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All Journal Buletin Udayana Mengabdi Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
N.M.U. Dwipayanti
Program Studi Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Udayana
Education Health Professions Public Health

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UPAYA PENCEGAHAN STUNTING DENGAN HIGIENE INDIVIDU DAN KEAMANAN PANGAN DI DESA LEBIH GIANYAR Dwipayanti, N.M.U.; Indrayathi, P.A.; Kurniawati, D.P.Y.; Adhi, K.T.
Buletin Udayana Mengabdi Vol 23 No 4 (2024): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/BUM.2024.v23.i04.p06

Abstract

One of the health priorities in the Sustainable Development Goals is address malnutrition, including stunting among children. Gianyar Regency is one of the districts with the highest prevalence of stunting. Previous studies showed that the incidence of stunting in the locus area was due to lack of hygienic behavior in food handling for infant and the availability of safe drinking water, thus this behaviour need intervention. The intervention targeted mothers of children under five and pregnant women in posyandu (a community based health care). The activity integrates the nutritional emodemo approach and Community-Based Total Sanitation, pillar 2 and pillar 3. This intervention aimed to empower village cadres and the community to take collective action for behavior change and independently maintain the sustainability of these changes. Trained posyandu cadres carry out promotional activities at the posyandu. Posyandu participants in Bajar Kesian, Lebih Duur Kaja and Lebih Beten Kelod were provided with health promotions related to healthy nutrition, personal hygiene and safety of food and household drinking water. This promotional activity is expected to be carried out regularly by posyandu cadres in their respective posyandu, thus it will become a continuous promotion effort in Lebih Village to improve healthy and hygienic parenting. Keywords: cadres, Gianyar, food hygiene, personal hygiene, posyandu, stunting
PENDAMPINGAN PENDIRIAN DAN OPERASIONAL BANK SAMPAH PELATIHAN PENGOMPOSAN DI LIMA DUSUN DESA BANJARANGKAN KABUPATEN KLUNGKUNG BALI Ciawi, Y.; Dwipayanti, N.M.U.; Wrasiati, L.P.; Purnama, G.H.; Pharmawati, M.
Buletin Udayana Mengabdi Vol 23 No 4 (2024): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/BUM.2024.v23.i04.p07

Abstract

This program aims to overcome the waste problem in Banjarangkan Village, Klungkung Regency in order to comply with Bali Governor Regulation no. 47 of 2019. The activity begins with a visit to the village, reviewing the existing local waste processing unit, determining the date of the activity, preparing tools and equipment, socialization of household waste management, set up the waste bank, training on composting, constructing biopore holes and wells. The socialization of household waste management was carried out in September 2021 at the village office, attended by all waste bank officers, the head of the village and other officials. On September 9, the first opening of Waste Banks was held in Dusun Nesa and Koripan and Koripan Tengah and on September 10, 2021, in Dusun Selat and Pagutan. On October 7, 2021, training on household waste management and composting was held in Banjar Pagutan, Banjarangkan. Meanwhile, the construction of biopori wells and biopori holes was carried out in the house of one of the residents as a pilot with the aim that when it was successful, the village could continue and duplicate the activities. The same wells were also constructed in SMPN 1 Banjarangkan. Keywords: Banjarangkan, segregation, trash bank, composting, biophore well
Identifikasi Penyebab Diare di Kabupaten Karangasem, Bali Sujaya, I N.; Aryantini, N.P. Desy; Nursini, N.W.; Purnama, S.G.; Dwipayanti, N.M.U.; Artawan, I G.; Sutarga, I M.
Kesmas Vol. 4, No. 4
Publisher : UI Scholars Hub

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

Abstract

Pada Februari hingga Maret 2008 terjadi kejadian luar biasa muntah berak (diare) di Kabupaten Karangasem Bali. Tercatat sekitar 600 orang mengalami muntaber dan 5 orang meninggal dunia. Ini merupakan kejadian KLB muntaber pertama kali di Bali serta belum diketahui patogen penyebab diare tersebut. Tujuan penelitian ini adalah mengidentifikasi penyebab diare di Karangasem serta kemungkinan rantai penularannya. Penelusuran penyebab KLB dilakukan dengan menganalisis sampel air yang diambil dari sumber air umum, cubang/sumur penduduk, bahan makanan, serta rectal swab penderita dengan kombinasi teknik pemupukan kuman dan PCR spesifik dengan target gen pembentuk toksin pada Escherichia coli. Dengan melakukan kultur pada sampel makanan diperoleh bahwa 11 dari 21 sampel makanan positif mengandung E. coli. Dari sampel yang positif E. coli, 2 sampel yang diambil di rumah penderita muntaber terdeteksi gen pembentuk shiga like toxin tipe I dan II pada E. coli. Deteksi gen pengkode shiga like toxin tipe I juga terdeteksi pada penderita dan beberapa sampel air dari cubang penduduk. Hal ini menunjukkan bahwa E. coli pembentuk shiga ike toxin tipe I merupakan penyebab KLB di Karangasem. Lebih lanjut diperoleh bahwa pita shiga like toxin tipe I dan tipe II. E. coli strain Karangasem berbeda dengan strain EHEC sehingga strain Karangasem ini kemungkinan merupakan strain E. coli patogen baru yang terjadi akibat perubahan genetik pada E. coli pembentuk shiga like toxin yang ditemukan di Bali. In February to March 2008, Bali was shocked by the outbreak of diarrhea in Karangasem District, Bali. It was recorded that 600 people were having diarrhea and 5 people were died due to the disease. This outbreak was the first time happened in Bali and the causing pathogen was not yet identified. The aim of this study was to identify the causing pathogen of diarrhea in the outbreak case in Karangasem, as well as to identify the possible transmitting pathway. The tracking of outbreak cause was carried out by analyzing water sample taken from communal clean water source, private clean water reservoir, food sample, as well as rectal swab of the patient with the combination of pathogen enrichment technique and specific PCR with Escherichia coli as the target of toxin forming agent. Based on the culture growth from food samples, it was found that 11 from 21 samples were E. colipositive. From samples that E. colipositive, 2 sam-ples that were taken from patient’s house were detected a shiga like toxic forming gene, type I and II on the E. coli. The similar shiga like toxin forming gene type I was also detected on samples from patient and samples from water of private family cubang. This shows that E. colithat forms shiga like toxin type I was the diarrhea causing pathogen in this particular outbreak in Karangasem. Furthermore, it was found out that the ribbon formed by shiga like toxin type I and II differ from the strain of EHEC. Thus, it is possible that the strain found in Karangasem was a new strain of E. colipathogen due to genetic transformation on shiga like toxin forming E. coli that was found in Bali.
Co-Authors Adhi, K.T. Ciawi, Y. I G. Artawan I M. Sutarga I N. Sujaya Kurniawati, D.P.Y. N.P. Desy Aryantini N.W. Nursini Pharmawati, M. Purnama, G.H. Putu Ayu Indrayathi S.G. PURNAMA Wrasiati, L.P.