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All Journal Jurnal Gizi dan Pangan Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Paediatrica Indonesiana Promotif: Jurnal Kesehatan Masyarakat Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) AcTion: Aceh Nutrition Journal Proceedings of the International Conference on Applied Science and Health Amerta Nutrition Jurnal Ilmu dan Teknologi Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Prosiding Seminar Nasional Multidisiplin Ilmu Jurnal Ners Journal SAGO Gizi dan Kesehatan Jurnal PkM (Pengabdian kepada Masyarakat) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Public Health Nutrition (IJPHN) Makara Human Behavior Studies in Asia Journal of Indonesian Specialized Nutrition JIMAD : Jurnal Ilmiah Multidisiplin Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta

Sandra Fikawati

Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Indonesia, Depok

Author-ID : 370088

Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEHAMILAN TIDAK DIINGINKAN DI INDONESIA Anggraini, Kirana; Wratsangka, Raditya; Bantas, Krisnawati; Fikawati, Sandra
PROMOTIF: Jurnal Kesehatan Masyarakat Vol 8, No 1 (2018): PROMOTIF - JUNI
Publisher : PROMOTIF: Jurnal Kesehatan Masyarakat

Kehamilan tidak diinginkan merupakan masalah global, dan menyumbang 700.000 kematian ibu setiap tahunnya.Â Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kehamilan tidak diinginkan diÂ Indonesia. Desain studi adalah potong lintang, dengan responden sebanyak 13.955 perempuan berusia 15-49 tahun, yang melahirkan anak terakhir dalam 5 tahun sebelum survei. Penelitian ini menggunakan data sekunder, dari Survei Demografi Kesehatan Indonesia (SDKI) tahun 2012.Â Uji analisis yang digunakan adalah uji kai kuadrat (bivariat) dan regresi logistik ganda (multivariat).Â Hasil studi menunjukkan prevalensi ibu yang mengalami kehamilan tidak diinginkan di Indonesia sebanyak 8%, dengan prevalensi tertinggi terdapat di provinsi Sulawesi Tengah (11,9%) dan terendah diÂ Papua (2.9%).Â Pada analisis bivariat didapatkan hubungan yang bermakna antara tingkat ekonomi, tingkat pendidikan, wilayah tempat tinggal, status pernikahan, paritas, jarak kelahiran, usia dengan kehamilan tidak diinginkan dengan nilai p< 0,25.Â Pada analisis multivariat, variabel status pernikahan berhubungan signifikan dengan kehamilan tidak diinginkan setelah dikontrol dengan variabel tingkat ekonomi, tingkat pendidikan, wilayah tempat tinggal, paritas, jarak kelahiran dan usia.Â Disimpulkan faktor status pernikahan merupakan faktor paling dominan yang berhubungan dengan kehamilan tidak diinginkan. Penemuan ini diharapkan dapat menjadi masukan bagi pemerintah untuk meningkatkan pengetahuan dan partisipasi masyarakat tentang program Keluarga Berencana.Â

FACTORS ASSOCIATED WITH MATERNAL KNOWLEDGE ON EXCLUSIVE BREASTFEEDING IN CIPAYUNG SUB-DISTRICT, DEPOK CITY, INDONESIA Faradhila, Alifani Faiz; Fikawati, Sandra
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Background: Exclusive breastfeeding practice during six-months could reduce morbidity and mortality of mother and infant. This study aims to examine the sociodemographic characteristics as the the factors associated with knowledge among six-months exclusively breastfeeding mothers in Cipayung Sub-District, Depok City, Indonesia. Methods: This was a cross-sectional collected from 122 mothers with six-months exclusively breastfeeding. The participants selected through purposive sampling in Cipayung Sub-District in year 2017. Results: Only 80% mothers exclusively breastfeeding for six months. More than half mothers (59%) had high educational level, advance and tertiary. Most of mothers (91%) were unemployed. Approximately 22.1% mothers had high status of social economic. Eighty-two percent mothers who have children more than one. Six-months exclusively breastfeeding mothers who had high educational level were more likely has high knowledge than those with low educational level (p=0.010; OR=2.85; CI95%=1.34-6.06). Mothers who had low educational level were 2.85 times higher risk to have low maternal knowledge of exclusive breastfeeding compared with high educational level. Conclusions: Knowledge of exclusive breastfeeding among mothers was significantly associated to educational level. Interventions emphasizing practical education should therefore be targeted at addressing factors that associated knowledge of exclusive breastfeeding.Â

PERCEIVED INSUFFICIENT MILK (PIM) AMONG MOTHERS OF 0-6 MONTHS INFANTS IN CIPAYUNG HEALTH CENTRE, DEPOK INDONESIA: A QUALITATIVE STUDY Bakara, Stella Maris; Fikawati, Sandra
Proceedings of the International Conference on Applied Science and Health No 3 (2018)
Publisher : Proceedings of the International Conference on Applied Science and Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (501.324 KB)

Background: Exclusive breastfeeding is breast milk given to infant since their birth to the age of 6 (six) months, without adding and/or replacing with other foods or beverages (except medicines, vitamins, and minerals). One of the factors that affect the exclusive breastfeeding was the perceptions of insufficient milk. Milk insufficiency is considered to happen when the mother stops breastfeeding exclusively with some reasons such as no breast milk, low milk supply, or insufficient milk. This research was to examine more deeply the perception of insufficient milk and factor influencing it. Methods: This was a qualitative study that used a primary data of study "Intervention of Breastfeeding Enhancement and Weaning Food in the Implementation of the First-1000-Days-of-Life Program". Informants selected through who has been intervened research by PKGK. Triangulation of data sources was a midwife, informantsâ husbands, documents of mother and child health books (MCH) and secondary data from PKGK research. Results: Based on the result from the interview: a) there was found a tendency of knowledge increase on mothers receiving treatment. b) Mostly, the lactation guidance was given without supporting device. c) Mother perception about their will gained weight if giving the sufficient milk has not been in line with Body Mass Index (BMI) before pregnancy. d). Family support towards mothers breastfeeding has not been provided optimally. e) Early breast-feeding (EBF) was not complete in accordance with the standard. Conclusions: Mothers who had not received treatment were having lack of knowledge on exclusive breastfeeding. Implementation of EBF was not in line with the procedure. The role of a delivery helper on EBF is vital in order to make the implementation of the EBF carried out according to the procedure.Â

Menuju Literasi Gizi: Komponen Pengetahuan Gizi pada Program Edukasi Gizi Siswa Sekolah Dasar Nuril Aiffa Dewantari; Ahmad Syafiq; Sandra Fikawati
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 3: SEPTEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Nutrition knowledge is a fundamental base for determining attitude and practice in food choice. This study aimed to determine the magnitude of knowledge among elementary students. Analysis based on pre-test and post-test among elementary students who had been intervened by Gerakan Nusantara team. The intervention of nutrition education was held in 2014 to 2018 among 7113 selected elementary students in Indonesia. T-test of SPSS was used to analyze data. Standardization was held to determine the magnitude of change in each component of nutrition knowledge before and after nutrition education intervention. The result showed there was a significant change in nutrition knowledge after intervention p<0.05 from 2014 to 2018. The lowest magnitude of nutrition knowledge change was in 2014 (mean score=6.0±18.2). The lowest component of nutrition knowledge change was tumpeng balance nutrition guidelines dan and my plate food (mean score=2.3±1.4). This study showed that there was enhancement nutrition knowledge among students who were supported by their environment and the lowest magnitude of component knowledge was tumpeng balance nutrition guidelines dan and my plate food. The implementation of nutrition policy which was followed by effective media and method was necessary to be done to improve nutrition knowledge so that could affect attitude and practice among students.

Perubahan Sikap pada Anak Sekolah Dasar di Indonesia Tahun 2014-2018 (Gerakan Nusantara) Dinar Farrasia Hafizhah; Ahmad Syafiq; Sandra Fikawati
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 2: JUNI 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Behavioral patterns and eating habits as adults are formed in childhood. Knowledge and eating habits will lead to changes in a more regular and balanced nutritional attitude. The purpose of this study is to look at the effect of nutrition program education in changes in the average attitude score before and after of Gerakan Nusantara program in 2014-2018. 7605 people are elementary school students grade III, IV, and V in several areas in the City of Jakarta, Bandung, Surabaya, Medan, Makassar, Yogyakarta, Pontianak, NTT, Pekanbaru, Padang, Jambi, and Sorong. The data used are secondary data from Gerakan Nusantara in 2014-2018. Data processing using SPSS with t-test dependent & t-test independent, correlation and One-way Anova. The analysis showed that there was a statistically significant change (p<0.05) in each year with a difference in 2014 related to an increase in attitude by 4%, in 2015 by 6%, in 2016 by 6%, in 2017 by 10%. in 2018 at 36%. Meanwhile, the relationship of knowledge to attitudes obtained statistically significant results (p<0.05), in 2014 (r = 0.47, p = 0,000), 2015 (r = 0.26, p = 0,000), year 2016 (r = 0.35, p = 0,000), 2017 (r = 0.26, p = 0,000) and 2018 (r = 0.41, p = 0,000). Nutrition education programs bring significant improvements in attitude changes that are also influenced by knowledge in primary school children each year.

Analisis Faktor-Faktor Risiko terhadap Kejadian Stunting pada Balita (0-59 Bulan) di Negara Berkembang dan Asia Tenggara Gladys Apriluana; Sandra Fikawati
Media Penelitian dan Pengembangan Kesehatan Vol 28 No 4 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v28i4.472

Stunting is a disorder of linear growth caused by chronic malnutrition. The short stature of under-fives is the cause of 2.2 million of all cause of under-five mortality worldwide. The purpose of this literature review was to analyze the effects of determinant risk factors on the incidence of stunting in children under-fives. The design of this study was a literature review. The articles selected were articles of correlation research using cross-sectional studies. The respondents were children with stunting aged 0-59 months. Inclusion criteria to select articles were studies on children with stunting, age 0-59 months, developing countries (including Southeast Asia), had growth chart, still had complete parents. The search process to exclude the articles used for this literature review using the PRISMA method.The results showed that nutritional status factors with birth weight <2,500 gram had a significant effect on the incidence of stunting in children and a risk of stunting of 3.82 times. Maternal education factors have a significant effect on the incidence stunting in children and have a risk of experiencing stunting 1.67 times. Low household income factors were identified as significant predictors of stunting in children under five by 2.1 times. Poor sanitation factors have a significant effect on the incidence of stunting in infants and have a risk of experiencing stunting by 5.0 times. The conclusion of this study is the lower birth weight (LBW), the level of maternal education, household income, and the lack of hygiene sanitation of the house, so the risk of a toddler being stunting is greater. Abstrak Stunting adalah gangguan pertumbuhan linier yang disebabkan kurang gizi yang berlangsung kronis. Keadaan gizi balita pendek menjadi penyebab 2,2 juta dari seluruh penyebab kematian balita di seluruh dunia. Tujuan dari review literatur ini adalah menganalisa efek dari faktor-faktor risiko determinan terhadap kejadian stunting pada balita. Desain penelitian ini adalah literature review. Artikel-artikel yang dipilih dengan search engine adalah artikel correlation research yang menggunakan study cross-sectional dengan respondennya adalah anak dengan stunting usia 0-59 bulan. Kriteria inklusi artikel yang dipilih adalah anak dengan stunting, berusia 0-59 bulan, wilayah negara berkembang (termasuk wilayah Asia Tenggara), memiliki KMS, masih memiliki orang tua lengkap. Proses pencarian hingga pengeksklusian artikel-artikel yang digunakan untuk review literatur ini menggunakan metode PRISMA. Hasil penelitian menunjukkan faktor status gizi dengan berat badan lahir < 2.500 gram memiliki pengaruh secara bermakna terhadap kejadian stunting pada anak dan memiliki risiko mengalami stunting sebesar 3,82 kali. Faktor pendidikan ibu rendah memiliki pengaruh secara bermakna terhadap kejadian stunting pada anak dan memiliki risiko mengalami stunting sebanyak 1,67 kali. Faktor pendapatan rumah tangga yang rendah diidentifikasi sebagai predictor signifikan untuk stunting pada balita sebesar 2,1 kali. Faktor sanitasi yang tidak baik memiliki pengaruh yang signifikan terhadap kejadian stunting pada balita dan memiliki risiko mengalami stunting hingga sebesar 5,0 kali. Kesimpulan penelitian ini adalah semakin rendahnya berat badan lahir (BBLR), tingkat pendidikan ibu, pendapatan rumah tangga, dan kurangnya hygiene sanitasi rumah maka risiko balita menjadi stunting semakin besar.

Breast-feeding duration and childrenâ€™s nutritional status at age 12-24 months Susilowati Susilowati; Kusharisupeni Kusharisupeni; Sandra Fikawati; Kusdinar Achmad
Paediatrica Indonesiana Vol 50 No 1 (2010): January 2010
Publisher : Indonesian Pediatric Society

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Background Relation between breast-feeding duration and childrenâ€™s nutritional status is still a controversy. Positive as well as negative relation were shown. This study aimed to support this current issue on breast feeding duration and nutritional status of children aged 12-24 months.Objective To analyze relationship between breast-feeding duration and nutritional status of children aged 12-24 months.Methods A cross sectional study was conducted with 246 proportional stratified random coupled samples (mothers and weaned children) with inclusion criteria: normal birth weight, full-term delivery and no physical and psychological problems. Data from children were measured using SecaÂ® digital weight scale, wooden length board, while data from mothers were collected through 1x24 Hours Food Recall Form, and a questionnaire on motherâ€™s knowledge.Results The average of breast-feeding duration was 15 months. The prevalence of malnutrition was quite low (<10%), but the prevalence of stunting was high enough (20.7%) while wasting was moderately high (10.6%). Breast-feeding duration was significantly associated to childrenâ€™s nutritional status (height-for-age index and weight-for-height index). The highest correlation was found in height-for-age index (r = 0.403). Regression model revealed that breast-feeding duration, exclusive breast-feeding, diarrhea, working mother, motherâ€™s knowledge, energy intake, and protein intake were independently associated with childrenâ€™s nutritional status.Conclusions As this study found that the average of breast-feeding duration was 15 months and there was a significant association between breast-feeding duration and nutritional status (height-for-age index) of children 12-24 months old, thus these findings strengthen the recommendation of WHO to continue breast feeding up to 2 years old. [Paediatr Indones. 2010;50:56-61].

Counseling of exclusive breastfeeding during antenatal care (ANC) and perceptions of insufficient milk supply Eka Nurhayati; Sandra Fikawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 7 ISSUE 2, 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2019.7(2).65-73

ABSTRAKLatar Belakang: Persepsi Ketidakcukupan ASI (PKA) adalah pikiran atau perasaan ibu terhadap kondisi ketiadaan atau berkurangnya produksi ASI sehingga ibu merasa bahwa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA menjadi alasan utama ibu berhenti menyusui secara dini dan alasan untuk memberikan makanan tambahan lebih awal pada bayinya. Prevalensi PKA belum diketahui secara pasti, diperkirakan antara 30-80% dari ibu yang menyusui mempunyai PKA. Tujuan : untuk mengetahui faktor paling dominan dalam PKA. Metode: Desain penelitian ini menggunakan Cross Sectional. Jumlah sampel dalam penelitian ini sebanyak 71 sampel ibu yang memiliki bayi 0-6 bulan yang gagal menyusui secara eksklusif dikarenakan mengalami PKA. Hasil: Hasil analisis didapatkan sebanyak 59 (83,1%) ibu memiliki PKA dengan ASI yang cukup. Ada hubungan yang bermakna konseling ASI saat Antenatal Care (ANC) dengan PKA yang mempunyai ASI cukup, ibu yang tidak mendapatkan konseling saat ANC berpeluang 19,7 kali mempunyai PKA, p=0,012; OR=19,746 (CI 95% 1,926-202,456).Kesimpulan: Konseling ASI pada saat ANC yang berkualitas merupakan hal yang sangat penting dilaksanakan oleh petugas kesehatan untuk persiapan menyusui. Pemanfaatan “Temu wicara” dalam konsep 10 T dalam ANC perlu diefektifkan untuk membahas persiapan laktasi.KATA KUNCI: persepsi ketidakcukupan ASI; konseling ASIABSTRACT Background: Perceptions of Insufficient Milk Supply (PIM) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PIM was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PIM is not certain, it is estimated between 30-80% of breastfeeding mothers has PIM. Objectives: This study aimed to find out the most dominant factors related to PIM. Methods: Design of this study using cross-sectional. The numbers of samples in this study were 71 samples of mothers with babies’ 0-6 months exclusive breastfeeding failure due to experiencing PIM. Results: Found as many as 59 (83.1%) mothers had PIM with enough milk. There is a significant correlation counseling exclusive breastfeeding during Antenatal Care (ANC) by PIM that has enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PIM, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Conclusion: Exclusive Breastfeeding counseling during ANC quality does health personnel in preparation for breastfeeding implement a very important thing. Utilization of “Gathering of speech” in the concept of 10 T in the ANC should be effected to discuss preparation for lactation.KEYWORDS: exclusive breastfeeding, perceptions of insufficient milk supply

Indeks Massa Tubuh (IMT) Pra Hamil dan Kenaikan Berat Badan Ibu Selama Hamil Berhubungan dengan Berat Badan Bayi Lahir Eka Nurhayati; Sandra Fikawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 4, No 1 (2016): Maret 2016
Publisher : Alma Ata University Press

Prepregnancy BMI (Body Mass Index) is used as a guide to the nutritional status of the mother before pregnancy and also determine the optimal weight gain in pregnancy. Meanwhile, weight gain during pregnancy is a decisive indicator of the nutritional status of the mother. This retrospective study design aimed to determine the relationship of pre-pregnant BMI and maternal weight gain during pregnancy with birth weight babies. The sample was 71 mothers with children aged 0-6 months were selected by purposive sampling. The results showed 67.6% most respondents in this study had pre-pregnant BMI normal and 62% of respondents experienced weight gain during pregnancy, according to the recommendations. There is a significant relationship between pre-pregnant BMI birth weight (p=0.006), as well as weight gain during pregnancy had no significant relationship with birth weight, with p=0.024.

FACTORS ASSOCIATED WITH MATERNAL KNOWLEDGE ON EXCLUSIVE BREASTFEEDING IN CIPAYUNG SUB-DISTRICT, DEPOK CITY, INDONESIA Alifani Faiz Faradhila; Sandra Fikawati
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Co-Authors Adila Prabasiwi Adila Prabasiwi, Adila Ahmad Safiq Ahmad Syafiq Alifani Faiz Faradhila Anggraini, Kirana Anggraini, Kirana Anisa Sukmaningtias Anisa Sukmaningtias Ariani Tri Rahmi Asih Setiarini Aurelia Yoshadara Bakara, Stella Maris Basrowi, Ray Wagiu Christanti, Stefani Devi Suryanti Sihite Dian Fitri Nurisfanti Dinar Farrasia Hafizhah Dwi Wahyuni Eka Nurhayati Endang L. Achadi, Endang L. Euis Supriati Fajrinayanti . Fatma Lestari Gemily, Syilga Cahya Gladys Apriluana Herlinda Lizamona Hilda Rahmani Fitri Hilmi Friska Ilmani, Dhea Agnia Intan Hidayah Islamiati, Nisa Nur Japri, Andrew Prasettya Khaula Karima Khoirul Anwar Krisnawati Bantas Kusdinar Achmad Kusharisupeni Kusharisupeni Laksono Trisnantoro Layra Azkadzkiya Arradhin Lia Yulianti Lia Yulianti Lulu'ul Badriyah Muhammad Aulia Rizky Nadya Khaira Wardi Netti Yaneli Norma Yangkawedar Putriamanah Notarianti, Rizna Nuril Aiffa Dewantari Patrisha Ramadhiani Putri, Primasti Nuryandari Qirani, Ida Ayu Devi Raditya Wratsangka, Raditya Ratih P. Purbaningrum Ratu Ayu Dewi Sartika Retno Widiastuti Risma Hayati Rizna Notarianti Ruth Alpita Silva Santoso, Cornelia Lugita Sari, Dwi Ardyna Octa Selma Avianty Septiani, Seala Sheila Octavia Shelvi Novianita Shukri, Nurul Husna Mohd Sihite, Devi Suryanti Silviani J Prissa Siyania, Piya Suci Pujiyanti Supriati, Euis Susilowati Susilowati Syilga Cahya Gemily Syilga Cahya Gemily Tanesib, Amran Julianto Thesia Ekawati Triyanti Triyanti Wahyu Kurnia Yusrin Putra Wastidar Musbir Welly Femelia Widartika Wirawan, Fadila Yanti Samosir

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