Laksmi Widajanti
Bagian Gizi Kesehatan Masyarkat Fakultas Kesehatan Masyarakat Universitas Diponegoro

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HUBUNGAN KECUKUPAN ASAM EIKOSAPENTANOAT (EPA), ASAM DOKOSAHEKSANOAT (DHA) IKAN DAN STATUS GIZI DENGAN PRESTASI BELAJAR SISWA

JURNAL GIZI INDONESIA Volume 1. Nomor 2. Juni 2006
Publisher : JURNAL GIZI INDONESIA

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Abstract

ABSTRACT   Background: Fish contain of high protein, EPA, DHA needed for the formation of brain cell and improving intelligence. Consuming fish and other sea food make healthy and improve the brain ability to reach optimum study achievement. In 2003, fish consumption in Indonesia is still low 24,67kg/capita/year. Based on BPS 2002, fish consumption in Semarang is 5,38%. The fish consumption has a big influence on nutrition sufficiency especially EPA and DHA, nutrition status and attaining healthy and smart Indonesian human resources. Goal: To analyze the relationship between fish meal frequency, fish EPA and DHA recommended and nutrition status with student´s study achievement. Method: The research used survey method, analytical research, and cross -sectional time approach. This research was conducted on September-October 2004. Sample was 100 subject of SD Taqwiyatui Wathon (grade IV are 54 person, grade V are 46 person) by using Stratified Random Sampling method. The data preparation used NUTRISOFT. Result: Fish frequently consumed by responden was bandeng (Chanos chanos) 5%, tongkol (Euthynnus allitteratus rafmescue) 4%, kembung (Scomber kanoguria russei) 1% and mujair (Tilapia mossambica) 1 %. EPA, DHA % RDA defisit 62%, normal nutritional status 93% and average category of study achievement 55%. There was relation between fish meal frequency and fish EPA, DHA % RDA (ρ=0,000), there was no relation between fish meal frequency and nutritional status (ρ=0,213), there was relation between fish meal frequency and study achievement (ρ=0,000), there was relation between fish EPA, DHA recommendation and study achievement (ρ=0,000), and there was no relation between nutrition status and study achievement (ρ=0.378). Based on Pearson correlation test, there was no relation between fish EPA, DHA recommendation and nutritional status (ρ=0,000). Conclution: Students with frequent fish consumption and high RDA of EPA, DHA % RDA showed better study achievement.   Keywords: Omega 3, EPA. DHA, nutritional status, study archivement, student   ABSTRAK   Latar  Belakang: Ikan mengandung protein, EPA, DHA tinggi, diperlukan untuk pembentukan sel otak dalam meningkatkan intelegensia. Mengkonsumsi ikan dan makanan laut lainnya selain menyehatkan juga meningkatkan kemampuan otak untuk mencapai prestasi belajar optimal. Tahun 2003 konsumsi ikan di Indonesia masih rendah yaitu 24,67 kg/kapita/tahun. Menurut BPS 2002 konsumsi ikan di Semarang 5,38%. Konsumsi ikan tersebut berpengaruh besar terhadap kecukupan zat gizi terutama EPA dan DHA, status gizi dan pencapaian sumberdaya manusia Indonesia yang sehat dan cerdas. Tujuan: Untuk menganalisis hubungan frekuensi makan ikan, kecukupan EPA, DHA ikan dan status gizi dengan prestasi belajar siswa. Metode : Penelitian ini menggunakan metode survei, jenis penelitian analitik, pendekatan waktu cross sectional. Penelitian dilaksanakan bulan September-Oktober 2004, termasuk disiplin Ilmu Gizi Masyarakat. Sampel penelitian 100 siswa SD Taqwiyatul Wathon (kelas IV 54 siswa dan kelas V 46 siswa). Pengambilan sampel menggunakan metode Stratified random sampling. Pengolahan data dengan NUTRISOFT dan software pengolah data. Hasil: Ikan yang banyak dikonsumsi responden yaitu bandeng dengan kategori baik 5%, tongkol 4%, kembung 1% dan mujair 1%. Kecukupan EPA, DHA termasuk defisit 62%, status gizi normal 93% dan prestasi belajar kategori sedang 55%. Berdasar uji Spearman ada hubungan frekuensi makan dengan kecukupan EPA, DHA ikan (ρ=0,000), tidak ada hubungan frekuensi makan ikan dengan status gizi (ρ=0,213), ada hubungan frekuensi makan ikan dengan prestasi belajar (ρ=0,000), ada hubungan kecukupan EPA, DHA dengan prestasi belajar (ρ=0,000) dan tidak ada hubungan status gizi dengan prestasi belajar (ρ=0,378). Berdasar uji Pearson tidak ada hubungan kecukupan EPA, DHA ikan dengan status gizi (ρ=0,408). Simpulan: Siswa yang mengkonsumsi ikan dengan frekuensi dan kecukupan EPA dan DHA tinggi prestasi belajar siswa baik. Kata kunci: Omega 3, EPA, DHA, status gizi, prestasi belajar, siswa.Permalink: http://ejournal.undip.ac.id/index.php/jgi/article/view/3241

HUBUNGAN PENDAPATAN, PENGETAHUAN GIZI IBU DENGAN KETERSEDIAAN IKAN TINGKAT RUMAH TANGGA DAERAH PERKOTAAN

JURNAL GIZI INDONESIA Volume 1. Nomor 1. Desember 2005
Publisher : JURNAL GIZI INDONESIA

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Abstract

ABSTRACT Background: The role of fish as nutrients source is very important because fish contains nutrients that to be required the body. Many markets in the city that prepare daily consumption should not become barrier for serving fish dish in family menu. Moreover Semarang city is harbour city; the fish is easy to be accessed in Semarang. But until this time role of fish in consumption of traditional food is rare because apart of population less recognize the advantage of fish. The objective of this study is to analize the relationship between income, mothers nutrition knowledge and fish stock at household level. Method: This cross sectional study was conducted to 75 mothers who be educated minimal the end of high school in Jagalan house of village-head, district of Center Semarang, Semarang city, taken by systematic random sampling. Data analyzing with Spearman correlation test. Result: Income/capita/month from mother/household ranged between Rp 99.000,00 until Rp 937.000,00. Stage of income/capita/month that more than equal with Regional Minimum Commision is 16%, less than Regional Minimum Commision is 84%. Score of mothers nutrition knowledge ranged between 50,0 until 100,0 with rate was 83,5. For category of good nutrition knowledge, the percentage is 66,7%, enough category 30,7% and less category 2,7%. For fish stock in household ranged between 0-1 times/day. For category of less stock as much as 29,3%, enough category 53,3% and good category 17,3%. Correlation coefficient for income/capita/month was 0,284 (ρ value 0,014). For mothers nutrition knowledge, correlation coefficient was 0,466 (ρ value 0,000). Conclusion: The higher mother’s Income/capita/month and nutrition knowledge, the higher fish stock in household. Keyword: Income, nutrition knowledge, mother, fish stock, household. ABSTRAK Latar Belakang: Peranan ikan sebagai bahan penyedia gizi sangatlah penting karena ikan mengandung zat-zat gizi yang sangat dibutuhkan tubuh. Banyaknya pasar di Kota Semarang yang menyediakan kebutuhan sehari-hari, seharusnya sudah bukan merupakan halangan untuk penyajian hidangan ikan dalam menu keluarga. Apalagi Kota Semarang merupakan kota pelabuhan, ikan mudah didapatkan. Namun sampai saat ini peran ikan dalam konsumsi pangan tradisional masih kecil karena sebagian penduduk kurang mengenal manfaat ikan. Tujuan penelitian untuk menganalisis hubungan pendapatan, pengetahuan gizi ibu dengan ketersediaan ikan di tingkat rumah tangga. Metode: Penelitian menggunakan metode penelitian survei masyarakat, jenis penelitian analitik, pendekatan waktu cross sectional. Pelaksanaan penelitian bulan September-Oktober 2004. Analisis data dengan uji korelasi Spearman. Populasi adalah ibu yang berpendidikan minimal tamat SLTA di Kelurahan Jagalan, Kecamatan Semarang Tengah, Kota Semarang (305 orang) dengan sampel sebanyak 75 orang. Hasil: Pendapatan/kapita/bulan ibu/rumah tangga bervariasi dari Rp 99.000,00 - Rp 937.000,00. Tingkat pendapatan/kapita/bulan yang >UMR persentasenya 16%, yang <UMR 84%. Nilai pengetahuan gizi ibu tentang ikan berkisar antara 50,0-100,0 dengan nilai rata-rata 83,5. Untuk kategori pengetahuan gizi baik, persentasenya 66,7%, kategori cukup 30,7% dan kategori kurang 2,7%. Untuk ketersediaan ikan tingkat rumah tangga, berkisar antara 0-1 kali/hari. Untuk kategori ketersediaan kurang ada 29,3%, kategori cukup 53,3% dan kategori baik 17,3%. Hasil uji korelasi Spearman untuk pendapatan/kapita/bulan diperoleh nilai rs=0,284 (p=0,014). Untuk pengetahuan gizi ibu tentang ikan diperoleh nilai rs=0,466 (p=0,000). Simpulan: Semakin tinggi pendapatan/kapita/bulan dan pengetahuan gizi ibu tentang ikan akan makin tinggi ketersediaan ikan di rumah tangga Kata kunci: Pendapatan, pengetahuan gizi, ibu, ketersediaan ikan, rumah tanggaPermalink: http://ejournal.undip.ac.id/index.php/jgi/article/view/3240

Nutrition Knowledge and Hemoglobin Levels on Elementary School Children Anemia Patients after Getting Supplementation of Iron and Nutrition Education

Kesmas The National Journal of Public Health Vol. 5 No. 1 August 2010
Publisher : Kesmas The National Journal of Public Health

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Abstract

Anemia is the major health problem for 26,5 % of the school children and teenagers in Indonesia. It is expected that by giving nutrition education to the anemic school age children, their nutritional knowledge and their diet pattern improve. Their better food intake especially higher iron intake will then increase their hemoglobin levels. The study was conducted to investigate the effect of iron supplementation and nutrition education on hemoglobin levels of the anemic school age children. This study was a quasy experimental research with a pretest post test control group design. The research was conducted on 107 subjects who were divided into three groups. Result shows level of hemoglobin and the nutrition knowledge of the three groups were all increased. The group who received iron, vitamin C and nutrition education had the highest increase in their hemoglobin level (2.89 point). The group who received vitamin C and nutrition education had the highest improvement in the score of nutrition knowlegde (17.4 point). All of the groups had significantly higher hemoglobin level after the intervention. The combination of nutrition education with iron and vitamin C supplementation improved the hemoglobin levels of the anemic school children better than nutrition education or supplementation in isolated provision.Key words: Iron supplementation, nutritional education, hemoglobin, school children

FOOD CONSUMPTION AND NUTRITIONAL STATUS OF UNDERFIVE CHILDREN ON FISHERMEN’S FAMILY DURING MONETARY CRISIS PERIOD JUNE 1998-AUGUST 1999 SEMARANG MUNICIPALITY

JOURNAL OF COASTAL DEVELOPMENT Vol 7, No 2 (2004): Volume 7, Number 2, Year 2004
Publisher : JOURNAL OF COASTAL DEVELOPMENT

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Since late 1997 Indonesia has been overwhelmed by monetary crisis and low income communities including fishermen received the worst impact of it.  This study was intended to see whether there was a difference in food consumption and the nutritional status of the underfive years old children in the fishermen community before and during the crisis. Sixty three subjects were chosen by cluster random sampling method and were followed from June 1998 to August 1999.  Food consumption data were gathered by weighing method for two days and food frequency questionnaires.  Paired t-test was used in the analysis. The study revealed that the families income almost doubled, the food consumption was significantly increased in term of energy and protein.  It was found that children have more frequent meal per day and more varieties of food eaten daily.  The children’s weight and height increased in an average of 2.5 kg and 8.7 cm, respectively.  The nutritional status in aggregate data showed an increase in height per age but slightly decrease in weight per age and weight per height indices but not statistically significant.  By group analysis, more children had lower nutritional status in all indices. It is concluded that there were improvement in food consumption of the underfive years old children, as the children grow older.  However, their nutritional status became lower. The primary health care providers in the area should be informed on this situation.  It is important that they should direct nutritional education program to improve the nutritional status of the children in its working area.  

Determinan kejadian anemia pada remaja putri di Kecamatan Gebog Kabupaten Kudus tahun 2006

JURNAL GIZI INDONESIA Vol 2, No 1 (2013)
Publisher : JURNAL GIZI INDONESIA

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Background : Anemia is one of the most prevalent nutrition problems. Based on a national survey in 1995, the prevalence of anemia was 57.1% among adolescent girls in Indonesia. Adolescent girls have higher risk of anemia compared to the schoolchildren and adults as they are still in the period of rapid growing, while they also start to think about body image. Objectives: This study aimed to investigate the determinants of anemia among adolescent girls in Kecamatan Gebog, Kabupaten Kudus. Method : This observational study was conducted cross sectionally by survey method. The population was adolescent girls aged 13-18 years, with a total sample of 163 girls who were chosen from the adolescent girls in four villages by multistage random sampling method. Data were analysed by Rank Spearman correlation and Chi Square test, which then continued to multivariate analysis by logistic regression test (forward method). Result : The results showed that the prevalence of anemia among adolescent girls in Kecamatan Gebog, Kabupaten Kudus was 36.8%. The correlation tests showed that there were associations between parents’ education level, family income, adolescents’ knowledge and attitude toward anemia and food consumption levels (energy, protein, iron, vitamin A and C). Conclusion : There were correlations between food consumption levels (energy, protein, iron, vitamin A and C), menstruation pattern, infection incidence and anemia incidence (p<0.05). The determinants of anemia among adolescent girls in Kecamatan Gebog, Kabupaten Kudus were energy, iron, vitamin A consumption levels, menstruation pattern and infection incidence. Keywords:  anemia incidence, socio-economic status, food consumption levels, menstruation pattern, infection incidence, adolescents

Kandungan Energi, Protein, Sakarin, Siklamat dan Frekuensi Konsumsi Makanan Jajanan Oleh Siswa MTs Syarif Hidayah Kecamatan Doro Kabupaten Pekalongan

MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 1 (2012): MKMI
Publisher : MEDIA KESEHATAN MASYARAKAT INDONESIA

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Makanan jajanan berkontribusi untuk kecukupan gizi karena mengandung energi dan protein, namun seringkali ditambah sakarin dan siklamat yang dapat berdampak buruk pada kesehatan jika berlebihan. Tujuan penelitian ini adalah menganalisis kandungan energi, protein, sakarin, siklamat dan frekuensi konsumsi makanan jajanan oleh siswa. Jenis penelitian adalah deskriptif dengan pendekatan cross sectional. Sampel adalah 50 siswa dan 14 jenis makanan jajanan yang dipilih secara purposive. Hasil penelitian menunjukkan kandungan energi tertinggi pada es kelapa muda (323 kkal) dan protein tertinggi pada es cendol (3,1 g). Tujuh sampel mengandung sakarin dan 8 sampel mengandung siklamat. Hampir setiap hari kuantitas konsumsi rata-rata energi, protein, sakarin, dan siklamat yaitu 559 kkal; 4,7 g; 5,4 mg/hari; dan 8,3 mg/hari. Rata-rata makanan jajanan menyumbang 26% AKE (Angka Kecukupan Energi), 8% AKP (Angka Kecukupan Protein), dan semua responden mengkonsumsi sakarin dan siklamat kurang dari ADI (Acceptable Daily Intake). Kata kunci: makanan jajanan, zat gizi, sakarin, siklamat, siswa Energy, Protein, Saccharine, Cyclamate Contents and Frequency Consumption of Street Foods By Students MTs Syarif Hidayah Doro Suh-District, Pekalongan, The contribution of Street foods for adequacy of nutrition that contain energy and protein, actually it were often added with saccharine and cyclamate which can effect on health. The puposes of this research was to analyze energy, protein, saccharine, cyclamate contents, and frequency consumption of street foods by students. This research was a descriptive study with a cross sectional design. The sample was 50 students and 14 kinds of street food elected by a purposive method. The results showed that the highest energy was found on the young coconut ice drink (323 kkal) and the highest protein was found on the es cendol (3,1 g). Seven samples contained saccharine and 8 samples contained cyclamate. Average consumption quantity of energy, protein, saccharine, and cyclamate from street foodsvwere 559 kcals; 4,7 g, 5,388 mg/day; and 8,317 mg/day respectively. Average street foods have 26% of Adequacy Rate of Energy, dan 8% of Adequacy Rate of Protein and all of the respondents consumed saccharine and cyclamate less than ADI (Acceptable Daily Intake). Keyword : street foods, nutrient contents, saccltarine, cyclamate, students

Respon Kadar Gula Darah Terhadap Konsumsi Lumpia Semarang Basah Dan Goreng

Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 1 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Jurnal Kesehatan Masyarakat (e-Journal)

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Kelebihan asupan makanan dapat menjadi salah satu penyebab terjadinya penyakit gula darah atau Diabetes Melitus. Prevalensi Diabetes Mellitus di Kota Semarang dari tahun 2007-2010 sebesar 20,5%, dengan angka kejadian Diabetes Mellitus sebanyak 68.673 kasus. Salah satu makanan camilan khas Kota Semarang yang sangat diminati adalah Lumpia Semarang, Lumpia Semarang adalah camilan terbuat dari kulit lumpia yang diisi rebung dan varian telur atau daging yang mengandung energi yang cukup tinggi, terutama pada lumpia goreng dibandingkan dengan lumpia basah sehingga menjadi pertanyaan apakah konsumsi lumpia semarang beresiko terhadap kenaikan kadar gula darah dan respon kadar gula darah terhadap konsumsi lumpia goreng lebih tinggi dibandingkan lumpia basah. Selain itu aspek kehalalan produk lumpia menjadi hal yang dipertanyakan mengingat Lumpia Semarang adalah makanan adaptasi dari Negara China. Tujuan penelitian ini adalah membuktikan adakah perbedaan kadar gula darah subjek penelitian terhadap konsumsi Lumpia Basah dan Goreng yang telah diobservasi kehalalannya. Penelitian ini adalah penelitian eksperimental kuasi dengan metode time series design. Populasi dalam penelitian ini adalah orang dewasa muda usia 20-23 tahun dan jumlah subjek penelitian sebanyak 40. Data karakteristik subjek dan konsumsi lumpia dikumpulkan melalui wawancara terstruktur dan pengukuran langsung. Analisis data menggunakan Uji Beda Wilcoxon. Hasil analisis data menyatakan bahwa pada menit ke 30-60 postprandial terjadi perbedaan kadar gula darah terhadap konsumsi lumpia basah dengan lumpia goreng dengan nilai p=0,03 dan perbedaan penurunan kadar gula darah pada menit ke 60-120 postprandial terhadap konsumsi lumpia basah dan goreng dengan nilai p=0,04. Kesimpulan dari penelitian ini adalah diketahui ada perbedaan hasil pengukuran respon kadar gula darah antara setelah mengkonsumsi lumpia basah dengan lumpia goreng, yaitu pada menit ke 60 dan 120, pada konsumsi lumpia basah menjadi lebih tinggi dibandingkan konsumsi lumpia goreng pada menit ke 60 dan respon penurunan kadar gula darah setelah konsumsi lumpia basah lebih cepat dibandingkan lumpia goreng

Pengetahuan Gizi dan Kadar Hemoglobin Anak Sekolah Dasar Penderita Anemia setelah Mendapatkan Suplementasi Besi dan Pendidikan Gizi

Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 1 Agustus 2010
Publisher : Faculty of Public Health Universitas Indonesia

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Anemia merupakan masalah kesehatan utama yang diderita 26,5% anak usia sekolah dan remaja di Indonesia. Dengan pendidikan gizi pada anak anemia di Sekolah Dasar diharapkan terjadi peningkatan pengetahuan gizi dan pola makan sehingga akan meningkatkan asupan besi dan kadar hemoglobin. Penelitian ini bertujuan mempelajari efek suplementasi besi dan pendidikan gizi terhadap pengetahuan gizi dan kadar hemoglobin anak SD yang anemia. Desain penelitian ini Quasy experiment with pretest postest control group. Penelitian dilakukan pada 107 sampel yang dibagi menjadi tiga kelompok. Pengolahan data dilakukan dengan One Way Anova dan Kruskal Wallis Test untuk uji beda. Hasil penelitian menunjukkan kadar hemoglobin dan pengetahuan gizi pada ketiga kelompok mengalami peningkatan.Peningkatan kadar hemoglobin terbesar pada kelompok suplementasi besi, vitamin C dan pendidikan gizi (2,89 poin), sedangkan peningkatan pengetahuan gizi terbesar pada kelompok suplementasi vitamin C dan pendidikan gizi (17,44 poin). Ada perbedaan bermakna perubahan pengetahuan gizi dan kadar hemoglobin anak SD yang anemia sebelumdan sesudah intervensi pada ketiga kelompok intervensi. Disimpulkan Pendidikan gizi dipadukan dengan pemberian suplementasi besi dan vitamin C pada anak anemia akan memberikan hasil kenaikan kadar hemoglobin yang paling signifikan daripada pendidikan gizi atau suplementasi saja.Kata kunci: Suplementasi besi, pendidikan gizi, kadar hemoglobin, anak SD.AbstractAnemia is the major health problem for 26,5 % of the school children and teenagers in Indonesia. It is expected that by giving nutrition education to the anemic school age children, their nutritional knowledge and their diet pattern improve. Their better food intake especially higher iron intake willthen increase their hemoglobin levels. The study was conducted to investigate the effect of iron supplementation and nutrition education on hemoglobin levels of the anemic school age children. This study was a quasy experimentalresearch with a pretest post test control group design. The research was conducted on 107 subjects who were divided into three groups. Result shows level of hemoglobin and the nutrition knowledge of the three groups were all increased. The group who received iron, vitamin C and nutritioneducation had the highest increase in their hemoglobin level (2.89 point). The group who received vitamin C and nutrition education had the highest improvement in the score of nutrition knowlegde (17.4 point). All of the groups had significantly higher hemoglobin level after the intervention.The combination of nutrition education with iron and vitamin C supplementation improved the hemoglobin levels of the anemic school children better than nutrition education or supplementation in isolated provision.Key words: Iron supplementation, nutritional education, hemoglobin, school children

Studi Keamanan Pangan Kimiawi dari Logam Berat Timbal pada Euthynnus Sp , di Perairan Semarang.

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 3, No 2 (2004): Vol 3, No 2 (2004)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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ABSTRACT Background: One of the impact of industrial development is the decreasing water quality that may cause pollution of living resources,especially the fish. The objective of this research is to determine the consentration of lead (Pb) Euthynnus sp. and to analize its  chemical safety in the coast  Semarang.  Methods:  This study  is a descriptif research with a cross sectional approach. The 30 samples of Euthynnus   was taken from the markets in Semarang City, including  Jatingaleh, Peterongan, Bulu, Johar, dan Rejomulyo market. Results:  The finding of this research showed that the highest  Lead consentration in Euthynnus Sp was 2,51 ppm and the lowest was  0 ppm  with the average of  0,81 ppm  and the standard deviation was  0,91 ppm.   There was 33,3 % sample which has the concentration of Lead  more than the maximum standard. Conclusion: It was suggested to choose the fresh fish to consumed by considering the site of fish catching. It is also suggested to  the government and  the related institution in semarang City to make a regulation and policy to protect the consumer from the toxic effect of heavy metal in fish.   Key word : Euthynnus sp., heavy metal (Lead),  Coast of Semarang

The Effect of Training by Simulation Method on Cadres to the Successfulness of Diversity Food Application (a Study in Kecamatan Trawas Kabupaten Mojokerto)

Jurnal Manajemen Kesehatan Indonesia Vol 2, No 3 (2014): Desember 2014
Publisher : S2 IKM FKM UNDIP

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Nutrition-aware family was reflected from their variety of food consumption pattern and equal nutritional quality. Eating variety of food was needed to fulfill all nutrition needed by human body. Results of Kadarzi mapping on 288 families in Trawas district showed that eating variety of food was still low namely 30.9%. Training to cadres to improve their competence was needed. Objective of this study was to know the influence of training using simulation method on the success of eating variety of food application by cadres. This was a quasy experimental study using non-randomized with pretest and posttest group design. Study population was 146 cadres. Samples were 60 cadres. Independent variables consisted of training with simulation method and with conventional method. Dependent variable was knowledge, attitude, and skills of cadres. Univariate and bivariate analysis were applied in the data analysis. Results of the study showed that no difference in score change on knowledge and skills between simulation method and conventional method groups (p> 0.05). The increase of mean value for knowledge was 15 points for simulation method group and 9 points for conventional method group. The increase of score (median value) for skill was 12 points for simulation method group and 10 points for conventional method group. Score change difference on attitude between simulation method group and conventional group was identified (p< 0.05). The increase of score for simulation method group was 9 points and for conventional method group was 19 points. In conclusion, a training that combines simulation method and conventional method is able to improve knowledge, attitude and skill of cadres. Mojokerto district health office is expected to improve cadres’ competence by giving trainings using simulation and conventional methods, and to provide longer time for training.