DAERAH POSITIVE DEVIANCE SEBAGAI REKOMENDASI MODEL PERBAIKAN GIZI

Okti Woro Kasmini Handayani, Galuh Nita Prameswari

Abstract

Permasalahan penelitian adalah bagaimana memperbaiki status gizi balita dengan penerapan model daerah positive deviance. Penelitian ini bertujuan untuk memperbaiki status gizi balita dengan penerapan model daerah positive deviance atau daerah yang mempunyai kesenjangan antara keadaan status gizi dengan keadaan lingkungannya, dan mendapatkan pemetaan daerah positive deviance antara status gizi balita dan lingkungannya. Metode penelitian survei dengan menggunakan pendekatan kuantitatif dan kualitatif, teknik purposif, dan snowball sampling. Hasil penelitian menunjukkan peta daerah positive deviance antara status gizi dan lingkungan di Kabupaten Boyolali adalah daerah yang mempunyai kesenjangan antara keadaan status gizinya dengan keadaan lingkungannya, terdapat di wilayah Puskesmas Karanggede dan Puskesmas Juwangi. Hasil penelitian model daerah positive deviance, yang direkomendasikan dalam jangka pendek adalah dengan memberdayakan potensi masyarakat terutama dalam bidang sosial budaya, yang meliputi aspek organisasi kemasyarakatan, pengetahuan dan bahasa, mata pencaharian, serta teknologi dan peralatan. Simpulan dari penelitian ini adalah wilayah Puskesmas Karanggede dan Puskesmas Juwangi mempunyai kesenjangan antara keadaan status gizinya dengan keadaan lingkungannya, sehingga direkomendasikan memberdayakan potensi masyarakat.

The research problem was how to improve nutritional status of children with positive deviance model application area. This study purposed to improve the nutritional status of children with positive deviance model application areas or areas which have a gap between the state of nutritional status with the state of the environment, and earn positive deviance terrain mapping between the nutritional status of children and the environment. Survey research methods using quantitative and qualitative approaches, purposive and snowball sampling technique. The results showed a map of the area of positive deviance between nutritional status and the environment in Boyolali areas that have a gap between the state of nutritional status with the state of the environment were in the area of Karaggede health center and Juwangi health center. The results of the model study area of positive deviance, which recommended in the short term was the potential to empower people, especially in the socio-cultural field, which includes aspects of social organization, knowledge and language, livelihood, technology and equipment. Conclusion, area of Karaggede health center and Juwangi health center have a gap between the state of nutritional status and their environment, so it was recommend empowering potential of the community.

Keywords

Nutrition; Positive deviance; Environment

Full Text:

PDF

References

Beydoun, May A. 2011. Food Prices Are Associated with Dietary Quality, Fast Food Consumption, and Body Mass Index among U.S. Children and Adolescents. J Nutr, 141 (2): 304-311

Deolalikar, A.B. 2005. Deolalikar Child Nutritional Status, and Child Growth in Kenya: Socioeconomic Determinants. Journal of International Development, 8 (3): 375393

Evi Lutviana, Budiono Irwan. 2010. Prevalensi Dan Determinan Kejadian Gizi Kurang Pada Balita (Studi Kasus Pada Keluarga Nelayan Di Desa Bajumulyo Kecamatan Juwana Kabupaten Pati). Jurnal KEMAS, 5 (2): 165-172

Garces, I.C., Scarinci, I.C., Lynda, H. 2006. An Axamination of Sociocultural Factors Associated With Health, and Health Care Seeking among Latina Immigrants. Journal Immigrant Health, 8: 377-385

Iorungwa., Samuel, A. and Terhemba, L.T. 2009. Nutritional Sustainability Via Positive Deviance: Challenges for Teaching, Research, and Extension. Pakistan Journal of Nutrition, 8 (10): 1706-1710

Kanjilal, B., Mazumdar, P.G., Mukherjee, M. and Rahman, M.H. 2010. Nutritional Status of Children in India: Household Socio-Economic Condition as The Contextual Determinant. International Journal for Equity in Health, 9 (19)

Levinson, F.J. 2007. Utilization of positive deviance analysis in evaluating community-based nutrition programs: An application to the Dular program in Bihar, India. Food and Nutrition Bulletin, 28 (3): 259-265

Luisa, F., Elliott, M.N., Paula, C. 2009. Influences of Physical, and Social Neighborhood Environments on Childrens Physical Activity, and Obesity. American Journal of Public Health, 99 (2)

Oninla, J.A., Owa, A.A., Onayade. and Taiwo, O. 2006. Comparative Study of Nutritional Status of Urban, and Rural Nigeria School Children. Journal of Tropical Pediatrics, 53 (1)

Piroska. 2011. The positive deviance/hearth approach to reducing child malnutrition: systematic review. Tropical Medicine International Health, 16 (11): 1354-1366

Pryer, J.A., Rogers, S. and Rahman, A. 2003. The Epidemiology of Good Nutritional Status among Children from A Population with A High Prevalence of Malnutrition. Public Health Nutrition, 7(2): 311317

Sethi, V et al. 2007. Positive Deviance Determinants in Young Infants in Rural Uttar Pradesh. Indian Journal of Pediatrics, 74: 594-595

WHO. 2007. Young Child Nutrition: Technical Consultation on Infant, and Young Child Feeding, Fifthy-Third World Health Assembly. A-53/INF.Doc/2 May

Refbacks

  • There are currently no refbacks.