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All Journal JURNAL GIZI INDONESIA Jurnal Kesehatan Lingkungan indonesia Jurnal Kesehatan Masyarakat Pembangunan Pedesaan Indonesian Journal of Human Nutrition Kesmas Indonesia: Jurnal Ilmiah Kesehatan Masyarakat Dinamika Journal : Pengabdian Masyarakat PUBLIKASI PENELITIAN TERAPAN DAN KEBIJAKAN Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Insights in Public Health Journal Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Setiyowati Rahardjo
Jurusan Kesehatan Masyarakat Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman
Agriculture, Biological Sciences & Forestry Humanities Civil Engineering, Building, Construction & Architecture Economics, Econometrics & Finance Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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ANALISIS DETERMINAN-DETERMINAN YANG MEMPENGARUHI KEMATIAN BAYI (STUDI KASUS DI KABUPATEN BANYUMAS) Setiyowati Rahardjo; Endo Dardjito
Kesmas Indonesia 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

Infant Mortality Rate (IMR) is a common indicator used as economic development index, quality of life indicator and main component determining life expectancy rate of a society. Data from Banyumas Regency Health Office showed that infant mortality in 2006 was 5,65 per 1000 live birth and it increased in 2007 to 9,60 per 1000 live birth. The research aims to determinants analysis that influence infant mortality in Banyumas Regency. The research method used case control approach. The case was baby that died in year of 2007 to July 2008. The contol was baby those who live as the case’s neighbours. The case sample were taken from the data of Banyumas Regency Health Office as many as 44 newest infant mortality, while the control sample taken by using population based technique with the closest neighbours of the cases as the control source. The analysis used univariat, bivariat and multivariat. The result of the research states that determinant which correlated with infant mortality were close determinant that : birth weight (p = 0,004 dan OR = 4) and congenital disorder (p = 0,030 dan OR = 6,17). While the most dominant relevant factor was congenital disorder OR = 8,18 (95%CI 1,57-42,55) which means baby with congenital disorder risked 8,18 times to experience mortality compared to babies that who have congenital disorders. The result of the research suggested to make coordination with health service officer to give information and eduction about effects of congenital disorders in new born babies, and the mothers visit antenatal helath service regulary.
FAKTOR PREDIKSI HASIL UJI TUBERKULIN POSITIF ANAK SD DI KABUPATEN CILACAP TAHUN 2008 Sri Nurlaela; Dyah Umiyarni Purnamasari; Erna Kusumawati; Dwi Sarwani Sri Rejeki; Setiyowati Rahardjo
Kesmas Indonesia 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).
PENINGKATAN KEMAMPUAN REMAJA SEBAGAI DUTA KESEHATAN DALAM UPAYA PERBAIKAN GIZI DI SMP NEGERI 1 KEMBARAN Hiya Alfi Rahmah; Setiyowati Rahardjo
Dinamika Journal : Pengabdian Masyarakat Vol 1, No 4 (2019)
Publisher : Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.dj.2019.1.4.948

Abstract

Remaja putri merupakan kelompok yang berisiko menderita anemia dan mulai memperhatikan bentuk tubuh serta membatasi konsumsi makanan dan banyak pantangan terhadap makanan. Remaja merasa lebih nyaman untuk menyampaikan permasalahannya kepada teman sebaya. Tujuan kegiatan adalah meningkatkan kemampuan remaja putri terkait pengetahuan tentang anemia remaja, penyebab anemia, mengatasi body image dan perawatan kesehatan remaja. Peningkatan kemampuan remaja putri dapat dijadikan bekal remaja putri dalam memberikan pendampingan pada remaja lain dan penyuluhan di UKS maupun kegiatan lain seperti PMR dan Pramuka. Kegiatan yang dilakukan juga mendukung penyediaan prasarana berupa pojok baca UKS. Metode yang digunakan partisipatif dengan melibatkan mitra sebagai narasumber dan fasilitator. Peningkatan pengetahuan tentang pencegahan anemia diukur berdasarkan perubahan skor pretest dan posttest dengan uji statistik uji T dependen. Dari hasil pre post test pengetahuan 34 siswi, rata-rata pengetahuan pada saat pretest sebesar 61,18 ± 9,7 dan mengalami peningkatan pada saat posttest menjadi 71,57± 9,6. Setelah dilakukan edukasi gizi terdapat peningkatan rata- rata pengetahuan responden sebesar 16,98%. Terdapat perbedaan pengetahuan saat pretest dan post test yang signifikan (p<0,05).  Terpilih 12 siswi dengan peningkatan nilai tertinggi untuk dapat mengikuti pelatihan pengukuran status gizi  dengan tujuan utama memilih 3 siswi sebagai Duta Gizi Kesehatan SMPN 1 Kembaran. Duta kesehatan diharapkan mempunyai tugas sebagai penghubung antara siswa dengan pembina UKS dan tenaga puskesmas karena nantinya duta kesehatan akan selalu berada di tengah-tengah siswa, serta diharapkan dapat menjadi media transfer informasi yang tepat untuk mempercepat proses pendidikan gizi dan kesehatan kepada remaja.
MODEL NETWORKING SEBAGAI UPAYA OPTIMALISASI GIZI KEHAMILAN SELAMA PANDEMI COVID 19 DI PUSKESMAS I SUMBANG KABUPATEN BANYUMAS Erna Kusuma Wati; Setiyowati Rahardjo; Pramesthi Widya Hapsari
Dinamika Journal : Pengabdian Masyarakat Vol 3, No 3 (2021)
Publisher : Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.dj.2021.3.3.1565

Abstract

Kekurangan gizi pada ibu hamil dapat meningkatkan resiko bayi berat lahir rendah, keguguran, dan kesehatan ibu dan anak. Puskesmas I Sumbang ditemukan ibu hamil dengan anemia 22,70%, KEK 36,56%, adanya pandemi menurunkan kunjungan ibu karena kekhawatiran tertular COVID-19. Tujuan kegiatan menerapkan model networking antara ibu hamil, kelas ibu hamil dan puskesmas serta perguruan tinggi (Unsoed) dalam upaya Optimalisasi Gizi Kehamilan Selama Pandemi Covid 19. Seorang ibu hamil diharapkan siap menjadi ibu hebat selama Covid-19 artinya menerima kehamilan, berusaha menjaga kehamilan dan memenuhi kebutuhan gizi yang optimal selama hamil di  Pandemi Covid 19. Metode kegiatan ini diawali dengan Forum Group Discussion (FGD) dengan mitra (bidan, petugas gizi dan kepala puskesmas Sumbang I) yaitu kesepahaman tentang permasalahan gizi kehamilan di masa pandemic Covid-19 dan merancang media intervensi. Selanjutnya dilakukan edukasi model networking dengan khalayak sasaran ibu hamil dan kader dengan WhatApps Group. Hasil kegiatan ini rata-rata pengetahuan yaitu 7,2 untuk pretest dan meningkat menjadi 9,2 untuk posttest. Ada perbedaan pengetahuan sebelum dan sesudah diberikan intervensi pada remaja putri dalam upaya pencegahan anemia, p (value) = 0,017 < α (0,05). Kegiatan ini memberikan stimulan untk meningkatkan kerjasama networking antara pihak puskesmas dengan ibu hamil dan kader dalam mendukung perbaikan gizi ibu hamil.Kata kunci: networking, gizi kehamilan, covid-19
Lingkungan Fisik Rumah Sebagai Faktor Risiko Kejadian Tuberkulosis Paru di Kecamatan Kebasen, Kabupaten Banyumas Aisyah Apriliciciliana Aryani; Fernanda Lintang Kusuma Wardani; Setiyowati Rahardjo
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 14 No 2 (2022): JIKM Vol. 14, Edisi 2, Mei 2022
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v14i2.333

Abstract

Abstrak Latar belakang: Kecamatan Kebasen merupakan wilayah dengan kasus tuberkulosis paru tertinggi se-Kabupaten Banyumas pada tahun 2019 dengan jumlah 39 kasus (2,27%). Tujuan penelitian ini untuk meneliti faktor lingkungan fisik rumah (jenis lantai, pencahayaan, luas lantai, dan kepadatan hunian) dengan kejadian tuberkulosis paru di Kecamatan Kebasen, Kabupaten Banyumas. Metode: Penelitian ini menggunakan desain penelitian analitik dengan pendekatan case control. Pengambilan data dilakukan melalui wawancara kepada responden dan pengukuran dengan menggunakan roll meter dan lux meter. Sampel penelitian terdiri dari 60 responden dimana kelompok kasus 30 responden dan kelompok kontrol 30 responden. Teknik pengambilan sampel menggunakan consecutive sampling. Analisis data dilakukan adalah univariat dan bivariat dengan menggunakan uji Chi-Square. Hasil: Hasil bivariat menunjukkan terdapat hubungan antara luas ventilasi (p-value 0,000, OR = 13,75, 95% CI 3,917 – 48,266) dan pencahayaan (p-value = 0,0001, OR = 9,57, 95% CI 0,178 – 24,148) dengan kejadian tuberkulosis paru. Kesimpulan: Jenis lantai dan kepadatan hunian tidak memiliki hubungan dengan kejadian tuberkulosis paru. Tenaga kesehatan diharapkan dapat memberikan edukasi dan arahan kepada masyarakat terkait kondisi lingkungan fisik rumah yang memenuhi syarat kesehatan Kata Kunci : Luas ventilasi, Pencahayaan, Tuberkulosis paru Abstract Background: Kebasen sub-district was the area with the highest pulmonary tuberculosis cases in Banyumas Regency in 2019 with a total cases was 39 cases (2.27%). The purpose of this study was to examine the physical environmental factors of the house (type of floor, lighting, floor area, and residential density) associated with the incidence of pulmonary tuberculosis in Kebasen District, Banyumas Regency. Methods: This study used an analytical research design with a case-control approach. Data were collected through interviews with respondents and measurements using a rolling meter and lux meter. The research sample consisted of 60 respondents where the case group was 30 respondents and the control group was 30 respondents. The sampling technique used consecutive sampling. The data analysis was univariate and bivariate using the Chi-Square test. Results: Bivariate results showed that there was a relationship between ventilation area (p-value 0.000, OR = 13.75, 95% CI 3.917 – 48.266) and lighting (p-value = 0.0001, OR = 9.57, 95% CI 0.178 – 24,148 ) with the incidence of pulmonary tuberculosis. Conclusion: Floor-type and occupancy density have no relationship with the incidence of pulmonary tuberculosis. Health workers are expected to be able to provide education and direction to the community regarding the condition of the physical environment of the house that meets health requirements. Keywords : Lighting level, Pulmonary tuberculosis, Ventilation area
BEBERAPA FAKTOR YANG BERPENGARUH TERHADAP KEJADIAN GAKY PADA WANITA USIA SUBUR (WUS) DI KECAMATAN BATURADEN KABUPATEN BANYUMAS Endo Dardjito; Setiyowati Rahardjo
Publikasi Penelitian Terapan dan Kebijakan Vol 4 No 1 (2010): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Iodine Deficiency Disorder (IDD) is one of nutrient problems in Banyumas Regency. IDD is caused of the lack of iodine substance continually in long period. the other causal factors are the consuming goitrogenic substance, knowledge, genetic and consuming hormonal contraception (KB). Baturraden district is one of districts in Banyumas Regency in which it has got an increase prevalence aneurysm. Based on a survey held in 2007, aneurysm prevalence was 35.38% and it was included as a high endemic. The objective of this research is to analyze somerisky factors influencing IDD in Baturraden distric. The research is an explanatory study applying control case. The case samples are the 15 – 45 year-old productive women suffering from the IDD living in Kebumen, Karang Tengah, Kemutug Kidul and Karang Salam villages. The numbersof samples are 30. The Analysis applied are the univariate, bivariate, and multivariate analysis. The result of the research shows that there are two risky factors influencing IDD namely consuming Iodine (p value=0.007) and consuming goitrogenic (p value=0.015). The most dominant factor influencing IDD is the consuming Iodine. Because of that the directive counseling should be increased to disseminate about the need of the increase on consuming iodine and decrease of consuming goitrogenic substance. This dissemination could be inserted on Posyanduand PKK activities.
Infant Low Birth Weight and Its Related Factors in Banyumas Regency Setiyowati Rahardjo; Erna Kusumawati; Ibnu Zaki
Insights in Public Health Journal Vol 3 No 1 (2022): Insights in Public Health Journal
Publisher : Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.iphj.2022.3.1.6306

Abstract

Infant Low Birth Weight (LBW) is a major factor in increased mortality and morbidity. Mother’s Factors affecting birth weight include maternal age, parity, nutritional status, disease risk, access of health care, exposure to cigarette smoke, and psychological. The number of cases of low birth weight at term deliveries at the health center II Contribute as much as 21 (41%). The number of cases of low birth weight at term birth in health centers Kedungbanteng as many as 37 (71%). This study aimed to analyze the risk factors associated with LBW in labor at term. Method Observational analytic case control study. Cases are most mothers of infants with a history BBLR in labor at term. The controls are mostly the baby's mother's closest neighbor of LBW babies who have birth about the same time but did not have a history of low birth weight. The results showed that MUAC, access to ANC, and the risk of diseases / complications linked to LBW in labor at term, and unrelated are age, parity, psychology, as well as potential exposure to smoking. LILA (OR = 4.186), disease complications (OR = 4.290) and access to ANC (OR = 2.918) are the factors that influence the occurrence of low birth weight at delivery term. Need to improve the delivery of information through extension LBW mass or individual consultation with media modules and leaflets. Keywords: Low birth weight, Upper arm circumference, disease complications
Promotion of Exclusive Breastfeeding through Drinking “Uyup-Uyup” Herbal Sistiarani, Colti; Wati, Erna Kusuma; Rahardjo, Setiyowati
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
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.v19i3.34093

Abstract

Tradition mother after delivery baby ussually drinks uyup-uyup herbal. Uyup-uyup herbal is believed to smooth milk, so many mothers do traditional drink called uyup-uyup herbal in the postpartum period. This study aims treatment role of herbalist to be agents of change in promoting exclusive breastfeeding. This study intervension train uyup-uyup herbalist. Uyup-uyup herbalist who have been trained and then required to practice the promotion of exclusive breastfeeding to lactating mothers. Quantitative study used quasi-experimental research design to determine the effect of treatment exclusive breastfeeding promotion. The treatment group was located in the Bojongsari District and the control group in the Padamara district. The number of samples the treatment group and the control group respectively by 40 lactation mothers The results showed the differences knowledge and attitudes about exclusive breastfeeding in the treatment group. From these results exclusive breastfeeding promotion efforts can be done through intermediaries uyup-uyup herbalist to mothers.
Pendidikan Teman Sebaya Melalui Pemberdayaan Remaja dalam Pencegahan Stunting Sejak Prekonsepsi: Peer Education Through Empowering Adolescents in Stunting Prevention Since Preconception Erna Kusumawati; Rahardjo, Setiyowati; Sistiarani, Colti
Jurnal Pengabdian Kepada Masyarakat: Kesehatan Vol. 3 No. 4 (2023): Desember
Publisher : Sekolah Tinggi Ilmu Kesehatan Notokusumo Yogyakarta

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Abstract

Abstrak: Remaja merupakan salah satu fokus program penurunan stunting, apabila remaja memahami tentang kesehatan reproduksi, tidak menikah dini dan memahami status gizi untuk mencegah anak yang dilahirkan mengalami stunting. Desa Datar merupakan salah satu lokus stunting intervensi spesifik dan sensitive sudah dilakukan pada kelompok risiko stunting yaitu dan masih ditemukan kasus stunting setiap tahunnya dan masih ada pernikahan di usiakurang dari 20 tahun. Pengabdian masyarakat ini menggunakan metode participatory community service yang diikutioleh 32 remaja di Desa Datar Kecamatan Sumbang Kabupaten Banyumas. Alternatif pemecahan masalah melaluipendidikan dan pemberdayaan peran kelompok remaja dalam upaya pencegahan stunting sejak prekonsepsi dengan media modul, poster dan dan pembentukan kelompok sebaya. Hasil pengabdian masyarakat menunjukkan skor pretestpengetahuan sebesar 8,03 dan meningkat pada posttes sebesar 8,84. Ada perbedaan pengetahuan sebelum dan sesudahdiberikan pendidikan teman sebaya melalui pemberdayaan remaja putri dalam pencegahan stunting sejak prekonsepsi, p value = 0,000 < ? (0,05). Pengabdian masyarakat ini memberikan manfaat dalam penyebaran informasi tentangtentang penyiapan kehidupan berkeluarga bagi remaja, penyiapan kesehatan pranikah, kesehatan prakonsepsi, peran remaja dalam mencegah stunting dan pengukuran status gizi untuk deteksi stunting dan diharapkan adanyapemberdayaan kelompok remaja dalam pencegahan stunting.   Abstract: Adolescents are one of the focuses of the stunting reduction program, if adolescents understand reproductive health, do not marry early and understand nutritional status to prevent children born with stunting. Desa Datar is one of the specific and sensitive intervention loci for stunting that has been carried out in the stunting risk group, namely stunting cases are still found every year and there are still marriages at the age of less than 20 years. This service used the participatory community service method which was attended by 32 youths in Datar Village, Sumbang District,Banyumas Regency. Alternative problem solving through education and empowering the role of youth groups in efforts to prevent stunting since preconception with media modules, posters and the formation of peer groups. The results of thecommunity service showed that the knowledge pretest score was 8.03 and increased in the posttest by 8.84. There is adifference in knowledge before and after being given peer education through empowering young women in preventingstunting since preconception, p value = 0.000 < ? (0.05). This community service benefits in disseminating information about preparing for family life for adolescents, preparing premarital health, preconception health, the role ofadolescents in preventing stunting and anthropometric measurements for stunting detection and it is hoped that there will be empowerment of youth groups in stunting prevention.
Effect of Infection and Environmental Sanitation on Stunting in Rural Toddlers   Rahardjo, Setiyowati; Erna Kusuma Wati; Aisyah Apriliciciliana Aryani
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2025.012.01.5

Abstract

The surge in COVID-19 cases among children poses a risk of malnutrition, especially stunting, and even mortality. According to Banyumas Health Data in 2019, the highest prevalence of stunting in rural areas (25.9%) was at the Cilongok I Primary Health Center. Nutritional problems in urban and rural areas are influenced by differences in healthcare facilities and food availability. This study aimed to examine the effect of infection and environmental sanitation on the incidence of stunting among toddlers in rural areas during the COVID-19 pandemic. A case-control approach was used in this study. The case group consisted of stunted toddlers based on Height-for-Age Z-score (HAZ) measurements in February 2021, and the control group was toddlers with normal nutrition who were the closest neighbors of the cases. A total of 30 stunted toddlers and 30 controls were selected using simple random sampling. Data were analyzed using multivariate, bivariate, and univariate analysis with logistic regression. The results showed that infection and environmental sanitation influenced the occurrence of stunting among toddlers in rural areas. Infection was the most dominant factor, with an OR value of 16.34, meaning that infected toddlers faced 16.34 times higher risk of becoming stunted than those without infections.
Co-Authors Agnes Fitria Widiyanto Aisyah Apriliciciliana Aryani Atikah Proverawati, Atikah Baharudin Baharudin Baharudin Baharudin Colti Sistiarani Dimas Setio Kusuma Aji Dimas Setio Kusuma Aji, Dimas Setio Dwi Sarwani Sri Rejeki Dyah Umiyarni Purnamasari Dyah Umiyarni Purnamasari Endo Dardjito Endo Dardjito Endo Dardjito Endo Dardjito Erna Kusuma Wati Erna Kusuma Wati Erna Kusuma Wati, Erna Erna Kusumawati Farida Aprilianingrum Farida Aprilianingrum, Farida Fernanda Lintang Kusuma Wardani Hesti Permata Sari Hiya Alfi Rahmah Kuswanto Kuswanto Kuswanto Kuswanto Marsum Marsum Marsum Marsum Pramesthi Widya Hapsari Rachma Purwanti Siwi Pramatama Mars Wijayanti Siwi Pramatama Mars Wijayanti, Siwi Pramatama Sri Nurlaela Sri Nurlaela Suratman Suratman Widya Ayu Kurnia Putri Zaki, Ibnu Zeha, Hamdan Nur