AMIR(Ayo Minum aIR) : Ubah perilaku hidrasi sehat sejak anak-anak
Academic Health System Universitas Indonesia Budi Wiweko
AMIR (Ayo Minum aIR):
Ubah perilaku hidrasi sehat sejak anak-anak
wiwekobudi@yahoo.co.idGERAKAN AMIR
A yo M inum a
IR Jombang, 11 March 2017
Outline of The Talk
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 ? Other universi9es and research Human nutri9on research cluster ins9tute
Danone research Educa9on media kit Danone ins9tute Indonesia Road show – Talk show
Research funding agency SEAMEO Recfon Conference Public rela9on
Interna9onal publica9on Research collabora9on Training - Educa9on Research
Guidelines Focus group discussion
IHWG Books Survey
Sharing hydra9on Advancing hydra9on science science Hydra9on and Health
Advocacy and collabora9on Didirikan Juni 2012
INDONESIA Current situa9on in Indonesia
Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in Indonesia
INDONESIA
Hydra9on
Disability – adjusted life years (DALYS)
and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in
INDONESIA Indonesia
Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in
OBESITY PREVALENCE
Indonesia
Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in
OBESITY PREVALENCE
Indonesia
Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
INDONESIA Current situa9on in Indonesia
Increasing aging popula9on
Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care Where do we go from
Mean Daily Intake of Different Fluid Types (ml/Day) of Children (4–9 Years)
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
Mean Daily Intake of Different Fluid Types (ml/Day) of Adolescents (10–17 Years)
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
CONTRIBUTION (%) OF THE DIFFERENT FLUID TYPES TO TOTAL FLUID
INTAKE OF CHILDREN (4–9.9 YEARS)
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
CONTRIBUTION (%) OF THE DIFFERENT FLUID TYPES TO TOTAL FLUID
INTAKE OF ADOLESCENTS (10–17.9 YEARS)
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
Total daily consump9on of different types of beverages (L/day) for total popula9on
Intake of water and different beverages in adults across 13 countriesCurrent
Contribu9on of the different types of beverages to TFI stra9fied by country
situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
Energy intake (in kcal) of different types of fluid intake by country and total populaZon
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
ParZcipants exceeding WHO recommendaZons for free sugar (<10 % of energy), considering only fluid intake
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
FL U
5
T _W A T E R T _HO T T _MIL K S T _S
B al i C Jav a E Jav a Jab o d e tab e k K al im an tan
Banjarmasin-urban Pon9anak-urban Samarinda-rural Samarinda-urban
Bogor-urban Depok-urban Jakarta-urban Tangerang-urban
Kab. Malang-rural Kota Malang-urban Surabaya-urban Bekasi-urban
Kab. Semarang-rural Magelang-urban Semarang-urban Yogyakarta-urban
3 Buleleng-urban Denpasar-urban Jembrana-urban
2 2.
ID
5
1 1.
5
IN 0.
IN
IN G T O ARE A
IN T AK E AC C O RD
Volume (L) S o u rce : U & A In d o n e sia 2012 Current situa9on in Indonesia
Hydra9on and health promo9on
“ Water is essen9al for life and maintaining op9mal levels of hydra9on is important for humans to func9on well “
Hydra9on is missing part
Individual water needs vary widely depending on many factors including
of nutri9onal
body size and composi9on, the environment and levels of physical ac9vity
care Where do we go from
HYDRATION AND HEALTH
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is
Pregnancy Kidney
missing part of nutri9onal care Where do we go from
HYDRATION AND HEALTH
Current situa9on in Indonesia
Hydra9on and health promo9on
Geriatric
Hydra9on is missing part
Nutri9on
of nutri9onal care Where do we go from
HydraZon and health: a review Does it maCer where we get our water from?
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in Indonesia
Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care Where do we go from
Current situa9on in Indonesia
all care segngs
1. Dehydra9on affects people in
Hydra9on and health
pa9ent safety issues such as pressure
2. Dehydra9on is linked to
promo9on
ulcers, falls, urinary tract infec9ons, kidney injury and sepsis vary and depend on height, weight,
3. Hydra9on requirements Hydra9on is age and medical condi9on missing part 4.
of nutri9onal Acute care clinicians must have the skills and competencies to
care provide fluids through enteral feeding tubes and intravenously be recognised and treated at an early5. Dehydra9on needs to
Where do
stage in the community before hospital admission becomes
we go from
Current situa9on in Indonesia Hydra9on and health promo9on
Hydra9on is “ Dehydra9on contributes to poor pa9ent outcomes missing part and can lead to avoidable harm “ of nutri9onal care
Where do we go from
Current situa9on in Indonesia Hydra9on and health promo9on
Hydra9on is missing part of nutri9onal care
Where do we go from
“ Advancing and sharing hydra9on science “ Current
Balanced Diet
situa9on in Indonesia Hydra9on and health promo9on
Adequate hydra9on
Hydra9on is missing part of nutri9onal care
Where do we go from
Current situa9on in Indonesia Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care
Where do we go from
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
The researchers analyzed data from 2009-2012 on more than 4,000 children and adolescents from the
Current situa9on in Indonesia Hydra9on and health promo9on Hydra9on is missing part of nutri9onal care
Where do we go from
AMIR’S EDUCATIONAL TOOLS 2017
Komik AMIR Buku PanduanKomik AMIR Jingle “Aku Mau Air Aku Sehat”
KEBUTUHAN CAIRAN masing masing kelompok usia berbeda Pada anak usia 4-6 tahun, butuh ±6 gelas air
Ukuran Kebutuhan cairan/ Kebutuhan RumahTang Umur
hari cairandari minuman
(Tahun) ga (ml) (ml) (URT)1200 960 ± 5 Gelas 1 — 3
1500 1200 ± 6 Gelas 4 — 6
1900 1520 ± 8 Gelas 7 — 9
LOKASI GERAKAN AMIR TAHUN 2017
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
AMIR Goes to Lubuklinggau “Rekor MURI”
18-21 Mei 2017 Penghargaan HAKI AMIR
7 Desember 2017 PengMas DRPM UI
Juli-Desember 2017
11 Maret 2017
Jakarta nd
March, 2 2017
REKOR MURI
EDUKASI HIDRASI SEHAT KEPADA PESERTA TERBANYAK DI INDONESIA
Lubuklinggau, 19 Mei 2017
AMIR telah mencetak rekor MURI di 107 Sekolah Dasar dan kepada 27.313 SiswaGAMES
ihwG AMir EducaZon & Science
an Android Based
ApplicaZon
AMIR’s EducaZonal Tool Terbaru di 2018
Fitur-Fitur pada GAMES saat ini QUIZ DEWASA + SKOR QUIZ ANAK + SKOR Harapan Fitur ke Depannya :
§ Kuesioner yang dapat digunakan
STATUS HIDRASI
untuk monitoring terhadap (Urine Colour Chart) intervensi hidrasi sehat
KALKULATOR INDEKS
§ GPS tracker
MASSA TUBUH
§ Progress tracker kader § Chagng antar Kader Kesehatan
ARTIKEL KESEHATAN
§ Ra9ng/Feedback
KONSEP EDUKASI HIDRASI DENGAN APPS GAMES
Project Team
& Applica9onDeveloper
Educa9on & App Trial Health Cadre Health Cadre Health Cadre
Educa9on and App Trial Educa9on & App Trial Educa9on & App Trial
Community Community Community
FLUID INTAKE STUDY ANAK
• IHWG sudah melakukan peneli9an terkait gerakan AMIR yang
dilakukan dalam rentang bulan Januari-September 2017dengan 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 mengedukasi kembali ke anak-anak.
JAKARTA MALUKU
Prelis9ng and (Urban Group) (Rural Group)
Informed consent
UG 1 RG 1
Baseline
UG 2 RG 2
(±3 weeks) KELOMPOK
INTERVENSI UG 3 RG 3 Intervention (4 weeks)
UG 4 RG 4 UG 5 RG 5 Endline (±3 weeks)
UG1 & RG1 = Suplai air minum dan pemberian edukasi ke
guru PAUD + pengasuh
UG2 & RG2 = Suplai air minum dan pemberian edukasi ke
GURU-GURU PAUD DI KOTA AMBON DAN KAB. MALUKU TENGAH
Perubahan Asupan Minuman Siswa
ml 12201200 1180 Baseline 1160
(setelah 1 bulan diberi perlakuan) Endline (setelah 3 bulan dari endline) Follow- up
1140 1120
Perbedaan Perubahan Asupan Minuman Siswa
Berdasarkan Pemberi Edukasi ml 12401220 1200 1180
Baseline 1160 Endline 1140 Follow- up 1120
1100 1080
Perbedaan Perubahan Asupan Minuman Siswa
di Jakarta dan Maluku
200 400 600 8001000 1200 1400 1600
Baseline Endline Follow-up ml
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.
6. Upaya edukasi guru dan orang tua terbuk9 meningkatkan perilaku hidrasi sehat anak-anak.
T H A N K Y O U “ DRINK UP ”: New Campaign to Encourage Drinking Water