The Effects of Community Empowerment on Preventing Dengue Fever in Lampung Province, Indonesia

AIM: The aim of this study was to determine the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia. METHODS: This study used a quasi-experimental design with two groups of pretest-posttest design. The number of samples in this study was 120 people in the intervention group and 120 people in the control group, who is a housewife living in Gading Rejo and Pringsewu subdistrict, Lampung, Indonesia. The sampling technique used a proportional stratified random sampling technique. Community empowerment interventions have been carried out through socialization and inculturation to gather information about community participation, knowledge, attitudes, and behavior of respondents in the prevention of dengue fever. Then, the next stage is the implementation of interventions with capacity building and planting dengue mosquito repellent plants. Data were analyzed using Wilcoxon test using the SPSS version 21.0 software. RESULTS: This study showed that there were differences in the median score of knowledge, attitudes, and behaviors between the intervention and control groups (p < 0.05). The results of the analysis based on the entomologist indicators (larvae-free numbers, house index, container index, and Breteau index) found that there were differences in larvae-free numbers, house index, and Breteau index between the intervention and control groups (p < 0.05), while there were no differences in the container index between the intervention and control groups (p > 0.05). CONCLUSION: This study confirmed the effects of community empowerment on preventing dengue fever in Lampung Province, Indonesia

Perbandingan Konsumsi Lemak Berdasarkan Tingkat Keparahan Akne Vulgaris pada Siswa SMK Negeri 1 Kota Jambi

Abstrak Salah satu faktor pencetus akne vulgaris adalah diet tinggi lemak, terutama lemak jenuh. Tujuan penelitian ini adalah untuk mengetahui perbandingan konsumsi lemak berdasarkan tingkat keparahan akne vulgaris menurut kriteria Lehmann. Penelitian ini berupa studi analitik observasional dengan desain cross sectional melalui pemeriksaan statusdermatologikus menurut kriteria Lehmann dan pengambilan data konsumsi menggunakan FFQ (Food Frequency Questionnaire) pada 138 siswa kelas X dan XI SMK Negeri 1 Kota Jambi. Hasil penelitian menunjukkan terdapat akne vulgaris derajat ringan (49%), akne vulgaris derajat sedang (42%), dan akne vulgaris derajat berat (9%). Reratakonsumsi lemak total 89,35 ± 17,63 gram. Rerata konsumsi SFA (Saturated Fatty Acid) 37,07 ± 9,97 gram. Rerata konsumsi MUFA (Monounsaturated Fatty Acid) 15,30 ± 11,79 gram. Rerata konsumsi PUFA (Polyunsaturated Fatty Acid) 12,03 ± 9,25 gram.Uji oneway Anova menunjukkan tidak ada perbedaan bermakna rerata konsumsi lemak total (p > 0,05) dan SFA (p > 0,05) berdasarkan tingkat keparahan akne vulgaris. Uji Kruskal-Wallis menunjukkan tidak ada perbedaan bermakna MUFA (p > 0,05), dan PUFA (p > 0,05) berdasarkan tingkat keparahan akne vulgaris. Penelitian ini menunjukkan tidak ada perbedaan konsumsi lemak berdasarkan tingkat keparahan akne vulgaris pada siswa SMKNegeri 1 Kota Jambi.Kata kunci: akne vulgaris, FFQ, lemak total, SFA, MUFA, PUFA Abstract One of the precipited factors is high fat diet, especially saturated fats. The objective of this study was to determine the comparison of fat consumption which is based on the severity of acne vulgaris.This research wasanalytic observational study using cross sectional design, by examining dermatologic status according to Lehmann criteria and  taking consumption record with FFQ (Food Frequency Questionnaire) of  138 tenth and eleventh grade student in SMKN 1 Jambi. The result showed that mild acne vulgaris (49%), moderate acne vulgaris (42%), and severe acne vulgaris (9%). The average of total fat consumption was 89.35 ± 17.63 gram. The average of SFA (Saturated Fatty Acid) consumption was 37.07 ± 9.97 gram. The average of MUFA (Monounsaturated Fatty Acid) was 15.30 ± 11.79 gram. The average of PUFA (Polyunsaturated Fatty Acid) is 12.03 ± 9.25 gram. Oneway Anova test showed no significant difference of average total fat consumption (p > 0,05) and, average SFA consumption (p > 0,05) which was based on the severity of acne vulgaris. Kruskal-Wallis test showed no significant difference of average MUFA consumption (p>0,05), and average PUFA consumption (p>0,05) which is based on the severity of acne vulgaris. This research shows no significant difference of fat consumption which is based on the severity of acne vulgaris in studentsof SMKN 1 Jambi.Keywords: acne vulgaris, FFQ, total fat, SFA, MUFA, PUF

HUBUNGAN POLA MAKAN DENGAN TEKANAN DARAH PADA ORANG DEWASA DI SUMATERA BARAT

AbstrakTerdapat banyak faktor yang mempengaruhi tekanan darah pada orang dewasa, salah satunya adalah pola makan. Makanan dapat memicu kenaikan atau penurunan tekanan darah. Penelitian ini bertujuan untuk meneliti lebih lanjut tentang hubungan pola makan dengan tekanan darah. Penelitian ini dilakukan pada masyarakat yang bertempat tinggal di Padang Pariaman, Padang, Solok dan Padang Panjang. Penelitian ini merupakan studi cross-sectional dengan jumlah sampel 250 orang. Pengumpulan data responden dilakukan dengan wawancara dan pengukuran tekanan darah. Analisis statistic yang digunakan adalah uji korelasi Spearman. Hasil penelitian ini menunjukkan bahwa 20% responden menderita hipertensi. Uji korelasi Spearman menunjukkan adanya hubungan antara konsumsi lemak dengan tekanan darah sistolik (p0,05). Konsumsi kalori, vitamin C dan kalsium juga tidak menunjukkan hubungan dengan tekanan darah (p>0,05). Kesimpulan dari penelitian ini adalah walaupun tidak terdapat hubungan yang signifikan antara pola makan lemak, kalori, vitamin C dan kalsium dengan tekanan darah, tapi ada kecenderungan terdapat korelasi yang negatif. Diperlukan penelitian lebih lanjut dengan memperhitungkan faktor resiko lain yang mempengaruhi tekanan darah.AbstractThere are many factors that have correlation with blood pressure in adult, one of them is food intake. Food can leads the blood pressure to increase or decrease. The objective of the study aims to further investigation the correlation of food intake with the blood pressure.The research was conducted to the people who live in Padang Pariaman, Padang, Solok and Padang Panjang. This research was a cross-sectional study with 250 subject of people. Data collection had done through the interview and measurement of blood. The statistical analysis was Spearman correlation test.The result of this research found that 20% of respondent was categorized into Hypertension. Spearman correlation test showed that there’s a relation between fat intake and systolic blood pressure (p0,05). The intake of calorie, vitamine C and calcium showed no relation too with blood pressure (p>0,05). The conclusion of this research is eventhough there was no relationship between intake of fat, calorie, vitamine C and calcium with blood pressure, but they have a negative correlation. There is a need to make same research about this topic with another risk factor that influence blood pressure

The Effect of Anemia Free Club Interventions to Improve Knowledge and Attitude of Nutritional Iron Deficiency Anemia Prevention among Adolescent Schoolgirls in Bandar Lampung City, Indonesia

BACKGROUND: Anemia in adolescent is a global public health problem affecting both developing and developed countries. Adolescents are at high risk of anemia. School-based interventions are important to decrease the anemia. AIM: This study was performed to determine the effect of anemia free club interventions to improve knowledge and attitude of nutritional iron deficiency anemia prevention among adolescent schoolgirls in Bandar Lampung City, Indonesia. METHODS: The authors conducted a quasi-experimental. The study sample consists of 55 intervention groups and 47 control groups of senior high schoolgirls in Bandar Lampung City. The intervention group attended nutrition education–based, namely, anemia free club sessions for 12 weeks, while the control group did not. The sampling technique is proportional random sampling. Before and after the intervention program, knowledge and attitude questionnaire were filled out for both the groups. A paired sample t-test was used for data analysis. p < 0.05 was considered as statistically significant effect. Finally, data were collected and analyzed by the SPSS program. RESULTS: This study known before the intervention, there were no significant differences regarding the knowledge and attitude in two groups (p > 0.05). After the intervention, there were significant differences in the levels of knowledge and attitude between intervention and control groups (p < 0.05). CONCLUSION: This analysis confirmed an effect of anemia free club interventions to improve knowledge and attitude of nutritional iron deficiency anemia prevention among adolescent schoolgirls

Health Behavior Prediction Model Based on Health Literacy among Mothers with Obesity Children

INTRODUCTION: Mothers have an important role in childhood obesity. The role of the mother is influenced by self-care, self-efficacy, child health status, and health information obtained by mothers who form health literacy in the prevention of obesity in children. AIM: The aim of this study was to determine the health behavior prediction model based on health literacy among mothers with obesity children. METHODS: This study used a cross-sectional study design. The study sample was all mothers who had school children aged 7–15 years in Jakarta Province, Indonesia, in 2018, with a sample of 301 people. The sampling technique used proportional random sampling. Data were collected by health literacy questionnaire, self-care, self-efficacy, health status, health information, and maternal health behavior in the prevention of childhood obesity that has been validated. Data were analyzed using the structural equation model using Stata version 14.2 (Stata Corporation) software. RESULTS: The results of this study found that determinant variables associated with obese children’s behavior prevention in mothers were health literacy, self-care, self-efficacy, health status, and health information (p < 0.05). The model of maternal health behavior to prevent childhood obesity based on health literacy, health information, and health status explained 40% of maternal health behavior variances. In addition, health information, self-care, self-efficacy, and health status associated with health literacy described 34%. CONCLUSION: This study confirmed maternal health behavior based on health literacy to prevent childhood obesity. These results will help health professionals promoting effective childhood obesity prevention among mothers

Local food supplementation and psychosocial stimulation improve linear growth and cognitive development among Indonesian infants aged 6 to 9 months

Background and Objectives: To evaluate the effect of culturally-relevant food supplementation and psychoso-cial stimulation on infant growth and development. Methods and Study Design: A community-based random-ized controlled trial was conducted in 40 clusters from 5 selected villages in Tanah Datar District of West Su-matera, Indonesia. We assessed 355 infants aged 6 to 9 months at the beginning of the study. The infants were di-vided into 4 groups: 1) Food Supplementation (FS); 2) Psychosocial Stimulation (PS); 3) Food Supplementation and Psychosocial Stimulation (FS+PS); and 4) Control Group (CG). The formula food supplement was comprised of a variety of local food sources (local MP-ASI) and adjusted for the local habits. The quality of psychosocial stimulation was assessed with the Infant HOME inventory method. Progress at 6 months was assessed by anthro-pometry and the Bayley scores of cognition, language and motor function. Results: There were improvements in linear growth, cognitive and motor development of children in the FS (p<0.05) and the FS+PS (p<0.01) groups compared to the CG. After six months of intervention, mean length increased to 6.862.08 cm and 6.662.41 cm for FS and FS+PS respectively (p<0.05). With the combination of food supplementation and psychosocial stimu-lation (FS+PS), cognitive development increased to 21.412.2 points (effect size 0.56) (p<0.01) and motor devel-opment increased to 20.718.4 points (effect size 0.50) (p<0.001). Conclusion: Combined intervention with local food supplementation and psychosocial stimulation improved infant growth, cognitive and motor development. Key Words: food supplementation, psychosocial stimulation, growth and development, infants, Indonesi

Implementasi Kebijakan Penyediaan Ruang Menyusui di Kota Padang

Cakupan pemberian ASI eksklusif di Kota Padang masih lebih rendah dari target nasional. Jumlah pekerja wanita cukup tinggi, dan semakin meningkat dalam beberapa tahun terakhir. Kebijakan Peraturan Walikota Padang nomor 7 tahun 2015 tentang penyediaan ruang menyusui di tempat kerja dan sarana umum sudah ada, tetapi masih banyak instansi yang belum maksimal melaksanakan kebijakan tersebut. Tujuan penelitian ini adalah menentukan implementasi kebijakan penyediaan ruang menyusui di Kota Padang, sehingga dapat menemukan faktor penghambat implementasi kebijakan dan menggali bahan masukan bagi pelaksana kebijakan dalam penyediaan ruang menyusui di Kota Padang. Jenis penelitian ini menggunakan metode kualitatif dengan analisa deskriptif, lokasi penelitian di Kota Padang dengan subyek penelitian adalah Kasie Gizi Dinas Kesehatan Kota Padang, Kasie DP3AP2KB , Ka.Kebidanan RSUD dr.Rasidin, Kasie Tenaga Kerja dan Perindustrian, Kepala Puskesmas, Pimpinan Hotel, Pimpinan Pusat Perbelanjaan, dan ibu menyusui. Instrumen penelitian adalah pedoman wawancara mendalam dan ceklist observasi. Variabel penelitian adalah komunikasi, sumber daya, sikap implementor dan kondisi lingkungan. Hasil penelitian menunjukkan bahwa implementasi kebijakan penyediaan ruang menyusui di Kota Padang belum terlaksana dengan baik, karena hanya dua dari sembilan instansi yang telah menerima informasi. Belum ada alokasi dana, tenaga dan sarana khusus untuk implementasi kebijakan. Semua pelaksana bersikap mendukung. Tidak ada sanksi bagi pimpinan tempat kerja yang belum melaksanakan kebijakan

Effect of Formula Food Supplementation (MP-ASI) with Local Product on Growth and Development Among Indonesia Infants 6 to 9 Month of Ages

The purposes of the study were to evaluated the effect formula food supplementation as complementary feeding (MP-ASI) on growth and development of infants 6 to 9 month of ages.  This study setting was in Tanah Datar District West Sumatera Province Indonesia and the participants amount were 355 infants aged 6 to 9 months at beginning of the study. This community trial using Cluster Randomized Control Trial (CRCT) was conducted to 40 clusters  from 5 selected villages were assessed for baseline data . The children were divided into 4 groups: food supplementation group (FS-group), psychosocial stimulation (PS-group), Food and psychosocial stimulation group (FP+PS-group) and control group (C-group). The intervention group received formula food supplementation (MP-ASI)  with local product about 250 to 300 kcal and  6 to 8 gram protein daily for 6 month. The results shows that 271 children completed the study. After 6 month of intervention, for F-Group mean of length is improved 6.61 cm + 2.11 SD and for FP-Group improved 6.27 cm + 2.24 SD. The FP-Group benefitted  in difference Z-score weight for height of nutritional status at baseline and after 6 month of intervention are FP-groups (0.57 + 1.15 SD) compare the F-groups  (-0.16 + 1.12  SD) . There was significant effect of food supplementation and  psychosocial stimulation  on children’s cognitive development,  improving  21.37 + 12.43 SD point and on motoric development improving  20.65 + 18.38 SD point (P&lt;0.001). It can be concluded that the formula food supplementation (MP-ASI) combination with psychosocial stimulation had strong effect to the improvement of  infants’s growth and development

Hubungan Asupan Asam Folat, Zink, dan Vitamin A Ibu Hamil Trimester III terhadap Berat Badan Lahir di Kabupaten Padang Pariaman

Abstrak             Berat badan lahir merupakan salah satu indikator kesehatan bayi baru lahir. Berat badan lahir dipengaruhi oleh berbagai faktor yang salah satunya adalah mikronutrien seperti: asam folat, zink dan vitamin A yang disinyalir memiliki hubungan dengan berat badan lahir.Tujuan penelitian ini adalah menentukan hubungan antara asupan asam folat, seng, dan vitamin A terhadap berat badan lahir. Penelitian ini merupakan cross sectional study pada 59 ibu hamil di Kabupaten Padang Pariaman. Pengumpulan data dilakukan dengan wawancara dan pengukuran berat badan lahir. Analisis statistik yang digunakan adalah uji korelasi Spearman. Hasil penelitian ini yaitu rata-rata umur ibu hamil sebesar 26,5424 tahun. Rata-rata berat badan lahir 3181,36 gram dan rata-rata tinggi badan ibu adalah 153,8305 cm. Rata-rata konsumsi asam folat subjek penelitian adalah 341,9525 ug, zink  5,0727 mg dan vitamin A 688,9300 RE. Hasil analisis menunjukkan tidak terdapat hubungan yang bermakna antara asupan asam folat dan berat badan lahir (p>0,05),asupan zink dan berat badan (p>0,05) dan asupan vitamin A dan berat badan lahir (p>0,05).bKesimpulan penelitian ini adalah bahwa tidak ada hubungan antara asupan asam folat, zink dan vitamin A ibu hamil trimester III terhadap berat badan lahir.Kata kunci: asam folat, zink, vitamin A, berat badan lahir, Ibu hamil trimester III AbstractBirth weight is an indicator of the health of the newborn. Birth weight is influenced by various factors like micronutrients such as: folic acid, zinc and vitamin A which allegedly had a relationship with birth weight. The objective of this study was to determine the relationship between the intake of folic acid, zinc, and vitamin A on birth weight. This study was a cross sectional study to 59 pregnant women in the district of Padang Pariaman. Data collection with interviews and birth weight measurements. Statistical analysis used the Spearman correlation test. The results of this study showed that the average maternal age of 26.5424 years and the average maternal height was 153.8305 cm. Average birth weight 3181.36 g. The average consumption of folic acid is 341.9525 ug, 5.0727 mg zinc and vitamin A 688.9300 RE. Analysis result showed no significant association between the intake of folic acid and birth weight (p > 0.05), zinc intake and birth weight (p > 0.05) and intake of vitamin A and birth weight (p > 0,05).The conclusion of this study is no relationship between the intake of folic acid, zinc and vitamin A of third trimester pregnant women toward birth weight.Keywords: folic acid, zinc, vitamin A , birth weight, third trimester pregnant wome

Hubungan Suplementasi Tablet Fe dengan Kadar Hemoglobin pada Ibu Hamil Trimester III di Puskesmas Air Dingin Kota Padang

Zat besi (Fe) adalah suatu mikro elemen esensial bagi tubuh yang dibutuhkan untuk pembentukan hemoglobin. Kebutuhan tubuh akan zat besi meningkat saat kehamilan terutama selama trimester II dan III. Jumlah zat besi yang di absorbsi dari makanan dan cadangan dalam tubuh biasanya tidak mencukupi kebutuhan ibu selama kehamilan sehingga suplementasi tablet Fe diperlukan agar bisa membantu mengembalikan kadar hemoglobin. Tujuan penelitian ini adalah menganalisis hubungan antara suplementasi tablet Fe dan kadar hemoglobin pada ibu hamil trimester III. Rancangan penelitian berupa studi potong lintang dan teknik pengambilan sampel dengan metode proportional random sampling. Penelitian dilakukan di wilayah kerja Puskesmas Air Dingin Kota Padang pada bulan Juni – Agustus 2015. Sampel penelitian berjumlah 66 orang yang merupakan ibu hamil trimester III yang melakukan kunjungan dan bertempat tinggal di wilayah kerja Puskesmas Air Dingin. Hasil penelitian memperlihatkan sebagian besar ibu hamil berumur antara 20-35 tahun dan berada pada fase preterm (umur kehamilan 28-33 minggu). Hasil uji statistik menggunakan uji chi-square diperoleh p < 0,05 (nilai p = 0,000), artinya terdapat hubungan yang bermakna antara suplementasi tablet Fe dengan kadar hemoglobin pada ibu hamil trimester III. Simpulan penelitian ini adalah terdapat hubungan antara suplementasi tablet Fe dan kadar hemoglobin pada ibu hamil trimester III