Monev Asupan Studi Kasus

Lampiran Analisis Nilai Gizi Recall
Berat E P L KH Serat Vit. A Vit. E Vit. K As. Folat Vit. C Na K Fe Zinc

Menu Food
g kcal g g g g µg mg mg µg mg mg mg mg mg
Siang, 18 Februari 2020
Bubur saring tepung beras 8.3 30 0.6 0 6.6 0.1 0 0 0 0.5 0 0 6.7 0 0.1
Abon ikan ikan segar 20 19.6 3.6 0.5 0 0 5.6 0.2 0 2 0 9.6 79.6 0.1 0.1
Rolade tahu telur ayam 15 23.3 1.9 1.6 0.2 0 28.5 0.3 0 6.6 0 18.6 18.9 0.2 0.2
tahu 23.3 17.7 1.9 1.1 0.4 0.3 0 0 0 3.5 0 1.6 28.2 1.3 0.2
minyak kelapa sawit 3.3 28.4 0 3.3 0 0 165 0.1 0 0 0 0 0 0 0
Sup wortel serut Carrot fresh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pisang pisang ambon 125 115 1.3 0.6 29.3 3 10 0 0 23.8 11.3 1.3 495 0.4 0.3
Gula aren gula aren 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 234 9.2 7.2 36.5 3.3 209.1 0.6 0 36.3 11.3 31.1 628.4 2 0.8
Snack sore, 18 Februari 2020

Susu kedele susu blendera mf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Malam, 18 Februari 2020

Bubur saring tepung beras 5 18 0.3 0 4 0 0 0 0 0.3 0 0 4.1 0 0.1
Orak-arik telur telur ayam 40 62 5 4.2 0.4 0 76 0.8 0 17.6 0 49.6 50.4 0.5 0.4
Rolade tahu tahu 30 22.8 2.4 1.4 0.6 0.4 0 0 0 4.5 0 2.1 36.3 1.6 0.2
minyak kelapa sawit 1.6 13.8 0 1.6 0 0 80 0.1 0 0 0 0 0 0 0
Sup wortel serut Carrot fresh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 116.7 7.8 7.3 5 0.4 156 0.9 0 22.4 0 51.7 90.8 2.1 0.7
Snack Malam, 18 Februari 2020
Susu kedele susu blendera mf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pagi, 19 Februari 2020

Bubur saring tepung beras 10 36.1 0.7 0.1 7.9 0.1 0 0 0 0.6 0 0 8.1 0.1 0.1
Rolade daging daging sapi 25 67.2 6.2 4.5 0 0 0 0 0 1.5 0 13.3 85 0.4 1
Rolade telur telur ayam 6.25 9.7 0.8 0.7 0.1 0 11.9 0.1 0 2.8 0 7.8 7.9 0.1 0.1
tahu 8.75 6.7 0.7 0.4 0.2 0.1 0 0 0 1.3 0 0.6 10.6 0.5 0.1
minyak kelapa sawit 1.25 10.8 0 1.3 0 0 62.5 0.1 0 0 0 0 0 0 0
Sup wortel serut Carrot fresh 0 0 0 0 0 0 0 0 16.5 0 0 0 0 0 0
Total 130.4 8.4 6.9 8.2 0.2 74.4 0.2 16.5 6.2 0 21.6 111.6 1 1.3
Makanan luar RS
Bakso bakso pentol 60 222 14.1 17.9 0.1 0 6 0 0 4.8 0 33 190.8 112.2 1
mie basah 30 42.3 1.4 0.2 8.5 0.5 0 0 0 2.1 0 0.3 9.3 16.2 0.2
Subtotal 264.3 15.5 18.1 8.6 0.5 6 0 0 6.9 0 33.3 200.1 128.4 1.1
Total 745.4 40.9 39.5 58.3 4.4 445.5 1.7 16.5 71.8 11.3 137.7 1031 133.5 3.9
Kebutuhan 1730 83.7 46.5 244.1 10 1000 37.5 87.5 187.5 32 15
% Pemenuhan 43.09 48.86 84.95 23.88 44 44.55 4.533 18.86 6.027 417.2 26

Menu Food
Nasi putih nasi putih 180 234 4.3 0.4 51.5 0.5 0 0 3.6 0 0 52.2 0.4 0.7
Asem bandeng ikan bandeng 60 50.3 8.9 1.4 0 0 7.2 1.2 4.8 0.6 24 201 0.2 0.3
Tempe mendoan tempe kedele murni 5 10 0.9 0.4 0.9 0.1 0.1 0.1 2.6 0 0.3 18.4 0.1 0.1
tepung terigu 2.5 9.1 0.3 0 1.9 0.1 0 0 0.4 0 0.1 2.7 0 0
Sayur kray kangkung mentah 10 1.5 0.2 0 0.2 0.2 30.3 0.2 7.3 2.5 1.6 20.2 0.1 0
gambas / oyong mentah 6 1.2 0.1 0 0.3 0.1 1.7 0 1.2 0.4 0.1 11.5 0 0
Pepaya pepaya 125 48.7 0.8 0.1 12.3 2.3 168.8 1.3 47.5 77.5 3.8 321.3 0.1 0.1
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0
minyak kelapa sawit 2 17.2 0 2 0 0 100 0.1 0 0 0 0 0 0
Subtotal 372.1 15.4 4.3 67 3.2 308 2.8 0 67.4 81 29.8 627.2 0.9 1.3

Susu susu dancow 35 162.4 7.6 6.7 18.1 0 147 1.4 14.7 12.9 112 339.5 2.8 1.2
gula pasir 10 38.7 0 0 10 0 0 0 0 0 0.1 0.2 0 0
Subtotal 201.1 7.6 6.7 28 0 147 1.4 0 14.7 12.9 112.1 339.7 2.8 1.2

Bistik ayam daging ayam 44 125.4 11.8 8.3 0 0 17.2 0 2.2 0 32.1 80.1 0.6 0.8
Oseng tahu tahu 35 26.6 2.8 1.7 0.7 0.4 0 0 5.3 0 2.5 42.3 1.9 0.3
Sup gambas gambas / oyong mentah 47 9.4 0.4 0.1 2 0.7 13.6 0 9.4 2.8 0.5 90.2 0.2 0.2
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 425.7 19.7 12.5 57 1.6 130.8 0.1 0 20.6 2.8 35 267.8 3.1 2
Snack malam, 19 Februari 2020
Susu susu dancow 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Nasi putih nasi putih 66.67 86.7 1.6 0.1 19.1 0.2 0 0 1.3 0 0 19.3 0.1 0.3
Opor ayam daging ayam 20 57 5.4 3.8 0 0 7.8 0 1 0 14.6 36.4 0.3 0.4
santan (kelapa saja) 7.5 26.5 0.2 2.5 1.1 0.7 0 0.1 2 0.2 1.5 26.7 0.2 0.1
Tempe bali tempe kedele murni 20 39.8 3.8 1.5 3.4 0.3 0.2 0.2 10.4 0 1.2 73.4 0.5 0.4
Sayur bening sayur bening campur 25 8.2 0.3 0.1 1.9 0.4 118.3 0 6.8 0.8 6 35.5 0.2 0.1
gula pasir 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Subtotal 235.5 11.3 10 25.5 1.5 226.3 0.4 0 21.4 1 23.3 191.3 1.2 1.1
Total 1234 54 33.5 177.5 6.3 812.1 4.7 0 124.1 97.7 200.2 1426 8 5.6
Kebutuhan 2009 83.7 65.1 272 10 1000 37.5 87.5 187.5 32 15
% Pemenuhan 61.45 64.52 51.46 65.25 63 81.21 12.53 0 52.11 25 37.33

Menu Food
Nasi putih nasi putih 175 227.5 4.2 0.3 50 0.5 0 0 3.5 0 0 50.8 0.3 0.7
Telur dadar telur ayam 37.5 58.2 4.7 4 0.4 0 71.3 0.8 16.5 0 46.5 47.3 0.5 0.4
Tahu goreng tahu 5 3.8 0.4 0.2 0.1 0.1 0 0 0.8 0 0.3 6.1 0.3 0
Sayur podomoro kangkung 0 0 0 0 0 0 0 0 0 0 0 0 0 0
labu siam mentah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
buncis mentah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Pisang buah pisang susu 0 0 0 0 0 0 0 0 0 0 0 0 0 0
gula pasir 2 7.7 0 0 2 0 0 0 0 0 0 0 0 0
minyak kelapa sawit 2.5 21.6 0 2.5 0 0 125 0.1 0 0 0 0 0 0
Subtotal 318.8 9.3 7.1 52.6 0.6 196.3 0.9 0 20.8 0 46.9 104.1 1.1 1.2
Ektra putih telur

Ektra putih telur telur ayam bagian putih 25 12.5 2.6 0 0.3 0 0 0 0.8 0 41 35.8 0 0
Subtotal 12.5 2.6 0 0.3 0 0 0 0 1.5 0 82 71.5 0 0

Susu susu dancow 35 162.4 7.6 6.7 18.1 0 147 1.4 14.7 12.9 112 339.5 2.8 1.2
gula pasir 10 38.7 0 0 10 0 0 0 0 0 0.1 0.2 0 0
Subtotal 201.1 7.6 6.7 28 0 147 1.4 0 14.7 12.9 112.1 339.7 2.8 1.2

Nasi putih nasi putih 50 65 1.2 0.1 14.3 0.2 0 0 1 0 0 14.5 0.1 0.2
Patin goreng ikan segar 75 73.5 13.6 1.8 0 0 21 0.8 7.5 0 36 298.5 0.5 0.3
tepung terigu 2.5 9.1 0.3 0 1.9 0.1 0 0 0.4 0 0.1 2.7 0 0
Tempe asem manis tempe kedele murni 17.5 34.8 3.3 1.3 3 0.2 0.2 0.2 9.1 0 1 64.2 0.4 0.3
Capcay sayur Carrot fresh 12.5 3.2 0.1 0 0.6 0.5 196.8 0.1 5.9 1.5 0.9 7.5 36.3 0.3 0.1
buncis mentah 12.5 4.4 0.2 0 1 0.4 8.4 0 4.1 1.3 0.4 37.4 0.2 0.1
sawi putih mentah 12.5 1.9 0.3 0 0.3 0.3 37.9 0.3 9.1 3.1 2 25.3 0.1 0
gula pasir 2 7.7 0 0 2 0 0 0 0 0 0 0 0 0
minyak kelapa sawit 7.5 64.7 0 7.5 0 0 375 0.3 0 0 0 0 0 0
Subtotal 264.3 19 10.9 23 1.6 639.2 1.5 5.9 32.8 5.3 47 478.8 1.5 1
Ekstra putih telur

Ekstra putih telur telur ayam bagian putih 25 12.5 2.6 0 0.3 0 0 0 0.8 0 41 35.8 0 0
Subtotal 25 5.3 0 0.5 0 0 0 0 1.5 0 82 71.5 0 0

Nasi putih nasi putih 75 97.5 1.8 0.2 21.5 0.2 0 0 1.5 0 0 21.8 0.2 0.3
Empal daging daging sapi 25 67.2 6.2 4.5 0 0 0 0 1.5 0 13.3 85 0.4 1
santan (kelapa saja) 7.5 26.5 0.2 2.5 1.1 0.7 0 0.1 2 0.2 1.5 26.7 0.2 0.1
Tempe bacem tempe kedele murni 10 19.9 1.9 0.8 1.7 0.1 0.1 0.1 5.2 0 0.6 36.7 0.2 0.2
Rawon manisah labu siam mentah 30 6 0.3 0.1 1.3 0.4 8.7 0 6 1.8 0.3 57.6 0.1 0.1
gula pasir 2 7.7 0 0 2 0 0 0 0 0 0 0 0 0
Subtotal 268.1 10.4 13 27.6 1.5 258.8 0.4 0 16.1 2 15.7 227.8 1.1 1.7
Makanan luar RS
Bakso bakso pentol 60 222 14.1 17.9 0.1 0 6 0 0 4.8 0 33 190.8 112.2 1
mie basah 30 42.3 1.4 0.2 8.5 0.5 0 0 0 2.1 0 0.3 9.3 16.2 0.2
Subtotal 264.3 15.5 18.1 8.6 0.5 6 0 0 6.9 0 33.3 200.1 128.4 1.1
Total 1354 69.7 55.8 140.6 4.2 1247 4.2 5.9 94.3 20.2 419 1494 134.9 6.2
Kebutuhan 2009 83.7 65.1 272 10 1000 37.5 87.5 187.5 32 15
% Pemenuhan 67.41 83.27 85.71 51.69 42 124.7 11.2 6.743 10.77 421.6 41.33

Menu Food
Bandeng goreng ikan segar 50 49 9.1 1.2 0 0 14 0.5 5 0 24 199 0.3 0.2
tepung terigu 4 14.6 0.4 0 3.1 0.1 0 0 0.7 0 0.1 4.3 0 0
Tahu goreng tahu 11.6 8.8 0.9 0.6 0.2 0.1 0 0 1.7 0 0.8 14 0.6 0.1
Urapan toge kacang hijau mentah 25 15.2 1.6 0.9 1.2 0.1 0.3 0 21.5 2 1.8 60.5 0.3 0.2
kangkung mentah 25 3.8 0.6 0.1 0.5 0.5 75.8 0.5 18.3 6.3 4 50.5 0.3 0.1
daun kemangi mentah 0 0 0 0 0 0 0 0 0 0 0 0 0 0
kelapa parutan 12.5 22.1 0.2 2.1 0.9 0.6 0 0.1 1.6 0.3 1.3 22.3 0.2 0.1
Semangka semangka 125 40 0.8 0.5 9 0.6 46.3 0 2.5 12.5 2.5 145 0.3 0.1
gula pasir 2 7.7 0 0 2 0 0 0 0 0 0 0 0 0
Subtotal 438.4 17.9 10.7 68.4 2.6 386.3 1.3 0 54.9 21 34.4 547.8 2.3 1.4
Ekstra putih telur

Ekstra putih telur telur ayam bagian putih 12.5 6.2 1.3 0 0.1 0 0 0 0.4 0 20.5 17.9 0 0
Subtotal 6.2 1.3 0 0.1 0 0 0 0 0.4 0 20.5 17.9 0 0

Susu susu dancow 35 162.4 7.6 6.7 18.1 0 147 1.4 14.7 12.9 112 339.5 2.8 1.2
gula pasir 10 38.7 0 0 10 0 0 0 0 0 0.1 0.2 0 0
Subtotal 201.1 7.6 6.7 28 0 147 1.4 0 14.7 12.9 112.1 339.7 2.8 1.2

Nasi putih nasi putih 20 26 0.5 0 5.7 0.1 0 0 0.4 0 0 5.8 0 0.1
Ceplok telur telur ayam 40 62 5 4.2 0.4 0 76 0.8 17.6 0 49.6 50.4 0.5 0.4
Tempe asem manis tempe kedele murni 15 29.9 2.8 1.2 2.5 0.2 0.2 0.2 7.8 0 0.9 55 0.3 0.3
Lodeh terong terong putih mentah 37.5 10.5 0.3 0.1 2.5 0.9 2.3 0 5.3 0.4 1.1 93 0.2 0.1
santan (kelapa dan air) 7.5 8 0.1 0.8 0.3 0.2 0 0 0.6 0.1 0.4 8 0.1 0
gula pasir 2.5 9.7 0 0 2.5 0 0 0 0 0 0 0.1 0 0
Subtotal 189.1 8.7 11.3 14 1.4 328.4 1.1 0 31.6 0.4 52.1 212.3 1.1 0.9
Ekstra putih telur

Ekstra putih telur telur ayam bagian putih 12.5 6.2 1.3 0 0.1 0 0 0 0.4 0 20.5 17.9 0 0
Subtotal 6.2 1.3 0 0.1 0 0 0 0 0.4 0 20.5 17.9 0 0

Nasi putih nasi putih 150 195 3.6 0.3 42.9 0.5 0 0 3 0 0 43.5 0.3 0.6
Opor ayam daging ayam 20 57 5.4 3.8 0 0 7.8 0 1 0 14.6 36.4 0.3 0.4
Tahu tahu 20 15.2 1.6 1 0.4 0.2 0 0 3 0 1.4 24.2 1.1 0.2
Manisah ranjang labu siam mentah 60 12 0.5 0.2 2.6 0.8 17.4 0 12 3.6 0.6 115.2 0.2 0.2
santan (kelapa dan air) 12.5 13.3 0.1 1.3 0.6 0.3 0 0 1 0.1 0.8 13.4 0.1 0
gula pasir 2.5 9.7 0 0 2.5 0 0 0 0 0 0 0.1 0 0
Subtotal 345.3 11.3 11.5 48.9 1.9 275.2 0.2 0 20 3.7 17.4 232.7 2 1.4
Total 1186 48.1 40.2 159.5 5.9 1137 4 0 122 38 257 1368 8.2 4.9
Kebutuhan 2009 83.7 65.1 272 10 1000 37.5 87.5 187.5 32 15
Pemenuhan 59.06 57.47 61.75 58.64 59 113.7 10.67 0 20.27 25.63 32.67

Monev Asupan Studi Kasus

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Lampiran Analisis Nilai Gizi Recall

Berat E P L KH Serat Vit. A Vit. E Vit. K As. Folat Vit. C Na K Fe Zinc

Snack sore, 18 Februari 2020

Malam, 18 Februari 2020

Pagi, 19 Februari 2020

Berat E P L KH Serat Vit. A Vit. E Vit. K As. Folat Vit. C Na K Fe Zinc

Snack sore, 19 Februari 2020

Malam, 19 Februari 2020

Pagi, 20 Februari 2020

Berat E P L KH Serat Vit. A Vit. E Vit. K As. Folat Vit. C Na K Fe Zinc

Ektra putih telur

Subtotal 12.5 2.6 0 0.3 0 0 0 0 1.5 0 82 71.5 0 0

Snack sore, 20 Februari 2020

Malam, 20 Februari 2020

Ekstra putih telur

Subtotal 25 5.3 0 0.5 0 0 0 0 1.5 0 82 71.5 0 0

Pagi, 21 Februari 2020

Berat E P L KH Serat Vit. A Vit. E Vit. K As. Folat Vit. C Na K Fe Zinc

Ekstra putih telur

Subtotal 6.2 1.3 0 0.1 0 0 0 0 0.4 0 20.5 17.9 0 0

Snack sore, 21 Februari 2020

Malam, 21 Februari 2020

Ekstra putih telur

Subtotal 6.2 1.3 0 0.1 0 0 0 0 0.4 0 20.5 17.9 0 0

Pagi, 22 Februari 2020

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