Pengaruh Pendidikan Gizi terhadap Pengetahuan, Sikap, dan Keterampilan Kader Melakukan Konseling Gizi Di Posyandu

Latar Belakang: Pendidikan gizi dapat berpengaruh terhadap peningkatan pengetahuan, sikap dan keterampilan kader dalam mendeteksi status gizi balita secara dini di posyandu. Tujuan: Menganalisis pengaruh pendidikan gizi terhadap pengetahuan, sikap dan keterampilan konseling gizi di posyandu. Metode: Desain penelitian ini menggunakan quasi experiment dengan rancangan non randomized control group pre-test – post-test. Subjek penelitian berjumlah 60 kader dari Kecamatan Tatanga, Kota Palu yang dibagi menjadi 2 kelompok yaitu kelompok intervensi dan kontrol. Penelitian ini dilaksanakan pada bulan Juni –Agustus 2019. Kelompok intervensi diberikan pendidikan gizi sebanyak 3 kali dengan teknik ceramah, simulasi dan praktik dengan menggunakan modul. Kelompok kontrol diberikan pendidikan gizi sebanyak 1 kali dengan teknik ceramah tanpa modul . Analisis menggunakan independen t-test dan paired t-test.  Hasil: Kelompok intervensi mengalami peningkatan pengetahuan post-test 1 sebesar 21.96 poin dan  post-test 2 meningkat sebesar 0.4 poin; sikap post-test 1 meningkat sebesar 6.73 poin dan post-test 2 meningkat sebesar 0.07 poin; keterampilan post-test 1 meningkat sebesar 21.94 poin dan post-test 2 meningkat sebesar 0.26 poin. Sementara kelompok kontrol mengalami peningkatan pengetahuan post-test 1 sebesar 11.17 poin dan saat post-test 2 meningkat sebesar 8.63 poin; sikap  post-test 1 meningkat sebesar 0.27 poin dan post-test 2 menurun sebesar 0.94 poin; keterampilan post-test 1 meningkat sebesar 7.22 poin dan post-test 2 menurun 0.28 poin. Kesimpulan: Nilai pengetahuan, sikap dan keterampilan kader pada kelompok intervensi siginifikan lebih baik daripada kelompok kontrol. Pendidikan gizi dengan simulasi dan praktik sebaiknya dilakukan secara berkelanjutan sehingga pengetahuan, sikap dan keterampilan kader tetap terjaga lebih baik. 

ANALYSIS OF EXCLUSIVE BREASTFEEDING PROGRAM IN NUSA INDAH PUBLIC HEALTH CENTER AND LINGKAR BARAT PUBLIC HEALTH CENTER BENGKULU YEAR 2019

Background: The highest coverage of exclusive breastfeeding data from Bengkulu City Health Office was Nusa Indah Public Health Center (86.9%) and the lowest was Lingkar Barat Public Health Center (63.8%).Objective: The research objective is to determine the implementation of exclusive breastfeeding programs seen from the input, process, output in the city of Bengkulu in 2018.Methods: This was an observational analytic study with a qualitative approach. The informants consisted of nutrition workers, midwives, health promotor, heads of Public helath center and mothers who participated in the exclusive breastfeeding program at the puskesmas. This research was carried out in both Bengkulu City Health Center, starting from July to August 2019. Data analysis was done by data reduction, data presentation and conclusion drawing and verification.Results: The study showed that the executors of the exclusive ASI program consisted of nutrition workers, midwives and promkes, using BOK funds, material on exclusive breastfeeding, tools in the form of infant pantom, breast pantom, breast milk, with counseling, counseling and IMD methods. The implementation process is Exclusive ASI socialization, formation and guidance of ASI Suport group. Implementation with counseling, and counseling. Control by looking at data obtained from posyandu.Conclusion: The Nusa Indah Puskesmas has been successful because the ASI support group has played an active role in assisting the implementation of the Exclusive ASI program, while the West Lingkar Puskesmas was not successful because the officers did indeed obtain real data in the field.