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PERAN DUKUN BAYI DALAM MENUNJANG KESEHATAN IBU DAN ANAK Kasnodihardjo, Kasnodihardjo; Kristiana, Lusi; Angkasawati, Tri Juni
Media Penelitian dan Pengembangan Kesehatan Vol 24, No 2 Jun (2014)
Publisher : Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.597 KB)

AbstrakHasil analisis Riskesdas 2010 menggambarkan bahwa Kabupaten Bantul Yogyakarta termasuk 10 besar dari seluruh kabupaten/kota di Indonesia yang mempunyai Indek Pembangunan Kesehatan Masyarakat (IPKM) cukup baik yaitu sebesar 0,69148. IPKM yang merupakan komposit yang menggambarkan kemajuan pembangunan kesehatan termasuk di dalamnya kesehatan ibu dan anak. Jika mendasarkan pada asumsi bahwa ada hubungan yang signifikan kemajuan ekonomi suatu masyarakat dengan tingginya status kesehatan masyarakat maka untuk daerah Bantul menjadikan suatu pertanyaan, karena jumlah keluarga pra-sejahtera atau keluarga miskin di kabupaten tersebut masih cukup tinggi. Oleh karena itu perlu diungkap berbagai faktor endogen; salah satunya faktor sosial budaya yang diduga ikut berperan menunjang status kesehatan masyarakat di kabupaten tersebut. Daerah penelitian dikonsentrasikan di desa Gadingsari Kecamatan Sanden Bantul Yogyakarta, yang mana kasus kematian bayi dan balita sedikit. Data berupa berbagai informasi budaya kaitannya dengan KIA dikumpulkan melalui wawancara mendalam kepada sejumlah informan yang terdiri dari ibu-ibu yang sedang hamil, ibu-ibu pernah melahirkan dan atau sedang mempunyai bayi atau anak balita, sejumlah tokoh masyarakat dan beberapa warga masyarakat yang dianggap mengetahui tentang budaya setempat. Selain wawancara juga dilakukan pengamatan terhadap sejumlah obyek yang berkaitan dengan KIA. Hasil wawancara dimasukan ke dalam tabel matrik informasi esensial untuk menemukan berbagai informasi yang erat kaitannya dengan KIA. Analisa hasil secara diskriptif kualitatif. Salah satu hasil penelitian menggambarkan masih adanya kepercayaan dan keterikatan masyarakat kepada dukun bayi. Dukun bayi walaupun tidak lagi melakukan pemeriksaan kehamilan dan menolong persalinan, namun masih dibutuhkan jasanya untuk memijat ibu sehabis bersalin dan bayi setelah dilahirkan, membantu ibu dalam menangani bayi setelah dilahirkan dan memberikan nasehat tentang hal-hal yang berkaitan dengan KIA, ini tentunya ikut berperan menunjang KIA di desa Gadingsari Kecamatan Sanden Kabupaten Bantul Yogyakarta.Kata Kunci : dukun bayi, Kesehatan Ibu dan AnakAbstractThe results of the analysis of Basic Health Research in 2010 showed that Bantul District of Yogyakarta Province, is one of the 10 Districts / Municipalities in Indonesia bearing good Community Health Development Index of 0.69148. Community Health Development Index (CHDI) is a composite that describes the progress of health development, including maternal and child health. Based on the assumption that there is a significant relationship economic development of community and hight status of health as shown by the CHDI , it is a draws a question, because the preposperous and poor families in the district are quite high. Therefore, it is should be determine what are the various endogenous factors, such as socio-cultural factors; among those factors might play an important role in supporting the health status of the community. This study was concentrated in the rural village of Gadingsari Sanden, Bantul District in the Province of Yogyakarta, which has low cases of infant and child mortality. Data on the various culture practices in relation with mother and child health were collected through in-depth interviews. The informan were pregnant women, women whohave given births, or those who have babies or toddlers. Onther informants were community leaders and some members of the community considered familier with local culture. Alongside with interviews, observations were also conducted on the number of objects related to mother and child health. The results was qualitative descriptive analysis. The result of the study illustrates although perform its role antenatal care and attending births,TBAs is still needed to massage of mothers and infant, and give advice another matters related to MCH.Keywords : traditional birth attendans, Maternal and Child Health Care

Penyuluhan Gizi untuk Mengubah Pengetahuan dan Sikap Masyarakat terhadap Pengembangan Pangan Lokal Salak Manonjaya Bachtiar, Raden Agus; Sumarto, Sumarto; Aprianty, Deris; Kristiana, Lusi
Indonesian Journal of Human Nutrition Vol 5, No 2 (2018)
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

AbstrakSalak Manonjaya merupakan salah satu varietas asli Indonesia yang saat ini pamornya semakin menurun akibat memiliki kualitas rasa kurang disukai dibandingkan dengan salak yang ada di pasaran. Varietas ini di masa yang akan datang dikhawatirkan hilang, sehingga diperlukan upaya revitalisasi pemanfaatan salak ini yaitu dengan diversifikasi produk olahan serta didukung dengan upaya sosialisasinya. Tujuan penelitian ini adalah melihat perubahan pengetahuan dan sikap masyarakat dalam memahami dan mendukung upaya pengembangan dan diversifikasi olahan salak Manonjaya sebagai pangan lokal untuk mengatasi masalah gizi khususnya di Manonjaya melalui penyuluhan gizi. Penelitian ini menggunakan desain one group pretest - posttest. Instrumen yang digunakan adalah kuesioner tervalidasi. Metode pengambilan sampel adalah purposive sampling. Penelitian dilakukan di Kecamatan Manonjaya Kabupaten Tasikmalaya bulan Mei - Agustus 2016. Media penyuluhan yang digunakan adalah booklet dan demo produk olahan salak Manonjaya. Responden penelitian yaitu siswi SMPN 1 Manonjaya, guru, pengelola kantin, orang tua siswa, dan masyarakat umum dengan jumlah 61 orang. Hasil intervensi penyuluhan gizi menunjukkan rata-rata pengetahuan responden tentang Salak Manonjaya dan hasil olahannya meningkat secara signifikan dari 43,72 sebelum intervensi menjadi 73,11 setelah intervensi. Peningkatan penge-tahuan ini diperkuat dengan komitmennya dalam sikap yang menunjukkan adanya pemahaman dan dukungan untuk memanfaatkan olahan salak Manonjaya sebagai salah satu alternatif pemenuhan kebutuhan gizi masyarakat.Kata kunci: pangan lokal, pengetahuan, penyuluhan gizi, salak Manonjaya, sikapAbstractThe trend of Manonjaya salacca (snake fruit) which is one of the native Indonesian varieties is currently declining because its taste is less favorable than the others in the market. In the future, this variety may extinct, thus efforts are needed to revitalize the use of this salacca by diversifying processed products and supported by the socialization. The purpose of this research was to see the changes in knowledge and attitude of community in understanding and supporting the effort to develop and diversify Manonjaya salacca as local food to overcome nutrition problem especially in Manonjaya through nutritional counseling. This study used a one-group pretest-posttest design. The instrument used was a validated questionnaire. The sampling method was purposive sampling. The study was conducted in Manonjaya Subdistrict, Tasikmalaya Regency in May-August 2016.The extension media used were booklets and demonstrations of Manonjaya salacca processed products. The research respondents were students, teachers, canteen managers, parents of students in Junior High School (SMPN) 1 Manonjaya, and public as many as 61 people. The results of the nutrition counseling intervention showed that the average knowledge of respondents about Manonjaya salacca and its processed products increased significantly from 43.72 before the intervention became 73.11 after the intervention. This increase in knowledge is strengthened by the attitudes that show an understanding and support for utilizing processed Manonjaya salacca as an alternative to meeting the nutritional needs.Keywords: attitude, knowledge, local food, Manonjaya salacca, nutritional education

Stunting : Studi Konstruksi Sosial Masyarakat Perdesaan dan Perkotaan Terkait Gizi dan Pola Pengasuhan Balita di Kabupaten Jember Lestari, Weny; Kristiana, Lusi; Paramita, Astridya
Jurnal Aspirasi Vol 9, No 1 (2018)
Publisher : Pusat Analisis Keparlemenan Badan Keahlian Sekretariat Jenderal DPR RI

Indonesia’s rank in world was 5th on stunting case. 5 million of children under five (38.6 % from 12 milion) got stunting in Indonesia. The aims of this study were to descript the social construction of rural-urban community about the meaning of children’s health and illness, and the pattern of nurturing which was related to stunting. The study used qualitative’s method, datas collected with depth interview and observation partisipation. The study was conducted in rural-urban communities which had stunting cases in Jember (Kalisat and Jelbuk). The study was conducted in June to December 2013. The study showed that stunting were related to social construction. Difference social construction in rural-urban which constructed the meaning of healthy or illness and nuruturing the stunting’s children was affected by maternal education, early-age marriage, after marriage’s residence, responsibilities of nurturing, and valuable concept in community that causes the lack of knowledge about nutrition. The study concluded that stunting was not a single cause of heatlh’s problems, but it related to social construction. Causes lied in the distinction of social construction, patterns of communication and interpretation between health providers and community, so there was no meeting point for the success of nutritional improvement children under five’s programs. Kejadian balita pendek (stunting) di Indonesia masih menempati urutan ke-5 di dunia. Terdapat lima Juta (38,6% dari 12 juta) Balita di Indonesia yang memiliki tinggi badan dengan kategori pendek. Penelitian ini bertujuan untuk menggambarkan konstruksi sosial masyarakat perdesaan dan perkotaan terkait pemaknaan sehat dan sakit pada balita, dan pola pengasuhan anak terkait dengan stunting. Metode penelitian adalah kualitatif. Pengumpulan data dilakukan dengan cara wawancara mendalam dan observasi partisipasi. Penelitian dilakukan di wilayah perkotaan (Kecematan Kalisat) dan perdesaan (Kecamatan Jelbuk) dengan kasus stunting tertinggi di Kabupaten Jember. Waktu penelitian adalah 7 bulan (Juni-Desember 2013). Hasil penelitian menunjukkan bahwa masalah stunting terkait erat dengan konstruksi sosial masyarakat. Terdapat perbedaan konstruksi sosial yang membentuk pemahaman sehat/sakit dan pola asuh balita stunting di perdesaan dan perkotaan di Jember. Konstruksi sosial tersebut dipengaruhi oleh pendidikan ibu, usia perkawinan dini, tempat tinggal setelah menikah, tanggung jawab pengasuhan balita, dan prioritas ekonomi pada masyarakat yang menyebabkan minimnya pengetahuan masyarakat tentang gizi. Hasil penelitian menyimpulkan bahwa kejadian stunting bukan merupakan akibat tunggal masalah kesehatan balita, namun terkait erat dengan konstruksi sosial masyarakat. Penyebabnya terletak pada perbedaan konstruksi sosial yang dibangun, pola komunikasi dan pemaknaan antara tenaga kesehatan dengan masyarakat, sehingga tidak ada titik temu untuk keberhasilan program peningkatan gizi balita.

Eksplorasi Tumbuhan Obat Indonesia untuk Kebugaran: Analisis Data Riset Tumbuhan Obat dan Jamu Tahun 2012, 2015, dan 2017 Kristiana, Lusi; Paramita, Astridya; Maryani, Herti; Andarwati, Pramita
Jurnal Kefarmasian Indonesia VOLUME 12, NOMOR 1, FEBRUARI 2022
Publisher : Pusat Penelitian dan Pengembangan Biomedis dan Teknologi Dasar Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/jki.v0i0.5209

Compounding plants into health ingredients is a promotive-preventive-based health culture, which was identified in the Research on Medicinal Plants and Herbs (Ristoja). The regeneration of traditional healers who mastered herbal formulation is not going well, documentation must be carried out for better knowledge transfer process. This study documented the traditional use of plants to preserve health and fatigue, using data from Ristoja 2012, 2015 and 2017, obtained from the National Institute of Health Research and Development (Indonesian Ministry of Health), data were analyzed descriptively. The data inventory includes grouping of species-family, plant parts, method, frequency, and duration of use, cultivation/non-cultivation, origin, and method of obtaining plants. The results show that the ingredients to preserve health and relieve fatigue have a large diversification, namely 33 families and 60 species. The most widely used are from families Zingiberaceae and Myrtaceae; species Z. officinale, C. domestica, C. xanthorrhiza, P. guajava, S. aromaticum, and S. Polyantum; parts of plant leaves (71,7%) and roots (38,3%;, originally from yards, forests, and fields/gardens; mostly consumed once/day (76,7%). Plants that have been used as ingredients to preserve health and relieve fatigue have several mechanism of action, such as antioxidant, anti-inflammatory, analgesic, glycemic control, blood pressure control, and others.

Exploring the Therapeutic Potential of Mimosa pudica L. in Indonesian Traditional Medicine Kristiana, Lusi; Lestari, Weny; Supriadi, Mery Budiarti
Althea Medical Journal Vol 12, No 1 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v12n1.3754

Background: Traditional medicine and traditional healers have a long history of treating diseases in Indonesia. One of the plants that has been used by traditional healers (battra) is Mimosa pudica L. (MP), which is easily found throughout Indonesia. This study aimed to explore the therapeutic potential of traditional herbal medicine containing MP by battra in Indonesia. Methods: This study used a descriptive method using secondary data from the Research on Medicinal Plants and Herbal Medicine (Riset tumbuhan obat dan jamu/RISTOJA), which was conducted in 2012, 2015 and 2017 by the Ministry of Health Indonesia. This study analyzed the utility of MP from 106 concoctions made by 90 battras, from 80 ethnic groups in 23 provinces of Indonesia. Concoctions were categorised based on the parts used, and the herbs’ composition, including preparation and administration. Results: Mimosa pudica L. (MP) in 106 concoctions divided into 48 single-plant uses and 70 multi-plants uses, to treat 38 diseases. The most concoctions were for skin diseases (10 concoctions), followed by rheumatism and gout (9), tumor/cancer and cough (8), haemorrhoids (7), diabetes (6), low back pain (4), and jaundice (4). The most common administration was orally (65.1%). The leaves were the most widely used in herbal medicine, by drinking after being boiled in water.Conclusions: This study provides information on the use of Mimosa pudica L. (MP) concoctions by battra from various ethnic groups and provinces in Indonesia. MP has a variety of pharmacological activities that are consistent with its use in traditional medicine, even potentially addressing age-related diseases such as antidiabetic, anticholesterol, and antihyperlipidemic. Further studies are needed to evaluate the effectiveness and efficiency of multi-ingredient herbal medicines, as well as its preparation and administration in relation to hygiene.

Maternal employment status and early initiation of breastfeeding in Indonesian urban areas Lestari, Weny; Izza, Nailul; Kristiana, Lusi; Maryani, Herti; Andarwati, Pramita; Paramita, Astridya; Laksono, Agung Dwi
BKM Public Health and Community Medicine Vol 41 No 03 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i03.16016

Purpose: The first human milk produced contains highly nutritious colostrum and antibodies that could protect newborns against disease. The study analysed the role of maternal employment status in achieving early initiation of breastfeeding in urban Indonesia. Methods: This cross-sectional study employed secondary data from the 2017 Indonesia Demographic and Health Survey. The study analyzed 36,163 women with children under 24 months old. The study used early initiation of breastfeeding as the outcome variable and maternal employment status as the exposure variable. Furthermore, the research employed ten control variables: maternal current marital status, age, education, parity, wealth, antenatal care, place of delivery, mode of delivery, type of birth, and child sex. The authors employed a binary logistic regression in the final test. Results: The study showed that unemployed mothers were 1.587 times more likely to experience early initiation of breastfeeding than employed mothers in urban Indonesia (AOR 1.587; 95% CI 1.509-1.669). The result indicated that maternal unemployment was a protective factor for the early initiation of breastfeeding in urban Indonesia. Moreover, the results also found that eight control variables were significantly correlated with the early initiation of breastfeeding: current maternal marital status, maternal age, maternal education level, parity, wealth status, antenatal care, place of delivery, and mode of delivery. Conclusion: The study found that maternal employment status correlates with the early initiation of breastfeeding in urban Indonesia. Maternal unemployment status was more likely to experience early initiation of breastfeeding than employed mothers.

Pemodelan Spasial Kasus Kematian Akibat Covid-19 di Provinsi Jawa Timur Tahun 2020 Maryani, Herti; Kristiana, Lusi; Guminta, Dinda Galuh
JI-KES (Jurnal Ilmu Kesehatan) Vol. 6 No. 1 (2022): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v6i1.412

AbstrakProvinsi Jawa Timur merupakan provinsi yang mempunyai jumlah kasus kematian yang tinggi dibanding dengan provinsi lain di Indonesia. Tujuan penelitian adalah melakukan pemodelan kematian akibat Covid-19 di Provinsi Jawa Timur pada tahun 2020, menggunakan analisis Geographically Weighted Regression (GWR). Analisis GWR merupakan pengembangan dari regresi linier dengan parameter model yang berbeda di setiap pengamatan (wilayah).Â Data yang dianalisis adalah data sekunder dari Dinas Kesehatan Provinsi Jawa Timur dan Badan Pusat Statistik (BPS) Provinsi Jawa Timur. Jumlah kematian akibat covid-19 di Jawa Timur mencapai 84.152 jiwa sampai dengan bulan Desember 2020. Hasil analisis menunjukkan bahwa faktor yang mempengaruhi kematian akibat Covid-19 di sebagian besar wilayah Provinsi Jawa Timur adalah jumlah dokter umum di Rumah Sakit dan jumlah pelayanan kesehatan penyakit Diabetes Melitus, sedangkan variable lainnya yang berpengaruh signifikan adalah pelayanan kesehatan penderita Hipertensi danÂ jumlah Rumah Sakit Umum. Analisis GWR menghasilkanÂ pemodelan jumlahÂ kematian akibat Covid-19 di Jawa TimurÂ dengan koefisien determinasi yang lebih tinggi dibanding pemodelan secara global. Pemodelan secara geografis menghasilkan 5 kelompok kabupaten/kota, dengan variabel jumlah dokter umum di Rumah Sakit dan pelayanan kesehatan Diabetes Melitus yang cukup berpengaruh di sebagian besar kabupaten/kota di Jawa Timur.Kata kunci: Covid-19, Jawa Timur, Geographically Weighted RegressionAbstractEast Java Province was a province that had a high number of deaths compared to other provinces in Indonesia. Using Geographically Weighted Regression (GWR) analysis, the study's goal was to predict the number of deaths caused by COVID-19 in the East Java Province in 2020. With various model parameters in each observation, GWR analysis was a progression of linear regression (region). Secondary data from the East Java Province's Statistics Agency and Health Agency were used in the analysis. As of December 2020, 84.152 individuals had perished in East Java as a result of COVID-19. The analysis's findings indicate that the number of public hospitals and the availability of healthcare for people with diabetes mellitus were the two health factors that had the greatest impact on Covid-19 deaths in the majority of East Java Province. Other factors that had a significant impact included the number of public hospitals and the availability of healthcare for people with hypertension.The analysis of the GWR model on the number of deaths due to Covid-19 in East Java resulted in a higher coefficient of determination than linear regression modeling. Geographical modeling resulted in 5 groups of districts/cities, with the variable number of general doctors in hospitals and diabetes mellitus health services being quite influential in most districts/cities in East Java.Keyword: Covid-19, East Java Provinces, Geographically Weighted Regression

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