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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.
TB problems in Indonesia are TB sensitive, Drug-Resistant TB and TB-HIV. TB-RO is the most challengging problem, the number of case finding is increase every year, but treatment rate is decrease. The use of short-term regiment since September 2017 is one of strategy to reduce default of TB treatment. This research was conducted to see trends and factors related to the TB treatment success rate among patients with Drug Resistance TB (TB RO) using Shorter Treatment Regiment (STR) in Indonesia 2017-2019. The study desain is restropective cohort. Data sources are all patients of TB RO using STR regiment, which is enrolled in the e-TB manager, Sud Directorate of Tuberculosis, MoH RI. The sampling method is total sampling that meets the inclusion and exclusion criteria. The analysis used was the chi-square test and the cox regression test. As many as 3,100 patients were included in the analysis, the treatment success rate was 41,94%. The results of the analysis showed that factors related to treatment success were age, adherence, results of initial sputum examination of treatment, patterns of monoresistant and polyresistant resistance, and area of residence. Adherence is a dominant factor related to treatment success. Efforts should be made to strengthen compliance by conducting counseling as early as possible, PMO assistants from non-helath officers and initiating patient support groups in each MDR facility
Diabetes is a non-infectious disease to 4 causes of death in Indonesia, prevalence of 6.9%,occurs at ≥ 15 years old (Kemenkes, 2014), Nearly 90% are Type 2 Diabetes Mellitus(T2DM) caused by unhealthy lifestyles. PT.X employees suffer from T2DM with aprevalence of 6.5%. The purpose of this study to analyze patterns of eating and physicalactivity of the patient DMT 2, with qualitative research methods of descriptive analysison 12 respondents. The diet was measured by Food Frequency Quesionnair questionnaireand physical activity with International Physical Activity Quesionnair, and observationand in-depth interviews were conducted. The results showed that the characteristics of 12respondents were ≥ 40 years old (75%), male (91.7%), and respondents who had a familyhistory of DM (58.3%). Irregular eating patterns, excessive carbohydrate consumption orhigh Glycemic Index (GI). The activity of respondents in the category of mild and rarelyexercise. Mean Total Metabolic Equivalent (MET) respondents from total work activities,transportation, domestic, exercise is below 600 MET-minutes/week, Respondentsreasoned no time and lazy to exercise. Suggested health promotion programs on healthyor low GI foods for employees and their wives, if possible company provides healthyfoods and create sports programs.Keywords: Dietary Petterns, Occupational Health, Physical Activity, Type 2 DiabetesMellitus.
The object of this study is nurses in RS X East Jakarta who are at risk having workrelated stress and fatigue due to their task. The purpose of this study is to identify thephysical factors, psychosocial factors and environment factor of work related stress andfatigue. Population of the study is 149 people, and the sample is 87 responded. Thedesign used in this study is cross-sectional design by conducting the observation,sharing questionnaires and do the test of Salivary Amylase Activation (SAA) withCocorometer (Nipro Cocoro), the test of time reacting with Sleep 2 Peak application ona mobile phone and environment factor (lighting) with Luxmeter. The tools used in thisstudy are Quick Exposure Checklist to assess physical factors, NIOSH Generic JobStress to assess psychosocial factors and Salivary Amylase Activation teststo assesswork related stress and fatigue among nurses. Fatigue subjective measurement usestools from Swedish Occupational Fatigue Inventory (SOFI). Physic factors (back static,back movement, shoulder/arm, wrist/hand and neck), psychosocial factors (job demand,shift work, career development, social support, role in the organization, and jobsatisfaction) and environment factor (lighting) are the independent variables of workrelated stress and fatigue which are the dependent variable in this study. The result ofthis study is female (70,1%), married (83,9%), average age 36 years old and workingperiod for 134 months (11 years). The result of this study shows that risk factor(married) has a correlation with fatigue Pvalue 0,05 (OR=4, 20), years of service hascorrelation with fatigue Pvalue0, 05 (OR=3, 26). Physic factors (back movement) havecorrelation with stress Pvalue 0,05 (OR=4, 37), Physic factors (shoulder/arm) has acorrelation with stress Pvalue 0,05 (OR=2, 90), job demand has correlation with fatiguePvalue 0,05 (OR=3, 85) psychosocial factors (job satisfaction) have correlation withfatigue Pvalue (OR=0, 24).