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I Made Alit Gunawan
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Sistem distribusi dan cakupan suplementasi tablet besi ibu hamil pascabencana tsunami 2004 di Kabupaten Aceh Besar Provinsi Nanggroe Aceh Darussalam Maryani Maryani; I Made Alit Gunawan; Siti Helmyati
Jurnal Gizi Klinik Indonesia Vol 3, No 1 (2006): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17420

Abstract

Background: The prevalence of anemia is one of indicators applied to determine pregnant woman nutrition status. The coverage of iron supplementation is still low due to poor iron distribution. In Aceh Besar regency, the prevalence of anemia in 2003 was 18.71% and become 45.5% in 2005 (report of Rapid Nutrition Assessment in Tsunami Affected Districts in NAD, February-March 2005).Objective: The study was meant to explore the distribution system and iron supplementation coverage post tsunami in Aceh Besar regency, NAD Province.Method: This was a qualitative naturalistic study; the design was investigative exploration study, and the data was collected by indepth interview. The analysis unit was health department, primary health care and villages in Aceh Besar regency. Subjects were stakeholders and pregnant women taken by purposive sampling and showed descriptively.Result: Poor health service and unreadiness of health staff affected the stagnation of iron distribution program. The un-available of guidance book and lack of nutrition staff and midwife development become so crucial. Indeed, they could not understand their jobs description in expanding iron distribution network. Furthermore, the distribution of iron tablet was done passively of pregnant woman visiting health service place. The policy of iron distribution by health department of Aceh Besar regency post tsunami 2004 were collecting data and pregnant woman ANC service held by mid-wife using iron program. The achievement of iron supple-mentation coverage was still low, though the attitude of pregnant woman has changed.Conclusion: The stagnation of basic health service and lack of health staff empowerment affected poor iron distribution for pregnant woman.
Pengaruh pemberian MP-ASI program dan MP-ASI komersial terhadap pertumbuhan bayi usia 6-11 bulan di Kabupaten Kampar Dedy Rochyani; Muhammad Juffrie; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 3, No 3 (2007): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3977.338 KB) | DOI: 10.22146/ijcn.17561

Abstract

Background: Growth alteration in 6-11 months old baby occurred due to inappropriate practice in complementary food consumption (complementary breastfeeding). Quality and quantity deficit of household complementary breastfeeding products could cause serious problems in baby growth. One of the alternative solution was consuming complementary breastfeeding from industrial products. Consuming complementary breastfeeding blended food (program complementary breastfeeding) for 6-11 months old babies in Medan tended to show no relationship with their nutritional status based on Z-score index weight for age. One of the possible reason was low level acceptance of program complementary breastfeeding in 2003.Objective: To determine the level of acceptance of both program and commercial complementary breastfeeding with their relationship toward 6-11 months old baby growth in sub urban poor families in Kampar Sub District.Method: Quasi experimental design was conducted. Purposive technique sampling was chosen and samples were divided into two groups that received different intervention. The first group that received program complementary breastfeeding consisted of 54 babies and the second group that received commercial complementary breastfeeding consisted of 46 babies of 6-8 months old babies from sub urban poor families. Data obtained was analyzed with univariate, bivariate, and multivariate analysis.Results: Level of acceptance of commercial complementary breastfeeding was higher than program complementary breastfeeding for 6-11 months old babies in sub urban poor families in Kampar Sub District (p=0.038). These babies had a significant additional in weight and  after consuming program and commercial complementary breastfeeding (p<0.001). Weight gain for the group that given commercial complementary breastfeeding was higher than that for the group that given program complementary breastfeeding (p<0.001), while body length also added during three months treatment but not significant (p>0.05).Conclusion: Consumption of program and commercial complementary breastfeeding could increase the weight gain and body length significantly.
Efektivitas penurunan jumlah angka kuman alat makan dan efisiensi biaya yang digunakan pada metode pencucian alat makan di Rumah Sakit Kota Surakarta Annisa Andriyani; I Made Alit Gunawan; Joko Susilo
Jurnal Gizi Klinik Indonesia Vol 6, No 1 (2009): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17687

Abstract

Background : Proper process of dishwashing has an important role in the prevention of disease transmission because unclean dishes that contain microorganism can transmit diseases through foods. Therefore, the process of dishwashing has to fulfill the standard of health. Currently, there are three methods of dishwashing in the hospital; electronic dishwashing, three compartment sink (TCS), and conventional method. They have the same purpose, i.e. cleaning dishes. To find out effectiveness and efficiency of those three methods, it is necessary to know the germ rate and cost spent. Objective : To identify the effectiveness of germ rate reduction and cost efficiency of electronic dishwashing, TCS, and conventional method of dishwashing at hospitals in Surakarta Municipality. Method : This experiment used randomized design trial. Populations were all dishes at hospitals of Surakarta Municipality with certain criteria. Hospitals that fulfilled the criteria were Dr. Moewardi Hospital, Prof. Dr. R. Soeharso Orthopedic Hospital, and Banjarsari Hospital. There were six items of samples consisting of two plates, two drinking glasses, and two spoons. The number of experiment units in the study were 3 experiments x 3 times repeating x 6 items of dishes x 2 evaluations totaling 108 units of experiment. Analysis used t-test, ANOVA, and cost effectiveness.Result : Washing process used electronic dishwashing, TCS, and simple method could reduce the different numbers of germs, those amounted to 84 colony/cm2, 1,276.38 colony/cm2, and 321.27 colony/cm2, respectively. TCS was the most effective and efficient method in reducing the number of germ. The cost only Rp 1,00 to reduce 15.56 colony/cm2 using TCS method. Conclusion : There were different reductions of germ rate after dishwashing used electronic dishwashing, TCS, and conventional methods. Among them, TCS was the most effective and efficient method in reducing germ rate.
Co-Authors Annisa Andriyani Dedy Rochyani Joko Susilo Maryani Maryani Muhammad Juffrie Siti Helmyati