Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency

Erna Kusumawati, Setiyowati Rahardjo, Colti Sistiarani

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.

Keywords

Multilevel, Intervensi, Perbaikan, Gizi

Full Text:

PDF

References

Ajiboye, Emmanuel Olanrewaju; Adebayo, Kafilat abimbola. 2012. Socio-cultural affecting Pregnancy outcomes Among The Ogu Speaking People Of Bdagry Area Of Lagos state, Nigeria. International Journal Of Humanities and Social Science. 4 (4) : 133-144

Athiyah, N. 2008. Kebutuhan Informasi dan Perilaku Pencarian Informasi Studi Kasus Terhadap Ibu mengandung dan Mengasuh Bayi di Kabupaten Jombang. Tesis. Fakultas Ilmu Budaya

Badan Perencanaan Pembangunan Nasional, 2011. Rencana Aksi Nasional Pangan dan Gizi 2011-2015. Badan Perencanaan Pembangunan Nasional. Jakarta.

Bartholomew, L. K., Parcel, G. S., Kok, G. & Gottlieb, N. H. 2006. Planning Health Promotion Programs. An Intervention Mapping Approach, San Fransisco. CA, Jossey-Bass : A Wiley Imprint.

Bhandari, N., Bahl, R., Mazumdar, S., Martines, J., Black, R. E. & Bhan, M. K. 2003. Effect of Community-Based Promotion of Exclusive Breastfeeding on Diarrhoeal Illness and Growth: A Cluster Randomised Controlled Trial. Lancet, 361 : 1418.

Crookston Benjamin T. et.al. 2010. Children Who Recover from Early Stunting and Children Who Are Not Stunted Demonstrate Similar Levels of Cognition. J. Nutr. 140: 19962001

Dinas Kesehatan Kabupaten Banyumas. 2015. Profil Kesehatan Kabupaten Banyumas Tahun 2014. Purwokerto

Fajria, DA. 2015. Analisis kebutuhan media Promosi Kesehatan Bagi ibu Hamil dalam Upaya Peningkatan Perawatan Kehamilan di Pusksemas Ii Kembaran. Skripsi. Fakultas Ilmu-Ilmu Kesehatan. Universitas Jenderal Soedirman. Purwokerto

Hastono, Sutanto Priyo. 2007. Analisis data Kesehatan. Fakultas Kesehatan Masyarakat Universitas Indonesia. Jakarta

Ilutagaol, Evi Ester; Agustin, Helfi. 2012. Komunikasi interpersonal Petugas Kesehatan Dalam Kegiatan Posyandu di Wilayah Kerja Puskesmas Muara Siberut Kabupaten Mentawai. Jurnal Kesehatan Masyarakat, 6 (2)

Irdawati dan Dewati, A. 2010. Hubungan Antara Pengetahuan dengan Perilaku Ibu dalam Pemenuhan Kebutuhan Nutrisi Anak Batita Malnutrisi di Posyandu Desa Sambungan Boyolali. Jurnal Keperawatan, 3 (2)

Keleher, H., MacDougall, C. & Murphy, B. (eds.) 2007. Understanding Health Promotion, New York: Oxford University Press.

Kemenkes RI. 2012. Buku Kesehatan Ibu dan Anak. Kementerian Kesehatan RI. Jakarta

Kementerian Kesehatan 2014. Riset Kesehatan Dasar (Riskesdas) 2013. Badan Penelitian dan Pengembangan Kesehatan Depkes RI. Jakarta.

Kramer, M. S., et al. 2007. Effects of Prolonged and Exclusive Breastfeeding on Child Height, Weight, Adiposity, and Blood Pressure at Age 6.5 Y: Evidence from A Large Randomized Trial. Am J Clin Nutr, 86: 1717-21.

Kusumawati E dan Rahardjo S. 2012. Pengaruh Pelayanan Kesehatan Terhadap Gizi Buruk Anak Usia 6 - 24 bulan. Kesmas Jurnal Kesehatan Masyarakat Nasional, 6, (4), Februari 2012 : 158 162

Manurung, N. 2009. Pengaruh Karakteristik Remaja, Genetik, Pendapatan Keluarga, Pendidikan Ibu, Pola Makan dan Aktivitas Fisik Terhadap Kejadian Obesitas di SMU RK Tri Sakti Medan 2008. Tesis.

Monteiro., et al. Narrowing Socioeconomic Inequality in Child Stunting: The Brazilian Experience, 1974-2007. Bulletin WHO, 88 : 305-311.

Mulyana, D. 2005. Ilmu Komunikasi Suatu Pengantar. Remaja Rosdakarya: Bandung.

Negash, C, et al. 2014. Nutrition education and introduction of broad bean-based complementary food improves knowledge and dietary practices of caregivers and nutritional status of their young children in Hula, Ethiopia. Food Nutrition Bulletin, 35(4) : 480-486.

Notoatmodjo S. 2010. Metodologi Penelitian Kesehatan. Rineka Cipta. Jakarta.

Notoatmodjo. 2011. Promosi Kesehatan Teori dan Aplikasi. Rineka Cipta, Jakarta

Raharjo S, Kusumawati E, Permatasati H, 2013. Optimalisasi Peran Ibu Melalui Model Pendidikan Gizi Sebagai Upaya Deteksi Dini Kekurangan Gizi Pada Balita Di Wilayah Puskesmas II Sumbang Kabupaten Banyumas. Laporan Pengabdian LPPM.

Kementerian Kesehatan 2014. Riset Kesehatan Dasar (Riskesdas) 2013. Badan Penelitian dan Pengembangan Kesehatan Depkes RI. Jakarta.

Sule, S., et al. 2009. Impact of nutritional education on nutritional status of under-five children in two rural communities of South-West Nigeria. Niger Postgard Medical Journal, 16 (2) : 115-125.

Supriyadi. 2014. Statistik Kesehatan, Salemba Medika. Jakarta

Thomas, S., Vijayakumar, C., Siva, R., and Isaac, R. 2007. Parenting Children Under Three Years Of Age in a South Indian Setting. Journal Pediatric Nursing, 33 (5) : 421-426

Wibowo, P. 2009. Perbedaan Metode Demonstrasi dan Mandiri tentang Sikap dan Pengetahuan Ibu terhadap Pemberian Stimulasi Motorik Kasar Bayi di Kecamatan Prembun Kebumen. Skripsi. Fakultas Kedokteran Universitas Islam Indonesia.

Yogi Ruth. 2013. Pengaruh Metode Komunikasi Interpersonal Dan Ceramah Konvensional Terhadap Pengetahuan, Sikap Dan Niat Ibu Hamil Dalam Keputusan Tes HIV (Studi Pada Ibu Hamil Di Wilayah Kerja Puskesmas Dinas Kesehatan Kota Jayapura. Tesis Universitas Diponegoro. Semarang

Refbacks

  • There are currently no refbacks.