scholarly journals Implementasi Program Posyandu Tfc (Theurapetic Feeding Center) Sebagai Strategis Penuntasan Dan Pemulihan Gizi Buruk Bagi Balita Di Puskesmas Bumijawa Kabupaten Tegal.

2019 ◽  
Vol 10 (2) ◽  
pp. 773-782
Author(s):  
Nora Rahmanindar ◽  
Juhrotun Nisa ◽  
Nilatul Izah

Latar Belakang: Masalah gizi merupakan salah satu masalah kesehtan masyarakat yang belum pernah tuntas di tanggulangi dunia. Organisasi Kesehatan Dunia memperkirakan bahwa sekitar 60 % dari semua kematian, yang terjadi antara anak-anak yang berusia kurang dari lima tahun dinegara berkembang, bisa dihubungkan dengan mal nutrisi. Therapeutic Feeding Center (TFC) atau Pusat Pemulihan Gizi (PPG) adalah pemuliha gizi kurang dengan perawatan serta pemberian makanan secara intensif dan adekuat sesuai usia dan kondisinya dengan melibatkan peran serta orang tua (ibu) agar mandiri ketika sudah kembali ke rumah.Tujuan: Penelitian ini bertujuan untuk menganalisa pelaksanaan program Posyandu TFC di Puskesmas Kabupaten Tegal.Metode: Penelitian ini bersifat kualitatif dengan menggunakan metode deskriptif. Pengumpulan data dilakukan dengan teknik wawancara mendalam sesuai dengan pedoman wawancara. Responden yang diteliti ada 8 orang yaitu 2 petugas sebagai informan kunci yaitu dokter penanggungjawab dan koordinator gizi di Puskesmas Bumijawa, 4 petugas sebagai informan utama yaitu 2 petugas kesehatan bidan dan petugas gizi serta 2 petugas kader posyandu dan 2 ibu yang mempunyai anak gizi kurang sebagai informan Triangulasi.Hasil: Penelitian menunjukan bahwa sumber-sumber program, tenaga, dana dan sarana prasarana sudah memadai, proses pelaksanaan program tersebut pada tahap perencanaan sudah didukung dan di analisa permasalahan serta sudah melibatkan lintas program dan lintas sektoral, tahap pengorganisasian sudah di bentuk, ada standar prosedur yang jelas, pembagian tugas sudah baik, pelaksanaan monitoring dan evaluasi program sudah memadai ada pengawasan dari pihak kepala puskesmas bumijawa dan dari Dinas Kesehatan kabupaten Tegal.Simpulan: Balita yang gizi kurang sudah ada pendataan dan di tangani dengan baik di posyandu TFC baik rawat inap atau rawat jalan, balita tersebut 100 persen mengalami kenaikan BB 0,5 kg per minggu, kecuali balita yang gizi kurang dengan kelainan penyerta seperti jantung, TBC dll perlu penanganan intensif.Sehingga program posyandu TFC sudah berjalan dengan baik sebagai penuntasan dan pemulihan gizi kurang bagi balita di Puskesmas Bumijawa Kabupaten Tegal.Kata Kunci : Implementasi kebijakan, program posyandu TFC Background: The problem of nutrition is one of the people's health problems that has never been solved in the world tackling. The World Health Organization estimates that around 60% of all deaths, which occur among children aged less than five years in developing countries, can be attributed to malnutrition. Therapeutic Feeding Center (TFC) or Nutrition Recovery Center (PPG) is recovery of malnutrition by intensive and adequate care and feeding according to age and condition by involving the participation of parents (mothers) to be independent when they return home.Objective: This study aims to analyze the implementation of the TFC Posyandu program at the Tegal District Health Center.Method: This research is qualitative by using descriptive methods. Data collection was carried out using in-depth interview techniques in accordance with interview guidelines. There were 8 respondents surveyed, namely 2 officers as key informants, namely the physician in charge and nutrition coordinator at Bumijawa Public Health Center, 4 officers as the main informants namely 2 midwife health workers and nutritionists as well as 2 posyandu cadre officers and 2 mothers who have undernourished children as informants Triangulation Results: Research results show that program resources, personnel, funds and infrastructure are adequate, the process of implementing the program at the planning stage has been supported and analyzed for problems and has involved cross-program and cross-sectoral, the organizing stage has been established, there are standard procedures clearly, the division of tasks is good, the implementation of program monitoring and evaluation is adequate, there is supervision from the head of the bumijawa puskesmas and from the Tegal district health office.Conclusion: Toddlers who lack nutrition already have data collection and are handled well in TFC posyandu both inpatient or outpatient, the toddler is 100 percent increasing in weight of 0.5 kg per week, except toddlers who are malnourished with comorbid disorders such as heart disease, tuberculosis etc. need intensive handling. So that the TFC posyandu program has been running well as the completion and recovery of malnutrition for children under five in the Bumijawa Health Center in Tegal Regency.Keywords: Policy implementation, TFC posyandu program

2019 ◽  
Vol 1 (1) ◽  
pp. 40
Author(s):  
Oktavianis Oktavianis

<p><em>According to the World Health Organization (WHO) contraceptive use has increased in many parts of the world by 57.4%. West Sumatra Province has a total of 729,428 PUS with KB acceptors as many as 416,992 people in 2016. Solok District Health Office in December 2017 amounted to 59.79% of the total existing PUS with MOW contraceptive users as many as 59 people and MOP as many as 11 people.The purpose of this research was to determine the effectiveness in increasing knowledge of steadycontraception with the Snowball Throwing method in fertile age couples family planning acceptors inKayuJaoCommunity Health Center GunungTalangKabupatenSolok, 2018.</em></p><p><em>               The research used Pre Experimental method with One Group Pretest Posttest approach design. It was conducted in KayuJaoCommunity Health Center in GunungTalangKabupatenSolok in 2018 with 15 people as the samples. It was chosen by using PurposiveSamplingtechnique.</em></p><p><em>               The results of this research showed that the differenceaverage knowledge before and after was 1.667 with standard deviation 1.589. The highest score is -0.778 and the lowest value is -2.546. Moreover, statistical test results obtained that the effectiveness of knowledge increasing of steady contraception with Snowball Throwing method in fertile age couples family planning acceptors in KayuJaoCommunity Health Center had P= 0.001 (&lt;0.05).</em></p><p><em>               The conclusion of the study is expected to health workers to further improve the strategy in providing counseling to the community by using interesting learning methods.</em></p>


2021 ◽  
Vol 15 (11) ◽  
pp. e0009962
Author(s):  
Angelia M. Sanders ◽  
Ruth Dixon ◽  
Logan Stuck ◽  
Michaela Kelly ◽  
Geordie Woods ◽  
...  

The World Health Organization promotes the SAFE (Surgery, Antibiotics, Facial cleanliness, and Environmental improvements) strategy for trachoma control and prevention. The F&E components of the strategy focus on promotion of healthy hygiene and sanitation behaviors. In order to monitor F&E activities implemented across villages and schools in Malawi, Tanzania, and Uganda, an F&E Monitoring and Evaluation (FEME) framework was developed to track quarterly program outputs and to provide the basis for a pre and post evaluation of the activities. Results showed an increase in knowledge at the school and household levels, and in some cases, an increase in presence of hand/face washing stations. However, this did not always result in a change in trachoma prevention behaviors such as facial cleanliness or keeping compounds free of human feces. The results highlight that the F&E programs were effective in increasing awareness of trachoma prevention but not able to translate that knowledge into changes in behavior during the time between pre and post-surveys. This study also indicates the potential to improve the data collection and survey design and notes that the period of intervention was not long enough to measure significant changes.


2020 ◽  
Vol 1 (2) ◽  
pp. 43-49
Author(s):  
Rochany Septiyaningsih ◽  
Dhiah Dwi Kusumawati ◽  
Frisca Dewi Yunadi ◽  
Septiana Indratmoko

The World Health Organization (WHO) states that maternal mortality worldwide due to complications during pregnancy and childbirth in 2017 is estimated at around 810 cases. Between 2000 and 2017 there was a decline in the ratio of MMR around the world by 38%. WHO also states that 94% of global maternal deaths occur in low and middle income countries. In Indonesia, maternal deaths due to complications from pregnancy or childbirth every year are estimated at 20,000 mothers died from five million births. Delivery assistance by trained health workers in health facilities can be an effort to reduce MMR and IMR. In addition, awareness of pregnant women is also important for the importance of having a pregnancy with a health worker. This community service aims to increase the knowledge of pregnant women about anemia and to detect early pregnancy complications by laboratory examinations. The target of this activity is 15 pregnant women. The dedication activity is conducting educational activities, laboratory examinations in Tambakreja Village, Cilacap Regency. Based on the results of this activity it was concluded that there was an increase in knowledge of pregnant women about anemia and found 2 pregnant women experiencing anemia from 15 pregnant women and urine examination found all negative pregnant women


2020 ◽  
Vol 7 (1) ◽  
pp. 46-53
Author(s):  
Latifah Susilowati ◽  
Masta Hutasoit

Diarrhea is the leading cause of infant mortality in Indonesia. Data from the Bantul District Health Office showed that the diarrhea morbidity rate in 2015 was 4.57 per 1000 population. World Health Organization launched program to reduce morbidity and mortality due to pneumonia and diarrhea by recommending supplementation of vitamin A as an effort to maintain health since baby was born. The purpose of this study was to determine the correlation of vitamin A supplementation with the incidence of diarrhea in children aged 12 - 59 months in Kasihan 1 Public Health Center. This study was used case control design with a retrospective approach. The number of control and case group were 44 children of each. Researcher collected data of children aged 12 - 59 months who suffered diarrhea last 6 months then conducted a home visit to ask about the history of vitamin A supplementation in children. There was no statistically significant correlation between vitamin A supplementation and the incidence of diarrhea in children aged 12 - 59 months. Health workers especially nurses need to increase public awareness of vitamin A supplementation to children under five years old as a form of support for government program to prevent diarrhea.


2021 ◽  

This regional report on the situation of tuberculosis (TB) in the Americas contains information from 2019, provided by the countries of the Region through the World Health Organization TB data collection system. These data have been consolidated and analyzed at the regional level. In addition to presenting the epidemiological and programmatic situation of TB in the Americas, the report aims to raise awareness and to motivate and encourage all stakeholders in the prevention and control of this disease, to accelerate efforts towards TB elimination in the Region, and to achieve the targets of the End TB Strategy. The report records the Region's achievements, but also the gaps in the work being carried out in diagnosis, treatment, comorbidities, vulnerable populations, risk factors, and funding, among other issues. Based on the information presented, specific recommendations are provided for further progress.


2021 ◽  
Vol 15 (5) ◽  
pp. e0009351
Author(s):  
Jaspreet Toor ◽  
Jonathan I. D. Hamley ◽  
Claudio Fronterre ◽  
María Soledad Castaño ◽  
Lloyd A. C. Chapman ◽  
...  

Locally tailored interventions for neglected tropical diseases (NTDs) are becoming increasingly important for ensuring that the World Health Organization (WHO) goals for control and elimination are reached. Mathematical models, such as those developed by the NTD Modelling Consortium, are able to offer recommendations on interventions but remain constrained by the data currently available. Data collection for NTDs needs to be strengthened as better data are required to indirectly inform transmission in an area. Addressing specific data needs will improve our modelling recommendations, enabling more accurate tailoring of interventions and assessment of their progress. In this collection, we discuss the data needs for several NTDs, specifically gambiense human African trypanosomiasis, lymphatic filariasis, onchocerciasis, schistosomiasis, soil-transmitted helminths (STH), trachoma, and visceral leishmaniasis. Similarities in the data needs for these NTDs highlight the potential for integration across these diseases and where possible, a wider spectrum of diseases.


2019 ◽  
Vol 9 (1) ◽  
pp. 19-29
Author(s):  
Andy Emmanuel ◽  
Victoria Kain ◽  
Elizabeth Forster

Sub-Saharan Africa, has the highest child mortality rate in the world (World Health Organization [WHO], 2016). However, there is a paucity of current systematic reviews on the impact of essential newborn care interventions in Africa. Therefore, the aim of this systematic review was to summarize evidence about the impact of essential newborn care interventions in Africa. Numerous databases were searched to retrieve articles that reported interventions in newborn care in Africa. The search was limited to the English language and to articles published between 2007 and 2017. Nine articles were selected for inclusion in this systematic review. Overall, these papers demonstrated an increase in performance of health workers (between 8 and 400%) following a test of knowledge, while health workers practical performance increased by 34%. Moreover, neonatal mortality was reduced by 45%, while perinatal mortality was reduced by 30%. Training healthcare workers is one of the most effective ways of improving newborn care and neonatal survival in Africa. However, there is a need for additional evidence to support this, because none of the reviewed studies assessed the impact of training by examining variables such as trainees' satisfaction with training, the knowledge and skills developed, and the health outcomes achieved.


An intensified global programme to eradicate smallpox within 10 years was initiated by the World Health Organization in January 1967. This goal will virtually be achieved. Whereas an estimated 10-15 million cases had occurred in 44 countries in 1967, only one small focus and two known active cases still remained in December 1976. The achievement reflects the dedicated work of hundreds of thousands of health workers throughout the world and a close, effective working relationship between W.H.O. and its Member States. A number of key factors are identified as important to the strategy and execution of the programme. Most important was the recognition that since a nil incidence of smallpox was the ultimate objective, an effective reporting-surveillance mechanism was essential to guide programme execution and to assess progress. In response to information provided through the surveillance network and depending on national health care, social and cultural patterns, the nature of programmes in each of the endemic countries developed and changed from year to year. No two programmes, however, were identical. Participation and involvement of staff in the existing health structure and village populations was essential. Assessment mechanisms for quality control of activities were an integral part of each phase of the programme. Production of improved vaccines and better methods of vaccination also played important roles. International assistance for smallpox eradication averaged $8 million per year or less than 6 % of what a study in the United States showed that it alone had been spending annually to protect against importations.


Author(s):  
Sunartono H ◽  
Prabandari Ys ◽  
Kusnanto H ◽  
Suryawati S

 Objective: Many of the rational use of medicines (RUM) interventions have been proven effective in improving medicine use, but the impacts were usually not sustainable for longer period of time. Gunungkidul and Sleman Districts of Indonesia have succeeded in implementing RUM program for more than two decades. This is considered rare, and therefore, it is important to identify factors contributing to the success. Methods: This is a single case study with non-experimental exploratory design. Quantitative and qualitative data were collected integratively to obtain information concerning the indicators and the process of RUM implementation. Quantitative data were collected in reference to the World Health Organization (WHO) 1993 RUM indicators, including average number of medicines per prescription (polypharmacy), percentage of patients receiving antibiotics, and percentage of patients receiving injections. Qualitative data were analyzed descriptively and were arranged chronologically in respective to each district. Results: Implementation of RUM in the two districts has successfully lasted up to 20 years. The annual medicine use indicators from 1994 to 2014 in Gunungkidul District show that polypharmacy decreased from 4.2 to 2.89, percentage patients receiving injections declined from 68.05% to 0%, and percentage of patients receiving antibiotics improved from 52.1% to 24.1%. The same indicators in Sleman District show that, between 1998 and 2014, polypharmacy remained stable at 3, percentage of patients receiving injections declined from 4.9% to 0.18%, and percentage of patients receiving antibiotics improved from 44.31% to 20%. Culturization of RUM program is the main key for sustainable impacts. Another important key is the high commitment of health policymakers to implement the principles of evidence-based treatment. Conclusions: The culturization of RUM program followed by continuous monitoring and evaluation by district health managers were the key factors to maintain the impact of the intervention.


2021 ◽  
Vol 8 (1) ◽  
pp. 64
Author(s):  
Bunga Tiara Carolin ◽  
Cholisah Suralaga ◽  
Ferdita Lestari

ABSTRAKWorld Health Organization (WHO) menetapkan target pemberian ASI pada bayi sekurang – kurangnya 50% pada tahun 2025. Capaian ASI di dunia saat ini sebesar 36%. Di indonesia (2019) cakupan ASI eksklusif masih 52,3%, dibawah target nasional. Berdasarkan laporan formulir pencatatan ASI eksklusif di Puskesmas baros bulan September beberapa desa masih berada dibawah target yaitu tidak mencapai 45 %. Tujuan penelitian untuk mengetahui pengaruh teknik hypnobreastfeeding terhadap kecukupan ASI bayi pada ibu menyusui di wilayah kerja Puskesmas Baros. Metode: Penelitian menggunakan desain quasi experiment dengan one group pretest-postest design. Populasi adalah 30 ibu menyusui yang berada di wilayah kerja Puskesmas Baros. Teknik pengambilan sampel menggunakan metode systematic random sampling. Subjek penelitian sebanyak 15 responden yang memenuhi kriteria inklusi. Uji statistik yang digunakan adalah paired T-Test. Hasil Penelitian menunjukkan ada peningkatan signifikan kecukupan asi dengan p-value 0,000, berarti ada pengaruh pemberian teknik Hypno breastfeeding terhadap kecukupan ASI. Ada pengaruh pemberian teknik Hypno breastfeeding terhadap kecukupan ASI. Diharapkan tekhnik hypnobreastfeeding ini dapat menjadi solusi bagi ibu menyusui yang mengalami masalah pengeluaran ASI. Kata kunci: ibu menyusui; kecukupan ASI; teknik hypno breastfeeding  Hypno-breastfeeding Techniques on Adequacy of Breast Milk among Breastfeeding Women ABSTRACT The World Health Organization has set a target of breastfeeding infants at least 50% by 2025. The achievement of breastfeeding in the world is currently 36%. In Indonesia (2019), exclusive breastfeeding coverage is still 52.3%, below the national target. Based on the report on the exclusive breastfeeding registration form at the Baros Health Center in September, several villages were still below the target, which was not reaching 45%. The purpose of this study was to determine the effect of the hypno-breastfeeding technique on the adequacy of breast milk for baby on breastfeeding mothers at Baros District Health Center. The study used a quasi-experimental design with one group pretest-posttest design. The population was 30 breastfeeding mothers who are in the area the Baros District Health Center. The sampling technique used systematic random sampling method. The research subjects were 15 respondents who met the inclusion criteria. The statistical test used is the paired T-Test. The results showed that there was a significant increase in the adequacy of breastfeeding with a p-value of 0.000, meaning that there is an effect of the Hypno-breastfeeding technique on the adequacy of breastfeeding. There is an effect of giving Hypno-breastfeeding technique to the adequacy of breast milk. It is hoped that this hypno-breastfeeding technique can be a solution for breastfeeding mothers who have problems with breastfeeding. Keywords: breastfeeding mother; adequacy of breast milk; Hypno-breastfeeding Technique


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