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Jurnal Vol.4 No.3

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ARTIKEL - Maret 2008, Vol.4, No.3

Hubungan jarak kelahiran dan jumlah anak dengan status gizi anak taman kanak-kanak

Bambang Edi Prasetyo1, Endy P. Prawirohartono2, Rahyaningsih3

ABSTRACT

Background
: Parents’ attention is needed in the growth and development of children. Nowadays, there are families consisted more than 3 children with short birth interval. It causes parents’ love, attention, and daily needs (especially food) become less.
Objective : The study was conducted to know the relationship between birth interval and number of children in a family and nutritional status of kindergarten children.
Method : The study was observational with cross sectional design. The samples were kindergarten children in Wates District who met the inclusion and exclusion criteria. The inclusion criteria were children allowed by their parents to become samples and had at least one sister/brother; whereas the exclusion criteria was children that were sick. The sample size was 193, determined using single sample hypothesis formula. Chi square was used to analyse data.
Result :The study showed that birth interval influenced mothering way indirectly (p=0.003), but mothering way did not influence food intake statistically (p=0.73). Food intake influenced nutrition status directly (p=0.001). Number of children did not influence mothering way statistically (p=0.49).
Conclusion : Birth interval influences the nutrition status indirectly. There was no relationship between number of children and nutrition status of kindergarten children.

Key words : birth interval, number of children, mothering way, nutrient intake, nutritional status

1 Gizi Kesehatan Fakultas Kedokteran UGM, Yogyakarta
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Jurusan Gizi Poltekes Yogyakarta

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Hubungan antara status gangguan akibat kekurangan yodium (GAKY), status anemia dengan prestasi belajar anak sekolah dasar di Kabupaten Dairi Provinsi Sumatra Utara

Gema T.D. Sihite1, Toto Sudargo2, M.G. Adiyanti3

ABSTRACT

Background
: Disorders resulting from iodine deficiency and anemia will decrease learning achievement among elementary school children. Iodine deficiency has negative impacts on the growth of nervous cells that, in turn, influence their intelligence and learning ability. Also, the anemia condition will cause difficulties in logic and analogous thinking and decrease of concentration to study that have a negative impact in the form of declined learning achievement among the students.
Objective : To examine relationship between status of iodine deficiency disorder and learning achievement of elementary school children, examine relationship between status of anemia and learning achievement of elementary school children, and examine relationship between status of iodine deficiency disorder and status of anemia among the elementary children in Dairi District North Sumatra.
Method : This was an observational study using a cross-sectional design. The study population was all elementary school children in Dairi District and selected samples were 247 individuals. These samples were selected using multistage sampling design, where subjects were randomly selected. Data were processed with univariate analysis and statistical test was a bivariate using chi square test to find out relationship between status of iodine deficiency disorder and learning achievement among the elementary school children, relationship between status of anemia and learning achievement among elementary school children, and relationship between status of iodine deficiency disorder and status of anemia among the elementary school children. The entire data were processed with a computer.
Result : The study indicated that there was relationship between status of iodine deficiency disorder and learning achievement among the elementary school children (p=0.000. There was also relationship between status of anemia and learning achievement among the elementary school children (p=0.001, OR=2.365), but there was no relationship between status of iodine deficiency disorder and status of anemia among the elementary school children (p=0.749).
Conclusion : There were significant relationship between status of iodine deficiency disorder and status of anemia and learning achievement of elementary school children (p=0.001).

Key words : status of iodine deficiency disorder, status of anemia, learning achievement

1 RSUD Sidikalang, Kabupaten Dairi, Provinsi Sumatra Utara
2 Magister Gizi dan Kesehatan UGM, Yogyakarta
3 Fakultas Psikologi UGM, Yogyakarta

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Manajemen distribusi kapsul yodium pada ibu hamil di daerah endemik gangguan akibat kekurangan yodium (GAKY) di Kabupaten Gunung Kidul Provinsi Daerah Istimewa Yogyakarta

Hasrun Hasanu1, Hamam Hadi2, Toto Castro3

ABSTRACT

Background
: Iodine deficiency disorder (IDD) is a public health problem in Indonesia and this is closely related to intelligent and mental development disorder. Bad effect of IDD to pregnant mothers who suffer from serious IDD problem may happen during their second trimester pregnancy, however, such effect may be overcome by giving iodine substance supplement. Risks that may happen to pregnant mothers, especially to fetus and infants are miscarriage, stillbirth, born disabled, birth with low body weight, cretin, psychomotoric disorder, and death in infancy. According to the result of IDD mapping, Total Goiter Rate at GunungKidul District is 12.6%. Short term effort to overcome IDD is distributing iodine capsule to the target, but there is problem in its implementation especially in the management process and resources.
Objective : To determine relationship between management factor and iodine capsule distribution coverage to pregnant mothers at IDD endemic area, Gunung Kidul District.
Method : The study was observational with cross sectional design which used both quantitative and qualitative approaches. Subjects were all nutrition staff and pregnant mothers at community health centers of IDD endemic areas at Gunung Kidul District.
Result : There was significant relationship between iodine capsule intake status and urine iodine level (x2=23.0 p<0.001). This showed that iodine capsule intake status could increase urine iodine excretion level of pregnant mothers. Management process (planning, implementation, control) had significant relationship with urine iodine exrection level of pregnant mothers subsequently (x2=5.4, p=0.02, OR=1.86, x2=16.64, p<0.001, OR=2.98, x2=8.74, p=0.004 OR=2.23). This meant that good management process could increase iodine capsule intake status. Resources (human resources, facilities, fund) had significant relationship with iodine capsule intake status of pregnant mothers subsequently (x2=4.65, p=0.043, OR=1.83, x2=6.04, p=0.019, OR=1.94, x2=6.04, p=0.019, OR=1.94). This showed that sufficient resources could increase iodine capsule intake status of pregnant mothers. Iodine capsule intake status of pregnant mothers was low, i.e. 86 persons or average 35.5% out of 263 respondents and median of urine iodine exretion of pregnant mothers belonged to IDD endemic category, i.e. 86.58 g/L.
Conclusion : Management process and resources had not functioned well and there was significant relationship between management process (planning, implementation, control); and resources (staff, fund, facilities) with coverage of iodine capsule distribution to pregnant mothers. Iodine capsule intake status of pregnant mothers tended to increase urine iodine excretion level of pregnant mothers.

Key words: management, iodine capsule distribution coverage, urine iodine rate of pregnant mothers

1 Dinas Kesehatan Kabupaten Buton
2 Magister Gizi dan Kesehatan UGM, Yogyakarta
3 Bapelkes Magelang/ Fakultas Kedokteran UGM, Yogyakarta

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Konsumsi sagu keluarga berdasarkan preferensi dan persepsi nilai sosial sagu keluarga di Kabupaten Konawe Provinsi Sulawesi Tenggara

Imanuddin1, Abidillah Mursyid2, Joko Susilo3

ABSTRACT

Background
: Variety of staple foods has an important role in supporting food security of the community. However, more people who used to consume non rice turn to consume rice nowadays. Sago (sinonggi) as one of staple foods is consumed less every year in Sulawesi Tenggara. This may be due to some factors, among others are preferences of the community to sago, perception of the community about social value of sago and sago availability.
Objective : To identify the consumption of sago of the family in relation to preferences and perception of the family about social value of sago, availability of sago in the family level and its distribution.
Method : The study was observational with cross sectional design. Research location was determined using cluster stratified random sampling technique. Three subdistricts represented category of far, medium, and close from district capital. Two villages represented category of close and far from subdistrict capital. Distribution of 196 households samples were taken with proportionate sampling technique in 6 chosen villages. Variables of the study consisted of preferences to sago, perception about social value of sago, sago consumption and availability of sago in the household. Data were obtained through structured interview using questionnaire and observation. Bivariable analysis used chi-square; whereas multivariable used logistic regression.
Result : Sago as complementary food of rice were consumed everyday by 65% of households. Preference level of sago was like (70.4%) and favorite(29.6%). Household perceived social value of sago as low (74.0%) and not low (26.0%). Sago was always available throughout the years at distribution level.
Conclusion : There were differences in the consumption of sago based on the family preferences of sago, the family perception of sago social values, and the household availability of sago. Sago availability in the household was the most dominant factor of sago consumption in the household.

Key words : sago, sinonggi, preferences, perception, social values, staple foods

1 Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI, Kendari
2 Politeknik Kesehatan Departemen Kesehatan RI, Yogyakarta
3 Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI, Yogyakarta

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Hubungan status pestisida dengan status gangguan akibat kekurangan yodium (GAKY) anak SD pada daerah endemik GAKY Kabupaten Dairi

Maryanes1, Wiryatun Lestariana2, Untung S. Widodo3

ABSTRACT

Background : Thyroxine plays important role in the metabolism of carbohydrate, protein and cholesterol, and in the process of growth. Iodine deficiency disorder not only can be caused by lack of iodine substance but also another competition factor, that is a pollutant substance which is goitregenic (pesticide). This goitregenic substance interferes hormonogenesis of thyroid causing enlargement of thyroid gland known as goitre.
Objective : This study was aimed at examining the relationship between status of pesticide and status of iodine deficiency disorders (urinary iodine excretion) of elementary school children and the difference between them based on level of their endemic in Dairi District.
Methods : This was an observational study using a cross-sectional design. Palpation of thyroid gland was made to determine the level of endemic; concentration of blood cholinesterase was determined using tinto meter kit; urinary iodine excretion was analyzed with the ammonium persulfate digestion method. Data was analyzed with chi square and anova.
Result : Chi square test indicated that the relationship between the concentration of blood cholinesterase and urinary iodine excretion was significant (p<0.05) with OR 11.1 and the relationship between concentration of cholinesterse and iodine deficiency disorders (palpation) was not significant (p>0.05) with OR 1.3. Anova test, based on endemic, indicated that there was a significant difference between the concentration of blood cholinesterase and urinary iodine excretion (p<0.05).
Conclusion : There was significant relationship between status of pesticide (concentration of blood cholinesterase) and status of iodine deficiency disorder based on urinary iodine excretion and there was no significant relationship between concentration of cholinesterse and iodine deficiency disorders based on the result of palpation. There was a difference in the average status of pesticide and iodine deficiency disorders status among the elementary school children based on their endemic. (p < 0.05).

Key words : iodine deficiency disorders, pesticide, urinary iodine excretion, palpation, elementary school children

1 Dinas Kesehatan Kabupaten Bener Meriah Provinsi NAD
2 Bagian Biokimia Fakultas Kedokteran UGM, Yogyakarta
3 BP GAKY Magelang/ Magister Gizi dan Kesehatan Fakultas Kedokteran UGM, Yogyakarta

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Pengaruh advokasi pelayanan gizi dan penyuluhan terhadap jumlah kunjungan pasien di Poliklinik Gizi Rumah Sakit Umum Raden Mattaher Jambi

Mawarningsih1, Yayi Suryo Prabandari2, R. Dwi Budiningsari3

ABSTRACT

Background
: The number of patients’ visits at nutrition polyclinic is relatively low whereas the need of nutrition consultation at hospital polyclinic is high. Visits at nutrition polyclinic generally come from referrals of doctors at hospital polyclinics. The number of visits greatly depends on doctors referring patients to nutrition polyclinic. Low visit at nutrition polyclinic is due to the absence of socialization of nutrition service. It is necessary to conduct socialization of nutrition service by dissemination of information to outpatients and advocacy to stakeholders, especially doctors, who are expected to refer patients to nutrition polyclinic to increase visit.
Objectives : To find out the effect of nutrition service advocacy and socialization to the number of visits at nutrition polyclinic of Raden Mattaher Hospital, Jambi.
Methods : The study was a quasi experimental using one group with pre-test and post-test design. Respondents of the study were doctors working in polyclinics and outpatients. There were 32 respondents of advocacy group and 180 respondents of socialization group. Data obtained were the number of patients’ visits analyzed statistically using Wilcoxon range test. Data of diagnostic types of patients having nutrition consultation were analyzed descriptively.
Results : Advocacy of nutrition service to doctors and socialization to patients could increase visits of patients at nutrition polyclinic. There were significant increase of patients’ visits at nutrition polyclinic and visits based on diagnosis (p<0.05). A new type of diagnosis referred to nutrition polyclinic after intervention was found .
Conclusion : Advocacy given to respondents who had made referral to nutrition polyclinic and socialization given to patients could increase the number of patients visiting nutrition polyclinic.

Key words : advocacy, socialization, number of patients visits at nutrition polyclinic

1 RSD Raden Mattaher, Jambi
2 Magister Perilaku dan Promosi Kesehatan UGM, Yogyakarta
3 Magister Gizi dan Kesehatan UGM, Yogyakarta

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