Garuda - Garba Rujukan Digital

PENGGUNAAN BERBAGAI CUT-OFF INDEKS MASSA TUBUH SEBAGAI INDIKATOR OBESITAS TERKAIT PENYAKIT DEGENERATIF DI INDONESIA Heryudarini Harahap; Yekti Widodo; Sri Mulyati
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i2.20

DETERMINING CUT-OFF POINTS OF BODY MASS INDEX FOR OBESITY ASSOCIATED WITH DEGENERATIVE DISEASES IN INDONESIAObesity now is recognized as a public health problem. Changing diets and decreasing physical activity explain the increasing prevalence of obesity. Method that is commonly used for indentifying obesity is Body Mass Index (BMI). At present, there has been a growing debate on different BMI cut-off points for different ethnic groups, in particular for Asian population. A different cut-off point is needed due to evidence associated with BMI, percentage of body fat, and body fat distribution that differ across population. Therefore, health risks may incrase even below the cutoff point of 25 kg/m2 that now categorized as overweight. The objective of the study was to determine BMI cut-off points and their relationship with degenerative diseases. Data was originally taken from Health National Household Health Survei (SKRT) in 2004. The population were those who were aged 25 to 65 years old. The variable analysed statistically were age, sex, blood pressure, total cholesterol, and Diabetes Mellitus (DM). The analysis used in this study was univariate and bivariate tables to answer the objective. Based on WHO cut-off point, obesity was in BMI =25 kg/m2, and the prevalence of being hypertension, DM and hyperkolestrolemia as risks were 52.3%, 12,7% and 1,6% respectively. However, based on International Obesity Task Force (IOTF) cut-off in which pre obesity was started on BMI 23 kg/m2, the prevalence of each risk was consecutively 40,1%; 11,4% and 0,6%. Respectively cut-off used by Ministry of Health in obesity was 25 kg/m2 with prevalence for each risk was 50.2%, 11.8% and 1.5% respectively. Sensitivity (Se) and Specificity (Sp) were around 22.0-23.0 for all subjects based on sex, age, and education. The highest Se and Sp was found on hypercholesterol. Logistic regresion analysis showed that the increasing of BMI cut-off of 23 to 25 would be followed by the increase of the risk of hypercholesterol up to 0.6 points. On the other hand, decreasing BMI from 25 to 25 in USA may reduce 13% co-morbidity disease associated to obesity. In conclusion this study showed that on BMI =23.5 was related to degenerative diseases. However, the cut-off point still need to be examined in relation to the incidence of degenative diseases.Key Word: body mass index, cut-off point, degenerative diseases

PENGEMBANGAN ALAT SKRINING UNTUK HIPERTENSI Heryudarini Harahap; Yekti Widodo; Sri Muljati; Agus Triwinarto; Imam Effendi
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v33i2.92

THE DEVELOPMENT OF SCREENING TOOL FOR HYPERTENSIONThe increasing prevalence of hypertension is an important public health problem contributing to significant excess disease and mortality. The risk factors of high blood pressure were smoking, sex, age, consumption, activity, obesity, and heredity. Studies showed that subjects didn’t aware about their blood pressure as well as subjects’ knowledge about risk and symptom of hypertension was not good. Hypertension prevention can be done by giving screening tools to detect the blood pressure as well asgiving information about risk and symptom of hypertension. The objective of the study was to develop screening tool to detect hypertension. A cross-sectional survey was conducted in Bogor, North Jakarta and Tangerang district. Blood pressure was collected using spyhgmanometer. The JNC 7 was used to classify of hypertension. Screening tool and leaflet was developed based on the result of Basic Health Research data set as well as literature study. The study had three activities that were focus group discussion, validity and reliability, as well as screening tool trial. Results: Validity test showed that over 17 questions only 6 questions were valid (p0,05, r = 0,176). After re-construction of screening tool questions then validity test was done again. Over 15 questions, 12 was valid (p0,05, r = 0,07).Eventhough 3 questions were not valid that questions were still included in that screening tools. Reliabilty of screening tool was realiable (α Cronbach’s = 0.586). The sensitivity (Se) and Specificity (Sp) of subjects that had been have 7 scores or higher was had Se 61.6 and 64.1 Sp respectively. Conclusion: This study implies that hypertension screening tool can be used as screening tool to detect hypertension.Keywords: hypertension, obesity, sensitivity, screening tool, specificity

PENCAPAIAN PERTUMBUHAN ANAK INDONESIA UMUR 0,5–12,9 TAHUN Moesijanti Soekatri; nFN Sandjaja; Yekti Widodo
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v36i2.139

SEANUTS adalah studi gizi lengkap yang mencakup pengukuran antropometri, pemeriksaan biokimia darah dan urin, konsumsi makanan dan pola makan anak, informasi mengenai sosial ekonomi keluarga, kesehatan anak, aktivitas fisik, dan perkembangan anak. Dalam makalah ini akan dibahas pertumbuhan anak berdasarkan pengukuran antropometri dengan menggunakan standar WHO 2006 untuk anak balita dan 2007 untuk anak 5,0 sampai 12,9 tahun, yang dibagi dalam 5 kelompok umur yaitu 0,5-0,9; 1,0-2,9; 3-5,9; 6,0-5,9; and 9,0-12,9 tahun. Penelitian ini adalah cross-sectional pada 48 Kabupaten/Kota di Indonesia, dan pengambilan sample dilakukan dengan two-stage randomized cluster sampling dengan stratifikasi berdasarkan area geografi, untuk menetapkan lokasi, gender dan umur. (Metodologi lengkap ditulis dalam tulisan lain di jurnal ini) yang mencakup 7211 anak terdiri dari 50,6 persen anak laki-laki dan 49,4 persen perempuan. Indeks yang digunakan adalah PB/U atau TB/U; BB/U; BB/PB atau BB/TB; dan IMT/U. Hasil menunjukkan bahwa secara nasional prevalensi anak yang pendek dan sangat pendek adalah adalah 31,4 persen, yang mana prevalensi di kota (24,4%) lebih rendah dari pada di desa (38,3%). Untuk anak dengan berat badan kurang dan sangat kurang adalah 23,2 persen; yang mana di desa (27,9%) lebih tinggi dari pada di kota (18,5%); dan prevalensi anak kurus dan sangat kurus (7,8%), di kota (7,6%) tidak jauh berbeda dengan anak yang di desa (7,9%). Masalah gizi yang juga perlu mendapat perhatian adalah gemuk dan sangat gemuk karena kecenderungan jumlahnya semakin banyak dengan prevalensi 7,9 persen. Sebanyak 10,7 persen di kota dan 5,0 persen anak di desa menderita gemuk dan sangat gemuk. Karena masalah pendek terkait kekurangan makro dan mikro, disarankan agar program kesehatan untuk 1000 hari kehidupan anak dilanjutkan yaitu pemberian tabur gizi (Multi Micromineral Powder =MNP) untuk anak gizi kurang termasuk pendek.ABSTRACT GROWTH ACHIEVEMENT OF INDONESIAN CHILDREN AGED 0.5-12.9 YEARS OLD SEANUTS is a comprehensive study conducted in 48 districts in Indonesia. The study covers assessments on antrophometry, biochemical, physical activity, morbidity, dietary consumption and psychology development. Detailed methodology of the study is presented in previous paper in this journal. In this article, only antrophometry is discussed and children are devided in 5 groups according to the age, 0.5-0.9; 1.0-2.9; 3.0-5.9; 6.0-5.9; and 9.0-12.9 years old. In this cross sectional, two-stage randomized cluster sampling was applied using stratification based on geography area for deciding the location of residence, sex and age. A total of 7211 children were recruited, consisting of 50.6 percent boys and 49.4 percent girls. Indices used were HAZ; WAZ; WHZ; and BAZ. The results showed that 31.4 percent of children were stunted and severe stunted. The prevalence was lower in urban children (24.4%) compared to rural children (38.3%). The overall prevalence of underweight (moderate and severe) was 23.2 percent which was higher in rural areas (27.9%) than in urban areas (18.5%). The overall prevalence of wasting (moderate and severe) was 7.8 percent, which was higher in rural areas (8.0%) compared to urban areas (7.6 %). An emerging problem was overweight and obesity, 7.8% of the children were overweight/obese. The prevalence was higher in urban areas (10.6%) versus rural areas (5.0%). Because stunting has closely related to macro and micro nutrients, it is recommended that nutrition intervention programs should be addressed to the first 1000 days of children’ life like MNP (Micro Nutrient Powder) for those who had undernutrition including stunting

PERANAN PEMBERIAN MAKANAN TAMBAHAN PADA ANAK UMUR 6 – 23 BULAN PADA SAAT KRISIS EKONOMI Sandjaja -; Sri Mulyati; M. Saidin; Suhartato -; Yekti Widodo
GIZI INDONESIA Vol 28, No 1 (2005): Maret 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i1.16

THE IMPACT OF FOOD SUPPLEMENTATION FOR CHILDREN AGED 6-23 MONTHS DURING ECONOMIC CRISISSupplementary feeding program (PMT) for children aged 6-23 months of poor families (Gakin) is a sub-component of Social Safety Net – Health Sector (SSN-HS) following economic crisis that hit Indonesia the end of 1997. It is intended to provide additional food and prevent deteriorating impact of nutritional status of the target. The main objective of the study was to determine the impact of PMT for children on malnutrition and growth as compared with that for children not receiving PMT. The design of the study is case control. Case was children of poor family who had or ever had received PMT for three months provided by SSN-HS in the last six months. Control was children of near poor families but who had never received PMT. Matching criteria for case and control were age, sex, and residence of the family. The study was conducted in West Java, Central Java, South Kalimantan covering 1014 cases and 1014 controls and their families. Data on child collected were current weight and height, and retrospective weight in the last 10 months. Other data collected were characteristics of chlidren and therir families including socioeconomic status, clinical examination, dietary intake including food suplement. Program implementation of PMT varied among study areas on selection criteria for child beneficiaries in addition to poor families, duration of PMT, method of distribution, type of food. There were similar characteristics between case and control in age, sex, breastfeeding, morbidity except for socioeconomic status of the family, age of father, educational attainment of parents. Foods distributed for 6-11 month old samples included supplementary food, foodstuff, cooked (rice/flour porridge+egg). Foods for 12-23 month old samples more varied than food suplement for 6-11 months old children. Nutrient content of food distributed was 268 Kcal for energy and 9.2 grams protein, below the recommended nutrient content of PMT 360-430 Kcal and 9-15 grams protein. Dietary intake were similar in both groups consisting of energy around 46% RDA and protein 67-73% RDA (excluding breast milk). This finding shows that part of PMT became substitute rather than supplement. Cases had significantly lower nutritional status in W/A and H/A anthropometric indices than control except for W/H. Growth pattern as analyzed using retrospective data found that there was faltering growth pattern in both groups. Period between three months prior to PMT to the baseline showed that more decreasing Z-score was significantly (repeated measures of ANOVA) greater in case than in control group. Three months during PMT, there was still further decreasing mean Z-score in both groups although it was not as great as three months before. This finding showed that PMT was able to prevent deteriorating nutritional status among child beneficiaries of poor families but was not able to improve their nutritional status.Keywords: food suplementation, economic crisis

HUBUNGAN PENGELUARAN ROKOK RUMAH TANGGA DENGAN STATUS GIZI BALITA DI INDONESIA (ANALISIS DATA RISKESDAS 2010) Sudikno .; Bona Simanungkalit; Yekti Widodo; Sandjaja .
GIZI INDONESIA Vol 34, No 2 (2011): September 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v34i2.109

Tingkat pendapatan masyarakat diperberat oleh pengeluaran rokok rumah tangga yang secara tidak langsung akan mempengaruhi status gizi balita. Penelitian ini bertujuan mengetahui hubungan pengeluaran rokok rumah tangga dengan status gizi balita. Penelitian menggunakan data Riskesdas 2010. Populasi penelitian meliputi semua rumah tangga Riskesdas 2010. Sedangkan sampel adalah semua rumah tangga Riskesdas 2010 yang memiliki balita (0-59 bulan) dengan kriteria inklusi balita (0-59 bulan) termuda di rumah tangga. Variabel penelitian meliputi: status gizi balita, pengeluaran rokok rumah tangga, pendidikan KK, pekerjaan KK, tinggi badan ibu, pendidikan ibu, pekerjaan ibu, dan status sosial ekonomi. Hasil penelitian menunjukkan rumah tangga dengan pengeluaran rokok pada kuintil 4 dan 5 memiliki odds rasio 1,21 kali untuk memiliki balita dengan status gizi (BB/TB) kurus dan sangat kurus dibandingkan rumah tangga dengan pengeluaran rokok pada kuintil 1, 2, dan 3 setelah dikontrol oleh variabel pendidikan ibu, pendidikan KK, dan pekerjaan KK. Kata kunci: pengeluaran rokok, rumah tangga, statusgizi balita

SKOR POLA PANGAN HARAPAN DAN HUBUNGANNYA DENGAN STATUS GIZI ANAK USIA 0,5 – 12 TAHUN DI INDONESIA Yekti Widodo; Sandjaja Sandjaja; Fitrah Ernawati
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 40 No. 2 (2017)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v40i2.7939.63-75

ABSTRACTThe prevalence of undernutrition in Indonesia is still high compared to its neighbouring countries. The causes are quantity and quality of dietary intakes that can be assesed by dietary recall and desirable dietary pattern (DDP) respectively. The objective was to measure DDP and its association with nutritional status of 0,5-12-year-old Indonesian children. Data was obtained from SEANUTS Indonesia's research covering 3.600 children in 48 districts. Trained nutritionists collected food intakes and dietary pattern by 1x24 hour dietary recall. Nutrient intakes and DDP were calculated by food composition tables and 9 food groups respectively. DDP score were categorized into lowest (score <55), low (55-70), medium (71-84), and high (>85). Weight, length/height were measured by digital weight scale and length measuring board/microtoise. World Health Organization (WHO) child standard was used to calculate W/A, H/A, W/H Z-scores. Analysis was done to measure DDP and its association with nutritional status. The result showed that DDP child 0,5-1,9 years was 48,7 point, DDP child 2,0-5,9 years was 54,7 point, DD child 6,0-12,9 years was 48,8 point. The overall DDP was 49,9 point, far below the maximum value 100 point. DDP was higher among older age, urban areas, higher father education, and higher socioeconomic status. The risk of stunted was higher in low DDP (OR = 1,24; 95% CI 1,15-1,732) and underweight (OR = 1,27; 95% CI 1,16-1,38) but no risk for wasted. The conclusion DDP of Indonesian children was still low and it was associated significantly with stunting and underweight. ABSTRAK Prevalensi kekurangan gizi di Indonesia masih tinggi dibandingkan negara tetangga, penyebab adalah kuantitas dan kualitas asupan makanan, yang dapat dinilai dari konsumsinya dalam bentuk kualitas dan keragamannya. Penelitian bertujuan mengukur skor pola pangan harapan (PPH) dan hubungannya dengan status gizi anak usia 0,5-1,6 tahun, 2,0-5,9 tahun, dan 6,0-12,9 tahun di Indonesia. Data diperoleh dari penelitian SEANUTS Indonesia yang mencakup 3.600 anak di 48 kabupaten. Data asupan makanan dikumpulkan dengan cara recall 1x24 jam oleh ahli gizi yang terlatih. Asupan zat gizi dihitung menurut tabel komposisi bahan makanan dan skor PPH berdasarkan sembilan kelompok bahan makanan. Skor PPH dikategorikan sangat rendah (< 55), rendah (55-70), cukup (71-84), dan tinggi (>85). Berat badan diukur dengan timbangan digital dan panjang atau tinggi badan diukur dengan papan panjang badan atau microtoise. Status gizi anak dinilai berdasarkan Z-score indeks BB/U, TB/U BB/TB standar WHO. Hasil penelitian menunjukkan bahwa skor PPH konsumsi anak umur 0,5-1,9 tahun adalah 48,7, umur 2,0-5,9 tahun 54,7, dan umur 6,0-12,9 tahun 48,8. Secara keseluruhan skor PPH anak umur 0,5-12,9 tahun hanya 49,9 masih jauh di bawah skor ideal (100). Skor PPH cenderung lebih tinggi pada anak yang tinggal di perkotaan, tingkat pendidikan ibu lebih tinggi, dan status sosial ekonomi lebih tinggi. Anak dengan skor PPH rendah mempunyai risiko mengalami stunting dengan OR = 1,24; 95% CI 1,15-1,32 dan mengalami underweight dengan OR = 1,27; 95% CI 1,16-1,38, tetapi tidak menunjukkan berisiko wasting. Dimpulankan bahwa skor PPH anak Indonesia masih rendah dan berhubungan nyata dengan risiko stunting dan underweight.

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

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

STRATEGI PENINGKATAN PRAKTIK PEMBERIAN ASI EKSKLUSIF Yekti Widodo; Heryudarini Harahap; Sri Muljati; Agus Triwinarto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 26 No. 1 (2003)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v26i1.1428.

STRATEGY TO IMPROVEMENT EXCLUSIVE BREASTFEEDING COVERAGEBackground: Exclusive breastfeeding practice in Indonesia not yet gratified, ranging from 3,6% up to 27,5%. Therefore require to be developed a promotion strategy to motivate the exclusive breastfeeding, by entangling target of besides mother with given by a complete information about exclusive breastfeeding. Objectlves: Knowing exclusive breastfeeding promotion impact to coverage of exclusive breastfeeding. Methods: This research represent the research observational, with kohort design. Sampel research is all pregnancy women which old age its pregnancy have entered the third trimester. All sampel research given the counselling with interpersonal communication and non-formal condition and also the discussion with husband, parent, grandmother. At this research the strategy counselling to motivate the exclusive breastfeeding by giving information about exclusive breastfeeding, creating condition and environment supporting, improving husband involvement, other family member, traditional birth attendant, cadre, and rural midwife (bidan di desa) and also lessen the negative consequence, like busy, baby rewel, and insufficient breastfeeding. Counselling conducted by special worker which have been trained, since the pregnant women in third trimester until the baby 4 month ages. Results: Total sampel in this research is 221 all family have been given the motivation for the pracllcaly of exclusive breastfeeding. From 221 sampel gave the motivation 110 sampel (49,8%) earning given exclusive breastfeeding during 4 month, while 111 sampel (50,2%) cannot given exclusive breastfeeding because some reason among other things: husband, arent, and or parent in law not support, feel too busy, child need the practice eat, fear later child become difficult eat. This applying counselling strategy can motivate the mother to give the exclusive breastfeeding during 4 month reach 49,8%. This matter indicate that this strategy is good enough to increase exclusive breastfeeding coverage. Conclusions: Counselling strategy with infonnal communications and while non-formal condition and given the complete information and also to combining discussion with the counselling target, is good enough to motivate and look after the exclusive breastfeeding gift behavior. Recommendations: Applying of strategy counselling in order to exclusive breastfeeding promotion need the commitment all of health worker to support and also have to entangle the husband, parent, parent in law, and traditional birth attendant as counselling target. Keywords: exclusive breastfeeding, counselling exclusive, breastfeeding improvement

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

Title

Found 12 Documents
Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title Search

Found 12 Documents Search

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Title

Found 12 Documents
Search