AMIR(Ayo Minum aIR) : Ubah perilaku hidrasi sehat sejak anak-anak

(1)

Academic Health System Universitas Indonesia Indonesian Medical Educa9on and Research Ins9tute

Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital

Jakarta

Budi Wiweko

AMIR (Ayo Minum aIR):

Ubah perilaku hidrasi sehat sejak anak-anak

(2)

GERAKAN AMIR

A

yo

M

inum a

IR

(3)

1. Current situa9on in Indonesia: what is our evidence

2. Hydra9on and health promo9on

3. Hydra9on is missing part of nutri9onal care

4. Where do we go from here ?

(4)

IHWG

Hydra9on and Health Advancing hydra9on science

Sharing hydra9on science

Research Training - Educa9on

Public rela9on

Guidelines Focus group discussion

Books Interna9onal publica9on

Advocacy and collabora9on

Ministry of health Ministry of educa9on Governor Hospital

Conference Road show – Talk show

Educa9on media kit

Danone ins9tute Indonesia Danone research

Research collabora9on SEAMEO Recfon Research funding agency

Human nutri9on research cluster Other universi9es and research

ins9tute

Survey

(5)

INDONESIA

Current situa9on in Indonesia

Hydra9on and health

promo9on

Hydra9on is missing part of nutri9onal care

(6)

INDONESIA

Disability – adjusted life years (DALYS)

Hydra9on and health

promo9on

(7)

Source: WHO

INDONESIA

Hydra9on and health

promo9on

(8)

Hydra9on and health

promo9on

Where do we go from here ?

(9)

Hydra9on and health

promo9on

Source: Riskesdas

(10)

INDONESIA

Hydra9on and health

promo9on

(11)

Hydra9on and health promo9on

Mean Daily Intake of Diﬀerent Fluid Types (ml/Day) of Children (4–9 Years)

(12)

(13)

CONTRIBUTION (%) OF THE DIFFERENT FLUID TYPES TO TOTAL FLUID

INTAKE OF CHILDREN (4–9.9 YEARS)

(14)

(15)

Total daily consump9on of diﬀerent types of beverages (L/day) for total popula9on

(16)

Contribu9on of the diﬀerent types of beverages to TFI stra9ﬁed by country

(17)

Energy intake (in kcal) of diﬀerent types of ﬂuid intake

by country and total populaZon

Guelinckx et al. Eur J Nutr 2015

(18)

(19)

FL

Buleleng-urban Denpasar-urban Jembrana-urban Kab. Semarang-rural Magelang-urban Semarang-urban Yogyakarta-urban Kab. Malang-rural Kota Malang-urban Surabaya-urban Bekasi-urban Bogor-urban Depok-urban Jakarta-urban Tangerang-urban Banjarmasin-urban Pon9anak-urban Samarinda-rural Samarinda-urban Gowa-rural Makasar-urban Manado-urban Bandar Lampung-urban Deli Serdang-rural Kota Medan-urban Kota Padang-urban Lampung-rural Palembang-urban Bandung-urban Cirebon-urban Kab. Bandung-rural

(20)

“ Water is essen9al for life and maintaining op9mal levels

of hydra9on is important for humans to func9on well “

Individual water needs vary widely depending on many factors including

body size and composi9on, the environment and levels of physical ac9vity

Current

situa9on in Indonesia

(21)

HYDRATION AND HEALTH

Pregnancy

_Kidney

Kids

Sports and exercise

(22)

HYDRATION AND HEALTH

Geriatric

(23)

HydraZon and health: a review

Does it maCer where we get our water from?

(24)

(25)

Hydra9on and health

promo9on

1. Dehydra9on aﬀects people in all care segngs

2. Dehydra9on is linked to pa9ent safety issues such as pressure

ulcers, falls, urinary tract infec9ons, kidney injury and sepsis

3. Hydra9on requirements vary and depend on height, weight,

age and medical condi9on

4. Acute care clinicians must have the skills and competencies to

provide ﬂuids through enteral feeding tubes and intravenously

5. Dehydra9on needs to be recognised and treated at an early

stage in the community before hospital admission becomes

necessary

(26)

“ Dehydra9on contributes to poor pa9ent outcomes

and can lead to avoidable harm “

Hydra9on and health

promo9on

(27)

Hydra9on and health

promo9on

(28)

Balanced Diet

Current

situa9on in Indonesia

Hydra9on and health

promo9on

(29)

Hydra9on and health

promo9on

1. Syukuri dan Nikma9 Aneka Ragam Makanan, se9ap kali Makan

2. Banyak Makan Sayuran dan Cukup Buah-buahan

3. Biasakan Mengonsumsi Lauk Pauk yang Mengandung Protein Tinggi

4. Biasakan Mengonsumsi Aneka Ragam Makanan Pokok

5. Batasi Konsumsi Pangan Manis, Asin dan Berlemak

6. Biasakan Sarapan

7. Minum Air yang cukup dan Aman

8. Biasakan membaca label pada kemasan pangan

9. Cuci tangan pakai sabun dengan air bersih mengalir

10. Lakukan Ak9vitas Fisik yang Cukup dan Pertahankan Berat Badan

Normal

10 Pesan Gizi Seimbang

(30)

(31)

Hydra9on and health

promo9on

Where do we go from

here ?

STUDY: “Grab a Cup, Fill It Up!” Low-cost strategy increases

(32)

AMIR’S EDUCATIONAL TOOLS 2017

Komik AMIR

Buku Panduan

Komik AMIR

Jingle

(33)

KEBUTUHAN CAIRAN masing

masing kelompok usia berbeda

Pada anak usia 4-6 tahun,

butuh ±6 gelas air

Umur

(Tahun)

Kebutuhan cairan/

hari

(ml)

Kebutuhan

cairandari minuman

(34)

(35)

TIMELINE GERAKAN AMIR 2017

Fluid Intake

Study

Anak

Januari-Sptember 2017

Launching

&

Press Conference

Gerakan AMIR

2 Maret 2017

Car Free Day

Gerakan AMIR

12 Maret 2017

AMIR Goes to

Jombang

11 Maret 2017

AMIR Goes to

Lubuklinggau

“Rekor MURI”

18-21 Mei 2017

Penghargaan

HAKI AMIR

7 Desember 2017

PengMas DRPM UI

(36)

(37)

Jakarta

(38)

AMIR telah mencetak rekor MURI di 107

Sekolah Dasar dan kepada 27.313 Siswa

Sekolah Dasar se-Kota Lubuklinggau

bekerjasama dengan Pemerintah Kota

REKOR MURI

(39)

(40)

GAMES

ihwG AMir EducaZon & Science

an Android Based

ApplicaZon

(41)

Fitur-Fitur pada GAMES saat ini

QUIZ DEWASA + SKOR

QUIZ ANAK + SKOR

STATUS HIDRASI

(Urine Colour Chart)

KALKULATOR INDEKS

MASSA TUBUH

ARTIKEL KESEHATAN

KOMIK AMIR

Harapan Fitur ke Depannya :

§

 

Kuesioner yang dapat digunakan

untuk monitoring terhadap

intervensi hidrasi sehat

§

 

GPS tracker

§

 

Progress tracker kader

(42)

KONSEP EDUKASI HIDRASI DENGAN APPS GAMES

Project Team

& Applica9on

Developer

Health Cadre

Community

Health Cadre

Community

Health Cadre

Community

Educa9on & App Trial

(43)

FLUID INTAKE STUDY

ANAK

• _{IHWG sudah melakukan peneli9an terkait gerakan AMIR yang}

dilakukan dalam rentang bulan Januari-September 2017

dengan subjek peneli9an anak PAUD di Jakarta (urban) dan

Maluku (rural).

• _{Intervensi berupa Edukasi Komik AMIR dan senam “Aku Mau}

Air Aku Sehat” juga dilakukan selama 1 bulan kepada guru

dan orang tua siswa, dan kemudian guru orang tua

(44)

KELOMPOK

INTERVENSI

Prelis9ng and Informed

consent

Baseline (±3 weeks)

Intervention (4 weeks)

Endline (±3 weeks)

Follow up (±3 weeks)

JAKARTA

(Urban Group)

UG 1

UG 2

UG 3

UG 4

UG 5

MALUKU

(Rural Group)

RG 1

guru PAUD + pengasuh

• _{UG2 & RG2}

₌

_{Suplai air minum dan pemberian edukasi ke}

(45)

TRAINING OF

TRAINER

KOMIK AMIR

20-23 OKTOBER 2016

GURU-GURU PAUD DI KOTA

AMBON DAN KAB. MALUKU

(46)

Perubahan Asupan Minuman Siswa

1100

1120

1140

1160

1180

1200

1220

Median

Baseline

Endline

Follow- up

ml

(setelah 1 bulan diberi perlakuan)

(47)

Perbedaan Perubahan Asupan Minuman Siswa

Berdasarkan Pemberi Edukasi

1060

Edukasi Guru dan Orangtua

Edukasi Guru

Baseline

Endline

(48)

Perbedaan Perubahan Asupan Minuman Siswa

di Jakarta dan Maluku

0 Jakarta (Edukasi

Guru& Orang tua)

Jakarta (Edukasi

Guru)

Maluku (Edukasi

Guru& Orang tua)

Maluku (Edukasi

Guru)

Baseline

Endline

Follow-up

(49)

(50)

TAKE HOME MESSAGES

1. Indonesia menghadapi 3 masalah besar dalam bidang kesehatan.

2. Prevalensi obesitas di Indonesia meningkat.

3. Lebih dari 10 persen penduduk Indonesia mengkonsumsi

minuman mengandung kalori melampaui batas rekomendasi

WHO.

4. Diperlukan kebijakan pemerintah yang kuat dalam mencegah

penyakit degenera9f.

5. Gerakan AMIR merupakan upaya sistema9k dalam bidang

promo9f dan preven9f.

(51)