scholarly journals The implementation of nutrition improvement programs for underweight children, wasting and stunting in the Department of Health, Central Buton district, Southeast Sulawesi

2021 ◽  
Vol 9 (2) ◽  
pp. 86-96
Author(s):  
Nur Wulandari ◽  
Ani Margawati ◽  
Zen Rahfiludin

Background: Health status can affect the Human Development Index (HDI) of a country. To improve the quality of human resources, the Indonesian Government has applied various policies, such as the nutrition improvement program, since there are still lots of toddlers suffering from underweight, wasting dan stunting. Even one out of three toddlers in Indonesia were detected stunting.Objectives: This study described the implementation of a nutrition improvement program for toddlers in the Central Buton District Health Office.Materials and Method: This was a qualitative study that involved ten informants. Three of those informants are nutritionists in the District Health Office, Head of Public Health Department, Head of NutritionDepartement. Also, two nutrition workers in primary healthcare centers and two mothers of malnourished toddlers.Results: These findings showed that in terms of input, trained human resources on nutrition were lacking, and the budget for the nutrition improvement program was inadequate. While, in the process, all implementors had done very well, although they still had no collaboration across sectors. In the output aspect, the health status of underweight, wasting, and stunting toddlers improved. Also, monitoring and evaluation were conducted on toddlers registered at the integrated service posts in 2018.Conclusions: There were still constraints on the input, process, and output aspects, even though there was an increase in the nutritional status of children under five, but nutrition problems for children under five in Central Buton Regency were still high.

2021 ◽  
Vol 1 (2) ◽  
pp. 433-442
Author(s):  
Rhomadhon Maghfiroh ◽  
Reno Renaldi ◽  
Yeyen Gumayesty

Gizi kurang menjadi salah satu masalah gizi utama di Indonesia sehingga Pemerintah menekankan program perbaikan gizi dengan sasaran meningkatkan derajat kesehatan dan status gizi masyarakat. Puskesmas Sidomulyo merupakan wilayah dengan angka kejadian gizi kurang pada balita tertinggi di kota pekanbaru dengan jumlah 69 penderita. Penelitian ini bersifat kualitatif analitik yang bertujuan untuk mendapatkan gambaran umum mengenai program perbaikan gizi kurang dengan metode wawancara mendalam dan observasi pada program perbaikan gizi kurang di Puskesmas Sidomulyo. Hasil penelitian ini diperoleh bahwa pelaksanaan program perbaikan gizi kurang sudah berjalan, tetapi belum secara maksimal. Hal ini dipengaruhi kurangnya SDM dalam program perbaikan gizi kurang, menurunnya pemberian PMT, dan pelaksanaan pematauan gizi yang tidak merata. Kesimpulan dari penelitain ini diperoleh masih kurangnya SDM dalam program perbaikan gizi kurang yang mana menyebabkan pemamtauan status gizi dan pemberian PMT tidak merata. Saran dari peneliti ialah bahwa perlunya penambahan SDM dalam program perbaikan gizi kurang, meningkatkan pemberian PMT, dan pemantauan status gizi pada balita. Malnutrition is one of the main nutritional problems in Indonesia so that the Government emphasizes nutrition improvement programs with the aim of increasing the health status and nutritional status of the community. Puskesmas Sidomulyo is an area with the highest incidence of malnutrition in children under five in Pekanbaru city with a total of 69 patients. This research is qualitative analytic which aims to get an overview of the malnutrition improvement program using in-depth interviews and observations on malnutrition improvement programs at Puskesmas Sidomulyo. The result of this research is that the implementation of the malnutrition improvement program has been running, but not maximall. This is influenced by the SDM in the program to improve malnutrition, decreased provision of PMT, and implementation of uneven nutrition monitoring. The conclusion of this research is that there is still a SDM in the undernutrition improvement program which causes the monitoring of nutritional status and the provision of PMT to be uneven. Suggestions from researchers are the need for additional SDM in the program to improve malnutrition, increase PMT provision, and monitoring the nutritional status of children under five.


2008 ◽  
Vol 5 (2) ◽  
pp. 91
Author(s):  
Shafwan Shafwan ◽  
Hari Kusnanto ◽  
Anis Fuad

Background: Improved nutritional status is needed throughout the life cycle including children under five. Of age in formulating suitable policies for nutrition improvement program, decision makers require relevant information about nutritional status of the community. The implementation of health information system at District of Majene is not yet optimum. There are some problems such as inaccurate data, inconsistent or unreliable data, delay in data reporting, and processing and presentation of data are rarely made, reporting is done as routine disregarding data quality, there is no feedback from the health office and so on. Decentralization has offered an opportunity for the health center to make its own policy in optimizing nutrition improvement program. However, health centers at District of Majene have never made decisions based on evidence.Objective: The study aimed to get an overview of data and information management of nutritional status of children under five comprising availability, processing, presentation of data, and the decision making of nutrition program at the health centers of District of Majene.Method: This was a descriptive case study with qualitative method. Subjects of the study were nutrition staff of the health centers, head of health centers, and head of nutrition section of district health office with health centers and head of health office as analysis units. Data were obtained through indepth interview, focus group discussion, questionnaire, observation, and documentation.Results: Data and information on nutritional status of children under five years of age were available in all health centers; however format of reporting was unavailable. Data in LB3 accurate, in FIII/gizi and SKDN were inaccurate because there was data manipulation and cadres had limited skills. Data were not valid because there was no signature of head of the health center in the report. Data in FIII/gizi and SKDN reliable, in LB3 not reliable  because there was no coordination among staff. Data in SKDN were completed, in FIII/gizi and LB3 incomplete because some of the forms were blank. Data were not provided timely due to less commited cadres, geographical factors, and lack of pressure from the health office. Data were accessible because staff were active in maintaining records. Data were processed manually and presented in the form of narratives, tables and graphs. Decisions made were socialization, counseling, growth monitoring and comple- mentary breastfeeding distribution monitoring. However, they were not based on data so that reports were only made as routine activities.Conclusion: Data and information on nutritional status of children under five years of age were available at the health centers with quality data in every format of reporting of various kinds. Data and information were processed manually and presented in the form of narratives, tables, and graphs. Decisions made were socialization, counseling, growth monitoring, and complementary breastfeeding distribution monitoring. Decisions made were not based on data available.


2019 ◽  
Vol 2 (2) ◽  
pp. 58
Author(s):  
Nidatul Khofiyah ◽  
Enny Fitriahadi Fitriahadi

The success of development is closely related to the quality of good human resources. Establishment of optimal quality of human resources, both physically and psychologically is very dependent on the process of growing and developing at an early age. Monitoring the growth and development of children that is carried out appropriately and directed guarantees more optimal growth and development of children that makes children of high quality, intelligent, responsible and efficient for the nation and the nation. Based on the results of observations, the Posyandu of Beji Sidoarum has been limited to growth checks only in the implementation of posyandu related to growth, namely weighing and measuring height. Development checks have never been carried out because of the limitations of cadres and not every month the puskesmas midwives conduct health checks at the posyandu. There has never been a Posyandu health cadre who participated in the early growth growth stimulation and intervention training. Therefore, increasing education for cadres related to growth and development is needed to improve the quantity and quality of services at this posyandu. Outputs produced are 1) Compilation of booklets/modules as information media, 2) results of examination of fallen children under five, 3) Ability of cadres and mothers of children under five in stimulation and early detection of development using KPSP, 4) publication. The results obtained by cadres and mothers of children under five in carrying out stimulation and early detection using KPSP independently. Based on this, it is expected that the implementation of activities for monitoring the growth of children under five can run routinely at the posyandu.Keywords: early detection, training, stimulation, growth and development


2019 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Reno Affrian

Based on Basic Health Research (RKD) and Toddler Operations in North Hulu Sungai Utara, nutritional problems are less increasing in the last three years, 2015 less than 17.32% malnutrition, 2016 less than 20.54% and nutrition prevalence less by 24%. Less nutritional problems in Hulu Sungai Utara Regency are included in the categorization of serious public health problems due to nutritional prevalence above 20%. mapping of the poor urban village region donated the most under-five children under five, namely 537 children under five. Based on the results of the research that the implementation of nutrition improvement program for under-fives under-nutrition category in urang sub-district in the northern river upstream district has not run well enough, it is known from: 1. Environmental aspect in the form of community economic environment and family care pattern, 2. Target group, some program implementers are not yet fully aware of the targets set by the government nationally, 3. Program activities, activities carried out only as routine activities ie immunization activities and postal services yando, 4.Pengelolaan Management and Pengawasa, not fully run well it diliat still lack inter-sectoral coordination, factors affecting nutrition improvement program for under-fives under-fives category in poor urban village influenced by several factors 1. Policy Size and Objectives 2. Resources, 3. Characteristics of implementing agents, 4. Attitudes / implementers, 5. Intercommunications organization and activities of the implementer, 6. Economic, social and political environment.


2013 ◽  
Vol 1 (1) ◽  
pp. 2-5
Author(s):  
Md Asif Iqbal Khan ◽  
Md Mahfuzur Rahman ◽  
Md Mahfuz Hossain ◽  
Abu Syem Md Shahin

Background Despite remarkable reduction in the prevalence of dental caries in developed countries, dental caries is still a highly prevalent disease among children in developing countries. Objectives To estimate the oral health status of children under five years of age by assessing decayed, missing and filled teeth (dmft) status of primary teeth along with their tooth cleaning and food habits. Materials and Methods This cross-sectional study on oral health status of children under five years of age was carried out among 107 children attending the Outpatient Department of Sapporo Dental College and Hospital, situated at Uttara, Dhaka. Data was collected both in English and Bengali with a pre-tested structured questionnaire and a checklist. Results Dental caries (d) was found in 69.2% of the children while missing (m) and filled (f) teeth were recorded in 14% and 21.5% of the children respectively. Almost three quarter children (72%) demonstrated an overall dmft score 1 or higher; whereas one third children (28%) demonstrated dmft score 0 or free from any form of dental decay, missing teeth and dental filling. Increased age of the children was directly associated (p<0.05) with the number of decayed, missing or filled teeth. The study also revealed that correct method of brushing was practiced by only 44% of the children and recommended brushing time (1-3 minutes) was done by 37.3% only. Children who were assisted by their parents during brushing experienced less caries compared to the children who brushed their teeth by themselves and this finding was statistically significant (p<0.05). Taking snacks between meals was preferred by 106 children and among them 97.2% did not clean their mouth after having snacks. DOI: http://dx.doi.org/10.3329/updcj.v1i1.13945 Update Dent. Coll. j: 2011; 1 (1): 02-05


2020 ◽  
Vol 12 (4) ◽  
pp. 127
Author(s):  
Mhlengi V. Ncube ◽  
Innocent T. Mutero ◽  
Moses J. Chimbari

Preventive treatment for schistosomiasis control is a priority objective for the Department of Health (DoH) in South Africa. The uMkhanyakude district of KwaZulu-Natal is one of the districts in which schistosomiasis in a major public health concern. We mapped the unmet resource requirements for a schistosomiasis control mass drug administration (MDA) program targeting children aged five years old and below in the uMkhanyakude District. We interviewed 10 decision makers among the uMkhanyakude Health District staff in order to understand the resources that the district has and the resources that the district needs to implement a schistosomiasis control MDA program targeting children aged five years old and below in the uMkhanyakude district. We analyzed and reported on the resources based on the following categories: financing; coverage; program integration; monitoring and evaluation; infrastructure; materials; human resources and training. We identified the resources that the district has and the resources that the district needs to acquire to implement a schistosomiasis MDA program targeting children aged five years old and below. The resources that the district needs to acquire to implement a schistosomiasis control MDA program for children under five include but are not limited to financing, human resources and digital scales. The uMkhanyakude district has insufficient resources to implement a schistosomiasis control MDA program targeting children aged five years old and below. The cost of the resources that need to be acquired for the program could be reduced by integrating the schistosomiasis control MDA program with existing child health intervention programs for children aged five years old and below. Economic evaluations are necessary to determine the child health program to which the schistosomiasis control MDA program could be most cost-effectively integrated to.


Author(s):  
Agung Hadi Pranomo ◽  
Dino Gagah Prihadianto

Background : Based on data from the Karimun District Health Office in 2017, there was 0.9% malnutrition, 4.8% malnutrition, and the prevalence of underweight children was 5.7%. Meanwhile, according to the Center for Data and Information, the Ministry of Health of the Republic of Indonesia in 2017 the nutritional status of children under five to 59 months according to BW / U has 3.7% malnutrition, 14.0% malnutrition, 80.1% good nutrition and 2.1% over nutrition. The purpose of this study was to determine the relationship between maternal knowledge and parenting about the nutritional status of toddlers with the incidence of malnutrition in children under five in Baran Timur Village, Meral District, Karimun Regency. Method : This research used an analytical research design with a cross sectional design approach. Meral Karimun Regency. In this study, the population is all mothers who have toddlers aged 3-59 months who live in Baran Timur Village, Meral District, Karimun Regency as many as 460 people. The data is presented in the form of a cross table then the data is analyzed using the SPSS program (Social Science Program Statistics) through the chi-square statistical test using a significant level of 0.05 Result : from 82 respondents, it is found that 1 respondent (33.3%) with less parenting is malnutrition status, 1 respondent (33.3%) with poor parenting was malnourished and 1 respondent (33.3%) with insufficient parenting was good nutritional status. While 21 respondents (63.6%) with moderate parenting were good nutritional status and 41 respondents (89.1%) with good parenting were good nutritional status obtained a p value of 0.003


Author(s):  
Aditianti Aditianti ◽  
Erna Luciasari ◽  
Yurista Permanasari ◽  
Elisa Diana Julianti ◽  
Meda Permana

ABSTRACT Integrated health service (Posyandu) is one form of strategic health effort, which provides public health services. One of the posyandu function is as promotion media and growth monitoring of children under five. The purpose of this research was to know the implementation of child growth monitoring at posyandu level in Bandung district. This was an operational studies with qualitative design.Data were collected by depth interview, focus group discussion, and observation. The population of this research were all of  the institution that responsible of nutrition surveillance. There were Regencies District Health Office, Primary Health Center (Puskesmas), and Posyandu, in Bandung District, West Java. This research is operational research with qualitatif design. Colected data used with indepth interview, focus group discusion and observasi. Indepth interview used to offices, health workers from two community health centers, and village officials. Group discussions were conducted on cadres and mothers of underfives children. This research show posyandu activities have been going well but have not implemented monitoring function of child growth. Plot weight were not doing well in KMS, interpretation of child growth were still unsuitable, and counseling had not done well. Repositioning of posyandu is needed as a means of growth monitoring children under five years and efforts to increase knowledge about routine growth monitoring for health workers and cadres. Keyword: growth monitoring, integrated health service, under five years old     Abstrak Pos pelayanan terpadu (Posyandu) merupakan salah satu bentuk upaya kesehatan yang strategis, yang menyediakan layanan kesehatan masyarakat. Salah satu fungsi posyandu adalah sebagai media promosi dan pemantauan pertumbuhan anak umur bawah lima tahun (balita). Penelitian ini bertujuan untuk mengetahui pelaksanaan pemantauan pertumbuhan balita di tingkat posyandu di Kabupaten Bandung, Jawa Barat. Penelitian ini merupakan penelitian operasional dengan desain kualitatif. Pengumpulan data melalui wawancara mendalam, diskusi kelompok terarah. Wawancara mendalam dilakukan kepada petugas di dinas kesehatan kabupaten, tenaga kesehatan dari dua pukesmas terpilih, dan aparat desa. Diskusi kelompok dilakukan pada kader dan ibu balita, dan. Hasil penelitian menunjukkan bahwa kegiatan posyandu sudah berjalan baik namun belum melaksanakan fungsi pemantauan pertumbuhan balita. Masih banyak yang tidak melakukan plot hasil penimbangan pada  KMS (kartu menuju sehat), interpretasi terhadap perubahan berat badan belum dilakukan dengan benar dan konseling yang belum berjalan baik. Perlu dilakukan reposisi posyandu sebagai sarana pemantauan pertumbuhan balita dan upaya untuk meningkatkan pengetahuan tentang pemantauan pertumbuhan secara rutin bagi tenaga kesehatan dan kader. [Penel Gizi Makan 2018, 41(1):41-54] Kata kunci: pemantauan pertumbuhan, pos pelayanan terpadu, bawah lima tahun (balita)


2019 ◽  
Vol 10 (2) ◽  
pp. 71-79
Author(s):  
Ulfa Ulfa ◽  
Muhammad Syahrir ◽  
Ramli Ramli

Keberhasilan pembangunan nasional yang diupayakan oleh pemerintah dan masyarakat sangat ditentukan ketersediaan sumber daya manusia (SDM). Salah satu proiritas pembangunan nasional di bidang kesehatan adalah upaya perbaikan gizi yang berbasis pada sumber daya, kelembagaan, dan budaya lokal. Kurang gizi akan berdampak pada penurunan kulitas SDM yang lebih lanjut dapat berakibat pada kegagalan pertumbuhan fisik, perkembangan mental dan kecerdasan, menurunkan produktivitas, meningkatkan kesakitan serta kematian. Tujuan penelitian ini untuk mengetahui pola asuh anak balita yang dilakukan oleh ibu-ibu di Wilayah Puskesmas Lantibung Kecamtan Bangkurung tahun 2013. Metode penelitian yang dilakukan adalah penelitian kualitatif. Informan dan informan kunci dalam penelitian ini adalah Ibu Balita, orang tua ibu balita dan tokoh masyarakat yang dipilih secara purpossive. Hasil penelitian menunjukan bahwa pola asuh anak balita di Wilayah Puskesmas Lantibung sebagian besar informan mengatakan bahwa mereka memberi makan, menjaga kebersihan, dan menjaga kesehatan dan ibu balita mengatakan  berpola asuh terhadap anak sangat penting dikarenakan anak-anak membutuhkan kasih sayang, perhatian, membutuhkan segalanya-galanya, dan mereka mengasuh anak sendiri. Kebutuhan terpenting anak terhadap pola asuh anak balita sebagian besar ibu-ibu mengatakan bahwa kecerdasan, kesehatan yang lebih penting terhadap anak mereka. Ketersediaan pangan dalam mengupayakan peningkatan kesehatan kepada anak terutama makanan yang bergizi  di wilayah Puskesmas Lantibung Kecamatan Bangkurung umumnya informan berusaha untuk menyajikan makan namun informan  mengatakan bahwa dikondisikan dengan keadaan keluarga dan ketersediaan pangan, pekerjaan sangat mempengaruhi pemenuhan kebutuhan keluarga. The success of national development pursued by the government and the community is largely determined by the availability of human resources (HR). One of the priorities for national development in the health sector is nutrition improvement efforts based on local resources, institutions and culture. Malnutrition will have an impact on decreasing the quality of human resources which can further result in failure of physical growth, mental development and intelligence, decrease productivity, increase morbidity and death. The purpose of this study was to determine the pattern of care for children under five years old by mothers in the District of Puskesmas Kebibtan Bangkurung in 2013. The research method used was qualitative research. The key informants and informants in this study were the toddlers, parents of toddlers and community leaders who were selected purposively. The results showed that the pattern of care for children under five in the Lantibung Health Center area most of the informants said that they feed, maintain hygiene, and maintain health and toddlers say that caring for children is very important because children need love, attention, need everything- sundry, and they care for their own children. The most important needs of children towards parenting toddlers most of the mothers said that intelligence, health is more important for their children. Food availability in seeking to improve health for children, especially nutritious food in the area of ​​the Puskesmas Lantibung, Bangkurung District, generally informants try to serve food but informants say that conditioned on family conditions and food availability, work greatly influences the fulfillment of family needs.


2021 ◽  
Author(s):  
Abdul Gafaru Mohammed ◽  
Christopher Sunkwa Tamal ◽  
Magdalene Akos Odikro ◽  
Delia Akosua Bandoh ◽  
Charles Lwanga Noora ◽  
...  

Abstract Introduction: Malaria is endemic in Ghana, accounting for about 40% of all OPD diagnosis. Data on malaria is routinely collected as part of the IDSR monthly reporting forms. Sunyani municipality recorded 56,540 malaria cases in 2016 with about 35% of the cases occurring in children under five years of age. We analyzed malaria surveillance data to identify the distribution of malaria cases by person, place and time and determine the timeliness and completeness of malaria report submission in the municipality.Methods: We analyzed malaria surveillance data in Sunyani municipality reported between 2015 and 2019 from the District Health Management Information System II. We calculated morbidity and mortality rates of cases by person and estimated proportion of cases by sub-districts. We performed trend analysis and calculated disease threshold levels. We presented the findings using tables and figures.Results: Of 639,361 malaria cases suspected, 93.5% (597,512/639,361) were tested, of which 49.4% (295,458/597,512) was positive. Females accounted for 55.7% (164,436/295,458) of the morbidity. Children <5 years recorded the highest proportion, 29.9% (88,135/295,458) of cases in the municipality. The case fatality rate was 3.7% (18/484) and 1.4% (7/484) for persons under age five and over age five, respectively. Abesim (6,276.03 per 10,000) recorded the highest number of cases, and the least cases were in New Dormaa (1,890.97 per 10,000). The majority of malaria cases were in May and October of each year. Antwi-krom recorded the highest rates of completeness and timeliness of 41.9% and 40.0% respectively. Conclusion: More females were diagnosed with malaria and children <5 years recorded the highest proportion of cases in the municipality. Abesim recorded the highest proportion of malaria cases during the period. High patterns of malaria transmissions occurred during months of high rainfalls. None of the sub-districts met the WHO target for timeliness and completeness of report submission. The NMCP should consider interventions such as SMC among children under five, in the Sunyani municipality.


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