The Association Between Sanitation, Hygiene, and Stunting in Children Under Two-Years (an Analysis of Indonesia's Basic Health Research, 2013)

Background: This study aims to identify the relationship between sanitation, hygiene, and stunting in children under two-years in Indonesia. Methods: This was a cross-sectional study that examined 9,688 children under the age of two. We obtained data from Indonesia's Basic Health Research paper that was released in 2013 and applied multiple logistic regression analysis. The prevalence of stunting amongst children under two-years in 2013 was 33.3%. Results: Our analysis showed that stunting is closely related to low birth weight, age, gender, exclusive breastfeeding, socioeconomic status, garbage removal, and waste management. Appropriate sanitation and hygiene had a significant impact on stunting amongst children under two-years in Indonesia, with waste management and low birth weight being the most important indicators. Conclusions: Nutrition, socioeconomic status, and a healthy environment are key to ensure children under two-years meet the recommended growth standards

Structural analysis of long arm excavator boom for optimization performance under maximum breakout condition

Long Arm Excavators are widely used in the construction site for excavating deep holes or trenches. However, due to the often-severe work conditions, such as large lifting loads, poor ground conditions to sustain the machine’s self-weight, Long Arm Excavator parts are subjected to constant wear and tear, incurring downtime losses and safety issues. The boom is considered the most critically affected part of the machine in these work conditions, where the high forces and unpredictable elements at the worksite could severely affect the machine’s overall performance. A potential solution is the reinforcement of the boom to improve its robustness. As an industrial collaborative project, the present study examines the performance of an existing machine with simulated improvement of the boom with such an approach, i.e. incorporation of stiffener reinforcement. Simulation works were carried out with Ansys Workbench 19.2 to assess the boom’s performance in terms of resulting stress, strain and deformation under a series of improved conditions, which include varying the dimensions and positions of the stiffeners on the boom. The improved conditions were Improvement I: stiffeners thickness reduction to 10mm, Improvement II: a combination of different stiffeners thickness reduction which 10mm and 8mm at critical and non-critical part of the boom, Improvement III: removal of half intermediate stiffeners thickness 12mm and Improvement IV: removal of half intermediate stiffeners thickness 8mm. Structural analysis was conducted based on the maximum breakout condition in which the excavator generates maximum digging force. From the analysis, it was found that the maximum equivalent stress of the boom decreased with the number of stiffeners. The combination of different stiffeners thickness could also increase the boom’s strength while decreasing the maximum equivalent stress. The lowest maximum equivalent stress of the boom was achieved via Improvement II with a reduction of 26.1% maximum equivalent stress. Removal of non-critical part stiffeners also kept stress values under the designated stress limits against fatigue failure, i.e. 44.49 MPa and 42.47 MPa (Improvement III and IV). In summary, the optimal design could be obtained with improvement II. This would effectively save on the manufacturing costs while maximizing the machine’s performance on-site, simultaneously reducing downtime and hence operating costs and time

Energy Consumption of Lactating Mothers: Current Situation and Problems

Recommendations on the adequacy of nutrient intake indicate that lactating mothers have higher nutritional needs than do pregnant mothers. High nutrient intake is necessary to help mothers recover after childbirth, produce milk, and maintain the quantity and quality of breast milk. It also prevents maternal malnutrition. Research has shown, however, that the dietary energy consumption of mothers during lactation was significantly lower than that during pregnancy. The current study explored the factors associated with decreased nutritional intake during maternal lactation. The study was conducted in March–April 2013, and the subjects were mothers with infants aged >6 months. Results revealed that the factors causing low dietary energy consumption among breastfeeding mothers were poor nutritional knowledge and attitude toward high energy intake requirements during lactation, lack of time to cook and eat because of infant care, reduced consumption of milk and supplements, dietary restrictions and prohibitions, and suboptimal advice from midwives/health personnel. Beginning from the antenatal care visit, health personnel should conduct effective counseling on the importance of nutrient intake during lactation. Advice should be provided not only to mothers, but also to their families to enable them to thoroughly support the mothers as they breastfeed their infants

Tracer Study : Melacak Jejak Lulusan FKM UI (Hasil Study Kualitatif Tracer Sarjana Kesehatan Masyarakat FKM UI 2006)

One important indicator of the success of higher education is the contribution of its alumni in the community and development. Tracer study provides infor- mation on alumni contribution and involvement in the community including working and employment dynamics. Faculty of Public Health University of Indonesia (FPHUI) has conducted a quantitative tracer study in 2003 which informed selected aspects related to alumni and their existence in employment world. This study is a qualitative tracer study to complement the first tracer study and aimed at digging further information on learning experience in FPHUI, working experience, and alumni and user\u27s satisfaction on education in FPHUI. In-depth interviewed were conducted to 24 informants which divided into 4 groups of institution (government, private sector/industry, non government organization and higher education institutions). Subjects were traced in a multimode way and data was analyzed based on the study main theme. Study exhibits that field-based learning is perceived as the most important learning experience and soft-skill is highly appreciated and most relevant in the real work situation. The study also found that most users and alumni are satisfied with education in FPHUI

Perilaku Makan Menyimpang pada Remaja di Jakarta

One of the life style changes that occur recently is related to eating behavior that affect mostly women because of the desire to look beautiful with a thin and tall body. One way to achieve this figure is to strictly go on dieting which could lead to eating disorders. The objective of this research is to understand thecause, mechanism, and process of eating disorders. The methods in this research are both qualitative and quantitative. The subjects of the qualitative research are three persons who are willing to be the subject and have a past history of eating disorders. The quantitative subjects are 397 respondents thathave not been diagnosed with eating disorders. The research was held at May-June 2007. The information are gathered through in-depth interview for the qualitative research and by through self report questionnaire for the quantitative research. The result from qualitative research shows that all of the subjects have problems with their family, the parenting practice have a big influence in their life, they also have a distorted body image and poor self-concept, and they are living in an environment that have a negative behavior towards overweight problems. The quantitative research shows that using Sarafino questionnaire, there are 37.3% adolescents who have a tendency toward eating disorders. Using the Stice and Telch questionnaire, there are 11.6% adolescents that have a tendency towards anorexia nervosa, and 27.0% adolescents that have a tendency towards bulimia nervosa

Study on Policy and Implementation of Exclusive and Early Initiation of Breastfeeding in Indonesia

In Indonesia, the Ministry of Health has set an Exclusive Breast Feeding [EBF] target of 80%, which is considered asunrealistic, especially where the current trend of EBF is showing a decline. The aim of this paper is to review the implementation and the policy of EBF and Early Initiation of breastfeeding (EI) in Indonesia based on existing studies. The policy, as stated in Kepmenkes No. 237/1997, PP No. 69/1999, and Kepmenkes No. 450/2004, was analysed using content, context, process and actor models, and triangulated by an advocacy coalition framework. Review on implementation shows that EBF practice in Indonesia is still very low and midwives have not been facilitating EI optimally. Policies on EBF are not complete and not comprehensive. EI has not been included explicitly and several aspects of policy content should have been updated. The advocacy coalition framework analysis confirms the findings of earlier analysis by emphasizing weaknesses in the external system as well as policy sub-system in the development of EBF policy. It is suggested to update and renew the existing EBF policy as to be more relevant in terms of content, context, process, and actor. An EBF policy should always include an Early Initiation component. The new policy should also include sanction, reward, and monitoring and evaluation to strengthen the implementation of the policy in community

RESPONSES OF PESANTRENS IN MADURA TOWARDS THE COVID-19 PANDEMIC

This study focuses on evaluating the socio-religious response of pesantren in Madura towards Covid-19 pandemic. Using qualitative research and analysis based on sociology of religion theory, this study found that pesantren in Madura present anticipatory response to curb the spread of Covid-19 by prioritizing aspects of personal safety and risk-avoiding, be it material or non-material. This responsive move is carried out by pesantren through a series of actions oriented towards protection and preservation principles. At the practical level, these principles are implemented in two approaches at once, structural and cultural. The structural approach refers to pesantren policies implementing health protocols in its vicinity, such as social and physical distancing, using hand sanitizer, temporarily stopping congregational worship activities, and postponing ceremonial religious activities that attract crowds. On the other hand, cultural approach refers to the involvement of pesantren in sounding religious calls to the general public to always abide by the health protocols and procedures for carrying out activities of worship amidst the Covid-19 pandemic crisis

ASI Eksklusif dan Persepsi Ketidakcukupan ASI

Persepsi ketidakcukupan air susu ibu (PKA) adalah keadaan ibu merasa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA merupakan salah satu penyebab utama kegagalan ASI eksklusif di dunia. Penelitian ini bertujuan untuk mengetahui faktor paling dominan berhubungan dengan PKA di Kecamatan Tegal Selatan dan Kecamatan Margadana, Kota Tegal tahun 2014. Penelitian ini merupakan penelitian primer dengan desain studi potong lintang. Sampel berjumlah 88 ibu dari bayi berusia 0 - 6 bulan yang dipilih secara purposive sampling. Status gizi ibu dilihat dari kenaikan berat badan ibu sewaktu hamil apakah sesuai dengan rekomendasi dari Institute of Medicine. Asupan energi ibu saat laktasi diukur melalui wawancara dengan menggunakan semi-quantitative-Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)). Untuk variabel pengetahuan, digunakan kuesioner terstruktur. Uji analisis yang digunakan adalah uji kai kuadrat (bivariat) dan uji regresi logistik ganda (multivariat). Hasil penelitian menunjukkan bahwa sebanyak 51,1% ibu mengalami PKA. Variabel pengetahuan (nilai p = 0,001), asupan energi (nilai p = 0,019) dan Inisiasi Menyusu Dini (IMD) (nilai p = 0,048) berhubungan signifikan dengan PKA setelah dikontrol variabel status gizi, paritas, rawat gabung, perlekatan menyusui, dukungan keluarga, dan dukungan tenaga kesehatan. Faktor pengetahuan merupakan faktor yang paling dominan berhubungan dengan PKA.Exclusive Breastfeeding and Perception of Insufficient Milk SupplyPerception of insufficient milk supply (PIM) is the condition in which a mother feels that her breastmilk is insufficient to meet the needs of their babies. Such perception is one of main reasons of the exclusive breastfeeding failure in the world. This study aimed to find out the most dominant factors related to PIM in Tegal Selatan District and Margadana Sub-Districts at Tegal City in 2014. This study was a primary study with a cross sectional design. A total sample of 88 mothers of 0 - 6 months old babies selected in by purposive sampling. Mother\u27s nutritional status was seen from the increasing of mother\u27s weight gain during the pregnancy was it met the standards from Institute of Medicine. The mother\u27s energy intake during lactation was measured through interview using semi-quantitative Food Frequency Questionnaire (FFQ / Food Amount Questionnaire (FAQ)) form. Knowledge variable used structured questionnaire. Analysis used are chi square test (bivariate) and multiple regression logistic (multivariate). The result showed that 51.1% mothers experienced PIM. Variables knowledge (p value = 0.001), energy intake (p value = 0.019), and early initiation of breastfeeding (p value = 0.048) were significantly related to perception after controlled by nutritional status, parity, rooming-in, latch on, family support, and health practitioners support variable. Knowledge is the most dominant factor related to the PIM

Gender equality in teaching materials of Arabic at elementary school

To inculcate since the early age concept of gender equality within children is essential and needs to intensify. One way to socialize this concept is through education. Arabic language as a subject formally taught among elementary school students, especially in their integrated system schools, can be utilized as a vehicle for this particular agenda. A research conducted to study materials being taught in those schools in connection with gender equality is required. This paper is designed using analytic descriptive method to help accomplish that purpose