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All Journal Archive of Community Health Buletin Udayana Mengabdi E-Jurnal Medika Udayana Jurnal Kesehatan Lingkungan indonesia Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Majalah Kesehatan FKUB Jurnal Gizi Klinik Indonesia Journal of Health Promotion and Behavior Journal of Public Health Research and Community Health Development (JPH RECODE) Public Health and Preventive Medicine Archive Jurnal Ilmu Kesehatan Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ni Luh Putu Suariyani
Department Of Public Health And Preventive Medicine, Faculty Of Medicine, Udayana University
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

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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.
Causes of unwanted pregnancy among adolescents in Bali Province: a qualitative study Kadek Anggie Wisandewi Mayun; Luh Seri Ani; Ni Luh Putu Suariyani
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p04

Abstract

Background and purpose: Teenage pregnancy is a major contributing factor of high maternal and infant mortality rates in Indonesia. Unwanted pregnancy among adolescents is increasing, therefore an understanding of its causes is essential. This study aims to explore causes of unwanted pregnancy among adolescents. Methods: A qualitative study was conducted in Bali Province. Data were obtained through in-depth interviews with 10 adolescents aged between 12-21 years who experienced unwanted pregnancy. Data were collected between September and October 2016. Data were analysed thematically and presented using a narrative approach. Results: Our study revealed that determinants associated to unwanted pregnancy among adolescents included the lack of systematic education on sexual and reproductive health both at home and school, as well as the lack of self-efficacy of teenage girls to reject pre-marital sex with their partner. Our study found that this pre-marital sex was done as an expression of love, because of being forced by the partner, and due to stressful home environments. Conclusions: The main causes of unwanted pregnancy among adolescents are the lack of sexual and reproductive health education and a weak self-efficacy of teenage girls to reject pre-marital sex demanded by their partner. Given the complexities of teenage pregnancy, overarching policy to facilitate an early comprehensive sexual and reproductive health education program at home, schools, and youth-friendly health facilities is warranted.
Risk factors of pre-eclampsia in Dompu District, West Nusa Tenggara Province Maria Ulfah; Ni Luh Putu Suariyani; Dyah Pradnyaparamita Duarsa
Public Health and Preventive Medicine Archive Vol. 5 No. 2 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i2.p08

Abstract

Background and purpose: Pre-eclampsia is a major contributing factor of maternal mortality. Dompu District has a high rate of maternal mortality relative to the rest of districts in West Nusa Tenggara Province. Pre-eclampsia is the major cause of maternal mortality in Dompu District. This study aims to examine risk factors of pre-eclampsia among pregnant women. Methods: A case control study was conducted in five public health centres in Dompu District. A total of 104 women who gave birth and have diagnosed with pre-eclampsia during the pregnancy were recruited as cases. A total of 104 women who gave girth and did not have pre-eclampsia were selected as controls. All cases and controls were selected using a systematic random sampling technique from the 2016 pregnant women cohort at five public health centres. Data were collected through interview and extraction from the maternal and child health book. Data were analysed using bivariate and multivariate techniques. Results: Our multivariate analysis found that pre-eclampsia was associated with parity of 1 or >3 (AOR=3.64; 95%CI: 1.85-7.17), body mass index of >27.0 kg/m2 (AOR=3.01; 95%CI: 1.39-6.48), history of chronic diseases (AOR=16.43; 95%CI: 3.32-81.22) and smoke exposure (AOR=3.71; 95%CI: 1.95-7.05). Conclusions: Parity of 1 and >3, BMI of >27.0 kg/m2, history of chronic illnesses and smoke exposure are risk factors for pre-eclampsia in Dompu District, West Nusa Tenggara.
Differences in post-placental intra uterine device acceptance with and without couples counseling in private practice midwifery clinics, West Denpasar Putu Ayu Ratna Darmayanti; Dewa Nyoman Wirawan; Komang Ayu Kartika Sari; Mangku Karmaya; Ni Luh Putu Suariyani
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p02

Abstract

Background and purpose: The post-placental intra uterine device (IUD) program is one intervention to increase IUD uptake however the acceptance remains low. Contraceptive counseling during pregnancy is expected to increase IUD uptake. The primary objective of this study is to determine the efficacy of counseling by involving the husband in order to improve post-placental IUD uptake. The secondary objective is to compare knowledge and perceptions of IUD before and after intervention. Methods: A randomized controlled trial was conducted with 58 pregnant women at 37-40 weeks’ gestation in three private midwifery clinics in Denpasar, Bali. Subjects were divided into two groups: 29 intervention groups that were given couples counseling and 29 control groups that were given counseling without involving husbands. Base line interview was conducted during enrollment and follow up interview was carried out immediately after delivery. Results: Acceptance of post-placental IUD was found in 21 women (72.41%) in the intervention group and 10 women (34.48%) in the control group (RR=2.2; 95%CI: 1.23-3.84). The mean difference in pretest and post-test scores of knowledge, perceptions of susceptibility and benefits were found to be higher in the intervention group but not statistically significant. The result of multivariate analysis indicated that the variables influencing post-placental IUD acceptance were the child’s gender (AOR=45.9, 95%CI: 4.53-465.25), couples counseling with husband (AOR=17.4, 95%CI: 2.55-119.56) and maternal education (AOR=7.1; 95%CI: 1.17-43.40). Conclusions: Couples counseling was found to increase postplacental IUD uptake. In addition, post-placental IUD acceptance is also influenced by the child’s gender and maternal education levels. To increase uptake of post-placental IUDs there is a need for upscalling of couples counseling at the time of antenatal care.
Early marriage as a risk factor for undernutrition among children aged under three years old in Gangga Subdistrict, North Lombok District Suhartiningsih; Ni Luh Putu Suariyani; Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p05

Abstract

Background and purpose: The prevalence of severe and mild undernutrition among children aged under five years in North Lombok District is ranked second in West Nusa Tenggara Province after Bima City. The number of reported cases of early marriages in West Nusa Tenggara is higher than the national average. This study aims to examine the association between early marriages and undernutrition among children aged under three years in Gangga Subdistrict, North Lombok District. Methods: A case-control study was conducted with a total of 49 cases (severe undernourished children) and 98 controls (normalweight children). A systematic random sampling was used to select all cases and controls from the health post register based on the weight/age indicator in Gangga Public Health Centre. Variables of sex and residency were matched between cases and controls. Data were collected from October to November 2016 through interviews with the mother at their house. Logistic regression using a software STATA SE 12.1 was employed to identify the association between early marriages and nutritional status of the children. Results: Cases and controls were comparable based on children’s gender, mother’s age, area of residency, employment status of mother, and family income. There were significant differences on children’s age and mother’s education. Multivariate analysis showed an association between the nutritional status and early marriages with adjusted odds ratio (AOR)=5.21 (95%CI: 1.36-19.95), the frequency of sickness over the last three months (AOR=1.93; 95%CI: 1.26-2.97) and low birth weight (AOR=14.12; 95%CI: 3.37-59.05). Conclusions: Early marriages, frequency of sickness over the last three months, and low birth weight are associated with undernutrition among children aged under three years. Preventative measures to prevent early marriages, child infections and low birth weight need to be enhanced.
Alcohol consumption and risk of type 2 diabetes mellitus among males in The Manggis Area, Karangasem, Bali I Gusti Ayu Mirah Adhi; Ni Luh Putu Suariyani; I Wayan Weta; Anak Agung Sagung Sawitri
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p06

Abstract

Background and purpose: Diabetes mellitus (DM) is a serious health problem worldwide. Local alcohol consumption is one of Balinese’s traditions considered to be associated with the high incidence of DM. This study aims to determine the pattern of alcohol consumption and risk of type 2 DM in Manggis Subdistrict, Karangasem, Bali. Methods: A case control study was conducted in 55 men with type 2 DM as cases and 55 non-diabetic men as controls. Non-diabetic men were defined with fasting glucose level (GDP) <100 mg/dl and without clinical symptoms of DM. Cases were recruited from the patient’s register at the public health centre (PHC) in Manggis Sub-District and controls were recruited from similar neighborhood with the cases and matched by age. Data were collected over May-July 2017 by households’ interview using structured questionnaires. Multivariate analysis was employed using logistic regression to identify the risk factors of type 2 DM. Results: The characteristics of cases and controls were similar in terms of age, education and physical activity, but there was a significant difference in employment. Multivariate analysis showed that heavy alcohol consumption (AOR=7.84; 95%CI: 1.46-42.28), frequent consumption of high sugar alcohol drinks (AOR=3.45; 95% CI: 1.16-10.22), history of obesity (AOR=8.82; 95% CI: 2.43-32.01), employed (AOR=5.98; 95%CI: 1.89-18.93) and frequent consumption of sweetened beverages (AOR=39,57; 95%CI: 4.00-391,8) were significantly associated with the incidence of type 2 DM. No significant association was found between the duration of alcohol consumption and the incidence of type 2 DM. Conclusions: Alcohol consumption, a history of obesity, consumption of high sugar alcohol drinks, retirement/unemployment and consumption of sweetened beverages are associated with the incidence of type 2 DM. Education regarding those risk factors should be enhanced to reduce the incidence of type 2 DM.
The determinants of early breast cancer detection via breast self-examination (BSE) in Denpasar, Bali Ni Made Ari Febriyanti; Dinar Lubis; Dewa Nyoman Wirawan; Ni Luh Putu Suariyani; Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 6 No. 1 (2018)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2018.v6.i1.p07

Abstract

Background and purpose: Breast cancer is the leading cause of death in females, followed by colorectal cancer. Early detection of breast cancer can be done through breast self-examination (BSE). BSE behaviour is influenced by an individual’s level of knowledge and perceptions of the procedure. This study examines the determinants of BSE behaviour in married women aged 15-49 in six villages in the working area of Puskesmas (public health centre) II in West Denpasar, Bali, Indonesia. Methods: A cross-sectional survey was employed with 180 respondents selected by multistage random sampling. Data were collected using standardised questionnaire carried out from November-December 2016. Multiple poisson regression was used to identify the determinants of the BSE behaviours. Results: The proportion of respondents who performed BSE in the three months prior to interview is 55.6%, and, of these, 50.0% reported performing BSE regularly. Multivariate analysis shows the significant determinants of BSE are: high-school and above (APR=2.03; 95%CI:1.41 to 2.92); having a good knowledge of BSE (APR=1.41; 95%CI:1.09 to 1.82); perceived benefits (APR=2, 24; 95%CI:1.53-3.29); perceived low barrier (APR=1.63; 95%CI: 1.16-2.29); and high self-efficacy (APR=1.50;95%CI:1.16-1.95). Conclusions: Level of education, good knowledge of BSE, perceived benefits, perceived low barriers, and high level of self-efficacy are the significant determinants of BSE practice. These findings suggest that education on BSE should be enhanced, particularly for women with lower levels of education.
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

Abstract

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.
Cervical cancer screening among reproductive-aged women: a crossectional survey in Tabanan Regency Desak Gede Yenny Apriani; Ni Luh Putu Suariyani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 5 No. 1 (2017)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2017.v5.i1.p04

Abstract

Background and purpose: Cervical and breast cancers are the most common malignancies among women in Indonesia. The prevalence of cervical cancer in Bali was 0.6% in 2013. Screening coverage for cervical cancer in Tabanan district varies from 37% to 67%. This study aims to determine factors associated to cervical cancer screening uptake among reproductive-aged women. Methods: A cross-sectional survey was conducted at Baturiti Subdistrict, Tabanan Regency, Bali Province. This study involved 188 reproductive-aged women. Samples were randomly selected from all reproductive-aged women from two villages of Baturiti and Angseri. Data were collected using home interviews by a standardised questionnaire. Multivariate analysis was conducted using poisson regression model to determine factors associated to cervical cancer screening uptake. Results: This study showed that the proportion of cervical cancer screening was 38.83%. Variables associated to the uptake of cervical cancer screening were comprehensive knowledge about cervical cancer (APR=10.16; 95%CI: 4.33-24.76), insurance holder (APR=2.95; 95%CI: 1.38-6.64) and aged of ≥40 years (APR=1.26; 95%CI: 1.01-1.59). Education level, employment status and perceived benefits were not associated with the screening uptake among reproductive-aged women. Conclusions: Level of knowledge about cervical cancer, insurance ownership and aged over 40 years increase the cervical screening uptake among reproductive-aged women.
The Utilization of Reproductive Health Services for Adolescents in Tegallalang I Health Centre Deni Witari; Ni Luh Putu Suariyani; I Nyoman Mangku Karmaya
Public Health and Preventive Medicine Archive Vol. 2 No. 1 (2014)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2014.v2.i1.p05

Abstract

Background and purpose: Adolescence is one of the most crucial periods of a human’s life cycle, and therefore, there is an unquestionable need for services that directly address adolescent reproductive health issues. The number of adolescents who utilized reproductive health services at Tegallalang I Health Centre is only 119 out of 708 targeted adolescents. This study investigate the correlation between knowledge, attitude, adolescent needs, access, family acceptability, and the utilization of reproductive health services in Tegallalang I Health Centre. Methods: The design was a cross sectional analytic. From the population of 4725 adolescents in the Tegallalang I Health Centre work area, 84 were selected through systematic random sampling. The independent variables were knowledge, attitude, adolescent needs, access and family acceptability while the dependent variable was the utilization of adolescent reproductive health service. Data was collected through structured interviews and analysed using univariate, bivariate (chi-squared test), and multivariate (logistic regression) analysis. Results: The results of this study showed that most respondents have high level of knowledge (54.8%), negative attitudes (69.0%)), perceived need (59.5%), ease of access (52.4%), negative family acceptability (60.7%)), and (62.0%) do not take advantage of services. Based on the bivariate analysis it is evident that there is a relationship between knowledge (p=0.043), attitude (p=0.047), access (p=0.08), family acceptability (p=0.042) and the utilization of reproduction health service. Based on multivariate analysis, it is evident that access has a positive influence on the utilization of reproductive health service with OR=3.481 (95%CI: 1,21-10,24). Conclusion: Access has a positive influence on the utilisation of reproductive health service in Tegalalang I Health Centre.
Co-Authors Adhi, I Gusti Ayu Mirah Artha, Luh Putu Wulandari Artika Dewi Amri Azmy, Liza Ulil Brahmantya, Ida Bagus Yorky Cahyani, Ida Ayu Made Gia Christine Mariane Dethan Deni Witari Deni Witari, Deni Desak Gede Yenny Apriani Desak Putu Yulita Kurniati Dewa Nyoman Wirawan Dewa Nyoman Wirawan, Dewa Nyoman Dinar Lubis Dinar Lubis Drs. I Wayan Darsana,M.Ed . Dyah Pradnyaparmita Duarsa Gonçalves, Marilia Juvi Gusti Agung Sri Guntari Gusti Ayu Resa Dyanti, Gusti Ayu Resa I Gede Andre Cahya Pratama I Gusti Ayu Sri Darmayani I Made Subrata I Made Subrata I Made Subrata, I Made I MADE SUTARGA I Nengah Sujaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Nyoman Mangku Karmaya I Putu Wily Anggara Wijaya I Wayan Weta I.W.G.A.E. Putra Ida Bagus Yorky Brahmantya Januario Nuno Dos Reis Gomes K Tangking Widarsa Kadek Anggie Wisandewi Mayun Kadek Dina Puspitasari Kadek Tresna Adhi Kariasih, Ni Luh Nu Komang Ayu Kartika Sari Krisnawati, Putu Ayu LPL Wulandari Luh Seri Ani M.D. Kurniasari Made Intan Kusuma Dewi Made Pasek Kardiwinata Mangku Karmaya Mangku Karmaya Maria Ulfah Marilia Juvi Gonçalves Mayun, Kadek Anggie Wisandewi N.K. Ekawati N.P. Widarini N.W.A. Utami Ni Ketut Nopi Widiantari Ni Ketut Sutiari Ni Made Ari Febriyanti Ni Made Ari Febriyanti Ni Made Nujita Mahartati Ni Made Rai Widiastuti Ni Made Rai Widiastuti Ni Made Sri Nopiyani Ni Made Utami Dwipayanti Ni Putu Gita Antari Ni Putu Riza Kurnia Indriana Ni Putu Widarini Ni Wayan Septarini Ni Wayan Sri Widyantari Nyoman Tigeh Suryadhi Pande Putu Januraga Puspitasari, Kadek Dina Putu Aris Budiyasa Putra Putu Ayu Ratna Darmayanti Putu Ayu Ratna Darmayanti Putu Ayu swandewi astuti Putu Hary Chandrakrisna Putu Larassita Abdi PertiwI Putu Riza Kurnia Indriana Putu Wahyuni Wulandari Karnawati putu Widarini Rina Listyowati Rina Listyowati, Rina Sari Andajani Sari Andajani, Sari Sari, Komang Ayu Kartika Sawitri, Anak Agung Sagung Suandana, Iwan Abdi Suhartiningsih Suhartiningsih Suhartiningsih Suryadhi, Nyoman Tigeh Teguh Permana Wahyuni, Luh Putu Sudi Wardana, Ketut Eka Larasati Widiantari, Ni Ketut Nopi Wulandari, LPL