Media Gizi Kesmas

Journal Information
ISSN / EISSN : 2301-7392 / 2745-8598
Current Publisher: Universitas Airlangga (10.20473)
Total articles ≅ 20
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Syamira Nurjannah Ramadhani
Published: 28 November 2020
Media Gizi Kesmas, Volume 9, pp 57-66; doi:10.20473/mgk.v9i2.2020.57-66

Abstract:
Background: The implementation of the referral system in the JKN era is not yet running optimally due to an increase in the number of referrals from FKTP to FKRTL. The applicable standard for referral ratio is 15%, from the total BPJS patient visits every month, but the above standard reference ratio is still found in various health centers in Indonesia.Objectives: This study aims to determine the factors that cause the high number of referrals in health centers in the JKN era Methods: This research is a type of literature review where the articles obtained are sourced from Google Scholar as a database. There were 13 articles published from 2010 to 2020 that were considered relevant to the research topicResults: Research shows that Primary Health Center with increased referral are caused by low quality and quantity of human resources, lack of SOP, lack of complete and adequate facilities and infrastructure, medical indications suffered by patients beyond the ability of Primary Health Center, incompleteness of medicines and medical materials and lack of understanding patients with the referral systemConclusions: Factors causing the high number of referrals in health centers in the JKN era included the availability of human resources, the existence of SOPs, the completeness of facilities and infrastructure, types of medical indications, availability of medicines and patient behavior
Bima Ardiyanto Wibowo
Published: 28 November 2020
Media Gizi Kesmas, Volume 9, pp 35-40; doi:10.20473/mgk.v9i2.2020.35-40

Abstract:
Background: Outbreaks of the COVID-19 virus are spread almost all over the world. Policy in implementing the control of the spread of the Covid Outbreak - 19 at the Tritya Eye Clinic, It has been written and implemented for all the special staff of nurses who work in the Covid Outpatient Emergency 19 Tritya Eye Clinic. However, there are still many nurses who forget or miss the application of SOP that has been applied by management.Objective: This article is to look at nurses' knowledge and attitudes in the application of controlling the spread of the Covid - 19 outbreak in Tritya Eye Clinic.Method: This research uses descriptive research method with Cross Sectional approach. Results: Some nurses have a good level of knowledge and some are sufficient but all nurses can behave positively with the application of the policy.Conclusion: Nurses have a positive attitude towards the implementation of the policy of controlling the spread of Covid outbreaks in the Tritya Eye Clinic even though not all nurses have good knowledge. Therefore, this is considered important in order to reduce the risk of transmission of the Covid-19 outbreak to patients, among medical staff, staff and the nurse's family itself.
Shofia - Lathifa
Published: 28 November 2020
Media Gizi Kesmas, Volume 9, pp 48-56; doi:10.20473/mgk.v9i2.2020.48-56

Abstract:
Changes towards unhealthy eating patterns in the long run will result on nutritional problems. This change is partly due to technology advancement that make it easy for people to be exposed by food advertisements and unhealthy diets practices. It also makes people easier to instantly getting food that they crave. Technological developments, on the other hand, can be used as an educational medium to prevent nutritional problems, one of which is through a media website (web). This study aims to look at the influence of web-based educational media on balanced nutrition behavior of high school students in Surabaya. This research was an experimental quasi research with a pretest posttest control group design conducted on 38 high school grade X students in Surabaya, East Java. The intervention was conducted at Surabaya's Khadijah High School using web-based nutrition education media and 17 August 1945 Surabaya High School using leaflets. Changes in balanced nutritional eating behavior before and after the intervention were measured using a validated questionnaire. Based on the results, there were 66.7% of students with good levels of knowledge, 61.9% of students with positive attitudes, and 61.1% of students with good balanced nutrition practices in the leaflet group. Meanwhile, in the web group, there were 55.6% of students with good knowledge levels, 55.6% of students with positive attitudes, and 50% of students with good balanced nutrition practices. After the intervention, in the leaflet group, the number of students with good knowledge, positive attitudes, and good balanced nutrition practices increased to 72.2%, 83.3% and 77.8%. Whereas in the web group, the number of students with good knowledge, positive attitudes, and good balanced nutrition practices increased to 100%, 88.9% and 94.4%.
Eka Fitria Sari, Ernawaty Ernawaty
Published: 28 November 2020
Media Gizi Kesmas, Volume 9, pp 41-47; doi:10.20473/mgk.v9i2.2020.41-47

Abstract:
Latar Belakang: Salah satu upaya Dinas Kesehatan Kabupaten untuk menurunkan angka kematian ibu pada tahun 2018 adalah evaluasi dan optimalisasi Penakib melalui aplikasi SI CANTIK Namun sampai Desember 2019 jumlah bidan yang selalu menggunakan aplikasi SI CANTIK hanya sebanyak 62 orang (15,7%) dari 394 orang.Tujuan: Tujuan penelitian ini adalah untuk menganalisis hambatan bidan dalam menggunakan aplikasi SI CANTIK di wilayah kerja 8 puskesmas Kabupaten Sidoarjo.Metode: Penelitian berjenis observasional dengan rancang bangun cross sectional dan pendekatan deskriptif kuantitatif. Sampel penelitian adalah 32 bidan yang diambil melalui teknik purposive sampling. Data dianalisis dengan analisis statistik deskriptif.Hasil: Hanya 16 responden (50,0%) yang selalu menggunakan aplikasi SI CANTIK. 19 responden (59,3%) merasa hambatan terbesar adalah hambatan yang disebabkan aplikasi. 6 responden (18,8%) terhambat karena aplikasi SI CANTIK menghabiskan waktu lama. Hasil tabulasi silang menyatakan adanya korelasi positif antar kedua variabel.Kesimpulan: Terdapat korelasi positif antara frekuensi dengan hambatan penggunaan aplikasi SI CANTIK karena belum semua bidan selalu menggunakan aplikasi SI CANTIK dan hambatan terbesarnya adalah hambatan yang disebabkan oleh aplikasi. Dinas Kesehatan perlu menkaji ulang aplikasi SI CANTIK dan mengadakan pelatihan. Puskesmas perlu menindaklanjuti pelatihan serta memastikan bidan mendapatkan jaringan internet yang memadai.
Amelia Metta Aviariska
Published: 28 November 2020
Media Gizi Kesmas, Volume 9, pp 67-73; doi:10.20473/mgk.v9i2.2020.67-73

Abstract:
Background: Responding to the COVID-19 pandemic that has attacked Indonesia and the high rate of confirmation cases, the President established Presidential Decree No. 11 of 2020 Regarding Corona Virus Disease Public Health Determination 2019 (COVID-19) in order to reduce the number of cases COVID-19 is positive so the pandemic is over soon.Aims: The author wants to conduct a regional quarantine policy analysis that has been carried out in several countries in order to overcome the COVID-19 pandemic.Methods: The method used in writing this article is by analyzing prospective analyzes. In addition to reviewing existing policies, the authors also collected information from the media regarding regional quarantine policies in various countries to suppress and overcome the spread of COVID-19.Results: Before the policy for regional quarantine in Indonesia was implemented, many other countries had carried out regional quarantine or lockdown to reduce the COVID-19 incidence rate. China became the first country to implement a lockdown and followed by several countries such as Italy, Denmark, Spain, France, the Philippines and many others. Indonesia itself has carried out regional quarantine (PSBB) in several regions such as DKI Jakarta, West Java and East Java.Conclusion: Many countries have carried out strict regional quarantine and resulted in a decrease in the COVID-19 event curve. This encourages other countries to do the same thing so that the COVID-19 pandemic can soon be overcome so that the people's economy can be stable again. Keywords: COVID-19, Policy, Pandemic, Quarantine. ABSTRAKLatar belakang: Menyikapi adanya pandemic COVID-19 yang telah menyerang Indonesia dan juga tingginya angka kenaikan kasus konfirmasi, Presiden menetapkan Keputusan Presiden Republik Indonesia Nomor 11 Tahun 2020 Tentang Penetapan Kedaruratan Kesehatan Masyarakat Corona Virus Disease 2019 (COVID-19) tujuan untuk menekan angka kasus COVID-19 yang positif sehingga pandemic segera berakhir.Tujuan: Penulis ingin melakukan analisis kebijakan karantina wilayah yang telah dilakukan di beberapa negara dalam rangka mengatasi pandemic COVID-19.Metode: Metode yang digunakan dalam penulisan artikel ini dengan melakukan telaah dengan analisis yang bersifat prospektif. Selain melakukan telaah kebijakan yang ada, penulis juga mengumpulkan informasi yang berasal dari media terkait kebijakan karantina wilayah di berbagai negara untuk menekan dan mengatasi penyebaran COVID-19.Hasil: Sebelum diterapkan kebijakan untuk karantina wilayah di Indonesia, telah banyak negara-negara lain yang melakukan karantina wilayah atau lockdown guna menekan angka kejadian COVID-19 terus meningkat. China menjadi negara pertama yang menerapkan lockdown dan diikuti beberapa negara seperti Italia, Denmark, Spanyol, Perancis, Filipina dan masih banyak lainnya. Indonesia sendiri telah melakukan karantina wilayah (PSBB) dibebeapa wilayah seperti DKI Jakarta, Jawa Barat dan Jawa Timur.Kesimpulan: Telah banyak negara yang melakukan karantina wilayah secara ketat dan meghasilkan penurunan kurva angka kejadian COVID-19. Hal ini mendorong negara lain untuk melakukan hal yang sama agar pandemic COVID-19 ini segera dapat diatasi sehingga perekonomian masyarakat dapat stabil Kembali.Kata Kunci: COVID-19, Karantina, Kebijakan, Pandemi.
Masyita Resti Nur Fauziyyah, Dea Dellyana Wahyutia Ady
Published: 30 June 2020
Media Gizi Kesmas, Volume 9, pp 29-34; doi:10.20473/mgk.v9i1.2020.29-34

Abstract:
Latar Belakang: Label gizi merupakan salah satu label pangan yang harus dicantumkan pada kemasan produk dengan tujuan untuk melindungi konsumen dalam memilih makanan yang aman. Kebiasaan membaca label gizi dapat mempengaruhi asupan zat gizi. Kebiasaan dalam membaca label gizi lebih banyak diterapkan oleh wanita, akan tetapi hal ini tidak digunakan untuk memutuskan pemilihan makanan kemasan. Hipertensi banyak terjadi pada wanita usia 40-60 tahun yang disebabkan karena asupan natrium yang berlebih.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun.Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional dengan. Sampel penelitian ini adalah sebesar 70 orang. Penelitian ini dilakukan selama 3 hari untuk pengisian kuesioner. Pengukuran tekanan darah dilakukan pada hari pertama. Data kebiasaan membaca label gizi didapatkan melalui wawancara frekuensi membaca label gizi. Uji statistik yang dilakukan yaitu uji chi square.Hasil: Hasil penelitian menunjukkan tidak adanya hubungan yang signifikan antara kebiasaan membaca label gizi dengan kejadian hipertensi (p=0,579)Kesimpulan: Kebiasaan membaca label gizi dengan kejadian hipertensi pada wanita usia 40 tahun tidak memiliki hubungan yang sigifikan.ABSTRACTBackground: Nutrition labels are one of the food labels that must be included on product packaging with the aim to protecting consumers to choose safe foods. Reading habit of nutritional labels can affect nutrient intake. Reading habit of nutritional labels usually applied by women, but this is not used to decide on food selection. Incidence of hypertension often occurs in women aged 40-60 years because sodium intake exceeds requirements.Objectives: This purpose of the research was to analyze the connectionsofreading habit of nutritional labels with incidence of hypertension in women aged ≥40 years.Methods: This research was an observational study with a cross sectional design. The sample of this research was 70 people. This research was conducted for 3 days for filling out the questionnaire. Blood pressure measurement is done on the first day. Data reading habit of nutrition label obtained from interviews frequency of reading nutrition labels. The statistical test performed was the chi square test.Results: The results showed there was a correlation between the reading habit of nutritional labels with the incidence of hypertension (p = 0.579)Conclusions: Reading habit of nutritional labels with the incidence of hypertension in women aged ≥40 years does not have a significant relationship.
Andri Rahmad Sudiarmanto, Sri Sumarmi
Published: 30 June 2020
Media Gizi Kesmas, Volume 9, pp 1-9; doi:10.20473/mgk.v9i1.2020.1-9

Abstract:
Latar Belakang: Remaja merupakan salah satu kelompok rawan terhadap stunting karena remaja beresiko mengalami defisiensi asupan makanan baik makronutrien maupun mikronutrien. Defisiensi asupan kalsium dan zink yang merupakan mikronutrien penting bagi pertumbuhan adalah faktor resiko stunting. Stunting pada masa remaja ini akan menurunkan kapasitas dan produktivitas kerja serta dapat meningkatkan resiko kematian ibu pada saat melahirkan.Tujuan: Tujuan penelitian ini adalah menganalisis hubungan asupan kalsium dan asupan zink dengan kejadian stunting pada siswi SMP Unggulan Bina Insani Surabaya.Metode: Penelitian ini merupakan penelitian cross sectional dengan pendekatan kuantitatif. Dengan besar sampel 68 orang yang diambil secara acak sederhana. Pengumpulan data menggunakan pengukuran tinggi badan, food recall 2x24 jam. Data dianalisis menggunakanare teknik analisis deskriptif dan uji korelasi Kendall’s-Tau serta uji ANCOVA.Hasil: Hasil penelitian menunjukkan responden yang mengalami stunting sebesar 22,1% dan 77,9% normal, rata-rata nilai Z-score 1,13 ± 0,94. Tingkat konsumsi asupan kalsium cukup sebesar 7.4% dan 92.6% asupannya kurang, dengan rata-rata asupan sebesar 336,7 ± 326,2 mg/hari. Tingkat konsumsi asupan zink cukup sebesar 5.9% dan 94.1% asupannya kurang, dengan rata-rata asupan sebesar 5,7 ± 3,0 mg/hari. Tidak ada hubungan antara asupan kalsium (r=0.072;p=0.385), asupan zink (r=0.124;p=0.138), asupan kalsium dan zink (p=0,478) dengan kejadian stunting.Kesimpulan: Asupan kalsium dan zink tidak berhubungan dengan kejadian stunting pada siswi SMP Unggulan Bina Insani Surabaya. Agar dapat mencapai pertumbuhan dan perkembangan yang sesuai, siswi dapat melakukan pemantauan status gizinya secara rutin serta berperilaku hidup bersih dan sehat.ABSTRACTBackground: Adolescence is a vulnerable stunting group because adolescents are at risk of macronutrient or micronutrients intake deficiency. Calcium and zinc intake deficiency are vital micronutrients for the growth factor and the risk of stunting. Stunting in adolescence will reduce the work capacity and productivity and increase the risk of maternal death in childbirth.Objectives: This study was aimed to analyze the correlation between calcium, zinc intake and stunting prevalence on SMP Unggulan Bina Insani Surabaya schoolgirls.Methods: The research was a cross sectional study with quantitative approach. The sample size was 68 schoolgirls, were taken by simple random sampling. The data were collected by measuring height, food recall 2x24 hours. Analysis of data used in descriptive, Kendall’s-Tau and ANCOVA Test.Results: The results showed the proportion of respondents who experienced stunting 22% and normal 78%, with Zscore average at 1,13 ± 0,94. The consumption rate of calcium intake was sufficient at 7,4% and insufficient at 92,6%, with an average at 336,7 ± 326,2 mg/day. The consumption rate of zinc intake was sufficient at 5,9% and insufficient at 94,1%, with an average at 5,7 ± 3,0 mg/day. There is no relationship between the calcium intake (r=0.072;p=0.385), zinc intake (r=0.124;p=0.138), calcium and zinc intake (p=0,478) with the stunting prevalence.Conclusions: The intake of calcium and zinc doesn’t related to the stunting prevalence of the schoolgirls. The scoolgirls should to regularly monitor their nutritional status and behave in clean and healthy life, in order to achieve appropriate growth and development
Erike Duwi Nurdini, Trias Mahmudiono
Published: 30 June 2020
Media Gizi Kesmas, Volume 9, pp 17-22; doi:10.20473/mgk.v9i1.2020.17-22

Abstract:
Latar Belakang : Peningkatan potensi anemia pada masa kehamilan dapat dilihat dengan adanya peningkatan prevalensi anemia ibu hamil yang tinggi di Indonesia. Pemenuhan kebutuhan zat gizi kehamilan dapat dipengaruhi oleh kemampuan ekonomi yang dapat dilihat dari ketahanan pangan rumah tangga ibu hamil.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara status ketahanan pangan rumah tangga dengan anemia pada Ibu Hamil.Metode : Penelitian ini menggunakan rancangan desain cross sectional dengan besar sampel sebanyak 50 ibu hamil di Desa Bektiharjo Kecamatan Semanding Kabupaten Tuban. Ketahanan pangan rumah tangga diukur menggunakna instrumen kuesioner US-HFSSM, sedangkan kadar hemoglobin diukur menggunakan alat digital Easy Touch GCHb. Uji statistik menggunakan uji korelasi pearson.Hasil : Penelitian ini menunjukkan adanya hubungan yang signifikan antara status ketahanan pangan rumah tangga dengan anemia pada ibu hamil (p=0.019; OR=-0.331).Kesimpulan : Berdasarkan hasil penelitian disimpulkan bahwa terdapat hubungan yang signifikan antara status ketahanan pangan rumah tangga dengan anemia pada ibu hamil. Peningkatan konsumsi makanan sumber zat besi non heme dan enhancer zat besi dengan harga terjangkau disarankan untuk ibu hamil terkait dengan kondisi kerawanan pangan rumah tangga.ABSTRACTBackground : The raise of anemia potential in pregnancy can be reflected by the increase of high anemia prevalence among pregnant woman in Indonesia. Meeting the nutritional needs in pregnancy can be influenced by the prosperity that can be seen from household food security of pregnant women.Objectives : The aim of this research was to know the relationship between household food security status with anemia among pregnant womenMethods : This research was using cross-sectional design with 50 pregnant women who lived in Bektiharjo Village Semanding Sub-District Tuban District as the sample. US-HFSSM questionnaire was used as the instrument of household food security status while the level of haemoglobin was measured by Easy Touch GCHb digital device.Results : The result showed there was a significant relationship between household food security status with anemia among pregnant women (p=0.019; OR=-0.331). Pearson Correlation test was used as statistical test for this study.Conclusions : Based on the result of this research there was a significant correlation between household food security status with anemia among pregnant women. Increasing consumption of affordable foods that contain non-heme iron and iron enhancer is recommended for pregnant women related to household food insecurity.
Hikmah Maulidya, Lailatul Muniroh
Published: 30 June 2020
Media Gizi Kesmas, Volume 9, pp 23-28; doi:10.20473/mgk.v9i1.2020.23-28

Abstract:
Latar Belakang: Gerakan Tutup Mulut atau lebih dikenal dengan istilah GTM yaitu kesulitan makan atau menolak makan yang sering kali dialami anak pada tahun pertama. Usia 6 – 9 bulan merupakan masa kritis dalam memperkenalkan makanan padat secara bertahap. Perilaku ibu dalam pemberian makanan pendampain ASI (MPASI) pada anak akan mempengaruhi ibu untuk memilih dan menyiapkan makanan anak untuk mendapatkan status gizi yang baik.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan perilaku ibu dalam pemberian MPASI dengan kejadian GTM dan status gizi pada baduta di wilayah kerja Puskesmas Bulukandang Kabupaten Pasuruan.Metode: Penelitian ini adalah obeservasional analitik dengan desain cross sectional. Responden dalam penelitian ini sebanyak 72 responden ibu dengan anak usia 6 – 24 bulan di wilayah kerja Puskesmas Bulukandang Kabupaten Pasuruan. Variabel penelitian meliputi perilaku ibu dalam pemberian MPASI kejadian gerakan tutup mulut (GTM) dan status gizi baduta. Teknik pengumpulan data menggunakan kuesioner dan pengukuran antropometri. Analisi data menngunakan uji statistik chi-Square.Hasil: Perilaku responden di atas 70% menunjukkan kategori baik. Masalah GTM terjadi hampir pada semua baduta dengan presentase 75%. Status gizi baduta rata – rata memiliki status gizi yang baik diatas 80%. Terdapat hubungan antara perilaku (p = 0,024) ibu dalam pemberian MPASI dengan kejadian GTM pada baduta. Tidak terdapat hubungan antara perilaku dengan status gizi baduta.Kesimpulan: Perilaku ibu dalam pemberian MPASI masih menggunakan distraksi berupa tontonan youtube sebagai pengalihan agar anak mau makan serta memilih menggendong anak dalam proses makan dari pada meletakkan anak dengan posisi duduk yang benar. Perilaku tersebut dapat menjadi faktor GTM pada anak.ABSTRACTBackground: Mouth Shut Movement, better known as GTM, is an eating difficulty or refusing to eat which is often experienced by children in the first year. Age 6-9 months is a critical period in introducing solid foods gradually. Mother's behavior in giving complementary feeding to the child will influence the mother to choose and prepare the child's food to get good nutritional status.Objective: This study aims to analyze the relationship between the maternal behavior in giving complementary feeding with the case of GTM and nutritional status of under two in the working area of the Bulukandang Health Center in Pasuruan Regency.Methods: This research is an observational analytic with cross sectional design. The respondents in this study were 72 mothers with children in aged 6-24 months in the working area of the Bulukandang Health Center in Pasuruan Regency. The research variables include the maternal behavior in the administration of MPASI, the case of the movement to shut up (GTM) and nutritional status of the under two years old. Data collection techniques uses questionnaires and anthropometric measurements. Data analysis uses the chi-square statistical testResults: The behavior of respondents above 70% shows a good category. The GTM problem occurs in almost all under two children with a 75% percentage. Nutritional status of child under two years old, on average, has a good nutritional status above 80%. There is a relationship between the behavior (p = 0.024) of the mother in giving complementary feeding with the case of GTM in the under two years. There is no relationship between behavior and nutritional status of child under two years old.Conclusion: Mother's behavior in giving MPASI still uses distractions in the form of youtube watching as a diversion, so that the child wants to eat. Moreover, the mother chooses to carry the child in the process of eating rather than putting the child in the correct sitting position. This behavior can be a factor of GTM to children.
Annisa Arifiana Lestari, Merryana Adriani
Published: 30 June 2020
Media Gizi Kesmas, Volume 9, pp 10-16; doi:10.20473/mgk.v9i1.2020.10-16

Abstract:
Latar Belakang: Citra diri dapat memprediksi munculnya depresi, gangguan makan dan kepercayaan diri. Menyukai suatu makanan secara berlebih dapat mempengaruhi status gizi individu.Tujuan: Menganalisis perbedaan citra diri dan kesukaan makanan tertentu pada siswa-siswi gizi lebih dan normal di SMP Muhammdiyah 5 Pucang Surabaya.Metode: Penelitian ini menggunakan desain studi case control dan melibatkan 42 responden yang dibagi menjadi 21 siswa-siswi dengan gizi lebih dan 21 murid dengan status gizi normal. Dilakukan pengukuran berat badan menggunakan digital body scale dan tinggi badan menggunakan microtoise untuk menilai status gizi. Wawancara dan pengisian kuesioner kepada responden untuk mengetahui karakteristik, citra diri dan kesukaan makanan tertentu. Teknik analisis data yang digunakan adalah uji korelasi Mann Whitney dengan p
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