Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.

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<p>ABSTRACT</p><p>Background: Severe malnutrition is a state of severe malnourished condition caused by low consumption of energy and protein in a long time. Severe malnutrition interferes the children growth and development, moreover malnourished children are vulnerable to get infectious diseases, even the death.</p><p>Objectives: To analyze the risk factors of severe malnutrition among children under five in Donggala, Central of Sulawesi Province.</p><p>Methods: This study used case-control (observational study). The study was conducted in District Dampelas Donggala on July to September 2014. The population was all children underfive selected by total sampling method. The samples were 64 children aged 0-59 months which separated into 2 groups,<br />case and control group.The independent variables were the level of energy intake of protein, parenting, and infectious diseases, while the dependent variable was the incidence of severe malnutrition among children under five. Data were obtained by direct interview using questionnaire and recall 24 hours to determine the level of energy and protein intake. The data collected were analyzed using univariate analysis (descriptive), bivariate (chi-square), and multivariate (multiple logistic regression).</p><p>Results: The result of this study based on the bivariate analysis presented that the level of energy intake (OR=9.86, 95% CI:3.49-27.89), infectious disease (OR=2.83, 95% CI:1.10-7.31), and as low birth weight external variables (OR=5.76, 95% CI:1.43-23.20) signifi cantly associated with the incidence of severe malnutrition. There were no significant association between the level of protein intake (OR=1.18, 95% CI:0.47-2.92) and parenting (OR=1.21, 95% CI:0.50-2.92) with the incidence of severe malnutrition. In the other hand, based on multivariate analysis by controlling the variable of low birth weight history, this study’s result presented that the level of energy intake had the strongest association with the risk of incidence of severe malnutrition compared to the other variables.</p><p>Conclusions: The level of energy intake and infectious disease were the risk factors for the incidence of severe malnutrition among children under five, while the level of protein intake and parenting were not.</p><p>KEYWORDS: children underfive, energy, infectious disease, parenting, protein, severe malnutrition</p><p>ABSTRAK</p><p>Latar belakang: Gizi buruk adalah keadaan kurang gizi tingkat berat yang disebabkan oleh rendahnya konsumsi energi dan protein dalam waktu cukup lama. Kekurangan gizi selain mengganggu pertumbuhan dan perkembangan, dapat pula mengakibatkan balita rentan terhadap penyakit infeksi bahkan dapat<br />menyebabkan kematian.</p><p>Tujuan: Untuk menganalisis faktor risiko kejadian gizi buruk pada balita di Kabupaten Donggala, Provinsi Sulawesi Tengah.</p><p>Metode: Jenis penelitian ini observasional dengan rancangan case-control. Penelitian dilakukan di Kecamatan Dampelas, Kabupaten Donggala pada bulan Juli sampai September 2014. Populasi adalah semua balita dan sampel ditentukan dengan metode total sampling. Balita usia 0–59 bulan yang berjumlah 64 dimasukkan pada masing-masing kelompok kasus dan kontrol. Variabel bebas yaitu tingkat asupan energi protein, pola asuh, dan penyakit infeksi sedangkan variabel terikatnya adalah kejadian gizi buruk pada balita. Data diperoleh dengan wawancara langsung menggunakan kuesioner dan recall 24 jam untuk mengetahui tingkat asupan energi dan protein. Data dianalisis dengan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik berganda).</p><p>Hasil: Hasil analisis bivariat menunjukkan bahwa tingkat asupan energi (OR=9,86, 95% CI:3,49-27,89), penyakit infeksi (OR=2,83, 95% CI:1,10-7,31), dan variabel luar BBLR (OR=5,76, 95% CI:1,43-23,20) berhubungan signifikan dengan gizi buruk. Tidak ada hubungan yang signifikan antara tingkat asupan protein (OR=1,18, 95%CI:0,47-2,92) dan pola asuh (OR=1,21, 95%CI:0,50-2,92) dengan gizi buruk. Hasil analisis multivariat dengan mengendalikan riwayat BBLR menunjukkan bahwa tingkat asupan energi memiliki hubungan kuat dengan risiko kejadian gizi buruk dibandingkan variabel lainnya.</p><p>Kesimpulan: Tingkat asupan energi dan penyakit infeksi merupakan faktor risiko kejadian gizi buruk pada<br />balita, sedangkan tingkat asupan protein dan pola asuh bukan merupakan faktor risiko.</p><p>KATA KUNCI: balita, energi, penyakit infeksi, pola asuh, protein, gizi buruk, gizi</p>

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Based on the Basic Health Research on 2013, Indonesia is currently experiencing the global burden diseases. The prevalence of nutritional problems is higher than the limit of nutritional problems in the community, e.g. stunting 37.2 %, underweight 19.6%, and overweight 11.9%. This situation is quite alarming for the quality of Indonesian human resources. Therefore, guidelines for balanced nutrition that consists of 10 nutrition messages become important to solve. To know the readability of the guidelines in community, the perception of health center officers, cadres of posyandu, and academics to guidelines are needed.</em></p><p><em><strong>Objectives</strong>: To explore the perception of health center officers, cadres of posyandu, and academics to guidelines for balanced nutrition 2014.</em></p><p><em><strong>Methods</strong>: This research was a qualitative-based research with focus group discussions (FGD) methods. There were three different groups conducted in this research, e.g. health center officers, cadres of posyandu, and academics.</em></p><p><em><strong>Results</strong>: There were some unclear messages to all groups, such as the words “many” and “enough” in the second message, “high protein” in the 3rd message, “safe” and “enough” in the 7th message, and “physical activity” in the 10th message. From the picture of nutrition guidelines (nutrition pyramid), there was incompatibility between the nutrition pyramid and the guidelines for balanced nutrition 2014, especially in portions and the size of picture.</em></p><p><em><strong>Conclusions</strong>: Guidelines for balanced nutrition 2014 had of been different percepted especially nutrition messages and the pyramid.</em></p><p><strong>KEYWORDS</strong><em>: perception, guidelines for balanced nutrition 2014, nutrition pyramid</em></p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Berdasarkan riset kesehatan dasar (Riskesdas) 2013, Indonesia saat ini mengalami beban ganda masalah gizi. Prevalensi masalah gizi yang ada masih melebihi batas masalah gizi masyarakat: gizi kurang dan pendek 37,2%, gizi kurang 19,6%, dan gizi lebih 11,9%. Keadaan ini cukup mengkhawatirkan bagi kualitas sumber daya manusia Indonesia. Oleh karena itu, diperlukan adanya upaya untuk memperbaiki keadaan ini dengan wujud mengeluarkan pedoman gizi seimbang (PGS) yang terdiri dari 10 pesan gizi yang telah disesuaikan oleh perkembangan permasalahan gizi di masyarakat. Untuk melihat keterbacaan pedoman gizi seimbang ini di masyarakat, perlu dilihat persepsi petugas puskesmas, kader posyandu, serta akademisi terhadap PGS 2014.</em></p><p><em><strong>Tujuan</strong>: Mengeksplorasi persepsi petugas puskesmas, kader posyandu, serta akademisi terhadap PGS 2014.</em></p><p><em><strong>Metode</strong>: Penelitian ini merupakan penelitian kualitatif dengan metode diskusi kelompok terarah (DKT) terhadap tiga kelompok berbeda, yaitu petugas puskesmas, kader posyandu, juga akademisi.</em></p><p><em><strong>Hasil</strong>: Secara keseluruhan ada beberapa poin pesan yang dirasa kurang jelas untuk semua kelompok, seperti kata-kata “banyak” dan “cukup” pada pesan 2, “protein tinggi” pada pesan 3, “aman” dan “cukup” pada pesan 7, dan “aktivitas fisik” pada pesan 10. Untuk gambar pada tumpeng gizi seimbang (TGS), ada</em><br /><em>ketidaksesuaian antara tumpeng dengan PGS 2014, khususnya pada porsi dan ukuran gambarnya.</em></p><p><em><strong>Kesimpulan</strong>: Sejauh ini, PGS 2014 masih memunculkan beragam persepsi terkait poin-poin pesan dan juga gambarnya.</em></p><p><strong>KATA KUNCI</strong><em>: persepsi, pesan gizi seimbang (PGS) 2014, tumpeng gizi seimbang (TGS) 2014</em></p>

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