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PENGARUH BCG SCAR TERHADAP HASIL UJ TUBERKULIN ANAK SEKOLAH DASAR (SD) KELAS I-IV (8-13 TAHUN) DI KABUPATEN CILACAP TAHUN 2008 Sri Nurlaela; Dyah Umiyarni Purnamasari; Dwi Sarwani Sri Rejeki; Erna Kusumawati; Setiyowati Rahardjo
Kesmas Indonesia Vol 2 No 1 (2009): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Objective research to explore the influence of BCG scar for results of tuberculin test after controlled by covariat variable e.g childrens’s characteristic (age, gender), parents’s characteristic (parents’s education, parents’s occupation) and household size. Method using a case control study held in primary school children attending class I-IV (8-13 years age) in Cilacap district from September–Desember 2008. Sample divided in two group, there are 109 case and 109 control. School children who had result of tuberculin test ≥ 10 mm, respectively, were considered as a case. Control were school children who have result of tuberculin test 0-9 mm, selected by proporsional random sampling. Informations about children’s result of tuberculin test were obtained from secondary datas of tuberculin survey which held on center of Java. Primary datas obtained by interviewing with school children. Result logistic regression demonstrated influence of BCG scar for result pf tuberculin test showed result OR = 0.432, p value = 0,409, it means childrens who had BCG scar had a risk for positive tuberculin 0.432 greater than childrens who had not BCG scar. Based on result, age was confounding variable for influence of BCG scar for results of tuberculin test (OR = 0.434, nilai p = 0.003).
Hubungan Tingkat Asupan Zat Gizi Dengan Anemia Ibu Hamil Di Kabupaten Banyumas Erna Kusumawati; Setyowati Rahardjo
Kesmas Indonesia Vol 12 No 2 (2020): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2020.12.2.2636

Abstract

Status Gizi ibu selama hamil dan asupan gizi yang optimal merupakan penentu utama untuk pertumbuhan dan perkembangan janin. Penelitian ini bertujuan untuk mengetahui hubungan asupan zat gizi dengan anemia ibu hamil di Kabupaten Banyumas, desain cross sectional. Penelitian dilakukan di Puskesmas I Purwokerto Timur dan Puskesmas Baturaden Kabupaten Banyumas. Populasi penelitian adalah ibu hamil dengan jumlah sampel 135 ibu hamil pemilihan sampel dengan purposive sampling. Analisa data meliputi analisis univariat, bivariat dengan chi-square dan multivariate regresi logistik. Sebagian besar (84,4%) usia ibu tidak beresiko dan sebagian besar (60,0%) paritas tidak beresiko serta hampir seluruh ibu hamil (95,6%) dengan jarak kehamilan ≥2 tahun. Sebagian besar ibu hamil (66,7%) memiliki pengetahuan baik, dan sebagian besar ibu hamil (51,1%) tidak patuh mengkonsumsi tablet Fe. Ibu hamil memiliki tingkat asupan zat gizi masih kategori kurang dibandingkan AKG 2013 yaitu asupan energi (97,1%), tingkat asupan protein (86,7%), tingkat asupan lemak (92,6%), tingkat asupan zat besi (934%), tingkat asupan vitamin C (66,6%). Sebagian besar (83,0%) ibu hamil tidak mengalami KEK dan kejadian anemia ibu hamil sebesar 48,1% pada trimester dua dan tiga. Variabel asupan gizi yang berhubungan dengan kejadian anemia pada ibu hamil adalah tingkat asupan zat besi (p value 0,034) dan vitamin C (p value 0,019). Faktor yang berpengaruh terhadap kejadian anemia pada ibu hamil adalah tingkat konsumsi vitamin C. Upaya pencegahan gangguan pertumbuhan bayi selama ibu hamil diperlukan melalui intervensi peningkatan asupan gizi selama hamil.
PENGARUH PENYAKIT INFEKSI DAN FAKTOR LINGKUNGAN TERHADAP STATUS GIZI BALITA DI KABUPATEN BANYUMAS Erna Kusumawati; Dwi Sarwani Sri Rejeki
Kesmas Indonesia Vol 1 No 1 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Children under five years are risk group of infectious diseases and their health condition. Nutritional status in people in some area is determining by growth status especially related with childen under five years nutritional status. The aim of this research is to analize the influence of infectious disease and environtmental factors toward children under five years nutritional status in hte district of Banyumas. It is case control study design with retrospective approach with 69 children under five as sample. It used observational by using structured questionare to collecting the data from mother as research subject. Research variables such as children under five years nutrition status, infectious diseases, energy and protein consumption level, environmental level, environmental factors, sosio culture. Data is analyzed with univariate, bivariate and multivariate by using logistic regression. Research result showed that variable statistically signification influenced children under five nutritional status were energy consumption level, housing ventilation and housing cleaness. The effort to increase nutrional status among children under five years need a comprehensip program including increasing children under five consumption, healthy housing and increasing knowledge of mother about nutrition and health.
HUBUNGAN PENGETAHUAN,SIKAP, DAN PAPARAN INFORMASI DENGAN PERAN SUAMI DALAM PENCEGAHAN BAYI BERAT LAHIR RENDAH DI PUSKESMAS II SUMBANG DAN KEDUNGBANTENG Setiyowati Rahardjo; Erna Kusumawati; Ibnu Zaki
Kesmas Indonesia Vol 9 No 2 (2017): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Prevalensi bayi berat lahir rendah (BBLR) di wilayah kerja Puskesmas II Sumbang (7,1%) dan Kedungbanteng pada tahun 2015 masih menjadi masalah kesehatan (5,57%). Upaya yang dapat dilakukan untuk mencegah kejadian BBLR adalah dengan mengoptimalkan peran suami. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pengetahuan,sikap dan akses informasi dengan peran suami dalam pencegahan BBLR. Jenis penelitian ini adalah kuantitatif cross-sectional. Populasi dalam penelitian ini adalah seluruh suami dari ibu yang mempunyai bayi berusia 0-3 bulan dan tercatat di Puskesmas II Sumbang dan Kedungbanteng, Sampel dipilih dengan cluster random sampling sebanyak 100 responden. Pengambilan data dilakukan dengan wawancara menggunakan kuesioner. Analisis data meliputi anallisis univariat untuk menggambarkan masing-masing variabel, bivariat dengan uji chi square dan multivariate menggunakan regresi logistik. Hasil univariat menunjukkan bahwa sebagian besar responden mempunyai peran pencegahan BBLR yang baik (70%), berpengetahuan baik (61%), memiliki sikap yang mendukung (55%), memiliki akses informasi yang baik (57%) .Analisis bivariat menunjukkan variabel yang berhubungan yaitu pengetahuan dan akses informasi. Analisis multivariat menunjukkan variabel yang mempengaruhi adalah akses informasi. Bagi pihak Puskesmas agar lebih mengoptimalkan penyebarluasan informasi tentang BBLR.
PEMBERDAYAAN IBU SEBAGAI UPAYA DETEKSI DINI KEKURANGAN GIZI BALITA DI PUSKESMAS II SUMBANG KABUPATEN BANYUMAS Erna Kusumawati; Setiyowati Rahardjo; Endo Dardjito
Kesmas Indonesia Vol 7 No 3 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

A mother has a mayor role in child growth, especially for their nutritional status. The objective of this research was to identify the incidence of undernutrition by identifying factors that cause undernutrition such as child factor, family factor, maternal factor and environmental factor using quantitive approach, identifying how far the interaction of community with the publich health, identifying the effectiveness programs to prevent undernutrition The factors analyzed using multiple regression logistic. Interactive model1) used to analyzed the extent of publich health for the undernutrition preventing programs. The sample of this study were the children with undernourished from January-July 2012, there were 50 subject. As a control, researcher use 50 children with wellnourished status who lives near the subject with undernourished status. Analysis of quantitative data obtained from the results of the causes of malnutrition in gender, maternal employment, and environmental sanitation. The most dominant factor is maternal employment. Qualitative analysis concluded institutional issues include the provision of supplementary feeding has been unable to overcome the problem of malnutrition, a history of maternal nutrition and low birth weight, low maternal education and knowledge, lack of exclusive breastfeeding, complementary feeding premature delivery, low maternal participation in posyandu and low income families. Early detection of malnutrition can be done by empowering housewives with increased knowledge of breastfeeding / complementary feeding and nutrition during pregnancy, maintenance of environmental sanitation, as well as increased participation of mothers in the Posyandu.
STUDI PREVALENSI GAKY DI KABUPATEN BANYUMAS TAHUN 2007 Erna Kusumawati; Dwi Sarwani Sri Rejeki; Misbakhul Munir
Kesmas Indonesia Vol 1 No 2 (2008): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Iodium Deficiensy Disorder (IDD) is a group of symptom which arising from body lacking of element iodium continually within sufficiently long, one of indicator used to measure the level of problem in community that is by measure of prevalensi endemic thyroid with Total Prevalency Goiter (TGR) The objectives of this study was to prevalensi IDD at women in reproductive age (WUS) in Banyumas regency year 2017. The type of this research was descriptive survey with cross sectional study. Sampel in this this research is WUS (15-49 year) amounting to 500 people coming from 5 district in Banyumas Regency. Data collecting conducted by observation with Urinary Excretion Iodine (UEI), inspection of degree of GAKY with palpalasi method. This survey is executed in August September 2017. Research result with palpalasi found the amount of Total Goiter Rate at WUS in Banyumas Regency Year in 2017 is 11,4% endemic category with detail degree of IA and IB (3,4%), II (4,0%). At inspection of UEI show has varying with value of lowers 3, highest value 296, average value 192,82 with standard of deviasi 64,40. At inspection of UEI known was 10,1% WUS of include in deficiencies category of iodium with heavy deficiencies (1,2%), moderate (2,8%) and lowers (6,2%). Require to continue to be improved by Communication Information and Education (KIE) so that knowledge of community concerning GAKY mount, so that effect at decrease of prevalensi GAKY.
ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP POLA ASUH IBU BALITA DI KABUPATEN BANYUMAS (Studi di Puskesmas Banyumas dan Puskesmas II Kembaran) Dimas Setio Kusuma Aji; Erna Kusumawati; Setiyowati Rahardjo
Kesmas Indonesia Vol 8 No 1 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

Maternal parenting plays an important role in determining the nutritional status of children, when parenting less well in terms of feeding, health care and stimulation of development, can affect the growth and development of children. The purpose of this research is to determine factors that influence parenting mothers in Banyumas district. This type of research is observational analytic with cross sectional design approach. Number 97 children of samples (0-59 months) are taken proportionally by cluster random sampling while the respondents is children’s mother. The data collection used structure interview with questionnaires. Data analysis used univariate (frequency distribution), bivariate (chi-square) and multivariate (logistic regression). The results showed an association between knowledge (p=0.000) and attitude (p=0.000) with the mother's parenting. The results of multivariate showed knowledge and attitudes affect maternal parenting together, while knowledge is the most dominant factor that influence the mother's parenting. Effort to increase maternal parenting behavior that is held guidance in the form of training to midwife and cadres in order to enhance the skills and capabilities of counseling to the community to be able to deliver better information on nutrition and maternal parenting.
TINGKAT ASUPAN ZAT GIZI DAN STATUS GIZI PENDERITA THALASSEMIA DI KABUPATEN BANYUMAS Erna Kusumawati; Atikah Proverawati; Dyah Umiyarni Purnamasari; Sertiyowati Rahardjo
Kesmas Indonesia Vol 7 No 2 (2015): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTThalassemia is a public health problem and is a hereditary blood disease that frequently occurs , it is due to the accumulation of iron due to transfusion , appetite and low socioeconomic status. The purpose of this study was to determine the determinants of nutritional consumption thalassemia patients . This study used a qualitative descriptive design. A total of 30 respondents participated in this study were taken by simple random sampling technique . Results of the study were mostly (83,3%) patients with thalassemia aged 6-16 years, the majority (73,3%) good nutritional status. Levels of nutrient intake compared with the results obtained in 2013 AKG energy (60,0%) , protein (53,3%), calcium (100 %), iron (60,0%), phosphorus (73,3%), vitamin C (80%), Vitamin B (100%) deficit category < 70 % of the RDA of 2013, only vitamin A which are all included both categories. The increasing age will have a tendency to decline in nutritional status . In the quality of life of patients with thalassemia major effort needs to be improved understanding of the importance of nutrient intake to maintain iron levels in the bodyKeywords: thalassemia, nutritional status, Banyumas Kesmasindo, Volume 7( 2), Januari 2015, Hal. 153-166
PENGARUH TINGKAT KESADARAN GIZI KELUARGA TERHADAP STATUS GIZI BAYI (0-11 BULAN) DI KECAMATAN PURWOKERTO SELATAN KABUPATEN BANYUMAS Erna Kusumawati; Dyah Umiyarni Purnamasari
Kesmas Indonesia Vol 3 No 2 (2010): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

KADARZI program had goal to improve family wmpowerment by approach and change its nutrition practice to solve nutrition problems. South purwokerto subdistrict has 50,15% family that has been not kadarzi and has unsatisfied nutritional status. This research has objective to analisis the level KADARZI to nutritional status in infants (0-11 mounth) at south purwokerto subdistrict. This reasech was a survey study by using crossetional study the variables where practice of KADARZI : growth monitoring infants, breastfeeding comsumption of salt iodine, food combination, comsumption of supplement (indefendent variables) and nutrition status in infant (dependent variable). The population were 777 family and 86 family of sampling. Research resuld showed that ther was significant influence between exclusive breastfeeding and nutritional status (p velue: 0,007), variables that no significant influence were growth monitoring (p value: 0,184), food combination (p value: 0,342), comsumption salt iodine (p value: 0,609) and comsumption of nutrition supplement (p value: 0,307). Suggestion to get promotion and motivation to mother for exclusive breastfeeding.
UPAYA PERBAIKAN GIZI 1000 HARI PERTAMA KEHIDUPAN DALAM RANGKA PENCEGAHAN STUNTING BALITA MELALUI OPTIMALISASI PERAN TENAGA GIZI DI KABUPATEN BANYUMAS Erna Kusumawati; Setiyowati Rahardjo; Hesti Permata Sari
Kesmas Indonesia Vol 8 No 2 (2016): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

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Abstract

ABSTRACTThe first period of 1,000 days of life is a sensitive period due to the impact of the baby during this period. It will be permanent and can not be corrected. One of effort to prevent stunting is provide nutrition services in health centers by using surveillance stunting. The method used participatory by involving partners to play an active role in the activities and accompanied by a team act as a resource and facilitator. The data analysis useddependentt-test measured by changes in pretest and posttest scores. There are 80 % diploma of nutrition, most of them (60%) have 5 years work experience. There was an increased knowledge before and after training is of 9.63 to 9.94, but there was no significant differences in knowledge before and after training p=0,078 (>0.05). For the training, there was an increased skills before and after the training (3.66 to 6.09), p= 0.000 (<0 , 05), it mean that there was significant differences in the skills before and after the intervention. In order stunting surveillance program is expected to involve the health department for nutritionist and midwife to monitor nutrition tracking and reporting activities, especially stunting routine.Keywords : Stunting, Nutritionist, Surveilans Kesmasindo, Volume 8(2) Juli 2016, Hal. 90-98