scholarly journals Pemberian paket gizi masyarakat proyek NICE berpengaruh terhadap kinerja posyandu, tetapi tidak meningkatkan status gizi balita di Provinsi NTB

Author(s):  
Solikin Solikin ◽  
Kristiani Kristiani ◽  
I Made Alit Gunawan

<p>ABSTRACT</p><p>Background: The province of NTB had the prevalence of underweight 30.5% in 2010 for children under five, this figure is above the national prevalence. A nutrition improvement through community empowerment (NICE) has been developed aimed to supporting community nutrition service to overcome nutrition and health problem independently. One of the programs is CNP (community nutrition package) which got the highest fund allocation compared to other NICE program.</p><p>Objectives: To evaluate the effect of CNP supplementation in NTB Province to the increase of nutritional status of children under five through index of weight by age and performance of posyandu.</p><p>Methods: The study was evaluative with quantitative and qualitative method and one group pre and post test design, from January to April 2012 at 4 districts/ municipalities area of NICE Project, comprising 72 villages/cities that received CNP in 533 posyandu with 7,975 of children under fives. Posyandu’s performance was measured by baseline data collection for NICE project questionairre, weight measured by scale, and indepth interview was made to individuals administering CNP before and after receiving the package. Samples were randomly selected. Data analysis used paired t-test.</p><p>Results: There was significant difference in performance of posyandu (p&lt; 0.001, 95% CI: 9.88-11.05) and nutritional status of children under five based on index of weight/age (p&lt;0.001, 95% CI: -1.23 to -1.32) before and after CNP supplementation. CNP supplementation increased performance of posyandu, but did not increase the nutritional status of children under five (index of weight/age). There were supporting factors of community nutrition supplementation such as human resources, participation across sectors, villages and community/religious leaders and integration with other programs (PNPM-Mandiri, GSC, local budget).</p><p>Conclusions: CNP supplementation affected performance of posyandu but did not increase nutritional status of children under five at Province of NTB in 2011.</p><p>KEYWORDS: NICE project, nutritional status, performance of posyandu, children under five</p><p><br />ABSTRAK</p><p>Latar belakang: Provinsi Nusa Tenggara Barat memiliki prevalensi balita underweight di atas prevalensi nasional, yaitu sebesar 30,5 persen tahun 2010. Proyek perbaikan gizi NICE (nutrition improvement through community empowerment) dikembangkan melalui pemberdayaan masyarakat untuk mendukung pelayanan gizi masyarakat. Salah satu programnya adalah paket gizi masyarakat (PGM) yang mendapat alokasi dana paling tinggi dibanding proyek NICE yang lain.</p><p>Tujuan: Mengevaluasi pengaruh pemberian PGM di Provinsi NTB terhadap peningkatan status gizi balita indeks berat badan menurut umur dan kinerja posyandu.</p><p>Metode: Penelitian ini merupakan penelitian evaluatif menggunakan metode kuantitatif dan kualitatif pada bulan Januari sampai dengan April 2012. Penelitian menggunakan rancangan one group pre and post test design. Penelitian dilaksanakan di 4 kabupaten/kota wilayah NICE mencakup 72 desa/kota yang mendapat PGM dengan jumlah posyandu sebanyak 533 dan 7.975 balita. Pengukuran kinerja posyandu menggunakan kuesioner yang diadopsi dari baseline data collection for NICE project, pengukuran berat badan menggunakan dacin dan indepth interview dilakukan pada pengelola PGM sebelum dan sesudah PGM. Pemilihan subjek penelitian dilakukan secara simple random sampling. Analisis data menggunakan paired t-test.</p><p>Hasil: Terdapat perbedaan bermakna kinerja posyandu (nilai p&lt;0,001, 95% CI: 9,885763-11,05232) dan status gizi balita menurut indeks BB/U (nilai p&lt; 0,001, 95% CI: -1,233254-1,321063) antara sebelum dan sesudah pemberian PGM. Kinerja posyandu meningkat setelah pemberian PGM, namun belum mampu meningkatkan status gizi balita (indeks BB/U) di Provinsi NTB tahun 2011. Terdapat faktor pendukung pemberian PGM di antaranya kualitas sumber daya manusia (SDM) kelompok gizi masyarakat (KGM), keterlibatan lintas sektor, desa/ kelurahan, dan tokoh masyarakat/agama serta keterpaduan program lainnya (PNPM-Mandiri, GSC, dana daerah).</p><p>Kesimpulan: Pemberian paket gizi masyarakat berpengaruh terhadap kinerja posyandu tetapi belum mampu meningkatkan status gizi balita di Provinsi NTB tahun 2011.</p><p>KATA KUNCI: proyek NICE, status gizi, kinerja posyandu, balita</p>

2020 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Arum Sekar Rahayuning Putri ◽  
Trias Mahmudiono

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK  Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus.  Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.


2015 ◽  
Vol 11 (1) ◽  
pp. 65
Author(s):  
Zulhaida Lubis

<p>Hasil kajian gizi buruk di Kota Medan tahun 2011 menunjukkan bahwa anak balita yang tergolong gizi kurang dan berisiko gizi buruk masih cukup serius. Penelitian ini bertujuan untuk menganalisis pengaruh pelatihan terhadap pengetahuan dan tindakan kader dalam pemantauan pertumbuhan balita. Penelitian ini dilakukan di kota Medan tahun 2014,  jenis penelitian eksperimen semu (quasi experimental) dengan rancangan nonrandomized pre test-post test design. Penelitian ini dilakukan pada 28 orang kader posyandu di kota Medan pada tiga wilayah Puskesmas yaitu Puskesmas Sunggal,  Puskesmas Desa Lalang dan Puskesmas Tuntungan. Hasil penelitian menunjukkan terjadi peningkatan rata-rata skor pengetahuan dan tindakan  kader setelah diberikan pelatihan. Skor pengetahuan kader meningkat sesudah pelatihan sebesar 2,428 poin, demikian juga terjadi peningkatan rata-rata skor tindakan sebesar 1,071 poin setelah mengikuti pelatihan. Hasil uji statistik dengan uji beda Paired T Test diperoleh  perbedaan yang signifikan pada pengetahuan dan tindakan kader sebelum dan sesudah mengikuti pelatihan tentang pemantauan pertumbuhan anak balita. Hal ini berarti ada pengaruh pelatihan terhadap pengetahuan dan tindakan kader dalam menilai dan memantau pertumbuhan balita.</p><p> </p><p><em>The malnutrition research in Medan at 2011 showed that children under five years are classified as at risk of severe undernutrition are still quite serious. The aim of research was to analyze the effect of training on knowledge and action cadres in growth monitoring of under five years old. This research was a quasi-experimental study with nonrandomized design of pre-test-post-test design. This research was conducted 28 cadres in Medan city at 2014 in the work area Sunggal Health Center, Desa Lalang Health Center and Tuntungan Health Center. The results showed that an increase in the average score of knowledge and action after being given the training cadre. Knowledge scores increased after the training cadre 2,428 points, as well as an increase of action score in the average score of 1,071 points after training. The results of statistical tests with paired T test obtained significant differences in knowledge and action cadres before and after the training on growth monitoring of children under five years old. This means that there are influences of training  on knowledge and action cadres in the growth monitoring of under five years old.</em></p>


2020 ◽  
Vol 14 (1) ◽  
pp. 37-42
Author(s):  
Suaebah Suaebah ◽  
Jurianto Gambir

Nutritional status is a condition caused by a balance between the intake of nutrition from food and the need for nutrients by the body. Nutrition problems inthe community will effect the quality of human resources, so that it becomes a serious problems for future development. The purpose of this study was to find out the improvement of cadre’s skills in determining nutrtitional status by using the nutritionla bar design conducted on 45 caders subjects in Poyandu Lingga Village and Pancaroba Village, sungai Ambawang District Kubu Raya Regency, West Kalimantan.the results showed that the average skills of posyandu caders before being given training on the use nutritional ruler was 36.00 and after being given nutrition relur media increased to 95.22. Conclusion there are differences in the posyandu cader’s skill in using the nutrition bar to determine the nutritional status of children under five between before and after the nutrition bar is given (p=0,000).


Author(s):  
Mariyatni Rasyid ◽  
Timbul Supodo ◽  
La Banudi

Background: The prevalence of community nutritional status in the Kendari City area in 2016 was 0.23%, decreased in 2017 by 0.13%, increased in 2018 by 4.67% and decreased by 2.25% in 2019 Although the prevalence rate of nutrition tends to decrease, although not significantly, the problem is nutritional status there are still many in the Kendari City Area. Thus, Kendari City shows that children under five have not reached the target of nutritional status, where the current nutritional status of children under five is 0.21% while the Minimum Service Standard (SPM) is 8.1%. Methods:The type of research in this research is pre-experimental research with a Pre Test - Post Test design. This research was conducted in the working area of ??Puskesmas Nambo, Kendari City. Population of 227and a sample of 67 malnourished toddlers in 2019. Result:Based on the independent sample test output in the Equal Variances Assumed section on Local PMT (Bagea Sasigo), it is known that the sig (2-tailed) value is 0.001 <0.05, so Ha is accepted so that there is a significant difference between the provision of local PMT (Bagea Sasigo). Whereas in the Government PMT (biscuits) it is known that the sig (2-tailed) value is 0.000 <0.05, so Ha is accepted so that there is a significant difference between the provision of government PMT (biscuits) to toddlers in the Work Area of ??the Puskesmas Nambo, Kendari City. Conclusion:Provision of Local PMT (Bagea Sasigo) and Government PMT (Biscuits) for toddlers Before giving the intervention it was not effective while after giving the intervention it was effective and significant.


2019 ◽  
Vol 2 (1) ◽  
pp. 45-53
Author(s):  
Andi Ipaljri Saputra ◽  
Sukma Sahreni

Background: The best indicator to measure the nutritional status of the community is through the nutritional status of children under five. In an effort to overcome the problem of malnutrition in infants, the Ministry of Health of the Republic of Indonesia established a comprehensive policy, including prevention, promotion or education and management of malnutrition toddlers. The prevention efforts are carried out through growth monitoring in integrated service posts while malnourished children under five are treated with supplementary recovery feeding programs. Method: This research is a Quasi Experiment study with one group pretest and posttest design. The sampling technique was a total sampling with a sample of 32 patients. Univariate analysis was presented in the frequency distribution table and bivariate analysis using Spearman Rank Correlation test. Result: There was a significant influence on the nutritional status of children under five before and after PMT-P based on the weight-for-height index and weight-for-age. For the height-for-age index there was no significant influence on the nutritional status of children under five before and after PMT-P which means there was no correlation of the height-for-age index against PMT-P. Conclusion: There is a significant influence on the nutritional status of children under five based on the weight-for-height index and weight-for-age before and after PMT-P, but it is not related to the nutritional status of children under five based on the height-for-age index.


2017 ◽  
Vol 4 (2) ◽  
pp. 14
Author(s):  
Putri Megasari

Hepatitis has become a health problem in the world. The hepatitis virus infected many people. According to the teacher of MTsN 02 Bondowoso more than 20 students have hepatitis A viral infection. The purpose of this research was to know the differences of students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study used pre-experimental (pre-post test design). This study used stratified random sampling technique, 127 students from 270 sample involved this research,and 143 students was excluded. We used questionnaires to collect data. The results showed that the mean value of the students 'knowledge about hepatitis A before counseling in MTsN 02 Bondowoso 2015 was 83.96 with the lowest value of 37.5 and the highest value was 100. The mean value of the students' knowledge about hepatitis A after counseling in MTsN 02 Bondowoso 2015 was 93.21 with the lowest value waf 62.5 and the highest value was 100. Paired t test showed that t (-9.07) > t table (1.98), the null hypothesis (H0) was rejected. There was a difference between students' knowledge about hepatitis A before and after counseling in MTsN 02 Bondowoso 2015. This study showed that routine counseling by healthcare provider was important to prevent hepatitis A infection.; Keywords: counseling, knowledge of students, hepatitis


2010 ◽  
Vol 5 (3) ◽  
pp. 171
Author(s):  
Dadang Sukandar ◽  
Ali Khomsan ◽  
Faisal Anwar ◽  
Hadi Riyadi ◽  
Eddy Setyo Mudjajanto

<p class="MsoNormal" style="margin: 0cm 5.65pt 6pt 14.2pt; text-align: justify; text-indent: 1cm;"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">The objectives of this research were to analyze health, nutritional status of children under five years and its influential factor</span><span style="font-size: 10pt;">s</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">. This research was carried out in two sub-districts of Bogor: Sub-District of Ciomas and Sub-District of Darmaga. As many as 16 posyandu </span><span style="font-size: 10pt;">nutrition program </span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">were obtained. A total number of 240 mothers had been divided into </span><span style="font-size: 10pt;">c</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">ontrol and intervention groups. Baseline data were collected during the pre-study, while endline data were collected after conducting intervention (experiment). The experiment had been conducted for five months in the form of providing nutrition education once in two weeks and implementing home gardening. The data analysis included estimation of mean, standard deviation, minimum value, maximum value and proportion. Based on the General Linear Model (GLM) analysis, it was found that intervention had significant impact on the nutritional status</span><span style="font-size: 10pt;"> (WAZ)</span><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us"> of children under five years. Intervention did not have significant effects on the nutritional status according to </span><span style="font-size: 10pt;">HAZ and WHZ. </span><em></em></p><em><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">Key words<strong>: </strong></span><strong><span class="longtext"><span style="font-size: 10pt;" lang="en-us" xml:lang="en-us">.</span></span></strong></em>


2019 ◽  
Vol 26 (2) ◽  
pp. 209
Author(s):  
Andi Nurcholiq Fadhlullah ◽  
Suriani Rauf ◽  
Chaerunnimah Chaerunnimah

Family strength structures use patterns in the family, people usually assume the most power in the family, giving special rights to get the best part of the food. This is one of the factors triggering the problem of underweight status in children under five in the family. Nutritional status in toddlers can be reflected by the distribution of individual food in a family day. Therefore, it will be more effective if the priority of individual food distribution in the family is the child who is still in the process of growth and development. This study aims to determine the distribution of family food to the nutritional status of children aged 1-5 years in Rammang-Rammang Hamlet, Salenrang Village, Bontoa Sub-district, Maros Regency. This research is an analytical research. Samples were toddlers aged 1-5 years who trained 35 people selected by purposive sampling. Data on family food distribution found through respondents' answers based on existing questionnaires and scoring on each question. Status of nutritional data was collected by weighing based on age of children under five, then calculated using the WHO Antro 2005 computer program. To determine the effect of variables on family food distribution with nutritional status of children under five, it was done using the SPSS program. Data is presented in the form of spread tables and frequencies. The results showed that the level of distribution of family food was quite adequate (77.1%). The mean nutritional status of children under five is generally good (74.3%). The results of statistical tests between variables there was no effect of food distribution on nutritional status of children aged 1-5 years.


2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.


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