HUBUNGAN KEAKTIFAN KE POSYANDU DENGAN PENINGKATAN STATUS GIZI PADA BALITA STUNTING 6-59 BULAN DI WILAYAH KERJA PUSKESMAS SEYEGAN

FARIDAH NURIL BAYANI, Dr. Toto Sudargo, SKM, M. Kes; Dr. Siti Helmyati, DCN, M. Kes.

2017 | Skripsi | S1 GIZI KESEHATAN

Latar Belakang : Stunting (gizi pendek) masih menjadi permasalahan gizi yang dialami oleh dunia, termasuk Indonesia. Stunting tidak hanya menghalangi seseorang memperoleh potensi pertumbuhan fisik, namun juga kemampuan intelektual, bahkan kesejahteraan. Berbagai upaya penanggulangan sudah dilakukan namun belum membuahkan hasil membanggakan. Memantau pertumbuhan balita di posyandu merupakan salah satu upaya strategis untuk mendeteksi dini terjadinya gangguan pertumbuhan. Tujuan : Mengetahui hubungan keaktifan ke posyandu dengan peningkatan status gizi pada balita stunting selama 6 bulan di wilayah kerja Puskesmas Seyegan, Kabupaten Sleman. Metode Penelitian : Jenis penelitian observasional dengan desain kohort retrospektif. Responden merupakan balita berusia 6-59 bulan yang tercatat stunting pada Agustus 2016, tinggal di wilayah kerja Puskesmas Seyegan dan termonitoring tinggi badannya setiap bulan. Screening responden dilakukan berdasarkan data PSG puskesmas, keaktifan ke posyandu dan peningkatan status gizi diperoleh dari data posyandu, sementara, identitas dan lainnya dengan pengisian kuesioner. Hasil Penelitian : Responden dikelompokan menjadi aktif (32 balita) dan tidak aktif (53 balita). Hasil uji fisher menunjukan hubungan bermakna antara keaktifan ke posyandu dengan peningkatan status gizi balita stunting pada bulan ke-6 dibandingkan dengan bulan pertama (p=0,004 RR =1,918 (1,248-2,946)), dan pada bulan pertama (p=0,002, RR =3,128), sementara pada bulan ke 2 hingga bulan ke enam hasilnya tidak signifikan. Riwayat penyakit infeksi, riwayat ASI Eksklusif, BBLR, dan PBLR tidak menunjukan hasil signifikan. Kesimpulan : Terdapat hubungan bermakna antara keaktifan ke posyandu dengan peningkatan status gizi pada balita stunting 6-59 bulan di wilayah kerja Puskesmas Seyegan. Balita yang aktif ke posyandu memiliki pelung lebih besar meningkat status gizinya

Background : Stunting still becomes the most problematic nutritional matter experienced by the world, including Indonesia. Stunting not only prevents a person from gaining physical growth potential, but also intellectual ability, even prosperity. Various efforts have been done to overcome this problem without any significant result. Monitoring the growth of children under five years old in Posyandu is one of the strategic efforts to do early detection of growth disorder. Objective : To find out the association between the frequent attendance to Posyandu and the improvement of nutritional status on stunting children under five years old during a 6 month observation in working area of Puskemas Seyegan. Method : Observational study with cohort retrospective design. Respondents were children aged 6-59 months who were recorded stunting in August 2016, living in the work area of Seyegan Health Center and having height- monitoring every month. Screening of respondents was conducted based on assessment of nutritional status data of puskesmas, the frequent attendance to posyandu and improvement of nutritional status obtained from Posyandu data, while for identity and other information were conducted by filling questioner. Result : The result of fisher exact test showed that there was a significant association between the frequent attendance to Posyandu with the increase of nutritional status of children under five years old stunting at month 6 compared to first month (p = 0,004 RR = 1,918 (1,248-2,946)), and in the first month (p = 0,002, RR = 3,128), while in the second to the sixth month the results are not significant. History of infectious diseases, exclusive breast feeding, low birth weight, and low birth height do not show significant results. Conclusion : There is a significant association between the frequent attendance to Posyandu and the improvement of nutritional status of children under 5 years old stunting at age 6-59 months old in the working area of Puskesmas Seyegan. The active children have bigger opportunity to improve their nutritional status.

Kata Kunci : Keaktifan ke Posyandu, Peningkatan Status Gizi, Stunting