Manajemen distribusi kapsul yodium pada ibu hamil di daerah endemik gangguan akibat kekurangan yodium (GAKY) di Kabupaten Gunung Kidul Provinsi Daerah Istimewa Yogyakarta

https://doi.org/10.22146/ijcn.17674

Hasrun Hasanu(1*), Hamam Hadi(2), Toto Castro(3)

(1) Dinas Kesehatan Kabupaten Buton
(2) Magister Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(3) Bapelkes Magelang/ Fakultas Kedokteran UGM, Yogyakarta
(*) Corresponding Author

Abstract


Background: Iodine deficiency disorder (IDD) is a public health problem in Indonesia and this is closely related to intelligent and mental development disorder. Bad effect of IDD to pregnant mothers who suffer from serious IDD problem may happen during their second trimester pregnancy, however, such effect may be overcome by giving iodine substance supplement. Risks that may happen to pregnant mothers, especially to fetus and infants are miscarriage, stillbirth, born disabled, birth with low body weight, cretin, psychomotor disorder, and death in infancy. According to the result of IDD mapping, Total Goiter Rate at Gunung Kidul District is 12.6%. Short term effort to overcome IDD is distributing iodine capsule to the target, but there is problem in its implementation especially in the management process and resources.

Objectives: To determine relationship between management factor and iodine capsule distribution coverage to pregnant mothers at IDD endemic area, Gunung Kidul District.

Methods: The study was observational with cross sectional design which used both quantitative and qualitative approaches. Subjects were all nutrition staff and pregnant mothers at community health centers of IDD endemic areas at Gunung Kidul District.

Results: There was significant relationship between iodine capsule intake status and urine iodine level (χ2=23.0 p<0.001). This showed that iodine capsule intake status could increase urine iodine excretion level of pregnant mothers. Management process (planning, implementation, control) had significant relationship with urine iodine excretion level of pregnant mothers subsequently (χ2=5.4, p=0.02, OR=1.86, χ2=16.64, p<0.001, OR=2.98, χ2=8.74, p=0.004, OR=2.23). This meant that good management process could increase iodine capsule intake status. Resources (human resources, facilities, fund) had significant relationship with iodine capsule intake status of pregnant mothers subsequently (χ2=4.65, p=0.043, OR=1.83, χ2=6.04, p=0.019, OR=1.94, χ2=6.04, p=0.019, OR=1.94). This showed that sufficient resources could increase iodine capsule intake status of pregnant mothers. Iodine capsule intake status of pregnant mothers was low, i.e. 86 persons of average 35.5% out of 263 respondents and median of urine iodine excretion of pregnant mothers belonged to IDD endemic category, i.e. 86.58 g/dL.

Conclusion: Management process and resources had not functioned well and there was significant relationship between management process (planning, implementation, control); and resources (staff, fund, facilities) with coverage of iodine capsule distribution to pregnant mothers. Iodine capsule intake status of pregnant mothers tended to increase urine iodine excretion level of pregnant mothers.

Keywords


management; iodine capsule distribution coverage; urine iodine rate of pregnant mothers

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References

Aritonang, Evawati Y. Dampak Defisiensi Yodium Pada Berbagai Tahapan Perkembangan Kehidupan Manusia dan Upaya Penanggulangannya [disertasi]. Bogor: Institut Pertanian Bogor; 2003.

Djokomoeljanto. Evaluasi Masalah Gangguan Akibat Kekurangan Yodium (GAKY) di Indonesia. Jurnal GAKY Indonesia 2002;3(2):31-4.

Dunn, John T. The Global Challenge of Iodine Deficiency. Dalam: Redaksi Jurnal GAKY Indonesia. Kumpulan Naskah Pertemuan Ilmiah Nasional Gangguan Akibat Kekurangan Yodium (GAKY) 2001. Jurnal GAKY Indonesia 2001;1(1):1-7.

Chandra B. Pengantar Statistik Kesehatan. Palembang: Penerbit Buku Kedokteran ECG; 2000.

Hartono B. Perkembangan Fetus dalam Kondisi Defisiensi Yodium dan Cukup Yodium. Jurnal GAKY Indonesia 2002; 1(1):19–27.

Atmarita, Fallah TS. Analisis Situasi Gizi dan Kesehatan Masyarakat. Prosiding Widyakarya Nasional Pangan dan Gizi VIII. Jakarta: Direktorat Gizi Masyarakat Departemen Kesehatan RI; 2004.

Dinas Kesehatan Kabupaten Gunung Kidul. Profil dan Laporan Evaluasi Program Kabupaten Gunung Kidul. Wonosari: Dinkes Kabupaten Gunung Kidul;2003.

Departemen Kesehatan RI. Pedoman Distribusi Kapsul Minyak Beryodium bagi Wanita Usia Subur. Jakarta:Depkes RI;1997.

Azwar A. Pengantar Administrasi Kesehatan. Edisi Ketiga. Jakarta: Binarupa Aksara;1996.

Muninjaya AAG. Manajemen Kesehatan. Edisi 2. Jakarta: Penerbit Buku Kedokteran EGC; 2004.

Prayitno. Dasar-Dasar Administrasi Kesehatan Masyarakat. Surabaya: Airlangga University Press; 2001.

Prihartini S, Syarifudin Latinulu. Pengaruh Status Gizi terhadap Kadar Yodium Urin Setelah Pemberian Kapsul Yodium pada Anak Sekolah Dasar di Daerah Gondok Endemik. Bogor: Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan RI; 2002.

Hadju V. Pengaruh Pemberian Obat Cacing terhadap Penyerapan Yodium pada Anak Sekolah yang Menerima Kapsul Yodium di Kabupaten Enrekang, Sulawesi Selatan. Jurnal GAKY Indonesia 2003;5-6(2):15–23.

Thaha AR, Dachlan MDj, Jafar N. Analisis Faktor Risiko Coastal Goiter. Jurnal GAKY Indonesia 2001;1(1):9–17.

Latinulu S, Kartika V, Budiman B, Prihartini S. Manajemen Distribusi Kapsul Minyak Beryodium di Tujuh Kabupaten di Jawa Barat dan Sumatera Selatan. Penelitian Gizi dan Makanan 2002;25(2):1-14.

Siagian SP. Manajemen Stratejik. Jakarta:PT Bumi Aksara; 2002.

Wijono D. Manajemen Mutu Pelayanan Kesehatan; Teori, Strategi dan Aplikasi. Volume 1. Surabaya: Airlangga University Press; 1999.

Sabarguna BS. Quality Assurance Pelayanan Rumah Sakit. Konsorsium Rumah Sakit Islam Jateng. Yogyakarta: Dinas Kesehatan Yogyakarta; 2004.

Triretnaningsih S. Evaluasi Mutu Perencanaan Program Perbaikan Gizi Tingkat Puskesmas Dinas Kesehatan Kota Bogor [tesis]. Yogyakarta:Universitas Gadjah Mada; 2004.



DOI: https://doi.org/10.22146/ijcn.17674

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