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Exclusive Breastfeeding Determinants of Non-working Mothers Katarina Maria Tjung; Intje Picauly; Rut Rosina Riwu
Lontar : Journal of Community Health Vol 2 No 1 (2020): March, 2020
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v2i1.2207

The nutritional status in the first 1000 days of life is very important. WHO and UNICEF recommend that newborn babies should only be breastfed for at least six months, so that babies can grow and develop optimally. The recommendation has been applied, but the failure of exclusive breastfeeding still occurs. This study aimed to analyze the determinants of exclusive breastfeeding of not working mothers in the work area of Oesapa Public Health Center, Kelapa Lima subdistrict in 2019. This is a quantitative study with cross-sectional study design. This research was conducted in the work area of Oesapa Public Health Center with a sample of 61 babies. Data analysis used the Chi-Square test and multiple logistic regression tests. The results showed that the variables of mother’s knowledge (ρ= 0,001), mother’s trust (ρ= 0,024), family’s support (ρ= 0,000), and health care provider’s support (ρ= 0,028) are related to exclusive breastfeeding, but mothers’ age (ρ= 0.257) and information exposure (ρ= 1,000) are not related to exclusive breastfeeding. The factor of family’s support (ρ= 0,001) and mother’s knowledge (ρ= 0,005) had the highest correlation with exclusive breastfeeding. The mothers' level of knowledge also had a major contribution to the success of exclusive breastfeeding. To achieve exclusive breastfeeding success, mothers need support from the family (especially husband) and complete information from health workers so the mothers’ knowledge can be improved. The health centers need to utilize various health promotion media to increase the coverage of exclusive breastfeeding.

The Correlation between Body Mass Index, Physical Activity, and The Degree of Premenstrual Syndrome Tarsisius Tas'au; Lewi Jutomo; Sarci Magdalena Toy; Rut Rosina Riwu
Lontar : Journal of Community Health Vol 3 No 2 (2021): June 2021
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v3i2.4156

Premenstrual syndrome is a collection of physical and psychological symptoms that appear 7 to 10 days before menstruation in women of childbearing age and disappear after menstruation. Premenstrual syndrome can be caused by body mass index and exercise activity. This is an analytic study with a cross-sectional study design that consists of 92 respondents as the sample was selected by simple random sampling. This research was conducted from September to October 2020. Data collection used interview techniques using a questionnaire and anthropometric measurements of body weight and height. Statistical analysis using the chi-square test. The results of the chi-square statistical test showed that body mass index (p-value = 0.041 ≤ 0.05) and sports activities (p-value = 0.010 ≤ 0.05) are related to the degree of premenstrual syndrome. It is important to maintain ideal body weight by consuming nutritious and healthy foods and balanced with regular exercise activities so that the body mass index is normal and avoids the problem of premenstrual syndrome and achieves optimal health.

Faktor Penentu Kejadian Stunting pada Anak Balita di Wilayah Kerja Puskesmas Alak Kota Kupang Welmince Ina Lobo; Anna Henny Talahatu; Rut Rosina Riwu
Media Kesehatan Masyarakat Vol 1 No 2 (2019): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v1i2.1953

Stunting is a chronic nutritional problem that can give an idea of the failure of growth accumulated since before and after birth resulting from inadequate intake of nutrients. Alak Health Center has 137 children stunting toddlers, and the working area of Alak Health Center is one of the villages that are included in the priorities of the stunting treatment in Kupang city. This research aims to determine of stunting incidence in children in the working area of Alak health center of Kupang City. This type of research is analytical surveys with a case-control research draft. The number of Samples of 110 infants selected systematic random sampling. Data retrieval is conducted using field measurements and structured interviews using questionnaires. Data analysis was conducted with a Chi-square test (bivariable) and double logistic regression (multivariable) with α = 0.05. The result of bivariable analysis with a value of P < 0.25 is the level of maternal education, parental income level, maternal nutritional knowledge level, large family, feeding practice, the practice of hygiene and environmental sanitation, care of children in pain, foster pattern, energy sufficiency level, and protein adequacy rate. The results of multivariable analyses showed the practice of environmental hygiene and sanitation, protein adequacy levels, and maternal nutritional knowledge level. It was concluded that the determining factor of stunting in children of toddlers in the workplace of health centers Alak Kupang City is the most dominant is the practice of environmental Hygiene and sanitation (OR = 7,986), the level of protein adequacy (OR = 4,132) and the level of maternal nutritional knowledge (OR = 2,553).

Analisis Faktor-faktor yang Mempengaruhi Perilaku Ibu Hamil dalam Pemanfaatan Pelayanan Antenatal Care (K4) di Wilayah Kerja Puskesmas Tarus Welhelmina Daril Tassi; Masrida Sinaga; Rut Rosina Riwu
Media Kesehatan Masyarakat Vol 3 No 2 (2021): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i2.3251

The Antenatal Care (ANC) service's success is seen from the coverage of K4, which is the number of pregnant women who have obtained ANC services with a minimum of four times the recommended schedule in each trimester during pregnancy. The achievement of K4 coverage at Tarus Health Center in the last three years has not reached the national MSS target (95%), which is 71,86% (2017), 77,63% (2018), and 65,48% (2019). This study aimed to determine the factors associated with the ANC (K4) visit in pregnant women in the Tarus Health Centre's working area. The type of research is an analytical survey using a cross-sectional design with a sample of 75 people and conducted in August-September 2020. The statistical test used is the Chi-Square test. The results showed that the related variables were the knowledge level (p=0,000), maternal attitude (p=0,006), service accessibility (p=0,035), and exposure to media information (p=0,000). Unrelated were husband support (p=0,291) and attitude of health workers (p=0.870). Health Centers should give regular counselling, supported by printed media, electronic media, and other media information that can increase pregnant women's participation in using ANC (K4) services. The public is expected to be involved.

Strategi Masyarakat untuk Mengatasi Kerawanan Pangan di Desa Pitay Kecamatan Sulamu Kabupaten Kupang Cristianus Irvan A. Dhoy; Utma Aspatria; Rut Rosina Riwu
Media Kesehatan Masyarakat Vol 3 No 3 (2021): Media Kesehatan Masyarakat (Desember)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v3i3.3753

Household food security is related to the ability of the household to fulfill the needs of all its members. This implies physical and economic access to food that is sufficient, safe, and culturally acceptable in terms of the quantity and quality of nutrition to meet the needs of each family member. Pitay Village is one of the villages that is at risk of food vulnerability because it does not meet the three indicators namely availability, access and utilization. This study aims to determine the community's strategy to overcome food insecurity in Pitay Village, Sulamu District, Kupang Regency. This type of research was descriptive quantitative. The population in this study were 250 household heads. The sample consisted of 72 families determined using the Slovin formula. The results showed that 56.9% of respondents experienced food insecurity and 55.6% of respondents ate food from the forest as a strategy to deal with food insecurity. Local governments need to provide social assistance as well as increase entrepreneurial interest by providing working capital funds. Socialization and empowerment for productive age groups related to the use of homeyard (green house program) are recommended to meet household food needs.

Description of Consumption Level of Energy, Protein, and Nutritional Status of Children Under Five at the Orphanage Monitored by Kupang City Social Office Patricio Lourenco Andre Mendonca; Lewi Jutomo; Rut Rosina Riwu
Lontar : Journal of Community Health Vol 4 No 2 (2022): Juni 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i2.4335

The low level of public nutrition knowledge related to a balanced diet, a good diet, the presence of poor nutrition areas, and the low level of energy and protein adequacy are the causes of nutritional problems in Indonesia. Children under five years old (toddlers) are included in the vulnerable age group, so they need serious attention in efforts to fulfill their nutritional intake. This study described the energy consumption, protein, and nutritional status of toddlers in the orphanage assisted by the Social Service of Kupang City. This type of research was descriptive quantitative with a cross-sectional study approach. The sampling technique in this study used total sampling so that the total population was the same as the number of samples, namely 34 toddlers. The results showed that the highest energy and protein consumption level was in the deficit and normal category, respectively (59%&41%). Nutritional status based on weight/age and height/age index was in the normal category (94% dan 74%). The weight/height index was in a suitable category (88%). Paying more attention to the nutrition of children under five in orphanages is necessary. The orphanage is expected to play an active role in increasing their attention to the level of energy consumption of toddlers by arranging a balanced nutritional menu so that the energy needs of the toddlers can be fulfilled. In addition, the aid provider, either permanent or non-permanent donors or the community, is expected not to assist the orphanage only during the COVID-19 pandemic.

Response of People Living with HIV-AIDS to HIV-AIDS Stigma in Kupang City Henny Saranike Laure; Anna Henny Talahatu; Rut Rosina Riwu
Media Kesehatan Masyarakat Vol 4 No 2 (2022): Media Kesehatan Masyarakat (Agustus)
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/mkm.v4i2.4277

HIV-AIDS is a dangerous disease in society. In Indonesia, people living with HIV-AIDS are still considered a disgrace, so that stigma appears in society which makes people living with HIV feel pessimistic in living their lives, mentally and psychologically being depressed by the stigma. The purpose of this study was to determine the knowledge, attitudes, and actions of PLWHA on the stigma of HIV-AIDS in Kupang City in 2019. The research design used in this study was descriptive qualitative. The research was conducted by in-depth interviews with 6 informants using interview guidelines. The results showed that the informants had good knowledge about stigma because the informants had understood correctly that the bad treatment from family, neighbors, and health workers that the informants had received in their daily life was a stigma. Informants try to accept the stigma from neighbors and health workers positively because they are supported by the closest people and choose to continue taking treatment at health facilities for the survival of PLWHA. People living with HIV-AIDS continue to take ARVs and carry out activities like society in general. The hope of PLWHA related to stigma in this study is to reduce stigma and increase knowledge about HIV/AIDS and increase awareness of the health team and the community about the importance of caring for people with HIV-AIDS.

Faktor-faktor yang Berhubungan dengan Kejadian Stunting pada Anak Balita di Puskesmas Alak Kota Kupang Tahun 2022 Astriana Tualaka; Indriati A.Tedju Hinga; Rut Rosina Riwu
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 2 No. 1 (2023): Januari 2023
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v2i1.1091

Stunting is a condition where there is failure to thrive in children under five caused by chronic malnutrition so that the child is too short for his age. The prevalence of short and very short toddlers aged 0-59 months in Indonesia in 2017 was 9.8% and 19.8%, respectively. This condition increased from the previous year, namely the prevalence of very short toddlers at 8.5% and short toddlers by 9%. The province with the highest prevalence of stunting or stunting aged 0-59 months is East Nusa Tenggara while the lowest province of stunting is Bali. Alak Health Center is a health center that is included in the priority of treatment stunting in Kupang City, NTT. This study aims to determine what factors can affect the incidence of stunting in toddlers in the working area of the Alak Health Center. The type of research used is an analytical survey research with a case-control. The sample size in this study amounted to 188 mothers who have children under five, including 94 toddlers with stunting and 94 toddlers who are not stunted. Analysis of the data used is univariable analysis and bivariable analysis with statistical tests using chi-square. The results showed that the factors related to the incidence of stunting were poor parenting (p-value =0.000), history of infectious diseases (p-value =0.002), and parental income (p-value =0.001) were factors that affect the incidence of stunting in toddlers. Health centers are expected to take advantage of promotional media health in order to increase maternal knowledge about the dangers of stunting and its prevention.

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