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All Journal Media Penelitian dan Pengembangan Kesehatan Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research)
Joko Pambudi
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Decision Sciences, Operations Research & Management Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas Yurista Permanasari; Meda Permana; Joko Pambudi; Bunga Christitha Rosha; Made Dewi Susilawati; Ekowati Rahajeng; Agus Triwinarto; Rachmalina S. Prasodjo
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 4 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v30i4.3586

Abstract

Stunting is one of the nutritional problems faced in the world, including Indonesia. To overcome this problem, the government conducted a program to accelerate stunting prevention in 100 priority districts / cities through specific and sensitive nutrition interventions including health and non-health stakeholders. Interventions are carried out in a convergent manner by aligning various resources to achieve the goal of preventing stunting.The convergence is carried out from the planning, budgeting, implementation, to monitoring stages. The purpose of this study is to analyse the challenges of implementing the convergence of stunting prevention programs that have been running since 2018 by local governments in priority districts / cities based on content, context, process, and actors. The research method is operational research with a research design using a qualitative approach design with in-depth interviews in 13 priority districts/cities. The health policy triangle framework is used as an approach in analyzing the results of this study which consists of content, context, process, and actors. In-depth interview sources are policy makers and program managers to accelerate stunting reduction from province to sub-district and village. The results showed that the challenge in implementing convergence was the existence of sectoral egos in each OPD (stakeholders) because of the socialization was not yet optimal so that many stakeholders did not fully understand the stunting prevention program. Information that was late in being obtained, information cut off from socialization, and difficult demographic conditions in the area where one of the causes in certain areas of the obstruction of socialization. The implementation of convergence that has not been optimal is also due to the ansence operational and technical guidelines for implementing program when the research was conducted so that the regions do not know the steps to carry out these activities. Abstrak Masalah anak pendek (stunting) merupakan salah satu permasalahan gizi yang dihadapi di dunia, termasuk Indonesia. Untuk mengatasi permasalahan stunting, pemerintah melakukan program percepatan penanggulangan stunting di 100 kabupaten kota prioritas yang melibatkan sektor kesehatan dan non kesehatan melalui intervensi gizi spesifik dan sensitif. Penyelenggaraan intervensi dilakukan secara konvergen dengan menyelaraskan berbagai sumber daya untuk mencapai tujuan pencegahan stunting. Konvergensi dilakukan mulai dari tahap perencanaan, penganggaran, pelaksanaan, sampai monitoring. Tujuan penelitian ini adalah menganalisis tantangan implementasi konvergensi program pencegahan stunting yang telah berjalan sejak tahun 2018 oleh pemerintah daerah pada Kabupaten prioritas berdasarkan konten, konteks, proses, dan aktor. Metode penelitian merupakan operational research dengan desain penelitian menggunakan pendekatan kualitatif dengan metode wawancara mendalam di 13 kabupaten prioritas. Kerangka segitiga kebijakan kesehatan digunakan sebagai pendekatan dalam menganalisis hasil penelitian ini yang terdiri dari konten, konteks, proses, dan aktor. Informan wawancara mendalam ialah para pengambil kebijakan dan pengelola program percepatan penurunan stunting dari mulai provinsi sampai kecamatan dan desa. Hasil penelitian menunjukkan bahwa tantangan dalam implementasi konvergensi ialah masih adanya ego sektoral pada masingmasing OPD karena masih belum optimalnya sosialisasi sehingga banyak yang belum memahami secara menyeluruh mengenai program pencegahan stunting. Informasi yang terlambat diperoleh, terputusnya informasi dari sosialisasi, serta kondisi demografi wilayah yang sulit menjadi salah satu penyebab pada beberapa daerah tertentu tehadap terhambatnya sosialisasi. Implementasi konvergensi yang belum optimal juga dikarenakan belum diperolehnya juklak dan juknis dalam melaksanakan program saat penelitian dilakukan sehingga daerah belum tahu langkah untuk melakukan kegiatan tersebut.
KADAR KOLESTROL DARAH PADA IBU PENDERITA DISLIPIDEMIA YANG DIBERI NIASIN Almasyhuri Almasyhuri; Ance Murdiana; Susie S. Suwardi; Joko Pambudi; Heni Komalasari
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 21 (1998)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.2346.

Abstract

A study on niacin supplementation has been conducted on women with cholesterol level between 200-250 mg/dl. The objective of this study was to see the effect of niacin supplementation on cholesterol, triglyceride and low density lipoprotein (LDL) levels. Twenty two respondents were divided into two groups. The first group, nine respondents, were given niacin 2x75 mg and the second group, 13 respondents, were given lactose 2x75 mg as placebo. Data collected included antropometry, side effects and clinical status. Analysis of blood for cholesterol and LDL was done using CHOD-PAP method, whereas analysis of triglyceride was done using GPO-PAP method. The results of this study showed that cholesterol and LDL levels decreased significantly 11,0% and 18,9% respectively, after one week supplementation and remained in that level two weeks afterwards. Triglyceride level decreased in all groups after two weeks but the difference was not significant.Keywords: cholesterol, triglyceride, low density lipoprotein (LDL), niacin.
HUBUNGAN KANDUNGAN ZINC DALAM AIR SUSU IBU DENGAN ZINC DARAh BAYI DI DAERAH PERKOTAAN, PEDESAAN DAN PANTAI Joko Pambudi; Dewi Permaesih; Susilowati Herman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 22 (1999)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1534.

Abstract

Association Between Zinc Level ol Breastmilk and Infant Blood in Three Different Areas.Zinc is an essential micro nutrient in many body metabolism. Breast feeding mothers should suffice their zinc consumption as their infants need zinc for maximum growth and development. The study aimed to look for a correlation between zinc level of breastmilk and of infant blood in three different areas. The sampels were 90 breast feeding mothers with their infants aged 4-6 months from three different areas: (i) urban, (ii) rural, and (iii) coastal. Information was gathered including food pattern and consumption, social economic, anthropometry, zinc level of breastmilk and infant blood. Breastmilk sample was collected in day time from the two nipples of mother, while blood sample was taken from arm vein of infant. This study found that zinc level in breastmilk differed in the three different areas. In urban area, zinc level of breastmilk was 0.91 ± 0.16 µg/ml, while in rural area was 0.75 ± 0.13 µg/ml, and in coastal area was 1.07 ± 0.40 µg/ml. Zinc level of breastmilk in urban area was siginificantly different to that in rural area (p<0.01), and zinc level of breastmilk for coastal area was significantly different to that in rural area (p<0.01). In respect to the level of infant blood, there were also differences. In urban area, zinc level of infant blood was 0.88 ± 0.17 µg/ml, while that in rural area was 0.66 ± 0.07 µg/ml, and in coastal area was 0. 73 ± 0.17 µg/ml. Infant blood zinc level in urban area was significantly different (p<0.05) compared to coastal area. However zinc level of infant blood for coastal area was not significantly different (p>0.05) from that in rural area. The study concluded zinc level of breastmilk in coastal area showed the highest, and zinc level in infant blood in urban area showed the highest. There was a strong correlation (r=0.5165, p<0.05) between breastmilk zinc level and infant blood zinc level only in rural area, but not in both urban and coastal area.Keywords: zinc level, breastmilk, infant blood, urban, rural and coastal.
PENGARUH PEMBERIAN TABLET BESI SATU KALI SEMINGGU TERHADAP STATUS HB DAN STATUS BESI ANAK SEKOLAH PENERIMA PMT-AS Muhamad Saidin; Sukati Sukati; Ance Murdiana; Joko Pambudi; Effendi Rustan; Sri Martuti; Endi Ridwan; Muhilal Muhilal
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 22 (1999)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1535.

Abstract

It had been conducted a study on "The Effect of Weekly Iron Supplementation on The Status of Hb and Iron among School Children Receiving PMT-AS". The main objective of the study was to investigate the effect of iron tablets supplementation to iron status of school children receiving PMT-AS. The subjects of this study was primary school children in the fourth, fifth and sicth grades in six schools receiving PMT-AS in sub-district of Sidomulyo, south Lampung. The schools were randomly assigned into three groups. The first group received iron tablets given by school teacher. The second group received iron tablets given by school teacher and under supervision of researcher (nutritionist), and the third group was control. Iron tablets containing 60 mg elemental iron were given weekly for the duration of 4.5 months. The results of study showed: 1. The percentage of anemia subjects at the begining of study in group I, II, III were 60.0%, 58.0%, and 55.1% respectively. 2. Weekly Iron Supplementatioon reduced significantly the percentage of anemia subjects (p<0.05). 3. Weekly Iron Supplementation increased Hb status and iron status significantly (p<0.05). 4. Iron tablets distribution conducted by the school teacher without supervision was as effective as iron tablets distribution under supervision of researcher.Keywords: anemia, PMT-AS (School Feeding Program), iron tablet, hemoglobin status.
PREVALENSI ANEMIA DAN THALASEMIA KARIER PADA KELOMPOK WANITA USIA SUBUR (WUS) Sukati Saidin; Susi Suwarti Suwardi; Ance Murdiana; Reviana Christiani; Sri Martuti; Joko Pambudi; Muhilal Muhilal
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 24 (2001)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1504.

Abstract

PREVALENSI ANEMIA DAN THALASEMIA KARIER PADA KELOMPOK WANITA USIA SUBUR (WUS)
HUBUNGAN KANDUNGAN KAROTENOID DAN RETINOL DALAM DARAH DAN ASI PADA IBU MENYUSUI DI DAERAH PENGHASIL DAN BUKAN PENGHASIL SAYURAN Joko Pambudi; Fitrah Emawati; Susilowati Herman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 24 (2001)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1506.

Abstract

Association of Carotenoids and Retinol Levels In Blood and Breastmilk of Breastfeeding Mothers In Vegetables Producing Area and Non-Vegetables Producing Area.Background: Vegetables are available in abundant amount in the less developed countries, including Indonesia, and are the source of carotenoids and other important nutrient, especially vitamin A. In rural areas, vegetables are becoming important source of vitamin A, especially for breastfeeding mothers.Objectives: To study carotenoids and retinol levels in blood and breastmilk of breastfeeding mothers in vegetables producing area and non-vegetables producing area, and its implication to the availability of vitamin A to breastfeeding mothers.Method: Samples were collected from 87 breastfeeding mothers with their breastfeeding age of 3-6 months, and they came from two areas, vegetables producing area and non-vegetables producing area. Blood and breastmilk were taken and analyzed for their carotenoids and retinol levels using HPLC.Results: The study found there were differences of carotenoids components and retinol in blood and breastmilk of breastfeeding mothers between vegetables producing area and non-vegetables producing area. The levels of lutein, lycopene, β-carotene and retinol in blood of breastfeeding mothers living in vegetables producing area were significantly different (p<0.01) from non vegetables producing area. However, for β-cryptoxanthin, and α-carotene were not significantly different (p>0.05). The levels of carotenoids and retinol in breastmilk showed differences. The levels of lutein, lycopene, α-carotene, β-cryptoxanthin and retinol in breastmilk of mothers in vegetables producing area were significantly different (p<0.01) from non-vegetables producing area. While β-carotene level was not significantly different (p>0.05). There were a correlation of lutein (r=0.4610, p<0.05), β-cryptoxanthin (r=0.3321, p<0.05), and β-carotene (r=0.4548, p<0.05) levels between in blood and breastmilk in vegetables producing area. While only level of lutein (r=0.6166, p<0.01) in blood correlated with breastmilk in non-vegetables producing area. There was no strong correlation (p>0.05) between vegetables consumption and carotenoids and retinol levels of blood and breastmilk, botj in vegetables producing  area and non-vegetables producing area.Conclusion: The result of study showed carotenoids and retinol levels of blood and breastmilk in mothers from vegetables producing area were higher than that of non-vegetables producing area.Recommendation: To encourage breastfeeding mothers in order to consume more vegetables intensively through the existing program.Keywords: carotenoids, Lutein, β-cryptoxanthin, lycopene, β-carotene, retinol, α-carotene.
HUBUNGAN ANTARA ZINC SERUM DENGAN STATUS GIZI LANSIA Fitrah Emawati; Sri Martuti; Joko Pambudi; Rustan Efendi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 25 No. 1 (2002)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v25i1.1418.

Abstract

RELATIONSHIP BETWEEN ZINC SERUM AND NUTRITIONAL STATUS OF ELDERLY PEOPLE.Background: The findings of study that 30% in Bogor and 27% in Jakarta of elderly people were undernourished. Malnutrition may occur due to infection and low food intake. Among elderly people, one of the factors that causes low food intake is affected by impairment of taste sensory and teeth function. The impairment of taste sensory is influenced by zinc status in the body.Objective: To collect food consumption pattem data of zinc rich foods, zinc concentration in serum and to analyze association of zinc concentration and nutritional status.Methods: Research design was cross sectional, and conducted in two sub districts in Bogor city. The respondents were women in 60-75 years of age, no suffering from illnesses and chronically disease. The total respondent was 90 people, and divided into three groups of 30 peoples. Data gathered included respondent identity, physical examination, anthropometry, blood biochemical and zinc dietary consumption.Results: Zinc dietary consumption adequacy of underweight group was only 30% of recommended dietary allowance, while for normal and overweight groups were 40% of dietary allowance. Zinc serum concentration of underweight group (82 ug/dl) was not significantly different with normal group (85 ug/dl), however differed significantly (p<0.05) with overweight group (95 ug/dl). Underweight group suffered 40% zinc deficiency, 27% for normal and only 7% for overweight group.Conclusions: Zinc deficiency was more prevalent in underweight group than that of normal and overweight group. [Panel Gizi Makan 2002,25: 26-33).Keywords: zinc serum concentration, zinc dietary consumption, underweight
SOSIODEMOGRAFI STUNTING PADA BALITA DI INDONESIA Sudikno sudikno; Yekti Widodo; Irlina Raswanti Irawan; Doddy Izwardy; Vivi Setiawaty; Budi Setyawati; Yunita Diana Sari; Dyah Santi Puspitasari; Feri Ahmadi; Rika Rachmawati; Amalia Safitri; Nurilah Amaliah; Prisca Petty Arfines; Bunga Christitha Rosha; Aditianti Aditianti; Elisa Diana Julianti; Joko Pambudi; Nuzuliyati Nurhidayati; Febriani Febriani
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 44 No. 2 (2021): PGM VOL 44 NO 2 TAHUN 2021
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v44i2.4953

Abstract

ABSTRACT The problem of stunting in children under five (0-59 months) is still a public health problem, especially in developing countries. This study aims to measure the prevalence of stunting and determine its sociodemography risk factors in Indonesia. This study was a nationwide survey in 514 districts consisting of 32,000 census blocks (320,000 households). The study design was cross-sectional. The population of this study was all families of children under five in all districts in Indonesia. The sample was households with children under five which were visited by Susenas (National Sociodemographic Survey) in March 2019. The data collected were the length/height of children under-five of age, gender, age (months), region (rural and urban), all provinces which were divided into 7 regions. (Java-Bali, Sumatra, Kalimantan, Sulawesi, Nusa Tenggara, Maluku, Papua), and diarrhea. The results showed that the prevalence of stunting in children under five (0-59 months) was 27.6 percent. Multivariate regression analysis showed that children 12 month old and older, living in rural areas (AOR=1,444; 95% CI: 1,442-1,447), in the Nusa Tenggara region (AOR=1,874; 95% CI: 1,866-1,882), and suffering from diarrhea (AOR=1,409; 95%CI: 1,401-1,417) were more at risk of becoming stunted. ABSTRAK Masalah stunting pada balita (0-59 bulan) masih menjadi masalah kesehatan masyarakat terutama di negara berkembang. Penelitian ini bertujuan untuk mengetahui prevalensi stunting dan faktor risiko stunting menurut sosiodemografi di Indonesia. Penelitian ini merupakan survei nasional di 514 kabupaten/kota yang terdiri dari 32.000 blok sensus (320.000 rumah tangga). Desain penelitian adalah cross-sectional. Populasi dari penelitian ini adalah semua keluarga balita yang ada di seluruh kabupaten/ kota di Indonesia. Sampel adalah rumah tangga yang memiliki balita yang dikunjungi oleh Susenas Maret 2019. Data yang dikumpulkan adalah panjang/tinggi badan balita, jenis kelamin, umur (bulan), wilayah (perdesaan dan perkotaan), provinsi yang dibagi dalam 7 wilayah (Jawa bali, Sumatera, Kalimantan, Sulawesi, Nusa Tenggara, Maluku, Papua), dan penyakit diare pada balita. Hasil penelitian menunjukkan prevalensi stunting pada balita (0-59 bulan) sebesar 27,6 persen. Analisis regresi multivariate menunjukkan bahwa balita yang berumur lebih dari 11 bulan, tinggal di perdesaan (AOR=1,444; 95% CI: 1,442-1,447), wilayah Nusa Tenggara (AOR=1,874; 95% CI: 1,866-1,882) dan yang menderita diare (AOR=1,409; 95%CI: 1,401-1,417) lebih berisiko untuk menjadi stunting. [Penel Gizi Makan 2021, 44(1):71-78]
Co-Authors Aditianti Aditianti Agus Triwinarto Almasyhuri Almasyhuri Amalia Safitri Ance Murdiana Budi Setyawati Bunga Christitha Rosha Dewi Permaesih Doddy Izwardy Dyah Santi Puspitasari Effendi Rustan Ekowati Rahajeng Elisa Diana Julianti Endi Ridwan Febriani Febriani Feri Ahmadi Fitrah Emawati Heni Komalasari Irlina Raswanti Irawan Made Dewi Susilawati Meda Permana Muhamad Saidin Muhilal Muhilal Nurilah Amaliah Nuzuliyati Nurhidayati Prisca Petty Arfines Rachmalina S. Prasodjo Reviana Christiani Rika Rachmawati Rustan Efendi Sri Martuti sudikno sudikno Sukati Saidin Sukati Sukati Susi Suwarti Suwardi Susie S. Suwardi Susilowati Herman Vivi Setiawaty Yekti Widodo Yunita Diana Sari Yurista Permanasari