PENGARUH PENYULUHAN MODEL PENDAMPINGAN TERHADAP PERUBAHAN STATUS GIZI ANAK USIA 6 – 24 BULAN THE INFLUENCE OF OUTREACH MODE COUNSELING TOWARD NUTRITIONAL STATUS CHANGE ON 6 – 24 MONTHS OLD CHILDREN

Amir, Aswita (2008) PENGARUH PENYULUHAN MODEL PENDAMPINGAN TERHADAP PERUBAHAN STATUS GIZI ANAK USIA 6 – 24 BULAN THE INFLUENCE OF OUTREACH MODE COUNSELING TOWARD NUTRITIONAL STATUS CHANGE ON 6 – 24 MONTHS OLD CHILDREN. Masters thesis, Program Pascasarjana Universitas Diponegoro.

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Abstract

Latar Belakang : Pengetahuan yang kurang tentang gizi dan kesehatan akan menyebabkan asupan makanan yang tidak cukup serta meningkatnya risiko penyakit infeksi diantaranya Diare dan ISPA. Peningkatan pengetahuan dapat dilakukan dengan penyuluhan. Penyuluhan terdiri dari beberapa model diantaranya adalah pendampingan dengan fokus pemberdayaan keluarga. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh penyuluhan model pendampingan selama 3 bulan terhadap perubahan status gizi anak usia 6 – 24 bulan. Metode Penelitian : Desain penelitian adalah Quasi Experiment berupa non randomized pre post test control group. Kelompok intervensi mendapat penyuluhan model pendampingan oleh Tenaga Gizi Pendamping (TGP) dan kelompok kontrol mendapat penyuluhan konvensional oleh Tenaga Gizi Puskesmas. Penelitian dilakukan di Kota Makassar Provinsi Sulawesi Selatan. Wilayah kerja Puskesmas Sudiang Raya sebagai lokasi intervensi dan Puskesmas Bira sebagai lokasi kontrol. Subjek penelitian adalah anak usia 6 – 24 bulan dengan skor Z BB/U -3 sd 0 SD. Jumlah subjek untuk kelompok intervensi 32 dan kontrol 37 anak. Variabel yang diamati meliputi perubahan dari pengetahuan ibu, Tingkat Kecukupan Energi (TKE), Tingkat Kecukupan Protein (TKP), hari sakit (Diare dan ISPA) dan status gizi (skor Z BB/U, PB/U dan BB/PB). Analisis data dilakukan dengan menggunakan uji beda dan analisis multivariat dengan regresi linear variabel dummy. Hasil : Setelah 3 bulan intervensi, peningkatan rerata skor pengetahuan ibu dan TKE, serta penurunan jumlah hari sakit diare lebih tinggi pada kelompok intervensi dibandingkan kontrol. Penurunan status gizi (skor Z BB/U dan PB/U) pada kelompok intervensi lebih rendah dibandingkan kontrol (p<0,05), terjadi peningkatan skor Z BB/PB pada kelompok intervensi dan penurunan skor Z BB/PB pada kelompok kontrol (p<0,05). Simpulan : Penyuluhan model pendampingan lebih efektif dari pada penyuluhan konvensional dalam menekan penurunan status gizi anak usia 6 – 24 bulan. Background: Insufficient knowledge of food and health will lead to inadequate food intake and high infection risk, especially diarrhea and Upper Respiratory Tract Infection (URTI). Improvement of knowledge can be achieved by counseling. There are several mode of counseling, one of them is outreached mode. Purpose: This study aimed is to analyzed the influence of outreach mode counceling toward the change of nutritional status 6 – 24 months old children. Research Method: Research design was Quasi Experiment wiyh non randomized pre post test control group. Intervention group recieved outreach mode counseling by outreach nutritionists (Tenaga Gizi Pendamping) and control group recieved conventional counseling from nutritionists of primary health care center (Tenaga Gizi Puskesmas). The study was done in Makassar City, South Sulawesi Province. Working area of Sudiang Raya’s Primary Health Care was chosen as intervention area and Bira’s Primary Health Care as control site. Subjects were children aged 6 – 24 months with WAZ betwen -3 until 0 SD. The number of subjects in intervention group were 32 and control were 37 children. The observation variables were changes of mother’s knowledge, energy adequacy level, protein adequacy level, diarrhea and ARI duration and nutritional status (WAZ, HAZ and WHZ) of children. Data were analyzed by comparison test’s bertwen two groups and multivariats analyses by linear regressions. Result: After 3 months of intervention, there increase in mother’s knowledge, energy adequacy level, and the decrease of duration Diarrhea was higher in the outreached mode counseling group than the control group. The decrease of WAZ and HAZ in outreached counseling group were lower than control group, there was an increase in WHZ in outreached counseling group but there was a decrease in control group. Conclusion: Outreach counseling intervention model is more effective than conventional counseling in lowering the decrease of nutritional status on 6 – 24 months old children

Item Type:Thesis (Masters)
Subjects:H Social Sciences > HV Social pathology. Social and public welfare
Divisions:Postgraduate Program > Master Program in Epidemiology
ID Code:16644
Deposited By:Mr UPT Perpus 2
Deposited On:14 Jul 2010 08:35
Last Modified:14 Jul 2010 08:35

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