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Indonesian Journal of Public Health Nutrition (IJPHN)
Published by Universitas Indonesia
ISSN : -     EISSN : 27748200     DOI : 10.7454/ijphn
Core Subject : Health,
Health Professions Public Health
IJPHN is an online, open-access journal that publishes peer-reviewed original research papers addressing all aspects including problems, controversial issues, experimental trials, and special articles such as reviews, opinions, and commentaries in nutrition related to public health. IJPHN publishes twice annually. Original manuscripts submitted to IJPHN must not contain material that has been published elsewhere except as an abstract only, published in a scientific meeting.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 76 Documents
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Factors Determining Successful Exclusive Breastfeeding among Working Mothers in Indonesia: An Exploration by Using Positive Deviance Concept: Analysis of Secondary Data of Demographic Health Survey Indonesia 2017 Mastan, Melinda; Achadi, Endang Laksminingsih
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Despite the fact that exclusive breastfeeding brings a lot of benefits for infants and mothers, breastfeeding rates in Indonesia remain low, at 42% of all infants aged 0-5 months in 2012. This study aims to apply the positive deviance concept to explore the factors determining the success of exclusive breastfeeding among mothers in a high-risk group in Indonesia. The study used the cross-sectional, DHS 2017 data of 1.178 mothers with 0-5 months old infants in Indonesia. Chi-square and multiple logistic regression tests with 95% confidence intervals are used in identifying the factors associated with exclusive breastfeeding. Maternal working status is shown to be the most significant risk factor in preventing mothers to breastfeed exclusively. Furthermore, the data suggest that, out of 376 working mothers, 45,5% can be identified as positive deviants – those succeeding in implementing exclusive breastfeeding. The study finds ante-natal care (ANC) visits, post-natal care (PNC) visits, and economic status displayed significant association with exclusive breastfeeding among working mothers. In the sample, ANC visit is the dominant factor associated with exclusive breastfeeding (OR: 1,831; 95% CI: 1,075-3,118). Completion of ANC and PNC visits should be taken to consideration in improving exclusive breastfeeding rate among working mothers in Indonesia.
An Effective Method to Predict Low Birth Weight in Indonesia Rural Area Adawiyah, Asyifa Robiatul; Djokosujono, Kusharisupeni; Alam, Nur; Setiawati, Novita Arie
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 2, No. 1
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Abstract

Antenatal care (ANC) is a compulsory program in Indonesia with minimally 4 times visits, unfortunately, regular Antenatal care visit at Kanjillo health center, South Sulawesi, Indonesia is still low. Most of the Low Birth Weight (LBW) cases in Indonesia happened in a rural-areas, where most of the women conducted the first visit ANC on the third trimester. This study aimed to determine the cut-off point of mother’s last trimester pregnancy weight for predicting as well as preventing low birthweight outcomes in the community. The research design was cross-sectional with secondary data taken from the Kanjilo health center, with 150 pregnant mothers visited the health center in 2019, as samples. Anthropometric measurements were used to determine the pregnancy weight in the last trimester as well as the weight of the baby born. Univariate, bivariate, multivariate analysis as well as Receiving Operation Characteristic (ROC) analysis was used. Cut off point of 60.5 kg of pregnancy weight in the third trimester of pregnancy and 0.919 AUC can predict low birth weight. To confirm this method, validation should be done in the community setting in several rural areas.
Relationship of Age, Gender, and History of Comorbid Diseases in TB Patients toward Self-Stigma TB in Surakarta Widowati, Ignes; Balgis, Balgis; Mulyani, Sri
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 2, No. 1
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Abstract

Tuberculosis (TB) infection in Indonesia has not been completely eradicated. It is challenging for those who suffer from TB to be away from self-stigma. This study aimed to determine the relationship between age factors, gender, and a history of comorbid diseases related to self-stigma. This was a cross sectional study using a Tuberculosis Stigma Assessment questionnaire. Total 50 respondents were obtained by purposive sampling technique. Inclusion criteria are TB patients or former patients aged 18 years to the elderly, male and female, without or having a history of comorbidities (HIV & DM). Quantitative-qualitative analysis, univariate and bivariate tests using Pearson Correlation and Chi Square were employed. Based on the Pearson correlation test there were no relationships between age and stigma, adolescent (p = 0.506), adult (p = 0.732), and elderly (p = 0.539),. Through Chi Square test, there was no relationship between the gender and stigma (p=0.520) . Likewise, a history of comorbid disease with TB stigma which p-value 0.537 did not show any relationship. Quantitatively, 78% of respondents were stigmatized, where respondents tend to be shy and not open about their TB status. There were 78% of respondents were stigmatized but no significant relationships between age, gender, and history of comorbid diseases on TB self-stigma.
Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Siswa Sekolah Dasar di Kabupaten Lebak, Provinsi Banten, Indonesia Ibrahim, Ilham; Sartika, Ratu Ayu Dewi; Triyanti, Triyanti; Permatasari, Tria Astika Endah
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 2, No. 1
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Diarrhea is an endemic disease that has the potential to create extraordinary events in a country, including Indonesia. The highest diarrhea case was found in Banten Province, namely in Lebak Regency, the highest number was in the school-age group. This study aims to determine the relationship between the incidence of diarrhea on children's characteristics, children's behavior characteristics, mother/family characteristics, and environmental characteristics. This study uses secondary data with a cross-sectional design with a total sample of 151 elementary school children. The research was conducted in Cidahu Village RT/RW 02/01 Karangkamulyan Village, Lebak Regency, Banten Province. The dependent variable is the incidence of diarrhea and the independent variables are the frequency of snacking, the frequency of eating raw vegetables, nail hygiene, nail length, washing hands before eating, washing hands with soap and running water, washing hands after defecating, mother's education, mother's occupation, parental income, a habit of open defecation, presence of latrines, drinking water sources and drinking water storage areas. The results showed that there was a relationship between the frequency of eating raw vegetables, and washing hands before eating with the incidence of diarrhea in students at SDN 01 Karangkamulyan.
The Effect of the Provision of Bagea Enriched with Sea Urchin Gonads on Weight Gain in Toddlers of the Bajo Ethnic Banudi, La; Koro, Suriana; Anasiru, M. Anas; Nurmiaty, Nurmiaty
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 2, No. 1
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Cassava starch extract and sea urchin gonads can be used as ingredients for making various kinds of food formulas. This study aimed to develop cassava starch extract as a formula for making bagea added with sea urchin gonads which are rich in nutrients to make it good for child. This study was aimed at analyzing the effect of the provision of bagea enriched by sea urchin gonads on weight gain in toddlers of the Bajo community. In making the formula of bagea, the researchers used a quasi-experimental design. After the data were collected, they were then checked for feasibility, coded, and reduced. Furthermore, data were presented in tabular form, showing percentage and frequency, and analyzed using statistical tests. Before the t-test was carried out, a homogeneity test of the sample was first conducted which showed that p value
Do bagASI Change the Exclusive Breastfeeding Knowledge and Attitudes? Gamani, Wido; Sitoayu, Laras; Nuzrina, Rachmanida; Dewanti, Lintang Purwara; Novianti, Anugrah
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 1, No. 2
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Abstract

The achievement of exclusive breastfeeding (EBF) in the world and in Indonesia is still low. One of the obstacles to EBF is that the mother works. Cooler bag is a familiar media for working mothers to provide breast milk. This research uses modified cooler bags which contain information on how to provide EBF for working mothers, called bagASI. This study aims to determine the effect of bagASI on the EBF knowledge and attitudes of working pregnant women. The research method is Quasi Experimental with Pre Test - Post Test and the number of respondents is 34 working pregnant women. Respondents were divided into 2 groups, namely the intervention group who received education using bagASI and the control group using leaflets. The Paired Sample T-test showed an effect on the level of knowledge and attitudes (p≤0.05) in both two groups. The Independent Sample T-test found that there was a difference in knowledge (p≤0.05) between the intervention and the control group, while in the attitude there was no difference (p≥0.05). Providing education using bagASI can increase the EBF knowledge and attitudes of working pregnant women, so bagASI can be utilized as education tool.
Factors Associated with Underweight among Two Years Old Children in DKI Jakarta Province (Indonesian Family Life Survey 2014) Atelya, Nabilla; Sartika, Ratu Ayu Dewi; Mulianingsih, Winda
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 1, No. 2
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Abstract

A good health status, cognitive development, and productivity cannot be achieved without good nutrition. Nutritional status and its fulfilment of two years old children will be shaping the health status in the next age period. Unfortunately, nutritional problems like underweight is still a significant health problem in Indonesia, especially Special Capital Region of Jakarta. This study used secondary data achieved from Indonesian Family Life Survey 5 data in 2014. This study used a cross-sectional study design with a total of 135 samples of two years old children using a total sampling. Accordingly, the chi square test was used to find factors associated with underweight among two years old children. The result showed that the prevalence of underweight among under two years old children in DKI Jakarta Province was 30,4%. This result showed that child characteristics such as gestational age (OR= 5,813; CI= 1,291 - 26,178), low birth weight (OR= 5,060; CI= 1,136 - 22,533), and frequency of eating sweets (OR= 3,5; CI= 1,118 – 10,962) were associated with underweight (p-value < 0,05). The result of the study suggests that government should involve more in order to increase the role of community such as health center staff and cadres on preventing, detecting, and handling underweight cases by providing education and solutions to this phenomenon.
Food Insecurity Associated with Double-Burden of Malnutrition among Women in Reproductive Age in Ciampea Sub-district, Bogor, West Java Septiani, Seala; Irfiyanti, Ismi; Hai, Tran Thi; Wiradnyani, Luh Ade; Kekalih, Aria; Sahanggamu, Paulus Daniel
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 1, No. 2
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Double burdens of malnutrition among women have occurred across most developing countries including Indonesia. This study compared the associated factors among overweight and underweight of women in reproductive age (WRA) in rural Ciampea Sub-district, Bogor, West Java. This cross-sectional study surveyed the nutritional status of 575 mothers (16-49 years old) who have under two-years-old children. Nutritional status was assessed by body-mass-index (BMI) and mid-upper arm circumference (MUAC), food security status by US-Food Security Survey Module (US-FSSM), dietary intake by a single 24-H dietary recall. The prevalence of underweight, overweight, and obese among this group were 10%, 15.8%, and 34.2%. Food security status was the single factor associated with overweight (p=0.026). However, after adjustment with other factors, food insecurity with hunger was found to be the highest risk of being underweight (AdjOR=3.95; 95%CI: 1.46-10.64). Contrarily, it contributed to lower chances of being overweight among WRA (AdjOR=0.40, 95%CI: 0.21-0.77). In conclusion, food security status in this population associated with both under- and over-nutrition, in addition to other factors such as age and education level of WRA. Ensuring the availability and affordability of nutritious food together with proper nutrition education to rural communities might be worthwhile to improve this condition.
Fulfilment of Minimum Acceptable Diet as Dominant Factor in Wasting in Children Aged 6–23 Months in Central Jakarta, Indonesia, 2019 Andina, Ervida; Madinar, Madinar; Achadi, Endang Laksminingsih
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 1, No. 2
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Abstract

Wasting is a form of acute malnutrition characterized by significant and rapid weight loss resulting from inadequate food intake and infectious diseases. This study was to investigate the factors associated with wasting in children aged 6–23 months and the dominant factor among these. The study followed a cross-sectional study design. A total sample of 261 children was selected using multistage random sampling from 13 integrated healthcare centres in six administrative villages located in three sub-districts of Central Jakarta. Data was collected by measuring body weight and height and questionnaires completed through interviews carried out by trained data collectors. This study shows that the prevalence of wasting in children aged 6– 23 months in Central Jakarta is 6.9%. Based on logistic regression analysis, fulfilment Minimum Acceptable Diet (MAD) (OR=3.2 90% CI 1.1-9.5) was found to be the dominant factor in wasting after controlling by mother's level of education (OR=1.7 90% CI 0.7–4.2) and the level of family income (OR=2.9; 90% CI 0.9-8.9). This research shows that there is a need for improvement of maternal behaviour in providing appropriate care for children. Based on this research, we recommend that intervention on appropriate breastfeeding and complementary feeding practices be strengthened, especially for mothers with low levels of education and family income.
Underweight in Child Aged 24-59 Months in North Sumatra: the 2014 Indonesia Family Life Survey Data Kurnianingtyas, Salsabila; Sartika, Ratu Ayu Dewi; Ningsih, Winda Mulia
Indonesian Journal of Public Health Nutrition (IJPHN) Vol. 1, No. 2
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Underweight has the biggest risk against burden of disease. The aim of the study was to determine the factors related with underweight in child aged 24-59 months lived in North Sumatra based on three characteristics caused an underweight; there are child characteristics, maternal characteristics, and parenting characteristics. This study used cross-sectional design and using chi-square statistical analysis. The sample used in this study was 280 child aged 24-59 months living in North Sumatra province, Indonesia. The data was obtained from 2014 Indonesian Family Life Survey collected by RAND Corporation. Prevalence of underweight in child aged 24-59 months lived in North Sumatra was 26% (Girls: 32,6%, Boys: 19,9%). The statistical analyses found that female child (OR 95% CI= 0,514: p=0,02), maternal low body mass index (OR 95% CI = 3,750: p=0,04) and cigarette expenditure (OR 95% CI = 1,800: p=0,040) contribute to underweight child aged 24-59 month in North Sumatra province. Child gender, maternal body mass index, and cigarette expenditure were the significant determinants for underweight in under-five children in North Sumatra. The intervention is necessary to be implemented by all parties to decrease the prevalence of underweight.

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