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All Journal Jurnal Administrasi Kesehatan Indonesia Journal of Community Empowerment for Health Jurnal Aplikasi dan Inovasi Iptek (JASINTEK) Jurnal Sewaka Bhakti Aesculapius Medical Journal Warmadewa Minesterium Medical Journal Jurnal Pengabdian Mandiri Proceeding Muhammadiyah International Public Health and Medicine Conference Paradharma: Jurnal Aplikasi IPTEK Journal of International Surgery and Clinical Medicine Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan

Komang Triyani Kartinawati

Universitas Warmadewa

Author-ID : 4422759

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Parenting pattern of feeding in stunting toddlers at the working area of Tegallalang I Primary Health Centre Luh Gede Pradnyawati; Komang Triyani Kartinawati; Dewa Ayu Putu Ratna Juwita
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Stunting is a growth disorder that affects the measurements of Length-for-Age or Height-for-Age, which is characterized by a body condition that tends to be short. Children under five are categorized as short-bodied if the z-score is less than -2SD. In Indonesia, approximately 29% of children under five are included in the short-bodied category. A good nutritional intake at this time is a depiction of proper growth and development in the future. The health status of infants is related to parenting patterns of feeding. This study aimed to find out the description of parenting patterns of feeding in stunting toddlers in the working area of Tegallalang I Primary Health Centre. The study belongs to qualitative research with a phenomenological approach. The sample of this study was 5 mothers who had stunting toddlers. Data were collected by applying a purposive sampling technique. Data that had been collected consists of two types, i.e., primary data and secondary data. Data were analyzed using thematic analysis techniques. Some respondents had fed their toddlers with exclusive breastfeeding until they were 6 months old, but the frequency of feeding was ruled out. In addition, most respondents had only started to feed their babies with complementary food for breastfeeding at the time they were 6 months old. Still, they had not paid attention to their nutritional needs, the precise frequency of feeding, the kinds of better food for toddlers, and appropriate food variations. These results indicate that the wrong parenting pattern of feeding in children under five has the potential to cause stunting. Therefore, more attention to this matter is necessarily needed to reduce the severe incidence of stunting.

PENCEGAHAN STUNTING MELALUI PENYULUHAN GIZI SEIMBANG BERBASIS KEARIFAN LOKAL DI DESA BAN, KARANGASEM, BALI Komang Triyani Kartinawati; I Made Eka Dwipayana
JURNAL SEWAKA BHAKTI Vol 8 No 2 (2022): Sewaka Bhakti
Publisher : UNHI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32795/jsb.v8i2.2861

Ban Village is located in Ban District, Karangasem, Bali which is near the valley of Gunung Agung. Therefore, this village has the potential of fertile soil to produce the nutritious sources of food. Food production from locals is essential to support the daily consumption of people who live in the area. This nutritious food is important for the growth and developmental process of toddlers, especially in their first 1000 days of life. Regarding previous research in 2020, there were 118 cases of stunting, consisting of 77% stunting and 23 % very stunted. This high incidence of stunting is caused by multifactorial, such as family income, inadequate intake of food, and insufficient knowledge about the importance of nutritious food during the first 1000 days of life. Based on that research, the majority of toddlers’ mothers do not aware of the long-term impact of stunting in the future life of their children. They also do not understand that early intervention is beneficial to manage stunting. From the prior situational analysis, it was found that the health education and information were still lacking, therefore people in Ban Village do not know about the definition, the cause, risk factors, signs and symptom and the prevention of stunting. Furthermore, there was lack of health promotion on preventing stunting in the Integrated Health Services (Posyandu). This program is a pilot project to gain awareness and to stimulate community partnership to sustainably hold health promotion and education on preventing stunting in Ban Village, Karangasem, Bali. This program was held on July 9th, 2021 with the participation of community leaders, village midwives, and toddlers’ mothers in Ban Village, Karangasem, Bali. The program was successfully held with good facilities, good communication and interaction with all participants, and enthusiasm of the participants. The content of this program was about the balanced nutrition of weaning food, especially for the first 1000 days of life, and food preparation based on local resources. The health education was given by three respectful speakers in public health with the support of the Community Services Unit in the Faculty of Medicine and Health Sciences, Warmadewa University. The result of this program was an increase of knowledge about balanced nutrition of weaning food, preparation of menu for toddlers, and utilizing local resources for weaning food in toddlers, especially for the first 1000 days of life. Furthermore, there was also enthusiasm in toddlers’ mothers to prepare balanced nutrition in weaning food for their children.

LESSON LEARNED FROM THE UNITED STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE Komang Triyani Kartinawati; Luh Gede Pradnyawati; Doug Campos-Outcalt; Gail P Barker
Indonesian Journal of Health Administration Vol. 10 No. 2 (2022): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i2.2022.286-292

The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS) which gives a health protection to population as in medical insurances. This health coverage is essential to protect and maintain the quality of health in Indonesian population. However, there were some burden for universal health coverage, including the accessible to National Health Insurance (JKN). Therefore, we may learn on improving health coverage from the United States which is well known for the Medicare and Medicaid, —the center of the US medical insurances. There are at least three main lessons to learn from the medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in a health care. Despite the difference of health system and population between the United States and Indonesia, these lessons could be tailored for reducing burden to the universal health coverage in Indonesia.

PEMBERDAYAAN PEDAGANG DALAM PENCEGAHAN PENYEBARAN COVID-19 DI PASAR INTARAN SANUR Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
JURNAL PENGABDIAN MANDIRI Vol. 1 No. 11: November 2022
Publisher : Bajang Institute

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

Pasar Intaran yang terletak di Kelurahan Sanur Kauh merupakan salah satu pasar tradisional terbesar di Kota Denpasar, Provinsi Bali dengan total jumlah pedagang 450 orang. Minimalnya informasi yang didapatkan oleh pedagang tentang penyebaran COVID-19 menyebabkan kurangnya penerapan mereka dalam pelaksanaan PHBS. Menurut hasil penelitian, PHBS merupakan starategi yang dapat mencegah penyebaran COVID-19 di masyarakat. Pedagang harus terus dihimbau untuk meningkatkan PHBS dalam upaya pencegahan penyebaran COVID-19. Namun penerapan PHBS ini sangat minimal penerapannya di Pasar Intaran. Selain masalah kesehatan, terdapat juga masalah ekonomi yaitu terkait dalam hal pemasaran produk dagangan, dimana pedagang belum mampu memasarkan dagangannya dengan baik ke sistem pasar. Selain itu pembukuan mereka dalam berdagang juga kurang baik karena pendidikan mereka yang rendah. Pada PKM ini kelompok mitra berperan aktif dalam setiap kegiatan dengan persentase kehadiran 100% dan partisipasi aktif 100%. Dengan kegiatan ini terjadi peningkatan pengetahuan mitra dalam bidang pemahaman tentang COVID-19 dan juga pencegahan penyebaran COVID-19 serta penerapan perilaku hidup bersih dan sehat untuk mencegah penyebaran virus COVID-19. Kelompok mitra sudah terampil dalam pembuatan APD dalam pencegahan penyebaran virus COVID-19. Selain itu, kelompok mitra sudah bisa memasarkan dagangannya dengan strategi digital marketing seperti di media sosial dan juga sudah bisa membuat pumbukuan yang baik.

Pencegahan Stunting Melalui Penyuluhan Gizi Seimbang Berbasis Kearifan Lokal Di Desa Ban, Karangasem, Bali Komang Triyani Kartinawati; Luh Gede Pradnyawati; I Made Eka Dwipayana
Jurnal Aplikasi dan Inovasi Iptek Vol 4 No 1 (2022): Jurnal Aplikasi dan Inovasi Iptek No. 4 Vol. 1 Oktober, 2022
Publisher : Denpasar Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52232/jasintek.v4i1.81

Desa Ban memiliki potensi lahan gembur dalam menghasilkan sumber daya pangan lokal. Sumber makanan berbasis kearifan lokal penting untuk menjamin konsumsi sehari-hari pada masyarakat. Pemanfaatan sumber makanan bergizi ini esensial bagi pertumbuhan dan perkembangan anak, terutama pada 1000 Hari Pertama Kehidupan (1000 HPK). Berdasarkan penelitian sebelumnya di Kecamatan Kubu tahun 2020 didapatkan 118 kasus stunting yang dipengaruhi oleh berbagai faktor, seperti perekonomian keluarga dan kurangnya pengetahuan ibu mengenai stunting. Berdasarkan analisis situasi, mayoritas ibu balita belum memahami bahwa stunting memberikan dampak jangka panjang pada anak apabila tidak diintervensi sejak dini. Kurangnya edukasi kesehatan terkait stunting menyebabkan masyarakat tidak mengetahui lebih dalam mengenai stunting dan cara pencegahannya. Selain itu, peranan kader Posyandu dalam promosi kesehatan masih belum terlihat. PKM ini diharapkan dapat menggerakkan mitra dalam pelaksanaan penyuluhan berkelanjutan untuk mencegah terjadinya stunting. Kegiatan PKM dilaksanakan pada ibu balita di Desa Ban, Karangasem, Bali. Mitra berkontribusi dalam penyediaan sarana prasarana, komunikasi dengan ibu balita, dan koordinasi selama pelaksanaan penyuluhan. Kegiatan dilaksanakan dalam bentuk penyuluhan mengenai gizi seimbang dalam menyiapkan MP-ASI bergizi sesuai usia balita dan cara penyiapannya. Hasil kegiatan menunjukkan peningkatan pengetahuan mengenai MP-ASI bergizi, komposisi yang tepat, dan cara pengolahannya. Ibu balita termotivasi menerapkan pembuatan MP-ASI yang benar sesuai umur balita

EDUKASI GIZI BALITA DALAM PENCEGAHAN STUNTING DI DESA PENATIH DANGIN PURI, BALI Komang Triyani Kartinawati; Made Indra Wijaya; Ni Wayan Diana Ekayani
JURNAL SEWAKA BHAKTI Vol 9 No 2 (2023): Sewaka Bhakti
Publisher : UNHI Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32795/jsb.v9i2.3764

The village of Penatih Dangin Puri is one of the villages in the East Denpasar district, City of Denpasar, Bali Province, Indonesia. The village of Penatih Dangin Puri has 13 subvillage who organize 13 integrated service centers, called Posyandu. Posyandu is a community-sourced health center that gives health services to toddlers, especially in monitoring the growth and development of a child, thus it can early detect the impairment in the growth and development of a child. Early detection is essential for a child’s well-being in planning an early intervention to reverse the impairment in growth and development into normal. One of the child’s growth impairments which becomes a national issue and a priority program in Indonesia is stunting, defined as the impairment of growth caused by chronic insufficiency of nutrients from the womb until the first period after the child was born. This chronic insufficiency of nutrients in stunting, especially during the first 1000 days of life, might cause the irreversible impairment in child development, which can be short-term, intermediate, and long-term impact. The quality of children as the future generation will affect the social and economic growth of a country. This community service (PkM) is a program to improve toddlers’ nutrients to prevent stunting which was integrated with Posyandu among 13 subvillages of Penatih Dangin Puri. The community partner contributes to the needed facilities and equipments, inviting the toddler’s mother, and community engagement during the outreach. This community outreach was held as health education about how to prevent stunting which can be applied in the family and followed continuously in daily life. The result of PkM showed increasing knowledge on preventing stunting through household food security. All the participants, who were the toodler’s mothers, were motivated to apply the “My Plate’ method in preparing the complementary food that is relevant to the child’s age. This community outreach will be held continuously in Posyandu by empowering community partners.

Pemberdayaan LSL dalam Penanggulangan IMS dan HIV/AIDS di Kota Denpasar Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Vol 2 No 1 (2023): Juni
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36049/genitri.v2i1.112

Di Indonesia dari tahun ke tahun kasus Lelaki Seks Lelaki (LSL) mengalami jumlah peningkatan yang signifikan. Bali merupakan provinsi yang memiliki jumlah kasus HIV/AIDS yang tinggi dimana Kota Denpasar adalah kota yang tertinggi atas keberadaan LSL. Dari hasil penelitian didapatkan walaupun pemakaian kondom sudah digalakkan, tetapi mereka masih ada yang tidak menggunakan kondom saat berhubungan seksual. Mereka sebagian besar beralasan bahwa pasangan mereka tidak menyukai penggunaan kondom dalam berhubungan seksual. Minimalnya pengetahuan mitra mengenai pencegahan IMS dan HIV/AIDS tersebut. Mitra yang dalam hal ini sebagai perpanjangan tangan dari tenaga kesehatan di puskesmas tidak memiliki gambaran mengenai pelaksanaan program pencegahan tersebut. Mereka tidak mengetahui apa saja bahaya dari IMS, faktor risiko, cara penularannya serta cara pencegahannya termasuk juga program VCT. Dengan adanya pandemi Covid-19 yang sudah berlangsung 2 tahun, membuat terjadinya penurunan pemasukan dari pelanggan yang berdampak pada perekonomian mereka. Sehingga mereka membutuhkan penghasilan tambahan selain dari memuaskan pelanggan. Dari kegiatan ini telah meningkatkan pemahaman LSL serta orang-orang di sekitarnya mengenai pentingnya pencegahan IMS dan HIV/AIDS. Peningkatan skill LSL melalui pelatihan bagi mitra dalam pembuatan APD seperti masker, handsanitizer, face shield. Pelatihan ini dilakukan untuk membantu LSL dalam mencari pemasukan tambahan selain bekerja di Yayasan Kapelata sehingga permasalahan perekonomian mereka terbantu di masa pandemi Covid-19.

PKM Pemberdayaan Pekerja Seks Perempuan dalam Penanggulangan Kanker Serviks di Kecamatan Kuta Luh Gede Pradnyawati; Dewa Ayu Putu Ratna Juwita; Made Indra Wijaya; Komang Triyani Kartinawati
Genitri: Jurnal Pengabdian Masyarakat Bidang Kesehatan Vol 2 No 2 (2023): Desember
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36049/genitri.v2i2.164

Salah satu penyakit yang dapat menganggu kesehatan organ reproduksi wanita adalah Kanker Serviks yang merupakan kanker yang paling sering menyerang wanita di seluruh dunia. Bali adalah tujuan para traveler yang rentan terhadap penyebaran dan penularan penyakit yang berhubungan dengan kesehatan reproduksi. Kejadian Kanker Serviks di Provinsi Bali adalah sebesar 2,3 per 1000 penduduk. Kanker Serviks ini dapat dicegah dengan cara meningkatkan perilaku hidup sehat dengan cara cerdik serta mengurangi faktor risiko terjadinya kanker tersebut. Dari wawancara yang dilakukan kepada mitra, didapatkan permasalahan bahwa minimalnya pengetahuan mitra PSP (Pekerja Seks Perempuan) mengenai kesehatan reproduksi khususnya pencegahan Kanker Serviks. Mereka tidak mengetahui hal-hal yang berbahaya dari Kanker Serviks, faktor risiko, cara penularannya serta cara pencegahannya. Dengan terjadinya pandemi Covid-19 yang sudah berlangsung sejak 3 tahun lalu, membuat terjadinya penurunan pemasukan dari pelanggan yang berdampak pada perekonomian mereka. Sehingga mereka membutuhkan penghasilan tambahan selain dari memuaskan pelanggan. Dari permasalahan yang dihadapi, maka solusi yang dapat ditawarkan adalah melaksanakan focus group discussion mengenai pencegahan Kanker Serviks dengan melibatkan mitra. Dari kegiatan ini telah meningkatkan pemahaman PSP serta orang-orang di sekitar lokalisasi mengenai pentingnya penanggulangan Kanker Serviks. Peningkatan skill PSP melalui pelatihan bagi mitra dalam pembuatan APD seperti masker, handsanitizer, face shield. Pelatihan ini dilakukan untuk membantu PSP dalam mencari pemasukan tambahan selain bekerja di lokalisasi sehingga permasalahan perekonomian mereka terbantu di masa pandemi Covid-19.

Overview of the first 1000 days of life and stunting in toddlers 0-2 years old in Tegallalang District, Bali Province Pradnyawati, Luh Gede; Dewa Ayu Putu Ratna Juwita; Komang Triyani Kartinawati; Made Indra Wijaya; Anak Agung Sagung Mirah Prabandari
Journal of International Surgery and Clinical Medicine Vol. 3 No. 1 (2023): (Available online: June 2023)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v3i1.41

Introduction: The most crucial time for a child's physical and cognitive development is the first 1000 days of life. Their nutritional state will influence toddlers' future health, intelligence, and productivity in the first 1000 days of life. The study aimed to describe the first 1000 days of life in toddlers aged 0-2 years. Methods: This cross-sectional study used a household survey in 30 clusters. Five samples of children between 0-1 years old and five samples between the ages of 1-2 years old were selected by simple random sampling from each census block for 300 respondents. Nutrition adequacy was analyzed in Nutrisurvey 2007 program. All data were analyzed descriptively in the SPSS program. Results: The prevalence of stunting in children aged 0-2 in Tegallalang District was 12%. Among children 0-1 years old was 8%, while in children aged 1-2 years was 17%. 41% of pregnant women and toddlers were exposed to secondhand smoke. The rate of exclusive breastfeeding was 44%, vitamin A supplementation was 43.7%, deworming treatment was 52%, and only 20% of people had clean water. There were 115 toddlers aged 1-2 years w deficits in carbohydrates, 140 toddlers with deficits deficiencies, and 80 toddlers with deficits in iron. Conclusion: The problem of stunting in Tegallalang District still exists. Community health workers should encourage women and their male partners regarding second-hand smoke, exclusive breastfeeding, vitamin A supplementation, and deworming treatment. Access to clean water is also urgently required. Further study is needed to determine the modifiable risk factors for stunting.

BARRIERS TO STUNTING PRIMORDIAL PREVENTION THROUGH PROSPECTIVE BRIDE’S ADVISORY SERVICE: A QUALITATIVE STUDY USING SOCIAL ECOLOGICAL MODEL Wijaya, Made Indra; Komang Triyani Kartinawati; Luh Gede Pradnyawati; I Gusti Ngurah Made Bayuningrat; Tanjung Subrata; I Made Pariartha; A.A. Gede Indraningrat; Made Dharmesti Wijaya; Kartika Sari
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.v3i1.355

Since the Faculty of Medicine and Health Sciences, University of Warmadewa, launched community-oriented medical education (COME), the stunting prevalence in Gianyar Residence decreased from 12.1% (2018) to 11.1% (2019). In 2021, it decreased to 5.1% which was lower than Bali province (10.9% in 2021) and much less than the Republic of Indonesia (24.4%). The PentaCOME (Pentahelix Community-Based Medical Education) project, the modification of COME, was the collaboration of the Indonesian Ministry of Education, Culture, Research, and Higher Education, the Warmadewa University, as well as PT. Sido Muncul is implemented to further lower stunting prevalence via the “Stunting Primordial Prevention Through Prospective Brides Advisory Service” initiative in Payangan District. The present study was intended to figure out barriers to implementing such initiatives. This is a qualitative study using in-depth interviews and focus group discussions (FGDs) in obtaining data. Purposive sampling was used to select informants who represented academicians (3), businessmen (2), community (9), government (3), and media (3) (i.e., Penta helix components). Twenty in-depth interviews and two FGDs involving academician, community, government, and media were conducted during the 1 September 2022 – 15 October 2022 period. Two coders transcribed and coded independently. The social-ecological model was used to categorize the codes. Informants described that they never heard about the ELSIMIL application (ELSIMIL stands for Electronic Siap Nikah dan Hamil which means ‘prepared to get married and pregnant application’) at the personal level. The “No pregnancy, no marriage” motto (i.e., social pressure to get pregnant before marriage among Balinese) was found a barrier at the interpersonal level. At the institutional level, key informants stated the prospective bride’s advisory service and ELSIMIL application campaign were not adequate. At the community level, the family support team community has been established, however, they could not fulfill their function properly due to the “no pregnancy, no marriage” motto. At the policy level, the traditional village assembly (i.e., “Majelis Desa Adat”) has not issued regulations regarding the prospective bride’s advisory service. A lack of cross-sector collaboration was also reported as a barrier to this initiative. A well-planned promotion could socialize ELSIMIL application among prospective brides. Advocacy to the traditional village assembly might diminish the “no pregnancy, no marriage” motto. Pentahelix collaboration needs to be established to achieve the “zero stunting for golden generation” goal.

Co-Authors A.A. Gede Indraningrat Agung Aditya Dharmapatni Anak Agung Sagung Mirah Prabandari Anak Agung Sri Agung Aryastuti Bayuningrat I Gusti Ngurah Made Doug Campos-Outcalt Gail P Barker Gde Aldy Kurnia Griayasa Hegard Sukmawati, Ni Made I Gede Bagus Wikarna Satyabrata Wikarna I Gede Bagus Wikarna Satyabrata Wikarna I Gusti Ngurah Agung Cahyadi Putra I Made Eka Dwipayana I Made Eka Dwipayana I Made Pariartha I Wayan Darwata IGA Asih Ratnadi Kartika Sari Made Dharmesti Wijaya Made Indra Wijaya Natasha Arivia Ni Kadek Ratih Riska Yanti Ni Putu Diah Witari, Ni Putu Ni Putu Dita Hendrika Vijayanti Ni Wayan Diana Ekayani Pradnyawati, Luh Gede Ratna Juwita Ratna Juwita, Dewa Ayu Putu Sagung Putri Permana Lestari M.P Saktivi Harkitasari, Saktivi Tanjung Subrata

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