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HUBUNGAN PENGETAHUAN, SIKAP DAN PERILAKU MENGENAI ZAT BESI TERHADAP KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS JATILAWANG KABUPATEN BANYUMAS CORRELATION OF KNOWLEDGE, ATTITUDES, AND BEHAVIOR ON THE IRON CONTENT WITH THE INCIDENCE OF ANEMIA AMONG PREGNANT MOTHERS AT JATILAWANG PRIMARY HEALTH CENTER, BANYUMAS REGENCY Wati, Erna Kusuma; Rahardjo, Setiyowati
Pembangunan Pedesaan Vol 3, No 1 (2003)
Publisher : Pembangunan Pedesaan

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Abstract

Penelitian berjudul “Hubungan Pengetahuan, Sikap dan Perilaku Mengenai Zat Besi terhadap Kejadian Anemia pada Ibu Hamil Di Puskesmas Jatilawang Kabupaten Banyumas” telah dilaksanakan di Puskesmas Jatilawang Kabupaten Banyumas. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan, sikap dan perilaku mengenai zat besi terhadap kejadian anemia pada ibu hamil. Metode yang digunakan dalam penelitian ini adalah pendekatan cross sectional study. Populasi penelitian adalah seluruh ibu hamil yang terdaftar di bagian KIA Puskesmas Jatilawang Kabupaten Banyumas, sedangkan sampel ditentukan dengan teknik Systematic Random Sampling dan diperoleh sebanyak 70 ibu hamil sebagai sampel. Dari hasil analisis univariate diperoleh hasil prevalensi anemia pada ibu hamil sebesar 65,7%. Sebagian besar ibu hamil berusia antara 20 – 35 tahun, mempunyai jarak kehamilan lebih dari 5 (lima) tahun, berpendidikan dasar, tidak bekerja, mempunyai pengetahuan mengenai zat besi yang sedang, sikap mengenai zat besi adalah kurang dan mempunyai perilaku mengenai zat besi termasuk kurang. Analisis Bivariate dengan uji Chi Square menunjukkan tidak ada hubungan antara pengetahuan ibu mengenai zat besi dengan kejadian anemia. Sikap dan perilaku ibu mengenai zat besi masih kurang, hal ini ternyata dapat meningkatkan kejadian anemia pada ibu hamil. Untuk meningkatkan pengetahuan, sikap dan perilaku ibu mengenai zat besi perlu dilakukan penyuluhan secara rutin dan peningkatan distribusi Fe dengan kerjasama lintas program dan lintas sektoral.
Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency Kusumawati, Erna; Rahardjo, Setiyowati; Sistiarani, Colti
Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017): Jurnal KEMAS Vol.12 No.2 : January 2017
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.4990

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency Kusumawati, Erna; Rahardjo, Setiyowati; Sistiarani, Colti
KEMAS: Jurnal Kesehatan Masyarakat Vol 12, No 2 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v12i2.4990

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddler’s mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mother’s level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.
ANALISIS FAKTOR-FAKTOR YANG BERPENGARUH TERHADAP POLA ASUH IBU BALITA DI KABUPATEN BANYUMAS (Studi di Puskesmas Banyumas dan Puskesmas II Kembaran) Kusuma Aji, Dimas Setio; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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 Kusumawati, Erna; Proverawati, Atikah; Purnamasari, Dyah Umiyarni; Rahardjo, Sertiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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
UPAYA PERBAIKAN GIZI 1000 HARI PERTAMA KEHIDUPAN DALAM RANGKA PENCEGAHAN STUNTING BALITA MELALUI OPTIMALISASI PERAN TENAGA GIZI DI KABUPATEN BANYUMAS Kusumawati, Erna; Rahardjo, Setiyowati; Permata Sari, Hesti
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Kusumawati, Erna; Sri Rejeki, Dwi Sarwani; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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

TB of children in community show of TB case's proportion which will occur in the future.Besides, TB of children 's distribution could be  the indicator of the ongoing transmission of TB in the community. This study conducted to explore the prediction factor of positive tuberculin tedt which were children's characteristic (age, gender), parent's characteristic (parent's education ,parent's occupation) and household size. A case control study held in primary school children attending class I-IV (8-13 years age) in Kabupaten Cilacap from September - Desember  2008. Sample divided in two group, there are 109 case 109 control. School children two 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 proportional random sampling. Informations about children's  results of tuberculin test were obtained from secondary data of tuberculin data survey which held on center Java. Primary data obtained by interviewing of school children. Logistic regression demonsrtated prediction factors of positive tuberculin test were BCG scar (p value = 0,049, OR= 0,432, 95% CI = 0,250-0,753) and age (p value= 0,003, OR= 0,434, 95% CI= 0,187 - 0,996).
PENGARUH BCG SCAR TERHADAP HASIL UJ TUBERKULIN ANAK SEKOLAH DASAR (SD) KELAS I-IV (8-13 TAHUN) DI KABUPATEN CILACAP TAHUN 2008 Nurlaela, Sri; Purnamasari, Dyah Umiyarni; Sri Rejeki, Dwi Sarwani; Kusumawati, Erna; Rahardjo, Setiyowati
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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).
PEER EDUCATOR NUTRITION EDUCATION IN PREVENTION OF ANEMIA INCIDENCE Kusumawati, Erna; Rahardjo, Setyowati; Kurnia Putri, Widya Ayu
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Vol 11 No 1 (2019): 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 | Full PDF (154.295 KB) | DOI: 10.20884/1.ki.2019.11.1.1325

Abstract

Teenagers are a growth period that requires higher nutrients such as iron. Factors that can affect the incidence of anemia are the knowledge and attitudes of teenagers. The result of previous studies showed that the average level of knowledge, attitude, and prevention of nutritional anemia in teenager girls in the working area of the Kedungbanteng health center 1 was still low. Nutrition education that was started often used is peer education. This study purpose to analyze the influence of nutrition education on increasing knowledge and attitude of peer educator in the effort of peer education development about prevention of anemia incidence. The method research is quasi-experimental with pretest and posttest design. The sampling technique using a total sampling of 49 teenagers in the working area of Kedungbanteng health center. The result of the statistical test using a wilcoxon test. The result showed that there is a difference of knowledge and attitude of peer educator after given nutrition education ( p = 0,000 ; p = 0,000). There is a difference of knowledge and attitude of peer educator after given nutrition education.
HUBUNGAN PENGETAHUAN GIZI IBU DAN DAYA BELI KELUARGA DENGAN KETAHANAN PANGAN RUMAH TANGGA DI KABUPATEN BANYUMAS Rahardjo, Setiyowati; Wati, Erna Kusuma
Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat 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

Household food security was condition that all family have access for food both physical and economy, until all family have not under nutrition risk. The nutrition problem and unsafe food indication that household food security not good yet. Household food security were measured by daily energy and protein consumtion per capita and persentase of household with defisit protein and energy. Household food security were correlated with availability of food in the market, food price, capability of household for fulfill the foods and health and nutritional knowledge. This research aimed to study the correlation between nutritional knowledge of the mothers and capability of household for fulfill the foods with household foof security in Banyumas District. Research design implemented was control case with retrospective approach to 92 children under five years. Data collection by interviewed to their mothers with structured questioners. Data analysis were univariat analysis and bivariat analysis with chi square test. Descriptive analysis showed that most of the family have household food security for protein were law (55%), household food security for energi of respondents were less (88%), most of the mother (77,2%) have nutritional and health knowledge were bad, (56,5%) family have capability of household for fulfill the foods were bad category. Bivariat analysis showed that there was correlation between mother?s nutritional knowledge with household food security for protein with p value 0,038. To increase household food security were need routine nutrition and health education for mother who have children under five years and derived food for fulfill their family nutrition need.