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Kampanye Aksi Bergizi pada Remaja di Kabupaten Sleman Siswati, Tri; Olfah, Yustiana; Setiyobroto, Idi; Ramayulis, Rita; Waris, Lukman; Prayogi, Agus Sarwo
JURNAL INOVASI DAN PENGABDIAN MASYARAKAT INDONESIA Vol 2 No 4 (2023): Oktober
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jipmi.v2i4.192

Abstract

Latar belakang: Remaja merupakan salah satu kelompok rentan gizi.  Untuk meningkatkan derajat kesehatan remaja, perlu dilakukan upaya edukasi, salah satunya melalui kampanye aksi bergizi. Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang serta meningkatkan cakupan konsumsi tablet Fe. Metode: Kegiatan pengabdian masyarakat ini dilakukan di SMPN Gamping, Sleman pada bulan Juli 2023. Jumlah partisipan adalah semua siswa baru sebanyak 192 orang. Aksi bergizi dilakukan melalui kampanye dengan memberikan edukasi tentang gizi seimbang dan anemia, minum tablet Fe, penandatanganan deklarasi aksi bergizi dan komitmen untuk hidup sehat. Hasil: Sebagian besar partisipan adalah perempuan (53,1%), umur 13 tahun (57,3%). Berkaitan dengan kebiasaan hidup sehat, sebagian besar kadang-kadang sarapan (40,6%) dan pergi ke sekolah dengan moda transportasi pasif berupa kendaraan bermotor (motor/mobil).  Setelah mengikuti edukasi pengetahuan remaja tentang gizi seimbang dan anemia mengalami peningkatan masing masing 21% dan 19% dengan kategori nilai baik (>76). Kesimpulan: Kampanye aksi bergizi efektif untuk meningkatkan pengetahuan remaja tentang anemia dan gizi seimbang, sehingga kampanye aksi bergizi merupakan salah satu alternatif upaya meningkatkan derajat kesehatan remaja. Kata kunci:  aksi bergizi, anemia, hidup sehat, kampanye, remaja ________________________________________________________________________________ Abstract Background: Nutritionally, adolescents are one of the most vulnerable populations.  To enhance adolescent health, it is necessary to engage in educational efforts, one of which is the implementation of nutritious action campaigns. Objective: This activity aims to increase adolescent knowledge about anemia and balanced nutrition and increase the coverage of Fe tablet consumption. Method: his community service activity will be carried out at SMPN Gamping, Sleman, in July 2023. The number of participants was all new students—as many as 192 people. Nutritious action is carried out through campaigns by providing education on balanced nutrition and anemia, taking Fe tablets, and signing a declaration of nutritious action and commitment to healthy living. Result: Most of the participants were women (53.1%) and 13 years old (57.3%). With regard to healthy living habits, most people sometimes eat breakfast (40.6%) and go to school with passive transportation modes in the form of motor vehicles (motorbikes or cars). After participating in education, adolescents' knowledge about balanced nutrition and anemia increased by 21% and 19%, respectively, with good value categories (>76). Conclusion: Nutritious action campaigns are effective in increasing adolescent knowledge about anemia and balanced nutrition, so nutritious action campaigns are one alternative effort to improve adolescent health. Keywords: aksi bergizi, anemia, healty life tyle, campaign, adolescent
Pengaruh Stres terhadap Kadar Glukosa Darah pada Penderita Hiperglikemia Yohana, Ida; Waris, Lukman; Ikhlasiah, Marthia
Faletehan Health Journal Vol 11 No 01 (2024): Faletehan Health Journal, Maret 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i01.651

Abstract

DM sufferers must change their lifestyle to remain blood glucose in their body balanced. The changes can make them vulnerable to stress. The purpose of this study was to determine the effects of stress on blood glucose levels of hyperglycemic patients at Kunciran Baru Health Center area, Tangerang City in 2023. The research method used was quantitative with a nested case control research design. The samples used were 89 respondents who were selected by simple random sampling technique. Stress was measured using the Stress Self-Rating Questionnaire-20. The data were analyzed by T-test. The results showed an increase in the average of blood glucose levels from 2022 (mean 197.97; SD 87.96) to 2023 (mean 232.55; SD 93.04). Most respondents were not stressed (57.3%), the average blood glucose level of the stress group respondents was 274.26 (SD: 97.02), while the average blood glucose level of the non-stressed group was 201.47 (SD: 77.22). The results of the analysis showed a significant difference in blood glucose levels of the two groups of respondents (p value<0.001). The results of this study corroborated previous studies that showed stress as a factor that can affect blood glucose levels of DM sufferers and the stress management ability is important to have in order to maintain normal blood glucose levels.
Effect of mHealth based intervention on Maternal Knowledge and Practices of Child Care: A quasi-experimental study Siswati, Tri Siswati; Sitasari, Almira; Paramashanti, Bunga Astria; Tjaronosari, Tjaronosari; Nurhidayat, Nurhidayat; Wijanarka, Agus; Waris, Lukman
Public Health of Indonesia Vol. 10 No. 1 (2024): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i1.756

Abstract

Background:Child malnutrition contributes to elevated rates of mortality and morbidity, profoundly affecting child welfare. Maternal childcare knowledge and practices play a pivotal role in addressing this issue. Objective:This study aims to evaluate the impact of the mHealth App on maternal knowledge and practices in child care. Method:A randomized controlled trial was conducted in Yogyakarta, Indonesia, from May to August 2022. Mother-child pairs were assigned to either the intervention (n=100) or control (n=100) groups. Data on maternal knowledge and practices were collected at baseline, follow-up 1, and follow-up 2. Maternal knowledge was assessed using a structured questionnaire covering child growth and development, while feeding practices were evaluated using a yes-no checklist. The analysis of maternal knowledge and practices involved mean difference, t-test, and general estimating equations in STATA-15. Result:The results revealed a consistent increase in knowledge and practice scores between follow-ups 1 and 2. The mHealth application significantly enhanced maternal knowledge about child growth, development, and feeding at follow-up 2 compared to baseline, with improvements of 1.42 (CI 95% 1.34-1.89), 1.32 (CI 95% 1.22-1.72), and 1.45 (CI 95% 1.34-2.42), respectively. Additionally, growth and development monitoring practices increased by 0.80 (CI 95% 0.08-0.99) and 0.98 (CI 95% 0.21-0.99). Conclusion:The mHealth application significantly enhances maternal knowledge and practices related to child growth, development, and feeding. Key words: mHealth; maternal; knowledge; practices; children
THE EFFECT OF PERCEPTION ON OBESITY AND ALCOHOL DRINKING PREDIABETES CAUSES TYPE 2 DIABETES MELLITUS IN TORAJA ETHNIC IN SOUTH SULAWESI PROVINCE Oruh, Shermina; Nurgadima Achmad Djalaluddin; Lukman Waris
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.452

Abstract

The prevalence of Diabetes Mellitus (DM) has been increasing in the world for several decades. The International Diabetes Federation predicts the global prevalence of DM to be 382 million in 2013 and 529 million in 2035 and will continue to increase until 22 next year. Indonesia ranks fourth after India, China, and America. Before becoming T2DM, most sufferers experienced prediabetes. Prediabetes to T2DM is influenced by socio-cultural factors including perceptions about obesity and consuming alcohol. This study aims to determine the effect of perceptions of obesity and prediabetes alcohol drinking as a cause of T2DM in the Toraja ethnic in South Sulawesi Province. Qualitative research design with the Rapid Assessment Procedure method. The population is prediabetic from biomedical samples in Tana Toraja and North Toraja Regencies, South Sulawesi Province Riskesdas 2013. The samples are residents with prediabetes and T2DM of the Toraja ethnic group who live in Tana Toraja and North Toraja regency. Information gathering was carried out in 2018 through focus group discussions on two groups (prediabetes and T2DM). In-depth interviews with health service program managers, health center staff, health cadres, and community leaders. Research explains that there is an influence on perceptions of obesity and alcohol drinking in pre-diabetic Toraja people who cause T2DM. Obesity is perceived as a sign that a person has prospered in life, while an alcoholic drink called tuak is the drink consumed daily by the Toraja people.
Evaluation of the Sustainability of the Essential Public Health Effort Program at the Team-based Nusantara Sehat Assignment Health Center, Ministry of Health, Republic of Indonesia waris, lukman; Arifiati, Nurce; Hendarwan, Harimat; Siswati , Tri
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.460

Abstract

Background: The Nusantara Sehat Team-based Program (NST) is a program that places health workers with 9 categories of health professionals in remote border areas and islands (DTPK) for 2 years every batch. NST aims to fill the shortage of health workers at the DTPK puskesmas so that the main tasks of the puskesmas can continue. This study aims to evaluate the sustainability of the essential public health program at the NST placement center between 2016 and 2018. Method: Quantitative research method with cross-sectional design. The population is the NST batch 1-2 community health center (2016) as post-placement and NST batch 6-8 health center (2018) as placed in 28 provinces, 43 districts, and 39 health centers. The sample is the community at the placement and post-placement health centers. Data collection was carried out by interviewing the people who were selected as samples using a questionnaire by trained enumerators. A statistical test was conducted to assess the average coverage index of the essential public health program at the puskesmas by comparing the average coverage index of the program during placement and after placement with an independent t-test. The result: The results of the study showed that the NST essential public health program experienced sustainability, as seen from the results of statistical analysis, it was found that p = 0.26 95% CI (0.11-0.41) at the NST placement health center and p = 0.76 95% CI (0.36-0.49) at post-placement health centers. Sustainable programs are health promotion, empowerment, environmental health, MCH, and Nutrition. Programs that are not sustainable are disease prevention
KERUGIAN FINANSIAL AKIBAT KECACINGAN: STUDI DI KABUPATEN NUNUKAN Liestiana Indriyati; Lukman Waris; Erna Luciasari
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 37 No. 2 (2014)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v37i2.4019.155-160

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ABSTRACTHelminthiasis is one cause of nutritional anemia that impairs cognitive function, productivity and physical growth and development of children. This paper discuss the nutritional and financial losses caused by the helminthiasis. This study was observational research using cross-sectional design. The population were all primary school children in Nunukan, the number of sample were 1126 school age children enrolled in nine primary health centers working area (Nunukan, Sedadap, Setabu, Sungai Nyamuk, Aji Kuning, Sembakung, Pembeliangan, Mansalong and Sanur) during March to December 2010. Ascaris lumbricoides consume carbohydrates as much as 0.14 g/worm/day and 0.035 g protein/day. While Trichuris trichiura fed on blood as much as 0,005 cc/ worm/day and Hookworm as much as 0.2 cc/worm/day. The price of carbohydrates assumed to be the rice price Rp.7.199,49/kg, the price of protein assumed to be beef price Rp.30.000/kg and blood Rp.250.000/pack 250cc (Rp.1000/cc). The results showed that prevalence of ascariasis was 10.3 percent, trichuriasis 8.97 percent and hookworm 2.93 percent . Based on the calculation of nutrients and financial losses, during 2010 Nunukan suffered loss of carbohydrate of 2068.9 kg/year worth Rp. 14.895.075,- , protein loss of 517.23 kg/year worth Rp.32.530.588,- , and blood loss amounted to 1,220,241.17 cc/year worth Rp.1.220.241.100,- the total financial losses due to helminthiasis amounted to Rp.1.276.666.763,-.Keywords : helminthiasis,nutrition, financial disadvantageABSTRAKKecacingan disebabkan oleh infestasi cacing parasit merupakan salah satu penyebab anemia gizi, dapat mempengaruhi tingkat kecerdasan, produktivitas, pertumbuhan serta perkembangan fisik dan mental anak-anak. Kecacingan juga menyebabkan gangguan kemampuan belajar, dan dalam jangka panjang akan berakibat menurunnya kualitas Sumber Daya Manusia (SDM). Tulisan ini membahas tentang perhitungan kerugian nutrisi dan finansial yang diakibatkan oleh penyakit kecacingan dengan contoh Kabupaten Nunukan sebagai model. Penelitian ini adalah penelitian observasional dengan desain rancangan potong lintang (cross sectional). Populasi adalah seluruh anak sekolah dasar di Kabupaten Nunukan. Sampel adalah 1126 anak sekolah dasar terpilih di 9 wilayah kerja puskesmas (Nunukan, Sedadap, Setabu, Sungai Nyamuk, Aji Kuning, Sembakung, Pembeliangan, Mansalong dan Sanur) pada bulan Maret-Desember 2010. Hasil pemeriksaan mendapatkan bahwa persentase penderita ascariasis 10,3 persen, trichuriasis 8,97 persen dan penderita hookworm 2,93 persen. Ascaris lumbricoides merampas karbohidrat sebanyak 0,14 gram/ekor/hari dan protein 0,035 gram/ekor/hari. Sedangkan Trichuris trichiura menghisap darah sebanyak 0,005 cc/ekor/hari dan cacing Hookworm menghisap darah sebanyak 0,2 cc/ekor/hari. Perhitungan dalam rupiah, karbohidrat di asumsikan seharga beras Rp. 7.199,49/kg, protein seharga daging sapi Rp. 62.894,25/kg dan darah seharga Rp. 250.000/kantong isi 250cc (Rp.1000/cc). Berdasarkan perhitungan maka didapatkan kerugian nutrisi dan finansial yang dialami oleh Kabupaten Nunukan selama tahun 2010 adalah kerugian karbohidrat sebesar 2.068,9 kg/tahun senilai Rp. 14.895.075,- kerugian protein sebesar 517,23 kg/tahun senilai Rp. Rp 32.530.588,-, kerugian darah sebesar 1.220.241,17 cc /tahun senilai Rp.1.220.241.100,- maka total kerugian financial akibat kecacingan adalah sebesar Rp.1.276.666.763,-. [Penel Gizi Makan 2014, 37(2): 155-160]Kata kunci : kecacingan, nutrisi, kerugian finansial
ASSESSING POSYANDU CADRES’ READINESS IN IMPLEMENTING INTEGRATED PRIMARY HEALTH SERVICES IN YOGYAKARTA, INDONESIA Siswati, Tri; Olfah, Yustiana; Attawet, Jutharat; Nurhidayat, Nurhidayat; Waris, Lukman
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.44-57

Abstract

Background: The readiness of Posyandu (a community-based health service) cadres’ to implement the Integrated Primary Health Services (Integrasi Layanan Primer/ILP) is vital to advancing preventive and promotive care. Aims: This study aims to evaluate the cadres’ readiness, identify challenges, and propose effective strategies for sustainable implementation. Methods: A mixed-method design from April to June 2024. 113 cadres from Kulon Progo, Sleman, and Yogyakarta City participated in a cross-sectional study. Cadres' readiness was evaluated based on the posyandu cadres’ basic skills training curriculum. Ten informants were interviewed to explore the opportunities, needs, and limitations of the ILP implementation. Descriptive statistics were used for data analysis. Results: Most cadres (63.7%) were aged 41–50 years, 60.2% had completed senior high school, and 72.6% were housewives. The cadres demonstrated high readiness for ILP implementation, with the main needs in the form of improving logistics, funding, training, and community participation. In addition, there was a need to improve the literacy and skills of cadres in providing health services across the life stages, such as immunization, growth and development monitoring, and infant and child feeding. Conclusion: Posyandu cadres are ready to implement the ILP; however, strengthening cadres’ capacity and fostering community collaboration are key strategies for ensuring the sustainability of the program and achieving health transformation. Keywords: cadres, health transformation, integrated primary service, posyandu
THE RELATIONSHIP BETWEEN DETERMINANTS OF THE CAUSES OF HYPERTENSION IN PREGNANT WOMEN IN THE WORKING AREA OF THE CIRUAS HEALTH CENTER, SERANG REGENCY IN 2024 Novianti; Ikhlasiah, Marthia; Lukman Waris
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 2 No. 2 (2024): April
Publisher : ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v2i2.208

Abstract

One of the dangerous diseases in pregnant women is hypertension. Hypertension is a cause of death for both mother and baby. Hypertension has no typical symptoms and signs as an early warning. In pregnancy with hypertension occurs when gestational age enters 20 weeks. This study aims to determine the factors associated with hypertension in pregnant women. Hypertension is a condition where the blood pressure of pregnant women is above more than 140 mmHg or diastolic blood pressure above 90 mmHg. This type of research is quantitative with a cross sectional design. Independent variables are age, education, knowledge, ANC examination, and history of hypertension. While the dependent variable is Hypertension. The population is all pregnant women in the working area of the Ciruas health center, Serang Regency in 2023. The sample number of 100 people was selected by purposive random sampling. Statistical test using Chi square test with 95% CI. The results of statistical tests showed that age and education variables did not have a significant relationship with hypertension in pregnant women (p > 0.05), while knowledge variables with p = 0.002, ANC examination with p = 0.014, history of hypertension with p = 0.001, which means it has a significant relationship with hypertension in pregnant women in the working area of the Ciruas health center, Serang regency in 2024.  The largest OR value is in the knowledge variable OR=6.366.
FACTORS INFLUENCING THE BEHAVIOR OF CONDUCTING BREAST SELF-EXAMINATION ON WOMEN OF CHILDBEARING AGE IN THE BANDUNG HEALTH CENTER AREA SERANG REGENCY IN 2023 Sri Nani Indriyani; Prihayati; Lukman Waris
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 2 No. 2 (2024): April
Publisher : ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v2i2.216

Abstract

Global Buren of Cancer data shows data on cancer patients in the world as many as 19.3 million cases. The highest number is in breast cancer patients totaling 2.261 million cases (Globocan, 2020). Data from the International Agency for Research on Cancer (IARC) in 2020, the number of new cases of breast cancer has increased and become the highest incidence of cancer in women, namely breast cancer with 665,339 new cases and 131,252 deaths from breast cancer worldwide (Globocan, 2020). The low desire of women to do BSE examination can be influenced by internal and external factors. Internal factors include knowledge, attitudes and family history of cancer. As for external factors, namely sources of information and parental support. This type of research is quantitative research with a research design using a cross sectional approach. The purpose of this study is to determine the factors that influence the behavior of conducting breast self-examination in women of childbearing age in the Bandung Health Center area, Serang Regency in 2023. By using the total sampling technique, the determination of the sample obtained was as many as 120 mothers who met the inclusion criteria. Chi Square test results show a significant relationship between knowledge, education, the role of health workers, and information media with breast self-examination behavior (P−value 0.000).
FACTORS RELATED TO HYPERTENSION CONTROL IN THE ELDERLY AT PUSKESMAS BANTEN GIRANG YEAR 2024 Nita Nofita; Ismarina; Lukman Waris
International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC) Vol. 2 No. 2 (2024): April
Publisher : ZILLZELL MEDIA PRIMA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61990/ijamesc.v2i2.217

Abstract

Hypertension is still the most common health problem experienced by the world's population. Hypertension is a condition of a person who has systolic blood pressure ≥140 mmHg and diastolic pressure ≥90 mmHg. The high prevalence of hypertension in the elderly group is caused because with age, resulting in a decrease in physiological functions of the body, so that non-communicable diseases begin to appear. Hypertension control behavior is the main thing to prevent complications, such as stroke, coronary heart disease, and kidney failure. This study aims to determine the factors associated with elderly behavior in controlling hypertension. This type of research is quantitative with a cross sectional design. Independent variables are gender, education level, lifestyle. While the dependent variable is the control behavior of hypertension in the elderly. The population of all hypertensive patients recorded in the Banten Girang Health Center work area in 2023. The sample number of 100 people was selected by purposive random sampling. Statistical test using Chi square test with 95% CI and logistic regression test. The results of statistical tests showed that sex and education variables did not have a significant relationship with hypertension control behavior in the elderly (p > 0.05), while lifestyle variables with p = 0.003 OR = 4,902, and family support variables with p = 0.010 OR = 3,778 which means they have a meaningful relationship with hypertension control behavior in the elderly.