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All Journal Jurnal Gizi dan Pangan Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Promotif: Jurnal Kesehatan Masyarakat 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 Media Publikasi Promosi Kesehatan Indonesia (MPPKI) 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)
Sandra Fikawati
Faculty Of Public Health, Universitas Indonesia
Religion Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Decision Sciences, Operations Research & Management 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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Nutrition Intake as a Risk Factor of Stunting in Children Aged 25–30 Months in Central Jakarta, Indonesia Ilmani, Dhea Agnia; Fikawati, Sandra
Jurnal Gizi dan Pangan Vol. 18 No. 2 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.2.117-126

Abstract

This study aims to determine the relationship between nutrient intake and the incidence of stunting and to determine the dominant factors associated with stunting in children aged 25‒30 months in Gambir and Sawah Besar Districts, Central Jakarta, Indonesia. This research was a quantitative study with a cross-sectional study design. The type of data collected was secondary data from a case control study entitled Differences in Milk Intake and Stunting Incidence in Children Aged 25–30 Months in Central Jakarta in 2019. Data collected included height measurement, questionnaire-based interview, and 24-hour food recall. The percentage of stunting in children aged 25 to 30 months was 29.8%. The factor associated with stunting was iron intake (OR=5.0; 95% CI:1.02–25.25; p<0.05). Stunting was more likely to occur in children with inadequate iron intake than in those with adequate intake. To prevent stunting, iron-rich foods are essential and should be taken in sufficient amounts daily.
Kualitas Gizi, Kepuasan Siswa, dan Manajemen Penyelenggaraaan Makanan di Sekolah Asrama: Literature Review Widartika; Sandra Fikawati
Prosiding Seminar Nasional Multidisiplin Ilmu Vol. 6 No. 1 (2024): Membangun Ekosistem AI di Bidang Kesehatan, Ekonomi, dan Humaniora: Peluang dan
Publisher : Universitas Respati Yogyakarta

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Abstract

Masa remaja adalah periode penting bagi pertumbuhan, di mana gizi yang tepat berperan besar dalam pertumbuhan fisik dan perkembangan kognitif. Sekolah asrama menghadapi berbagai tantangan dalam manajemen penyelenggaraan makanan yang berdampak pada kualitas gizi, kepuasan siswa, dan prestasi akademik mereka. Studi ini merupakan tinjauan literatur yang dilakukan berdasarkan kerangka kerja PRISMA. Dari hasil penelusuran di database Scopus sebanyak 200 artikel ditemukan, tetapi hanya delapan artikel yang memenuhi kriteria inklusi untuk direview. Hasil menunjukkan bahwa menu sekolah asrama sering kali monoton dan didominasi oleh karbohidrat, yang mengakibatkan kekurangan zat gizi seperti zat besi, kalsium, dan vitamin C. Kekurangan ini berisiko menyebabkan anemia dan berdampak negatif pada prestasi akademik siswa. Kepuasan siswa dipengaruhi oleh rasa, variasi, dan frekuensi makan. Ketidakpuasan dapat menyebabkan kebiasaan makan yang buruk serta meningkatkan frekuensi siswa melewatkan makan. Tantangan manajemen meliputi keterbatasan anggaran, kurangnya pelatihan staf, dan ketiadaan pedoman gizi yang standar. Namun, intervensi berupa edukasi gizi dan perencanaan menu yang baik terbukti efektif dalam memperbaiki status gizi siswa. Manajemen penyelenggaraan makanan yang efektif membutuhkan kolaborasi antara ahli gizi, pengelola makanan, dan pihak sekolah. Upaya perbaikan melalui pengembangan pedoman gizi yang terstandar, pelatihan staf secara berkala dan evaluasi berkelanjutan sangat penting untuk menunjang kesehatan serta mendukung keberhasilan pendidikan siswa.
Overview of Emergency Case Management Capability at PONED Puskesmas X Siyania, Piya; Tanesib, Amran Julianto; Fikawati, Sandra
jitek Vol 12 No 2 (2025): Maret 2025
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v12i2.1966

Abstract

X Health Center UPTD, which is located in an urban area, is categorized as a Non-Inpatient Health Center with the capability of Basic Emergency Neonatal Obstetric Services (PONED) and 24 hours Emergency Services. This study aims to evaluate the ability to handle maternal and neonatal emergencies at PONED UPTD X Health Center. This research uses qualitative methods by conducting in-depth interviews with health workers (1 Doctor, 1 Midwife, 1 Nurse and 1 patient) and direct observation of infrastructure. The research was conducted from May to June 2024. The results of the study show that in PONED facilities there are still limitations in resuscitation equipment and certain drugs. Only 13.6% of the support team has attended PONED training. Limited staff of doctors and laboratory analysts hampers 24-hour service. Although there has been an increase in deliveries and a decrease in referrals, some cases should be treated without referral. There is an important role of social support and collaboration in improving services. There is a need to increase the number of trained health workers, continuous training, provision of medical equipment and medicines and increased collaboration with referral facilities.
Implementasi Program Pemberian Tablet Tambah Darah pada Remaja Putri di Indonesia (Analisis Diagram Fishbone) Putriamanah, Norma Yangkawedar; Fikawati, Sandra
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45066

Abstract

Anemia merupakan salah satu permasalahan kesehatan masyarakat penting. Remaja menjadi salah satu kelompok yang rentan mengalami anemia dengan tren peningkatan kasus di Indonesia. Salah satu langkah pemerintah untuk mengatasi anemia remaja adalah melalui program pemberian tablet tambah darah. Penelitian ini bertujuan untuk mendapatkan gambaran tentang implementasi program pemberian tablet tambah darah pada remaja putri di Indonesia dengan menggunakan pendekatan diagram Fishbone. Metode penelitian yang digunakan adalah systematic literature review. Penelusuran melalui PubMed, Scopus, Science Direct, Google Scholar, dan Garuda dengan rentang tahun 2018 – 2024. Sebanyak 12.988 artikel disaring hingga ditemukan 6 artikel yang sesuai dengan kriteria inklusi dan tujuan penelitian. Selanjutnya, analisis dilakukan menggunakan diagram Fishbone dengan empat pendekatan, yaitu man, method, money, dan material. Permasalahan dan hambatan dalam implementasi program pemberian tablet tambah darah pada remaja di Indonesia yaitu jumlah tenaga kesehatan pelaksana program yang kurang memadai, kurangnya keterlibatan guru, kurangnya kepatuhan remaja putri dalam konsumsi TTD, ketidaksesuaian pelaksanaan program dengan pedoman, kurangnya koordinasi, sosialisasi, serta monitoring program, ketidaktepatan waktu pencairan dana anggaran, dan terbatasnya ketersediaan media sosialisasi dan edukasi. Diperlukan sosialisasi, kerja sama lintas sektor, serta supervisi, monitoring, dan evaluasi secara rutin agar dapat meningkatkan mutu program.
MILK CONSUMPTION IMPROVES THE NUTRITIONAL ADEQUACY OF 12-24 MONTHS OLD CHILDREN IN BEJI, DEPOK, INDONESIA Syafiq, Ahmad; Septiani, Seala; Fikawati, Sandra; Qirani, Ida Ayu Devi
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Weaning period is crucial to ensure appropriate nutritional status. Proper complementary feeding can help children reach optimal growth. Milk as part of complementary feeding is evidently beneficial. The aim of this study was to determine difference in nutritional status between children who consumed milk as a part of complementary feeding and children who did not. Methods: Cross-sectional study was conducted on 102 children aged 12-24 months in Depok City. Data was obtained from height and weight measurements, 1x24-hour food recall, and validated semi-quantitative food frequency questionnaire. Results: Nutritional status of children who consumed milk was better at all indicators compared to those who did not, especially in length-for-age, shown by the stunting prevalence (not consuming 26.2%; consuming milk 19.5%). Children who consumed milk also had significantly higher nutrient adequacy. Nutrient intake of mothers who still provided breast milk which demand higher nutritional need, turned out to be lower than the requirements. Conclusion: Milk consumption might benefits children aged 12-23 months for their nutritional status and to meet their nutrients adequacy. Results are expected to be consideration to assess regulations related to milk promotion for children
FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN INDONESIA: A QUALITATIVE STUDY AMONG WORKING MOTHERS Syafiq, Ahmad; Avianty, Selma; Fikawati, Sandra; Japri, Andrew Prasettya; Septiani, Seala; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Exclusive breastfeeding (EBF) is a globally recommended practice, yet its proportion remains low in Indonesia, particularly among working mothers. Various factors, including workplace policies, socioeconomic status, and family support, influence EBF success. This study aims to explore the supporting and inhibiting factors of EBF among working mothers in urban and semi-urban areas in Indonesia. A qualitative study was conducted through in-depth interviews to 14 working mothers with children aged 6–24 months in Jakarta (urban) and Beji-Depok (semi-urban) between October 2016 and January 2017. Participants were selected using purposive and snowball sampling, considering variations in breastfeeding status, occupation, and dwelling location. Data were analyzed through thematic content analysis with expert triangulation. Key factors influencing EBF included postpartum health, maternity leave policies, socioeconomic conditions, family and external support, and access to EBF-related information. White-collar mothers faced workplace-related barriers but benefited from strong internal and external support. Blue-collar mothers, constrained by economic factors, showed higher EBF adherence due to lacked comprehensive EBF knowledge. Health workerrecommendations influenced breastfeeding decisions. Enhancing workplace support, strengthening family engagement, and improving targeted education for working mothers are crucial to increasing EBF adherence. Further research involving healthcare providers is recommended.
Determinants of wasting among children aged 2–5 years in Tanjung Priok, Jakarta, Indonesia Lizamona, Herlinda; Fikawati, Sandra; Silva, Ruth Alpita
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.2387

Abstract

Wasting contributes to approximately 13% of the global child mortality. In 2022, the prevalence of wasting in Indonesia was 7,7%, declining from 10% in 2013. However, regions such as DKI Jakarta, particularly North Jakarta, still exhibit a high prevalence rate of 9,4%, indicating ongoing challenges in accessing adequate nutrition and healthcare services. This study aimed to examine the determinants of wasting in children aged 2–5 years. This cross-sectional study was conducted in Tanjung Priok, Jakarta, from June to July 2023. A total of 183 children, aged 2–5 years, were selected using purposive sampling. Data were collected through anthropometric measurements and structured interviews, using validated questionnaires covering dietary intake (SQ-FFQ), household socioeconomic status, and maternal nutrition knowledge. Data analysis included chi-squared tests and logistic regression analyses. The results showed that The prevalence of wasting was 8,7%. Although maternal nutrition knowledge was generally high, it was not significantly associated with wasting (p = 0,171). Energy (p = 0,023) and fat intake (p = 0,022) were significantly associated with wasting. Inadequate energy intake emerged as the dominant factor associated with a 3,7-fold increase in risk (p = 0,032). In conclusion, the primary determinant of wasting among children aged 2–5 years in Tanjung Priok is inadequate energy intake. Although most mothers had high nutrition knowledge, it did not significantly influence their wasting status. Therefore, interventions to prevent wasting should focus on improving energy and fat intake in children.
Pengaruh Intervensi Susu dan Edukasi PGS-PL terhadap Status Gizi Baduta Kurus di Kota Depok Sari, Dwi Ardyna Octa; Syafiq, Ahmad; Fikawati, Sandra; Achadi, Endang L.
JIMAD : Jurnal Ilmiah Multidisiplin Vol. 3 No. 1 (2025): JIMAD : Jurnal Ilmiah Multidisiplin (Oktober)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/jimad.v3i1.863

Abstract

Wasting is a public health issue that must be noticed. Wasting is an acute malnutrition which could indirectly cause of death in children. Under two children are the vulnerable group where the speed of growth and brain development is very rapid. The purpose of this study was to know effect of milk and “Pedoman Gizi Seimbang Pangan Lokal (PGS-PL)” education to nutritional status of under two children with wasting. This research was a research study of secondary data analysis with quasi-experimental primary research design. Group A as control (n=31) were given “Infant and Young Child Feeding (IYCF)” education, group B (n=25) were given milk and IYFC education and group C were given PGS-PL education for 90 days. The result showed significant (p>0.05) changes in WLZ before and after intervention in group 1 and 4, except group 5. Group 4 have changes nutritional status was higher compared other groups. Recommended consider for milk growth formula 1-3 years as one of the interventions in the PMT program give to children with wasting.
Penyebab Keberhasilan dan Kegagalan Praktik Pemberian ASI Eksklusif Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 4, No. 3
Publisher : UI Scholars Hub

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Abstract

Target cakupan ASI eksklusif oleh Depkes RI sebesar 80% masih sulit dilaksanakan. Berbagai studi menunjukkan cakupan ASI eksklusif di Indonesia masih sangat rendah. Ada berbagai faktor yang mempengaruhi keberhasilan dan kegagalan pelaksanaan ASI eksklusif. Penelitian ini bertujuan untuk menggali berbagai faktor predisposisi, pemungkin, dan pendorong yang berhubungan dengan keberhasilan atau kegagalan pelaksanaan ASI eksklusif di Puskesmas Kecamatan Jagakarsa, Jakarta Selatan. Disain studi adalah studi kualitatif dengan 14 informan yaitu ibu bayi yang berusia >6-24 bulan yang dibagi berdasarkan keberhasilan pelaksanaan ASI eksklusifnya. Data dikumpulkan melalui wawancara mendalam dan dilakukan triangulasi sumber data mencakup bidan puskesmas dan suami serta triangulasi analisis oleh pakar. Pendidikan, pengetahuan, dan pengalaman ibu adalah faktor predisposisi yang berpengaruh positif terhadap keberhasilan ASI eksklusif, sedangkan IMD adalah faktor pemungkin yang kuat terhadap keberhasilan ASI eksklusif. Dari segi faktor pendorong, dukungan tenaga kesehatan penolong persalinan paling nyata pengaruhnya dalam keberhasilan pelaksanaan ASI eksklusif. Di sisi lain, iklan susu formula di media massa ternyata mempengaruhi keberhasilan ASI eksklusif terutama pada ibu yang berpendidikan rendah. Disarankan untuk meningkatkan pengetahuan ibu tentang pelaksanaan ASI eksklusif khususnya pada saat antenatal care dan bukannya setelah persalinan. Perlu ditegakkan aturan ketat iklan susu formula baik di media massa maupun kampanye terselubung melalui tenaga kesehatan penolong persalinan. Coverage of exclusive breastfeeding (EBF) was targeted by Ministry of Health RI to reach 80%. The target is very difficult to achieve. Studies showed that EBF rate in Indonesia are very low. There are various factors affecting the success or failure of EBF. This study aims at digging information on predisposing, enabling, and reinforcing factors associated with success of EBF in Jagakarsa community health center, South Jakarta. Design of the study is qualitative with 14 informants that is mother with infant age >6-24 months and divided based on the success of EBF implementation. Data was collected through in-depth interview and was triangulated based on data sources including midwives and husbands as well as analysis triangulation by expert. Education, knowledge, and experience are predisposing factors that influence the success of EBF, while early breastfeeding initiation is a strong enabling factor, and support from mid-wife acts as a strong reinforcing factor. The study also found that advertisement of formulated milk was very successful in influencing mother’s success in EBF especially for those with low education. It is suggested to increase mother’s knowledge about EBF during antenatal care and not after the delivery. Legal aspect and rules should be implemented in a stricter way and to cover both mass-media advertisement and hidden campaign through health personel.
Pre-Eklampsia Berat di RSUD Bayu Asih Purwakarta Yulianti, Lia; Fikawati, Sandra
Kesmas Vol. 3, No. 1
Publisher : UI Scholars Hub

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Abstract

Pada periode 2004 - 2005, kejadian pre-eklampsia berat pada ibu hamil di RSUD Bayu Asih Purwakarta meningkat dari 15,2% menjadi 23,6%. Peningkatan kejadian PEB ini diperkirakan dipengaruhi faktor pendidikan, pekerjaan, umur ibu, paritas, umur kehamilan, riwayat penyakit, dan pemeriksaan antenatal. Penelitian ini bertujuan melakukan analisis berbagai faktor determinan pre-eklampsia berat pada Ibu hamil di RSUD Bayu Asih Purwakarta. Penelitian dengan disain studi case control ini dilakukan pada 133 kasus ibu dengan pre-eklampsia berat dan 133 kontrol ibu dengan non pre-eklampsia berat di RSUD Bayu Asih Purwakarta tahun 2004-2005. Metoda analisis yang digunakan adalah metoda analisis regresi logistik ganda. Penelitian ini menemukan faktor-faktor umur ibu, riwayat penyakit, dan pendidikan berhubungan secara bermakna dengan kejadian pre-eklampsia berat. Faktor yang berhubungan paling erat dengan kejadian pre-eklampsia berat adalah riwayat penyakit. Disarankan untuk melakukan penyuluhan pada ibu hamil, khususnya yang berumur >35 tahun dan primigravida dan ibu yang pernah mengalami pre-eklampsia berat agar mampu mendeteksi secara dini gejala dan tanda pre-eklampsia berat untuk segera mencari pelayanan rumah sakit juga melengkapi pengisian data file rekam medis pasien agar dapat memberikan tindakan medis yang sesuai dan tepat. In the period of 2004 - 2005, the severe preeclampsia condition among pregnant woman in RSUD Bayu Asih Purwakarta had been increased from 15,2% to 23,6%. It was predicted that the increase was related to factors such as education, job, mother age, parity, pregnancy age, illness and antenatal care. The objective of this study is to analyse several factors related to severe preeclampsia condition among pregnant woman who delivered in RSUD Bayu Asih Purwakarta in the period of 2004-2005. The study design used in this research is case control that conducted among 133 cases mother who suffered from severe preeclampsia condition and 133 mothers who did not suffer from severe preeclampsia. The method of analysis used in this study is logistic regression method. This research found that mother age, illness, and education were related to severe preeclampsia condition. On the other hand, job, parity, pregnancy age, and antenatal care were not related to the severe preeclampsia condition. Illness has the strongest relationship to severe preeclampsia condition. According to the study results, pregnant women especially those age more than 35 year and primigravida need clear information about severe preeclampsia condition so they can seek the needed health service. The hospital must collect complete information about patiens’ medical record.
Co-Authors Adila Prabasiwi, Adila Ahmad Syafiq Alifani Faiz Faradhila Anggraini, Kirana Anggraini, Kirana Anisa Sukmaningtias Bakara, Stella Maris Basrowi, Ray Wagiu Christanti, Stefani Dinar Farrasia Hafizhah Dwi Wahyuni Endang L. Achadi, Endang L. Euis Supriati Fatma Lestari Gemily, Syilga Cahya Ilmani, Dhea Agnia Islamiati, Nisa Nur Japri, Andrew Prasettya Khaula Karima Krisnawati Bantas Lia Yulianti Lizamona, Herlinda Notarianti, Rizna Putri, Primasti Nuryandari Putriamanah, Norma Yangkawedar Qirani, Ida Ayu Devi Raditya Wratsangka, Raditya Ratih P. Purbaningrum Ratu Ayu Dewi Sartika Retno Widiastuti Samosir, Yanti Santoso, Cornelia Lugita Sari, Dwi Ardyna Octa Selma Avianty Septiani, Seala Shelvi Novianita Shukri, Nurul Husna Mohd Sihite, Devi Suryanti Silva, Ruth Alpita Silviani J Prissa Siyania, Piya Suci Pujiyanti Supriati, Euis Tanesib, Amran Julianto Wastidar Musbir Widartika Wirawan, Fadila