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All Journal Medikora: Jurnal Ilmiah Kesehatan Olahraga JURNAL PROMOSI KESEHATAN INDONESIA Journal of Nutrition College Media Penelitian dan Pengembangan Kesehatan Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Interest : Jurnal Ilmu Kesehatan Jurnal Riset Kesehatan Jurnal Administrasi Kesehatan Indonesia Jurnal Media Gizi Indonesia (MGI) Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya The Indonesian Journal of Public Health Panrita Abdi - Jurnal Pengabdian pada Masyarakat Jurnal Penelitian Kesehatan Suara Forikes Jurnal Pemberdayaan Masyarakat Madani (JPMM) Jurnal Penelitian Pendidikan IPA (JPPIPA) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Kesehatan Manarang Jurnal Kesehatan Prima Amerta Nutrition Jurnal Kreativitas PKM Jurnal Kesehatan Jurnal Ilmu dan Teknologi Kesehatan Media Karya Kesehatan Journal of Nursing and Public Health (JNPH) Indonesian Journal of Global Health research Journal SAGO Gizi dan Kesehatan Kontribusi: Jurnal Penelitian dan Pengabdian Kepada Masyarakat Ahmar Metakarya: Jurnal Pengabdian Masyarakat Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition) Empowerment: Jurnal Pengabdian Masyarakat Quality : Jurnal Kesehatan Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat JURNAL PENELITIAN TERAPAN KESEHATAN Jurnal Kesehatan Komunitas Indonesia Jurnal Pengabdian Kepada Masyarakat: Kesehatan (JPKMK) Jurnal Svasta Harena Rafflesia ADM : Jurnal Abdi Dosen dan Mahasiswa Poltekita: Jurnal Ilmu Kesehatan Jurnal Pengabdian dan Pemberdayaan Kesehatan Media Penelitian dan Pengembangan Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Demsa Simbolon

Politeknik Kesehatan Kementerian Kesehatan Bengkulu

Author-ID : 380858

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DETERMINAN KINERJA PELAYANAN KESEHATAN IBU DAN ANAK DI RUMAH SAKIT PEMERINTAH INDONESIA (ANALISIS DATA RIFASKES 2011) Demsa Simbolon Djazuli Chalidyanto Ernawati
Jurnal Kebijakan Kesehatan Indonesia Vol 2, No 4 (2013)
Publisher : Center for Health Policy and Management

Background: The hospital has quite an important role inreducing IMR and MMR because hospitals as providers ofplenary personal health services including maternal and childhealth (MCH). However, until now the IMR and MMR Indonesiais still high compared to other ASEAN countries. The maincauses of maternal mortality are obstetric complications ordisease as a complication that arises during pregnancy, childbirthand postpartum. This factor was experienced by approximately20% of all pregnant women, while complication cases thatwere treated well are less than 10%.Objective: The research aims to identify the effect of hospitalcharacteristics, management of MCH services, humanresources for MCH, MCH services, and MCH equipment on theperformance of MCH services in government hospitals inIndonesia.Methods:Research is using secondary data of Health FacilitiesResearch 2011 (RIFASKES) with a cross sectional study.Population and sample is the entire Indonesian governmenthospitals (685 hospitals). The research variables wereidentified from the available variables in the questionnaireRIFASKES. Performance measurement of the compositevariable proportion of maternal deaths due to hemorhage d”1%, d” 10% pre-eclampsia, sepsis d” 0.2%, d” 20% secariasection, the proportion of stillborn d” 4%, and the proportion ofLBW handling 100% based SPM hospital. Multivariate logisticregression was used to obtain a model determinants ofperformance MCH services.Results: The majority (66.3%) government hospitals inIndonesian has less than optimal performance. As thedeterminant is unaccredited status (OR = 2.99: 1.43 to 6.28),the hospital is not a vehicle of education (OR = 1.78; 1.11 to2.85), team PONEK is incomplete (OR = 1.89; 1.27 to 2.82),there is no PONEK-trained doctor in the ER (OR = 1.89; 1.27 to2.82), there is no team ready to perform the operation or taskthough on call (OR = 2.16; 1.32 to 3.53). The most dominantfactor is the unaccredited status.Conclusions: Suboptimal performances of MCH at Indonesiangovernment hospitals are influenced by the low hospital servicecharacteristics and incomplete of human resources. TheMinistry of Health needs to support improvement in all types ofservices to complete an accredited hospitals (16 types ofservices), not just 5 or 12 services. They also need to makethe government hospital as a vehicle of education, increasethe quantity and quality of human resources are trained inPONEK-skill, ensure availability of PONEK-trained doctor inemergency, provide the team that are ready to perform theoperation or task though on call, and increase organizationalcommitment to overall performance improvement.Keywords: Performance, Maternal and Child Health Services,Government Hospital

Pengaruh Kepemilikan Jaminan Kesehatan Masyarakat Miskin terhadap Status Kelahiran dan Kejadian Stunting pada Baduta Indonesia (Analisis Data IFLS 1993 – 2007) Demsa Simbolon
Jurnal Kebijakan Kesehatan Indonesia Vol 3, No 2 (2014)
Publisher : Center for Health Policy and Management

Background. One of the policies to address health and nutrition issues is Health Insurance Program for the Poor (ASKESKIN) imposed by the Decree of the Minister of Health of the Republic of Indonesia number 1241/MENKES/SK/XI/2004 as mandated by National Social Security System. However, coverage is still low, which is expected to have an impact on the birth status and nutritional status of children under-two years old. Objective. To prove that membership of a health insurance for the poor (ASKESKIN) has effect on birth status and the incidence of stunting of children under-two years old in Indonesia. Method. The research is using the positivist paradigm, the data is analysed using cross- sectional study based on Indonesian Family Life Survey (IFLS) in 1993-2007. The samples were all children under two years who were randomly netted in IFLS1 (1993) until IFLS4 (2007), with inclusion criteria biological children, living with parents, single live birth and birth, the data available on birth weight, gestational age, anthropometry. Univariate, bivariate and logistic regression mutivariat using 3 sets of data to identify the effect of health insurance ownership to birth weight (n = 3956), gestational age (n = 4998) and the incidence of stunting (n = 4504). Results. Ownership of health insurance affects LBW, preterm and stunting. Children under two years old from family that have health insurance other than ASKESKIN are protected from LBW (OR, 95 % CI = 0.61; 0.43 to 0.88). However, there was no difference risk of LBW among children under two years old from families with ASKESKIN and those without any health insurance. (OR, 95 % CI = 0.92; 0.52 to 1.61) (model 1). Children from ASKESKIN family has a risk factor for the prevalence of preterm (OR, 95 % CI: 1.74; 1.14 to 2.66) (model 2). Children from families that have health insurance other than ASKESKIN are protected from stunting (OR, 95 % CI = 0.78, 0.62 to 0.98), but there is no difference in risk of stunting among children from families with ASKESKIN compared to children from famililies that do not have health insurance (OR, 95 % CI = 1.01; 0.69 to 1.47) (model 3). Conclusion. Policy makers need to evaluate the Community Health Insurance Program (ASEKSKIN). The Maternal Children Health and Nutrition intervention was done with less emphasis on promotive and preventive efforts. People utilize curative measures only when problems occur in relation to the health and nutrition of mothers and children. Latar belakang. Salah satu kebijakan untuk mengatasi masalah kesehatan dan gizi adalah Program Jaminan Pemeliharaan Kesehatan bagi Masyarakat Miskin (PJKMM) yang diberlakukan dengan Surat Keputusan Menteri Kesehatan Republik Indonesia (SK Menkes RI) No. 1241/Menkes/SK/XI/ 2004 sebagai amanat UU No. 40/2004 tentang Sistem Jaminan Sosial Nasional (SJSN). Namun cakupannya masih rendah, yang diperkirakan berdampak pada masih tingginya masalah riwayat kelahiran dan status gizi baduta. Tujuan. Membuktikan pengaruh kepemilikan jaminan kesehatan masyarakat miskin terhadap status kelahiran dan kejadian stunting baduta Indonesia. Metode. Penelitian menggunakan paradigma positivist dengan pendekatan crossectional study berdasarkan data Indonesia Family Life Survey (IFLS) tahun 1993-2007. Sampel adalah seluruh bayi dan baduta yang secara random terjaring dalam IFLS1 (1993) sampai IFLS4 (2007), dengan kriteria inklusi anak kandung, tinggal dengan orang tua, lahir hidup dan lahir tunggal, tersedia data berat lahir, umur kehamilan, antropometri. Analisis univariat, bivariat dan regresi logistik mutivariat menggunakan 3 set data untuk mengidentifikasi pengaruh kepemilikan Jaminan kesehatan terhadap berat lahir (n=3956), umur kehamilan (n=4998) dan kejadian stunting (n=4504). Hasil. Kepemilikan jaminan kesehatan berpengaruh terhadap BBLR, prematur dan stunting. Bayi dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari BBLR (OR;95% CI= 0,61; 0,43-0,88). Namun tidak ada perbedaan risiko BBLR antara bayi dari keluarga peserta Askeskin dan yang tidak memiliki jaminan kesehatan (OR;95% CI =0,92; 0,52-1,61) (model 1). Kepemilikan ASKESKIN sebagai faktor risiko kejadian prematur (OR, 95% CI: 1,74; 1,14-2,66) (model 2). Anak dari keluarga peserta jaminan kesehatan Non-ASKESKIN terproteksi dari kejadian stunting (OR;95% CI =0,78; 0,62-0,98), namun tidak ada perbedaan risiko stunting antara anak dari keluarga peserta ASKESKIN dengan anak dari keluarga yang tidak memiliki jaminan kesehatan (OR;95% CI =1,01; 0,69-1,47) (model 3). Kesimpulan. Penentu kebijakan perlu melakukan evaluasi pada program Jaminan Kesehatan Masyarakat (keluarga miskin), karena intervensi KIA dan Gizi yang dilakuan kurang menekankan pada upaya promotif dan prefentif, sehingga utilisasi masyarakat lebih pada upaya kuratif bila terjadi masalah Kesehatan dan Gizi pada ibu dan anak.

THE RELATIONSHIP BETWEEN MATERNAL AND CHILD HEALTH SERVICES WITH THE PREVALENCE OF STUNTING BASED ON THE BASIC HEALTH RESEARCH IN INDONESIA Demsa Simbolon; Dhea Adevianti; Luluk Setianingsih; Lisma Ningsih; Lusi Andriani
The Indonesian Journal of Public Health Vol. 16 No. 2 (2021): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

ABSTRACTStunting is a linear growth disorder considered as a serious health problem in Indonesia, where its prevalence is related to maternal and child health (MCH) services. This study aimed to compare the coverage of maternal and child health services between two surveys and analyze how they relate to the prevalence of stunting. The study used aggregate data from the 2013 and 2018 Basic Health Research Reports using a cross-sectional approach. The research sample spanned to 34 provinces in Indonesia. Stunting prevalence was taken as aggregate data from individuals based on height-for-age z-scores (HAZ). The independent variable was the achievement of MCH service indicators. Data analysis used variance measures, correlations, simple linear regression, and paired T-tests. The results found variations in the prevalence of stunting, with 25.4% in 2013 and 25.1% in 2018. There was a 7.4% decrease in severe stunting prevalence between 2013 and 2018, but the decrease was not significant (p = 0.506). The analysis results of the 2013 Basic Health Research showed that MCH service indicators related to stunting prevalence were coverage of antenatal care, iron consumption, delivery by health personnel, delivery in health facilities, postpartum maternal health services, low birth weight (LBW) prevalence, neonatal examination, complete immunization, health card ownership, and growth monitoring. The analysis results of the 2018 Basic Health Research showed that MCH indicators were related to the prevalence of antenatal care coverage, delivery by health personnel, and delivery in health facilities, postpartum maternal health services, LBW prevalence, neonatal examination, and complete immunization. There was a significant increase in the coverage of MCH services from 2013 and 2018 (p < 0.0001), except for the coverage of Fe tablet consumption, the prevalence of stunted birth babies, ownership of health cards, provision of vitamin A, and provision of colostrum. The better the coverage of MCH services, the lower the stunting prevalence. Efforts to improve the MCH service programs are required to reduce the prevalence of stunting for Indonesian children. Keywords: stunting, children under five years old, coverage of maternal and child health services

Pemberdayaan Kader Gemari dalam Meningkatkan Pengetahuan dan Sikap Ibu Usia Remaja terhadap Perencanaan Keluarga di Kabupaten Bengkulu Tengah Demsa Simbolon; Jumiyati Jumiyati; Lisma Ningsih; Epti Yorita; Frensi Riastuti
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 1 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Abstract More than 50% of marriages in Bengkulu Province are adolescents marriages (less than 20 years). Adolescents marriage affects low levels of education, high incidence in the household, overcoming health problems, health problems in struggling children and psychological health of children because mothers of adolescents are less capable of planning a family. Therefore, community participation is needed to increase the knowledge and attitudes of adolescent mothers in family planning, namely through empowering Posyandu cadres and family planning cadres. The research design uses quasi experiment with pretest and posttest design with control group design. Research population is all married mothers aged 15-20 years. The sample is a teenage mother selected purposively by inclusion criteria of married mother, resident of settlement in Central Bengkulu Regency, able to communicate well and can read and write. Exclusion criterion is mother suffering from severe disease and not willing to follow the research process. The sample size is 60 people consist of 30 people of intervention group and 30 control group. The independent variable is empowerment of GEMARI cadres while dependent variable of knowledge and attitude of adolescent mother. Instruments using structured questionnaires. Data analysis technique using paired simple test and independent t-test. The results found in the intervention group there was an increase in knowledge scores before (61.67) and after (78.83) mentoring was carried out by GEMARI cadres (p = 0.001), but in the control group there was no difference in the average knowledge score before (66, 83) and after (64.67) intervention (p = 0.482). In the intervention group, there was an increase in the score of mothers’ attitudes about family planning before (78) and after (80.47) accompanied by GEMARI cadres (p = 0.036), while in the control group there was no difference in the average attitude score before (78, 33) and after (80.47) intervention (p = 0.114). Assistance of GEMARI cadres effectively improves knowledge and attitude of adolescent mother about family planning. Abstrak Lebih dari 50% pernikahan di Provinsi Bengkulu merupakan pernikahan usia remaja (kurang dari 20 tahun). Pernikahan usia remaja berdampak pada rendahnya tingkat pendidikan, tingginya angka kejadian kekerasan dalam rumah tangga, tingginya masalah kesehatan reproduksi, masalah kesehatan pada anak yang dilahirkan dan kesehatan psikologi anak karena ibu usia remaja kurang mampu merencanakan keluarga. Maka dari itu diperlukan partisipasi masyarakat untuk meningkatkan pengetahuan dan sikap ibu usia remaja dalam perencanaan keluarga, yaitu melalui pemberdayaan kader posyandu dan kader Keluarga Berencana. Desain penelitian menggunakan quasi eksperimen dengan rancangan pre test and post test with control group design. Populasi penelitian adalah seluruh ibu menikah usia 15-20 tahun. Sampel adalah ibu usia remaja yang dipilih secara purposif dengan kriteria inklusi ibu sudah menikah, penduduk menetap di Kabupaten Bengkulu Tengah, dapat berkomunikasi dengan baik, serta dapat membaca dan menulis. Kriteria eksklusi adalah ibu menderita penyakit berat dan tidak bersedia mengikuti proses penelitian. Jumlah sampel sebanyak 60 orang, terdiri dari 30 orang kelompok intervensi dan 30 orang kelompok kontrol. Variabel independen adalah pemberdayaan kader Gerakan Masyarakat Peduli (GEMARI) sedangkan variabel dependen pengetahuan dan sikap ibu usia remaja. Instrumen menggunakan kuesioner terstruktur. Analisis data menggunakan paired t-test dan independen t-test. Hasil penelitian menemukan pada kelompok intervensi terdapat peningkatan skor pengetahuan sebelum (61,67) dan sesudah (78,83) dilakukan pendampingan oleh kader GEMARI (p=0.001), namun pada kelompok kontrol tidak ada perbedaan rata-rata skor pengetahuan sebelum (66,83) dan sesudah (64,67) intervensi (p=0,482). Pada kelompok intervensi, terjadi peningkatan skor sikap ibu tentang perencanaan keluarga sebelum (78) dan setelah (80,47) dilakukan pendampingan oleh kader GEMARI (p=0,036), sementara pada kelompok kontrol tidak ada perbedaan rata-rata skor sikap sebelum (78,33) dan sesudah (80,47) intervensi (p=0,114). Pendampingan kader GEMARI dapat meningkatkan pengetahuan dan sikap ibu usia remaja tentang perencanaan keluarga.

RELATIONSHIP FAMILY AND MATERNAL FACTORS WITH INFANT AND YOUNG CHILD FEEDING AGE 6-23 MONTHS IN INDONESIA Heidy Dayanti; Demsa Simbolon
Jurnal Riset Kesehatan Vol 11, No 1 (2022): MAY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i1.8439

The Infant and Young Child Feeding (IYCF) programs aim to improve the nutritional and health status, growth and development, and survival of children in Indonesia. Knowing the relationship between maternal factors and family factors in feeding infants and children under 6-23 months. This study used secondary data and analysis of the 2017 Indonesian Demographic and Health Survey (IDHS). The research design used was an analytic observational design using a cross-sectional type to determine the relationship between maternal factors and family factors in feeding infants and toddlers 6-23 months. The sample used is 4869 with a minimum sample of 790 samples. The unit of analysis for this study was all children who were born alive from all live births from mothers who had children under five years of age 6-23 months and children who were born alive and were the last child of a mother who had already had a birth. Data analysis used univariate, bivariate, and multivariate analysis. Multivariate analysis using multivariate logistic regression. The results found that most of the children had the practice of IYCF not according to the recommendations (72.2%). Factors related to IYCF practices are a place of residence, socioeconomic, parity, mother's education, and mother's age, while the most dominant factor related to IYCF practice is socioeconomic. It is necessary to improve education, socialization, and movements toward families, so that the community, especially mothers with children aged 6-23 months.

Pemberdayaan Kader dalam Penatalaksanaan Ibu Hamil Kekurangan Energi Kronis dan Balita Malnutrisi Tonny Cortis Maigoda; Kusdalinah Kusdalinah; Demsa Simbolon; Ahmad Rizal; Mariati Mariati; Afrina Mizawati
Empowerment: Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2022): JANUARI 2022
Publisher : Pusat Riset Manajemen dan Publikasi Ilmiah Serta Pengembangan Sumber Daya Manusia Sinergi Cendikia

The problem of malnutrition in children under five starts from malnutrition during pregnancy such as Chronic Energy Deficiency (CED). One of the nutrition improvement programs for pregnant women in Central Bengkulu Regency is Food Supplementary feeding for CED pregnant women and toddlers, including in Semidang Lagan District, Central Bengkulu Regency. A holistic approach is needed starting from cadres, health workers, communities, partners with local government officials, as well as the private sector in preventing and overcoming the problem of CED pregnant women and malnourished toddlers. Community Service Activities (CSA) were carried out in the villages of Taba Lagan, Pagar Jati and Lagan Bungin with the aim of empowering cadres in managing CED pregnant women and malnourished toddlers. The results of the CSA activity showed that there is an increase in skill score of cadres in anthropometric measurements practices , an increase in the knowledge of mothers having children under five, an increase in the size of the MUAC for CED pregnant women, an increase of cadres ability to motivate pegnant women with CED in each villages. Local government support financial assisstance for villages continuously.

Asupan Zat Gizi Makro dan Mikro terhadap Kejadian Stunting pada Balita Ayuningtyas Ayuningtyas; Demsa Simbolon; Ahmad Rizal
Jurnal Kesehatan Vol 9, No 3 (2018): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Stunting is a cumulative process and is caused by insufficient intake of nutrients or recurrent infectious diseases or both. Stunting can also occur before birth and is caused by very poor nutritional intake during pregnancy, eating patterns that are very lacking, low quality of food in line with the frequency of infectious diseases so that it can inhibit growth (UNICEF, 2012). This type of research was descriptive analytic. The study design was cross-sectional consisting of 58 samples of toddlers 24-59 months in the work area of Sumber Urip Health Center Rejang Lebong Regency in 2018. Data were collected in the form of nutritional status data TB/U using microtoice tools, energy intake, macro and micronutrients using questionnaires 2x24 hour recall. Toddlers 24-59 months who experienced stunting were 17 people (29.3%) and normal ones were 41 people (70.7%). The incidence of stunts was largely due to a lack of energy intake, and zinc. The results of this study indicate that there was a significant relationship between energy intake, macronutrients, and zinc with the incidence of stunting in infants.

Pengaruh Pendampingan Gizi terhadap Perubahan Perilaku Pemenuhan Gizi Ibu Hamil Kurang Energi Kronik (KEK) Demsa Simbolon; Antun Rahmadi; Jumiyati Jumiyati
Jurnal Kesehatan Vol 10, No 2 (2019): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

CEDs in pre-pregnancy and pregnant women have an impact on the birth of Intra Uterine Growth Retardation (IUGR) children, Low Birth Weight (LBW) and stunting, so that SEZ problems in pregnant women need to be improved through nutritional assistance. The study aims to prove the effect of nutritional assistance on CED pregnant women on changes in knowledge, attitudes and actions in fulfilling nutrition. The study was carried out in the cities of Bengkulu and Bandar Lampung with a quasi-experimental design carried out by health cadres who had been trained to assist pregnant women with CED to carry out health promotion and monitor consumption of Supplementary Feeding Programme (SFP) and Fe Tablet consumption for 3 months. Changes in knowledge, attitudes and actions in nutritional fulfillment were analyzed by different mean and independent samples. The results of the study found that effective nutrition assistance to increase knowledge, positive attitudes and actions of CED pregnant women in fulfilling nutrition. After mentoring there was a significant increase in the average knowledge score, attitudes and actions of CED pregnant women in both the City of Bengkulu and in Bandar Lampung. Need continuous nutrition assistance for CED pregnant women so that behavioral changes and fulfillment of balanced nutrition occur during pregnancy and postpartum.

Edukasi Gizi dengan CAMIL Sama Efektif dengan Leaflet dalam Prilaku Pencegahan Anemia pada Ibu Hamil Rista Elmika; Demsa Simbolon; Emy Yuliantini
Jurnal Ilmu dan Teknologi Kesehatan Vol 6 No 1 (2018): September
Publisher : Poltekkes Kemenkes Jakarta III

Iron nutritional anemia is anemia caused by iron deficiency in the blood, meaning the concentration of hemoglobin in the blood is less than 11 gr / dl. According to WHO, the incidence of pregnancy anemia ranges between 20% and 89% by setting Hb 11 g% (g / dl). The pregnancy anemia rate occurred 3.8% in the first trimester, 13.6% trimester II, and 24.8% in the third trimester. To know the effectiveness of CAMIL media (iron anemia disc pregnant mother) to behavior of prevention of iron anemia in pregnant mother in work area of Beringin Raya Public Health Center of Bengkulu City. This type of research uses Quasy Experimental Study with Pretest-Postest Control Group Design. The population in this study were pregnant women listed in the Register of Beringin Raya Public Health Center of Bengkulu Year 2018. total samples were 40 respondents.20 respondents of the intervention group and 20 control groups. Data analysis using T-test. The result of the research is the effect of CAMIL on knowledge, attitude and action where the sign value 0.000 <0.05. While the Leaflet of behavior (knowledge, attitude, and action) there is influence where the sign value is 0.000 <0.05. There is no difference of knowledge on CAMIL group and leaflet where sign value is 0.106> 0.05. For attitudes on the CAMIL group and the leaflet is the same where the sign value is 0.146> 0.05. Action on the CAMIL group and the same leaflet where the sign value is 0.064> 0.05. Conclusion From the results of this study it can be concluded that health education is important to improve knowledge, attitude, and action, using CAMIL media and leaflets, both media are equally efketif because it is written with the added pictures

Differences of Fruit-Vegetable Consumption, Blood Pressure In Highland And Lowland Afriyana Siregar; Arie Krisnasary; Demsa Simbolon
Jurnal Ilmu dan Teknologi Kesehatan Vol 8 No 2 (2021): Maret 2021
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v8i2.362

Consumption of vegetables and fruit daily can prevent degenerative diseases such as coronary heart disease, stroke, and cancer. One of the causes is unstable blood pressure. This study aimed to determine the differences in the consumption of vegetables, fruit, and blood pressure in highland (mountains) and lowland (coastal) communities in Bengkulu. This research was observational analytic with a cross-sectional approach. A sample of 65 people in the highlands (Kepahiang) and 65 people on the coast (Pasar Ikan) was purposive sampling. Statistical test using independent t-test. This study indicates that the average consumption of vegetables in the highlands is 170.33 grams/day, and fruit consumption is 100.96 grams/day. In comparison, the consumption of vegetables in the lowlands is 165.65 grams/day. Moreover, fruit consumption in the lowlands is 187.26 grams/day. In the highlands, the mean systolic blood pressure was 134.72 mmHg, and the diastolic was 83.18 mmHg, while the mean systolic blood pressure was 126.62 mmHg, and the diastolic 75.71 mmHg. This study concludes that there is no difference between vegetable consumption in the highlands and the lowlands, but there are differences in fruit consumptionand systolic diastolic blood pressure in the highlands and the lowlands. In health services, the existing Gerakan Masyarakat Hidup Sehat (GERMAS) program should be promoted.

Co-Authors Adelia Bella Saputri Adinda Fitria Pasmah Afriyana Siregar Agnes Sihsinarmiyati AGUSTINA SETIA Agustira, Vina Ahmad Rizal ahmad rizal Ajeng Ajeng, Ajeng Alfatah Reza Purqon Amelia Febrina Anang Wahyudi Andra Regi Dinata Anelda, Anelda Anggraini, Hera Anisa Ezza Febria ANITA CHRISTINA SEMBIRING Annikmatul Fadhilah Annisaa Deshilva Putri Asmawati Asmawati Atikah Atikah Ayu Erlian Ayu Pravita Sari Ayu Zahara Ayuningtyas Ayuningtyas Batbual, Bringiwatty Bathari, Rosalia Rina Beatrix Soi Beatrix Soi Belarminus, Petrus Bembi Jonatan Berta Perovencia FS Betta Aprisia Bintang Agustina Pratiwi Boa, Grasiana Florida Bringwatty Batbual Bringwatty Batbual Cahyati, Tasya Ingrit Champaca Putri Chintya Wardini Clara Aqilah Suwindra Dahrizal Dahrizal Deni Sri Utami Desi Fitria Anggriani Desri Suryani Dhammayanti, Dita Dhea Adevianti Dhea Riski Putri Indana Diah Zhafiratika Dina Aulia Dinda Apilia Dino Sumaryono Dwi Nesa Edwin Mardiansyah Efrida, Solha Eliana Eliana Eliana Emy Yuliantini Endah Dwika Syari Ervina, Lissa Eza Yuni Syafitri Fazera Carolina Febri Andri Awan Febriandini Adha FRANSISKUS SALESIUS ONGGANG Frensi Riastuti Hana Ayu Puspaningrum Hapsari, Tri Harja Junialdi Hasasn, Tobianus Heidy Dayanti Helen Albaina Herlia Amia Herlina, Revi Iin Nilawati Ikat Tri Hawani Ina Debora Ratu Ludji INA DEBORA RATU LUDJI Inayah Amira Zahrah Intan Fitriza Intan Puspita Sari Irma Ayu Pola Pakpahan Ismiati Ismiati Istianingsih Jessica Jumiyati Jumiyati Jumiyati Jumiyati Jumiyati, Jumiyati Kamsiah Kamsiah Kamsiah Karisma Cindy Roza Kedang, Sabinus Bungaama Kiki Gadistya Ari Safitri Krisnasary, Arie kusdalinah Kusdalinah Kusdalinah Kusdanilah Lende, Julianus Linda Linda Lisma Ningsih Liunokas, Oklan B. T. Ludji, Ina Deborah Lula Rulia Agustin Luluk Setianingsih Lusi Afriani Lusi Andriani, Lusi Maigoda, Tonny Cortis Mareta Bakale Bakoil Mariana Ngundju Awang Mariati Mariati Meidiana, Risma Melinda Sari Melisa Tri Maharani Melita Sari Meriwati Mahyudin Meriwati, Meriwati Meysin Cicilia Mia Meisara Mia Oktiara Mirabella Hasmanita, Maharani Mizawati, Afrina MMSI Irfan ,S. Kom Monik, Monik Muhammad Ferdian Akri Pratama Mutiara Ba’es Mutiara Shaum Nova Anjelina Nur Ainun Nur Choliza Azri Nur Choliza Azri Nur Elly Nur Elly Nur Mahdiyah Merly Yanti Nurfitra, Rani Nurlita Putri Nurlita Putri Nurlita Putri, Nurlita Oktavia Wahyu Lestari Patroni, Rini Permatasari, Ragil Putri Putri Ayu Lestari Putri Dwi Aiyzah Putri KatrimaNingsih Putri Salsabilla Putri Yuniarti Putri, Nabila Putriseptiani, Nabila Rahmadi, Antun Rahyani, Yuni Rani Shiva Aulia Repki Trinda Putri Revi Indahsari Riastuti, Frensi Ririn Widyastuti, Ririn Riska Oktavia Rista Elmika Ruzita ABD Talib Ruzita ABD Talib Saghu, Maria Mencyana Pati Saparini, Suci Sari, Ayu Prapita Selfi, Bela Febriana Septiana Maharani Sine, Juni Gressilda L Siregar, Afriyana Sitompul, Linda Sitorus, Cindy Veronica SOI, BEATRIX Solly Aryza Sri Sumarni Sumiarti, Wenti Tafrieani, Windy Talib, Ruzita ABD Tamaulina Br Sembiring Tiara Dika Marseli Triani Maulana Sihite Uly Agustine, Uly Wahyu Dwi Astuti Wahyu Dwi Astuti Wanti Wanti Wanti Wariyaka, Melinda Rosita Wati, Kelvin Setia Widia Lestari Widiastuti, Heny Winda Agnesta Yandrizal Yandrizal Yendea Dwi Agustin Yenni Okfrianti Yorita, Epti Yulia Anjelita Yunandhia Rainissa YUNITA Yunita Yunita Yunita Yunita Yunita Yunita yusmidiarti, yusmidiarti Yusran Fauzi Zahara, Ayu

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