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ABSTRAK Latar Belakang : Kurang gizi masih menjadi masalah utama yang dihadapi dunia. Setiap tahunnya sekitar 55.000 orang meninggal karena kurang gizi. Dan dua per tiga dari jumlah yang meninggal ini adalah anak-anak. Di negara-negara berkembang, kontribusi kurang gizi terhadap kematian anak balita yang berhubungan penyakit infeksi meneapai 53%. Anak yang kurang gizi cenderung lebih rentan terhadap penyakit infeksi baik dalam hal jumlah kejadian (misalnya insidens) maupun durasi setiap kejadian penyakit Tahun 2006, jumlah penderita gizi buruk mengalami peningkatan dati tahun sebelumnya. Jumlah balita gizi buruk di Indonesia, menurut laporan UNICEF 2006 meningkat dari 1,8 juta pada tahun 200412005 menjadi 2,3 juta jiwa Peningkatan balita gizi buruk ini tentulah sangat mengkhawatirkan, karena depat menyebabkan "lost Metode : Penelitian ini menggunakan rancangan quasi eksperimen pre-post test dengan jumlah sampel 114 yang terdiri dari 60 balita yang menerimn intervensi PMT-P dan 54 balita yang menerima konseling gizi. Untuk menguji hipotesis digwtukan uji t-test dan anova. Analisa multivariat dengan Analisis Regress!Berganda. Hasil: Hasil uji ststistik menunjukkan terdapat perbedaan yang bermakna antara Zsrore balila gizi buruk sebelum dan sesudah mendapatkan intervensi. Konseling gizi berhasil meningkatkan Zscore belita gizi buruk sebesar 0.2237. Pemberian PMT- berhasil meningkatkan Zscore balita gizi blll1lk sebesar 0.2181. Untuk kelompok konseling, faktor-faktor yang mempengarohi peningkatan Zscore balita gizi blll1lk adalah status gizi {Zscore) balita di awal penelitian. Sedangkan untuk kelompok PMT-P, adalah umur analk, dan umur balita disapih. Kesimpulan : Setelah intervensi, prevalensi gizi buruk turon 38,6%. Darl kelompok konseling, prevalensi balita gizi buruk turun 50,0%, sedangkan prevalensi gizi buruk pada kelompok PMT-P turun 28,3%. Pada kelompok PMT-P juga ditemukan balita yang meningkat statusnya menjadi gizi balk. Faktor-faktor yang mempengaruhi peningkatan Zscore balita gizi buruk adalah status gizi {Zscore) balita di awal penelitiaa (konseling), umur anak, dan umur balita disapih {PMT-P).
Background : Poor nutrition still become prior problem in the world. Every year, about 55.000 people die due to malnutrition. And 2 out of3 death was children. Poor nutrition contributes to 1 out of2 death (53%) associated with infections diseases among children aged under five in developing country. Children with malnutrition more vulnerable to infection, both incidens and duration of diseases. In 2006, the number of malnutrition increased than in 2005. Unicef(2006) reports, the malnutrition children aged under five increased from I ,8 million in 2004/2005 to 2,3 million in 2006. This increasing was very concerned, leads to "lost generation". One of program conduct by government to care of children with malnutrition was nutritional intervention (supplementation). To cure dan care of malnutrition children, was conduct food supplementation breastfeeding for Methods : This research conduct quasi experiment design with pre-post test. The number of sample was 114 children, contain of 60 children in the food supplementation group and 54 children in the counseling group. For testing the hypothesis was conduct t-test dan one-way anova. Multivariat analysis with Multiple Linier Regression Analysis. Result : There is significant differences between Zscore weight for aged of under five chidren with malnutrition at the pre intervention and post intervention. Counseling program increased Zscore weight for aged of underfive chidren about 0,2237 SD. Food supplementation program increased Zscore weight for aged of underfive chidren about 0,2181 SD. In the counseling group, the factors related to the increasing Zscore weight for aged of underfive children malnutrition is the nutrition statue of children at the begining of intervention. In the food supplementation group, the factors is the children's aged and the children's aged while weaning. Summary : After intervention program, malnutrition prevalence decreased 38,6%. In the counseling group, prevalence decreased 50,0%, While in the food supplementation group prevalence decreased 28,3%. In the food supplementation group also found a child with nonnal statue. In the counseling group, the factors related to the increasing Zscore weight for aged of underfive children malnutrition is the nutrition statue of children at the beginning of intervention. In the food supplementation group, the factors is the children's aged and the children's aged while weaning.
Penilaian kualitas hidup merupakan kunci dalam memahami dampak AIDS terhadap kehidupan orang yang hidup dengan HIV&AIDS. Orang dengan HIV menjadi rentan terhadap masalah kesehatan, ekonomi dan psikososial yang dapat mempengaruhi kualitas hidupnya. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi kualitas hidup ODHIV. Penelitian ini menggunakan desain studi cross sectional dengan teknik Consecutive Sampling terpilih 102 orang responden di 3 Yayasan Kota Kupang yang berusia ≥18 tahun, telah menjalani terapi ARV >1 bulan dan bersedia menjadi responden. Penelitian dilakukan pada bulan November – Desember 2023. Instrument yang digunakan dalam penelitian ini adalah kuesioner. Analisis data yang dilakukan adalah analisis bivariat menggunakan uji chi-square dan analisis multivariat menggunakan uji cox regression. Hasil bivariat menunjukan ada hubungan yang signifikan antara depresi (p=0,007; PR= 1,742; 95%CI 1,136 – 2,669), dukungan sosial (p=0,003; PR=1,707; 95%CI 1,210 – 2,407) dan dukungan sebaya (p=0,000; PR=2,380; 95%CI 1,423 – 3,980) dengan kualitas hidup ODHIV sedangkan umur, jenis kelamin, tingkat pendidikan, status pernikahan, status pekerjaan, tingkat pendapatan, stigma, lama terapi ARV tidak memiliki hubungan yang signifikan dengan kualitas hidup ODHIV. Berdasarkan uji mulitivariat faktor yang paling dominan mempengaruhi kualitas hidup ODHIV adalah dukungan sebaya (p=0,018; PR=2,15; 95%CI 1,14 – 4,08). Kata Kunci: HIV&AIDS, kualitas hidup, ODHIV.
Quality of life assessment is key in understanding the impact of HIV&AIDS on the lives of people living with HIV&AIDS. People with HIV become vulnerable to health, economic and psychosocial problems that can affect their quality of life. The aim of this research is to analyze the factors that influence the quality of life of PLHIV. This research used a cross sectional study design with Consecutive Sampling technique, selecting 102 respondents from 3 Yayasan Kota Kupang aged ≥18 years who had undergone ARV therapy for >1 month and were willing to be respondents. The research was conducted in November – December 2023. The instrument used in this research was a questionnaire. The data analysis carried out was bivariate analysis using the chi-square test and multivariate analysis using the cox regression test. The research results showed that there was a significant relationship between depression (p=0,007; PR= 1,742; 95%CI 1,136 – 2,669), social support (p=0,003; PR=1,707; 95%CI 1,210 – 2,407), peer support (p=0,000; PR=2,380; 95%CI 1,423 – 3,980) with quality of life for PLHIV, meanwhile, age, gender, education level, marital status, employment status, income level, stigma, duration of ARV therapy do not have a significant relationship with the quality of life of PLHIV. The most dominant factor in the quality of life of PLHIV is peer support PR=2.15 (95%CI 1.14 – 4.08). Key words: HIV&AIDS, quality of life, PLHIV
COVID-19 is an infectious disease caused by severe acute respiratory syndrome coronavirus 2. Until now, COVID-19 cases are increasing. Although the number of recovered cases reached 96%, this must still be watched out for because survivors can still experience persistent symptoms or commonly known as Long COVID. Long Coronavirus Disease (Long COVID) or Post Acute COVID is defined as persisten symptoms and/or delayed or longterm complications beyond 4 weeks from the onset of symptoms. Long COVID is a serious condition to COVID-19 survivors because persistent symptoms can have a negative impact and disrupt the sufferer's activities. The purpose of this study was to determine the factors that affecting the incidence of Long COVID in COVID-19 survivors in Sukabumi City. This study used a cross-sectional study. Data collection was carried out by distributing online questionnaires. This study was conducted by 267 respondents with inclusion criteria are having recovered from COVID-19, domiciled in Sukabumi City, and a minimum age of 18 years. The results showed the proportion of the incidence of Long COVID was 47% with the most frequent symptoms are tiredness or fatigue (30.7%), difficulty concentrating (14.98%), and forgetful (13.86%). Bivariate analysis showed that there was a relationship between symptom level (P value = 0.001), type of treatment (P value = 0.012), and passive smoking (P value = 0.020) with the incidence of Long COVID. There is no significant relationship between sociodemographic characteristics, vaccination status, smoking status, smoking degree, and comorbidity,
One of the new emerging challenges in TB controlling is multidrug resistanttuberculosis (MDR TB). MDR TB is a type of TB resistant caused by theunresponsiveness (resistancy) of Mycobacterium tuberculosis to at least isoniazidand rifampicin in which both are the most effective anti-TB drugs in first line.This study was aimed to determine the influencing factors for the timing ofsputum culture conversion among pulmonary MDR TB patients. This study wasconducted in Labuang Baji General Hospital, Makassar City started from April2015 to June 2015. Cohort-retrospective design was performed in this study.There were 183 patients involved in this study consisted of 139 (76,0%) patientswith sputum culture conversion, 4 (2,2%) patients with no sputum cultureconversion, and 40 (21,8%) patients were loss to follow up. The result of thestudy shows that the probability of sputum culture conversion of Pulmonary MDRTB was 95,52%. Multivariate analysis showed that the interruption of treatment(HR:0,45; 95%CI: 0,26-0,79), Diabetes Mellitus (DM) before 33 days (HR:0,75;95%CI: 0,29-1,95), DM after 33 days (HR:1,95; 95%CI: 0,90-7,60), previouslytreated with FLDs (HR:0,32; 95%CI: 0,12-0,90), and previously treated withSLDs (HR:0,27; 95%CI: 0,10-0,77) were found to be the influencing factors forthe sputum culture conversion among pulmonary MDR TB. Complete andintensive care are needed among pulmonary MDR TB in MDR TB polyclinic byobserving the interruption of treatment, DM, and history of previous treatment.Keywords: Diabetes mellitus, history of previous treatment, pulmonary MDR TB,sputum culture conversion, treatment interruption.
