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All Journal Jurnal Manajemen Kesehatan Indonesia JMM (Jurnal Masyarakat Mandiri) Amerta Nutrition J-Kesmas: Jurnal Kesehatan Masyarakat (Indonesian Journal of Public Health) Indonesian Journal of Global Health research PENA ABDIMAS : Jurnal Pengabdian Masyarakat Proceeding Mulawarman International Conference on Tropical Public Health
Iriyani Kamaruddin, Iriyani
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Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Peran Edukasi Gizi Seimbang dan Pengukuran Indeks Massa Tubuh (IMT) Pada Lansia di Samarinda tahun 2024 Simpajo, Nurul Rizkiana Tistania; Wisnuwardani, Ratih Wirapuspita; Kamaruddin, Iriyani
PENA ABDIMAS : Jurnal Pengabdian Masyarakat Vol 6 No 1 (2025): Januari 2025
Publisher : LPPM Universitas Pekalongan

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

Abstract

The quality of life of the elderly is significantly influenced by their nutritional status. Elderly individuals with good nutritional status tend to have a better quality of life, as adequate nutrition helps maintain bodily functions, strengthens the immune system, and enhances energy and mobility. This community service aimed to increase knowledge about balanced nutrition among the elderly and reduce the risk of non-communicable diseases such as obesity and malnutrition through education on balanced nutrition and health and nutritional status assessments for the elderly. Community service activities through balanced nutrition education and BMI measurement, using an interactive lecture method, showed a 30.10% increase in knowledge after education compared to before. Nutrition education has proven effective in improving the elderly’s understanding of balanced nutrition. Routine monitoring of nutritional status is highly recommended to prevent overnutrition and degenerative diseases in the elderly. Additionally, balanced nutrition education is recommended not only at the Sidomulyo Health Center but also at all health centers in Samarinda to improve the health of the elderly community more broadly.
Analysis of Activity Based Costing (ABC) Calculations in Services Hemodialysis at the Kudungga Regional Hospital Dialysis Unit Wijayanti, Dwi Astuti Noor; Adrianto, Ratno; Ramdam, Iwan Muhammad; Pakki, Irfansyah Baharuddin; Kamaruddin, Iriyani; Bahtiar, Rahmat
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6871

Abstract

Hemodialysis is a kidney replacement therapy where blood from outside the body is filtered by a machine. The provision of hemodialysis services currently still uses the old rates and is considered not to provide profits for hospitals, so good calculations are needed as a form of efficiency in financing hemodialysis procedures in hospitals, especially in the JKN era. Hospitals will receive comprehensive information on shopping costs, unit cost calculations and action suggestions in accordance with applicable rates. The study was carried out with the aim of finding out the unit cost rates for hemodialysis services in the Kudungga Regional Hospital Dialysis Unit using the Activity Based Costing (ABC) method and comparing them with INA-CBGs rates and hospital rates. This research uses a descriptive and quantitative approach. Unit costs for dialysis units and cost analysis using the Activity Based Costing (ABC) method approach are the main subjects of this research. This research is based on all financial balance data for hemodialysis services at the Kudungga Regional Hospital Dialysis Unit. The unit cost of hemodialysis can be determined by tracing the costs related to the hemodialysis cost center as a production center and other elements that support this action. The data will be grouped into fixed costs, semi-variable costs and variable costs, then included in direct costs, indirect costs, overhead and unit cost calculations using the Activity Based Costing (ABC) method. The research results show that the unit cost calculation for hemodialysis based on the Activity Based Costing (ABC) method is IDR 1,397,627.79. Meanwhile, the Kudungga Regional Hospital rate is only IDR 1,258,300, the hospital rate only meets 90.03% of the unit cost using the ABC method. Meanwhile, when compared with the INA-CBGs tariff, which is IDR 921,300, the INA-CBGs tariff only meets 65.92% of the unit cost using the ABC method. Things that influence are direct costs, indirect costs and the number of hemodialysis procedures.
Calculation Rational Rates Based on Unit Costs Compared to Kudungga Hospital Surgical Instalation Rates Setianingtyas, Endah Dwi; Adrianto, Ratno; Ramdan, Iwan Muhamad; Pakki, Irfansyah Baharuddin; Kamaruddin, Iriyani; Bahtiar, Rahmat
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6872

Abstract

Hospitals that have carried out unit cost calculations can find out how much they are spending, so that the hospital can know if waste occurs. This is because the costs incurred by one hospital will be different from those incurred by another hospital, even though the hospital is in the same type of hospital. Apart from that, the results of unit cost calculations can also be used as a basis for decision making to improve hospital quality and quality. The aim of this research is to calculate rational rates for types of surgery using the multiple distribution method, then compare them with hospital rates for general surgery rates at the Central Surgical Installation of Kudungga Sangatta Regional Hospital. This study is a comparative descriptive quantitative analytical study to compare the rational rates of types of operations (special, special, major, major, and medium cito operations) in the general surgery group during the period of 2023 with the rates of general surgery operations at the Central Surgery Installation of Kudungga Sangatta Regional Hospital with a sample population of all 340 patients using BPJS insurance who received general surgery operations. The results of the research show that the rational rates obtained for special CITO operations are IDR 14,094,633, special operations IDR 12,383,431, large CITO operations IDR 5,262,904, large operations IDR 6,775,203, and medium operations IDR 3,858,857. Rational rates are higher than hospital rates, except for major CITO surgery rates. Therefore, when determining hospital rates, it is necessary to consider unit cost analysis so that hospital operational costs can be efficiently spent.
PREDIKSI FAKTOR RISIKO STUNTING ANAK USIA 0-23 BULAN DI KALIMANTAN TIMUR (ANALISIS DATA SSGI 2022) Anggraeni, Ike; Silaban, Vandy; Susanti, Rahmi; Andi Baso, Ismail; Kamaruddin, Iriyani
Jurnal Manajemen Kesehatan Indonesia Vol 13, No 2 (2025): Agustus 2025
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.13.2.2025.175-184

Abstract

Stunting is still become a major public health that causes impaired physical and cognitive growth in children, thus having a long-term impact on productivity, quality of human resources, and the country's economic growth. Data from the 2023 Indonesian Toddler Nutritional Status Survey (SSGI) shows stunting prevalence in East Kalimantan Province, with 22.8% in 2021 and 23.9% in 2022. The study aims to obtain a prediction model of stunting in children 0-23 months in East Kalimantan Province. The study used SSGI 2022 as a data source, an observational study with a cross-sectional approach, and was analyzed using binary logistic regression. The study results showed that the binary model regression model had a classification accuracy of 83.2% and could explain 59.4% of the variation in the incidence of stunting in children aged 0-23 months. The findings indicate that Low Birth Weight (LBW) and maternal height significantly affect stunting in children 0-23 months. Therefore, special attention is needed for adolescents and pregnant women through nutritional education programs to grow to optimal height and for pregnant women to give birth to healthy babies.
Evaluation of Microbiological Quality and Hazardous Food Additives in Elementary School Snacks in Samarinda City, Indonesia Pasiakan, Meli; Wisnuwardani, Ratih Wirapuspita; Kamaruddin, Iriyani; Amir, Maryam
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 2 (2025): October 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i2.13392

Abstract

Background/Objectives: School snacks are an important source of energy and nutrients for children, but they may pose biological and chemical safety risk if not properly controlled. This study aimed to identify the presence of Escherichia coli, salmonella and hazardous food additives, including borax, formalin, rhodamine B and methanil yellow in school snacks sold around SDN 005 Dr.Sutomo Samarinda Ulu.Design/Methods: A descriptive cross-sectional design was conducted with sampling from in three school canteens and two street vendors. A total of 12 food and beverage samples were examined at Samarinda City Regional Health Laboratory. Microbiological tests were performed using the multiple-tube fermentation method, while chemical testing were conducted using qualitative methods. Results : Laboratory analysis showed that all samples tested negative for E.coli and Salmonella. Furthermore, chemical analysis confirmed the absence of borax, formalin, rhodamine B, or methanil yellow in all samples. These findings suggest that the school snacks tested from both microbiological contamination and prohibited chemical additives.Conclusion : School snacks sold around the SDN 005 Dr.Sutomo Samarinda Ulu are relatively safe for children’s consumption. The findings also reflect the effectiveness of school and health center supervision in ensuring food safety. However, continuous monitoring and education remain essential to sustain safe food practice among students and vendors.
Effect of IMCI and Severe Acute Malnutrition Training on Health Workers’ Knowledge in East Kalimantan Riyanto, Rudy Agus; Wisnuwardani, Ratih Wirapuspita; Kamaruddin, Iriyani
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) Vol 12, No 2 (2025): October 2025
Publisher : Universitas Teuku Umar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35308/j-kesmas.v12i2.13411

Abstract

Stunting is a disorder of children's growth and development caused by chronic malnutrition and recurrent infections during the First 1000 Days of Life (HPK). Health workers at health centers, as part of the nutrition team, play a significant role in implementing effective interventions to reduce stunting rates. One of the trainings provided to health workers is the Integrated Management of Childhood Illness (IMCI) and Severe Acute Malnutrition training. This study aimed to measure changes in the knowledge of health workers before and after receiving the IMCI and Severe Acute Malnutrition training.This pre-experimental study involved 84 health workers from three cities in East Kalimantan. The training utilized interactive lectures, role play,  assignments, and practice sessions. A paired t-test was used to analyze the data. A significant increase in knowledge was observed before and after the training (p-value = 0.0001). It was concluded that the IMCI and Severe Acute Malnutrition Training was effective in enhancing the knowledge of health workers. Therefore, it remains essential as a routine training effort to prevent stunting.
Faktor-Faktor Yang Mempengaruhi Status Gizi Pada Remaja Gizi Lebih: Faktor-Faktor Yang Mempengaruhi Status Gizi Pada Remaja Overweight dan Obese Kamaruddin, Iriyani; Kustiyah, Lilik; Riyadi, Hadi; Junus, Ruqayah
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.311-319

Abstract

Background: One of the target groups at risk of becoming overweight and obese is teenagers. East Kalimantan is one of the largest provinces in Indonesia with a prevalence of overweight and obesity in children aged 13-15 years with a body massa indeks for age ( BMI/A)  indicator of 19.1% in 2018, where overweight was 12.0% and obesity was 7.1%. Objectives: To analyze the factors that influence nutritional status in overweight and obese adolescents aged 11-15 years. Methods: This study is a cross-sectional survey conducted at State Junior High Schools in Samarinda City from January to March 2021. The sample size was 290 students, determined using the Lemeshow and David formula, and selected through simple random sampling. Data collection includes the characteristics of the subject and their parents, measurement of body weight and height, food consumption, nutritional behavior, physical activity, and exercise habits using interviews using questionnaires. Data were analyzed using the Kruskal-Wallis test and Logistic Regression test. Results: There are differences in the nutritional status of boys and girls (p=0.006), mother's education and occupation (p=0.007; p=0.007), father's and mother's nutritional status (p=0.001; p=0.014), exercise habits (p=0.009), protein adequacy level (p=0.000), and fat adequacy level (p=0.016). Conclusions: Gender, occupation, education, nutritional status, eating habits, exercise habits, level of protein adequacy, and level of fat adequacy influence the occurrence of overweight and obesity in adolescents. It is necessary to increase sports activities which must be done at least 3-5 times a week for 30 minutes intensively and get used to consuming 3-4 portions of vegetables and fruit daily, as well as paying attention to appropriate meal portions.
Nutrition Education in the Prevention of Adolescent Obesity Maliran, Shafa Minda; Kamaruddin, Iriyani; Wisnuwardani, Ratih Wirapuspita
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Adolescent obesity in Indonesia is increasing and poses a high risk of chronic diseases such as type 2 diabetes and cardiovascular disorders. One contributing factor is poor nutrition knowledge and unhealthy eating patterns. Objective : This study aimed to evaluate the effectiveness of nutrition education in improving adolescents’ knowledge as an effort to prevent obesity. Research Methods/ Implementation Methods : The intervention was delivered through interactive lectures, group discussions, and visual media (posters, booklets, videos), covering topics such as balanced nutrition, reducing excessive sugar and fat intake, and choosing healthy snacks. Thirty adolescent respondents participated in a pretest and posttest, with data analyzed using the Wilcoxon test and crosstab. Results : The Wilcoxon test showed a significant difference between pretest and posttest scores (p = 0.004), with all respondents achieving a good knowledge category after the intervention. However, 73.3% of respondents still demonstrated less supportive attitudes. Conclusion/Lesson Learned : In conclusion, nutrition education effectively increased nutrition knowledge, but sustainable programs focusing on behavior habituation through the involvement of schools, families, and social media are recommended to foster long-term positive attitudes.
PENINGKATAN STATUS GIZI DENGAN METODE EDUKASI GIZI SEIMBANG PADA IBU RUMAH TANGGA GIZI LEBIH Kamaruddin, Iriyani; Wisnuwardani, Ratih Wirapuspita; Afiah, Nurul; Safika, Erri Larene; Nurzihan, Nastitie Cinintya
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 3 (2024): Juni
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i3.23334

Abstract

Abstrak: Provinsi Kalimantan Timur merupakan salah satu provinsi di Indonesia dengan jumlah penderita obesitas tertinggi. Prevalensi gizi lebih dan penyakit degeneratif lebih banyak terjadi pada perempuan dibandingkan laki-laki. Gizi berlebih yang tidak dikelola dengan baik perlu mendapat perhatian serius karena dapat menurunkan kesehatan, produktivitas kerja, dan meningkatkan kesejahteraan masyarakat. Selain itu konsumsi sayur dan buah masih rendah yaitu 11,49%, dan di Kota Samarinda sebesar 11,59%. Tujuan dilaksanakan pengabdian ini adalah memberikan edukasi gizi seimbang untuk meningkatkan status gizi Ibu Rumah Tangga (IRT) menjadi status gizi baik Pengabdian ini menggunakan metode edukasi gizi dengan menggunakan modul gizi seimbang, template isi piringku, dan model makanan, sebelum diberikan edukasi gizi diberikan pre-test dan sesudah edukasi gizi diberikan post-test yang terdiri dari 15 pertanyaan pilihan ganda terkait dengan materi edukasi gizi seimbang Mitra pendukung pengabdian ini adalah Kelurahan Air Putih dan mitra peserta edukasi gizi sebanyak 21 orang. Hasil sudah terlaksana pengabdian dengan baik dan lancar, menunjukkan peningkatan skor pengetahuan sebelum dan sesudah edukasi gizi sebesar 28,20%.Abstract: East Kalimantan Province is one of the provinces in Indonesia with the highest number of obesity sufferers. The prevalence of overnutrition and degenerative diseases is more common in women than men. Excessive nutrition that is not managed properly needs serious attention because it can reduce health, work productivity and improve people's welfare. Apart from that, consumption of vegetables and fruit is still low, namely 11.49%, and in Samarinda City it is 11.59%. The aim of this service is to provide balanced nutrition education to improve the nutritional status of Housewives (IRT) towards good nutritional status. This service uses nutritional education methods using balanced nutrition modules, my plate contents templates, and food models. Before being given nutrition education, a pre-test is given and after being given nutrition education, a post-test is given which consists of 15 multiple choice questions related to balanced nutrition education materialPartners supporting this service are Air Putih District and 21 partners participating in nutrition education. The results of service that was carried out well and smoothly showed an increase in knowledge scores before and after nutrition education by 28.20%.
Co-Authors Adrianto, Ratno Amir, Maryam Andi Baso, Ismail Bahtiar, Rahmat Hadi Riyadi Ike Anggraeni Irfansyah Baharuddin Pakki Iwan Muhamad Ramdan Junus, Ruqayah Lilik Kustiyah Maliran, Shafa Minda Nastitie Cinintya Nurzihan Nurul Afiah Pasiakan, Meli Rahmi Susanti Ramdam, Iwan Muhammad Ratih Wirapuspita Wisnuwardani Riyanto, Rudy Agus Safika, Erri Larene Setianingtyas, Endah Dwi Silaban, Vandy Simpajo, Nurul Rizkiana Tistania Wijayanti, Dwi Astuti Noor