indonesian Schools Djuwita, Ratna; Benyamin, Aditya
Psychological Research on Urban Society Vol. 2, No. 1
Publisher : UI Scholars Hub

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Although most researchers agree that environmental education is very important to develop pro- environmental behavior (PEB) in children, it is uncertain whether environmental education has positive outcomes, especially in Indonesian schools. This study tried to get some insight into whether green school students will have a higher nature relatedness and thus will behave more environmentally friendly, compared with students from schools with a regular national curriculum. In this study, 304 elementary public schools’ students and 229 green schools’ students participated. Data were collected through self-report scale, behavioral observation and Focus Group Discussion (FGD). The result shows that green school student’s, as well as children from public school, do not differ in their appreciation and understanding of their interconnectedness with all other living things on the earth. In other words, their nature relatedness (NR) are relatively similar. As hypothesized, if faced with the choice to act environmentally friendly, the PEB of green school students were significantly higher than public school students. But interestingly, information from FGD reveals that green school children PEB is not based on knowledge or concern for the environment, but rather a result of habituation and social modelling of their friends. On the other hand, public schools students have the knowledge, but they do not implement it in daily lives because they are not used to do it. It is concluded that environmental education curriculum does have a role in shaping students PEB, but to develop a sustainable PEB in young children, schools should focus on environmental knowledge, to develop and internalized pro-environmental value, and they should also develop ways to habituate PEB.

Active Surveillance: Strategy to Reach The Unreported TB Patient In Hospitals Aminah, Nenden Siti; Djuwita, Ratna; Sahanggamu, Paulus Daniel; Soelistyo, Soelistyo; Nasution, Helmi Suryani
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : CV. Ridwan Publisher

Background and Aims: The National Tuberculosis Program (NTP) conducted active surveillance to find unreported TB patients in hospitals. CTB supports by conducted active surveillance in 6 provinces. This study was conducted to see an overview of the implementation of active surveillance of TB cases in hospitals among districts supported by CTB and non CTB supported, including the challenges of active surveillance implementation to provide recommendations for National TB program. Methods: This study is a qualitative research with a case study design. Data collected by document reviews, observations, discussions, and in-depth interviews with key informants. Results: Only about 23% of TB cases from HIS are reported into SITT. This is partly due to the procedure or the flow of tuberculosis (TB) data from the Hospital to the National TB Program, which is a manuallly input by entry the data into the SITT.There are about 70% of cases that are not reportedly due to lack of human resources in the hospital to do data entry. Findings also show that districts supported by CTB have a percentage of cases gap less (4%-43%) than non CTB supported district (43%-74%). The data shows the importance of partnership or involvement of other partners in TB control programs. Conclusion: Active surveillance shows the need to strengthen hospital internal network. Standardized guideline and treatment monitoring mechanism should be established to support active surveillance nationwide. The NTP needs also to collaborate with the Directorate General of Health Services to establish a linkage between HIS and National TB surveillance system.

Determinant of Unintended Pregnancy in Indonesia Lubis, Pika Novriani; Djuwita, Ratna; Adisasmita, Asri C.; Ronoatmodjo, Sudarto; Gayatri, Maria
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: Unintended pregnancy is a global health problem. The number of unintended pregnancies globally is still high, accounting for 1 in 4 pregnancies. In Indonesia, it occupies 15% of total pregnancies. However, studies discussing the determinants of unintended pregnancies in Indonesia were conducted on a small scale. Methods: This cross-sectional research utilized the data of 15,316 respondents of the 2017 Indonesia Demographic and Health Survey. Results: The prevalence of unintended pregnancies in women with live births in the last 3–5 years was approximately 16%. The highest risk of unintended pregnancies was recorded for those with the youngest age, living in urban, and were grand multipara and for the couples who did not know each other’s preferences. Conclusions: Strengthening communication, information, and education in family planning programs, particularly for young women and grand multipara and promoting men’s involvement can help prevent unintended pregnancies.

Hubungan Efek Gabungan Hipertensi dan Obesitas dengan Penyakit Jantung Koroner Pada Analisis Data IFLS 5 Tahun 2014 Pramono, Alana Arumsari; Djuwita, Ratna
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.11911

Background: Coronary heart disease is a non-communicable disease. Risk factors for coronary heart disease include hypertension, smoking, high cholesterol, obesity, and low consumption of fruits and vegetables.Methods: The aim of this study was to determine the relationship between the combined effects of hypertension and obesity and the incidence of coronary heart disease. This study uses the 2014 Indonesia Family Life Survey (IFLS). This analysis uses univariate analysis to determine the proportion of research variables, bivariate analysis to determine the relationship between variables, and stratification analysis to determine the presence of confounding and modification effects. Multivariate analysis to determine the final model. This study used a cross-sectional design.Results: coronary heart disease variable 1.44%, hypertension and obesity 9.77%, hypertension and not obesity 9.64%, not hypertension and obesity 22.04%, not hypertension and not obesity 58.55%. And the relationship of hypertension and obesity to coronary heart disease after controlling for age and gender variables.Conclusion: The relationship of the combined effect of hypertension and obesity with the incidence of coronary heart disease after controlling for age and gender variables.

Gambaran Kasus Difteri di Provinsi DKI Jakarta Tahun 2015-17 Desember 2017 Oktaviannoor, Husda; Djuwita, Ratna
Jurnal Epidemiologi Kesehatan Komunitas Vol 9, No 1 : Februari 2024
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v9i1.6495

Background: Diphtheria is a contagious disease whose transmission is very fast and can cause death especially in children. In 2017 it was reported, there were 11 provinces in Indonesia experiencing diphtheria outbreaks, one of which is DKI Jakarta Province. This study aims to see an overview of diphtheria cases in DKI Jakarta in 2015 - December 17, 2017.Methods: This research is a descriptive study with a case report design. The sample in this study amounted to 59 cases. The implementation was carried out on 25 to 29 December 2017.Result: DKI Jakarta Province reported 7 diphtheria cases in 2015, 14 new cases in 2016 and 38 cases in January to 17 December 2017. Where the highest cases were in East Jakarta with the number of 18 cases from 2015 – December 17, 2017. And the number of diphtheria cases is more common in men, especially in children aged 0 - 9 years. In the 46th week of 2017 was the peak report on the incidence of diphtheria as many as 12 new cases in 1 week so that DKI Jakarta Province was declared to have an outbreak of diphtheria.Conclusion : Cases of diphtheria in DKI Jakarta from 2015 - December 17, 2017 continue to increase so special efforts are needed to prevent transmission of this disease.

Together We Can Change the Issues of Polluted Air: Identity as A Jakarta Citizen Could Predict Collective Action through Group Efficacy Alfiannor, Muhammad; Djuwita, Ratna
Indonesian Journal of Social Science Research Vol 5 No 2 (2024): Indonesian Journal of Social Science Research (IJSSR)
Publisher : Future Science

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11594/ijssr.05.02.10

In high-density metropolitan areas, urban air pollution increasingly affects the physical environment of cities. The city of Jakarta has poor air quality which can threaten the health of its citizens. The purpose of this research was to find out whether the role of fusion identity with the city of Jakarta in the collective action demanding clean air in Jakarta is mediated by group efficacy and group-based anger. a correlational survey approach with cross-sectional was used for data collection. People who live in Jakarta, Bogor, Depok, Tangerang and Bekasi are the samples of this study. After data collection, 127 people were found with an age range of 17-47 years. Based on the results of the research, it proves that in this study there is a role for fusion identity towards collective action demanding clean air in mediation in Jakarta by group efficacy which can be confirmed. This finding is different from SIMCA, which shows that group-based anger emotions can mediate the indirect effect of social identity on collective action. In this study, we found that identity fusion has no effect on collective action.

Studi Tinjauan Pustaka: Faktor Risiko Kejadian Amputasi pada Pasien Kaki Diabetes Mellitus Amalina, Nida; Djuwita, Ratna; Yunir, Em
Jurnal Epidemiologi Kesehatan Komunitas Vol 10, No 1: Februari 2025
Publisher : Master of Epidemiology, Faculty of Public Health, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jekk.v10i1.11932

Background: Diabetes mellitus increased from 6.9% in 2013 to 8.5% in 2018. This figure shows that only about 25% of people with diabetes know that they have diabetes. According to the International Working Group on the Diabetic Foot (IWGDF), 1 in 4 people with DM will develop an ulcer on their foot during their lifetime with a proportion of 19-34% of the total DM patients. Wound healing of DM ulcers often requires longer time and considerable resources and has a 40% risk of re-formation at 1 year and increases to 60% after 3 years.Methods: Articles selected based on the inclusion criteria were journals that examined the relationship between diabetic foot and amputation, either using a longitudinal design, cohort study (retrospective or prospective) or case control. The exclusion criteria were journals that were systematic literature reviews, screening, diagnosis.Results: Obesity in 2 articles mentioned that OR=1.20-3.20 had a significant association with amputation while blood glucose factor in 2 articles mentioned that OR=2.92-9.43 had a statistically significant association with amputation. It was found in these 3 articles with OR range=6.9-13.97, poorly controlled HbA1c had a statistically significant association with amputation.Conclusion: This literature review study concluded that amputation risk factors are influenced by BMI and blood sugar levels. Patients should be educated on the importance of maintaining good blood sugar control, in addition to wearing proper footwear, avoiding repetitive mechanical trauma to the foot, and performing regular foot examinations.

Co-Authors Adisasmita, Asri, Prof Adiwena, Bartolomeus Yofana Adria Rusli Ajeng Tias Endarti Alfiannor, Muhammad Amalina, Nida Aminah, Nenden Siti Anita Rahmiwati Apriza, Cici Ariani Ayub, Fakhrana Asih Setiarini Asri C. Adisasmita Benyamin, Aditya Besral . Budiyani, Putri Immi Rizky Cesilia M Dwiriani Dadang Hikmah Purnama, Dadang Hikmah Diah Mulyawati Utari Djadjuli, Hidayat Nur Ghazali Djokosujono, Kusharisupeni Dwi Gayatri Dwi Handayani DWI RAHMAWATI Eka Budi Satria Em Yunir, Em Evi Martha Fakhrana Ariani Ayub Feranita Utama Fitriyani Fitriyani Fitriyani Fitriyani Gayatri, Dwi Gayatri, Maria Giri Aji, Giri Hariani Rafitha Husda Oktaviannoor, Husda Indaryono, Cleo Syahana Istiqfani, Maulidya Julianti, Rita Karim, Rohana Rosmiyati Abdul Kurniati, Henny Kusnadi, Bai Lubis, Pika Novriani Lusinta, Hesty Machmud, Putri Bungsu Meilisa, Meilisa Mochamad Rachmat Mondastri Korib Muhammad Rifqi Azhary Nana Mulyana Nasution, Helmi Suryani NFN Musdalifah Nurhadi Pramono, Alana Arumsari Prasetyo, Iqbal Purwantyastuti Purwantyastuti Putri Bungsu Machmud Rafitha, Hariani Rizanti, Chintarra Fariska Rizki Nurmaliani, Rizki Sahanggamu, Paulus Daniel Sahid, Muhammad Hidayat Simatupang, Nanda Agustian Soelistyo, Soelistyo Sri Dwi Omarsari Sudarto Ronoatmodjo Sudaryo, Mondastri Korib Sudijanto Kamso Sukamto Sukamto Syahana Indaryono, Cleo Teguh Prasetyo, Dimas Thalia, Ria Tri Krianto Tri Yunis Miko Wahyono Wardiman, Wardiman wayan gede artawan Wijaya, Fikri Yuliana Zahra, Yuliana

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