GAMBARAN PENERIMAAN PROGRAM PEMBERIAN MAKANAN TAMBAHAN PEMULIHAN BERUPA BISKUIT DI PUSKESMAS SENTOLO 2 KABUPATEN KULON PROGO

Raden Ayu Hannie Permata Sari, dr. Fatwa Sari Tetra Dewi, M.P.H, Ph.D ; Tony Arjuna, M.NutDiet., Ph.D., AN., APD

2024 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar belakang:  Masa balita merupakan periode kritis saat segala bentuk penyakit, kekurangan gizi, serta kekurangan kasih sayang, akan berdampak negatif dan menetap sampai seumur hidupnya. Salah satu upaya  pemerintah untuk memperbaiki status gizi Balita adalah dengan Pemberian Makanan Tambahan (PMT) Pemulihan berupa biskuit. Perlu dilakukan kajian untuk mengetahui  apakah program dapat berjalan dengan baik karena telah dilaksanakan sejak tahun 2011. Berdasar keterangan dari petugas puskesmas diketahui bahwa biskuit seringkali tidak dikonsumsi sesuai aturan pakai. Peneliti ingin mengetahui bagaimana penerimaan program PMT pemulihan, hambatan pelaksanaan program dan upaya ibu balita untuk mengatasi hambatan program.

Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Pemilihan sampel dengan homogenous sampling. Wawancara mendalam  dilakukan pada 5 pelaksana program.  Diskusi kelompok terarah dilakukan pada 7 ibu balita sasaran program. Observasi dilakukan pada 3 balita sasaran program.  Pengumpulan data dilakukan pada Juli 2023, dilakukan triangulasi sumber dan metode dengan analisa data tematik.

Hasil: Tidak ada penolakan dari ibu balita sasaran dalam menerima program PMT Pemulihan berupa biskuit. Persepsi individu ibu balita untuk menerima program PMT Pemulihan adalah kepedulian ibu balita dan beban psikologi ibu balita. Faktor yang dimodifikasi agar ibu balita dapat menerima program PMT Pemulihan adalah petugas pelaksana program dan lingkungan, serta keberlangsungan program.  Ibu balita memiliki kemungkinan untuk memutuskan menerima program PMT Pemulihan berdasar kemampuan untuk mengidentifikasi kendala dan  berupaya untuk mengatasi kendala tersebut.

Kesimpulan: Program diterima oleh ibu balita akan tetapi lingkungan terdekat sangat berpengaruh terhadap motivasi ibu dalam menerima program. Interaksi dua arah yang belum optimal antara petugas dan ibu balita sasaran menjadi hambatan dalam penerimaan program PMT Pemulihan berupa biskuit.

Background: Toddlerhood is a critical period when all forms of illness, malnutrition and lack of love will have a negative impact and remain for the rest of their life. One of the government's efforts to improve the nutritional status of toddlers is by providing additional recovery food (PMT) in the form of biscuits. A study needs to be carried out to find out whether the program can run well because it has been implemented since 2011. Based on information from community health center officials, it is known that biscuits are often not consumed according to the instructions for use. Researchers want to know how the recovery PMT program is received, the obstacles to implementing the program and the efforts of mothers of toddlers to overcome program obstacles.

Method: This research is qualitative research with a case study approach. Sample selection using homogeneous sampling. In-depth interviews were conducted with 5 program implementers. Focus group discussions were conducted with 7 mothers of toddlers targeted by the program. Observations were carried out on 3 toddlers targeted by the program. Data collection was carried out in July 2023, triangulation of  sources and methods was carried out with thematic data analysis.

Results: There was no resistance from the target mothers of toddlers in receiving the PMT Recovery program in the form of biscuits. The individual perception of mothers of toddlers regarding receiving the PMT Recovery program is the concern of mothers of toddlers and psychological burden of mothers of toddlers. The factors that were modified so that mothers of toddlers could receive the PMT Recovery program were the program implementing officers and the environment, as well as the sustainability of the program. Mothers of toddlers have the possibility to decide to accept the PMT Recovery program based on their ability to identify obstacles and try to overcome these obstacles.

Conclusion: The program is accepted by mothers of toddlers, but the immediate environment greatly influences the mother's motivation in accepting the program. The suboptimal two-way interaction between officers and mothers of target toddlers is an obstacle in accepting the PMT Recovery program in the form of biscuits.

Keywords: Acceptance, PMT Recovery, biscuits.

Kata Kunci : Penerimaan, PMT Pemulihan, biskuit.