Stunting disebabkan oleh asupan zat gizi yang tidak mencukupi dalam jangka panjang. Prevalensi stunting pada baduta di Indonesia sebesar 29.9% masih lebih tinggi dibandingkan target RPJMN 2019 yaitu 28%. Stunting meningkatkan risiko kematian anak, berdampak negatif pada perkembangan kognitif dan motorik, menurunkan performa di sekolah, meningkatkan risiko kelebihan gizi dan penyakit tidak menular, dan mengurangi produktivitas pada saat dewasa. Namun, stunting dapat diperbaiki salah satunya dengan meningkatkan gizi anak. Pemberian biskuit tepung daun kelor dan tepung tulang ikan sidat diharapkan dapat membantu menangani permasalahan tersebut. Penelitian ini bertujuan untuk membuat formulasi biskuit sumber energi dan protein dari tepung daun kelor dan tepung tulang ikan sidat untuk baduta stunting. Penelitian ini adalah experimental study menggunakan rancangan acak lengkap. Penelitian ini dilaksanakan pada bulan Februari sampai dengan September 2019. Hasil penelitian menunjukkan bahwa formula biskuit terpilih berdasarkan uji organoleptic terhadap 30 orang panelis yaitu biskuit dengan penambahan tepung daun kelor 20 g dan tepung tulang ikan sidat 10 g. Biskuit tersebut mengandung energi dan zat gizi per 100 gram yaitu energi 900 kkal, protein 15.98 g, lemak 17.22 g, karbohidrat 90.15 g, zat besi 6.14 mg, zink 5.88 mg, dan kalsium 3539.40 mg. Oleh karena itu, dapat disimpulkan bahwa biskuit dengan formula terpilih telah memenuhi syarat biskuit MP-ASI dan mengandung energi yang tinggi serta sebagai sumber protein
Maternal and neonatal services have not escaped the impact of the Covid 19 pandemic. It can indirectly increase the return of mortality and morbidity to both mother and baby. This study aims to assess the impact of the Covid 19 pandemic on the compliance of pregnant women to revisit antenatal care. The sampling technique used in this study was stratified random sampling, using the Lemeshow formula with a sample count of 126 people with the inclusion criteria set by the researcher. The design of this study was analytic observational. Data collection was carried out through observation questionnaire sheets that were collected offline and online (Google Form). The test used in this study was Mann Whitney. The results of the analysis show that the significance value is 0.003 at the 2nd-trimester pregnancy visit and 0.001 at the 3rd-trimester pregnancy visit, therefore, statistically p <0.05 there is a relationship between the impact of the pandemic and the 2nd and 3rd-trimester pregnancy visits. Mann Whitney with a higher ranking ratio (mean) between the affected groups (66.92) and those not affected (41.59). Thus, s who were affected by the pandemic were economically more likely to not attend pregnancy visits compared to those who were not economically affected by the pandemic. The results of the study show that there is a relationship between the impact of the COVID-19 pandemic and the unity of mothers carrying out pregnancy visits during the pandemic, this is due to government policies to limit and also anxiety of pregnant women.
This research was motivated by pregnant women who endured HIV/AIDS during the Covid-19 pandemic. Their self-sufficiency was low or very low because they were incapable generate a readiness to prevent and overcome the disease problems they suffered. The theory of reasoned action (TRA) developed into the theory of planned behavior (TPB). This conceptual framework refers to combining the Kopelmen's with the theory of planned behavior (TPB) in influencing midwives in PMTCT actions on HIV AND AIDS care independence. Data analysis uses Structural Equation Model analysis - SEM. It combines several aspects contained in path analysis and confirmatory factor analysis to estimate several equations simultaneously. The study found that organizational characteristics (X1) effect on the midwives' role (Y) had a positive and significant effect. The work characteristics (X2) effect on midwives' role (Y) is positive and significant. The organizational characteristics (X1) effect on the pregnant women's independence (Z) is positive and not significant. The work characteristics (X2) on the independence of pregnant women (Z) have a positive and significant effect, and the role of midwives (Y) on the independence of pregnant women (Z) has a positive and significant effect. The result of the indirect effect shows that organizational characteristics (X1) through the role of the midwife (Y) have a positive and insignificant effect on the independence of pregnant women (Z), and work behavior (X2) through the role of the midwife (Y) has a positive and significant effect on the independence of pregnant women ( Z). Research recommends improving the reward system, training, and development as well as the leadership of each midwife. To carry out their duties and functions of providing health services to HIV and AIDS care in each Puskesmas as a form of organizational characteristics that affect the role of midwives in PMTCT actions in Makassar City. Maintaining the achievement of performance goals and the resulting feedback as work characteristics of midwives that will affect the role of midwives in PMTCT actions in Makassar City.
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