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All Journal Archive of Community Health Buletin Udayana Mengabdi Prosiding Seminar Nasional MIPA Media Kesehatan Masyarakat Indonesia Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) GIZI INDONESIA Jurnal Gizi Klinik Indonesia Jurnal Kesehatan JURNAL ILMIAH KESEHATAN SANDI HUSADA Jurnal Gizi Prima PREPOTIF : Jurnal Kesehatan Masyarakat Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat

Ni Ketut Sutiari

Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana

Author-ID : 397194

Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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Potensi Permainan Papan Edukasi Aktif Kutus PHBS Sebagai Modalitas Pencegahan Obesitas Anak I Gusti Ayu Amanda Sinta Adhi Putri; Elvina Veronica; Frisilia Olivia; Martin Rinaldi Pasaribu; Ni Ketut Sutiari
Jurnal Ilmiah Kesehatan Sandi Husada Vol 10 No 1 (2021): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v10i1.545

Introduction; lifestyle changes and lack of information about PHBS (The Clean and Healthy Behavior) or balanced nutrition are triggers for obesity. Purpose: To determine the potential of active education cutus board games for clean and healthy behavior to prevent obesity in children. Methods: Study literature articles in the last 10 years using keywords accessed from the Cochrane browser, NCBI, Google scholar, and Garuda. Result; Clean and Healthy Behavior active education board game is easy to play, cheap, has 2-way interaction and has a learning pattern by doing where children are required to find solutions when playing. Conclusion; The educational board game cutus active Clean and Healthy Behavior improves children's knowledge and behavior to prevent obesity in children

PEMBERDAYAAN KADER POSYANDU DALAM PENCEGAHAN STUNTING MELALUI PENERAPAN PRAKTEK PROMOSI MAKANAN PENDAMPING ASI (MPASI) OPTIMAL Kadek Tresna Adhi; Ni Putu Widarini; Ni Ketut Sutiari; Luh Putu Sinthya Ulandari; I.M.S. Adnyana
Buletin Udayana Mengabdi Vol 20 No 2 (2021): Buletin Udayana Mengabdi
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat

Stunting disebabkan oleh ketidakseimbangan antara konsumsi dan kebutuhan tubuh yang berlangsung lama. Data prevalensi stunting balita oleh WHO menunjukkan Indonesia sebagai negara ketiga dengan prevalensi tertinggi di kawasan Asia Tenggara. Berdasarkan hal tersebut maka telah dikembangkan model MP-ASI rekomendasi yang menggunakan bahan pangan lokal, terjangkau, dan tersedia di Kecamatan Susut Kabupaten Bangli. Peran aktif kader posyandu diperlukan untuk menjaga kesinambungan program promosi MPASI optimal sehingga secara tidak langsung dapat mencegah terjadinya stunting pada anak. Lokasi kegiatan ini berada di Desa Abuan, Kecamatan Susut, Kabupaten Bangli. Jumlah kader yang hadir sebanyak 22 orang. Kegiatan yang dilakukan berupa pelatihan berupa edukasi terkait stunting, MP-ASI optimal, dan praktek pemberian makan pada bayi dan anak. Pelatihan ini dilakukan melalui kegiatan interaktif dengan menggunakan Emo-Demo. Hasil kegiatan menunjukkan peningkatan rata-rata pengetahuan sebelum dan sesudah pelatihan adalah 9,09. Nilai p-value juga menunjukkan 0,008 (<0,05), yang berarti terdapat perbedaan yang signifikan untuk hasil pre-test dan post-test. Diharapkan hasil kegiatan ini dapat membantu pencegahan stunting pada anak balita melalui peran kader posyandu.

The relationship between body image and tea drinking habits with anemia among adolescent girls in Badung District, Bali, Indonesia Kadek Agus Dwija Putra; Putu Cintya Denny Yuliyatni; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 8 No. 1 (2020)
Publisher : Universitas Udayana

Background and purpose: The prevalence of anemia among adolescent girls in Indonesia remains high. Poor nutrition is a risk factor of anemia among adolescent girls, which is likely related to food intake restrictions to achieve a desired body shape (body image), and the habit of drinking tea while eating which can affect the absorption of iron. This study aims to determine the relationship between anemia with body image perception and tea drinking habits among adolescent girls. Methods: This study used a cross-sectional design carried out from March-May 2018, involving girls aged 15-18 years at high schools in Badung District. Two schools were selected from 44 high schools, then a sample of 106 students were selected by systematic random sampling. Data collected included hemoglobin levels measured with hematology autoanalyzer, nutritional status with anthropometric measurements, and data on socio-demographics, socio-economics, tea drinking and eating habits, menstrual pattern, helminthiasis, knowledge and perception of body image with face-to-face individual interviews. Data were analyzed using the Chi square test for bivariate analysis, and multivariate using logistic regression. Results: The prevalence of anemia (hemoglobin <12 g/dL) in adolescent girls was 13.2%. The results of the logistic regression analysis showed that the variables associated with anemia were poor knowledge about anemia with an adjusted odds ratio (AOR)=11.4 (95%CI: 1.6-83.1), no iron supplement consumption (AOR=14.7; 95%CI: 1.9-109.8), negative body image (AOR=30.6; 95%CI: 2.9-321.1), tea drinking habits while eating (AOR=52.2; 95%CI: 4.2-642.9) and excessive menstrual volume (AOR=17.1; 95%CI: 1.6-185.9). Conclusion: Negative perceptions of body image and tea drinking habits while eating increase the risk of anemia among adolescent girls aged 15-18 years. In addition, poor knowledge about anemia, a history of not consuming iron supplements and excessive menstrual volume can also increase the risk. These factors need to be considered when designing policies to reduce anemia among adolescent girls.

Faktor Sosial Ekonomi Kematian Bayi di Dusun Muntigunung Kabupaten Karangasem Provinsi Bali Ni Luh Putu Suariyani; I Ketut Tangking Widarsa; Ni Putu Widarini; Ni Ketut Sutiari; Rina Listyowati
Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.436 KB)

Latar belakang: Dusun Muntigunung merupakan daerah kritis di Karangasem dengan jumlah penduduk miskin yang tinggi dan angka kematian bayinya paling tinggi di Karangasem. Sehubungan dengan masalah tersebut maka penelitian ini bertujuan untuk mengidentifikasi faktor determinan kematian bayi yang potensial di Muntigungung.Metode : Penelitian ini dirancang sebagai penelitian deskriptif ekploratif dengan pendekatan kualitatif berupa studi kasus Dusun Mutigungung dengan menggunakan keluarga yang memiliki kematian bayi satu atau lebih dalam 5 tahun terakhir sebagai kasus. Data kelahiran, kematian bayi, pendidikan, pekerjaan ibu, penghasilan keluarga serta keadaan geografis dikumpulkan dengan wawancara mendalam dan observasi. Hasil wawancara direkam dan dibuatkan transkripnya. Transkrip hasil wawancara dianalisis secara kualitatif sesuai konten factor determinan kematian bayi.Hasil : Dari 8 kasus kematian bayi dari 5 sampel keluarga, 6 meninggal waktu lahir, satu pada umur 2 hari dan satu lagi pada umur 2 bulan. Kemungkinan kematian tersebut disebabkan oleh aspiksia atau infeksi dan meninggal sebelum diobati ke dokter/bidan. Dimana keluarga tersebut memiliki faktor sosial ekonomi yang rendah.Kesimpulan: Faktor sosial-ekonomi keluarga yang meliputi pendidikan ibu dan suami serta pendapatan keluarga yang rendah kemungkinan salah satu faktor penyebab kematian bayi.Kata kunci: Sosial ekonomi, pendidikan, pendapatan, kematian bayi

PERSEPSI NEGATIF TENTANG DIET PADA REMAJA PUTRI: STUDI CROSS-SECTIONAL DI KABUPATEN TABANAN Ni Kadek Muliarsi; Ni Ketut Sutiari
GIZI INDONESIA Vol 45, No 2 (2022): September 2022
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v45i2.698

Indonesia bears the three burdens of adolescent malnutrition: malnutrition, obesity, and micronutrient deficiency. Until now, teenage girls understand diet as a lifestyle to reduce food intake and limit the selection of food such as food ingredients and take supplements to lose weight. The purpose of this study was to determine the perceptions of diet among adolescent girls in the Tabanan District. The design of this study is a descriptive study using a cross-sectional approach. This research was conducted in the area of a public health center in Tabanan District, from March until May 2022. The technique of selecting the study set uses a purposive sampling technique. The sample of this study was teenage girls aged around 15 to 19 years who were in the public health center I, II, and III areas of Tabanan. The sample of this study was 106 people, which was obtained using a simple sampling technique, and the research analysis used univariate analysis. This study shows that the average age of female adolescents who became the research sample was 17 years, and most were senior high school students (73.58%). (55.8%) teenagers have a negative perception of diet than (46.2%) of others who have a positive perception. Therefore, it is recommended for teenagers to be wiser in sorting the information received to minimize negative perceptions about diet.

Weight gain during pregnancy and low birth weight babies: a retrospective cohort study in Gianyar District, Bali Putu Riza Kurnia Indriana; Luh Putu Suariyani; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 7 No. 1 (2019)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2019.v7.i1.p10

Background and purpose: Low birth weight (LBW) is a major causal factor for neonatal and perinatal mortality. The aim of this study is to determine the risk of LBW incidence in pregnant women with weight gain not in accordance with the Institute of Medicine (IOM) standards. Methods: This study used a retrospective cohort design with data obtained from three Public Health Centres (PHCs) in Gianyar District over the period of January-December 2017. Samples in this study were 186 pregnant women with the following criteria: complete data on the mother’s medical record, had an antenatal care visit in the first trimester and at the end of the third trimester, at term delivery, not giving birth to twins and no complications during pregnancy. The sample size was determined with 95% confidence level, 80% power, the proportion of LBW in the group of inadequate weight gain of 26%, the proportion of LBW in the group of adequate weight gain of 9% and a relative risk (RR) estimate of 3.0. Data extracted from medical record consisted of weight gain, pre-pregnancy weight, height, upper arm circumference, hemoglobin level, employment, age, parity and birth weight. The cumulative incidence of LBW was calculated to determine the RR. Multivariate analysis with binary logistic regression was conducted to determine the adjusted RR (ARR). Results: The incidence of LBW in the group whose weight gain during pregnancy not in accordance with IOM standards was 59%, while those in accordance with the standards were 8.2% with RR=7.22 (95%CI: 3.96–13.19). The ARR for those with weight gain during pregnancy not in accordance with IOM standards was 15.33 (95%CI: 5.82-40.38). The incidence of LBW in the anemia group was 49% and not anemia group was 10%. The RR and ARR values for LBW in the anemia group were 4.72 (95%CI: 2.66-8.36) and 6.66 (95%CI: 2.53-17.53) respectively. Conclusion: Mothers experiencing weight gain during pregnancy that was not in accordance with IOM standards and anemia were found to increase the risk of LBW. Monitoring of weight gain during pregnancy should be implemented using the IOM standards and anemia prevention among pregnant mothers should be enhanced.

HUBUNGAN STATUS GIZI DAN KEBIASAAN MEROKOK DENGAN KEBUGARAN JASMANI PETUGAS PEMADAM KEBAKARAN BPBD KOTA DENPASAR Ni Nyoman Ari Purwaningsih; Ni Ketut Sutiari
ARCHIVE OF COMMUNITY HEALTH Vol 9 No 3 (2022): Desember 2022
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Udayana Berasosiasi Dengan Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/ACH.2022.v09.i03.p08

ABSTRAKKebugaran jasmani merupakan indikator kesehatan yang penting bagi pekerja karena berkaitan dengan kesanggupan fisik dalam bekerja secara optimal. Kebugaran jasmani dipengaruhi oleh beberapa faktor diantaranya adalah status gizi dan kebiasaan merokok. Penelitian ini bertujuan untuk mengetahui hubungan status gizi dan kebiasaan merokok dengan kebugaran jasmani pada Petugas Pemadam Kebakaran di BPBD Kota Denpasar. Penelitian ini merupakan penelitian kuntitatif dengan rancangan cross-sectional. Sampel penelitian yaitu sebanyak 75 petugas pemadam kebakaran yang bekerja di BPBD Kota Denpasar dengan pengambilan sampel menggunakan cara total sampling. Data dianalisis menggunakan uji statistik chi square. Hasil analisis univariabel didapatkan bahwa lebih dari separuh petugas termasuk dalam kategori tidak bugar (57,3%), sebagian besar termasuk dalam IMT kategori gemuk (69,3) dan lingkar perut normal (56%) serta memiliki kebiasaan merokok (80%). Berdasarkan analisis bivariabel didapatkan hasil bahwa terdapat hubungan bermakna antara status gizi berdasarkan IMT (p=0,0012) dan lingkar perut (p=0,0003) dengan kebugaran jasmani, namun tidak terdapat hubungan bermakna antara kebiasaan merokok dengan kebugaran jasmani (p=0,3808). Disarankan agar petugas pemadam kebakaran meningkatkan pola hidup sehat dengan beraktivitas fisik dan mengontrol pola makan.Kata Kunci: Kebugaran Jasmani, Status Gizi, Kebiasaan Merokok, Pemadam Kebakaran.

Low Participation of Children's Weight as a Barrier to Acceleration Stunting Decrease in the Rural Area Bali Province: Further Analysis of Riskesdas 2018: Rendahnya Partisipasi Penimbangan Balita Sebagai Penghambat Percepatan Penurunan Stunting Di Wilayah Perdesaan Provinsi Bali: Analisis Lanjut Riskesdas 2018 Hertog Nursanyoto; Anak Agung Ngurah Kusumajaya; Rofingatul Mubasyiroh; Sudikno; Olwin Nainggolan; Ni Ketut Sutiari; I Made Suarjana; Pande Putu Januraga; Kadek Tresna Adhi
Media Gizi Indonesia Vol. 18 No. 1 (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i1.8-18

Stunting in rural areas tends to be higher than in urban areas. This study aims to determine the risk factors for stunting in rural areas in Bali. The analysis carried out is a further analysis of the 2018 basic health research (RISKESDAS 2018). The independent variable was the stunting status of children, which was determined based on the height-for-age index (HAZ). The independent variables consist of socio-demographic; the environment; and health services factors. The relationship between variables was analyzed by logistic regression method. Estimation of the proportion of stunting that can be prevented using Population Attributable Fraction (PAF) analysis. RISKESDAS 2018 data shows that the percentage of stunting in rural Bali is 29.3% higher than urban areas which is only 19.1%. The results of logistic regression analysis showed that under-fives weighing less than 8 times/year were at risk of stunting by 2.02 times compared to the other. PAF analysis shows that 3.5 percent of stunting under five in rural areas can be prevented by Monthly Weighing for children under five years old. Monthly Weighing in rural Bali through the Integrated Service Care (POSYANDU) is one of the efforts to prevent stunting children and monitor their the growth and development early.

Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District Prabasari, Made Ayu Diah; Lubis, Dinar Saurmauli; Sutiari, Ni Ketut
Public Health and Preventive Medicine Archive Vol. 9 No. 2 (2021)
Publisher : Universitas Udayana

Background and purpose: The Indonesian government has set a target to reduce stunting prevalence from 27.7% in 2019 to 14% in 2024. There are 10 villages in Gianyar District have been selected as stunting loci since 2018, however, the percentages of the village fund utilized for health and nutrition were low. This research aims to identify the level of community participation in the utilization of village fund for stunting prevention in two stunting loci villages in Gianyar. Methods: This was a qualitative study using a multiple case study approach conducted in two stunting loci villages in Gianyar, Bali. Data collection was conducted from May to June 2020 through in-depth interview with 12 key informants. Thematic qualitative analysis was done using the ladder of participation concept with Arnsteinand political approach by Carpentier which involves several key concepts such as process, field, actor, decision making moment and power. Results: The level of community participation in the village fund utilization for stunting prevention was still in the of pseudo participation – Placation level. The majority of proposals or recommendation for stunting prevention program came from cadres of community health post, health care workers and the village assistants. Final decision making in the planning stage was largely depending on the village government. The community plays the role as program recipient. Several challenges for optimal utilization of village fund for stunting prevention were geographical condition, paternalistic leadership as well as the lack of understanding and capacity of key actors. Conclusion:The community participation in utilization of the village fund for stunting program in the two villages was in the vague participation level. The village government should provide more rooms to empower the community in order to increase their participation level.

Factors related to adherence to stay at the isolation house and health protocols for COVID-19 confirmed positive people in Denpasar, Bali, Indonesia Ni Nyoman Sudarti; Widarini, Ni Putu; Ni Ketut Sutiari
Public Health and Preventive Medicine Archive Vol. 11 No. 1 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i1.p07

Background and purpose: Quarantine in the isolation house for people who are confirmed having COVID-19 is essential to reduce transmission in the community. This research aimed at determining factors associated with compliance to isolation for 14 days and the implementation of health protocols for people who are confirmed positive for COVID-19. Methods: This study applied analytic cross-sectional design, which was conducted in the working area of the Public Health Centre (PHC) II North Denpasar. The samples were 279 people whom selected by simple random sampling. The collected data included sociodemographic characteristics, adherence to stay in the isolation houses and to apply health protocols, perceptions to compliance, cues to action, self-efficacy, knowledge, and social support. The data were analysed by Stata including descriptive analysis, followed by Chi-square Test and Multiple Logistic Regression. Results: As high as 60.6% of respondents complied to stay for 14 days in the isolation house and implemented health protocols. From multivariable analysis, the higher likelihood to comply with staying at the isolation houses for 14 days and applying health protocols were among female (AOR=3.02; 95%CI: 1.54-5.90, having higher education (AOR=6.03; 95%CI: 3.09-11,77), those having high self-efficacy (AOR=3.43; 95%CI: 1.81-6.50), and those having good knowledge (AOR=2.18; 95%CI: 1.19-3.98). Conclusion: About a third of the respondents did not comply with isolation for 14 days in the isolation house nor apply etiquette according to the health protocols, thus indicating a high risk of transmitting COVID-19 to others. It is necessary to promote health targeting people with low knowledge level and to provide social support from family, surrounding community and government.

Co-Authors A Swandewi A. Wirawan Adhi , Kadek Tresna Adi Teruna Effendi Adi Teruna Effendi Ali Khomsan Anak Agung Ngurah Kusumajaya Arini, Ni Kadek Dwi Putri Ascobat, Purwantyastuti Clara Meliyanti Kusharto Desak Putu Yulita Kurniati Dinar Lubis Dwijayanti, Lina Anggaraeni Elvina Veronica Faisal Anwar Frisilia Olivia Hadi Riyadi HARI MULYAWAN Hartaningrum, Putu Intan Hertog Nursanyoto Hildagardis Meliyani I Gede Herry Purnama I Gusti Agung Ayu Vintan Pramesti I Gusti Ayu Amanda Sinta Adhi Putri I Gusti Ayu Komang Widiastuti I Gusti Ayu Kunti Sri Panca Dewi I Gusti Bagus Ngurah Ananda Rai Prema Wianta I Gusti Ngurah Edi Putra I Made Agus Gelgel Wirasuta I Made Arta I Made Suarjana I Nengah Sujaya I.M.S. Adnyana K Tangking Widarsa Kadek Agus Dwija Putra Kadek Nuansa Putri Wulandari Kadek Tresna Adhi Ketut Suarjana L. Wulandari Luh Putu Lila Wulandari Luh Putu Sinthya Ulandari Luh Seri Ani Luky Adrianto Made Ayu Hita Pretiwi Suryadhi Martin Rinaldi Pasaribu Melisa dewi Muliana Rofida N T. Suryadhi N. T. Suryadhi Ni Kadek Muliarsi Ni Luh Putu Suariyani Ni Made Utami Dwipayanti Ni Nyoman Ari Purwaningsih Ni Nyoman Sudarti Ni Putu Gita Saraswati Palgunadi Ni Putu Riza Kurnia Indriana Ni Putu Widarini Ni Wayan Arya Utami, Ni Wayan Arya Olwin Nainggolan Pande Putu Januraga Prabasari, Made Ayu Diah Pratama, Yudhi Pratiwi, Rinda Dian Purwantyastuti Ascobat Putra, I Gusti Ngurah Edi Putra, Kadek Agus Dwija Putu Ayu Indrayathi Putu Ayu swandewi astuti Putu Cintya Denny Yuliyatni Putu Riza Kurnia Indriana Rimbawan , Rina Listyowati Rina Listyowati, Rina Rofingatul Mubasyiroh Sawitri, Anak Agung Sagung Sudikno sudirman, Putu lestari T. Adhi WIDARSA WIDARSA widya astuti Widya Astuti Widya Astuti Yudhi Pratama

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