scholarly journals STUDI KUALITATIF PELAKSANAAN PEMANTAUAN PERTUMBUHAN ANAK BALITA DI POSYANDU DI KABUPATEN BANDUNG

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)

2018 ◽  
Vol 2 (3) ◽  
pp. 65-71
Author(s):  
Kadek Tresna Adhi ◽  
Ni Wayan Arya Utami ◽  
Putu Ayu Swandewi Astuti ◽  
I Gusti Ngurah Edi Putra

The discrepancies between the numbers of children suffering from severe malnutrition and/or wasting and children being detected was likely owing to the low socio-economic background of the children and distance needing to be traveled to access integrated health service location. These children did not undergo regular weight for age screening, thus became disengaged with integrated health services and were not sufficiently observed by health workers. This situation provided impetus to conduct a study into the validation of collected weighing coverage data from integrated health services with the reality in the field (D/S). This case study was conducted in Dusun Jumenang, Bukit village, Karangasem Regency. The study compared weighing coverage and nutritional secondary data on those children who have undergone screening at the integrated health service with the number of children identified through active case finding in the field. Five village health workers were trained in mobile measuring skills with a focus on nutritional status and were asked to actively search and find all under-five children living in the village. Nutritional status data were collected through weighing scales and the nutritional status table.


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 1 (2) ◽  
pp. 83
Author(s):  
Merita Merita

Some of the effects of child development that are not in accordance with their age can inhibit brain development. Therefore, the purpose of this service is to carry out counseling on growth and development in children under five age. This activity was held from September 2018 to January 2019, at the Sukasari Posyandu, Sarolangun District. Sasaran is a mother who has children aged 0-5 years. This activity consisted of giving counseling with power point media, leaflets, posters, and pre-post test questions and anthropometric measurements of toddlers. The output of this service activity are: (1) Media leaflets and posters of child development and; (2) Mother's behavior in monitoring child growth and development. The results of the activity showed that participants were able to answer questions related to growth material in children aged 0-5 years in the post-test stage, ie correct answers of ≥ 80%. Participants are also able to understand the material about child development related to good consumption patterns through discussion. Based on this activity, it is necessary to collaborate with health workers and cadres to motivate children under five to routinely monitor the growth of children under five to posyandu or the nearest health care facility.


2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).


2018 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Muryoto 1 ◽  
Atik Badi'ah

ABSTRAKLatar Belakang : Penyakit diare masih merupakan masalah kesehatan masyarakat di Indonesia, di Kabupaten Sleman insiden rate diare 34,8 per seribu penduduk atau 2909 balita dengan cakupan pelayanan 70% di Puskesmas Gamping I sekitar 325 balita (Profil Dinas Kesehatan Kabupaten Sleman, 2013). Kolaborasi perawat dan sanitarian dalam pelayanan kesehatan di komunitas menggunakan pendekatan input-proses-output-efek-outcome.  Input meliputi jumlah penderita diare balita, perawat, sanitarian, program lintas tuntas diare. Proses meliputi penemuan penderita diregister di Puskesmas, pemeriksaan balita, botol susu, sumber air, terapi, desinfeksi, klorinasi dan konseling.  Sedangkan output meliputi jumlah balita diare yang dilayani dua kali selama empat belas hari. Efek berupa penurunan skor dehidrasi out come berupa turunnya angka kesakitan diare. Tujuan :Penelitian ini bertujuan secara umum membuat model pelayanan kesehatan kolaborasi perawat sanitarian penderita diare balita dikomunitas yang dapat mencegah dan menurunkan derajat dehidrasi. Secara khusus bertujuan menetapkan pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan derajat dehidrasi.  Metode : Jenis penelitianQuasi eksperiment dengan rancangan“Pre test Post test with Control Design“.Penderita diare balita3 (tiga) bulan yang lalu dicatatan medis Puskesmas diambil secara sistimatis random sampling 15 (lima belas) balita untuk kelompok kontrol dan 15 (lima belas) balita untuk kelompok perlakuan. Uji analisa data menggunakan t test. Hasil :Ada pengaruh kolaborasi terhadap penurunan skor dehidrasi anak balita diare, tidak ada pengaruh kolaborasi terhadap penurunan jumlah kuman botol susu anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN E Coli air bersih anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN Coliform air bersih anak balita diare. Kesimpulan :Ada pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan skor derajat dehidrasi penderita diare balita. Saran : Dalam kolaborasi perawat sanitarian ditingkat internal program Puskesmas perlu dibuatkan panduan yang memuat etika profesi sesuai lingkup kerja dan fungsinya.Kata Kunci : Model Kolaborasi, Perawat, Sanitarian, Pelayanan Kesehatan, Penderita diareABSTRACTBackground : Diarrhea disease is still a public health problem in Indonesia, in Sleman District incidence rate of diarrhea 34,8 per thousand population or 2909 under fives with coverage 70% service in PuskesmasGamping I about 325 balita (Profile of Sleman District Health Office, 2013). Collaboration of nurses and sanitarians in community health services using an input-process-output-effect-outcome approach. Inputs include the number of patients with diarrhea toddlers, nurses, sanitarians, diarrhea diarrhea programs. The process includes the findings of patients enrolled in Puskesmas, checking for infants, bottles of milk, water sources, therapy, disinfection, chlorination and counseling. While the output includes the number of infant diarrhea that is served twice for fourteen days. The effect of decreasing the dehydration score out come is the decrease of morbidity rate of diarrhea. Objective : This study aims at generating a model of healthcare services for the collaboration of sanitarian nurses with diarrhea in children under five who can prevent and reduce dehydration. Specifically aimed at establishing the influence of sanitarian nurse collaboration health services on dehydration degrees reduction. Method : Quasi experimental research type with "Pre testPost test with Control Design"  Patients with child diarrhea 3 (three) months ago medical Puskesmas was taken by systematic random sampling of 15 (fifteen) children under five for control group and 15 (fifteen) children under five for treatment group. Test data analysis using t-test. Result: There is influence of collaboration to decrease dehydration score of children under five diarrhea, there is no influence of collaboration to decrease amount of germ of baby milk bottle diarrhea. There is a collaboration effect on the decrease of MPN E Coli clean water for children under five diarrhea. There is a collaboration effect on the decrease of MPN Coliform clean water of children under five diarrhea. Conclusion: There is influence of health service of sanitarian nurse collaboration to decrease of dehydration degrees score of diarrhea sufferer. Suggestion: In the collaboration of sanitarian nurses at the internal level of the Puskesmas program, it is necessary to create guidelines that contain professional ethics according to the scope of work and function.Keywords: Collaboration Model, Nurse, Sanitarian, Health Service, Diarrhea Patient


Author(s):  
Ambar Dwi Retnoningrum ◽  
◽  
Ike Nurrochmawati ◽  
Dewi Indriani ◽  
◽  
...  

ABSTRACT Background: Regular visit to the integrated health post is essential to monitor health and nutritional status of children under five years of age. However, the frequency of visits remained low in Nganjuk District, East Java. This study aimed to determine the factors affecting health visit of children under five at the integrated health post in Nganjuk District, East Java. Subjects and Method: This was a cross-sectional study conducted at Ngetos Integrated Health Post, Nganjuk, East Java, in April 2019. A sample of 100 children under five was selected for this study. The dependent variable was visit to the integrated health post. The independent variables were child age, maternal education, maternal work status, and motivation. The data were collected using questionnaires. The data were analyzed by multiple logistic regression. Results: Visit of children under five years of age to the integrated health post increased with child age (OR= 1.60; 95% CI= 0.90 to 12.20; p= 0.071), higher maternal education (OR= 4.66; 95% CI= 2.13 to 28.14; p= 0.002), working mothers (OR= 2.90; 95% CI= 1.57 to 26.45; p= 0.010), and higher motivation (OR= 2.45; 95% CI= 1.35 to 19.05; p= 0.016). Conclusion: Visit of children under five years of age to the integrated health post increases with child age, higher maternal education, working mothers, and higher motivation. Keywords: children under five years of age, mothers, integrated health post Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.03.71


2018 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Bunga Paramashanti ◽  
Sulistyawati Sulistyawati

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.


2021 ◽  
Vol 12 (2) ◽  
pp. 256
Author(s):  
Emilia Yunritati Rehing ◽  
Antono Suryoputro ◽  
Sakundarno Adi

AbstrakPosyandu merupakan suatu kegiatan pelayanan kesehatan masyarakat yang dikelola bersama sebagai upaya dalam peningkatan kesehatan. Kegiatan posyandu salah satunya yakni untuk memantau pertumbuhan dan perkembangan balita. Posyandu balita dilakukan secara rutin sesuai dengan yang jadwalkan dan perlunya peran aktif ibu yang memiliki anak balita untuk melakukan kunjungan guna mendapat penyuluhan terkait kesehatan, pemantauan tumbuh kembang anak, pemberian vitamin, dan imunisasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan balita ke Posyandu. Hasil penelitian menunjukan factor kunjungan posyandu antara lain pengetahuan, pekerjaan ibu, peran kader dan petugas kesehatan, dukungan keluarga, jarak posyandu, pendidikan ibu, sikap, motivasi, kepemilikan KMS. Penelitian ini dilakukan dengan menggunakan literature riview yaitu sebanyak 10 artikel dan dipublikasikan 5 tahun terakhir yaitu tahun 2017-2021. Pencarian artikel dengan menggunakan google scolar dan science direct. Kata Kunci: Kunjungan Posyandu, Ibu, Balita Abstract Posyandu is a community health service activity that is jointly managed as an effort to improve health. One of the posyandu activities is for the growth and development of children under five. Posyandu for toddlers are carried out regularly as scheduled and the need for an active role for mothers with children under five to make visits to get health-related education, warnings on child development, offer vitamins, and immunization. This study aims to determine the factors associated with under-five visits to Posyandu. The results showed that the posyandu visit factors included knowledge, maternal occupation, the role of cadres and health workers, family support, distance of posyandu, mother's education, attitudes, motivation, ownership of KMS. This research was conducted using a literature review of 10 articles and published in the last 5 years, namely 2017-2021. Search for articles using google scolar and science direct. Keywords: Posyandu visits, mothers, toddlers


2019 ◽  
Vol 1 (2) ◽  
pp. 90-97
Author(s):  
Christine Vita Gloria Purba ◽  
Okta Safryanni ◽  
Al Hidayati ◽  
Zulmeliza Rasyid

Non pneumonia Acute Respiratory Tract Infection (ARI) is a respiratory tract disease that is acute with a cough that does not show symptoms of increased respiratory frequency and does not indicate the pull of the lower chest wall inward. The incidence of non pneumonia ARI  in children under five in Kedung Sari Village was recorded at 40.06%. This study aims to determine the description and determinant of the incidence of non-pneumonia ARI  in children under five in Kedung Sari Village, Sukajadi District, Pekanbaru City in 2019. This type of research is quantitative observational analytic with cross sectional design. The study population was all children under five who lived in Kedung Sari Village, Sukajadi District, Pekanbaru City, amounting to 312 people with a sample of 172 respondents. The sampling technique was done by consecutive sampling. The type of data used in this study are primary data and secondary data by means of retrieving data through measurements and questionnaires. Data analysis was done by univariate and bivariate with chi square test. The results showed that there was a correlation between exposure to cigarette smoke (p-value 0,000) and the incidence of non-pneumonia ARI in children under five. It is expected that health workers, especially in the health promotion section of the community health center in implementing control and eradication programs of Acute Respiratory Tract Infection can provide health education, especially regarding the dangers of cigarette smoke for children under five and recommend smokers to smoke in special places so children under five are not exposed cigarettes.


2019 ◽  
Vol 3 (1) ◽  
pp. 07
Author(s):  
Mamik Ratnawati ◽  
Monika Sawitri Prihatini ◽  
Rini Hayu Lestari

Abstrak: Penyakit    diare    masih    menjadi    masalah  global      dengan      derajat      kesakitan      dan  kematian    yang    tinggi    di    berbagai    negara terutama   di   negara   berkembang,   dan   juga sebagai   salah  satu penyebab  utama  tingginya  angka    kesakitan    dan    kematian    anak    di  dunia. Tujuan dari kegiatan ini adalah untuk memberikan edukasi kepada ibu balita agar mengerti dan paham tentang diare dan pencegahannya di posyandu Desa Kali Kejambon Kecamatan Tembelang kabupaten Jombang. Kegiatan pengabdian masyarakat dengan Pemberdayaan Ibu Dalam Mengenali Diare Pada Anak Dan Cara Pencegahan Diare di Posyandu Kali Kejambon Kecamatan Tembelang Kabupaten Jombang berjalan dengan baik, sebanyak 50 orang ibu balita yang hadir dalam kegiatan ini dan terdapat 80% ibu balita paham dengan materi yang disampaikan oleh tim pelaksana pengabdian masyarakat serta terdapat umpan balik dengan memberikan pertanyaan kepada pelaksana kegiatan untuk pembahasan yang belum dimengerti. Bagi para ibu balita agar selalu waspada dengan kejadian diare pada balita karena diare merupakan bukan kasus yang bisa diremehkan dan bagi tenaga kesehatan agar selalu memberikan edukasi tentang penyakit-penyakit yang sering terjadi pada anak-anak agar tidak terjadi bahaya dan komplikasi.Abstract: Diarrhea is still a global problem with high degrees of illness and death in various countries, especially in developing countries, and also as one of the main causes of high child morbidity and mortality in the world. The purpose of this activity is to provide education to mothers of children under five to understand and understand diarrhea and its prevention at the Posyandu in Kali Kejambon Village, Tembelang District, Jombang Regency. Community service activities with the Empowerment of Mothers in Recognizing Diarrhea in Children and How to Prevent Diarrhea in the Kali Kejambon Posyandu in Tembelang District, Jombang Regency went well, as many as 50 under-five mothers attended this activity and 80% of toddlers understood the material delivered by the team implementing community service and providing feedback by giving questions to the implementers of activities for discussions that have not been understood. For mothers of toddlers to always be aware of the incidence of diarrhea in toddlers because diarrhea is not a case that can be underestimated and for health workers to always provide education about diseases that often occur in children so that there is no danger and complications.


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