Viramitha Kusnandi Rusmil, Viramitha Kusnandi
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Deteksi Dini Pengalaman Kekerasan Pada Anak Di Tingkat Keluarga Di Kecamatan Jatinangor Dewi, Nurusofa Surti; Arisanti, Nita; Rusmil, Viramitha Kusnandi; Sekarwana, Nanan; Dhamayanti, Meita
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.064 KB) | DOI: 10.24198/jsk.v2i3.11956

Abstract

Undang-Undang Republik Indonesia No. 35 Tahun 2014, menyatakan setiap anak memiliki hak untuk mendapatkan perlindungan dari kekerasan dan diskriminasi. Kejadian  terbanyak  kekerasan  pada  anak  terjadi  di  tingkat  keluarga.  Penelitian dilakukan untuk mengetahui gambaran dan karakteristik kekerasan pada anak di tingkat keluarga di Kecamatan Jatinangor sebagai deteksi dini terhadap kekerasan. Penelitian ini dilakukan menggunakan studi desain deskriptif kuantitatif dengan rentang waktu pengambilan data September sampai November 2016 secara satu kali potong lintang pada siswa/i Sekolah Menengah Pertama (SMP) aktif berusia 13-15 tahun di Kecamatan Jatinangor, Kab. Sumedang dengan sampel valid diambil sebanyak 98 orang. Ditinjau dengan kejadian terbanyak berdasarkan pengalaman kekerasan di rumah dan lingkungan yaitu pernah melihat orang dewasa di rumah meneriaki dan berteriak yang membuat takut (37.8%), serta berdasarkan jenis pengalaman disiplin dan mendapatkan tindak kekerasan   yaitu   memberi   sesuatu   istimewa   atau   uang   (90.82%).   Berdasarkan pengalaman  pola  asuh  yaitu  terluka/jatuh  karena  tidak  ada  orang  dewasa  yang mengawasi (27.6%), berdasarkan pengalaman kejadian menakutkan yaitu seseorang masuk ke rumah untuk mencuri sesuatu (16.34%), dan berdasarkan pengalaman kekerasan  seksual  yaitu  menyuruh  melihat  organ  vital/pribadinya  atau  sebaliknya (8.2%). Sebagian besar anak pernah mengalami kekerasan di rumah dan sekitarnya.Kata Kunci: kekerasan pada anak, keluarga, pengalaman
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Rusmil, Viramitha Kusnandi; Wiramihardja, Siska; AP, Adhitya; Gurnida, Dida A
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB)

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Exclusive and Non-Exclusive Breastfeeding among Stunted and Normal 6–9 Month-Old-Children in Jatinangor Subdistrict, Indonesia Rusmil, Viramitha Kusnandi; Prahastuti, Tri Oktaviani; Luftimas, Dimas Erlangga; Hafsah, Tisnasari
Althea Medical Journal Vol 6, No 1 (2019)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (524.879 KB) | DOI: 10.15850/amj.v6n1.1598

Abstract

Background: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6–9 month-old-children. Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-for-age z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test. Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05).Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6–9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged.
Factors Influencing Outcomes of Children Hospitalized with Acute Severe Malnutrition Rusmil, Viramitha Kusnandi; Wiramihardja, Siska; AP, Adhitya; Gurnida, Dida A
Althea Medical Journal Vol 5, No 2 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (57.903 KB) | DOI: 10.15850/amj.v5n2.1246

Abstract

Background: Nutrition is still a global health issue, and improving nutrition is among the targets of the Sustainable Developmental Goals (SDGs). One of Indonesia’s SDGs indicators is to reduce prevalence of malnutrition in children. Indonesia, as a developing country, implements a comprehensive malnutrition treatment program for children, including various aspects related to management of children with acute malnutrition. The purpose of this study was to identify factors associated with the outcome of children hospitalized with acute severe malnutrition. Methods: This cross sectional study enrolled 195 children with severe acute malnutrition, admitted to hospital from November 2016 to August 2017. Statistical Analysis was conducted using multivariable logistic regression to identify factors associated with the outcome. Adjusted Ratio with Confident Interval 95% and the value of P <0 .05 was considered significant. Result: A total of 195 children were diagnosed havings acute severe malnutrition. A history of complete immunization status (p value <0.001) was proved to be directly proportional to the recovery rate of patients with acute severe malnutrition. Provision of other types of antibiotic (p value 0.001) showed to increase recovery rates of patients with acute severe malnutrition. Several comorbid diseases reduced recovery rates such as pneumonia (Crude OR 0.619) tuberculosis (Crude OR 0.606) and HIV (p value 0.08).Conclusions: This study shows that although the provided treatments are appropriate with the standard treatment for severe malnutrition, they still encounter high levels of morbidity. Further large-scale studies should be conducted to develop better interventions and management of acute severe malnutrition, in order to achieve better outcome. 
Hubungan Perilaku Ibu dalam Praktik Pemberian Makan pada Anak Usia 12-23 Bulan dengan Kejadian Stunting di Wilayah Kerja Puskesmas Jatinangor Rusmil, Viramitha Kusnandi; Ikhsani, Rizkania; Dhamayanti, Meita; Hafsah, Tisnasari
Sari Pediatri Vol 20, No 6 (2019)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (54.166 KB) | DOI: 10.14238/sp20.6.2019.366-74

Abstract

Latar belakang. Stunting merupakan kondisi kurang gizi kronis disebabkan asupan makanan yang kurang dalam waktu lama. Kejadian stunting dapat direduksi oleh salah satu faktor yang memengaruhi pemenuhan gizi anak, yaitu perilaku ibu dalam praktik pemberian makan.Tujuan. Mengetahui hubungan perilaku ibu dalam praktik pemberian makan dengan kejadian stunting.Metode. Studi analitik potong lintang yang dilakukan pada ibu dan anak usia 12-23 bulan di wilayah kerja Puskesmas Jatinangor. Pengambilan data dilakukan dengan wawancara menggunakan instrumen kuesioner yang disusun berdasarkan panduan Ikatan Dokter Anak Indonesia (IDAI) dan World Health Organization (WHO). Pengukuran panjang badan anak menggunakan infantometer. Analisis menggunakan uji chi kuadrat dan Mann Whitney. Hasil. Lima puluh sembilan subjek (27,2%) dari 217 total subjek termasuk kelompok stunting. Angka kemaknaan pemberian makan cukup dan pemberian makan secara responsif dengan kejadian stunting sebesar 0,003 dan 0,012. Ketepatan waktu dan pemberian makan secara aman dengan kejadian stunting memiliki nilai p>0,05. Perilaku ibu dalam praktik pemberian makan secara keseluruhan menunjukkan nilai p<0,05.Kesimpulan. Praktik pemberian makan secara keseluruhan memiliki hubungan dengan kejadian stunting. Kecukupan dalam pemberian makan dan pemberian makan secara responsif memiliki hubungan dengan stunting, tetapi pemberian makan secara tepat waktu dan aman tidak memengaruhi kejadian stunting.
Deteksi Dini Pengalaman Kekerasan Pada Anak Di Tingkat Keluarga Di Kecamatan Jatinangor Dewi, Nurusofa Surti; Arisanti, Nita; Rusmil, Viramitha Kusnandi; Sekarwana, Nanan; Dhamayanti, Meita
Jurnal Sistem Kesehatan Vol 2, No 3 (2017): Volume 2 Nomor 3 Maret 2017
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.064 KB) | DOI: 10.24198/jsk.v2i3.11956

Abstract

Undang-Undang Republik Indonesia No. 35 Tahun 2014, menyatakan setiap anak memiliki hak untuk mendapatkan perlindungan dari kekerasan dan diskriminasi. Kejadian  terbanyak  kekerasan  pada  anak  terjadi  di  tingkat  keluarga.  Penelitian dilakukan untuk mengetahui gambaran dan karakteristik kekerasan pada anak di tingkat keluarga di Kecamatan Jatinangor sebagai deteksi dini terhadap kekerasan. Penelitian ini dilakukan menggunakan studi desain deskriptif kuantitatif dengan rentang waktu pengambilan data September sampai November 2016 secara satu kali potong lintang pada siswa/i Sekolah Menengah Pertama (SMP) aktif berusia 13-15 tahun di Kecamatan Jatinangor, Kab. Sumedang dengan sampel valid diambil sebanyak 98 orang. Ditinjau dengan kejadian terbanyak berdasarkan pengalaman kekerasan di rumah dan lingkungan yaitu pernah melihat orang dewasa di rumah meneriaki dan berteriak yang membuat takut (37.8%), serta berdasarkan jenis pengalaman disiplin dan mendapatkan tindak kekerasan   yaitu   memberi   sesuatu   istimewa   atau   uang   (90.82%).   Berdasarkan pengalaman  pola  asuh  yaitu  terluka/jatuh  karena  tidak  ada  orang  dewasa  yang mengawasi (27.6%), berdasarkan pengalaman kejadian menakutkan yaitu seseorang masuk ke rumah untuk mencuri sesuatu (16.34%), dan berdasarkan pengalaman kekerasan  seksual  yaitu  menyuruh  melihat  organ  vital/pribadinya  atau  sebaliknya (8.2%). Sebagian besar anak pernah mengalami kekerasan di rumah dan sekitarnya.Kata Kunci: kekerasan pada anak, keluarga, pengalaman