M. Zen Rahfiluddin, M. Zen
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PENGARUH PENYULUHAN DAN MEDIA POSTER TENTANG ANEMIA TERHADAP TINGKAT PENGETAHUAN DAN SIKAP PADA SANTRIWATI (Studi Di Pondok Pesantren Al-Bisyri Kota Semarang) Sulistyowati, Aulia Medina; Rahfiluddin, M. Zen; Kartini, Apoina
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat

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Health problems in the group of young women ages 12-19 years that are often encountered is anemia. The effects of anemia can cause ongoing stress and fatigue complications. The influencing factor is the lack of knowledge and attitudes of young women about anemia. Efforts to improve knowledge and attitudes in young women in anemia health problems can be through nutrition education. The purpose of this study was to determine the effect of nutrition education using posters on the level of knowledge and attitudes of adolescent female students. This research uses Pre-Experimental Design One Group with 36 research samples with purposive sampling technique. The research group was given a pre-test and then given nutrition education with Poster media, then post-test to be given after giving nutrition education with vulnerable time 2 weeks after being given a pre-test. The results showed that there was an increase in knowledge of the good category by 27.8% to 100% and an increase in attitude in providing good category interventions by 50% to 61.1%. Based on the Wilcoxon Signed Ranks Test and Paired t-test there are differences in the level of knowledge p = 0,001 (p <0.05) and there are differences in attitude p = 0,001 (p <0.05). The conclusion of this study is that there is an influence of nutrition education on increasing knowledge and attitudes about Adolescent Girls' Anemia. The suggestion of this research is the boarding school and the government should increase knowledge about nutrition for young women with anemia so that they can provide good attitudes and practices to be prevented by young women who have anemia.Keywords: Counseling, Poster, Anemia Knowledge, Anemia Attitude,                    Young Women
PENGARUH PEMBERIAN PENDIDIKAN MANAJEMEN LAKTASI TERHADAP PERILAKU KETUA DASAWISMA DALAM PENDAMPINGAN IBU MENYUSUI DI KELURAHAN PEDURUNGAN KIDUL KOTA SEMARANG TAHUN 2017 Nurchumaida, Ifa; Nugraheni, Sri Achadi; Rahfiluddin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat

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ABSTRACTThe mother’s lack of knowledge about lactation management can result in the low coverage of exclusive breastfeeding. Education on lactation management can involve the dawis chief. During this time the involvement head of dawis in encouraging exclusive breastfeeding is still lacking. Through lactation management can improve the mother's success in breastfeeding. The purpose of this study was to determine the effect of lactation management education by using booklet as the media on the knowledge, behavior and practice of the Dasawisma head in breastfeeding assistance in Pedurungan Kidul Sub-District.This was a pre-experimental study with one group pretest-posttest design. The sample used in this study was 37 head of dawis who has breastfeeding mothers of less than six months in their area. After that, the sample was analyzed by using wilcoxon signed ranks test. The average knowledge was increased 4,81 (p=0.0001). Increased knowledge about giving water to the baby, the breastfeeding position, bonding, how to make the baby burp and to properly store the breast milk. The average behavior was increased 1,08 (p=0.0001) to the dawis head’s behavior in bonding with the baby while breastfeeding, stimulating the baby to open their mouth before being breastfed, as well as on how to breastfeed and give breast milk properly. The average practice was increased 4,19; this meant there was also an effect of the booklet (p=0.0001) in the pratice. The dawis head’s practice was improved. The head of dawis understood about breastfeeding position, the importance of hygiene before breastfeeding, bonding, burping the baby, how to breastfeed and give the milk, and oxytocin massage. It can be concluded that the booklet can influence the knowledge, behavior and practice of the dasawisma head regarding the lactation management in breastfeeding assistance. It is suggested that to improve the knowledge, behavior and practice on lactation management can be doneby using attractive or interesting media.
TINGKAT KONSUMSI ENERGI, AKTIVITAS FISIK DAN KESEGARAN JASMANI PADA POSISI (TOSSER DAN SMASHER) ATLET BOLA VOLI Novitasari, Dwi Ayu; Rahfiluddin, M. Zen; Suroto, Suroto
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 2 (2016): MARET
Publisher : Fakultas Kesehatan Masyarakat

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Physical health is the ability of human’s body to perform physical activity without experiencing fatigue. Tosser, as well as smasher, has important roles in the game, in which tosser works as a regulator of the game, receiver of the second ball and then assist the ball to smasher to attack the opponent, in order to have more point and to win. Volleyball players need more energy and endurance so they can feel tireless. Tosser has motion activity in the field more than other players and better endurance. More motion activity requires more energy intake to created optimal physical health. The purpose of this research is to determine the differences level of energy consumption, physical activity and physical health on each position (tosser and smasher) of volleyball athlete. The type of this research is a comparative study using cross-sectional approach. The population is all tosser and smasher on Kudus’s volleyball clubs. The sample of 17 people for each group tosser and smasher use purposive sampling, the sample was selected according to research criteria so characteristics of the population can be well represented. Independent T-test was used for analysis level of energy consumption, meanwhile, Mann-Whitney U test was used for analysis physical activity and physical health. The results showed that there was no difference level of energy consumption (p=0,943), there were differences physical activity (p=0,001) and physical health (p=0,001). This research suggests that increasing energy consumption is obviously needed for an athlete. Sports nutrition consultation is also needed for coaches and parents.
PENGARUH EDUKASI BUKU SAKU TERHADAP PERILAKU ASUPAN ZAT BESI IBU HAMIL TERKAIT PENCEGAHAN ANEMIA DEFISIENSI BESI (Studi pada Ibu Hamil Trimester II Akhir di Wilayah Kerja Puskesmas Bangetayu Kota Semarang) Munawaroh, Aqilatul; Nugraheni, Sri Achadi; Rahfiluddin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat

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Iron deficiency anemia is one of the most risky nutritional problems suffered by pregnant women. Anemia in pregnancy affects the increased risk of maternal mortality, prematurity, low birth weight and infant mortality, so efforts are needed to improve anemia prevention behavior in pregnant women. The purpose of this study was to determine the effect of nutrition education using pocket book on iron intake behavior in pregnant women. The behavioral domain under study consisted of knowledge, attitudes, the level of iron adequacy and the level of adherence to the consumption of additional blood tablets in pregnant women. The method in this study is Quasy Experimental with the design of one group pre-post test. Instruments for collected data consisted of a questionnaire and a 24-hour nutrient consumption recall form. Sampling of 45 pregnant women using purposive sampling technique according to inclusion criteria. Data were tested for normality using Shapiro Wilk. Data analysis used Paired T-test and Wilcoxon Signed Ranks Test. Different test results showed differences in conditions between before and after education on the knowledge variable (p<0,05), attitude (p<0,05), iron adequacy level (p<0,05) and the level of adherence to the consumption of added tablets (p<0,05). The results of study showed an increase in the knowledge score of 3,7; the attitude score increased by 3,4; the iron adequacy level increased by 12,9% and the increase in the level of adherence to the consumption of additional blood tablets by 12,4%. The conclusion of this study is that there are effects of pocket book education at knowledge, attitudes, the level of iron adequacy and the level of adherence to the consumption of additional blood tablets in pregnant women. Suggestion from this study is that pregnant women should pay more attention to the need for iron intake during pregnancy to avoid the risk of iron deficiency anemia.
HUBUNGAN KONSUMSI SUPLEMEN TABLET FE DENGAN KEBUGARAN JASMANI (Studi pada Siswi di SMA Negeri 15 Semarang) Ramadhon, Kurnia Sari; Rahfiluddin, M. Zen; Pradigdo, Siti Fatimah
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 2 (2020): MARET
Publisher : Fakultas Kesehatan Masyarakat

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ABSTRACT Adolescent girls who experience anemia increases from 37.1% to 48.9% in 2018. To overcome anemia in adolescent girls can be done by paying attention to food intake consumed and increasing efforts so that iron is less biased sufficient every day. The impact of iron deficiency anemia in adolescents is to reduce immunity, reduce concentration of learning and can experience premature births, bleeding and abortion during pregnancy. Iron can help the process of formation of blood hemoglobin in order to facilitate O2 throughout the body, so iron (Fe) can play a role in improving physical fitness. The purpose of this study was to determine the relationship of consumption of Fe tablet supplementation with physical fitness in young women in SMA Negeri 15 Semarang. This type of research is descriptive analytic with cross sectional approach. The population of class XI adolescent girls is 214, the sampling technique uses the purposive sampling method. Samples taken as many as 67 students. The research instruments were screening questionnaire, research questionnaire, 24-hour food consumption recall and physical fitness test (using Harvard Step Test). Data analysis using the Kolmogorov-Smirnov test and difFerent tests using the Spearman Rank test. The results showed that most respondents aged 16 years were 86.6%. There was no relationship between consumption of Fe tablets with physical fitness of girls (p = 0.165), protein adequacy level with physical fitness of girls (p = 0.304) and iron intake (p = 0.291), vitamin B12 intake (p = 0.096), intake of vitamin C (p = 0.102) with physical fitness of young women. Suggestions for schools need a routine ongoing program to improve physical activity and the provision of monitoring cards for consumption of Fe tablets so that they can help improve the fitness of students in the school environment. Keyword : Adolescent Girls, Physical Fitness, Compliance, Iron TabletSupplement
HUBUNGAN PENGETAHUAN DAN SIKAP PEDAGANG DENGAN KANDUNGAN FORMALIN PADA IKAN ASIN (Studi di Pasar Tradisional WiIayah Kabupaten Rembang) Aini, Larasati Dwi Nor; Pradigdo, Siti Fatimah; Rahfiluddin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 2 (2020): MARET
Publisher : Fakultas Kesehatan Masyarakat

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Dangers of Food Additives have an impact on the human body, for example the body will experience a decline in internal organ function such as causing cancer of the respiratory tract, digestive tract infections, sore throat, dizziness, nausea, vomiting, and can cause several fatal diseases such as leukemia. This is knowing the formaldehyde content found in salted fish and the factors that influence the use of formaldehyde in the Rembang Regency area. This research uses analytic observational research with cross sectional approach. The samples in this study were all the population of 34 salted fish traders in all traditional markets in the Rembang Regency. The instruments in this study used a structured questionnaire and formalin test conducted at the Nutrition Laboratory of the Faculty of Public Health, Diponegoro University. Data processing in this research uses a statistical test that is Chi-Square test. The results of this study are from 34 respondents obtained by respondents with good knowledge as much as 58.8% and respondent attitudes classified as good as much as 82.4%. Laboratory test results showed that samples containing formaldehyde amounted to 85.3% and those that did not contain formaldehyde amounted to 14.7%. Samples that did not contain formalin layur fish type. Based on the Chi-square statistical test, p = 1.00 was obtained in the relationship between traders 'knowledge and formalin content in salted fish and p = 0.559 in the relationship between traders' attitudes and formalin content in salted fish. Based on the results of statistical tests that there is no relationship between the knowledge of traders and the attitude of traders to the formaldehyde content of salted fish. This can be used as an improvement by several related parties, namely, the Health Office who can conduct further review of formalin in salted fish in the traditional markets in the Rembang Regency 
RELATIONSHIP OF NUTRITION STATUS AND NUTRITIONAL ADEQUACY OF MORNING EATING WITH STUDENT ACHIEVEMENT OF SIDOMULYO 01 STATE ELEMENTARY SCHOOL STUDENTS WONOSALAM DISTRICT DEMAK REGENCY Mulyadi, Mulyadi; Rahfiluddin, M. Zen; Pangestuti, Dina Rahayuning
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 4 (2019): OKTOBER
Publisher : Fakultas Kesehatan Masyarakat

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The quality of human resources in all ages is influenced by various factors including school children. Nutritional status and health of school children will affect student achievement. In Indonesia, for children aged 5-12 years the short prevalence is 30.7%, in Central Java province, the short prevalence is 18% and very short 9%. This study aims to describe and analyze the Relationship between Nutritional Status and Nutritional Adequacy of Morning Meal with Student Achievement in Sidomulyo State Elementary School 01, Wonosalam District, Demak Regency.The method used in this study is quantitative with crossectional research design. The population in this study were grade 4 and 5 students at SD Negeri Sidomulyo 01 as many as 48 children. This study used a total sampling of 48 students. The variables in this study are learning achievement as a dependent variable and the independent variable is nutritional status and nutritional adequacy of breakfast. The data normality test uses kolmogrov smirnov with the result <0.05, the data is not normally distributed. Data analysis using the rank spearman test.The results showed that body mass index according to age (BMI / U), respondents had more normal nutritional status of 87.5%, adequate nutrition of breakfast less than 80% of the adequacy of the recommended breakfast. The average percentage of consumption of breakfast energy, protein, fat and carbohydrates for boys is 48.4%, 69.1%, 52.5%, and 43.7%. The average percentage of consumption of breakfast energy, protein, fat and carbohydrates for girls is 44.9%, 67.3%, 51.7%, and 38.5%. The average student's learning achievement is good (52.1%). There is no relationship between nutritional status and the nutritional adequacy of students' breakfast with learning achievement. Keywords: nutritional status, nutritional adequacy, students, learning achievement, elementary school
HUBUNGAN PENGETAHUAN DAN SLKAP LBU TENTANG GLZL, ASUPAN PROTELN DAN SENG ANAK, SERTA SANLTASI RUMAH TERHADAP STUNTLNG ANAK SEKOLAH DASAR Kholidah, Nur; Rahfiluddin, M. Zen; Pangestuti, Dina Rahayu
Jurnal Kesehatan Masyarakat (e-Journal) Vol 8, No 1 (2020): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Primary school age 1 children is a period where children begin to enter school age and the school environment, where later children will also experience rapid physical, intelligence, mental, and emotional growth. Stunting is a form of stunted growth and development of children caused by long-term malnutrition and infectious diseases. The growth of elementary school age children requires intake of macro nutrients and micro nutrients. Protein has a function in the growth and maintenance of tissues, one of the main producers of energy, part of enzymes and antibodies, transporting nutrients and regulating water balance. While Zinc plays a role in body tissue, especially in the process of growth. The need for zinc is physiologically increased during periods of rapid growth due to the process of DNA replication, DNA transcription and endocrine function. If both of these nutrients are reduced then stunted growth for child development. The purpose of this study was to determine the relationship between mother's knowledge and attitudes about nutrition, protein intake and zinc in children, and home sanitation to stunting of elementary school children. Quantitative research methods with a cross sectional approach. The number of samples was 66 students. Data analysis used chi square, fisher exact test and Spearman rank. The analysis showed a correlation between mother's knowledge and attitudes about nutrition with the incidence of stunting (p <0.05) and the absence of a relationship between protein intake and children's zinc and home sanitation with the incidence of stunting (p> 0.05). However, confounding variables showed a relationship between maternal height and history of infection with stunting (p <0.05). It is suggested to mothers that given the importance of knowledge and good attitudes from mothers regarding child development and nutrition, it is recommended that the health department provide information to mothers or prospective mothers regarding the importance of nutrition to children. It aims to minimize the incidence of stunting in children.
GAMBARAN STATUS GIZI PEKERJA BANGUNAN WANITA DI KECAMATAN TEMBALANG KOTA SEMARANG TAHUN 2016 Fitriananto, Danan Surya; Widajanti, Laksmi; Aruben, Ronny; Rahfiluddin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat

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On-site construction work for women is heavy, and the complexity of the factors is direct. Nutrition status in workers has an important role, both for the interest and in order to improve discipline and work productivity. Therefore, it is needed and in accordance with the type or work performed. This research is an observational analytic research with cross-sectional approach. Data were collected using questionnaires and body mass index instruments (IMT). The research was conducted in four housing in Tembalang sub-district, Bukit Cemara Residence, GriyaTembalang Sejahtera, Citra Grand, and Bukit Pandanaran. The number of samples in this study using Lamesshow sample formula is 67 women workers. Female construction workers who have thin category have 3 people (4.9%) who have high productivity level and 3 people (4.9%) who have low porductivity level. Women with normal nutritional status are 25 people (40.9%) who have high productivity and 7 people (11,4%) have low level. Meanwhile, on nutritional status of fat there are 8 people (13,1%) which have high productivity and 15 people (24,6%) have low level. There is correlation of nutrient status with work productivity at woman worker of building in Tembalang Sub-district Semarang City. 
HUBUNGAN BODY IMAGE DENGAN POLA KONSUMSI DAN STATUS GIZI REMAJA PUTRI DI SMPN 12 SEMARANG Yusinta, Dina Happy; Pradigdo, Siti Fatimah; Rahfiluddin, M. Zen
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): APRIL
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An adolescent especially girl have a tendency to trying to lose weight for the ideal body they want to achieve. Food consumption that is not good will result in the nutritional status of adolescents. This research was conducted to analyze the relationship between body image and with food consumption and nutritional status of female adolescents at 12 Junior High School Semarang. This study was a quantitative observational study using a cross sectional study on 65 female students at 12 Junior High School Semarang selected by simple random sampling. Body image data was obtained with the MBSRQ-AS Multidimensional Body Self Relation Questionnare Apprearance Scales questionnaire, food consumption with Food Frequency Questionnaire (FFQ), and nutritional status with IMT according to age and analyzed using Rank Spearman. The results showed that most of the students were 14 years old (75.4%), negative body image (body image) 47.7%, consumption patterns were not good 90.8% and malnutrition nutritional status was 21.5%. There is no relationship between body image (Body image) and consumption patterns (p = 0.981) and there is no relationship between food consumption and nutritional status (p = 0.938). The need for further research to determine the factors that influence the consumption and nutritional status of adolescent especially girl in 12 Junior High School Semarang