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Gizi, Kesehatan Reproduksi dan Epidemiologi
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Jurnal Gizi Kesehatan Reproduksi dan Epidemiologi trebitan berkala yang dikelola oleh tim Departemen Gizi, Kesehatan Reproduksi dan Epidemiologi Fakultas Kesehatan Masyarakat Universitas Sumatera Utara. Jurnal ini merupakan hasil penelitian mahasiswa yang terbaru tentang Gizi, Kesehatan Reproduksi dan Epidemiologi.
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Articles 444 Documents
KARAKTERISTIK PENDERITA DEMAM TIFOID YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2016 Mai Debora Gultom; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
Publisher : Gizi, Kesehatan Reproduksi dan Epidemiologi

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Abstract

Typhoid fever is a systemic infection caused by Salmonella Typhi, usually by consuming of food and water that has been contaminated. WHO (2003) notified there were 17 million typhoid fever cases with CFR 3,5 %. In 2008, typhoid fever cases hospitalized in North Sumatera hospital were 10.80%. The aims to identify characteristics of  Tifoid Fever patient. This is a descriptive study with case series design. The population of this study was 739 patients with 259 data sample was taken by Simple random sampling. Univariate analysis descriptive and bivariate analysis used Chi-Square test, Fisher test, and Mann Whitney test. Patients of Typhoid Fever The are age 5-14 years 31.3%, women 57,5% ,bataknese 93,4%, Protestant 70,3%,  student/student college 45,9 %, unmarried 71.8%, Medan city 73%, fever 100%, Tubex test  4  (72,6%) and 6 (27,4%), no complication 95,4%, Bronchopneumonia 75%, not their own cost 67,2%, time of hospitalization around 4,39 days, and go home and recover 97,3%. There was difference of sex proportion based on the complication status (p = 0,954), the sources of cost proportion based on complication status (p=0,111), the time of hospitalization proportion based on the source of cost (p = 0.001), the time of hospitalization proportion based on the condition while of home (p = 0.004). It is Expected for patient with Typhoid Fever to maintain the hygiene of food and drink consumed. For Santa Elisabeth Medan is expected to complete the patient medical record and for patient is cured to be advised to do bacteriological check again until cured completely.   Key words: Characteristics, Typhoid Fever, Santa Elisabeth Hospital Medan
HUBUNGAN FAKTOR INTERNAL DAN EKSTERNAL DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III DI WILAYAH KERJA PUSKESMAS TELADAN KECAMATAN MEDAN KOTA Dwi Damayanti; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Anemia in pregnancy will increase the risk of hemorrhage which is the prominent cause of maternal mortality in Indonesia. Based on RISKESDAS 2013, prevalence of anemia in pregnancy in Indonesia is 37,1%. Maternal mortality is the indicator of maternal health care and also the evaluator of public health condition within the region. Therefore, the aim of this study is to find out the risk factors of anemia in pregnancy to maximize the effort in reducing maternal mortality. This is Cross Sectional study conducted on January-October 2017. Sample is 3rd trimester pregnant women in the Region of Teladan Public Health Center with 108 samples chosen by Purposive Sampling. Data collected by interviewed based on prepared questioner and measured hemoglobin level using electronic device EasyTouch GCHb. Bivariat analysis using Chi-square test and Fisher Exact test and Multivariat analysis using Logistic Regression. The result shows that anemia in 3rd trimester pregnancy is 64,8%. Statistic analysis at significant level α=0,05 shows there are correlation between nutritional status (p=0,010) and intake of iron supplementation (p=0,000) with anemia in pregnancy. Meanwhile age (p=1,000), parity (p=0,719), birth spacing (p=0,485), education (p=0,110), and frequency of antenatal (p=0,148) have no correlation with anemia in pregnancy. Multivariate analysis shows that the most dominant factor of anemia in pregnancy is intake of iron suplementation (Exp(B)=8,107). Pregnant women are advised to fulfill the needs of iron and nutrition during pregnancy. As for the public health center, it is important for antenatal care to be conducted in Maternal and Child Health Center in order to reach the pregnant women who are not mobile to visit the public health center. Keyword: Anemia, 3rd Trimester Pregnancy, Teladan Public Health Center
KARAKTERISTIK PENDERITA GAGAL GINJAL KRONIK YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Yossi Sepriani Purba; Jemadi .; Rasmaliah .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Chronic Renal Failure (CRF) is condition of disfunctioned kidney and unable to filter blood as well as healthy kidney. According to Center for Chronic Disease Prevention and Health Promotion (CDC),CRF is the ninth rank of death cause in America. About 1 of 2 adults of 30-64 years old is in risk of CRF (WHO, 2015).The result of Basic Health Reasearch (2013) indicated that the highest prevalence of  CRF patient is in ≥75 years 0,6 %. This research is descriptive with case series design which aims to identify the characteristics of CRF patient hospitalized in Santa Elisabeth Medan Hospital in 2015-2016. Population size is also the sample size which are 106 patient's medical records. Univariate data is analysed descriptively and bivariate by Chi Square and Kruskal Wallis test. Highest proportion of CRF patient are in 54-63 years old (31,2%), man (52,8%), Christian (62,3%), Bataknese (86,9%), entrepreneur (31,3%), outside Medan (54,7%), more than 1 main complaint (53,8%), more than 1 disease history (29,2%), average length of stay 6,20 days, non self cost (74,5%), blood ureum level >39mg/100ml (94,4%), blood creatinin level >1.5mg/100ml (96,3%), haemoglobin level <12gr/dl (93,4%), 5th stadium (70,8%), drugs with diet and hemodialysis (66,0%), becoming outpatient (76,4%). There is significant difference in proportion of average length of stay based on CRF stadium. It is recommended to everyone to keep your kidney healthy by keep healthy life style.For Santa Elisabeth Medan Hospital to complete record of condition when being out of hospital, blood ureum and creatinin level record, haemoglobin level record, and CRF stadium record. For other researcher to conduct further analytical research. Keywords: CKF, patient's characteristics, case series
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN HIPERTENSI PADA LANSIA DI POSYANDU LANSIA DI WILAYAH KERJA PUSKESMAS PB SELAYANG II KECAMATAN MEDAN SELAYANG Hazellarissa Valda Asari; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Hypertension is a silent killer causing an iceberg phenomenon. The prevalence of hypertension increased with increasing age.Health Research Association (Riskesdas) in 2013 showed the prevalence of hypertension in Indonesia reached 25,8%. While in North Sumatera, from 10 non-communicable diseases it is known that hypertension prevalence is the second highest with 9,4% prevalence after joint disease which has 11,9% ( Riskesdas in a Number of Province North Sumatra 2013). To determine factors associated with elderly hypertension in Elderly Integrated Service Post at the Work Area of Public Health Center PB Selayang II conducted an analytic survey research by using cross sectional approach. The population is all elderly who live in Integrated Service Post at the Work Area of Public Health Center PB Selayang II. The sample is elderly who visit 9 Elderly Integrated Service in amounting to 112 people. The data collected is primary data from direct interview with respondents using questionnaire. The data analysis done by univariate and bivariate (Chi-square test). Based on the results of the research shown that point prevalence rate of hypertension was 45,5%, the highest proportion of hypertension of the respondents at the category ages of ≥60 years old (51,9%), male gender (50%), family history (63,2%), nutritional status (67,4%), inadequate physical activity (55,8%),medium to heavy smoking status (58,30%),smoking by male (53,3%) and smoking by female (42,9%). The results of bivariate analysis shown that 3 variables had a significant association with the elderly hypertension, i.e. history of family (p=0,007 RP=1,731), nutritional status (p=0,000; RP=2,115), and physical activities (p=0,028; RP=1,613). For elderly who has a family history of hypertension should do regular blood test and elderly with obesity and irregular physical activity should maintain ideal body weight and perform regular physical activity. For elderly Integrated Service Post officers, it is necessary to increase the role in guiding the elderly for routine examination of risk factors of hypertension in the elderly, so that the elderly can prevent these risk factors. Keywords: Hypertension, Elderly, Elderly Integrated Service Post
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE II DENGAN TUBERKULOSIS PARU DI RSUD DR. PIRNGADI MEDAN TAHUN 2016 Novelisa Lumbanraja; Rahayu Lubis; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Prevalence of communicable diseases and non-communicable diseases is double burden diseases in Indonesia. Diabetes mellitus (DM) is one of the non-communicable diseases that continues to increase in number and tend to be more at risk of pulmonary tuberculosis (TB) infections. The prevalence of type II DM with pulmonary TB in Indonesia by 2013 is 400 / 100,000 inhabitants. The purpose of this research is to know the characteristics of DM type II with pulmonary TB in RSUD Dr. Pirngadi Medan in 2016. Research is descriptive with case series design. Population is all data of DM type II patients with pulmonary tuberculosis with many sample that is 112 patient. Univariate data were analyzed descriptively while bivariate data were analyzed using Chi-Square test.           The results showed the highest proportion of patients with type II DM and pulmonary tuberculosis were age group ≥ 40 years (92%), male (60,7%), Bataknese (63,4%), Islam (60,7%), SMA (equal to 76.8%), entrepreneur (38.4%), Medan City (58%), HbA1C (70.5%), HbA1C ≥ 7% (uncontrolled) %), Smear positive pulmonary TB (82.1%), new cases (37.5%) and relapse cases (37.5%), heart and blood vessel disorders (36.6%), Oral Hypoglycemic Drugs OHO) (64.3%), BPJS / ASKES / KIS (90.2%), becoming outpatient / PBJ (83%). There was no significant difference between the proportion of HbA1C levels based on the proportion of type II DM treatment (p = 1,000) and there was a significant difference between the proportion of HbA1C levels based on the proportion of sputum microscopic pulmonary examination results (0.0001).               The results showed a difference between the proportion of HbA1C levels based on the proportion of sputum microscopy pulmonary examination results. It is desirable for the hospital to check HbA1C levels for DM type II patients with pulmonary tuberculosis and to the patient to be treated immediately and prevent transmission to others and is expected to perform routine HbA1C examination.Keywords: Type 2 DM, Pulmonary TB, characteristic of the patient
KARAKTERISTIKPENDERITA KANKER PAYUDARA YANG DIRAWAT INAP DI RUMAH SAKIT UMUM Dr. PIRNGADI MEDAN TAHUN 2016 Lastiar Christina Marpaung; Rahayu Lubis; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

ABSTRACT Breast cancer is one of the women’s health problem in Indonesia. Based on esimation Globocan International Agency of research on Cancer in 2012 explain insidens rate breast cancer of 40 per 100.000 women. Based on medical record data from Dr. Pirngadi Hospital medan in 2011-2013 there was 775case of breast cancer which hospitalized. The purpose of this study is to know characteristic of breast cancer in Dr. Pirngadi Hospital Medan in 2016. The research is a descriptive research  with case series design. The population totaled to 775 peoples and the sample totaled to 106 people. Data obstained medical records, data analyzed by Chi-Square and Mann-Whitney. The result show the highest proportion of breast cancer patients at the age of 47-52 years (27,3%), women (100%), senior high school (76%), Islam (66,7%), Javanese (51,3%), housewife (62,0%), married (80,0%), residence outside Medan (75,3%), the main complainment of lumps in breast area (39,3%), stage IIIB (32,7%), BPJS (99,3%), chemoterahphy (76,7%), average length of stay 5 days, home ambulatory (58,0%). The result of statistical test show there was a difference average length of stay of breast cancer patients based on treatment. There was no difference betwen proportion of age by clinical stage, the medical management by the clinical stage, the average treatment duration by clinical stage, medical management by the circumtance when returning home, medical management by the source of cost, clinical stage by the circumtance when returning home. Women aged 25 years are advised to perform breast self-examination and checking her self to the hospital or a doctor if find a lump in breast area. Dr. Pirngadi general hospital Medan is suggested to complete the breast cancer patient status card include family history of disease sufferers. Keyword : Breast Cancer, Characteristics, DR Pirngadi Hospital
GAMBARAN PENGETAHUAN GIZI SEIMBANG, POLA MAKAN, RIWAYAT PENYAKIT, DAN SOSIAL EKONOMI KELUARGA ANAK STUNTINGDI SMP NEGERI 2 RANTAU SELATAN Melisa Puspita Sari; Albiner Siagian; Zulhaida Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 3 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Some of studies indicate that family sosio economic is the cause of stunting. The low income affect to capability of feeding and causing bad dietary habit. It had opportunities of stunting. This research aims to know description about knowledge of balance nutrition, the consumption pattern, history of diseases and family sosio economic in stunting students in SMP Negeri 2 Rantau Selatan. Types of study is an observational of cross sectional study design. This sample of research is all stunting students as many as 112 students and use total sampling method. Data for this study using 24 hours  food recall method and food frequency question form. This research held in July up to October 2017 in SMP Negeri 2 Rantau Selatan. This results showed the knowledge of balance nutrition of stunting students in good chategory but the consumption pattern is lack according to the food quantity based on macro nutrient and micro nutrient. According to the type of food, stunting students consump rices as staple food; fishes and eggs as side dishes; spinaches, kales, cassava leaves as vegetables. In great measure, stunting students don’t have history of diseases, and their mothers in well education but don’t have occupation . It causing low family income so the nutrtional adequacy  can’t be fulfilled. From the result of this research suggested to public health office that gives balance nutrtion counseling to society especially to low income family. Suggested to school to provide healthy canteen so the stunting students can improve their growth with good consumption of food. Keywords: Balance nutrition, consumption pattern, history of diseases, sosio economic statue, stunting, students in SMP Negeri 2 Rantau Selatan.
KARAKTERISTIK PENDERITA HIPERTENSI DENGAN KOMPLIKASI STROKE DI RSUP H. ADAM MALIK TAHUN 2014-2016 Ribka Valentina S; Jemadi .; Hiswani .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

In Indonesia, the percentage of adults with hypertension increased from 8% in 1995 to 32% in 2008. Hypertension is a major risk factor for cardiovascular disease and stroke. The research was conducted to know the characteristic of hypertension patient with stroke complication at Rumah Sakit Umum Pusat Haji Adam Malik Medan.                The research method is descriptive research with case series design. The population of all patients with hypertension with stroke complication 2014-2016 as many as 113 people.                     The result from this study obtained that the highest proportion of hypertension patient with stroke complication is in the age group 55-59 years old (28,3%), male gender (51,3%), Bataknese (61,1%), Islam (51,3%), entrepreneurs (27.5%), married (79,6%), lives outside of Medan city (72,6%), hypertension stage 2 (72,6%), hemorrhagic stroke (85,0%), normal body mass index (22,1%), no other complications (50,4%), died (45,1%). There is no difference of the age based on the stage of hypertension (p=0,356), type of stroke (p=0,323), gender based on stage of hypertension (p=0,193), type of stroke (p=0,702), type of stroke based on stage of hypertension (p=0,431), stage of hypertension based on body mass index (p=0,748), there is difference between type of stroke and the coming home condition (p=0,002).               Recommended to people at risk of hypertension to routinely check blood pressure and make a healthy lifestyle. To people with hypertension to do regular control and take medication regularly and do a healthy lifestyle to prevent the occurrence of complications.  Keywords: Hypertension, Stroke, Characteristics
KARAKTERISTIK PENDERITA BATU SALURAN KEMIH YANG DIRAWAT INAP DI RUMAH SAKIT SANTA ELISABETH MEDAN TAHUN 2015-2016 Sinta M Y S; Rasmaliah .; Jemadi .
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Urolithiasis disease is the third mosted common cause of pain in the urinary tract after Urinary Tract Infections (UTI) and Benign Prostatic Hiperflasia (BPH). In the United States, about 13% of men and 7% of women will establish kidney stone during their lifetime and prevalence continues to increase in industrialized countries. Urolithiasis can attack people around the world, without exception for resident of Indonesia. The aims to identify characteristics of  Urolithiasis who hospitalized at Santa Elisabeth Hospital Medan in 2015-2016 . This is a descriptive study with case series design. Population is all data of patient’s Urolithiasis who was hospitalized in Santa Elisabeth General Hospital Medan 2015-2016 are 332 patient data, 181 samples taken by simple random sampling. The results shows that the largest proportion of Urolithiasis patients was ≥45 years old (57,7%), male (63,5%), Bataknese (86,7%), ProtestantChristian (57,5%), Entrepreneur ( 27.6), married (89.5%),and Outside of Medan (57.5%), upper urinary tract (97.8%),> 1 complaint (55,8%), hydronephrosis ( 42.5%), normal creatinin (47,5%), normal ureum (65,2%), operation treatment (50.8%), average lenght of stay at hospital is 5 days, healed (67,4%) There was no significant difference in proportion between genre based on the location of stone, the main complaint based on the location of stone, medical treatment based on the location of stone, medical treatment based on the creatinine of blood, medical treatment based on ureum of blood, the average lenght of stay at hospital based on the location of the stone average lenght of stay at hospital. There was a significant difference in proportion between in the average length of based on the medical management. It was rekomended that patient that patients who have symptomps of Urolithiasis to get medical treatment immediately.   Key Words: Urolithiasis, Patient Characteristics, Santa Elisabeth Hospital
KARAKTERISTIK PENDERITA DIABETES MELLITUS TIPE 2 DENGAN KOMPLIKASI YANG DIRAWAT INAP DI RUMAH SAKIT UMUM PUSAT HAJI ADAM MALIK MEDAN TAHUN 2016 Swanry Yanti Nainggolan; Hiswani .; Sri Novita Lubis
Gizi, Kesehatan Reproduksi dan Epidemiologi Vol 1, No 2 (2017): Jurnal Gizi, Kesehatan Reproduksi dan Epidemiologi
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Abstract

Diabetes Mellitus (DM) is a group of metabolic disease. According to International Diabetes Federation (2015), global prevalence of DM in adults aged 20-79 years reached 8,8%. Based on data from Riskesdas 2013, the prevalence of diabetes was 2,1% in Indonesia. The purpose of this study is to know the characteristics of patients of type 2 DM with complications who were hospitalized in RSUP Haji Adam Malik Medan in 2016. This research is descriptive with case series design. The population is the people of type 2 DM with complications who are hospitalized. Sample of 150 people, taken with simple random sampling. The data was collected by using secondary data and analyzed with Chi-Square and Kruskal Wallis. The result showed the proportion of patiens with complications of type 2 DM was highest in the age group >40 years (94,0%), female (51,3%), Bataknese (64,0%), Moslem (48,6%), Senior High School (52,0%), housewife (34,6%), married (77,3%), live outside Medan (62,0%), diabetic feet (38,0%), chronic complication (78,0%), insulin (54,7%), BPJS (91,3%), average length of stay 10 days, becoming outpatient (68,7%). The statictical test resulted, there was no difference in the proportion of age by sex (p=0,741), age based on category of complication (p=0,319), sex based on category of complication (p=0,173), category of complication based on medicine (p=0,908), avarage length of stay based on category of complication (p=0,051), there was difference category of complication based on condition by going home (p=0,003). It suggest to the hospital and medicine personnel can be an educator to prevent diabetes mellitus complication to increase patient of diabetes mellitus chronic. Patients of type 2 diabetes mellitus with complications diciplint to do the recommended diet and for age group ≤40 years to always keep a balanced life style and diet. Keywords: Chracteristics, Type 2 Diabetes Mellitus with Complications

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