Hubungan peran kader kesehatan dengan kepatuhan ibu dalam pemberian oralit pada balita diare di Kecamatan Palu Utara

LISNAWATI, Prof. dr. Djaswadi D, SpOG(K),MPH,PhD

2010 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Oralit adalah formula lengkap yang dapat diberikan oleh ibu untuk mencegah dehidrasi pada anak diare. Oralit dipromosikan kepada ibu melalui kader kesehatan agar ibu dapat mempraktikkannya di rumah pada anak diare. Peran kader kesehatan sangat berkontribusi terhadap kepatuhan ibu dalam pemberian oralit pada balita diare. Tujuan: Memperoleh informasi hubungan peran kader kesehatan menurut persepsi ibu dengan kepatuhan ibu dalam pemberian oralit pada balita diare. Metode: Observasional dengan rancangan cross-sectional. Subjek penelitian adalah 110 ibu yang mempunyai anak balita yang pernah menderita diare sejak dua bulan terakhir di Kecamatan Palu Utara. Analisis data terdiri dari analisis univariabel, bivariabel, multivariabel serta analisis kualitatif. Hasil: Hasil analisis regresi logistik menunjukkan hubungan yang bermakna antara peran kader kesehatan dengan kepatuhan ibu dalam memberikan oralit pada balita diare (5,34; 95%CI=2,16-13,23) setelah mengikutsertakan variabel dukungan keluarga dan media massa. Kader kesehatan telah melaksanakan perannya tidak hanya sebatas pemberian informasi tapi kader juga terlibat langsung dalam pemberian oralit pada anak balita diare yaitu melakukan kunjungan kerumah ibu yang anaknya menderita diare. Kesimpulan: Peran kader kesehatan berhubungan dengan kepatuhan ibu dalam pemberian oralit pada balita diare, Ibu yang patuh memberikan oralit pada balita diare lebih besar terdapat pada peran kader tinggi dibandingkan dengan peran kader kesehatan rendah.

Background: Oralit or ORS which means oral rehydration salts is a complete formula that can be given by a mother to prevent dehydration to a child under five years old with diarrhea. Oralit is promoted to mothers through health cadres in order that the mothers can practice it at home to their children. The role of health cadres greatly contributes to the mothers’ compliance in giving oralit to the childhood diarrhea. Objective: To obtain information about the relationship between the role of health cadres according to the mothers perception and the mothers’ compliance in giving oralit to the childhood diarrhea. Method: This was an observational study with a cross-sectional study design. Subjects were 110 mothers having an under-five child that had suffered from diarrhea in the past two months in Palu Utara sub district. Data analyses comprised univariable analysis, bivariable analysis and multivariable analysis as well as qualitative analysis. Result: The result of logistic regression showed that there was a significant relationship between the role of health cadres and the mothers’ compliance in giving oralit to the childhood diarrhea (5.34, 95%CI=2.16-13.23) after involving the variables of family support and mass media. In addition, the health cadres had implemented their role by not only giving information but also being involved directly in giving oralit for childhood diarrhea by way of visiting to the houses of the under-five children with diarrhea. Conclusion: The role of health cadres was related to the mothers’ compliance in giving oralit to the childhood diarrhea. The compliant mothers were much affected by the higher role of cadres compared to the lower one.

Kata Kunci : Peran kader, Kepatuhan ibu, Oralit, Diare