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STATUS GIZI IBU SEBELUM HAMIL SEBAGAI PREDIKSI BERAT DAN PANJANG BAYI LAHIR DI KECAMATAN BOGOR TENGAH, KOTA BOGOR: STUDI KOHOR PROSPEKTIF TUMBUH KEMBANG ANAK TAHUN 2012 - 2013 Anies Irawati; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 37 No. 2 (2014)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v37i2.4015.119-128

ABSTRACTWeight and length at birth are the good indicators to evaluate the possibility of survival, growth, and chronic disease as adults. This analysis aims to assess the effect of maternal nutritional status as pre-pregnant and pregnant on birth weight and length of infants at risk of chronic disease in adulthood. The design of this study was a prospective cohort, starting from pre pregnancy, during pregnancy until infant birth. Data analysis used multiple logistic regression. The result showed that 6 percent of infants birth weight <2500 g and 26.4 percent of infants birth weight to chronic disease risk (<3000 g). Approximately 30.1 percent of infants stunted at birth (<48 cm) and 62.6 percent infants at birth length <50 cm (standard WHO 2006). Mean of height pre-pregnancy is 151.9±5.6 cm and mean of body mass index (BMI) pre-pregnancy is 20.6±3.1 kg/m2. Maternal BMI pre-pregnancy is a major risk factor for birth weight infants < 3000 g after controlled by maternal height, weight gain during pregnancy, maternal age, parity, diarrhea, energy and protein intake and sex of the baby. Maternal height is a major risk factor for infant birth length (<50 cm) after controlled by pre-pregnant maternal BMI, maternal age, parity, weight gain during pregnancy, diarrhea, energy and protein intake. Conclusions, maternal nutritional status is a risk factor for pre-pregnant weight and birth length.Keywords: infant, birth weight, body mass index, length, maternalABSTRAKBerat dan panjang saat lahir merupakan indikator yang baik untuk melihat kemungkinan kelangsungan hidup, pertumbuhan, dan penyakit kronis ketika dewasa. Analisis ini bertujuan menilai pengaruh status gizi ibu ketika pra hamil dan hamil terhadap berat dan panjang bayi lahir yang berisiko pada penyakit kronis ketika dewasa. Disain penelitian adalah kohor prospektif sejak ibu pra hamil sampai bayi lahir. Studi kohor ini dimulai sejak tahun 2012 dan direncanakan berlanjut sampai tahun 2030. Data yang dianalisis adalah data tahun 2012 – 2013 pada 220 ibu dan bayi. Analisis data menggunakan regresi logistik ganda. Hasil analisis menunjukkan bahwa sekitar 6 persen bayi lahir dengan berat <2500 g dan 26,4 persen bayi lahir dengan berat <3000 g. Sekitar 30,1 persen bayi lahir pendek (<48 cm) dan 62,6 persen bayi lahir dengan panjang lahir <50 cm (standard WHO 2006). Rerata TB pra hamil 151,9±5,6 cm dan rerata Indeks Massa Tubuh (IMT) pra hamil 20,6±3,1 kg/m2. IMT ibu pra hamil merupakan faktor risiko utama berat bayi lahir <3000 g setelah dikontrol variabel tinggi badan ibu, pertambahan berat badan selama hamil, umur ibu, paritas, sakit diare, konsumsi energi dan protein serta jenis kelamin bayi. Tinggi badan ibu merupakan faktor risiko utama panjang lahir <50 cm setelah dikontrol variabel IMT ibu pra hamil, umur ibu, paritas, pertambahan berat badan selama hamil, sakit diare, konsumsi energi dan protein. Status gizi ibu pra-hamil merupakan faktor risiko berat dan panjang bayi lahir. [Penel Gizi Makan 2014, 37(2): 119-128]Kata kunci: bayi, berat lahir, indeks massa tubuh, panjang lahir, wanita hamil

PENGARUH PEMBERIAN SUSU SKIM PADA KADAR PREALBUMIN ANAK BALITA YANG MENGIKUTI REHABILITASI GIZI RAWAT JALAN DI PUSKESMAS Rousmala Dewi; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 36 No. 2 (2013)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v36i2.4002.157-164

ABSTRACTChildren who suffering protein and energy deficiency have low blood protein, particularly prealbumin and transferin. The consequencies of a very low level prealbumin may impact immune system, increase morbidity and mortality. This study aimed assess impact of skim milk supplementation on prealbumin status of malnourished children under five attending out patient community health center( Puskesmas). The research design is before and after for 38 children. The duration of nutrition rehabilitation and supplementation was three months. During the nutrition rehabilitation, the children were treated for infectious diseases, given 200 gram skim milk per week as additional protein rich food, nutrition counseling and child health care. The result of study showed that children consumed low intakes of energy and protein (below minimum level of RDA). Prealbumin concentration before intervention 10,3±5,0 mg/dL and 10,6±3,4 mg/dL. after intervention for 3 months Prealbumin changes was not significant (p=0,695). Supplementary of skim milk 200 gram per week during 3 months in the nutrition rehabilitation outpatients failed to improved prealbumin concentration among malnourished children.Keywords: skim milk supplementation, underweight, out-patient, prealbumin concentrationABSTRAKAnak kurang energy protein (KEP) mengalami penurunan kadar protein, terutama prealbumin dan transferin dalam darah. Konsekuensi kadar prealbumin dan transferin rendah antara lain daya tahan tubuh menurun, risiko kesakitan meningkat dan kematian. Tujuan penelitian adalah mengetahui pengaruh pemberian makanan tambahan susu skim terhadap kadar prealbumin anak berusia di bawah lima tahun (balita) yang mengikuti rehabilitasi rawat jalan di Puskesmas. Desain penelitian before-after study. Rehabilitasi gizi rawat jalan pada anak balita dengan berat badan kurang dilakukan di Puskesmas Sukaraja selama 3 bulan. Selama mengikuti rehabilitasi gizi, anak balita mendapat pengobatan penyakit infeksi, pemberian susu skim 200 g per minggu sebagai tambahan asupan protein, penyuluhan gizi dan perawatan kesehatan anak. Jumlah responden sebanyak 38 anak balita. Asupan energi dan protein anak balita sangat rendah (di bawah AKG). Kadar prealbumin sebelum mengikuti rehabilitasi 10,3±5,0 mg/dL dan meningkat menjadi 10,6±3,4 mg/dL setelah mengikuti rehabilitasi rawat jalan. Prealbumin secara statistik tidak signifikan (p=0,695). Pemberian susu skim sebanyak 200 g per minggu selama 3 bulan belum dapat meningkatkan kadar prealbumin darah anak balita KEP yang mengikuti paket rehabilitasi rawat jalan. [Penel Gizi Makan 2013, 36(2): 157-164]Kata kunci: pemberian susu skim tambahan, anak kurang gizi, rawat jalan, kadar prealbumin.

PERUBAHAN POLA KONSUMSI PANGAN KELUARGA PADA SEBELUM DAN SEWAKTU KRISIS EKONOMI Yayah K. Husaini; Yekti Widodo; Agus Triwinarto; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1488.

CHANGES OF HOUSEHOLD CONSUMPTION PATTERN BEFORE AND DURING THE ECONOMIC CRISIS.Background: It is generally agreed that the economic crisis has an impact on food insecurity and malnutrition. People's ability to secure an adequate diet during the crisis in Indonesia would have been declined, however, data are not adequately available.Objective: The purpose of this study was to examine the magnitude of the impact of the crisis on household food consumption in three rural areas: Cianjur (West Java), South Lampung (Lampung) and Tanah Datar (West Sumatera).Method: The study on food consumption had been conducted in 1993/1994 (before crisis), and a similar study was repeated in 1999 during the peak of the crisis in the same areas. A total of 346 households in the three areas were surveyed. The food consumption was recorded using a 24- hour method; knowledge and attitudes on foods were collected by interview. Information on socio-cultural and tradition surrounding foods use were also gathered. The consumption of foods as part of the five groups (staples, plant and animal protein resources, vegetables, fruits, and milk) were examined, and ranked their frequencies of consumption and their contribution to each food groups. This would allow us to make comparison on household consumption patterns in the three different areas at before and during the peak of the crisis.Results: Rice was eaten two or three times a day and there was no significant changes in the frequency of consumption of rice during the crisis. Noodes and flours were eaten less frequent, but com and cassava were increased during the crisis. Although during the crisis there was a decrease in the consumption of meat, but not the case for fresh fish, salted fish, eggs, tofu and tempeh. People's have had switched the consumption pattern more on less expensive foods. People's in Tanah Datar (West Sumatera) was apparently better in coping mechanism as the response to the crisis than the other two areas. In Tanah Datar, diet was likely more diversified, perhaps even better than the situation at before crisis.Conclusions: The results suggest that the effects of the economc crisis on household food consumption were varied, depend on the nature (land) and environment, level of education, pattern of employment and socio-cultural in each areas.Key Words: economic crisis, consumption pattern, diet, coping mechanism

PERILAKU MAKAN MURID SEKOLAH DASAR PENERIMA PMT-AS DI DESA CIHEULEUT DAN PASIR GAOK KABUPATEN BOGOR Hermina Hermina; Tjetjep S. Hidayat; Nurfi Afriansyah; Salimar Salimar; Djoko Susanto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1495.

FOOD CONSUMPTION BEHAVIOR OF ELEMENTARY SCHOOL PUPILS PARTICIPATING IN "PMT-AS" PROGRAM AT THE CIHEULEUT AND PASIR GAOK VILLAGE DISTRICT OF BOGOR.Objective: To collect informations regarding actual food consumption behaviour of the pupils, i.e. to develop right message to improve food consumption and nutrition status of the pupils.Results: Most of the pupils have not been applying good and acceptable food consumption behavior, i.e. quantitatively and qualitatively as well; their dietary food consumption patterns relatively monotoneous, vegetables are consumted very limited and also protein sources are less varieties. Snack foods which are usually consumed at school are less varieties and relatively unsafe.Conclusions: There are important messages developed to improve food consumption and nutrition status of the pupils, i.e. eat breakfast before go to school, have complete meal 2-3 times a day and consumed vegetables every day.Key Words: food consumption behavior, school suplementary feeding program (PMT-AS), nutrition education, elementary school pupils

STRATEGI BARU PENYULUHAN GIZI-KESEHATAN DALAM MENINGKATKAN PERILAKU SEHAT IBU SELAMA HAMIL DAN MENYUSUI Jajah K. Husaini; Yekti Widodo; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 24 (2001)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1501.

A New Strategy of Nutrition Education In Improving Health Behaviour of Pregnant and Lactating Women.Background: The new health paradigm of the year 2010 is emphasizing on preventive and promotive measures through the improvement of health behavior of the population. On the same time, the economic crisis has worsened the nutritional status, particularly for pregnant and lactating women, leading to increase of malnutrition and mortality among infants and women. Programs in improving health behavior, particularly in many nutrition programs, have poorly designed and poorly implemented at grass root levels and therefore may not assess nutrition knowledge, attitude and practice prroperty, with the consequence that the results may have little meanings.Objective: The aim of the study was to examine model of empowering pregnant and lactating women through, the improvement of heatlh and nutriton behavior by using the method of Women's Contact. Women's Contact or Kontak Ibu was a trained person who always give services to pregnant and lactating women, including midwives, traditional birth attendants, community volunteers, such as ceders, etc.Methods: The study areas were located in Bogor and Tangerang Districts. In the treatment group areas 21 Kontak Ibu were trained for 2 days in improving their skills in nutrition and heatlh education and supervised. In the control group areas 20 Kontak Ibu were trained for 1 day and Without supervised during the 4 months of intervention period. The material of nutrition and heatlh education developed by the previous study, was provided for all Kontak Ibu. In the treatment area 80 women (40 pregnant and 40 lactating) received the services given by Kontak Ibu. The same number and proportion of women also received the services in control areas.Results: The performance of Kontak Ibu in the treatment areas generally better than in the control areas in term of the frequency of giving education, number of women receiving services, referral forms completed, and number of targeted women visited. The women who improved their practices in solving the problem of morning sickness and low appetite for pregnant women, and problem of eating and diarrhea for infants were significantly (p<0.05) higher in the treatment than in the control group. Other practices, such as solving problem of headache, edema, vances. fever, etc. were improved in both groups.Conclusion: It is found in both group the new service strategy using method of Kontak Ibu changed several behaviors among women in communites. The changes in the experiment group were more remarkable than in the control group.Suggestion: The strategies of Kontak Ibu services changed behavior of both the service providers ard the women seeking services. It is therefore likely that application of the model Kontak Ibu services could be implemented in the existing nutrition improvement programs.Key words: nutrition education, behavior, pregnant and lactating women, women's contract

PENGARUH STATUS GIZI IBU SELAMA KEHAMILAN DAN MENYUSUI TERHADAP KEBERHASILAN PEMBERIAN AIR SUSU IBU Anies Irawati; Agus Triwinarto; Salimar Salimar; Irlina Raswanti
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 26 No. 2 (2003)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v26i2.1431.

EFFECT OF MATERNAL NUTRITION STATUS DURING PREGNANCY AND LACTATION TO SUCCESSFULLY BREASTFEEDING.Background: Infant should be only got breast milk in first six-months, but most of mothers do not successfully breastfed their infant because infant consumed low energy from breast milk. Maternal nutrition status during pregnancy and lactation may contribute to successful breastfeeding. During lactation, there is mobilization of fat to produce breast milk.Objective: The objective of this study is to evaluate contribution of maternal nutrition status before pregnancy, during pregnancy and lactation to successful breastfeedingMethods: In the first four-month of life, if infant consumed energy from breast milk ≤ 65% of RDA categorized as not successful breastfeeding, and if infant consumed energy from breast milk > 65% of RDA categorized as successful breastfeeding.Results: The result shows that maternal nutrition status during pregnancies doesn't contribute to successful breastfeeding. Maternal nutrition status during lactation significantly contributes to successful breastfeeding after controlling other factors (mother factors, infant factors, food pattern and social economics factors). During lactation, the risk of thin mothers (IMT < 18.5) to unsuccessful breastfeeding is 2.26 to 2.56 times compared to normal mothers (IMT ≥ 18.5-25.0) (RR = 2.26 to RR = 2.56).Conclusion: Mother should consume more energy and protein to achieve successful breastfeedingKeywords: successfully breastfeeding

BESARAN DEFISIT ENERGI DAN PROTEIN PADA ANAK USIA SEKOLAH (6-12 TAHUN) UNTUK PERENCANAAN PROGRAM GIZI (PMTAS) DI DELAPAN WILAYAH INDONESIA (Laporan Analisis Lanjut Tahun 2014) salimar salimar; Budi Setyawati; Anies Irawati
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 39 No. 2 (2016)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v39i2.5693.

Consumption adequacy in school children must be noticed, because of nutritional intake is directly associated with nutritional status of children besides of the infectious disease. The aim of this study was to analyse the proportion and the number of consumption deficit of energy and protein, for planning program of nutrition improvement (complementary food for school children/PMTAS) according to regions in Indonesia. Cross sectional study design. The sample of this study was all of children aged 6-12 years from Riskesdas data in 2010 which had the data of consumption. Data analysis describe the deficit of protein and energy according to groups of age and 8 regions in Indonesia. Proporsion of children who had energy deficit was 83,9 percent nationally, 64,4 percent of children was classified having severe energy deficiency (<70% AKE), and proportion of protein deficit was 64,2 percent, 17,8 percent of children was classified having severe protein deficiency (<70% AKP). The mean of protein and energy deficit for planning program of nutrition improvement nationally in school children require the adding about 650 calories for energy and 8,1 grams for protein. The number of protein and energy deficit was different according to groups of age and region. Protein adequacy for children in group of 6 years had fulfilled the recommended dietary allowance in 5 regions. The largest number of protein and energy deficit was in children aged 10-12 years in 8 regions of Indonesia. For the program planning of nutrition improvement in school children is supposed to notice the groups of age and regions. Kecukupan konsumsi pada anak sekolah harus diperhatikan, karena intake makanan berhubungan langsung dengan status gizi anak selain infeksi penyakit. Tujuan analisis mengetahui proporsi dan besaran defisit konsumsi energi dan protein, untuk perencanaan program perbaikan gizi (Pemberian Makanan Tambahan Anak Sekolah/PMTAS) menurut wilayah di Indonesia. Disain penelitian cross sectional. Sampel adalah semua anak berumur 6-12 tahun dari data Riskesda 2010 yang mempunyai data konsumsi makanan. Analisis data memaparkan defisit energi dan protein berdasarkan kelompok umur dan 8 wilayah di Indonesia. Proporsi anak usia sekolah yang defisit energi secara nasional 83,9 persen, sebanyak 64,4 persen defisit energi tergolong berat (<70 % AKE), dan defisit protein sebesar 64,2 persen, sebanyak 17,8 persen defisit protein tergolong berat (<70 % AKP). Rata-rata defisit energi dan protein secara nasional untuk perencanan program perbaikan gizi anak usia sekolah adalah perlu tambahan sebesar 650 Kalori untuk energi dan 8,1 gram untuk protein. Besaran defisit energi dan protein berbeda berdasarkan kelompok umur dan wilayah. Kecukupan protein kelompok umur 6 tahun sudah memenuhi AKP di 5 wilayah. Defisit energi dan protein terbesar terdapat dikelompok umur 10-12 tahun di 8 wilayah Indonesia. Dalam perencanaan program perbaikan gizi anak usia sekolah perlu memperhatikan kelompok umur dan wilayah.

PENGEMBANGAN SLOGAN KONSEP ‘GIZI SEIMBANG’ DAN GAMBARNYA (DEVELOPMENT OF SLOGAN AND ITS PICTORIAL FOR THE ‘BALANCED NUTRITION’ CONCEPT) Heryudarini Harahap; Abas Basuni Jahari; Nurfi Afriansyah; Sri Mulyati; Tjetjep syarif Hidayat; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 35 No. 2 (2012)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v35i2.3380.110-118

ABSTRACT Since officially released by the Ministry of Health in 1995, the Dietary Guidelines for Indonesians, ‘Pedoman Umum Gizi Seimbang’ (PUGS) is less successful to popularize the concept of 'balanced nutrition'. In contrast to the concept of 'Four Healthy Five Perfect’ (Empat Sehat Lima Sempurna), that was fortuitously at once a slogan. To obtain slogan of ‘balanced nutrition’ and their images that are easy to understand, attractive and easy to remember. The study was conducted in Cirebon, Karawang and Sukabumi district. It was a cross-sectional design. A total of seven slogan and four pictorial was developed by communication professional and researcher. Data was collected by in-depth interviews and focus group discussions (FGD). As in-depth interview informants were students of the last grade of elementary, middle and high school, adults with education elementary, junior high, high and graduate school. While informants in the FGD were cadres, teachers of elementary, junior high, and high school, as well as nutrition personnels at community health service (TPG) in each selected district. On in-depth interviews, 33 informants chose the slogan of “My Balanced Nutrition, More healthy” and 88 chose the slogan of “Eat Properly - Life Healthy”, while out of 15 FGD group, 11 FGD group chose the slogan of “My Balanced Nutrition, More Healthy”. The pictorial that selected in the FGDs and in-depth interviews are mostly circle. The slogan of “Balanced Nutrition, Healthy Life” with “circle pictorial” that might selected as one of an ‘educational message’ alternative for disseminating the concept of balanced nutrition. Kewords: Balanced nutrition, slogan, pictorial, education messages ABSTRAK Sejak dikeluarkan secara resmi oleh Departemen Kesehatan tahun 1995, Dietary Guidelines for Indonesians, yakni Pedoman Umum Gizi Seimbang (PUGS), hingga kini tergolong ‘kurang berhasil’ memasyarakatkan konsep ‘Gizi Seimbang’. Berbeda dengan konsep ‘Empat Sehat Lima Sempurna’ yang kebetulan sudah sekaligus merupakan slogan. Memperoleh slogan dan gambar konsep ‘gizi seimbang’ yang mudah dipahami, mudah diingat dan menarik. Penelitian dengan rancangan potong-lintang ini dilakukan di Kabupaten Cirebon, Karawang dan Sukabumi. Sebanyak tujuh slogan dan empat gambar dikembangkan oleh profesional komunikasi bersama dengan peneliti. Pengumpulan data dilakukan dengan wawancara mendalam dan diskusi kelompok terarah (FGD). Sebagai Informan dalam wawancara mendalam adalah siswa SD, SMP, dan SMA dari kelas terakhir, orang dewasa dengan pendidikan SD, SMP, SMA dan sarjana. Sementara informan dalam FGD diwakili oleh kader posyandu, guru SD, SMP, SMA, dan tenaga pelaksana gizi (TPG) di setiap kabupaten terpilih. Dalam wawancara mendalam, sebanyak 33 informan memilih slogan “Giziku Seimbang – Lebih Sehat” dan 88 memilih “Makan Tepat – Hidup Sehat”, sedangkan hasil FGD dari 15 kelompok FGD, 11 kelompok FGD memilih slogan “Giziku Seimbang – Lebih Sehat”. Sebagian besar gambar yang dipilih dalam FGD dan wawancara mendalam berbentuk bulat. Slogan “Gizi Seimbang – Hidup Sehat” dengan bentuk gambar bulat dapat dijadikan sebagai salah satu alternatif alat edukasi terpilih dalam memasyarakatkan konsep ‘gizi seimbang’. [Penel Gizi Makan 2012, 35(2): 110-118] Kata kunci: gizi seimbang, slogan, gambar, alat edukasi

PARTISIPASI MASYARAKAT DALAM REHABILITASI ANAK BALITA KURANG GIZI MELALUI ‘PROGRAM EDUKASI DAN REHABILITASI GIZI’ (PERGIZI) (COMMUNITY PARTICIPATION IN REHABILITATION OF MALNUTRITION UNDER-FIVE CHILDREN THROUGH THE ‘NUTRITION EDUCATION AND REHABILITATION Yekti Widodo; Sri Muljati; salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 35 No. 2 (2012)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v35i2.3382.136-149

ABSTRACT Improving severe and moderate malnourished children should be implemented in a comprehensive program, as integration, sustainable, public private partnership through community empowerment. To know increase community participation in malnutrition children rehabilitation through Nutrition Education and Rehabilitation Program (PERGIZI). PERGIZI's intervention involves: health dan nutrition education, food supplementation (mothers cooked and gave their children eat together), health examination, medicinal therapy, micronutrient, and community participation. Community participation measured through energy, foodstuff or money contribution and engaged active in planning, management, monitoring, and give solution to performing PERGIZI. Intervention is done with by mother, cadre, and Puskesmas's health staff, up to 24 weeks, with activity frequency as much 30 times. Community participation in PERGIZI's management high enough, appear from present mother, cadre, and society leaders in rural community deliberation to planning activity and makes deal. Community participation up to observable performing in collaboration among mother with cadre and contribution as energy and money from mother. Nutritional status improved target PERGIZI makes a abode can keep despite ‘help’ is discontinued. That thing points out to mark sense mother skill and ability improving in nurses and feed child and empowerment effort begin to give positive result. PERGIZI can help to improving child nutritional status and increases optimalisasi tacling program success malnutrition children. Keywords: PERGIZI, community participation, malnutrition under-five children ABSTRAK Program penanggulangan anak balita gizi buruk dan gizi kurang harus dilakukan secara terpadu, berkelanjutan, bersinergi, melibatkan lintas program, serta berbasis pemberdayaan masyarakat. Penelitian ini bertujuan meningkatkan partisipasi masyarakat dalam penanggulangan anak balita gizi buruk dan gizi kurang melalui ‘Program Edukasi dan Rehabilitasi Gizi’ (PERGIZI). Intervensi PERGIZI meliputi: edukasi gizi dan kesehatan, pemberian makanan tambahan (PMT) berupa nasi, lauk dan sayur yang dimasak dan dimakan bersama, pemeriksaan kesehatan dan pengobatan, pemberian sirop suplemen mineral zinc, serta penumbuhan partisipasi masyarakat. Partisipasi ibu balita serta masyarakat diukur melalui kontribusi tenaga, bahan makanan atau uang serta secara aktif terlibat dalam perencanaan, penyelenggaraan, pemantauan, dan pemecahan masalah selama pelaksanaan PERGIZI. Intervensi dilaksanakan bersama oleh ibu balita, kader, dan petugas kesehatan Puskesmas setempat selama 24 minggu, dengan frekuensi kegiatan sebanyak 30 kali. Partisipasi masyarakat dalam penyelenggaraan PERGIZI cukup tinggi, yang tampak dari kehadiran ibu balita, kader, dan tokoh masyarakat dalam musyawarah masyarakat desa untuk merencanakan kegiatan dan membuat kesepakatan. Partisipasi masyarakat selama pelaksanaan tampak dalam kerja sama antara ibu balita dengan kader serta kontribusi berupa tenaga dan uang dari ibu balita. Peningkatan status gizi anak balita tetap dapat dipertahankan meskipun ‘bantuan’ mulai dihentikan. Hal tersebut menunjukkan adanya peningkatan keterampilan dan kemampuan ibu dalam merawat anak balita dan memberinya makanan serta upaya pemberdayaan mulai memberikan hasil positif. PERGIZI dapat membantu menanggulangi anak balita gizi kurang dan gizi buruk dan meningkatkan optimalisasi keberhasilan program penanggulangan anak balita gizi buruk dan gizi kurang. [Penel Gizi Makan 2012, 35(2): 136-149] Kata kunci: PERGIZI, partisipasi masyarakat, anak balita gizi kurang, anak balita gizi buruk

PERAN PENYULUHAN DENGAN MENGGUNAKAN LEAFLET TERHADAP PERUBAHAN PENGETAHUAN DAN SIKAP IBU BALITA GIZI KURANG Salimar Salimar; Sri Muljati; Agus Triwinarto; Rousmala Dewi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 32 No. 2 (2009)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v32i2.1461.

ABSTRACT Background: Nutrition extension is one of the approach efforts to increase knowledge in order to gain good behavior. Through this extension, we expected mother of under five years child would understood and comprehended as well as had a willing and could implement what she was advised, so that she could took care of under five years child with underweight nutrition to become better nutrition. Purpose: To study about the changing of knowledge and attitude of mother with undernourished of under-five years child after got intervention of extension for 3 months of between two groups got leaflet and didn't get leaflet. Methods: This applied research applied quasi experiment research design. Population is mother having undernourished of under five years child and mother age ranges from 18-45 years, totally 176 samples. Group of treatment got extension package for 3 months and given leaflet to be studied in house. Group of control was participated extension package for 3 months, but they weren’t given leaflet, and leaflet was given after this research completed. Results: After followed extension package during 3 months, samples showed improvement for mother’s knowledge as 11.4% in group of treatment and 10.4% in group of control. Statististically by using Chi quadrate test, there were a significance difference (p=0.00) for mother’s knowledge before and after research in both group of research. There is a changing for mother’s attitude in group of treatment as 28.1% and 16.1% in group of control. By using chi square test we found significance difference (p=0,021) on mother’s attitude in group of treatment before and after extension for 3 month, while in group of control there was no significance difference ( p=0.187). Conclusions: Leaflet is one of the supporting facilities which applicable to change knowledge and attitude of mother. There is no difference of mother’s motivation in participating this research. The role of husband and parents were big enough in two groups of research in the treatment of nutrition undernourished child, especially in parenting and decision making in child recovery from sickness. Recommendation: This research need to be continued to study about extension impact to on mother’s behavior while taking care child. Extension for husbands needs to be done to involve them in child parenting and treatment process to quicken the improvement of nutrition of under-five years child. [Penel Gizi Makan 2009, 32(2): 119-128] Key word: Leaflet, extension, undernourished, knowledge, attitude.

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