Hubungan Karakteristik Keluarga dengan Kejadian Stunting pada Anak 6 – 24 bulan di Kabupaten Langkat

Stunting merupakan masalah malnutrisi kronis akibat kekurangan gizi jangka panjang terkait dengan kurangnya asupan makanan. Stunting masih menjadi salah satu masalah gizi di Indonesia. Kabupaten Langkat merupakan salah satu kabupaten dengan prevalensi stunting tertinggi di Sumatera Utara. Banyak faktor yang memengaruhi kejadian stunting seperti karakteristik keluarga, pendapatan orang tua, usia ibu, dan berat lahir bayi. Tujuan penelitian ini adalah untuk mengetahui hubungan karakteristik keluarga dengan kejadian stunting pada anak usia 6-24 bulan. Kajian ini bersifat kuantitatif, dengan disain cross sectional. Pengumpulan data dilakukan dengan kuesioner terhadap 144 sampel melalui wawancara. Data dianalisis menggunakan uji korelasi spearman’s dan kendall’s tau b. Hasil penelitian menunjukkan prevalensi stunting di Kabupaten Langkat sebesar 50%. Hasil uji korelasi spearman’s mendapatkan hubungan antara panjang lahir bayi, umur ibu, pendapatan keluarga dan berat badan lahir bayi dengan kejadian stunting dengan nilai rho lebih kecil dari p value (rho < 0,05), dan dari hasil uji korelasi kendall’s tau b terdapat hubungan antara pendidikan ibu dengan kejadian stunting di mana nilai sig lebih kecil dari alpha (0,01 < 0,05). Kesimpulan dari penelitian ini adalah stunting berhubungan dengan panjang lahir bayi, umur ibu, pendidikan ibu dan berat badan lahir

Association Between Nutritional Status and Age at Menarche

Background: Menarche age is often considered for various reasons. It is one of the major indices of the female fertility which includes the period up to the menopause. More critically, menarche marks the onset of ovarian activity associated with reproduction and affects breast cancer risk. Some earlier studies reported that subjects who had menarche before 13 years of age were at a significantly higher risk of cancer cervix. Nutrition has an important bearing on age at menarche. Menarche is attained earlier by well-nourished adolescents. This study aimed to assess the relationship between menarche age and body mass index.Subjects and Method: This was a cross-sectional study conducted at Ki Hajar Dewantara Foundation Junior High School, Kota Pinang, Labuhanbatu Selatan, North Sumatera, in December 2017. A sample of 58 school girls attending Junior High School was selected for this study. The dependent variable was the menarche age. The independent variable was the body mass index (BMI). Body weight was measured by a scale. Body height was measured by micro toise. Other variables were measured by questionnaire. The data were analyzed by simple logistic regression.Results: BMI ≥ 25 was associated with an earlier menarche age (OR = 0.71; 95%CI= 0.20 to 0.85; p= 0.046).Conclusion: BMI ≥ 25 is associated with an earlier menarche age.Keywords: menarche age, body mass index, adolescentsCorrespondence: Asrika Sari. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas No.21, Medan 20115, North Sumatera, Indonesia, Email: [email protected]. Mobile: +6282274134348.Journal of Maternal and Child Health (2019), 4(5): 335-337https://doi.org/10.26911/thejmch.2019.04.05.0

ANALISIS PENGARUH KINERJA PEGAWAI TERHADAP KUALITAS PELAYANAN DI UPT RUMAH SAKIT KHUSUS MATA PROVINSI SUMATERA UTARA

Every organization, both government and private, is required to be able to optimize its human resources, as well as how to manage human Resources. Human resource management cannot be separated from the factor of employees who are expected to be able to achieve as much as possible to achieve the goals of a government organization. The purpose of this research is to determine the effect of employee performance on the quality of service at the UPT Special Eye Hospital, North Sumatra Province. The design of this study was to use a case control with chi-square test. The sample in the study amounted to 32 respondents. The results showed that there were 16 respondents in the case group and 16 respondents in the control group. There is a significant relationship between employee quality variables (p-value = 0.026, OR = 0.111 (0.019-0.659)), employee communication (p-value = 0.037, OR = 0.086 (0.009-0.815)) and employee abilities (p-value = 0.034, OR=6,600(1,403-31,051)) on service quality and it is known that the employee performance variable that most dominantly affects service quality is the employee's ability variable where (p-value=0,034, OR=6,600). Although the influence of employee performance on service quality at UPT Hospital Especially for the eyes of North Sumatra, it is included in the "good" category, but there are still a small number of people who feel dissatisfied with the services provided by employees

Hypertension, Body Mass Index, and their Associations with Type 2 Diabetes Mellitus in Deli Serdang, North Sumatera

Background: Diabetes mellitus (DM) is a major public health problem world-wide. Current global estimates indicate that this condition affects 415 million people and is set to escalate to 642 million by the year 2040. Type 2 DM is a metabolic disease that occurs due to abnormalities in insulin secretion. This study aimed to analyze the associations of hypertension and body mass index with type 2 DM in Deli Serdang, North Sumatera. Subjects and Methods: This was a case-control study conducted in Deli Serdang, North Sumatera. A sample of 92 patients was selected for this study consisting 46 patients with type 2 DM and 46 patients without type 2 DM. The dependent variable was type 2 DM. The independent variables were hypertension and body mass index. Type 2 DM and hypertension data were obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by multiple logistic regression. Results: Type 2 DM was associated with hypertension (OR= 3.56; p= 0.004) and BMI ≥25 (OR= 5.66; p<0.001). Conclusion: Type 2 DM is associated with hypertension and BMI ≥25. Keywords: type 2 DM, hypertension, body mass inde

Using Bubble Score Chart as the Main Media in Nutrition Education to Improve Mothers Knowledge and Child Weight Gain in Deli Serdang Distric, Indonesia

Introduction: Growth chart is an essential tool in growth monitoring program for malnutrition prevention among children. The United Nations states that the prevalence of  malnutrition  is one of the indicator for monitoring of Millennium Development Goals (MDGs), therefore the function of growth chart needs to be strengthened. However, reports  from several countries indicate poor use of growth chart by mothers and health workers. A simple and informative growth chart is currently needed to be used as educational tool for mothers to easily comprehend their children’s growth. The objective of study is to investigate the impact of nutrition education using bubble score chart on mothers’ knowledge and child weight. Materials &amp; Methods : Mothers in intervention group received nutrition educationand use bubble score chart. Mothers in control group did not received nutrition education but use the normal growth chart. To measure the knowledge level, sixteen written questions were designed and tested. Participants included 107 mothers  consisted of 54 mothers in intervention group and 53 mothers in control group. The study was a quasy experimental with the non equivalent control group design approach. Results : Before intervention, there was no significant difference of mothers’ knowledge, comprehension and application(p&gt;0.05) and child weight (p&gt;0.05) between intervention and control group. After interventions, there was significantly different of high knowledge (86% vs 54% ); high comprehension (78% vs 46% ) and  high application (88% vs 52%, p&lt;0.01) respectively for intervention and control groups. Children aged 9-12 months were more vulnerable to low weight gain (9.55±0.69 vs 8.48±1.15kg, p&lt;0.05) respectively for intervention and control groups. Conclusions : Nutrition education using bubbles score chart  effectively improved  mothers’ nutrition knowledge and child weight gain. Key words : Bubble Score Chart, Nutrition Knowledge, Child Weight Gai

Social Medicine Approach in the Management of Lung Tuberculosis (TB) in North Aceh Regency: Role of Government and Non-Governmental Organization

The Directly Observed Treatment, Short-course (DOTS) strategy has been proven effective in controlling tuberculosis (TB); nevertheless, TB's community burden is still very high. This study aims to determine the role of non-governmental organizations (NGOs), health cadre, and health workers in the North Aceh Regency in overcoming TB. This study used qualitative research methods. The results showed a reasonably synergistic collaboration between NGOs, health cadres, and health personnel in the TB control program. In general, the TB control programs are inclined with national programs such as TOSS TB (Find Treat and Cure TB), implementing DOTS strategy, counseling to prevent TB transmission, and nutrition monitoring. However, the targets of each program have not been fully achieved. This study found several obstacles in the field, such as the lack of program implementation funds, the increasing number of MDR-TB cases, and TB co-infection diseases. Keywords: Tuberculosis, NGOs, health cadres, health personnel DOI: 10.7176/JHMN/95-07 Publication date: November 30th 202