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Factors Influencing the Incidence of Stunting: A case-control study at Balikpapan Primary Healthcare Marini, Rina; Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Stunting is a serious health issue in Indonesia, with long-term impacts on children’s development. This study aims to identify factors associated with stunting incidence at the Balikpapan Health Center Objective : Research Methods/ Implementation Methods : TThis case-control study was conducted at UPTD Puskesmas Gunung Sari Ulu, Balikpapan, in August 2023. A total of 30 respondents (15 stunting cases and 15 controls) were selected through purposive sampling. Stunting measurement was conducted using anthropometric methods, while data on age, gender, maternal education, and maternal employment were obtained from secondary data at the health center. Data analysis was performed using chi-square tests to assess the relationship between variables. No association was found between child gender and stunting (P-value = 1). Mothers with low education levels had a 1.313 times higher risk of having stunted children (P-value = 0.713). Although not statistically significant, non-working mothers had a 2.364 times higher risk of having stunted children compared to working mothers (P-value = 0.651). Conclusion/Lesson Learned : No significant relationship was found between child gender, maternal education level, and maternal employment status with stunting incidence. Maternal education and employment status are identified as risk factors for stunting, while child gender did not show a difference in risk.
Education and Awareness: Empowering Communities for Sustainable Development Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

This study examines the role of nutrition education and awareness in empowering communities for sustainable development. By analyzing the impact of nutrition interventions and conducting interviews with community members, this research aims to identify the factors that contribute to the effectiveness of nutrition education programs and the challenges that hinder their implementation. The findings will inform the development of evidence-based strategies to improve nutrition outcomes and promote sustainable development. This study explores the role of nutrition education in addressing malnutrition and other nutrition-related problems in the community. By conducting a qualitative study, this research aims to identify the barriers and facilitators to accessing and utilizing nutrition information. The findings will inform the development of culturally appropriate and accessible nutrition education programs.
The Relationship Of Motivation, Work Environment, Work Discipline And Job Satisfaction To Employee Performance In The Health Department Of East Kalimantan Province In 2023 Putri, Tiara; Gunawan, Ike Anggraeni; Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The success of an organization cannot be separated from the improvement of human resources, human power must always be managed so that superior and quality resources are formed, Employee Performance can be influenced by factors of Motivation, Work Environment, Work Discipline and job satisfaction. One of the organizations in East Kalimantan is the East Kalimantan Provincial Health Office which is an implementing element of the Provincial Government, at the East Kalimantan Provincial Health Office, it is known that there are 8 performance indicators, some of which have decreased. Objective : This study aims to determine the relationship between motivation, work environment, work discipline and job satisfaction on employee performance at the East Kalimantan Provincial Health Office, This research design is cross-sectional, with a population of East Kalimantan Provincial Health Office employees. Research Methods/ Implementation Methods : The sample of this study was 80 employees of the East Kalimantan Provincial Health Office who had ASN status (Total Sampling). The instrument used in this study was a questionnaire. Statistical tests using the Chi-Square test. Results : The results of bivariate analysis in this study showed that there was a relationship between job satisfaction and employee performance (□=0.003), on the Motivation variable no relationship was found with employee performance (□=0.712), on the work environment variable also found no relationship with employee performance (□=0.777), as well as the work discipline variable found no relationship with employee performance (□=0.777). Conclusion/Lesson Learned : There is a relationship between job satisfaction and employee performance, there is no relationship between motivation, work environment and work discipline on employee performance. it is recommended for the office to continue to improve employee performance for researchers to further research with other variables or in different locations.
Analysis of Risk Factors of Non-Communicable Diseases in the Sub District of Prapatan, Balikpapan City Fatimatuzahra, Tien; Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Non-communicable diseases (NCDs) arise from both unmodifiable risk factors, like age, gender, and genetics, and modifiable ones that can be influenced by individual and social interventions. Early detection is essential for managing risk, supported by surveillance and strategic efforts from government, private sectors, and communities. The PRAPATAN POSTER initiative at Prapatan Public Health Center provides counseling and risk assessments for NCDs in the Prapatan area Objective : To identification the risk factors of Non Communicable Diseases and correlation them in Prapatan Sub District Balikpapan City Research Methods/ Implementation Methods : This cross-sectional study used retrospective data from 363 screenings, revealing 19.3% hypertension and 7.7% diabetes prevalence. Chi-square test was tested to explore the association between age and hypertension Results : Over half (51.2%) of participants were overweight or obese, with nearly half (48.25%) reporting insufficient physical activity, and 8.5% identifying as smokers. Significant correlations were found between age and hypertension (p-value=0,000), and diabetes type 2 (p-value=0,000). A significant association was found between hypertension and obesity (p-value= 0,000). Conclusion/Lesson Learned : A significant association was found between age and hypertension and diabetes type 2. Enhancing promotive and preventive measures, as well as early interventions for prehypertensive and pre-diabetic individuals, is recommended to curb NCDs.
Education and Awareness: Empowering Communities for Sustainable Development Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 1 No. 1 (2025): The 3rd MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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

Abstract

This study examines the role of nutrition education and awareness in empowering communities for sustainable development. By analyzing the impact of nutrition interventions and conducting interviews with community members, this research aims to identify the factors that contribute to the effectiveness of nutrition education programs and the challenges that hinder their implementation. The findings will inform the development of evidence-based strategies to improve nutrition outcomes and promote sustainable development. This study explores the role of nutrition education in addressing malnutrition and other nutrition-related problems in the community. By conducting a qualitative study, this research aims to identify the barriers and facilitators to accessing and utilizing nutrition information. The findings will inform the development of culturally appropriate and accessible nutrition education programs.
Insentif Uang Tunai dan Peningkatan Kinerja Kader Posyandu Wisnuwardani, Ratih Wirapuspita
Kesmas Vol. 7, No. 1
Publisher : UI Scholars Hub

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Sejak tahun 2000 pos pelayanan terpadu (posyandu) telah berkembang baik, tetapi kekurangan dana dan pelatihan mengalami penurunan kinerja akibat krisis ekonomi. Hal tersebut terlihat pada penurunan kunjungan dan drop out kader yang menghadapi banyak tugas, besar cakupan, dan kurang mampu merespon tuntutan masyarakat. Pedoman World Health Organization (WHO) terakhir menyatakan bahwa untuk menjamin keberlanjutan program jangka panjang, kader perlu dibayar. Kabupaten Penajam Paser Utara memberikan insentif kader terbesar di Indonesia. Studi inimengkaji peningkatan kinerja kader posyandu di Kabupaten Penajam Paser Utara pada tahun 2010 akibat pemberian insentif uang tunai. Penelitian kualitatif yang menggunakan rancangan fenomenologi ini menghimpun data 18 orang meliputi 15 orang dari instansi pemerintah dan 3 orang kader. Studi dengan metode analisis isi ini menemukan bahwa pemerintah memberikan uang sebagai insentif bagi kader menyebabkan kader bersemangat dalam bekerja dan berkompetisi. Pemerintah terlihat sangat berperan meningkatkan kinerja kader, tetapi masyarakat masih kurangberperan. Studi ini menyimpulkan bahwa insentif uang tunai dapat meningkatkan kinerja kader posyandu. Since 2000 Posyandu has grown well, but its performance was declining as indicated by the decreasing of visitors as well as the cadres because economic crisis. The problems within the cadres include excess workload and area to be covered and lack of capability to respond to the community demand.The latest guidelines of World Health Organization (WHO) identified that cadres incentive is needed for the long term sustainability. Penajam Paser Utara which gave the highest incentive in Indonesia for its cadres. This study was aimed to explore in depth the Penajam Paser Utara cadres performance improvement in 2010 in relation to financial incentives. This isa qualitative study using phenomenologic design. Informants were 18 persons origined from the government office and 3 cadres. Data were obtained through indepth interview and analysis using content analysis. The result showed that the government provided financial incentive for cadres recognition and posyandu revitalization. Financial incentive was found motivated the cadres to work and enhance their competence. Although the government had played role in improving cadres performance, yet the community still had limited participation. It could be concluded that financial incentive could improve performance of posyandu cadres.
Analisis Intervensi Program Pemberian Makanan Tambahan terhadap Balita Underweight Usia 12 - 48 Bulan di Puskesmas Harapan Baru Pasiakan, Meli; Wisnuwardani, Ratih Wirapuspita
Bima Abdi: Jurnal Pengabdian Masyarakat Vol. 5 No. 4 (2025): Bima Abdi: Jurnal Pengabdian Masyarakat
Publisher : Yayasan Pendidikan Bima Berilmu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53299/bajpm.v5i4.2729

Abstract

Masalah gizi pada balita masih menjadi tantangan serius di Kota Samarinda, dengan prevalensi underweight, stunting, dan wasting yang melebihi angka nasional. Kegiatan pengabdian ini bertujuan untuk meningkatkan status gizi balita dengan gangguan gizi melalui program Pemberian Makanan Tambahan (PMT) berbahan pangan lokal. Intervensi dilaksanakan di dua kelurahan wilayah kerja Puskesmas Harapan Baru selama 56 hari, dengan sasaran 75 balita underweight usia 12–48 bulan berdasarkan indikator BB/U. Pendampingan dilakukan secara menyeluruh mulai dari identifikasi sasaran, penyusunan menu siklus 10 hari, pengolahan dan distribusi makanan, hingga edukasi gizi kepada orang tua. Hasil penelitian menunjukkan bahwa 53,3% balita mengalami kenaikan berat badan dan 16% berpindah ke kategori gizi baik. Analisis N-Gain Score memperkuat temuan ini, dengan peningkatan proporsi gizi baik dari 0% menjadi 16% (N-Gain = 0,16) serta perbaikan rata-rata z-score BB/U dari -2,4 menjadi -1,9 (N-Gain = 0,21), meskipun keduanya masih dalam kategori rendah. Uji Wilcoxon menunjukkan adanya perbedaan signifikan berat badan sebelum dan sesudah intervensi (p<0,05). Hasil ini membuktikan bahwa PMT lokal yang dilaksanakan secara terstruktur, dengan dukungan partisipasi lintas sektor dan pendekatan berbasis masyarakat, mampu memberikan dampak positif terhadap perbaikan status gizi balita.
Hubungan Tingkat Stres Dan Dukungan Sosial Pada Ibu Terhadap Pemberian Asi Eksklusif di Samarinda Wisnuwardani, Ratih Wirapuspita; Afiah, Nurul; A’isyah, Siti; Noviasty, Reny; Agustini, Rina Tri
Jurnal Biomedika dan Kesehatan Vol 7 No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.24-33

Abstract

Background The COVID-19 pandemic is causing stress in all aspects of life, including nursing mothers. This situation may affect exclusive breastfeeding coverage, which was only 66% in 2020. Factors contributing to low breastfeeding rates include maternal stress and social support. The aim of this study was to determine the association between maternal stress levels and social support for exclusive breastfeeding during the COVID-19 pandemic in Wonorejo Health Center, East Kalimantan. Methods The study design was cross-sectional with a sample of 165 mothers with children aged 6-24 months. Data collection was conducted online via a questionnaire on a Google Form link provided to subjects through their WhatsApp contacts. Data were analyzed using the chi-square test and the Kolmogorov-Smirnov test. Results 55.8% of mothers had high levels of social support supporting exclusive breastfeeding, and 81.2% of mothers experienced moderate stress. Data analysis using the chi-square test and Kolmogorov-Smirnov test showed no relationship between social support (p=0.056) and stress level (p=0.969) during exclusive breastfeeding. Conclusions There was no significant association between stress levels and social support among mothers of exclusively breastfed children aged 6 to 24 months during the COVID-19 pandemic at the Wonorejo Health Center in Samarinda, East Kalimantan. Wonorejo Health Center is encouraged to continuously improve its breastfeeding promotion programs for mothers and families.
Hubungan Konsumsi Kopi dan Garam Terhadap Kejadian Hipertensi pada Lansia di Wilayah Kerja Puskesmas Bengkuring Kota Samarinda Annisa, Yulvia Septi; Afiah, Nurul; Wisnuwardani, Ratih Wirapuspita
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.6 No.1 (2024) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v6i1.11100

Abstract

Hipertensi merupakan penyakit meningkatnya tekanan darah yang menjadi problematika dunia dan berdampak pada peningkatan angka kesakitan serta kematian. Hipertensi memiliki faktor pemicu yang dapat diubah dan tidak dapat diubah, faktor pemicu yang tidak dapat diubah adalah usia, jenis kelamin, riwayat keturunan, sedangkan pada faktor pemicu yang dapat diubah diantaranya adalah konsumsi kopi dan garam.World Health Organization secara global mengatakan bahwa dengan presentase sebesar 22% dari total penduduk dunia menderita hipertensi (WHO, 2021). Riset Kesehatan Dasar Riskesdas (Riskesdas) 2018 menunjukkan bahwa usia 55-75 tahun keatas menjadi peringkat I pertama dengan prevalensi hipertensi dengan catatan diagnosis oleh dokter.  Penelitian ini bertujuan untuk mengetahui hubungan konsumsi kopi dan garam terhadap kejadian hipertensi di wilayah kerja Puskesmas Bengkuring. Jenis penelitian yang digunakan adalah penelitian analitik dengan pendekatan case control, penentuan sampel penelitian ini menggunakan teknik non probability sampling dengan metode purposive sampling. Pengumpulan data menggunakan kuesioner dan SQ-FFQ secara langsung dengan jumlah sampel sebanyak 52 sampel yang  terdiri dari 26 kontrol dan 26 kasus. Data dianalisis menggunakan uji chi-square. Berdasarkan uji statistik ditemukan hasil dengan nilai P Value  konsumsi garam dengan hipertensi (P Value = 0,017 dan OR = 6.353 ) dan P Value konsumsi kopi dengan hipertensi (P Value = 0,082). Kesimpulannya bahwa terdapat hubungan konsumsi garam dengan kejadian hipertensi dan tidak terdapat hubungan konsumsi kopi dengan kejadian hipertensi. Hasil penelitian ini disarankan bagi penderita hipertensi maupun bukan penderita hipertensi untuk selalu melakukan pemeriksaan tekanan darah secara teratur dan membatasi konsumsi kopi serta mengurangi konsumsi garam sehingga dapat mengurangi potensi terjadinya komplikasi dan timbulnya penyakit lainnya.
Peran Edukasi Gizi Dalam Menurunkan Risiko Penyakit Tidak Menular Pada Karyawan Balai Pelatihan Kesehatan Provinsi Kalimantan Timur Atting, Yenny; K., Iriyani; Wisnuwardani, Ratih Wirapuspita
Journal Scientific of Mandalika (JSM) e-ISSN 2745-5955 | p-ISSN 2809-0543 Vol. 6 No. 3 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/10.36312/vol6iss3pp694-699

Abstract

Hypertension and Diabetes Mellitus (DM) are non-communicable diseases (NCDs) with a high prevalence in Indonesia, one of the prevention efforts is through the NCD institution/workplace Posbindu which aims to detect early NCD risk factors. Nutrition education plays an important role in the management and prevention of complications from both diseases. The purpose of this community service is to increase the knowledge of employees of the East Kalimantan Provincial Health Education and Training Center about healthy eating through counseling. The activity, which was attended by 38 employees, management staff, cleaning services and security guards, showed positive results, where the level of understanding of participants regarding the diet for non-communicable diseases increased by 26%. In conclusion, this nutrition education program is effective and implemented continuously with various methods and media that are more varied as part of promotive and preventive efforts.
Co-Authors Abdania, Hazizah Tausia Adellia, Yerita Adrianto , Ratno Agung Dwi Laksono Agustini, Rina Tri Akhmad Azmiardi Al-Ayubi, Moch Thoriq Assegaf Almi, Ihza Abi Said Annisa, Yulvia Septi Anwar, Alyssa Putri Ariani, Preati Ayu Ariyanti, Rea Asysyifa, Thisna Nugra Atting, Yenny Aurelya, Yasmine Naura Azizah, Nabila A’isyah, Siti Bambang Irawan Basrowi, Ray Wagiu Cahyantari, Umi Cantika, Rury Aulia Fadlillah, Muhammad Ridho Fahmi, Achmad Sabrani Fatimatuzahra, Tien Gifari, Muhammad Tijar Harahap, Karlina Sofyana Hariyani, Noor Harun, Siti Fadilah Hasanah, Ayesha Uswatun Herawan, Dea Aurela Herliani, Resda Himawan, Sania Miutia Irmabilla Husna Husna Husna, Miftahul Ike Anggraeni Ilmawari, Izmi Indriani, Alya Irfansyah Baharuddin Pakki Iriyani K Iriyani Kamaruddin, Iriyani K., Iriyani Kurniawati, Eva R Kusumawardani, Hastin Dyah Maliran, Shafa Minda Marini, Rina Mashud, Andine Demetria Padmanegara Mohamad Samsudin Muhammad Faisal Muhammad Noor Mutawakkiliin, Syifa’ul Alif Muyassarah, Zalfa Rania Nastitie Cinintya Nurzihan Noviasty, Reny Nozomi, Alwan Zakki Nugraha, Purwa Nursafa, Andi Nurul Afiah Paisal Akbar Pakki, Irfansyah Baharudin Papu, Theresa Rebecca Parengkuan, Sandra Pasiakan, Meli Pasinggi, Miako Pasqua, Venuta Della Prabawansyah, Nirgandhi Naib Putri, Regina Anindya Putri, Salwa Az Zahra PUTRI, TIARA Putri, ⁠Tiara Ananda Delisa Rahmayanti, Desy Anugerah Ramadhantya, Fazira Shinaia Rangga Aditya Pratama Risqillah, Abdul Ridho Dhafa Riyan Ningsih Rizki, Agung Tribawa Rohmah, Nikmatur Roma Yuliana Saefurrohim, Muhamad Zakki Saputri, Anisatia Saputri, Deby Indah Sari, Aldyta Permata Sari, Rika Yunita Septiana, Lisa Sigit, Ratih Fianni Sihombing, Eggi Monica Silitonga, Hesty Erika Simatupang, Dhea Pebri A. C. Simpajo, Nurul Rizkiana Tistania Sinaga, Ribka Adelina Sri Sumarmi Susanto, Riezfian Raditya Tri Agustini, Rina Triffani, Jeane Ubung, Brigitta Utami, Dian Margi Wahidah, Puja Nur Wardani, Nunuk Kusuma Wulandari, Putri Fauziah Xaveria, Azlia Yuardani, Yunda Yuniasih, Arista Dian