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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 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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Pre-Eklampsia Berat di RSUD Bayu Asih Purwakarta Yulianti, Lia; Fikawati, Sandra
Kesmas Vol. 3, No. 1
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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.
Tracer Study : Melacak Jejak Lulusan FKM UI (Hasil Study Kualitatif Tracer Sarjana Kesehatan Masyarakat FKM UI 2006) Syafiq, Ahmad; Fikawati, Sandra
Kesmas Vol. 1, No. 6
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Salah satu indikator penting keberhasilan pendidikan tinggi adalah sumbangsih lulusannya dalam masyarakat dan pembangunan. Tracer study dapat menyediakan informasi mengenai sumbangsih dan keterlibatan alumni di masyarakat termasuk dinamika di dunia kerja. Fakultas Kesehatan Masyarakat UI (FK-MUI) sudah melaksanakan tracer study kuantitatif pada tahun 2003 yang menginformasikan beberapa aspek terkait dengan lulusan dan keberadaannya di dunia kerja. Penelitian ini merupakan tracer study kualitatif untuk melengkapi gambaran yang diperoleh pada tracer study pertama tersebut dan mencoba menggali lebih dalam informasi mengenai pengalaman pembelajaran di FKMUI, pengalaman bekerja, dan kepuasan lulusan dan pengguna lulusan terhadap pendidikan di FKMUI. Wawancara mendalam dilakukan terhadap 24 informan yang dibagi menjadi empat kelompok institusi kerja yaitu pemerintahan, sektor swasta/industri, LSM, dan lembaga pendidikan tinggi. Subyek dilacak secara multi moda dan data dianalisis berdasarkan tema utama penelitian. Hasil penelitian menunjukkan bahwa pembelajaran berbasis lapangan dipersepsi sebagai pengalaman belajar yang paling penting dan bahwa soft-skill adalah keterampilan yang sangat dihargai dan relevan di dunia kerja nyata. Penelitian ini juga mengungkap bahwa pada umumnya lulusan dan pengguna lulusan merasa puas dengan pendidikan di FKMUI. One important indicator of the success of higher education is the contribution of its alumni in the community and development. Tracer study provides information on alumni contribution and involvement in the community including working and employment dynamics. Faculty of Public Health University of Indonesia (FPHUI) has conducted a quantitative tracer study in 2003 which informed selected aspects related to alumni and their existence in employment world. This study is a qualitative tracer study to complement the first tracer study and aimed at digging further information on learning experience in FPHUI, working experience, and alumni and user’s satisfaction on education in FPHUI. In-depth interviewed were conducted to 24 informants which divided into 4 groups of institution (government, private sector/industry, non government organization and higher education institutions). Subjects were traced in a multimode way and data was analyzed based on the study main theme. Study exhibits that field-based learning is perceived as the most important learning experience and soft-skill is highly appreciated and most relevant in the real work situation. The study also found that most users and alumni are satisfied with education in FPHUI.
Kajian Keselamatan Kebakaran pada Lima Sekolah Dasar di DKI Jakarta Lestari, Fatma; Fikawati, Sandra; Syafiq, Ahmad; Sukmaningtias, Anisa
Kesmas Vol. 6, No. 1
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Kebakaran gedung di Indonesia merupakan masalah besar. Untuk mengkaji keselamatan kebakaran, telah dilakukan penelitian kualitatif di sekolah-sekolah dasar negeri (SDN) di Daerah Khusus Ibu Kota (DKI) Jakarta. Tiga SDN di Jakarta Selatan (SDN Pondok Labu 11 Pagi, SDN Pondok Labu 12 Pagi, dan SDN Pondok Labu 15 Pagi) dan 2 SDN di Jakarta Timur (SDN Kramat Jati 16 Pagi dan SDN Kramat Jati 18 Pagi) dipilih sebagai sampel secara purposif. Empat komponen keselamatan kebakaran yang diatur regulasi (sarana proteksi kebakaran, akses mobil pemadam kebakaran, sarana penyelamatan jiwa, dan Manajemen Keselamatan Kebakaran Gedung (MKKG) dikaji secara kualitiatif dengan mewawancarai orangorang yang bertanggung jawab dan mengamati semua komponen keselamatan kebakaran. Ditemukan bahwa di semua SDN tidak ada sarana proteksi kebakaran seperti alat pemadam api ringan (APAR) dan hidran serta tidak ada sarana penyelamatan jiwa termasuk nomor telepon darurat, tempat berhimpun sementara, lampu darurat, dan petunjuk arah keluar. Namun, ada 3 SDN (SDN Pondok Labu 11 Pagi, SDN Kramat Jati 16 Pagi, dan SDN Kramat Jati 18 Pagi) yang memiliki akes jalan mobil pemadam kebakaran ke sekolah, tetapi semua SDN hanya memiliki 2-4 pintu keluar. MKKG belum dilaksanakan di semua SDN. Disimpulkan bahwa keselamatan kebakaran di sekolah-sekolah dasar sangat buruk karena hampir semua komponen keselatan kebakaran belum diimplementasikan. Fire on building is a major problem in Indonesia. To assess fire safety, a qualitative research has been conducted in elementary schools in DKI Jakarta. Three state elementary schools (SDNs) in South Jakarta (i.e. SDN Pondok Labu 11 Pagi, SDN Pondok Labu 12 Pagi, and SDN Pondok Labu 15 Pagi) and two SDNs in East Jakarta (i.e. SDN Kramat Jati 16 Pagi and SDN Kramat Jati 18 Pagi) were selected purposively as samples. Four regulated fire safety components (i.e. fire protection system, fire truck access, life safety system, and Building Fire Safety Management) were assessed qualitatively by interviewing responsible persons and observing all fire safety components. It was found that in all the SDNs there were no fire protection system such as portable fire extinguisher and hydrant available and no life safety system has been implemented including emergency phone number, assembly point, emergency lamp, as well as safety signs. However, there were three SDNs (i.e. SDN Pondok Labu 11 Pagi, SDN Kramat Jati 16 Pagi, and SDN Kramat Jati 18 Pagi) had fire truck access to schools, but all SDNs had only 2 to 4 exit doors. In all SDNs, Building Fire Safety Management has not been implemented. It is concluded that the fire safety in elementary schools was very bad as almost all the four components of the fire safety have not been completely implemented.
Status Gizi Ibu dan Persepsi Ketidakcukupan Air Susu Ibu Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 6, No. 6
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Menyusui eksklusif kurang dari 6 bulan berkontribusi terhadap 1,4 juta kematian bayi dan 10% angka kesakitan balita. Persepsi Ketidakcukupan Air Susu Ibu (PKA) yang memengaruhi kepercayaan diri untuk menyusui menjadi salah satu penyebab utama kegagalan pemberian air susu ibu (ASI) eksklusif di dunia. Salah satu faktor penyebab PKA adalah ketidakmampuan ibu hamil untuk mencapai kenaikan berat badan (BB) yang direkomendasikan sehingga ibu berisiko melahirkan bayi berat lahir rendah (BBLR) dan memiliki cadangan lemak rendah untuk memproduksi ASI. Penelitian ini bertujuan untuk mengetahui hubungan antara status gizi ibu dan PKA. Penelitian ini merupakan kajian terhadap 3 studi yang menganalisis di Kabupaten Karawang, Kecamatan Cilandak, dan Kecamatan Tanjung Priok pada tahun 2010 dan 2011. Hasil penelitian menunjukkan hubungan yang bermakna antara status gizi ibu dan PKA dengan odds ratio (OR) masing-masing 3,7 (1,470 - 9,081); 3,9 (1,551 – 9,832); dan 4,5 (1,860 – 11,008). Disimpulkan bahwa PKA dialami oleh ibu menyusui yang selama hamil tidak mencapai kenaikan BB yang direkomendasikan menyebabkan ibu berhenti memberikan ASI eksklusif. Penemuan yang penting ini dapat digunakan untuk mengubah anggapan para pakar ASI dan masyarakat bahwa semua ibu, apapun kondisi status gizinya, mampu menyusui ekslusif. Penelitian ini diharapkan menjadi masukan bagi penentu kebijakan untuk memerhatikan status gizi ibu menyusui. Exclusive breastfeeding for less than 6 months contributed to the 1,4 million deaths of infants and 10% toddlers’ morbidity. Perceived Insufficient Milk (PIM) became one of the main causes of exclusive breastfeeding failure in the world. PIM could occured by inability of pregnant women to achieve the recommended weight gain thus mothers have the risk of giving birth of low birth weight (LBW) infants and have low fat reserves to produce milk. Low production of breast milk will negatively affect the confidence of mothers to breastfeed. This study aimed to examine three studies that analyzed the relationship between maternal nutritional status and PIM. The study was conducted in three places Karawang district, Tanjung Priok subdistrict, and Cilandak sub district in 2010 and 2011. The results of this study showed significant associations between maternal nutritional status and PIM with odds ratio (OR) 3,7 (1,47 to 9,08); 3,9 (1,55 to 9,83); and 4,5 (1,86 to 11,01) respectively. It concluded that PIM was experienced by breastfeeding mothers whose maternal weight gain during pregnancy did not achieve the recommendation and caused the mother to stop exclusive breastfeeding. This discovery is important and useful to change the existing perception among breastfeeding experts and communities all mothers, regardless their nutritional status, are able to breastfeed exclusively. The study is expected to provide input for policy makers to pay more attention to the nutritional status of breastfeeding mothers.
Effectiveness of Using Information, Education, and Communication Flowchart Media in Implementation of Early Breastfeeding Initiation Notarianti, Rizna; Fikawati, Sandra; Faradhila, Alifani Faiz
Kesmas Vol. 17, No. 1
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Early initiation of breastfeeding (EIB) has many benefits for both the baby and the mother. However, in Bogor City, there are still many babies who do not get EIB when they are born (33.6%). The implementation of EIB is not optimal due to the absence of standard procedures to equalize its theory and perception. This study aimed to investigate the effectiveness of using Information, Education, and Communication (IEC) flowchart media concerning the standard procedure for EIB implementation in the Primary Health Care (PHC) in Bogor City. A quasi-experimental research was conducted on 58 midwives divided into the intervention and control groups. The intervention group was given IEC flowchart media, the EIB standard procedure, whereas the control group was given a brief explanation about EIB. The results indicated that the intervention group (96.0) had a higher average EIB implementation score than the control group (84.7). Furthermore, the success rate of EIB was higher in the intervention group (93.1%) than in the control group (20.7%). In conclusion, the IEC flowchart media is effectively used to optimize EIB implementation by midwives in the PHC in Bogor City.
Gerakan Nusantara Program on Children’s Nutrition Practices Gemily, Syilga Cahya; Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 15, No. 3
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Gerakan Nusantara is a nutrition education program that aims to change the nutrition knowledge, attitudes, and practices of elementary school children in Indonesia. The program was implemented in 2015–2018 in Jakarta, Bandung, Surabaya, Makassar, Medan, Yogyakarta, Pontianak, East Nusa Tenggara, Pekanbaru, Padang, Jambi, and Sorong. The present study sought to determine the effects of Gerakan Nusantara on the nutrition practices of school-aged children and describe the extent of changes in each nutrition practice component covered by the program. This study used secondary data on Nutrition and Health Knowledge, Attitudes, and Practices studies collected from students participating in the program and involved 6132 school children. The seven nutrition practice components studied were consumption of staple foods, plant protein, animal protein, vegetables, and fruits; milk drinking; and exercise. Significant improvements in fruit consumption and exercise were noted in 2015; all variables improved in 2016; significant changes in the consumption of staple food and plant protein and exercise were recorded in 2017; and significant improvements in the consumption of vegetables, plant protein, and animal protein and milk drinking were noted in 2018. Significant differences in nutrition practices before and after program implementation were noted in each year. Overall, the results demonstrated that Gerakan Nusantara successfully improved the nutrition practices of elementary school children.
Maternal Energy Intake at the Sixth Month as Dominant Factor of Exclusive Breastfeeding Success Sihite, Devi Suryanti; Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 12, No. 2
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Breastfeeding mothers needed adequate energy intake to provide 6-month exclusive breastfeeding that is necessary for infant growth and development. This study aimed to investigate real intake at the first and sixth month of breastfeeding and determine the dominant factor affecting 6-month exclusive breastfeeding provision. The design of this study was cross-sectional conducted in March-April 2015 among 109 mothers with 6-12- month-old infant living and registered at integrated health care in Kalangan Primary Health Care area. Data were collected through interview using questionnaires. Breastfeeding mothers’ intake was asked using Semi-Quantitative Food Frequency Questionnaire. The study found that 6-month exclusive breastfeeding proportion was 22.9%. Mean energy intake of breastfeeding mothers declined from 2551 kcal/day in the first month of breastfeeding to 1718 kcal/day in the sixth month of breastfeeding. After controlled by other variables, energy intake in the sixth month of breastfeeding was found to be the most dominant factor affecting 6-month exclusive breastfeeding provision. Mothers with low energy intake at the sixth month of breastfeeding period were likely 9 times more to fail in providing 6-month exclusive breastfeeding compared to those with adequate energy intake.
ASI Eksklusif dan Persepsi Ketidakcukupan ASI Prabasiwi, Adila; Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 9, No. 3
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Persepsi ketidakcukupan air susu ibu (PKA) adalah keadaan ibu merasa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA merupakan salah satu penyebab utama kegagalan ASI eksklusif di dunia. Penelitian ini bertujuan untuk mengetahui faktor paling dominan berhubungan dengan PKA di Kecamatan Tegal Selatan dan Kecamatan Margadana, Kota Tegal tahun 2014. Penelitian ini merupakan penelitian primer dengan desain studi potong lintang. Sampel berjumlah 88 ibu dari bayi berusia 0 - 6 bulan yang dipilih secara purposive sampling. Status gizi ibu dilihat dari kenaikan berat badan ibu sewaktu hamil apakah sesuai dengan rekomendasi dari Institute of Medicine. Asupan energi ibu saat laktasi diukur melalui wawancara dengan menggunakan semi-quantitative-Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)). Untuk variabel pengetahuan, digunakan kuesioner terstruktur. Uji analisis yang digunakan adalah uji kai kuadrat (bivariat) dan uji regresi logistik ganda (multivariat). Hasil penelitian menunjukkan bahwa sebanyak 51,1% ibu mengalami PKA. Variabel pengetahuan (nilai p = 0,001), asupan energi (nilai p = 0,019) dan Inisiasi Menyusu Dini (IMD) (nilai p = 0,048) berhubungan signifikan dengan PKA setelah dikontrol variabel status gizi, paritas, rawat gabung, perlekatan menyusui, dukungan keluarga, dan dukungan tenaga kesehatan. Faktor pengetahuan merupakan faktor yang paling dominan berhubungan dengan PKA. Perception of insufficient milk supply (PIM) is the condition in which a mother feels that her breastmilk is insufficient to meet the needs of their babies. Such perception is one of main reasons of the exclusive breastfeeding failure in the world. This study aimed to find out the most dominant factors related to PIM in Tegal Selatan District and Margadana Sub-Districts at Tegal City in 2014. This study was a primary study with a cross sectional design. A total sample of 88 mothers of 0 - 6 months old babies selected in by purposive sampling. Mother’s nutritional status was seen from the increasing of mother’s weight gain during the pregnancy was it met the standards from Institute of Medicine. The mother’s energy intake during lactation was measured through interview using semi-quantitative Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)) form. Knowledge variable used structured questionnaire. Analysis used are chi square test (bivariate) and multiple regression logistic (multivariate). The result showed that 51.1% mothers experienced PIM. Variables knowledge (p value = 0.001), energy intake (p value = 0.019), and early initiation of breastfeeding (p value = 0.048) were significantly related to perception after controlled by nutritional status, parity, rooming-in, latch on, family support, and health practitioners support variable. Knowledge is the most dominant factor related to the PIM.
Dietary Diversity as a Dominant Factor of Energy Intake Among Breastfeeding Mothers in Depok City, Indonesia Santoso, Cornelia Lugita; Sartika, Ratu Ayu Dewi; Fikawati, Sandra; Wirawan, Fadila; Putri, Primasti Nuryandari; Shukri, Nurul Husna Mohd
Kesmas Vol. 19, No. 4
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Maternal nutritional needs increase during lactation. However, the energy intake of breastfeeding mothers usually still falls short of the recommended adequacy levels. This study aimed to identify the dominant factor of energy intake in breastfeeding mothers in Sawangan District, Depok City, Indonesia. This quantitative study used a cross-sectional design from July 2022 to February 2023. Energy intake, dietary diversity, and eating frequency were collected using 24-hour food recall. Other variables were collected through interviews with structured questionnaires. Data were analyzed using the Chi-square test and binary logistic regression. A total of 217 breastfeeding mothers participated in this study. This study found that 78.3% of breastfeeding mothers had inadequate energy intake. Dietary diversity (p-value = 0.032) was the dominant factor associated with the energy intake of breastfeeding mothers. Breastfeeding mothers with non-diverse food consumption were at a 2.507 times higher risk of inadequate energy intake. Energy intake in breastfeeding mothers is related to the sustainability of breastfeeding. However, most breastfeeding mothers in Sawangan District still have insufficient energy intake. Therefore, it is suggested that food supplementation for breastfeeding mothers should be included in promoting exclusive breastfeeding.
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 Japri, Andrew Prasettya Khaula Karima Krisnawati Bantas Lia Yulianti Lizamona, Herlinda Nisa Nur Islamiati Notarianti, Rizna Putri, Primasti Nuryandari Putriamanah, Norma Yangkawedar Qirani, Ida Ayu Devi Raditya Wratsangka, Raditya Ratih P. Purbaningrum Ratu Ayu Dewi Sartika Retno Widiastuti Santoso, Cornelia Lugita Sari, Dwi Ardyna Octa Selma Avianty Septiani, Seala Shelvi Novianita Shukri, Nurul Husna Mohd Sihite, Devi Suryanti Silva, Ruth Alpita Siyania, Piya Suci Pujiyanti Supriati, Euis Tanesib, Amran Julianto Wastidar Musbir Widartika Wirawan, Fadila