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All Journal Jurnal Gizi dan Pangan Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Promotif: Jurnal Kesehatan Masyarakat 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 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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Status Gizi Ibu dan Persepsi Ketidakcukupan Air Susu Ibu Fikawati, Sandra; Syafiq, Ahmad
Kesmas Vol. 6, No. 6
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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Abstract

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
Publisher : UI Scholars Hub

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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.
FFAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MOTIF PEMILIHAN MAKANAN PADA SISWA SMKN 3 KOTA BOGOR, JAWA BARAT, INDONESIA Pujiyanti, Suci; Fikawati, Sandra; Islamiati, Nisa Nur
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 46 No. 2 (2023): PGM VOL 46 NO 2 TAHUN 2023
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/pgm.v46i2.771

Abstract

Important factors that influence a person in choosing their food. Adolescence is the time when a person begins to make choices, including choosing what foods they like and don't like to consume. This study aims to know the factors related to food choice motives among students at SMKN 3 Bogor City, West Java, Indonesia. The research design was Cross-sectional. Respondents were students of SMKN 3 Bogor class X, XI, and XII from five different majors, equalling 369 students were selected according to the inclusion criteria (students at SMKN 3 Kota Bogor) and exclusion criteria (students on special disease diets, students belonging to the vegan, vegetarian and pescetarian groups, students with certain food allergies). The results showed that the respondents who are frequently exposed to social media pay more attention to food choice motives compared to those who are less exposed to social media with a p-value <0.05. It can be concluded that social media as an important variable in determining food choice motives in adolescents must be a concern. The management of information dissemination carried out on social media should have regular regulations and legal sanctions if violations occur so that the information received is based on facts and can educate societies. Healthy food preferences still need to be enhanced among teenagers, and the promotion of healthy and natural foods should be intensified with breakthrough approaches
Milk Supplementation as a Potential Intervention for Overcoming Anemia and Chronic Energy Deficiency during Pregnancy Fikawati, Sandra; Syafiq, Ahmad
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (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.Supp.1.43-45

Abstract

This study aimed to determine the effect of milk supplementation on Mid-Upper Arm Circumference (MUAC) and hemoglobin level in pregnant women. It is a quasi-experimental study conducted from May to August 2019. The sampling was done by purposive sampling, and 108 pregnant women were recruited and divided into two groups: intervention group and non-intervention group. The intervention group received Fe-fortified milk supplementation, and the non-intervention group received education on anemia prevention. Data were analyzed using paired t-test. The result was that providing milk supplementation to pregnant women for three months could significantly increase MUAC and prevent further decline in hemoglobin levels.
The Impact of the COVID-19 Pandemic on Food Security at the Household Level: Cross-Sectional Survey in Jakarta and Depok, Indonesia Syafiq, Ahmad; Fikawati, Sandra
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (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.Supp.1.73-74

Abstract

This study aimed to describe when the effects of the pandemic on food security started to be felt by families in Jakarta (urban area) and Depok (semi-urban area). A cross-sectional survey was conducted among 517 respondents. Data were collected using an online questionnaire. The study revealed that effects of economic decline, reduced purchasing power, and increased food prices occurred early during the pandemic. Those living in semi-urban areas were affected earlier than those living in urban areas. However, more semi-urban families perceived that they were prepared to face food shortage during the pandemic. It is recommended to consider these results for public health nutrition program in food security and disaster.
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 Notarianti, Rizna Putri, Primasti Nuryandari 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 Siyania, Piya Suci Pujiyanti Supriati, Euis Tanesib, Amran Julianto Wastidar Musbir Widartika Wirawan, Fadila