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DETERMINAN KEMATIAN BAYI DI INDONESIA BERDASARKAN ANALISIS DATA SKI 2023: DETERMINANTS OF INFANT MORTALITY IN INDONESIA: AN ANALYSIS OF 2023 SKI DATA Ainna Rahmini; Adelina Fitri; Helmi Suryani Nasution; Muhammad Syukri; Ismi Nurwaqiah Ibnu
GEMA KESEHATAN Vol. 17 No. 1 (2025): Juni 2025
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v17i1.484

Abstract

Berdasarkan hasil Long Form SP2020 Angka Kematian Bayi (AKB) di Indonesia mencapai 16,85 per 1000 kelahiran hidup dan angka tersebut masih belum mencapai target SDG’s di tahun 2030 yaitu 12 per 1000 kelahiran hidup. Penelitian bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kematian bayi di Indonesia. Penelitian ini menggunakan sekunder berupa data Survei Kesehatan Indonesia (SKI) tahun 2023 yang kemudian dilakukan analisis lanjutan. Analisis data dilakukan secara univariat, bivariat, serta multivariat. Hasil penelitian menujukkan bahwa proporsi kematian bayi mencapai 2,6%. Faktor yang berhubungan dengan kematian bayi di Indonesia yaitu status pekerjaan ibu (p-value = 0,000 POR = 2,64 95%CI : 1,72-4,06), usia ibu (p-value = 0,003 POR = 1,88 95%CI : 1.23 – 2.86), jarak kelahiran (p-value = 0,022 POR = 2,08 95%CI : 1.01 – 3.94), pendidikan ibu (p-value = 0,004 POR = 1,86 95%CI : 1,21-2,84), sosial ekonomi (p-value = 0,000 POR = 5,47 95%CI : 3,47 – 8,63), komplikasi kehamilan (p-value = 0,000 POR = 2,18 95%CI : 1,41-3,39), penolong persalinan (p-value = 0,000 POR = 3,37 95%CI : 1,71-6,62) dan kunjungan ANC (p-value = 0,015 POR = 1,69 95%CI : 1,10 – 2,60). Faktor yang tidak berhubungan dengan kematian bayi meliputi jaminan kesehatan dan tempat tinggal. Faktor dominan dengan kematian bayi yakni sosial ekonomi setelah dikontrol oleh variabel status pekerjaan, usia ibu, jarak kelahiran, pendidikan ibu, komplikasi kehamilan, penolong persalinan dan kunjungan ANC. Kata kunci: Angka Kematian Bayi (AKB), Determinan, Survei Kesehatan Indonesia (SKI)     Based on the results of the 2020 Long Form Population Census (SP2020), the Infant Mortality Rate (IMR) in Indonesia reached 16.85 per 1,000 live births—still above the Sustainable Development Goals (SDGs) target of 12 per 1,000 live births by 2030. This study uses secondary data from the 2023 Indonesian Health Survey (SKI), which was subjected to further analysis. Data analysis was carried out univariately, bivariately, and multivariately. The results showed that the proportion of infant mortality was 2.6%. Factors significantly associated with infant mortality included maternal employment status (p-value = 0.000 POR = 2.64 95%CI: 1.72-4.06), maternal age (p-value = 0.003 POR = 1.88 95%CI: 1.23 – 2.86), birth spacing (p-value = 0.022 POR = 2.08 95%CI: 1.01 - 3.94), maternal education (p-value = 0.004 POR = 1.86 95%CI: 1.21-2.84), socio-economic (p-value = 0.000 POR = 5.47 95%CI: 3.47 – 8.63), pregnancy complications (p-value = 0.000 POR = 2.18 95%CI: 1.41-3.39), birth attendant (p-value = 0.000 POR = 3.37 95%CI: 1.71-6.62) and ANC visits (p-value = 0.015 POR = 1.69 95%CI: 1.10 – 2.60). Factors not related to infant mortality include health insurance and residence. The dominant factor in infant mortality is socio-economic after being controlled by the variables of employment status, maternal age, birth spacing, maternal education, pregnancy complications, birth attendants, and ANC visits. Keywords: Infant Mortality Rate (IMR), Determinants, Indonesian Health Survey (IHS)
Factors Related to the Presence of Aedes SP Larvae in Simpang III Sipin Village in 2024 Berlian Oktiani Sukma; Guspianto Guspianto; Andree Aulia Rahmat; Fajrina Hidayati; Ismi Nurwaqiah Ibnu
International Journal of Medicine and Health Vol. 4 No. 1 (2025): International Journal of Medicine and Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v4i1.5608

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health issue in Indonesia, particularly in endemic areas like Simpang III Sipin Village. This disease is transmitted by Aedes sp mosquitoes, and the presence of their larvae is a key indicator of the potential spread of DHF. Environmental conditions, such as water reservoirs and humidity, alongside community behaviors, play significant roles in supporting the growth of these mosquito larvae. Therefore, research is needed to identify the factors influencing the presence of Aedes sp larvae. Methods: This study utilized a cross-sectional design with a quantitative approach. The sample consisted of 143 households, selected using purposive sampling techniques. Data were collected via questionnaires and direct observations. Additionally, measurements of environmental conditions such as air humidity and temperature were taken using a hygrothermometer. The variables under study included knowledge, attitudes, behavior regarding water reservoir drainage (TPA), number of TPAs, air humidity, and air temperature. Results: Data analysis was conducted using the Chi-Square statistical test to determine the relationships between the variables. The results indicated that factors like knowledge level (p = 0.008), attitude (p = 0.008), behavior related to draining water reservoirs (p = 0.001), number of water reservoirs (p = 0.013), and air humidity (p = 0.004) were significantly related to the presence of Aedes sp larvae. However, air temperature did not show a significant relationship (p = 0.675). Conclusion: High humidity environments encourage the growth of mosquito larvae, and insufficient knowledge and inadequate preventive behaviors contribute to increased mosquito populations, exacerbating the risk of DHF transmission.
Factors Influencing The Utilization of Antenatal Care (K4) in Pregnant Women at The Pondok Meja Community Health Center, Muaro Jambi Regency in 2024 Br Tarigan Tua, Pratenta; Sari, Rumita Ena; Hubaybah, Hubaybah; Wardiah, Rizalia; Ibnu, Ismi Nurwaqiah
Jurnal Kesmas Jambi Vol. 9 No. 1 (2025): VOLUME 9 - NUMBER 1 - MARCH 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i1.41499

Abstract

Antenatal care is a service provided to pregnant women, including physical and psychological health monitoring, fetal growth and development assessment, and preparation for labor and delivery. According to data from the World Health Organization (WHO), an estimated 500 women die each day due to complications related to pregnancy and childbirth. A decrease in the utilization of antenatal care visits has been observed at the Pondok Meja Health Center. Therefore, this study aims to identify the factors associated with the utilization of antenatal care at the Pondok Meja Health Center. This study employed a quantitative method with a cross-sectional design, using univariate, bivariate, and multivariate data analyses. The research sample consisted of mothers with children under six months of age within the working area of the Pondok Meja Health Center between September 2024 and January 2025. A total of 145 respondents were selected using a stratified sampling method. Several variables were found to be significantly associated with the utilization of antenatal care services, including employment status (p = 0.003) and health workers (p = 0.002). Meanwhile, variables not significantly associated included age (p = 0.128), parity (p = 0.392), education level (p = 1.000), knowledge (p = 0.127), family support (p = 0.496), disease history (p = 0.896), and satisfaction level (p = 0.070). The most influential factor was employment status (PR = 3.276). Both employment status and health workers play a role in the declining utilization of antenatal care services, with employment status identified as the most dominant risk factor.
SYSTEMATIC REVIEW DAN META ANALYSIS : DAMPAK KEPADATAN HUNIAN DAN PAPARAN ASAP ROKOK TERHADAP KEJADIAN TB PARU PADA ANAK paradiba, anggia; Kalsum, Ummi; Butar, Marta Butar; Nasution, Helmi Suryani; Ibnu, Ismi Nurwaqiah
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.43857

Abstract

Permasalahan TB paru pada anak masih tinggi. Sejumlah studi telah menemukan berbagai faktor risiko yang berkontribusi terhadap kejadian TB Paru. Tujuan penelitian adalah menganalisis hasil studi terkait proporsi dan faktor risiko TB paru pada anak serta memperoleh efek gabung dari variabel yang berpengaruh dengan kejadian TB paru pada anak. Rancangan penelitian adalah Systematic review dengan meta analisis dilakukan pada bulan Oktober 2024-Maret 2025. Sumber database adalah Google Scholar, Pubmed dan Scopus menggunakan Software Publish or Perish. Kata kunci yang digunakan adalah faktor risiko, TB paru dan anak. Artikel yang telah di publish 2019-2023. Diperoleh 4 artikel yang dianalisis dari pencarian awal berjumlah 114731 artikel. Analisis data dengan aplikasi RevMan 5.4. Proporsi TB paru adalah 14,20% (95% CI: 4,34-24,52). Faktor risiko TB adalah kepadatan hunian (SMD=2,42; CI 95%=1,00-5,86; P-value= 0,05) terbukti signifikan sedangkan  sedangkan paparan asap rokok (SMD=1,42; 95% CI=0,89 hingga 2,25; nilai P-value=0,25) belum terbukti signifikan secara statistik. Tidak ada bias publikasi pada setiap variabel yang dianalisis. Tinggal di hunian yang tidak memenuhi syarat berpengaruh terhadap kejadian TB Paru pada anak. Orang tua disarankan lebih waspada terhadap gejala-gejala TB, dan memiliki hunian yang memenuhi syarat agar anak terhindar dari penularan bakteri TB.
ANALISIS UPAYA PENGENDALIAN BAHAYA KERJA KEBISINGAN DI AREA JCS PT.TGI RO 1 JAMBI Marius, Najmi Hasanah; Lanita, Usi; Aswin, Budi; Rini, Willia Novita Eka; Ibnu, Ismi Nurwaqiah
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.44501

Abstract

Kebisingan di lingkungan kerja merupakan salah satu faktor bahaya fisik yang dapat berdampak negatif pada kesehatan dan keselamatan pekerja. Tingkat kebisingan yang melebihi Nilai Ambang Batas (NAB) dapat menyebabkan gangguan pendengaran, stres, dan penurunan produktivitas. Jabung Compressor Station PT Transportasi Gas Indonesia (TGI) merupakan salah satu area industri yang memiliki tingkat kebisingan tinggi akibat operasional mesin-mesin berat. Oleh karena itu, diperlukan upaya pengendalian untuk meminimalkan risiko bahaya akibat kebisingan di tempat kerja. Penelitian ini menggunakan pendekatan kualitatif deskriptif dengan metode observasi, wawancara mendalam, dan studi dokumentasi. Data diperoleh melalui pengukuran tingkat kebisingan di area kerja serta wawancara dengan pekerja dan pihak manajemen terkait strategi pengendalian yang telah diterapkan. Hasil pengukuran menunjukkan bahwa beberapa mesin, seperti Gas Turbine Compressor (92,1 dBA), Fire Engine (96,7 dBA), Gas Engine Generator (85,4 dBA), dan After Cooler (85,2 dBA) memiliki tingkat kebisingan di atas NAB 85 dBA. Upaya pengendalian yang telah diterapkan ialah meliputi rekayasa teknik seperti pemasangan silencer dan enclosure, pengendalian administratif melalui pelatihan Keselamatan dan Kesehatan Kerja (K3) dan pemasangan safety sign, serta penggunaan Alat Pelindung Diri (APD) seperti earplug dan earmuff. Untuk upaya eliminasi dan substitusi belom bisa dilakukan oleh Perusahaan. Upaya pengendalian bahaya kerja kebisingan di Jabung Compressor Station PT TGI telah diterapkan dengan pendekatan hierarki pengendalian, tetapi masih perlu evaluasi lebih lanjut untuk meningkatkan efektivitasnya. Perusahaan disarankan untuk memperkuat penerapan teknologi pengendalian kebisingan serta meningkatkan kepatuhan pekerja dalam penggunaan APD.
Protein Insufficiency Among First-Trimester Pregnant Women in Jambi, Indonesia Herlambang, Herlambang; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Fitri, Amelia Dwi; Kusdiyah, Erny; Ibnu, Ismi Nurwaqiah
Althea Medical Journal Vol 12, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n2.4044

Abstract

Background: Insufficient protein intake or specific patterns of plasma amino acid levels during pregnancy has been associated with adverse maternal and neonatal outcomes. Studies in non-pregnant women have reported an association between protein intake and amino acid levels, however, data in pregnant women remain limited. Jambi, a region rich in freshwater fish, has a traditional dishes based on fish, which may affect maternal protein adequacy. This study aimed to assess protein sufficiency intake, plasma essential amino acid levels, and the relationship between fish consumption and protein intake among first-trimester pregnant women. Methods: A cross-sectional study was conducted in 2022 involving pregnant women at 9-16 weeks of gestation in Jambi, Indonesia, selected through purposive sampling. Protein intake and fish consumption data were collected using Food Frequency Questionnaires. Plasma essential amino acid levels were measured using Liquid Chromatography-Mass Spectrometry. Bivariate analyses were performed using Mann-Whitney and Chi-square tests.Results: Among 30 participants, 23.3% had insufficient protein intake and had lower plasma essential amino acid levels. Lysine levels showed a statistically significant difference between groups (p=0.010). Women with adequate protein intake reported significant higher fish consumption, particularly of freshwater fish (p=0.033).Conclusion: Adequate protein intake during early pregnancy is related to higher plasma essential amino acid levels. Consumption of local freshwater fish contributes to maintaining sufficient protein intake. These findings emphasize the importance of integrating healthy dietary patterns and locally sourced nutrient-rich foods into prenatal care to support maternal wellness and long-term health outcomes.
Antenatal Care as a Risk Factor in Pregnant Women with Anemia in Batanghari Regency, Jambi Province Ibnu, Ismi Nurwaqiah; Perdana, Silvia Mawarti; Kasyani
Journal of Public Health Indonesian Vol. 1 No. 6 (2025): MARCH-JHH
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/e5q9x972

Abstract

The nutritional status of pregnant women significantly influences stunting in toddlers, as reflected by upper arm circumference measurements during the first trimester. Based on the Indonesian Nutritional Status Survey, stunting in Batanghari Regency decreased to 24% in 2021 but rose again to 26% in 2022, highlighting pregnancy as a critical period affecting future life quality. This quantitative study employed an analytical observational method with a cross-sectional design, conducted in the Community Health Center Work Area in Batanghari Regency, focusing on areas with the highest stunting prevalence. The research was carried out over eight months (March–November 2023) with a sample of 245 pregnant women in their second and third trimesters. Results showed that 40.4% of pregnant women experienced anemia. Statistically significant factors influencing anemia among pregnant women included family income, upper arm circumference, body mass index, TT injection services, blood pressure monitoring, provision of iron supplement tablets, and uterine fundal height measurements. It is recommended to enhance pregnant women's access to healthcare services to improve their awareness of anemia risks and support better nutritional and health outcomes, which in turn can reduce anemia prevalence.
Analisis Determinan Kekurangan Energi Kronik (KEK) pada Ibu Hamil di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi Khusnul Amalia Khamdiyah; Fajrina Hidayati; Usi Lanita; Ismi Nurwaqiah Ibnu; Silvia Mawarti Perdana
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 4 No. 2 (2025): Agustus : Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jurrikes.v4i2.5681

Abstract

Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that has serious impacts on the health of both the mother and the fetus, such as increased risk of preterm birth, low birth weight, and labor complications. In Jambi City, CED cases have continued to rise year by year. This study aims to identify the determinants of CED among pregnant women in the working area of Putri Ayu Public Health Center, Jambi City. This study employed a quantitative approach with an analytical observational design using a cross-sectional method. The sample consisted of 82 pregnant women selected through purposive sampling. Data were collected using questionnaires and anthropometric measurements using MUAC. Data were analyzed using the Chi-Square test to examine the relationship between independent variables and the incidence of CED. The study found that the prevalence of Chronic Energy Deficiency (CED) among pregnant women was 28%. Statistical analysis revealed that infectious diseases (p=0.000), personal hygiene (p=0.009), environmental sanitation (p=0.037), education (p=0.004), occupation (p=0.000), and income (p=0.040) were significantly associated with CED in pregnant women. There is a significant relationship between infectious diseases, personal hygiene, environmental sanitation, education, occupation, and income with Chronic Energy Deficiency (CED) in pregnant women at Putri Ayu Public Health Center, Jambi City. It is expected that efforts to address chronic energy deficiency (CED) among pregnant women at Putri Ayu Public Health Center can be carried out through an integrated approach, including improvements in personal hygiene, environmental sanitation, prevention of infectious diseases, as well as enhancement of education, employment, and family income.
PENCEGAHAN RISIKO STUNTING MELALUI KELAS CATIN DI KECAMATAN JELUTUNG Siregar, Sri Astuti; Asparian, Asparian; Lanita, Usi; Syukri, Muhammad; Ibnu, Ismi Nurwaqiah; Rahmat, Andree Aulia
Jurnal Salam Sehat Masyarakat (JSSM) Vol. 6 No. 2 (2025): Vol. 6 No. 2 (2025): Jurnal Salam Sehat Masyarakat
Publisher : Prodi Ilmu Kesehatan Masyarakat, FKIK Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jssm.v6i2.45886

Abstract

Salah satu pilar dalam strategi nasional percepatan penurunan stunting yaitu peningkatan komunikasi perubahan perilaku dan pemberdayaan masyarakat dimana salah satu kelompok sasarannya adalah calon pengantin (Catin). Calon pengantin merupakan kelompok sasaran yang perlu mendapatkan intervensi dalam pelayanan kesehatan reproduksi. Salah satu upaya untuk mendukung pemenuhan hak reproduksi bagi calon pengantin adalah program Kelas Catin. Tujuan pengabdian kepada masyarakat ini adalah untuk meningkatkan pengetahuan dengan memberikan edukasi melalui Kelas Catin serta mengidentifikasi Catin yang menderita Anemia. Metode pengabdian dilakukan dengan melakukan pengukuran pengetahuan sebelum dan sesudah edukasi serta pengukuran kadar Hb dalam darah kepada 22 Catin. Hasil kegiatan didapatkan adanya peningkatan pengetahuan peserta dimana sebelum dilakukan edukasi sebesar 18,2 % dan meningkat sebesar 100% setelah diberikan edukasi. Sebanyak 6 orang Catin diketahui Anemia. Oleh sebab itu, Catin diharapkan berpartisipasi aktif untuk mengikuti edukasi kesehatan dan melakukan pemeriksaan pra nikah di fasilitas kesehatan setempat agar menghindari Catin beresiko melahirkan bayi stunting.
Biscuit Formulation Substitutes Wheat Flour with Tempeh Flour and Nile Tilapia Fish Flour as Complementary Food to Prevent Stunting kasyani, Kasyani; Mursyid, Mursyid; Perdana, Silvia Mawarti; Ibnu, Ismi Nurwaqiah; Kusmawan, David; Lanita, Usi; Alfridsyah, Alfridsyah; Wazzan, Huda
Indonesian Food Science and Technology Journal Vol. 8 No. 2 (2025): Volume 8. Number 2, July 2025 |IFSTJ|
Publisher : Department of Technology of Agricultural product (THP) Jambi University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/ifstj.v8i2.39090

Abstract

Abstract— Stunting is one of the nutritional problems in Indonesia. One of the specific interventions for stunting is nutritional support in the form of protein-rich complementary foods, both animal and plant-based protein. This research is expected to provide an alternative to high-protein complementary foods for toddlers, thereby contributing to efforts to reduce stunting problems in Indonesia. The biscuit formulation consists of four treatments of the ratio of wheat flour: tempeh flour: Nile Tilapia fish flour, namely (F1) 100:0:0, (F2) 50:15:35, (F3) 50:25:25, and (F4) 50:35:15. The test parameters in this study were organoleptic tests, chemical tests in the form of proximate analysis, calcium, zinc, dietary fiber, amino acid, and fatty acid content, as well as physical tests in the form of texture and color. The results of the study showed that the best treatment based on the organoleptic test was a ratio of 50:25:25. Chemical tests showed that proximate analysis, calcium, dietary fiber, essential and non-essential amino acid composition, and fatty acid composition of selected biscuits were higher than those of control biscuits. The zinc content of selected biscuits was the same as that of control biscuits. The results of physical tests showed that selected biscuits had the same color description as the control, but had a softer texture than the control. The conclusion obtained was that, based on the composition of nutritional and non-nutritional content, selected biscuits with a 50:25:25 formulation have the potential as complementary food ingredients for breast milk that can help prevent stunting in toddlers.