Penelitian > All
2024-11-18
Background: Cases related to the immune system, such as infections, tend to increase because human life heavily depends on the activation and supression of immune responses to combat various pathogens and disease factors. The nutritional content of tempeh is known to have the ability to regulate the immune system, either enhacing ot inhibiting immune responses. Objectives: This study aimed to determine the impact of consuming tempeh on immune system modulation specifically in increasing IgA, decreasing IgE and IL-6. Methods: The type of research is a narrative review that uitilzes articles from 2014 to 2024, sourced from Google Scholar, PubMed, and ScienceDirect. The reviewed articles were quasi-experimental and experimental studies on humans and animal models. Inclusion and exclusion criteria were guided by the PICOS framework. Data were processed and analyzed using the PRISMA approach to filter and identify relevant literature, followed by a narrative synthesis to interpret research findings. Results: Tempeh consumption induces an increase in IgA production, reduces IgE levels, and lowers IL-6 concentrations. IgA secretion increased from 2098 ng/mL to 2573 ng/mL in males and from 2376 ng/mL to 2421 ng/mL in females after 25 days of tempeh intake. Combining tempeh consumption with resistance training for 2 weeks also elevated sIgA concentrations from 70.123 ng/mL to 77.216 ng/mL. In rats, tempeh Rs reduced plasma IgE levels from 1.2 µg/mL to 0.8 µg/mL after 14 days and decreased skin severity scores from 2.5 to 1.5. Conclusion: Tempeh consumption positively influences immune modulation by increasing IgA levels, reducing IgE, and lowering IL-6 concentrations.
2024-03-06
The WHO’s Asia-Pacific framework for triple elimination recommends that countries evaluate their programs for the elimination of mother-to-child transmission of HIV, syphilis, and hepatitis B (EMTCT), including identifying gaps to improve program planning and the implementation of elimination strategies in antenatal care (ANC) services. In 2022, the Indonesian Ministry of Health reported that only 39% of pregnant women were tested for HIV, 14% for syphilis, and 28% for hepatitis B, respectively. We conducted a qualitative study involving a focus group discussion (FGD) and in-depth interviews with 25 key stakeholders in Bali and West Nusa Tenggara Provinces to identify specific challenges to testing for HIV, syphilis, and hepatitis B in ANC settings. Thematic analysis was used to identify the themes generated from the data. Health system bottlenecks experienced by stakeholders included supply chain management issues involving stock forecasting and stock monitoring, stock-outs of rapid test reagents which were particularly most frequent and for longer durations for syphilis and hepatitis B, high staff turnover, lack of staff training on how to perform the test, the complexity and time needed to record the data on women’s characteristics, risk behaviours, and testing in both paper format and into the computer-based surveillance systems, discrepancies in program coverage data from different divisions of the district health office involved in the reporting system, high levels of stigma that prevented women from being followed up, challenges in notifying partners, and inadequate reporting and referral of women from private providers to public ones for testing. Interventions addressing the above challenges are worthy of consideration to improve the health system function and integrate EMTCT into the ANC settings.
2024-01-01
Development of The Monitoring and Evaluation Guidelines and Baseline Assessment in EMTCT Demonstration Sites in Indonesia
2023-06-29
Bali has the potential for good health resources. That is why Bali has been identified as the province with the lowest prevalence of stunting. However, this success should not make stakeholders think this problem is resolved. Bali still has problems which, if not addressed, will trigger a further increase in the prevalence of stunting. Considering this, it is deemed necessary to explore the perspectives of nutrition fieldworkers and other stakeholders regarding the problem of stunting in Bali. This research aims to explore the potential and constraints to accelerating stunting reduction in Bali. This is qualitative research conducted between June and July 2022. Data was collected through in-depth interviews and focus group discussions. This study found that access to affordable health services is the main potential to support the acceleration of stunting reduction. Apart from that, there is a Balinese Traditional Village Council which always synergizes with government programs for the welfare of the community. The low quality of cadres is an obstacle to the success of the program. Many parents hesitate to take their children to posyandu because they are not satisfied with the cadre's services. Apart from that, there are other inhibiting factors, such as society's wrong understanding of stunting, teenage marriage, lack of environmental hygiene and sanitation, and inappropriate parenting patterns. This condition needs attention so that the acceleration of stunting reduction in Bali can be achieved as optimally as possible.
2023-06-01
Penelitian ini mengkaji faktor-faktor yang mempengaruhi penggunaan kontrasepsi pada wanita usia subur dengan disabilitas di Bali. Hasil menunjukkan bahwa usia dan tingkat pendidikan berpengaruh signifikan terhadap penggunaan kontrasepsi, sementara faktor pekerjaan tidak berpengaruh.
2023-06-01
Quality Family Village is a regional unit at the level of RW, sub-village, or equivalent, which has certain criteria where there is an integration of the Population and Family Planning Family Development Program (Bangga Kencana) and related sector development which is carried out systemically and systematically. The aim of establishing a Quality Family Village is to improve the quality of life of the community at the village level or equivalent through the Population and Family Planning Family Development Program (Bangga Kencana) as well as building related sectors in order to create quality small families. The purpose of this study was to find out the relationship between information exposure to knowledge and community acceptance of family planning villages in Denpasar City. This study used a quantitative descriptive design with a crosssectional approach. The research process involved collecting data for 1 month, namely June 26July 26, 2021. Respondents were selected by consecutive sampling. The number of respondents is 138 respondents. The variables in this study consisted of demographic characteristics, exposure to information, level of knowledge about KB Village, and community acceptance of the village as KB Village. Bivariate analysis to see the relationship between information exposure, knowledge, and acceptance used the Chisquare/Fisher Exact test. There was no significant relationship between information exposure and acceptance, but there was a significant relationship between information exposure and respondents' knowledge. there is a relationship between knowledge and community acceptance of quality family villages. Community participation in planning is very important for the interests of the program and the community itself. It is also important to carry out further research related to exploring the factors that influence community acceptance of the KB Village Program so that the KB Village Program can be supported by the local community.
2023-04-01
Studi ini menganalisis hubungan antara pengetahuan dan sikap masyarakat terhadap kepatuhan penerapan protokol kesehatan COVID-19 di Kabupaten Jembrana. Hasil menunjukkan bahwa pengetahuan dan sikap yang baik berhubungan signifikan dengan tingkat kepatuhan masyarakat.
2023-01-31
Stunting di pedesaan cenderung lebih tinggi daripada di perkotaan. Penelitian ini bertujuan untuk mengetahui faktor risiko stunting di pedesaan di Provinsi Bali. Analisis yang dilakukan merupakan analisis lanjutan dari data Riset Kesehatan Dasar (Riskesdas) 2018. Variabel bebas adalah status stunting anak yang ditentukan berdasarkan indeks Tinggi Badan menurut Umur (TB/U). Variabel bebas terdiri dari sosio-demografi ; lingkungan; dan faktor pelayanan kesehatan. Hubungan antar variabel dianalisis dengan metode regresi logistik. Estimasi proporsi stunting yang dapat dicegah menggunakan analisis Population Attributable Fraction (PAF). Data Riskesdas 2018 menunjukkan bahwa persentase stunting di pedesaan Bali 29,3% lebih tinggi dibandingkan perkotaan yang hanya 19,1%. Hasil analisis regresi logistik menunjukkan bahwa balita yang ditimbang kurang dari 8 kali selama setahun berisiko mengalami stunting sebesar 2,03 kali (95% CI: 1,00-4,13). Analisis PAF menunjukkan 3,5% kejadian stunting anak balita di pedesaan dapat dicegah dengan kegiatan penimbangan bulanan balita. Penimbangan bulanan di pedesaan Bali melalui posyandu merupakan salah satu upaya direkomendasikan untuk mencegah anak stunting dan memantau tumbuh kembangnya sejak dini. Kata kunci: stunting, penimbangan bulanan, wilayah pedesaan, Bali
2023-01-01
Studi ini meneliti pengaruh usia dan keberadaan antibodi maternal terhadap keberhasilan vaksinasi Avian Influenza (AI) dan Newcastle Disease (ND) pada ayam broiler. Analisis menunjukkan bahwa ayam dengan antibodi maternal terhadap AI menunjukkan respons imun yang lebih baik setelah vaksinasi, sementara keberadaan antibodi maternal terhadap ND justru menghambat pembentukan antibodi akibat vaksinasi. Oleh karena itu, pemilihan waktu vaksinasi yang tepat sangat penting untuk menghindari netralisasi vaksin oleh antibodi maternal.
2022-12-22
Introduction: In assessing the nutritional status of toddlers, stunting is an indicator of nutritional problems in toddlers. The purpose of this study was to determine the binary logistic regression model of the stunting rate in Garbasari village, and the factors associated with the stunting rate. Methods: This study uses secondary data from the reporting of Community-Based Nutrition. The samples in this study were all villages in the Badung Regency area, totaling 62 villages. Results: Villages with a low percentage of the population receiving health insurance assistance tend to have a low stunting rate of 2,657 times compared to those with a high percentage. Likewise, the high percentage of clean water coverage tends to have a lower stunting rate of 3.746 times. Furthermore, the high percentage of budget realization has a tendency of 7.989 times, the high percentage of pregnant women's class attendance has a lower tendency of 7.916 times and the high percentage of mothers' class attendance tends to be 6.654 times lower than those with low percentages. Conclusion: the percentage of budget realization, the class attendance of pregnant women, and the class attendance of mothers under five have a relationship with the stunting rate in Garbasari village.
2022-12-02
DOI dan Link Akses DOI: https://doi.org/10.20473/jbk.v11i02.2022.184-193
2022-12-01
Status gizi baduta sering dikaitkan dengan praktik pemberian ASI dan MP-ASI. Ibu yang menikah dini cenderung lebih awal menghentikan pemberian ASI dibandingkan dengan ibu yang umurnya sudah terbilang cukup dewasa. Penelitian bertujuan untuk mengeskplorasi praktik pemberian makan pada baduta oleh ibu yang menikah dini di kabupaten Tabanan. Penelitian ini menggunakan pendekatan kualitatif dan melakukan wawancara 5 ibu yang menikah dini beserta keluarga ibu sejumlah 5 orang informan pendukung. Analisis data menggunakan analisis tematik yaitu mengidentifikasi tema-tema dari transkrip wawancara dan hasil observasi maupun secara deduktif yaitu menggunakan teori planned behavior. Menggunakan triangulasi sumber dan metode. Hasil dari penelitian ini adalah semua informan penelitian tidak yang melakukan IMD, ASI Eksklusif, dan memberikan MPASI dini. Ibu tidak mengetahui mengenai teknik menyusui membuat beberapa ibu berhenti memberikan ASI. Adanya persepsi ketidakcukupan ASI yang mengakibatkan terjadinya pemberian MPASI dini. Ketidakberhasilan menyusui disebabkan kurangnya informasi dari petugas kesehatan serta dorongan keluarga dalam pemberian MPASI dini. Kesimpulan dalam penelitian ini adalah terdapat hambatan dan dukungan dalam pemberian makan baduta oleh ibu menikah dini. Selain karena persepsi ibu, keluarga dan petugas kesehatan juga berperan dalam pemberian makan baduta.
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2022-10-01
People with disabilities are around 15% of the total world population. People with disabilities have various obstacles in accessing reproductive health services, including information, behavior, environment and economy. Women with disabilities are at high risk for reproductive health problems. Aim: The purpose of this research is to determine the level of knowledge, attitudes behavior and proportion about reproductive health of childbearing age women with physical disabilities in Denpasar City. This research was observational study with crosssectional design. This research was conducted on April - June 2020. The population in this study was women of childbearing age with physical disabilities who already had marriage. The sampling technique was purposive sampling with 66 women. This study used an online questionnaire to reduce direct contact because this research conducted during COVID-19 pandemic. This study analyzed by statistical package software.The result showed that majority of respondents with hearing impaired (36.36%), blind (31.82%), physical disability (28.79%), and speech impaired (3.03%). The level of reproductive health knowledge of respondents in this study who had good knowledge (39.39%), had positive attitudes (69.70%) and had bad behavior (68.18%). There is a significance relation between knowledge (p = 0.0003) and attitude (p = 0.002) towards reproductive health behavior. That can be conclude that most respondents have good knowledge and positive attitudes, but have poor reproductive health behaviors. To have good reproductive health behavior need to have good knowledge and positive attitude in reproductive health. Therefore, it is suggested regular socialization of reproductive health among women with disability using proper media that accessible for them
2022-08-01
IMD adalah meletakkan bayi diatas dada atau perut ibu dan membiarkan bayi mencari puting susu ibu pada satu jam pertama kelahiran. Tujuan penelitian ini untuk menggambarkan implementasi kebijakan IMD di RSU Bhakti Rahayu. Desain penelitian adalah deskriptif kualitatif. Informan utama penelitian yaitu bidan pelaksana dan perawat Unit Bedah Sentral. Informan pendukung yaitu ibu hamil dan ibu bersalin. Pengumpulan data dengan wawancara mendalam dan observasi. Strategi keabsahan data menggunakan triangulasi sumber. Terdapat SOP sebagai petunjuk kerja unit pelaksana, monitoring dilakukan setiap persalinan dan pembagian tugas dilakukan secara situasional. Jumlah, kompetensi dan pelatihan Sumber Daya Manusia sudah terpenuhi, ketersediaan fasilitas sudah baik. SOP disampaikan saat pelatihan dan KIE mengenai IMD diberikan saat ANC. Bidan sudah memiliki sikap mendukung tetapi ditemukan kesalahpahaman tatalaksana IMD. Hambatan pelaksanaan IMD adalah tidak ada ruang observasi khusus persalinan SC, kondisi ibu dan bayi dengan tindak lanjut medis dan kurangnya dukungan suami mendampingi saat bersalin. Kesimpulannya adalah implementasi kebijakan IMD sudah berjalan sesuai SOP walaupun terdapat kesalahpahaman tatalaksana IMD dan hambatan pada pelaksanaannya. Peran rumah sakit dapat dimaksimalkan untuk mendukung implementasi IMD sesuai SOP yang berlaku, bagi peneliti selanjutnya agar memilih topik serupa terkait implementasi IMD di fasilitas kesehatan dengan metode yang berbeda.
2022-07-29
Background The implementation of the Ten Steps to Successful Breastfeeding (TSSB) of the Baby-Friendly Hospital Initiative (BFHI) has been shown to be associated with improved breastfeeding outcomes. Indonesia still lags other countries in promoting breastfeeding in the first hour and 6 months of exclusive breastfeeding. This study aimed to assess health facilities’ compliance with the TSSB in Indonesia. Methods A cross-sectional survey of 242 health facility managers and 130 postpartum mothers across hospitals, community health centers (puskesmas), and private clinics at 5 sites in the East Java province was conducted between January and June, 2019. The health facility managers and mothers were interviewed using questionnaires consisting of questions adopted from the TSSB. The data were analyzed using the descriptive method to present the level of compliance with each step, the overall steps, comparing self-appraisal and validating methods, and comparing results by study site and type of health facility. Results The assessment data showed various levels of compliance with the TSSB, with scores ranging from 65.47 to 98.09 (mean score 77.5 on a scale from 0 to 100). The highest compliance was found in step 8 (breastfeeding on demand) and the lowest in step 7 (rooming-in). The validation results showed a significantly lower compliance with steps 3, 4, 8, and 9 compared with the self-appraisal. The assessment of compliance with the TSSB also showed certain variations between the site and the type of health facility. Conclusion We recommend that policy makers and managers of health facilities formulate effective and appropriate policies to increase institutional compliance with the TSSB. Greater efforts are needed to facilitate puskesmas and private clinics in implementing the TSSB for better breastfeeding outcomes.
2022-07-01
DOI dan Link Akses DOI: https://doi.org/10.20473/jbk.v11i1.2022.36-44
2022-04-30
Program pengentasan stunting merupakan prioritas nasional yang digencarkan ditengah pandemi COVID-19. Pengentasan stunting yang semakin sulit di masa pandemi COVID-19 mendorong puskesmas untuk beradaptasi dengan perubahan lingkungan. Oleh karena itu, perlu dilakukan penelitian untuk mengetahui implementasi budaya adaptif Puskesmas Tegallalang II Kabupaten Gianyar dalam program pengentasan stunting pada masa pandemi COVID-19 melalui dimensi creating change, customer focus, dan organizational learning. Desain penelitian ini ialah deskriptif dengan metode kualitatif. Informan penelitian berjumlah 16 orang yang berasal dari tenaga kesehatan di wilayah kerja Puskesmas Tegallalang II yang dipilih melalui teknik purposive sampling. Instrumen pengumpulan data menggunakan pedoman wawancara mendalam. Hasil penelitian menunjukkan Puskesmas Tegallalang II memiliki beberapa kualitas utama dari budaya adaptif. Secara khusus, hasil menyoroti budaya yang berpusat pada pelanggan. Perubahan sangat bergantung pada dukungan organisasi serta inisiasi individu sendiri. Ketidaksiapan SDM kesehatan menjadi faktor utama banyaknya hambatan dalam melakukan perubahan. Kurangnya kegiatan berbagi wawasan, pelatihan, dan pengembangan menyebabkan aspek pembelajaran tingkat organisasi menjadi kurang aktif. Diperlukan dukungan baik dari pihak internal dan eksternal puskesmas untuk meningkatkan kuantitas SDM dan memaksimalkan pertemuan untuk meningkatkan pembelajaran organisasi.
2022-04-01
Balita termasuk kelompok rentan tertular COVID-19. Pemantauan status gizi balita melalui Posyandu Balita sangat penting dilakukan untuk memastikan pertumbuhan dan perkembangan balita tidak terganggu. Pada masa pandemi COVID-19, pemantauan status gizi balita tidak berjalan dengan maksimal karena pelaksanaan Posyandu Balita yang tertunda. Penelitian ini bertujuan mengetahui strategi Puskesmas Tabanan I dalam pelaksanaan Posyandu Balita sebagai upaya pemantauan status gizi balita pada masa pandemi COVID-19. Desain penelitian yang digunakan yaitu penelitian deskriptif kualitatif. Informan penelitian terdiri dari Petugas Puskesmas Tabanan I, Bidan Desa, Kader Posyandu, Kepala Dusun dan Ibu Balita. Teknik pengumpulan data dengan wawancara mendalam dan observasi. Penelitian ini dilaksanakan selama bulan April sampai bulan Mei 2021. Analisis data menggunakan analisis tematik dan strategi validasi data menggunakan triangulasi sumber, triangulasi metode dan diskusi peer debriefing. Hasil penelitian menunjukkan bahwa Posyandu Balita dilaksanakan dengan protokol kesehatan pencegahan COVID-19 yang ketat serta disesuaikan dengan kebijakan dan situasi zona penyebaran COVID-19. Strategi pelaksanaan Posyandu Balita di wilayah kerja Puskesmas Tabanan I dilakukan melalui kunjungan rumah untuk memantau tumbuh kembang balita serta pemanfaatan media online sebagai media penyebaran informasi terkait kesehatan balita dan penerapan protokol kesehatan pencegahan COVID-19. Pelatihan untuk meningkatan keterampilan sangat diperlukan dalam pengembangan strategi pelaksanaan Posyandu Balita pada masa pandemi COVID-19.
2022-03-23
Communities is an area unit at the village level with criteria in which there is an integration of the Family Planning Population and Family Development program and related sectors to improve the quality of family and community life. The formulation of the research problem is how the village community is engaged in the family planning communities program in Pemogan Village Denpasar. Objective: The objective of this research is to find out the involvement of the village community in the family planning communities program. Methods: This study used a qualitative descriptive research design and was conducted from April to May 2021. This research applied the World Health Organization (2012) framework on community engagement by identifying the level in involvement of inform, consult, involve, collaborate, and shared leadership. There were 9 informants which consisted of the head of Pemogan Village Denpasar, educators of family planning, cadres of family planning communities, and community groups with inclusion criteria. Data collection methods used focus group discussion, in-depth interviews, and document analysis. Data were analyzed with thematic data reduction, data presentation, and conclusion. Data validation used triangulation of sources and methods, peer debriefing, and member checking. Results: This study found that the community has been a part of the family planning communities program. Community engagement level in the family planning communities program is at the involve level and less in informing the program and leadership. Conclusion: Community engagement in the family planning communities program in Pemogan Village includes the level of inform, consult, involve, collaborate, and shared leadership. This research suggests the village government increase space for the community to be engaged as a partner in implementing activities and shared leadership through cadre empowerment and socialization.
2022-01-01
Penelitian ini menemukan bahwa dukungan dari tempat persalinan dan ibu mertua berperan penting dalam keberhasilan pemberian ASI eksklusif. Ibu yang mendapat dukungan baik memiliki kemungkinan lebih tinggi untuk memberikan ASI eksklusif secara sukses.
2022-01-01
This study explores factors influencing mothers' acceptance of the Breastfeeding Support Group (BSG) program in Badung, Bali. Findings indicate positive perception, strong motivation, and social support as key facilitators, while myths and cultural constraints act as barriers.
2021-11-27
DOI dan Link Akses DOI: https://doi.org/10.20473/amnt.v5i2SP.2021.10-18
2021-01-01
Kesehatan reproduksi dan seksualitas merupakan topik yang dianggap tabu untuk dibicarakan di Indonesia, sehingga remaja mencari alternatif untuk mendapatkan informasi mengenai topik tersebut. Media sosial secara langsung ataupun tidak langsung menjadi media pembelajaran dan memberikan pengaruh bagi remaja, salah satunya tentang kesehatan reproduksi dan perilaku seksual. Studi ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan perilaku seksual remaja, terutama seks pranikah dari segi sosiodemografi dan peran media sosial. Penelitian ini dilaksanakan dengan rancangan online survey cross-sectional terhadap 418 responden remaja berumur 20-24 tahun dari 9 kabupaten/kota di Bali dari Maret hingga April 2021. Meski remaja cukup aktif menggunakan media sosial, sebagian besar remaja (58.85%) jarang mengakses informasi kesehatan reproduksi melalui platform tersebut. Hasil penelitian ini juga menunjukan bahwa penggunaan media sosial dalam perannya sebagai media pembelajaran kesehatan reproduksi tidak memberikan pengaruh preventif secara langung terhadap perilaku seksual pra-nikah remaja. Namun variabel lain seperti status bekerja, jenis kelamin, umur dan pengalaman berpacaran memiliki pengaruh terhadap perilaku seksual pranikah pada remaja Bali usia 20-24 tahun.
2020-12-31
DOI dan Link Akses DOI : http://jurnal.iakmi.id/index.php/IJKMI/article/view/116