Dietary diversity and quantity are important for pregnant women, particularly anemic pregnant women. This study aimed to analyze the association between dietary quantity and diversity among anemic pregnant women. This cross-sectional study was conducted in 2017 at Madura Island, Indonesia, and involved 152 anemic pregnant women. Hemoglobin concentration was analyzed by the cyanmethemoglobin method. Dietary quantity was measured by the 2 × 24 h recall. Dietary diversity was determined by Minimum Dietary Diversity for Women of Reproductive Age (MDD-W). Spearman's rank association was performed to analyze the association between dietary diversity and quantity. The median of hemoglobin concentration was 10.1 g/dL, and 57.2% pregnant women had mild anemia. Most of the pregnant women had low adequacy levels of energy and macro- and micronutrients (except for iron). More than half (57.9%) of anemic pregnant women had reached minimum dietary diversity. Family size (p=0.048) and gestational age (p=0.004) had negative associations with dietary diversity. Dietary diversity had positive associations with energy (p=0.029), protein (p=0.003), vitamin A (p=0.001), vitamin C (p=0.004), and zinc (p=0.015) adequacy levels. Dietary diversity had no significant association with calcium (p=0.078) and iron adequacy level (p=0.206). High prevalence of mild and moderate anemia was found among pregnant women in their third trimester. Anemic pregnant women already consumed food with minimum dietary diversity but did not meet dietary quantity. Increasing dietary quantity is a priority for anemic pregnant women.
Hypertension is a main cause of morbidity and mortality in Indonesia, thus the treatment of this disease commonly done in every level of health facilities. Based on Riskesdas 2013 the most diseases toward elderly is Hypertention up to 57.6% followed by arthritis (51.9%) and stroke (46.1%). Based on blood pressure measurement in Posyandu Melati known most of elderly have prehypertension. This research aimed to analyze the relationship between knowledge, hypertention history and blood pressure control of elderly in Posyandu Melati, Ampel sub district, Semampir distric, Surabaya City. This research was an observational research with cross sectional approach. Subjects of the research were drawn from the population using total population with inclusive criteria was elderly that had come to the Posyandu Melati. Number of samples obtained was 50 elderies. Primary data were collected using questionnaires. Analysis data has done using univariate and bivariate analysis. After being analyzed, data processed by chi square statistical test. The result of bivariate analysis was found that variables associated with hypertension history and blood pressure control (p = 0.019). The conclusion which could be drawn were knowledge was unassociated with blood pressure control. Hypertension history has low associated with blood pressure control. There is needs of education or health promotion for elderlies through counseling and medias.Keywords: knowledge, hypertension history, blood pressure control
The low membership of National Health Insurance (NHS) Keywords: worker, informal, rural, national health insurance, fi shbone ABSTRAKPersentase keluarga yang seluruh anggotanya telah terdaftar sebagai peserta JKN sebesar 56,85% teridentifi kasi sebagai masalah utama di Desa Payaman, Kecamatan Ngraho, Kabupaten Bojonegoro. Tujuan dari studi ini yakni mengidentifi kasi akar penyebab masalah rendahnya kepesertaan JKN menggunakan Fishbone Diagram. Desain penelitian merupakan cross-sectional. Sample dalam penelitian ini sebanyak 204 keluarga yang ditentukan menggunakan teknik simple random sampling. Teknik pengumpulan data yakni wawancara dan observasi langsung. Faktor penyebab yang teridentifi kasi sebagai akar penyebab masalah antara lain rendahnya pengetahuan masyarakat, kurangnya sosialisasi, kurangnya media promosi kesehatan, kepala keluarga kurang menyadari pentingnya JKN, dan tingkat pendidikan masyarakat yang rendah. Upaya yang dapat dilakukan oleh perangkat desa yakni bekerja sama dengan Pondok Kesehatan Desa (Ponkesdes) Desa Payaman dan BPJS Kabupaten Bojonegoro untuk memberikan edukasi kepada masyarakat terkait pentingnya kepemilikan kartu JKN.
At the global level, it is estimated that 35 million people suffer from drug use disorders and require treatment services. 1 Research shows adolescence (12-17 years old) is a critical risk period for the initiation of substance use and that substance use peaks among young adults aged 18-25 years. 2 In Indonesia, drug use is now emerging as a problem among adolescents. The prevalence of drug users among students (15-22 years old) in Indonesia has increased from 2.8% in 2017 to be 3.2% in 2018. 3,4
The implementation of the KADARZI program has not been maximized due to the many families who do not know and do not understand the existence of the program. One area with low knowledge about the KADARZI program isthe Wonokusumo Surabaya district. The purpose of this study was to analyze the improvement of mother knowledge after given an intervention in the Wonokusumo Sub-district of Surabaya and to identify factors that causing nutrition problems of children under fi ve (predisposing, reinforcing and enabling). This was a pre-experimental study with one group pretest-posttest design. The study was conducted in RW 02 Wonokusumo Village, January-February 2017. Data collection was carried out quantitative and qualitatively. A total of 38 mothers had children under fi ve and present at the posyandu in RW 2 were sampled in this study. Mother knowledge before and after the intervention were collected qualitatively. Paired sample t-test was used to analyze the differences. The qualitative data were collected through observation and in-depth interview to the head of RW 1 person and cadre (8 people). Interventions of health education using leafl et, video and simulation of making modisco (as one way to create and process nutritious local food). Intervention was conducted one time during the Posyandu. Activities were held once with 4 hours duration. The results showed that the knowledge score was increased from 47.9 to 82.6 there was a signifi cant increase in knowledge between before and after the intervention (p=0.043). The causes of nutritional problems in children under fi ve were 3 factors: predisposing, reinforcing, enabling. Health education interventions can improve maternal knowledge aboutthe nutritional fulfi llment of children under five and the KADARZI program
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