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Anny Eka Pratiwi
Universitas Warmadewa
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Public Health Social Sciences Other

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Hubungan Penerapan Perilaku KADARZI dengan Status Gizi Balita di Puskesmas Mengwi I Kabupaten Badung Anak Agung Istri Ardhia Pramesti Kiyanti; Anny Eka Pratiwi; Dewa Ayu Putu Ratna Juwita
Aesculapius Medical Journal Vol 3 No 3 (2023): October
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.3.3.2023.337-347

Abstract

Lately, undernourished children coexist with toddlers with toddlers who are overnourished. To overcome these obstacles, the government has made various efforts to improve the nutritional status of Indonesian children. One of them is through the KADARZI (Keluarga Sadar Gizi) programme, which is defined as a family's awareness to detect, anticipate, and resolve any nutritional issues in each of its members. This research objective is to examine the association between the application of KADARZI behavior and the nutritional status of young children, using cross-sectional analytical approach. The participants in this research consist of 100 mothers and toddlers who are in the age range of 6 to 59 months, and live in the operational area of Puskesmas Mengwi I Badung. The respondent selection is done by using a consecutive sampling technique. After the data collection procedure was completed, each variable will be processed by using univariate and bivariate methods. Findings from this study reveal that the majority of toddlers are male (59%) in the age range of 36 to 47 months (35%), and do not experience any nutritional issues according to the TB/U and BB/U index (100% and 69%), also BB/TB index (88%). In addition, 54 out of 100 families did not implement the KADARZI behavior comprehensively. According to the result of chi-square analysis, p-value obtained is 0.005 (p ≤ 0.05). It indicates a significant correlation between the application of KADARZI behavior and the nutritional status of toddlers in the operational area of Puskesmas Mengwi I Badung. The value of prevalence ratio (PR) obtained is 9.370 with a 95% confidence interval between range 1.257 to 69.863. After this research is done, it is recommended to enhance collaboration between POKJA (Kelompok Kerja) IV and government institutions to raise public awareness regarding the implementation of KADARZI behavior.
Hubungan Keikutsertaan Senam Hamil dengan Tingkat Kecemasan Pada Primigravida Trimester III di BPM Widiasih Kadek Yoga Wiratama; I Made Pariartha; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 1 (2024): February
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.1.2024.47-52

Abstract

Anxiety levels during pregnancy can fluctuate as in the first trimester, anxiety begins to occur, then decreases in the second trimester, and increases again in the third trimester. Anxiety during pregnancy until the third trimester if not addressed immediately will have an impact on fetal growth and development, increase in MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate), can cause premature birth, low birth weight (LBW), old age labor, as well as mental and motor disorders of children. Anxiety due to pregnancy tends to often occur in primigravida due to pregnancy and childbirth because they have never experienced something similar. The purpose of this study was to determine the relationship between participation in pregnancy exercise and anxiety levels in third trimester primigravida mothers at IPM (Independent Practice Midwife) Widiasih, Batubulan region, Gianyar in the face of childbirth. This research uses analytical research method with cross sectional study design. Sampling in this study using accidental sampling technique and total sampling method. The sample consisted of 55 third trimester primigravida mothers who had met the inclusion and exclusion criteria. The data collection instrument used the HARS (Hamilton Rating Scale for Anxiety) questionnaire via the google form link. Data analysis was carried out univariate and bivariate. The results obtained in this study were that there was a relationship between participation in pregnancy exercise and the level of anxiety in third trimester primigravida mothers at BPM (Independent Practice Midwife) Widiasih, Batubulan, Gianyar
Hubungan Lemak Subkutan dengan Kebugaran Jasmani Daya Tahan Otot pada Mahasiswa FKIK Universitas Warmadewa I Gede Mandra Adnyana; Tanjung Subrata; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.210-216

Abstract

[The Relationship between Subcutaneous Body Fat and Physical Fitness Muscle Endurance in Students of the Faculty of Medicine and Health Sciences, Warmadewa University] Physical fitness is a collection of physical activities related to health or skills, where the level of fitness can be measured by certain physical tests. Muscular endurance is the ability of muscles to perform repeated contractions within a certain period of time. Fat content also has an important role in physical fitness, namely subcutaneous fat content. This is very necessary in daily activities, including medical students who need good physical fitness, especially when carrying out activities such as providing basic life support. This study aims to determine the relationship between subcutaneous fat levels and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University Batch 2021. This study used a correlational analytic research method with a cross-sectional study design. Subcutaneous fat content data was measured through measurements using a skinfold caliper which was carried out at four body locations, namely biceps, triceps, subscapula and suprailiac, while muscle endurance was measured using the sit up test and push up test. This study used a minimum sample size of 92 students who were taken using simple random sampling technique. Samples were analyzed using univariate analysis techniques and bivariate analysis using Spearman's test. The results showed that the correlation coefficient (r) was 0.395 (p=0.000) for the relationship between subcutaneous fat and muscle endurance sit-ups and the correlation coefficient (r) was 0.467 (p=0.000) for the relationship between subcutaneous fat content and muscle power. The conclusion of this study is that there is a relationship between subcutaneous body fat and physical fitness and muscle endurance in students of the Faculty of Medicine and Health Sciences, Warmadewa University batch 2021. It is recommended for batch 2021 student to control their subcutaneous body fat and performing exercise such as muscle endurance training in order to be able to perform cardiorespiratory rescucitation.
Faktor Risiko Stunting Balita pada Masa New Normal Covid-19 di Puskesmas Sukawati I Kabupaten Gianyar, Bali Dina Indira Amrita Dewi; Luh Gede Pradnyawati; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.179-188

Abstract

[Risk Factors For Stunting In Toddlers At The New Normal Covid-19 Period At Puskesmas Sukawati I Gianyar District, Bali] Stunting is a growth problem due to lack of optimal nutrition. The world is facing the global COVID-19 pandemic affecting the increase in stunting cases because the fulfillment of basic and standard nutrition cannot be implemented during the pandemic. Because of this, eradicating stunting is one of the important agendas in the health sector in the era after the COVID-19 pandemic (new normal). The diagnosis of stunting is obtained if the Z-score of the length or height of the body to age is less than -2 SD (Standard Deviation) according to the World Health Organization (WHO) growth curve. The data for this study were obtained through direct clinical height measurements and filling out questionnaires. This study involved 60 children consisting of 30 children with stunting and 30 children without stunting. The results of the Chi-Square analysis showed that the low birth weight factor had a p-value of 0.002 which had a significant effect on stunting conditions with an OR value of 5,500 considered to be at greater risk of stunting (95% CI = 1,813 - 16,681), exclusive breastfeeding (p-value 0.003) had a significant effect on stunting with an OR value of 5,741 (95% CI = 1,724 - 18,994) considered to be at greater risk of stunting, feeding patterns (p-value 0.004) had a significant effect on stunting, an OR value of 4,929 (95% CI = 1,612 - 15,071) was considered to be at greater risk of stunting, utilization of health services (p-value 0.003) had a significant effect on stunting, an OR value of 5,231 (95% CI = 1,657 - 16,515) was considered to be at greater risk of stunting, and history of infectious diseases The value (P-value 0.002) has a significant effect on stunting with an OR value of 6,000 (95% CI = 1,890 - 19,043) is considered to be more at risk of stunting. So it is concluded that the risk factors for stunting during the new normal period of COVID-19 at the Sukawati 1 Health Center, Gianyar, Bali with a p value <0.05 which shows a significant relationship between exclusive breastfeeding factors, feeding patterns, utilization of health services, and history of infectious diseases with the incidence of stunting.
Hubungan Tingkat Pengetahuan Ibu Tentang Gizi dengan Kejadian Stunting Balita 12-59 Bulan di Wilayah Kerja Puskesmas Tegallalang 1 Ni Made Ayu Novita Anugerah; Luh Gede Pradnyawati; Anny Eka Pratiwi
Aesculapius Medical Journal Vol 4 No 2 (2024): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.4.2.2024.275-281

Abstract

[The correlation between mother’s knowledge regarding nutrition with the prevalence of stunting among children aged 12-59 months within the area of Tegallalang I Primary Health Centre] Stunting is condition when a toddler exhibits a height or length that falls below the median standard growth set by WHO, with a deviation of more than minus two standard deviations. Stunting arises due to chronic malnutrition during the initial 1000 days of a child's life. The main aims of this research are to establish the correlation between the level of maternal comprehension regarding nutrition and the occurrence of stunting among toddlers aged 12-59 months within the jurisdiction of Tegallalang I Primary Health Centre, Gianyar Regency. The research methodology applied for this investigation is a quantitative analytical study with a case-control designs. The total sample size were 96 respondents, evenly divided between 48 cases and 48 controls. The sample technique employed is consecutive sampling for the control group and total sampling for the case group. The sampling methods was consecutive sampling to ensuring the inclusion of all qualifying subjects in attained the required sample size. Data were gathered through the assessment of height or length measurements and the completion of questionnaires. Data were analysed used chi-square analysis to examine the relationship between the mother’s knowledge of nutrition and stunting prevalence. The findings indicated a significant correlation betweens the mother knowledge about nutrition and the occurrence of stunting, with a significance level of < 0.001. As a result, mothers with inadequate nutritional knowledge may contribute to an increased risk of stunting in toddlers, as those with less knowledge experienced a 19.35-fold rise in stunting cases among toddlers aged 12 untill 59 months within the working area of Tegallalang I Primary Health Centre.
Hubungan Tingkat Pengetahuan dan Sikap Ibu Terhadap Pemberian MP-ASI di Wilayah Kerja Puskesmas Tabanan III Ida Ayu Thyana Anindyanari Putri Wardana; Anny Eka Pratiwi; Made Indra Wijaya
Aesculapius Medical Journal Vol 5 No 2 (2025): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.2.2025.104-112

Abstract

Upaya perbaikan gizi merupakan langkah yang diambil pemerintah untuk mengatasi permasalahan gizi pada anak. Kabupaten Tabanan menduduki posisi ketiga sebagai kabupaten dengan balita yang menderita gizi kurang. Status gizi pada balita di Tabanan tidak lepas dari intervensi perbaikan gizi pada anak, melalui pengetahuan serta sikap yang baik pada pemberian MP-ASI diharapkan dapat membentuk penerapan MP-ASI yang baik maka bisa memenuhi kebutuhan gizi anak. Tujuan dari studi yang dilaksanakan yaitu mengidentifikasi hubungan tingkat pengetahuan dan sikap ibu terhadap pemberian MP-ASI di wilayah kerja Puskesmas Tabanan III. Studi yang dilaksanakan adalah jenis studi observasional analitik mempergunakan rancangan metode cross sectional. Teknik pengambilan sampel mempergunakan non probability sampling mempergunakan pendekatan quota sampling. Banyaknya responden adalah 105 responden yang sudah mencukupi kriteria inklusi dan eksklusi. Hasil analisis karakteristik menunjukan mayoritas responden berusia 26 – 30 tahun ( 45%). Temuan studi juga mengindikasikan mayoritas responden mempunyai tingkat pengetahuan yang baik (82%), dan sikap yang baik (64%), serta pemberian MP-ASI yang sesuai (63%). Hasil analisis pearson bivariate menunjukan adanya hubungan yang signifikan pada tingkat pengetahuan ibu dengan sikap ibu terhadap pemberian MP-ASI di wilayah kerja Puskesmas Tabanan III (p = 0,001). Kesimpulan dari studi yang dilaksanakan yaitu ditemukan hubungan tingkat pengetahuan dan sikap ibu terhadap pemberian MP-ASI di wilayah kerja Puskesmas Tabanan III.  
Tingkat Kepatuhan Orang Tua dalam Pemberian Imunisasi Dasar Lengkap pada Bayi di Wilayah Kerja Puskesmas Penebel II Luh Putu Indira Shinta Vedanty; Anny Eka Pratiwi; Made Indra Wijaya
Aesculapius Medical Journal Vol 5 No 2 (2025): June
Publisher : Fakultas Ilmu Kedokteran dan Ilmu Kesehatan, Universitas Warmadewa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/amj.5.2.2025.94-103

Abstract

Imunisasi adalah salah satu usaha pemerintah untuk merealisasikan kesehatan anak di Indonesia terutama pemberian imunisasi dasar yang bisa mencegah serta menurunkan angka fenomena kesakitan, kecacatan, serta kematian akibat Penyakit yang Dapat Dicegah dengan Imunisasi (PD3I). Munculnya kasus campak di Indonesia pada tahun 2022 sejumlah 4.844 kasus, yang mempunyai kasus campak di Provinsi Bali menempati posisi kedua sebanyak 288 orang dengan Kabupaten Tabanan sebanyak 33 kasus.
Penyuluhan Kader Dasawisma Mengenai Tertib Kelola Pangan dengan Metode Food Preparation di Masa Pandemi Covid-19 di Desa Dangintukadaya Ni Made Hegard Sukmawati; Anny Eka Pratiwi; Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita
Warmadewa Minesterium Medical Journal Vol. 3 No. 1 (2024): Januari 2024
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.3.1.2024.1-7

Abstract

Survey terhadap ibu-ibu PKK di Banjar Sebual, Desa Dangintukadaya, Kabupaten jembrana, diketahui bahwa permasalahan yang dihadapi oleh masyarakat selama pandemi Covid-19 adalah perekonomian dan kemampuan daya beli. Penurunan aktivitas pariwisata di Bali berimbas kepada budget pembelanjaan pangan bagi keluarga, dan penyediaan makanan bergizi dan seimbang. Adanya pembatasan sosial dan kekhawatiran akan risiko terinfeksi virus Covid-19 juga menyulitkan para ibu-ibu untuk berbelanja bahan pangan secara rutin. Kegitan Penyuluhan Tertib Kelola Pangan dengan Metode Food Preparation di Masa Pandemi Covid-19 bagi kader Dasawisma di Desa Dangintukadaya diharapkan mampu meningkatkan pengetahuan kader PKK di banjar ini mengenai kelola pangan selama masa pandemi. Pelaksanaan kegiatan dalam program ini meliputi presentasi materi, pemutaran video peraga, dan tanya jawab terkait dengan teknik Food prep. Evaluasi kegiatan dilakukan melalui evaluasi kehadiran, partisipasi aktif kader, pre-test dan post-test untuk mengukur pemahaman peserta terkait materi yang disampaikan. Hasil: berjalan dengan lancar dan peserta telah memiliki pengetahuan yang cukup untuk melakukan pengelolaan pangan dengan metode food preparation. Hasil evaluasi terhadap pengetahuan peserta terkait metode food preparation menunjukkan peningkatan pengetahuan yang terukur dari kenaikan rerata skor awal 22 (pre-test) menjadi 79 (post-test). Kepuasan peserta terhadap keberlangsungan program diukur secara kualitatif melalui penyampaian feedback dari peserta dan peserta menyatakan puas dengan kegiatan ini dan menyatakan manfaat dari informasi yang disampaikan.
Pemberdayaan PKK dan Ibu Hamil Tentang Kehamilan Risiko Tinggi di Desa Bukian, Kecamatan Payangan Ratna Juwita Dewa Ayu Putu; Luh Gede Pradnyawati; Anny Eka Pratiwi; Ni Made Hegard Sukmawati
Warmadewa Minesterium Medical Journal Vol. 3 No. 1 (2024): Januari 2024
Publisher : Warmadewa University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22225/wmmj.3.1.2024.67-73

Abstract

Kehamilan risiko tinggi merupakan salah satu penyebab kematian tertinggi pada kehamilan dan persalinan yang berkontribusi terhadap peningkatan angka kematian ibu. Kehamilan berisiko tinggi adalah suatu kondisi dalam kehamilan, dimana ibu hamil berada dalam keadaan yang dapat memperburuk kondisinya sendiri maupun janin yang dikandungnya akibat proses kehamilan. Program ini bertujuan untuk meningkatkan pengetahuan dan sikap ibu hamil terhadap kehamilan berisiko untuk menurunkan komplikasi selama kehamilan dan persalinan. Desa Bukian merupakan desa di kawasan Kecamatan Payangan Desa Bukian memiliki kegiatan aktif di bidang kesehatan yang dinaungi oleh Puskesmas dengan memberdayakan ibu-ibu PKK sebagai kader. Berdasarkan data Puskesmas, jumlah ibu hamil saat ini sebanyak 43 ibu hamil yang belum pernah mendapat pemaparan lengkap tentang proses kehamilan dan risiko pada kehamilan. Ibu hamil tersebut sebagian besar berada pada trimester satu yang merupakan fase terpenting untuk melakukan skrining dan diagnosis awal jika terdapat gejala patologis pada ibu hamil. Berdasarkan diskusi dengan PKK disepakati penting untuk melakukan edukasi pada ibu hamil untuk meningkatkan pengetahuan dan sikap mereka terhadap kehamilan risiko tinggi sehingga dapat meningkatkan kesiapsiagaan mereka, terutama keluarga dalam melakukan antenatal care sebagai penentu keputusan. Kegiatan ini dihadiri oleh 11 PKK dan 11 ibu hamil yang berdiskusi tentang fase kehamilan, gejala dan tanda patologis, bagaimana cara mengambil keputusan dalam setiap risiko kehamilan serta manajemen stress pada kehamilan. Didapatkan hasil bahwa lebih dari 80% peserta mengalami peningkatan pengetahuan dan sikap terhadap risiko kehamilan sebelum dan sesudah dilakukan diskusi dan penyuluhan. Kegiatan ini diharapkan dapat membantu ibu PKK menjadi kader dalam menyebarkan pengetahuan dan konseling risiko-risiko pada kehamilan yang patut diwaspadai.
Co-Authors Anak Agung Istri Ardhia Pramesti Kiyanti Anak Agung Istri Ardhia Pramesti Kiyanti Dina Indira Amrita Dewi Hegard Sukmawati Hegard Sukmawati, Ni Made I Dewa Ayu Eka Pertiwi I Gede Mandra Adnyana I Made Pariartha Ida Ayu Thyana Anindyanari Putri Wardana Kadek Dwitya Widi Adnyani Dwitya Kadek Dwitya Widi Adnyani Dwitya Kadek Yoga Wiratama Kadek Yoga Wiratama Ketut Ayu Lestari Windhradhi Komang Trisna Sumadewi Luh Gde Sita Maharani Luh Gde Sita Maharani Luh Gede Pradnyawati Luh Putu Indira Shinta Vedanty Made Indra Wijaya Ni Made Ayu Novita Anugerah Ni Putu Diah Witari, Ni Putu Putu Krisna Adwitya Sanjaya Ratna Juwita Tanjung Subrata