ANALISIS PELAKSANAAN PROGRAM STIMULASI, DETEKSI DAN INTERVENSI DINI TUMBUH KEMBANG (SDIDTK) BALITA DAN ANAK PRA SEKOLAH DI PUSKESMAS KOTA SEMARANG TAHUN 2009

Abstract

Background : SDIDTK is a program for empowering growth and development of children comprehensively and qualifiedly with stimulation activities, early detection and intervention of childhood growth diversify at their first 5 years livehood, which is implemented well by the part of family interact, and community with the professional skill help. About 67.57% Public Health Center in Semarang city for District Health Section have not reach a target yet for Strategic Planning for SDIDTK program in year 2007 which is only 68%, eventually there are 7 Public Health Centers had lowering their SDIDTK more than 20% in 2007, in comparison to previous year. Yet they have Public Health Center which has SDIDTK only 12.8% in 2007 and insufficient coordination and activity from SDIDTK program with the community. The purpose of this study was to analyze for Stimulation of Early Detection and Early Growth and Development (SDIDTK) Program And Coverage of Toddler’s and Pre School’s in Semarang City Public Health Center. Methode : This study used qualitative design that had explores its description as well. The data was collected by using in depth interview technique to 7 person whose responsible for SDIDTK program in Public Health Center as a key person, 7 Community Health Worker and 1 staff of Children and Teenager Section from District Health Section in Semarang city as a triangulates source. Results : the function of organizing and mobilization not reach its maximum level yet, still there is rutted factor to implement this SDIDTK program in Public Health Center. For example there are concierge for SDIDTK program who never have a training, SDIDTK, program still not yet socialize well in Public Health Center and its system properly, support facilitation to implement SDIDTK program in Public Health Center does not adequate yet and the diminutive support from Chief of Public Health Center to perform this program in Public Health Center. Therefore final intend for this program still not get its satisfaction results. Conclusion : implementation of SDIDTK program in Public Health Center and its system has limited actions which focus only an early detection for dissimilar growth, nevertheless early detection for development diverse, emotional and mentally diverse and proper stimulation for children still not put into action yet. Latar Belakang : Program SDIDTK merupakan program pembinaan tumbuh kembang anak secara komprehensif dan berkualitas melalui kegiatan stimulasi, deteksi dan intervensi dini penyimpangan tumbuh kembang pada masa lima tahun pertama kehidupan. Sekitar 67,57% Puskesmas di Wilayah DKK Semarang belum mencapai target Rencana Stratejik Dinas Kesehatan Kota Semarang untuk Program SDIDTK tahun 2007 yaitu 68%, ada 7 Puskesmas yang cakupan SDIDTK nya menurun lebih dari 20% pada tahun 2007 dibandingkan tahun sebelumnya. Masih ada Puskesmas yang cakupan SDIDTKnya hanya 12,8% pada tahun 2007 serta kurangnya koordinasi kegiatan program SDIDTK dengan masyarakat. Tujuan penelitian ini adalah untuk menganalisis pelaksanaan program SDIDTK balita dan anak pra sekolah di Puskesmas Kota Semarang Metode : Merupakan penelitian kualitatif yang bersifat deskriptif eksploratif. Pengumpulan data dilakukan dengan teknik wawancara mendalam pada 7 penanggung jawab program SDIDTK di Puskesmas sebagai informan utama, 7 orang kader kesehatan di Puskesmas tersebut dan 1 orang Staf Seksi Anak dan Remaja DKK Semarang sebagai informan triangulasi. Hasil : fungsi pengorganisasian dan penggerakan belum maksimal dilakukan, masih terdapat faktor penghambat pelaksanaan program SDIDTK di Puskesmas seperti masih ada penanggung jawab program SDIDTK yang belum pernah mendapatkan pelatihan SDIDTK, belum tersosialisasinya program SDIDTK di Puskesmas dan jaringannya dengan baik dan benar, fasilitas pendukung pelaksanaan program SDIDTK di Puskesmas masih belum memadai dan kurangnya dukungan dari Kepala Puskesmas untuk pelaksanaan Program ini di Puskesmas.sehingga tujuan akhir program belum tercapai seperti yang diharapkan. Kesimpulan yang didapat adalah bahwa pelaksanaan program SDIDTK di Puskesmas dan jaringannya masih terbatas pada deteksi dini penyimpangan pertumbuhan, sedangkan deteksi dini penyimpangan perkembangan, penyimpangan mental emosional dan stimulasi sesuai usia anak masih belum dilaksanakan.