KONSELING OLEH KADER POSYANDU MENINGKATKAN PRAKTIK IBU DALAM PEMBERIAN MAKAN BAYI DAN ANAK USIA 6-24 BULAN DI DESA PAGELARAN, KECAMATAN CIOMAS, BOGOR, INDONESIA

Siti Mutia Rahmawati, Siti Madanijah, Faisal Anwar, Risatianti Kolopaking

Abstract


The feeding practices of infants and children (PMBA) at the age of 6-24 months should be done correctly and appropriately. Errors in feeding in this period may cause malnutrition and stunted. The purpose of this study was to determine the effect of counseling by Posyandu cadres on changes in infant and child feeding practices (PMBA) done by mothers among infants and children aged 6-24 months. Quasi-experimental research design with one group pre-post test design was applied and envolving 78 mothers of infants and children aged 6-24 months. Data on feeding practices of infants and children were obtained by interviewing mothers using a structured questionnaire covered data of mothers, babies and children, health status and growth, and the practice of breastfeeding and complementary feeding as well as hygiene were also collected. PMBA practices were then being scored covered all indicators, then categorized into 3 groups : being good if the score> = 80, enough 60-79.9 and less if the score is <60. T-test and Wilcoxon rank test were used at the significance level of 0.05. The average value of infant and child feeding practices by caregivers before counseling was 70.0 and increased to 75.2 after counseling. PMBA practices of mothers categorized as good increased from 25.3% to 46.7%. This study showed that there was an effect of counseling on the improvement of feeding practices for baby by mother/ caregivers (p <0.01). In conclusion counseling carried out by Posyandu cadres may improve the practice of PMBA by mother for their infants and children at the aged 6-24 months.


Keywords


posyandu cadre; feeding practice; nutrition counseling; children aged 6-24 months

References


UNICEF. Global Strategy for Infant and Young Child Feeding. Geneva.: World Health Organisation-UNICEF; 2003.

Mufida L Widyaningsih TD, Maligan JM. Prinsip dasar MPASI untuk bayi usia 6-24 Bulan. Jurnal Pangan dan Agroindustri ,2015; 3 (4);.1646-1651.

Kementerian Kesehatan RI . Laporan Hasil Riset Kesehatan Dasar Tahun 2013. Jakarta. (ID): Pusat Penelitian dan Pengembangan Gizi dan Makanan. Balitbangkes;2013.

Kementerian Kesehatan RI. Hasil utama Riset Kesehatan Dasar Tahun 2018. Jakarta. (ID): BadanPenelitian dan Pengembangan Kesehatan;2018.

UNICEF. United Nation Children Fund Indonesia. Ringkasan Kajian Gizi Ibu dan Anak: isu-isu penting;2012.

Contento IR.. Nutrition Education: Lingking Theory and practice. 2Ed. Canada;Jones and Bartlett Publisher; 2011.

Sunguya BF, Poudel KC, Mlunde LB, Shakya P, Urassa DP, Jimba M&Yasuoka J. Effectiveness of nutrition training of health workers toward improving caregivers’ feeding practices for children aged six months to two years: a systematic review. Nutrition journal, 2013;12(1): 1-14.

Noviati, Susanto JC, Selina H, Mexitalia M. The influence of intensive nutritional counseling in Posyandu towards the growth 4-18 month old children. Paediatrica Indonesiana, 2006;46(3-4):57-63.

Kulwa KBM, Verstraeten R, Bouckaert KP, Mamiro SP, Kolsteren PW and Lachat C. Effectiveness of a nutrition education package in improving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: rationale, design and methods of a cluster randomised trial. BMC Pub Health .2014.; 14(1):1077.

Kementerian Kesehatan RI. Modul Pelatihan Pemberian Makan Bayi dan Anak untuk Petugas Kesehatan dan Kader.Jakarta (ID): Direktorat Bina Gizi, Direktorat Jenderal Bina Gizi dan KIA; 2014.

Sastroasmoro S, Ismail S. Dasar-dasar metodologi penelitian klinis. Jakarta (ID): Binarupa Aksara;1995.

Patil N, Bawa R, Patil RR. Study of complementary feeding practices in mothers of infants age 6-12 months. International Journal of Pediatric Research. 2016;3. ISSN 2349-5499.

Nurwulansari F, Sunjaya D, Gurnida DA. Analisis hasil jangka pendek pelaksanaan konseling pemberian makan bayi dan anak menggunakan pemodelan RASCH. Gizi Indon. 2018;41(2):85-96

Ahmad A. Efektifitas model edukasi gizi dengan kartu monitoring makanan dan biscuit MP-ASI terhadap pertumbuhan dan status anemia pada anak gizi kurang usia 6-23 bulan di Aceh. [Disertasi]. Bogor (ID); Program Pascasarjana Institut Pertanian Bogor.2018.

Saha C, Chowdhury AR, Nambiar VS. Effect of personalized counseling as a tool for behaviour change communication for improving the nutritional status and IYCF practices of children (0-5 years) in under 5 clinic and day care centre, South 24 Parganas West Bengal..IJFANS. 2015;4(3):86-96.

Zaman S, Ashraf R, Martines J. Training in complementary feeding counselling of health care workers and its influence on maternal behaviours and child growth: a cluster randomized controlled trial in Lahore, Pakistan. Journal Health Popular Nutrition. 2008; 26(2):210-222.

Félicitée N, Andreas C, Rodrigues N, Njong TN, Roger D. Feeding practices and impact of nutritional counseling coupled with home-based follow-up on the knowledge of mothers of children hospitalized for severe acute malnutrition. The Journal of Medical Research. 2018;4(1): 42-47.

Garg A, Chadha R. Community-Based Nutrition Counseling Improves Complementary Feeding Practices and Growth of Infants (6-12 Months) in Rural Uttar Pradesh, India. J Hum Nutr Food Sci.2016;4(5): 1099.

Beal T, Tumilowicz A, Sutrisna A,Izwardy D, Neufeld L. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;e12617. https://doi.org/10.1111/mcn.12617

Ochola SA, Labadarios D, Nduati RW. 2012. Impact of counselling on exclusive breast-feeding practices in a poor urban setting in Kenya: a randomized controlled trial. Public Health Nutrition.2012: 16(10), 1732–1740

Ambarwati R, Muis SF, Susantini P. 2013. Pengaruh konseling laktasi intensif terhadap pemberian air susu ibu (ASI) eksklusif sampai 3 bulan. Gizi Indo.2013; 2(1): 15-23.

Arini FA, Sofianita NI, Bahrul IM. Pengaruh pelatihan pemberian MP ASI kepada ibu dengan anak Baduta di Kecamatan Sukmajaya Kota Depok terhadap pengetahuan dan perilaku pemberian MP ASI. Jurnal Kedokteran dan Kesehatan. 2017;.13(1); 80-89.

Nabugoomu. J, Namutebi. A, Kaaya. AN, Nasinyama. G. Nutrition education influences child feeding knowledge attitudes and practices of caregivers in Uganda. American Journal of Health Research. 2015;3(2); 82-90. doi: 10.11648/j.ajhr.20150302.15

Azzahra FM, Muniroh L. Pengaruh konseling terhadap pengetahuan dan sikap pemberian MP-ASI. Media Gizi Indonesia. 2015;10 (1): 20-25.

Reinsma K,Nkuoh G, Nshom E. The potential effectiveness of the nutrition improvement program on infant and young child feeding and nutritional status in the Northwest and Southwest regions of Cameroon, Central Africa. BMC Health Services Research. 2016; 16(1);654.

Persatuan Ahli Gizi (PERSAGI). Konseling Gizi.Jakarta(ID): Penebar plus; 2013.


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DOI: 10.36457/gizindo.v42i1.379

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