M. Zen Rahfiludin
Program Studi Magister Gizi Masyarakat Universitas Diponegoro Semarang, Jl. Hayam Wuruk 5 Semarang

Published : 49 Documents
Articles

GAMBARAN PENGETAHUAN SIKAP DAN PRAKTIK IBU DALAM MENYEDIAKAN KONSUMSI SAYUR PADA ANAK USIA SEKOLAH DASAR DI SEMARANG TAHUN 2016 Ghassani, Livia Nur; Aruben, Ronny; Rahfiludin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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One of the foodstuffs that are essential to obtain the balance of food consumption is a vegetable. Vegetable consumption in children of school age is still very low. According to the FAO in 2010 only 63.3% of primary school age children in Indonesia who consume vegetables. Low vegetable consumption in children can lead to decreased endurance and constipation. Mothers may affect the food choices of children by providing specific food including vegetables. This study aims to describe the knowledge, attitudes and practices of mothers in providing vegetable consumption in children of the primary school in Semarang in 2016. This type of research is descriptive qualitative research with in-depth interviews. Subjects of this study amounted to 10 key informants in SD N Jabungan and 10 key informants in SD N Pendrikan Lor 03, as many as 22 people as informants triangulation which includes 20 children and two PKK. The results of the study informants in SD N Pendrikan Lor 03 has a good knowledge compared with an informant in SD N Jabungan. More than half of the informants in SD N Jabungan have a negative attitude while in SD N Pendirikan Lor 03 having a positive attitude. Practice informants in SD N Jabungan in a vegetable serving an average of 1-9 times / week. The vegetables were served less diverse and vegetable processing methods performed by the informant was still lacking. Informants in SD N Pendrikan Lor 03 in a vegetable serving an average of 10-14 times / week. Vegetable processing methods are still lacking, but in this case, the informant was much more creative in presenting vegetables for her son if it is difficult to consume vegetables is by making innovation.
HUBUNGAN PENGETAHUAN SISWA SEKOLAH DASAR DENGAN KONSUMSI MINUMAN SERBUK INSTAN DI SD NEGERI SENDANG MULYO 03 SEMARANG Henny, Elisa; Kartini, Apoina; Rahfiludin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Artificial sweetners are food additives which can cause a sweet taste in food, but it has no nutritional value. The artificial sweetners which are used exceeds the normal limits can affect for health, but in the fact artificial sweetners is used to reduce the cost of production and children at the school age are the most consument of instant drink in powder form. This research is purpose to determine correlation of elementary school students? knowledge and frequency consumption of instant drink in powder form. The types of research is used sectional cross design. The respondents for this research are elementary school students at three, four, and five grade as many as 81 people were take by simple random sampling. Bivariate analysis used Rank Spearman test. The result showed some knowledge of instant drink is good (72,6%) and frequency consumption are often (74,1%). Laboratory results of the three types of instant powder drrinks were tested (guava of Marimas, sweet mango of NutriSari, and Milo) showed guava of Marimas and sweet mango of NutriSari are positive containing saccharin(976,46 ppm) and (911,62 ppm), but Milo is not containing of saccharin. Stastistical test showed there was no correlation of elementary school students knowledge and frequency consumption of instant drink in powder from (p=0,473). Suggested from this result research that had good knowledge needs to be balanced by good manners as well in order to reduce the number of frequency of consumption of instant drink in powder form.
HUBUNGAN KEIKUTSERTAAN KELAS IBU HAMIL DENGAN PERILAKU IBU DALAM PERAWATAN MASA NIFAS (STUDI DI PUSKESMAS CEPIRING KABUPATEN KENDAL) Khofidzoh, Anisatul; Rahfiludin, M. Zen; Kartasurya, Martha Irene
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Maternity class which aimed to decrease maternal mortality rates, has been implemented in Kendal District since 2010. Maternity class in Cepiring (one of the primary health care center in Kendal) has been held in 15 places but the rates of postpartum visit (KF3) still low in 2014. The research objective was to analyze the association between the maternity class attendance and knowledge, attitude and practice of postpartum careamong post partum mothers inCepiring Primary Health Care Center working area. This study was an explanatory study with a cross-sectional approach. The population was 204 postpartum mothers who lived in Cepiring during January-March 2016. Among them 66 subjects were chosen through purposive sampling method. Data were analyzed by Chi Square tests. The results showed that precentage of postpartum mother?s with low konwledge was 54.5%, postpartum mother?s with good attitude was 68.2%. postpartum mother?s with good practice was 57.6%. There were associations between the maternity class attendance and knowledge (p=0.002) and attitude (p=0.013). There was no association between the maternity class attendance and  postpartum care practice (p=0.646). It is concluded that the maternity class attendance was associated to knowledge and attitude in postpartum care. It was suggested that the midwives motivate the postpartum mothers to attend the maternity class and apply their knowledge of post partum care in practice.
FACTORS AFFECTING PREGNANT WOMEN IN PREPARATION OF EARLY BREASTFEEDING INITIATION (IMD) AT GROBOGAN REGENCYS Yuliana, Aniestia; Rahfiludin, M. Zen; Nugraheni, Sri Achadi
KEMAS: Jurnal Kesehatan Masyarakat Vol 15, No 2 (2019)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v15i2.20547

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Exclusive breastfeeding will be realized if mother start implementing Early Breastfeeding Initiation (IMD) program. The purpose of this study is to investigate factors influencing pregnant women in preparation for early breastfeeding initiation (IMD) in Grobogan regency. Study method is quantitative with cross-sectional design. Total population is 716 pregnant women with minimal of 85 sample after calculations. To anticipate drop out, 100 samples will be collected. Independent variable is the factors influencing preparation of IMD in pregnant women and dependent variable is preparation of Early Breastfeeding Initiation (IMD). Data was analyzed using multiple logistic regression. The analysis showed no significant relation between factors such as education, knowledge, attitudes, breastfeeding experience, husband/family support, participation in classes of pregnant women, the role of health workers with preparation for IMD. In contrast, the variable trust had a significance value of 0.001 <0.05. We conclude that IMD preparation of pregnant women is most influenced by trust.
PENGARUH PEMBERIAN EDUKASI KEAMANAN PANGAN TERHADAP PERUBAHAN PENGETAHUAN DAN SIKAP PEDAGANG PENYETAN DI WILAYAH TEMBALANG Ratnasari, Dwi Kurnia Yulia; Rahfiludin, M. Zen; Pangestuti, Dina Rahayuning
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 4 (2018): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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The high incidences of food poisoning and foodborne disease can be attributable to someone?s low knowledge of food safety, which leads to the selection of the wrong attitude. Low levels of knowledges and attitudes about food safety will cause someone has a bad practice of food safety. Food safety education is done by extension method using module as media because two-way communication can be more helpful to increase knowledge and behavior and use of module as educational media have some advantages that is material which poured in module more complete, clear and educative. The aim of this research is to analyze the influence of education with food safety module on knowledge and attitude changes on penyetan traders in Tembalang Region Semarang City. Research type is Quasi Experimental with One group pre test-post test design. Sampling technique using purposive sampling with 58 people of samples. Different test using  Wilcoxon Signed Rank test. There is an average number of respondent's knowledge before and after intervention (p = 0.0001). There is difference of mean of attitude of respondents before and after intervention (p = 0.0001).
STAKEHOLDER MAPPING ANALYSIS OF FIRST 1000 DAYS OF LIFE PROGRAM IN SEMARANG Nursanti, Dian; Jati, Sutopo Patria; Rahfiludin, M. Zen
Jurnal Manajemen Kesehatan Indonesia Vol 5, No 3 (2017): Desember 2017
Publisher : Prodi Magister Ilmu Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat Undip

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jmki.5.3.2017.48-55

Abstract

There is a gap between the implementation of the first 1000 days of life Program on the Implementation Guidelines in Semarang City, among others health workers are not well informed about the program, there is no specific structure in the implementation of first 1000 days of life program in Semarang City in accordance with the first 1000 days of life program Implementation Guidelines, and there has not been an integrated step from the Health Department related to the first 1000 days of life program, therefore it is necessary to analyze stakeholder mapping related to its role and function in supporting the 1000HPK program.This research is an observatioal research with qualitative method. Respondents in this study were representatives of stakeholders involved in the 1000HPK Program in Semarang City. In determining the respondents, the researcher uses purposive sampling to assess stakeholder perceptions on the level of influence of power, level of interest, and attitudes of each stakeholder linked to the role of each stakeholder and process indicator of the first 1000 days of life program.The modification group of the stakeholder classification model is as follows: Decision makers include: Regional People's Representative Assembly of Semarang City and BAPPEDA Semarang City, Provider: Health Office of Semarang City, IBI (Indonesian Midwives Association) Semarang City, IDI (Indonesian Doctors Association) Semarang City, Ministry of Religious Affairs Semarang, Education Office of Semarang City, and Academics. Client: PHC, Pregnant Women, Breastfeeding Mothers, Cadre (Dasawisma). Representative: FMM (Forum Masyarakat Madani), Business World, Print Media, Television Media.The results of identification of stakeholders of decision makers and client groups, all states support for the first 1000 days of life Program Process Indicators, but for the provider stakeholders there are groups in the "Time Bomb" position indicating that the stakeholders have not fully supported and directly involved in the first 1000 days of life Program.    
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN TERJADINYA GIZI KURANG PADA ANAK BALITA USIA 24-59 BULAN (STUDI DI WILAYAH KERJA PUSKESMAS HALMAHERA KOTA SEMARANG TAHUN 2017) Arum, Rzky; Rahfiludin, M. Zen; Nugraheni, Sri Achadi
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 3 (2017): MEI
Publisher : Fakultas Kesehatan Masyarakat

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Data of surveilans nutritional Indonesian on 2016 mentioned percentage of moderately malnourished in Indonesia severally 11,1%, this grade identified that Indonesian belong to country with undernutrition (>5%). The aim of this research was to review factor who has connection with malnourished children aged 24-59 month at Halmahera local goverment clinic, Semarang city. This research using quantitative method with analytic descriptive and chase control design. Respondense of this research were 68 mom and children consist 34 chases and 34 control,  and continued using chi-square test. Results of this research showed that mother?s education (CI= 0,616-6,139 ; OR= 1,944) was not correlate and was not a risk factor, mother?s knowledge (CI= 0,343-2,302 ;OR=0,889) was not correlate and was not a risk factor but a protective factor, infectious disease (CI= 0,431-2,950; OR= 1,128) was not correlate and was not a risk factor, toddlers caring pattern (CI= 0,305-2,048 ; OR= 0,790) was not correlate and was not a risk factor but a protective factor, total family member (CI= 0,639-4,851 ; OR= 1,833) was not correlate and was not a risk factor, economic status (CI=0,466-3,786 ; OR= 1,329) was not correlate and was not a risk factor, utilization of health service (CI= 0,229-4,373 ; OR= 1,000) was not correlate and was not a risk factor, Level of Energy Consumption (CI= 0,097-1,030 ; OR= 0,316) was not correlate and was not a risk factor but a protective factor, and Level of Protein Consumption (CI= 0,284-6,681 ; OR= 1,378) was not correlate and was not a risk factor. This research recommended mothers to keep maintaining toddler?s nutritional intake in order to increase toddler?s nutritional needs, and mothers were suggested to bring KMS so they could see the children?s development graphs.
SUPLEMENTASI VITAMIN E DAN PROFIL LIPID PENDERITA DISLIPIDEMIA: STUDI PADA PEGAWAI RUMAH SAKIT PROFESOR DOKTER MARGONO SOEKARJO PURWOKERTO Krisnansari, Diah; Kartasurya, Martha Irene; Rahfiludin, M. Zen
MEDIA MEDIKA INDONESIANA 2011:MMI Volume 45 Issue 1 Year 2011
Publisher : MEDIA MEDIKA INDONESIANA

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ABSTRACT Vitamin E supplementation and lipid profile in patients with dislipidemia Background: The prevalence of dislipidemia in Indonesia increase lately. Vitamin E has important role in cholesterol metabolism and protecting low density lipoprotein cholesterol against oxidation. This study was to investigate the effect of vitamin E supplementation on lipid profile.Method: The study was a randomised controlled clinical trial. Subjects were the employees of Professor Doctor Margono Soekarjo hospital aged 30-50 years who suffered from dislipidemic. The supplementation groups received 400 IU vitamin E and the control group received placebo once a day for 30 days. Lipid profile was examined using vitros system chemistry analyser 250 dan 350. Nutritional intake were gathered using food recall method and processed with nutrisurvey. Analyses were conducted using T-test, Mann Whitney, Wilcoxon and Chi square tests.  Result: There were no differences in total (p=0.910), LDL (p=0.457) and HDL cholesterol levels (p=0.809) as well as trigliseride level (p=0.687) between the two groups before suplementation. There were differences in total (p=0.004) and LDL (p=0.002), there were no differences in HDL cholesterol level (p=0.332) and trigliseride level (p=0.940) between the two groups after supplementation. There were differences on the changes in total cholesterol (p=0.001) and LDL cholesterol (p=0.000) and no differences on the changes in HDL cholesterol level (p=0.197) as well as trigliserida level (p=0.438). There was no difference in nutritional intake between the two groups. Conclusion: That supplementation of vitamin E 400 IU once daily for 30 days improve lipid profile. Keywords: Dislipidemia, vitamin E, total cholesterol, LDL cholesterol, HDL cholesterol, trigliseride   ABSTRAK Latar belakang: Angka kejadian dislipidemia di Indonesia semakin meningkat. Vitamin E merupakan antioksidan penting dalam metabolisme kolesterol, melindungi kolesterol LDL terhadap oksidasi dan meningkatkan kolesterol HDL. Penelitian ini bertujuan mengetahui pengaruh suplementasi vitamin E terhadap profil lipid penderita dislipidemia. Metode: Desain studi adalah acak buta ganda terkontrol dengan subyek 42 orang karyawan RS Profesor Dokter Margono Soekarjo penderita dislipidemia yang berusia 30-50 tahun, dibagi menjadi dua kelompok yaitu 22 orang memperoleh vitamin E 400 IU dan 20 orang memperoleh placebo sekali sehari selama 30 hari. Karakteristik subyek diperoleh melalui wawancara, berat badan dan tinggi badan diperoleh melalui pengukuran. Profil lipid diukur sebelum dan sesudah suplementasi dengan vitros system chemistry analyser 250 dan 350. Asupan gizi diperoleh melalui food recall dan dianalisis dengan program nutrisurvey. Data dianalisis dengan uji T, Mann Whitney, Wilcoxon dan Chi square. Hasil: Tidak ada perbedaan kolesterol total (p=0,910), kolesterol LDL (p=0,457), kolesterol HDL (p=0,809) dan trigliserida (p=0,687) antara kedua kelompok sebelum suplementasi. Ada perbedaan kolesterol total (p=0,004) dan kolesterol LDL (p=0,002), tidak ada perbedaan kolesterol HDL (p=0,332) dan trigliserida (p=0,940) antara kedua kelompok sesudah suplementasi. Ada perbedaan perubahan kolesterol total (p=0,001) dan kolesterol LDL (p=0,000), tidak ada perbedaan perubahan kolesterol HDL (p=0,197) dan trigliserida (p=0,438) antara kedua kelompok. Tidak ada perbedaan asupan gizi antara kedua kelompok. Simpulan: Suplementasi vitamin E 400 IU sekali sehari 30 hari dapat memperbaiki kolesterol total dan kolesterol LDL penderita.  
HUBUNGAN ASUPAN KALSIUM,VITAMIN D, FOSFOR, KAFEIN, AKTIVITAS FISIK DENGAN KEPADATAN TULANG PADA WANITA DEWASA MUDA (STUDI KASUS PADA MAHASISWI S1 REGULER FAKULTAS KESEHATAN MASYARAKAT UNIVERSITAS DIPONEGORO ANGKATAN 2014) Khoiriyah P., Fitri; Rahfiludin, M. Zen; Pradigdo, Siti Fatimah
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): JULI
Publisher : Fakultas Kesehatan Masyarakat

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Bone density is a bone mass in our body that shows bone compactness. Bones that we do not keep early can cause abrasion. The occurrence of bone loss even to the osteoporosis can be influenced by factors that can not be changed as well as factors that can be changed. The purpose of this research is to know the relationship between calcium, phosphorus, vitamin D intake, caffeine, and physical activity with bone density of young adult women in Regular S1 student of Faculty of Public Health Diponegoro University 2014. This research is an analytical quantitative research with cross sectional study design. Population in this research is student of Faculty of Public Health Diponegoro University force of 2014 number of 300 student which then taken sample counted 75 student with random sampling technique. Data were collected using FFQ-Semi Quantitative form, physical activity recall form PAL (Physical Activity Level), Scale measurement of bone density and analyzed using Chi Square test. The results showed that calcium and vitamin D intake classified as less (78.7% and 100%), whereas phosphorus intake was good (54.7%). Physical activity is very low (61,3%), and frequent caffeine consumption (50.7%). The results showed no association between calcium, vitamin D, phosphorus intake and physical activity with bone density (p Value> 0.05), but there was a relationship between the frequency of caffeine consumption and bone density in young adult women (p Value = 0.028). This study recommends young adult women especially college students to be able to re-adjust the intake of nutrients consumed, in addition to the need for regular physical activity in order to maintain bone density early on. 
PERBEDAAN KARAKTERISTIK BALITA STUNTING DI PEDESAAN DAN PERKOTAAN TAHUN 2017 (STUDI PADA ANAK USIA 24-59 BULAN DI WILAYAH KERJA PUSKESMAS GABUS II DAN WILAYAH KERJA PUSKESMAS PATI II KABUPATEN PATI) Lusita, Aprilliyani Pepi; Suyatno, Suyatno; Rahfiludin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Linear growth failure is the most common form of undernutrition globally. Indonesia ranks fifth in the world for the number of stunting. Stunting is suffered by approximately 8 million children in Indonesia. Some studies show that the prevalence rate of stunting among under-5 children is much higher in rural areas than urban areas. The purpose of this study was to compare the characteristics stunting among under five children in the rural and urban. Type of this study is an explanatory research method and cross-sectional design with sample sixty eight respondents in rural and urban area of Pati regency, central java. Normality test using Kolmogorov-Smirnov and analyzed using independent t-test and Mann-Whitney with ? = 0.05. The results showed that the characteristics stunting among under five children in the rural and urban area have a significant differences include mother's education (p = 0.001), the level of mother?s knowledge about nutrition (p = 0.014), duration of the upper respiratory tract infection (p=0.018). While the characteristics stunting among under five children in the rural and urban area did not have a significant differences include age of children (p=0,941), sex of children (p=0,051), Z-score of children (p=0,127), the mother?s job (p = 0.145), economic status (p = 0.487), the frequency of upper respiratory tract infection (p = 0.797), duration of diarrhea (p = 0.799), frequency of diarrhea (p = 0.824), the level of energy consumption (p = 0.816) and the level of protein consumption (p = 0.065). Conclusion : the characteristics stunting among under five children in the rural and urban area have a significant differences are include mother's education, the level of mother?s knowledge about nutrition and duration of the upper respiratory tract infection. Suggestion : to increase the mother?s knowledge about nutrition especially in rural areas.
Co-Authors Anisatul Khofidzoh, Anisatul Annisa, Aulia Apoina Kartini Arum, Rzky Astutik Astutik Bandawati, Bandawati Budiyono Budiyono Debby Rizky Amelia, Debby Rizky Devy Noviandhita Anggarani, Devy Diah Krisnansari Diana Nur Afifah, Diana Nur Dina Rahayuning Pangestuti, Dina Rahayuning Dita Kartika, Dita Dwi Ayu Novitasari, Dwi Edi Dharmana Elisa Henny, Elisa Emiyanti, Emiyanti Eni Kurniawati Febriana, Ella Hardhono Susanto Himma Sahulika, Himma Juwita Pramodya Wardhani, Juwita Pramodya Khoiriyah P., Fitri Kusumanngtyas, Wulan Ayu Livia Nur Ghassani, Livia Nur Lusita, Aprilliyani Pepi Madaliana, Nurul Aindina Madinah, Sri Mahastuti, Fannisa Mardiah Nur Arlita Nasution, Mardiah Nur Maria Mexitalia Martha Irene Kartasurya Misrina Ulil Aziza, Misrina Ulil Nadyah Ayu Ginanti, Nadyah Ayu Nia Dhesti Arindita, Nia Nur Amin, Nur Nurjannah, Camelia Nursanti, Dian NURUL HIDAYAH Nyoman Suci W, Nyoman Suci Oktiyani Puspita Sari, Oktiyani Puspita Onny Setiani Ratnasari, Dwi Kurnia Yulia Ratnawati Ratnawati Riezky Aulia Yulandani, Riezky Aulia Rini, Imas Ronny Aruben SA Nugraheni, SA Sari, Yuni Atika Selvina Arum Dewanti, Selvina Arum Setiaputri, Karinta Ariani Siti Fatimah Siti Fatimah Pradigdo Sofiyetti, Sofiyetti Sri Achadi Nugraheni Sri Winarni Suhartono Suhartono Supriyatini, Herliana Endang Surip Surip Suroto Suroto Sutopo Patria Jati Suyatno Suyatno Temi Chintia Risva, Temi Chintia Tias Larasati, Tias Titin Prihatin, Titin Virnanda Adani, Virnanda Vita Rizky Pradani Sugiyanto, Vita Rizky Pradani Wellina, Wiwien Fitrie Wijayanti, Deti Yudhy Dharmawan Yuliana, Aniestia