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Media Gizi Kesmas
Published by Universitas Airlangga
ISSN : 23017392     EISSN : 27458598     DOI : -
Core Subject : Health, Social,
Environmental Science Health Professions Nursing Public Health Social Sciences
Media Gizi Kesmas (MGK) is a scientific journal under the auspices of Universitas Airlangga that uses a peer review system and is published by the Faculty of Public Health, Universitas Airlangga. It is published twice a year, in June and December. Articles published in MGK include original research articles, literature reviews, and case studies. The scope of MGK includes Nutrition (Public Health Nutrition, Community Nutrition, Clinical Nutrition, Dietetics, Food and Nutrition, Food Service Management), Public Health (Health Policy and Administration, Occupational Health and Safety, Environmental Health, Biostatistics, Epidemiology, Health Promotion and Behavioral Science, Reproductive Health), and current issues in nutrition and public health.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 459 Documents
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Tantangan Rumah Sakit dalam Proses Implementasi Kebijakan Kelas Rawat Inap Standar: Literatur Review Putri, Mutiara Sitha; Chalidyanto, Djazuly
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.323-331

Abstract

Background: The government is committed to meeting the basic health needs of the Indonesian people through the National Health Insurance (JKN) Program ensuring access to health services without financial burdens. The implementation of the inpatient class system is considered suboptimal, so the government has implemented the Standard Inpatient Class (KRIS) policy to ensure equitable health services for all people in accordance with the principle of equity. This policy requires hospitals to meet 12 specified criteria no later than June 30, 2025. The process of preparing and implementing the policy presents various challenges, so further research is needed. Objectives: This study aims to identify the challenges faced by hospitals during in implementing the Standard Inpatient Class (KRIS) policy. Methods: A literature review was conducted using Google Scholar as the primary database, by analyzing nine articles that meet the inclusion and exclusion criteria. Results: The results of the study found that the main challenges for hospitals in the process of implementing the KRIS policy infrastructure that fails to meet the required criteria due to budget limitations, the absence of regulations on the health financing system and KRIS rates, the lack of health human resources, and limited understanding of KRIS. In addition, the uneven dissemination of policies to hospital staff and the community also becomes an obstacle in implementing the policy. Conclusion: The implementation of standard inpatient class policies presents challenges for hospitals. These challenges can be found both in the preparation process and during policy implementation. The results of the study found that the readiness of facilities and infrastructure, lack of budget, uncertainty in the health financing system, health human resources and policy dissemination are aspects that are challenges for hospitals. These challenges must be managed so that the objectives of policy implementation can be achieved.
Trend and Correlation Between the Scope of Tuberculosis Preventive Therapy (TPT) and Treatment Success Rate (TSR) with the Case Notification Rate (CNR) of Tuberculosis in Indonesia During 2021-2023 Baiti, Nur; Wahjuni, Chatarina Umbul; Artanti, Kurnia Dwi
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.294-302

Abstract

Background: Tuberculosis remains a major public health problem in Indonesian. The Indonesian TB control program for the 2020–2024 period aims to accelerate the achievement of national TB elimination by 2030 and contribute to ending the global TB epidemic by 2050, aligning with the WHO's End TB Strategy. As part of this national strategy, the government has implemented various interventions, including the provision of Tuberculosis Preventive Therapy (TPT) to high-risk groups and improvements in the Treatment Success Rate (TSR). Objectives: This research aims to analyze the trends and the correlation between TPT and TSR with the incidence of tuberculosis, measured through the Case Notification Rate (CNR) at the provincial level during 2021-2023. Methods: This research is an ecological study using quantitative methods. The data in this research are based on tuberculosis prevention reports from the Directorate of Disease Prevention and Control, Ministry of Health of Indonesia, from 2021 to 2023. The variables analyzed in this research are TPT coverage and TSR with CNR in 2021-2023. Results: The study results show an increasing trend in CNR in Indonesian provinces for three consecutive years. Furthermore, TPT coverage has also increased, although it remains relatively low, and TSR shows variation across provinces. Spearman's analysis indicates a correlation between TPT, TSR, and CNR. However, the correlations are weak and mostly negative. Conclusion: TPT coverage and TSR in Indonesia showed improvement during 2021–2023, although disparities remained between provinces. The weak correlations between TPT, TSR, and incidence rates indicate that prevention and treatment interventions have not yet fully impacted the reduction of new cases. Strengthening case detection, enhancing contact tracing, and expanding TPT are needed to accelerate the decline in TB incidence nationally.
Hubungan Body Image dan Kecukupan Gizi dengan Kurang Energi Kronik pada Calon Pengantin Wanita di Kecamatan Cibiru Pribadi, Abellinda Putri; Syihab, Syifa F.; Kumalasari, Isti; Insani, Hurry Mega
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.264-270

Abstract

Background: Chronic Energy Deficiency (CED) is a significant nutritional issue affecting women of reproductive age, including future brides. This condition can have negative effects on reproductive health and the well-being of future descent. CED often arises from insufficient nutrient intake and negative perceptions of body image, which can result in unhealthy eating behaviors. In Bandung City, the Cibiru District has the highest prevalence of malnutrition among future brides. Objectives: This study aimed to analyze the relationship between body image perception and nutrient adequacy (energy, protein, fat, and carbohydrate) with the incidence of chronic energy deficiency among future brides. Methods: This study used a cross-sectional design and involved 41 respondents who were recruited through consecutive sampling. Data collection included Measuring Mid-Upper Arm Circumference (MUAC), conducting 2x24-hour food recall interviews, and administering the MBSRQ-AS. The dataset was examined using both univariate and bivariate analyses, with Pearson’s and Spearman’s correlation tests employed to assess relationships. Results: Among the respondents, 29.3% were identified as experiencing chronic energy deficiency, while over half reported a positive body image. However, most respondents did not meet the recommended intake levels for energy and macronutrients. Of all the variables assessed, only adequate fat intake was significantly related to chronic energy deficiency in future brides (p=0.029; r=0.341). Conclusion: Adequate fat intake is weakly positively related to chronic energy deficiency among future brides. No significant associations were observed between chronic energy deficiency and body image perception or the adequacy of energy, protein, and carbohydrate intake. Therefore, future brides are recommended to meet their nutritional needs, especially fat intake from healthy sources such as mackerel, skipjack tuna, sardines, avocado, and peanuts, to prevent the occurrence of Chronic Energy Deficiency (CED).
Pengaruh Pemberian Biskuit Channa Striata Dan Tepung Kentang Terhadap Berat Badan Balita Wasted Di Puskesmas Makrayu Palembang Saffa, Kayla Assylla; Nilawati, Nurul Salasa; Sadiq, Ahmad
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.271-277

Abstract

Background: Wasting is a manifestation of chronic malnutrition, with low weight for height. The city of Palembang, especially the operational area of Makrayu Health Center, recorded second-highest prevalence of wasting in Palembang by 54 out of 4.396 toddlers experiencing wasting (1.22%). Local nutrition intervention, such as local food-based supplementary feeding, becomes a focal strategy to solve this problem. Objectives: The effect of biscuits made of snakehead fish and potato flour on the body weight in wasted toddlers was measured. Methods: This research is a quasi-experimental study with a one-group pretest-posttest design without a control group. The sample consisted of 33 toddlers aged 12-59 months who were wasting in the Makrayu Palembang Health Center work area. The intervention, in the form of providing snakehead fish biscuits and potato starch, was carried out for 14 days. Data were collected through body weight measurements before and after the intervention and assessment of nutrient intake using the 24-hour recall method. Data were analyzed using a dependent t-test. Results: Giving snakehead fish biscuits and potato starch showed a significant increase in body weight in wasting toddlers after the intervention, with an average increase of 0.32 kg. In addition, there was an increase in energy, protein, fat, and carbohydrate intake, which supported the improvement of nutritional status. Conclusion: There is an effect of giving snakehead fish biscuits and potato starch on the weight gain of wasting toddlers in the Makrayu Palembang Health Center work area (p=0.000).
PENGARUH ERGONOMI KERJA TERHADAP RISIKO LOW BACK PAIN PADA PEKERJA DI INDONESIA Harahap, Nurhani Mazly; Tualeka, Abdul Rohim; Jatmiko, Hapsoro Agung
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.303-311

Abstract

Background: Occupational ergonomics is directly related to all work activities (both formal and informal) and focuses on the interaction between people and their work environment to reduce musculoskeletal injuries and improve worker well-being.   Objectives: The purpose of this study was to determine the impact of occupational ergonomics on the prevalence of low back pain among Indonesian workers aged 15–49 years. Methods: This study used secondary data from the Global Burden of Diseases (GBD) 2024, applying the Disability-Adjusted Life Years (DALYs) approach to measure the risk level of low back pain caused by occupational ergonomics. Results: The analysis revealed a substantial disparity in the burden of Low Back Pain (LBP) attributed to occupational ergonomics across provinces. West Java, East Java, and Central Java recorded the highest disease burden (DALYs). Meanwhile, the provinces with the highest ergonomic risk exposure levels (Summary Exposure Value/SEV) were North Maluku (29.48%), Maluku (29.27%), and East Nusa Tenggara (29.21%). North Kalimantan consistently showed the lowest exposure levels and disease burden. Conclusion: Workplace ergonomics substantially contributes to the burden of Low Back Pain (LBP) among workers. Large regional disparities (highest in Java and Maluku/NTT) underscore the need for more targeted health actions. Priority interventions should include strict regulation enforcement, workplace monitoring, and implementation of ergonomic solutions in high-risk industrial sectors to reduce DALYs.
Bahasa Inggris Bahasa Inggris Nisa, Vika Ma'rifatun; Kurniasanti, Pradipta; Mutmainah, Fatimah Azzahra
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.218-226

Abstract

Background: Nutritional problems among junior high school adolescents in Indonesia remain high due to a lack of knowledge about balanced nutrition, which is caused by suboptimal counseling due to the use of less interactive methods. Modifications to more interactive methods, such as pop-up demonstrations and card games, are needed. Objectives: To determine the difference in effectiveness between the pop-up demonstration and card game methods in improving students knowledge about balanced nutrition at SMP Negeri 44 Semarang. Methods: A quantitative method with a true-experimental design of two-group pretest-posttest without control and a proportional stratified random sampling technique. The sample consisted of 64 ninth-grade students, with each group consisting of 32 students. Data analysis used the Wilcoxon test to determine the difference in knowledge before and after the counseling of each method, as well as the Mann-Whitney test to determine the difference in effectiveness of the two methods. The instruments needed for this study are a balanced nutrition tumpeng pop-up, game cards, and a 30-question pretest-posttest questionnaire. Results: Before the pop-up demonstration method, only 5 (15.6%) of the sample were in the good category, which increased to 20 (62.5%) after the pop-up demonstration method. There was a difference in student knowledge before and after the pop-up demonstration method (p<0.001). Before the card game method, only 7 (21.9%) of the sample were in the good category, which increased to 20 (62.5%) after the card game method. There was a difference in student knowledge before and after the card game method (p<0.001). There was no difference in effectiveness between the pop-up demonstration and card game methods (significance 0.478>0.05). Based on the mean rank, the pop-up demonstration method was more effective. Conclusion: The pop-up demonstration method and the card game were equally effective in increasing student knowledge.
Analysis of Facility and Safety Management Implementation for Hazardous Materials at Hospital X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.227-235

Abstract

Background: The management of hazardous and toxic materials is an essential component of Hospital Occupational Safety and Health standards. In addition, it is included in the Hospital Accreditation Standards, specifically in Facility and Safety Management Standard No. 5. However, in practice, some hospitals—including Hospital X—still do not meet these requirements. Objectives: This study aims to evaluate the implementation of facility and safety management standard elements related to hazardous and toxic materials at Hospital X in order to provide appropriate recommendations for improvement. Methods: This study employed a descriptive observational design. Data were collected through observations and interviews with relevant staff across 15 service units assessed against the facility and safety management standard elements for hazardous and toxic materials, as outlined in the Ministry of Health Regulation No. HK.01.07/MENKES/1596/2024. The study was conducted from June to August 2025 at Hospital X. Results: Service units that met the facility and safety management standard elements for hazardous and toxic materials (>80%) included radiology (87.50%), hemodialysis (95.65%), pharmacy (95.65%), laundry (95.65%), Occupational Safety and Health (OSH) & sanitation (95.65%), emergency department (91.30%), central surgical unit (91.20%), and Intensive Care Unit (ICU) (91.30%). Units that did not meet the standard elements (<80%) were nutrition (39.13%), laboratory (65.21%), inpatient care (60.86%), outpatient care (65.21%), forensic (60.86%), medical rehabilitation (34.78%), and IPSRS (34.78%). Conclusion: Only 8 out of 15 service units met the facility and safety management standard elements for hazardous and toxic materials. Therefore, improvement efforts should prioritize the provision of MSDS, proper material inventory recording, classification-based labeling, and chemical segregation according to their characteristics.
Analisis Hubungan antara Beban Kerja Mental dan Stres Kerja pada Perawat di Rumah Sakit X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.257-263

Abstract

Background: A mismatch between job requirements and individual abilities can lead to reduced performance due to work-related stress. Work stress affects many professions, but nurses at Hospital X experience it most frequently. A national Indonesian survey reported that 50.9% of nurses across the country experienced work stress in 2018. Previous studies have also examined how stress levels among nurses are associated with individual characteristics (such as age, gender, and length of service) and the mental workload they face. Objectives: This study examined which nurse characteristics, combined with their mental workload, influence their work-related stress levels. Methods: This study used a cross-sectional quantitative design to collect data from nurses at Hospital X in August 2025 through the distribution of the NASA-TLX and ENSS questionnaires. A total of 30 nurses participated through purposive sampling. Frequency distribution tables were used for univariate analysis, while chi-square and Fisher’s exact tests were performed for bivariate analysis. Results: The univariate analysis showed that 63.3% of participants were under 29 years old, 90.0% were female, and 53.3% had worked for less than four years. The results also indicated that 56.7% of participants experienced a high mental workload, while 60.0% reported low levels of work stress. Bivariate analysis using the chi-square test revealed a significant relationship between mental workload and work stress (p=0.035). However, no significant relationships were found between age and work stress (p=0.266), gender and work stress (p=0.548), or length of service and work stress (p=0.765). Conclusion: This study found that mental workload significantly affects work stress levels among nurses at Hospital X. However, age, gender, and length of service were not found to influence work stress among nurses in this setting.
Empowerment of CEMPAKA Cadres to Improve Compliance with Iron Tablet Consumption among Female Students at X Islamic Boarding School, Banyuwangi Puspikawati, Septa Indra; Prajnawita, Disny; Sebayang, Susy Katikana; Agustin, Fitria Nina; Hutasoit, Jhonatan Rameldo; Maulana, Dheva Yudhistira; Khariroh, Siti Nur Anisatul; Ridwan, Muhammad; Azizah, Faradiva Husna; Hisyam, Muhammad
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.278-285

Abstract

Background: Anemia remains a serious problem among adolescent girls in Indonesia, with the prevalence rate of 32%. Low adherence to iron tablet consumption, especially in Islamic boarding schools, contributes to this problem, as evidenced by 11 cases identified at the target school. Adolescent girls have a significantly high risk of anemia due to low access to health information, lack of nutrition education, and limited support from health workers. Hence, involving peers as health cadres is an effective way to increase iron tablet intake and health-promoting behavior among the students. Objectives: To improve compliance with iron tablet consumption among female students by strengthening the role of cadres, creating a supportive school environment, and contributing to anemia free boarding schools in Banyuwangi Regency. Methods: The activities were conducted through socialization and training under the CEMPAKA (Cermat Pantau Kondisi Anemia) program. The final participants were 50 female students and 15 health cadres. Pre- and post-test questionnaires were used to determine the level of knowledge. Mean differences were calculated using a two-sample t-test with equal variances assumed to test for pre- and post-differences. Results: There was a statistically significant increase in student’s knowledge about anemia and iron tablet consumption (p=0.009, p<0.05). Similarly, cadre’s knowledge improved significantly (p=0.003, p<0.05). However, improvements in communication skills were not statistically significant (p=0.162, p>0.05), though a positive trend was observed, indicating better communication performance after training. Conclusion: The empowerment of cadres through the CEMPAKA program demonstrated improvements in knowledge about anemia, the importance of consuming iron supplements, and communication skills. A participative intervention such as this will further establish peer cadres as agents of healthy behavioral change in Islamic boarding schools and represents an initial step toward achieving a healthy, anemia-free Islamic boarding school in Banyuwangi Regency.

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