EXPLORING MANAGEMENT ASPECTS OF MULTIPLE MICRONUTRIENT SUPPLEMENTATION PROGRAM FOR PREGNANT WOMEN IN SIDOARJO DISTRICT, EAST JAVA
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Abstract
The most recent guidelines on antenatal care (ANC) issued by the World Health Organization in 2020 emphasize multi-micronutrient supplementation (MMS) to enhance maternal, infant, and child health. However, research exploring management aspects of MMS program implementation is still limited, particularly in Indonesia. This study aims to examine the management of the MMS program among pregnant women in Sidoarjo District. This qualitative research used a phenomenological approach conducted in Sidoarjo District involving 51 informants (stakeholders and beneficiaries) from April to May 2022. MMS tablets (Laduni) were distributed during ANC for free through an existing platform which is similar to the iron tablets distribution. Due to limited supply, the coverage of MMS tablets did not cover all pregnant women in Sidoarjo District. Therefore, they need to purchase the commercial MMS tablets by themselves. Management of the MMS program necessitated collaboration among various stakeholders, including civil society organizations for product supply, universities for quality control, and district health office and public health center for distribution. Monitoring and evaluation of the MMS program were integrated into an existing platform of the iron-folic acid program. Nevertheless, it should be strengthened by a coverage survey, as well as recording and reporting during the ANC.
Keywords: management, multiple micronutrient supplementation, pregnant women
ABSTRAK
Pedoman terbaru tentang perawatan antenatal (ANC) yang dikeluarkan oleh Organisasi Kesehatan Dunia (WHO) pada tahun 2020 menekankan suplementasi multi-mikronutrien (MMS) untuk meningkatkan kesehatan ibu, bayi, dan anak. Namun, penelitian yang mengeksplorasi aspek manajemen dari implementasi program MMS masih terbatas, khususnya di Indonesia. Penelitian ini bertujuan untuk melihat manajemen program MMS pada ibu hamil di Kabupaten Sidoarjo. Penelitian kualitatif ini menggunakan pendekatan fenomenologi yang dilakukan di Kabupaten Sidoarjo dengan melibatkan 51 informan pada bulan April hingga Mei 2022. Tablet MMS (Laduni) didistribusikan pada saat ANC secara gratis melalui platform yang sama dengan distribusi tablet tambah darah (TTD). Karena keterbatasan pasokan, cakupan tablet MMS tidak mencakup semua ibu hamil di Kabupaten Sidoarjo. Oleh karena itu, mereka harus membeli tablet MMS komersial secara mandiri. Pengelolaan program MMS melibatkan berbagai pemangku kepentingan seperti organisasi masyarakat sipil untuk penyediaan produk, perguruan tinggi untuk pengawasan kualitas produk, dinas kesehatan kabupaten dan puskesmas untuk pendistribusian produk. Pemantauan dan evaluasi program MMS diintegrasikan ke dalam platform program TTD yang sudah ada. Namun demikian, hal ini perlu diperkuat dengan survei cakupan, serta pencatatan dan pelaporan selama ANC.
Kata kunci: ibu hamil, manajemen, suplementasi multi mikronutrien
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