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Health Care Access and Equity Among Migrants: A Literature Review Nur, Zilvi Fuadiyah; Suryadarma, Antonius Yansen; Mengistu, Assaye Girma; Pangestuti, Ayu; Ariza, Nahya Rahmatul; Mahmudiono, Trias
Jurnal Ilmu Kesehatan dan Kesehatan Vol 8 No 01 (2024): FEBRUARY
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v8i01.4272

Abstract

Background: Health inequality often occurs among disadvantaged population groups, including migrants. Currently, the migrant population does not always receive adequate health services. In addition, the health care system is not optimized for migrants, especially in terms of language, access, genomic data and the expertise of medical personnel. The health condition of these migrants is a global problem that needs attention if countries want to meet the Sustainable Development Goals (SDGs) targets by 2030. Purpose: to map the latest existing research on the topic of migrant health, both qualitative and quantitative. Methods: narrative literature review and literature search were carried out using an electronic database with the automatic selection feature used in the electronic database according to the specified inclusion criteria. Results: Obtained an overview of inequality in [1] access to health services for migrants in general, [2] utilization of health services and health-seeking behavior, [3] health literacy, [4] health services related to the COVID-19 pandemic, and [5] maternal and child health services. All authors agree on this division of groups. Conclusion: Migrants who do not have documents or are illegal, skin color (black migrants) who migrate to western countries, languages ​​that are not the same, and do not understand their own health conditions due to lack of health education due to language barriers, these factors are obstacles for migrants to achieve equality in countries where migrants have migrated.
Edukasi Gizi, Skrining Kesehatan, dan Praktik Pengolahan Makanan Darurat di Kawasan Bencana Gunung Semeru Lumajang Adi, Annis Catur; Salisa, Wizara; Ariza, Nahya Rahmatul; Syahrul, Fariani; Romadhona, Salsabila; Ramadhan, Ramadivan Bagus
Bakti Cendana Vol 8 No 2 (2025): Bakti Cendana: Jurnal Pengabdian Masyarakat
Publisher : LPPM Universitas Timor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32938/bc.8.2.2025.109-118

Abstract

Bencana menyebabkan kerawanan pangan yang membahayakan status gizi dan kesehatan kelompok rentan. Upaya mengatasi kondisi tersebut adalah dengan mengoptimalkan makanan darurat yang bernilai gizi tinggi. Pemanfaatan pangan lokal yang kurang optimal disebabkan oleh rendahnya pengetahuan masyarakat. Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan dan keterampilan masyarakat daerah rawan bencana dalam pengolahan makanan darurat, serta mengetahui gambaran status gizi masyarakat pasca bencana. Kegiatan ini dilaksanakan di Kawasan Hunian Tetap dan Sementara Gunung Semeru, Desa Penanggal, Candipuro, Lumajang. Partisipan yang terlibat sebanyak 52 orang, terdiri dari balita, ibu balita, dan kader posyandu. Peningkatan pengetahuan dilakukan dengan edukasi menggunakan metode ceramah dan diskusi, skrining kesehatan meliputi pengukuran antropometri dan pengukuran tekanan darah, serta peningkatan keterampilan melalui praktik pengolahan makanan darurat. Hasilnya, ditemukan adanya peningkatan pengetahuan ibu balita dan kader posyandu sebanyak 15,98% dari hasil pre-post test. Hasil pengukuran antropometri pada balita menunjukkan 48,4% balita stunting, dan 3% underweight. Pada kelompok ibu, status gizi underweight sebanyak 5,2%, overweight 15,7% dan obesitas 21%, serta pengukuran tekanan darah menunjukkan 26,3% ibu hipertensi. Peningkatan keterampilan dievaluasi melalui lomba pengolahan makanan darurat. Kegiatan pengabdian masyarakat ini mampu meningkatkan pengetahuan dan keterampilan masyarakat terkait kesiap siagaan gizi masa bencana, dan pengolahan makanan darurat berbasis pangan lokal.
Akurasi Mid Upper Arm Circumference (MUAC) dalam Mendeteksi Malnutrisi Akut pada Anak di bawah 5 Tahun : A Literature Review: Tinjauan Literatur : Akurasi MUAC dalam Mendeteksi Malnutrisi Akut Ariza, Nahya Rahmatul; Siti Rahayu; Willmart, Auresa Caesarputriaulya
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.2023.328-335

Abstract

Background: Fast and accurate detection of acute malnutrition is important to prevent death. The use of Mid Upper Arm Circumference (MUAC) can be an alternative but its accuracy is still being explored because many differences in research results are found. Objectives: This literature aimed to identify the accuracy (sensitivity and specificity) and optimal MUAC cut-off in detecting acute malnutrition in children under 5 years. Methods: Search for articles using Google Scholar and Pubmed with the keywords "MUAC” "children” "acute malnutrition”. Selection based on the question "How is the sensitivity and specificity of MUAC in detecting acute malnutrition in children under 5 years” with inclusion criteria articles for the last 10 years, fully accessible and free of charge. Excluding non-English articles and type review articles. Six articles were found that further review. Discussion: The sensitivity of the MUAC indicator by World Health Organization in detecting acute malnutrition is smaller than its specificity. The lowest sensitivity of MUAC in detecting severe (<11.5 cm) and moderate (11.5-12.5 cm) acute malnutrition is in Nepal, namely 13.6% and 21% respectively. Based on the results of analysis using the ROC curve in each article, it was found that the optimal MUAC cut-off varied in detecting cases of acute malnutrition. Conclusions: The MUAC cut-off accuracy recommended by the World Health Organization to identify severe and moderate acute malnutrition is not optimal. Therefore, further studies are needed in each country to determine the optimal cut-off that is appropriate for the region according to the age group and problem classification.
Faktor Risiko Distal yang Memengaruhi Anemia pada Anak Usia 6-59 Bulan: Analisis Data Demographic and Health Survey Zimbabwe 2015 Ariza, Nahya Rahmatul; Mahmudiono, Trias; Mahmudah; Melaniani, Soenartalina
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.329-335

Abstract

Background: Anemia is the cause of child death in Africa. More than one-third (37%) of children aged 6-59 months in Zimbabwe are anemic. Anemia is caused by two factors, namely proximal factor (attached to the individual) and distal factor (not attached to the individual). Objectives: This study aims to determine the distal risk factors associated with anemia in children aged 6-59 months in Zimbabwe. Methods: A cross-sectional study design by analyzing Demographic and Health Survey (DHS) data for Zimbabwe in 2015. The total sample was 4303 households with children aged 6-59 months and fulfilled all the study variables. That became independent variables in this study were land ownership, types of livestock, and two factors from the results of the Principal Component Analysis test, water and toilet sanitation and building sanitation. Univariate analysis was performed to see the frequency distribution of each variable, then bivariate analysis with chi-square and Mann-Whitney tests to determine factors that were significantly related to the incidence of anemia and further tested with logistic regression. Results: Based on the results of this study, it was found that variables that were significantly related to the incidence of anemia were age, agricultural land ownership, types of livestock, water and toilet sanitation, and building sanitation. From several variables that became distal risk factors, it was found that variables that increased the risk factors for anemia in children aged 6-59 months, namely not having agricultural land (OR=2.84; 95% CI=2.38-3.4; p<0, 05), do not own livestock (OR=1.72; 95%CI=1.48-2; p<0.05) own poultry (OR=1.45; 95%CI=1.2-1.74) ; p<0.05) and building sanitation (OR=1.07; 95% CI=1-1.14; p<0.05). In addition, this study found a protective factor against the incidence of anemia in children aged 6-59 months in Zimbabwe, namely water and toilet sanitation (OR=0.85; 95% CI=0.8-0.91; p<0.05). Conclusions: The causes of anemia in children aged 6-59 months are multifactorial. We suggest that policymakers plan an integrated program specifically in agriculture and animal husbandry so that every household has agricultural land and livestock to reduce the incidence of anemia in children aged 6-59 months in Zimbabwe.