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All Journal Archive of Community Health Buletin Udayana Mengabdi Jurnal Veteriner Prosiding Seminar Nasional MIPA Jurnal Kesehatan Masyarakat Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Gizi Klinik Indonesia Indonesian Journal for Health Sciences (IJHS) Gorontalo Journal of Public Health PREPOTIF : Jurnal Kesehatan Masyarakat Public Health and Preventive Medicine Archive Berita Kedokteran Masyarakat Jurnal Ilmu Kesehatan Masyarakat Medika Respati : Jurnal Ilmiah Kesehatan Jurnal Kesehatan Reproduksi Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ni Putu Widarini
Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Udayana
Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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TREN MENOLAK VAKSIN Feni Sulistyawati; Ni Putu Widarini
Indonesian Journal for Health Sciences Vol 6, No 2 (2022): September
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/ijhs.v6i2.4716

Abstract

Vaksinasi memberikan efek pada sistem kekebalan tubuh serta melindungi tubuh dari berbagai penyakit yang dapat dihentikan dengan vaksin. Meski demikian masih terdapat masyarakat yang menolak adanya vaksinasi. Gerakan penolakan vaksin tersebut sudah lama terjadi baik di dalam maupun luar negeri.  Studi literatur ini bertujuan untuk mengetahui penolakan vaksin yang terjadi di negera berkembang dan negara maju. Artikel ini ditulis dengan menggunakan studi literatur pencarian database Google Schoolar dan Pubmed dari tahun 2016-2020 dengan sintaks kata kunci database dan diperoleh 28 temuan yang sesuai dengan topik. Hasil studi pustaka menunjukkan bahwa penyebab penolakan di negara berkembang lebih mengacu pada kepercayaan agama yang melarang penggunaan vaksin sedangkan di negara maju disebabkan ketidakpercayaan masyarakat terhadap instansi pemerintahan, otoritas kesehatan, dan industri farmasi yang diyakini mengambil keuntungan dengan adanya program vaksin serta mitos yang berkembang terkait efek samping vaksinasi yang menyebabkan autisme. Diperlukan adanya edukasi kesehatan dengan mempertimbangkan keyakinan, sehingga mampu mengubah keputusan masyarakat dalam melakukan vaksinasi, kerja sama pemerintah dan multisektor lainnya dalam kampanye vaksin serta adanya kebijakan yang tegas dari pemerintah dalam membantu terlaksananya pencapaian program vaksinasi.
Upaya Pencegahan Stunting di Masa Pandemi Covid-19 Feni Sulistyawati; Ni Putu Widarini
Gorontalo Journal of Public Health VOLUME 5 NOMOR 1, APRIL 2022
Publisher : Universitas Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32662/gjph.v5i1.1997

Abstract

Stunting merupakan gangguan terkait tumbuh kembang anak dengan tinggi badan kurang dari dua deviasi standar pertumbuhan anak WHO. Secara global terjadi penurunan kasus kejadian stunting akan tetapi pandemi Covid-19 memberikan pengaruh dalam peningkatan kasus stunting di Indonesia. Berbagai tantangan akibat adanya keterbatasan ruang gerak menjadi penghambat dalam melaksanakan program pencegahan stunting. Tujuan studi literatur ini untuk mengetahui upaya pencegahan yang tepat dalam penurunkan stunting saat pandemi Covid-19. Artikel ini ditulis dengan menggunakan studi literatur dan mencari database dari Google Scholar dari 2020 hingga 2021 dengan sintaks kata kunci untuk database. Sebanyak 7 artikel diulas dalam tulisan ini. Hasil studi pustaka menunjukkan bahwa pencegahan stunting dapat dilakukan secara langsung dengan pemberian kartu stunting, pendidikan keluarga dan media audiovisual sedangankan secara tidak langsung melalui telemedicine/ electronic health yakni aplikasi, grup whatsapp dan youtube. Upaya pencegahan tersebut dilakukan guna meningkatkan kesehatan khususnya pemenuhan gizi sehingga mencegah terjadinya stunting yang terhambat selama masa pandemi Covid-19
Status gizi, densitas zat gizi, dan keragaman pangan anak balita selama pandemi COVID-19 di Kabupatan Bangli, Bali Kadek Tresna Adhi; Ni Putu Widarini; Ni Luh Putu Suariyani; Iwan Abdi Suandana; Pande Putu Januraga
Jurnal Gizi Klinik Indonesia Vol 18, No 3 (2022): Januari
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.71861

Abstract

Nutritional status, nutrient density, and dietary diversity of children under five during the COVID-19 pandemic in Bangli Regency, BaliBackground: Stunting in children caused the lack of nutritionally balanced food intake in the first two years of life. During the COVID-19 pandemic, the fulfillment of balanced nutrition for children must still be considered to maintain body resistance to avoid COVID-19 infection.Objective: This study was conducted to find out the nutritional status of children and also the knowledge and attitudes of mothers regarding the practice of balanced nutrition based on local food in the COVID-19 pandemic situation. Methods: Cross-sectional study with 202 children aged 23-59 months located in Susut District, Bangli Regency, Bali Province. Data collection includes anthropometric measurements and food recall. Characteristics, knowledge, and attitudes of mothers were conducted by interview using a questionnaire. Results: The nutritional status of subjects showed that the average weight for height z-score (WHZ) was 0.29 ± 1.37, height for age z-score (HAZ) was 0.56 ± 2.38, and weight for age z-score (WAZ) which is -1.18 ± 2.03. The average density of energy intake in the adequate (1.66±0.456), as well as protein density (4.12±0.884 g/100 calories), vitamin B12 (0.225±0.457 mg/100 kcal), and vitamin A (71.7 ±104.6 mg/100 kcal). The majority (61.9%) of subjects consumed less than five food groups in the last 24 hours. The average knowledge of respondents is 69.5±15.3, which is 35.1% in well nutrition knowledge, while most respondent’s attitude has in the good category. Conclusions: Overall children are in normal nutritional status, but it is necessary to attention to the density of vitamins and minerals which are still low, and the lack of food diversity. Suggestion to increase education on balanced nutrition practices based on local food to mothers and families so that they can help grow and also maintain children's health during the COVID-19 pandemic.
KEJADIAN STUNTING MASA PANDEMI COVID-19 Feni Sulistyawati; Ni Putu Widarini
Medika Respati : Jurnal Ilmiah Kesehatan Vol 17, No 1 (2022)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (604.772 KB) | DOI: 10.35842/mr.v17i1.587

Abstract

Stunting merupakan salah satu masalah kependudukan. Hampir seperempat balita di seluruh dunia mengalami kejadian stunting dan diprediksi akan mengalami peningkatan kasus pada masa pandemi covid-19. Dalam perkembangannya stunting seringkali terjadi pada negara berkembang salah satunya Indonesia. Tujuan studi literatur ini untuk mengetahui dampak pandemi covid-19 terhadap kejadian stunting. Hasil yang diperoleh yakni pandemi covid mempengaruhi peningkatan terhadap kejadian stunting sehingga menghambat pencapaian bonus demografi. Data statistik menunjukkan kejadian stunting mengalami penurunan kasus dari tahun 2000 sampai tahun 2019 dan sedikit terjadi peningkatan pada tahun 2020 serta diprediksi akan terus melonjak akibat dampak dari pandemi. Diperlukan upaya penanggulangan baik secara langsung maupun tidak langsung berbasis teknologi, penguatan kebijakan dan berbagai sektor pendukung yang sesuai dengan kondisi pandemi covid-19 sehingga bonus demografi bisa tecapai pada tahun 2035.
Factors Associated to Implant Use among Married Women of Reproductive Age in Banyuwangi Firdawsyi Nuzula; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 3 No. 1 (2015)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2015.v3.i1.p16

Abstract

Background and purpose: The proportion of implant use at Tegalsari District of Banyuwangi has increased year by year until it reached 17% in 2013. This proportion was much higher than the national and provincial rates. This study aims to determine factors related to implant use among married women of reproductive age at Tegalsari District of Banyuwangi. Methods: This was a cross-sectional survey involving 198 married women of reproductive age who were using contraception at Tegalsari district. Data was collected by conducting interview in each respondent’s house using a structured questionnaire. Univariate analysis was conducted to determine frequency distribution of each variable, bivariate analysis using the chi-square test, and multivariate analysis was performed to determine factors that independently associated to the use of implant using logistic regression. Results: The proportion of implant use in women of reproductive age at Tegalsari District was 21.21%. Multivariate analysis indicated that the statistically significant factors associated with implant use were cultural value with adjusted OR=3.59 (95%CI: 1.44-8.94), knowledge on implant with adjusted OR=15.10 (95%CI: 3.44-74.40), role model with adjusted OR=3.43 (95%CI: 1.47-8.06) and information from health workers with adjusted OR=3.13 (95%CI: 1.16-8.44). Conclusion: Factors related to implant use among married women of reproductive age were supported cultural values, role model, good knowledge about implant and information from health workers.
Barriers to the implementation of plan initiative (P4K) in Badung District Putri Mariani; Putu Widarini; Alex Pangkahila
Public Health and Preventive Medicine Archive Vol. 1 No. 2 (2013)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2013.v1.i2.p07

Abstract

The family-centered safe birthing initiative (P4K) is aimed to reduce maternal and newborn mortality rates. The P4K program involves the distribution of promotional stickers by community health care workers. In 2011, the coverage of the P4K had reached 100% of villages, and 98.9% of expectant mothers had attached the promotional sticker on a visible section of their homes. However, the process is reported not implemented using standard procedures before placing the sticker on their homes. This study is aimed to explore the barriers to the implementation of P4K in Badung. This study was descriptive qualitative using phenomenology approach. Data were collected using focus group discussion (FGD) with 20 midwives and 10 cadres, in-depth interviews (with 6 expectant mothers and 3 husbands/family members) and participant observation of P4K implementation in public health centers. Secondary data was obtained through relevant P4K document analysis. Informants were purposively selected using the criteria of 1) midwives already trained in P4K, 2) cadres already trained in P4K and 3) P4K participating expectant mothers. Research findings indicate that knowledge, attitude and mother’s and husband’s behaviour impact negatively upon program implementation. There is also an evidence of lack of logistical support including: P4K administrational forms, IEC pamphlets and transportation costs. Midwives and participating healthcare providers have a very good knowledge; however, their behaviour does not demonstrate this. The poor governance of centres and high mobility of expectant mothers also impacted upon program implementation. Future recommendations include program widening of scope and upscale, increased logistical support, continual monitoring and evaluation, research into program funding governance as well as upscale involvement of stakeholders.
The Partnership between Traditional Birth Attendance (TBA) and Midwives in Childbirth Assistance: A Qualitative Study in East Manggarai Regency Fransiska Nova Nanur; Ni Putu Widarini; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 4 No. 1 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i1.p05

Abstract

Background and purpose: Partnership between traditional birth attendance (TBA) and midwives is one of the strategies to increase the coverage of childbirth assistance by the health personnel. This partnership seems to be ineffective as there were still TBA performed childbirth assistance. The study aims to find out about the overview and obstacles in the implementation of the partnership between TBA and midwives in the East Manggarai Regency. Methods: The qualitative research with in-depth interviews using open interview guide was conducted among 15 participants who were selected purposively, consisted of two village midwives, five TBAs who partnered with midwives, three TBAs who are not partnered with a midwife, and two participants of community leaders, the religious leaders, the two puerperal women and one policy maker. Data were analyzed by using thematic analysis approach. Results: The results showed that the facilities and supporting infrastructure of partnership were inadequate, funds provided were not enough to finance the implementation of the partnership, there were no regular meetings between the midwives and the traditional healers, coordination was done merely incidental. The division of roles in the treatment of childbirth was clear, but many obstacles were found, namely transportation barriers, economic problems and there were traditional healers who did not want to partner. Conclusion: The overview of partnership between the traditional healers and midwives in childbirth assistance has not gone well and there were still many obstacles found both internally and externally. To optimize this program, sufficient funds should be allocated, transportation should be improved and counseling should be provided to the community to raise awareness of the importance of childbirth assistance by the health personnel.
The Association between Social Functions and Quality of Life among Elderly in Denpasar Nandini Parahita Supraba; Ni Putu Widarini; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 4 No. 2 (2016)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2016.v4.i2.p07

Abstract

Background and purpose: Good quality of life among elderly will reduce social and economic burden among the productive age people. This study aims to determine association between social function and quality of life among elderly in Denpasar. Methods: A cross-sectional survey was conducted among 144 elderly in Denpasar who were selected by cluster sampling and data were collected by a structured interview. Data were analyzed using logistic regression to determine the relationship between quality of life of the elderly with social activities, social interactions and family functions. Results: The study showed that the proportion of lower quality of life of the elderly in Denpasar was 64.58%. Proportion of elderly with lower quality of life was found among elderly of older age, female, low education, not working, low-income and widow/widower. Multivariate analysed showed that there was an association between quality of life of elderly with gender (AOR=6.42; 95%CI: 1.79-23.0), employment (AOR=9.81; 95%CI: 2.45-39.1), health status (AOR=8.65; 95%CI: 2.57-29.02), social activities (AOR=3.85; 95%CI: 1.22-12.1), social interactions (AOR=5.59; 95%CI: 2.01-15.5) and family functions (AOR=21.7; 95%CI: 6.09-77.7) Conclusion: Good quality of life of elderly was found associated with gender, employment, health status, social activities, social interactions and family functions.
HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN PERILAKU PERSONAL HYGIENE MENSTRUASI PADA REMAJA PUTRI DI DENPASAR TAHUN 2022 Ni Putu Widarini; Nyoman Tri Maryanthi; Ni Nyoman Deni Witari
JURNAL KESEHATAN REPRODUKSI Vol 14 No 1 (2023): JURNAL KESEHATAN REPRODUKSI VOLUME 14 NOMOR 1 TAHUN 2023
Publisher : IAKMI South Tangerang Branch

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58185/jkr.v14i1.76

Abstract

Abstract Background: Menstrual Hygiene Management (MHM) is the management of hygiene and health in women during menstruation. Based on IDHS data, there are still many young women who behave poorly in maintaining cleanliness during menstruation, so it can have negative impacts such as the emergence of diseases in reproductive organs. Objective: Seeing the relationship between knowledge and attitudes with personal menstrual hygiene behaviors in young women in Denpasar. Method: This observational analytic study used a cross-sectional approach and was conducted at public and private high schools in Denpasar from March to June 2022. A total of 140 female adolescents were selected using a two-stage cluster random sampling technique. Data was collected using an online questionnaire via Google Form and analyzed using logistic regression analysis. Result: Knowledge and attitudes have a significant relationship with personal menstrual hygiene behaviors in young women in Denpasar. Compared to those who have good knowledge, young women with less knowledge are 2.72 times more likely to behave badly in relation to menstrual personal hygiene (OR = 2.72; 95% CI: 1.33-5.56). Compared to those with a positive attitude, young women who have a negative attitude are 2.63 times more likely to behave badly in relation to menstrual personal hygiene (OR = 2.63; 95% CI: 1.30–5.34). Conclusion: Knowledge and attitudes have a significant relationship with personal menstrual hygiene behaviors in young women in Denpasar. Researchers recommend holding health education and in-depth material about personal hygiene management during menstruation as an effective effort to improve health status. Keywords: Personal Hygiene, Knowledge, Behavior, Adolescent Women, Attitude   Abstrak Latar belakang: Manajemen Kebersihan Menstruasi (MKM) merupakan pengelolaan kebersihan dan kesehatan pada perempuan saat menstruasi. Berdasarkan data SDKI, masih banyak remaja putri berperilaku kurang baik dalam menjaga kebersihan saat menstruasi, sehingga dapat berdampak buruk seperti timbulnya penyakit pada organ reproduksi. Tujuan: Melihat hubungan antara pengetahuan dan sikap dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Metode: Penelitian observasional analitik dengan pendekatan cross sectional dan dilakukan di SMA negeri dan swasta di Denpasar pada bulan Maret-Juni 2022. Sebanyak 140 remaja putri yang dipilih dengan teknik two stages cluster random sampling. Data dikumpulkan menggunakan kuesioner online melalui google formulir dan dianalisis menggunakan analisis regresi logistik. Hasil: Pengetahuan dan sikap memiliki hubungan signifikan dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Dibandingkan dengan yang memiliki pengetahuan baik, remaja putri berpengetahuan kurang berpeluang 2,72 kali berperilaku buruk terkait personal hygiene menstruasi (OR= 2,72; 95% CI: 1,33-5,56). Dibandingkan dengan yang memiliki sikap positif, remaja putri yang memiliki sikap negatif berpeluang 2,63 kali berperilaku buruk terkait personal hygiene menstruasi (OR= 2,63; 95% CI: 1,30-5,34). Kesimpulan: Pengetahuan dan sikap memiliki hubungan signifikan dengan perilaku personal hygiene menstruasi pada remaja putri di Denpasar. Peneliti merekomendasikan untuk mengadakan pendidikan kesehatan serta pendalaman materi tentang manajemen kebersihan diri saat menstruasi sebagai upaya efektif dalam meningkatkan derajat kesehatan. Kata kunci: Kebersihan Diri, Pengetahuan, Perilaku, Remaja Putri, Sikap
The meaning of adolescent reproductive health promotion through traditional arts: a community perspective Ni Putu Widarini; Fatwa Sari Tetradewi; Ova Emilia
BKM Public Health and Community Medicine PHS7 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: Knowing the perspective of the community watching reproductive health promotion activities through traditional art performances. Adolescent reproductive health promotion activities are carried out through the use of local wisdom in Bali, namely through the performance of traditional arts. The information conveyed through this promotional media contains informative messages about adolescent reproductive health so that it is no longer taboo to talk about and is easily accepted by the community. Methods: Qualitative research using an exploratory approach. The research location is in Tegallalang Village, Gianyar Regency, Bali. The informants were the people who watched the performance activities as many as 9 people. Retrieval of data through focus group discussions. Thematic data analysis. Result: The community's perspective on the performance and the message conveyed in the performance. The benefits of staging traditional arts according to the community watching are that socialization through art is easier to accept, traditional art performances can preserve culture and art, can be useful for society, namely reminding adolescents not to have premarital sexual behavior. The message received by the community is that there are limitations in dating, how to choose friends, carry out parental advice, anticipation of teenagers not having premarital sex and the impact of premarital sex. Acceptance of message content by the community, namely that the language is easy to understand, easily accepted by the community and becomes an example so that it is not imitated. Conclusion: Good interpretation of reproductive health promotion activities through the performance of traditional arts is related to the benefits and messages received by the community. The implication of the research results in the form of traditional art media as a health promotion media has the potential to educate the public in a positive way.
Co-Authors A Swandewi Alex Pangkahila Armini, Ni Luh Gde Dinar Lubis Evita Trisnarini, I Gusti Ayu Fatwa Sari Tetra Dewi Feni Sulistyawati Feni Sulistyawati Firdawsyi Nuzula Fransiska Nova Nanur Fransiska Nova Nanur I Gusti Ngurah Edi Putra I Nengah Sujaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I.M.S. Adnyana J. A. Pangkahila K Tangking Widarsa Kadek Tresna Adhi KOMANG AYU NOCIANITRI Luh Putu Sinthya Ulandari Luh Seri Ani Luky Adrianto Mahayogi, Ni Putu Tirta Dewi Nandini Parahita Supraba Ni Ketut Sutiari Ni Luh Putu Suariani Ni Luh Putu Suariyani Ni Made Utami Dwipayanti Ni Nyoman Deni Witari Ni Nyoman Sudarti Ni Putu Suariani Ni Wayan Budi Astiti Ni Wayan Nursini Nyoman Tri Maryanthi Ova Emilia Pande Putu Januraga Puspitasari, Kadek Dina Putra, I Gusti Ngurah Edi Putri Mariani Putri Mariani, Putri Putu Ayu swandewi astuti Putu Sawitri Rina Listyowati Rina Listyowati, Rina Suandana, Iwan Abdi Supraba, Nandini Parahita Yan Ramona