KEPATUHAN IBU MEMBERI ASUPAN GIZI SESUAI INSTRUKSI PETUGAS DAN STATUS GIZI BALITA GIZI BURUK DI THERAPEUTIC FEEDING CENTRE KABUPATEN GORONTALO TAHUN 2008-2010

Nancy Olii, Prof. dr. Mohammad Hakimi, Sp.OG(K)., Ph.D.

2011 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Data yang diperoleh dari Dinas Kesehatan Kabupaten Gorontalo mengenai hasil penanggulangan gizi buruk di TFC (Therapeutic Feeding Center) sudah 80% mencapai target. Dari mulai didirikan TFC tahun 2007 sampai 2010 sudah merawat 329 kasus gizi buruk, setelah diterapi dari 329 kasus gizi buruk tersebut diantaranya 161 balita atau (48,93%) ke status gizi kurang, 106 balita atau (32,22%) ke status gizi normal dan sisanya 62 balita atau (18,85%) masih tetap gizi buruk meskipun sudah mengalami kenaikan berat badan akan tetapi belum mengalami perubahan status gizi. Tujuan Penelitian: Untuk mengetahui prevalensi kepatuhan ibu memberi asupan gizi sesuai instruksi petugas dan status gizi balita gizi buruk di TFC Kabupaten Gorontalo. Metode Penelitian: Penelitian ini menggunakan rancangan Case Control Study, dengan pendekatan kuantitatif dan kualitatif. Besar sampel sebanyak 120 orang yang terdiri dari 60 orang pada kasus dan 60 orang sebagai control. Teknik pengambilan sampel menggunakan simple random sampling. Analisis data yang digunakan adalah analisis univariabel, bivariabel menggunakan chi-square, dan analisis multivariabel menggunakan regresi logistik. Hasil Penelitian: Perbandingan ibu tidak patuh 2,44 lebih besar pada kelompok gizi kurang dibandingkan dengan kelompok gizi normal. Kepatuhan inu mempunyai hubungan yang bermakna dengan status gizi balita (OR=2,44, 95%CI=1,09-5,48). Tingkat pendidikan ibu dan jumlah anak mempunyai hubungan signifikan dengan status gizi balita (OR=3,85, 95%CI=1,30-12,8; OR=2,82, 95%CI=1,25-6,380. Kesimpulan: Perbandingan ibu tidak patuh pada kelompok gizi kurang lebih besar dibandingkan dengan kelompok gizi normal.

Background: Data obtained from the Gorontalo District Health Office on the overcoming of malnutrition in TFC (Therapeutic Feeding Center) has achieved 80% of the target. The data from the start of TFC establishment in 2007 to 2010 have shown that it has treated 329 cases of malnutrition, comprising 161 under-nutrition among children under five or (48.93%),106 under-five children with nutritional status normal or (32.22%), and the remaining 62 under-five children or (18.85%) with still malnourished despite being likely to gain weight but they had not experienced a change in nutritional status. Objective: To determine the prevalency of mothers’ compliance in giving nutrition according to the officer's instructions and nutritional status of malnutrition children in TFC of Gorontalo District. Method: This study used the design of Case Control Study, with quantitative and qualitative approaches. A sample size was 120 people consisting of 60 people on the cases and 60 people on the control group. The sampling technique used a simple random sampling. The analysis of the data used the univariable analysis, bivariable using chi-square and multivariable analysis using logistic regression. Result: The comparison of mothers who did not comply with the instruction to give nutrition to their child was 2.44 times greater in the group of under-nutrition than the normal nutrition group. Mothers’ Compliance had a significant relationship with under-five nutritional status (OR = 2.44, 95% CI = 1.09 to 5.48). Level of maternal education and number of children had a significant relationship with under-five nutritional status (OR = 3.85, 95% CI = 1.30 to 12.8; OR = 2.82, 95% CI = 1.25 to 6.380). Conclusion: The comparison of mothers who did not comply with the instruction to give nutrition to their child was greater in the under-nutrition group than the normal nutrition group.

Kata Kunci : Kepatuhan Ibu, Status Gizi, Balita Gizi buruk