Evaluasi program MP-ASI keluarga miskin :: Studi kasus di Puskesmas Pekauman Kota Banjarmasin tahun 2007
WAHYUDI, Budi, Toto Sudargo, SKM., M.Kes
2010 | Tesis | S2 IKM-Perilaku dan Promosi Kesehatandalam kurun waktu 2 tahun (2006-2007) tertinggi di Kota Banjarmasin yaitu sebesar 180 kasus. Upaya pemerintah untuk menanggulangi dan mencegah terjadi gizi buruk dan gizi kurang dengan pemberian MP-ASI pabrikan kepada bayi dan anak umur 6-23 bulan gakin. Tujuan: Untuk mengetahui bagaimana keberhasilan pelaksanaan program pemberian paket MP-ASI Gakin di Puskesmas Pekauman Kota Banjarmasin. Metode Penelitian : Deskriptif kualitatif dengan rancangan studi kasus. Pengumpulan data dilakukan dengan wawancara mendalam dan observasi tertutup. Subyek penelitian berjumlah 10 Informan yang dipilih 8 orang ibu gakin mempunyai baduta bermasalah gizi dan 2 orang PTG puskesmas. Analisa data dilakukan dengan transkrip data, koding, penyajian data dan membuat kesimpulan. Hasil : Pelaksana MP-ASI TPG puskesmas, dana sesuai paket diterima sedang dioperasional masih kurang, sarana tersedia formulir dan buku pedoman, bahan paket MP-ASI sumber dari pusat, metode pendisrtibusian sesuai pedoman. Perencanaan sasaran disusun oleh TPG melibatkan kader, sosialisasi dari petugas kepada kader, penyimpanan sementara di puskesmas dan pencatatan barang masuk dan keluar dengan tanda terima sesuai pedoman. Pendistribusian dari dinkes kota ke puskesmas dan puskesmas kesasaran belum sesuai pedoman. Laporan dan pemantauan sasaran dilakukan 1 bulan sekali. Cakupan sasaran pendistribusian MP-ASI tidak sesuai antara alokasi dengan yang direncanakan, dan pengetahuan ibu tentang MP-ASI terbatas dan sikap ibu ada yang positif dan negatif. Kesimpulan : Pelaksanaan program pemberian MP-ASI gakin di Puskesmas Pekauman belum semua sesuai pedoman diantaranya pendistribusian dari dinkes ke puskesmas dan dari puskesmas kesasaran. Sedang sasaran alokasi MP-ASI bubur tidak sesuai yang direncanakan. Pengetahuan ibu terbatas tentang MP-ASI karena sosialisasi hanya dilakukan oleh kader saat menerima MP-ASI di posyandu sehingga menjadikan sikap ibu dalam menerima MP-ASI ada yang positif dan negatif.
Background: The cases of malnutrition were found in Kalimantan Selatan in year 2006-2007 with the highest cases in Banjarmasin as many as 180 cases. One of the government’s efforts to eradicate and prevent malnutrition and under-nutrition is by giving food supplementationbreastfeeding mother for infant and babies aged 6-23 months of age coming from poor family. Objective: To know the success of food supplement-breastfeeding mother for poor family implementation at Pakauman Community Health Center, Banjarmasin Municipality. Method: This was a descriptive-analytic study with study-case design. Data collection technique used in-depth interview and closed observation. Subjects were 10 informants comprising 8 mothers with under-two children and 2 nutrition workers in the CHC. Data analysis was done through data transcript, coding, data presentation, and conclusion drawing. Result: There were nutrition workers that implemented the program of food supplementation-breastfeeding mother for poor family; the operational budget was still insufficient; forms and guideline book were available; the package of food supplementation-breastfeeding mother was obtained from the central government; and the distribution method was in line with the guideline. Target planning was set up by nutrition workers from CHC by involving cadres; dissemination was done by the workers to the cadres; the goods were stored tentatively in CHC and the recording of the flow of the goods was in accordance with the guideline; the distribution from municipal health office to CHCs was not yet in line with the guideline; and report and monitoring of target were done once a month. The target coverage of distribution of food supplementation-breastfeeding mother was not in line with the planned allocation from CHC; mothers’ knowledge about food supplementation-breastfeeding mother was limited; and mothers’ attitude toward the program was either positive or negative. Conclusion: The implementation of supplemental food-breast mother program for poor family at Pekauman CHC had not been in accordance with the guideline, such as the distribution from health office to CHCs and from CHCs to the target. In addition, the allocation was not in line with the planning. The mothers’ knowledge about food supplementation breast feeding mother was limited because the dissemination was only done at posyandu by the cadres so that this made the mothers’ attitude either positive or negative.
Kata Kunci : Evaluasi, MP-ASI, Gakin (Keluarga miskin), evaluation, food supplementation-breastfeeding mother, poor family
