Pemantauan status gizi balita di Kota Yogyakarta: metode pelaksanaan, tantangan, dan persepsi ibu balita tentang posyandu selama pandemi COVID-19

https://doi.org/10.22146/ijcn.71703

Rachmawati Widyaningrum(1*), Annisa Parisudha(2), Yuni Wahyuningsih Setiawan(3), Nurfaizah Jawardi(4), Nur Hurriah Nabila Faras(5)

(1) Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
(2) Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
(3) Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
(4) Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
(5) Program Studi Gizi, Fakultas Kesehatan Masyarakat, Universitas Ahmad Dahlan, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Background: COVID-19 pandemic brings a higher risk of malnutrition because of the economic crisis that emphasizes the importance of child nutritional status monitoring during the pandemic. However, nutrition-related care in health care faces several challenges to the social limitation policy for preventing virus spreading. Challenges include delivery, coordination, and follow-up methods. In addition, the mothers' perception concerning the importance of nutritional status monitoring also becomes the determinant of their participation.

Objectives: This research aimed to explore the implementation method, challenges, and mothers' perception of the children's nutritional status monitoring process during a pandemic through “posyandu” by applying health protocols.

Methods: This research is a descriptive qualitative study in which the data were collected using in-depth interviews. The respondents in this study were mothers of a child aged 0-5 years who lived in Yogyakarta and participated actively in Posyandu. Data triangulation was applied by interviewing the cadres of posyandu and nutritionists in Health Care or Office in Yogyakarta. 

Results: The posyandu delivered the measurements by adjusting the method with an invitation divided into several measurement sessions or a door-to-door system to minimize crowd. The obstacles faced were the need to procure medical devices and ensure the validity of the data obtained. 

Conclusions: Child nutritional status monitoring during the COVID-19 pandemic was conducted by applying COVID-19 safety protocols according to the recommendations of the Indonesian Ministry of Health. There should be sufficient support from stakeholders to help posyandu overcome the obstacles: the procurement of medical equipment to meet the health protocol requirements. In addition, there is a need to improve parents' skills in measuring child anthropometric measurements through education and guidelines.


Keywords


child’s nutritional status; COVID-19; malnutrition; nutritional status monitoring; posyandu

Full Text:

PDF


References

  1. UNICEF, UNFPA, IFAD, WHO, FAO, WFP. Joint statement of food and nutrition security in the context of COVID-19 pandemic in Indonesia. [series online] 2020 [cited 2021 Jan 18]. Available from: URL: https://www.unicef.org/indonesia/reports/fao-ifad-unfpa-wfp-who-and-unicef-joint-statement-on-food-security-and-nutrition
  2. Dinas Kesehatan DIY. Profil kesehatan Daerah Istimewa Yogyakarta tahun 2019. Yogyakarta: Dinas Kesehatan DIY; 2020.
  3. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan RI No.75 Tahun 2019 tentang Penanggulangan Krisis Kesehatan. [series online] 2019 [cited 2021 Jan 18]. Available from: URL: https://peraturan.bpk.go.id/Home/Details/138674/permenkes-no-75-tahun-2019
  4. Kementerian Kesehatan RI. Panduan pelayanan kesehatan balita pada masa tanggap darurat COVID-19. Jakarta: Kemenkes RI; 2020.
  5. Kementerian Kesehatan RI. Panduan kesehatan balita pada masa pandemi COVID-19. Jakarta: Kemenkes RI; 2020.
  6. Hendryani A, Nurdinawati V, Susana E, Ma’murotun M, Damayanti D. Mobile-health for recording and monitoring nutritional status of toddler during COVID-19 pandemic era. Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang. 2022;7(1):124–30. doi: 10.26905/abdimas.v7i1.5786
  7. Helmyati S, Dipo DP, Adiwibowo IR, Wigati M, Safika EL, Hariawan MH, et al. Monitoring continuity of maternal and child health services, Indonesia. Bull World Health Organ. 2022;100(2):144-154A. doi: 10.2471/BLT.21.286636
  8. Wandira BA, Suarayasa and K. The impact of the covid-19 pandemic on the posyandu program in Palu City. Int J Innov Res Educ Sci. 2021;8(2):140–5.
  9. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893–907. doi: 10.1007/s11135-017-0574-8
  10. Noble H, Heale R. Triangulation in research, with examples. Evid Based Nurs. 2019;22(3):67–8. doi: 10.1136/ebnurs-2019-103145
  11. Tejoyuwono AAT, Sudargo T, Padmawati RS. Persepsi mahasiswa Program Studi Gizi Kesehatan terhadap citra tubuh ahli gizi. Jurnal Gizi Klinik Indonesia. 2011;8(1):42–9. doi: 10.22146/ijcn.17730
  12. Susanto T, Syahrul, Sulistyorini L, Rondhianto, Yudisianto A. Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia. Korean J Pediatr. 2017;60(10):320–6. doi: 10.3345/kjp.2017.60.10.320
  13. Kementerian Kesehatan Republik Indonesia, UNICEF. Imunisasi rutin pada anak selama pandemi COVID-19 di Indonesia: persepsi orang tua dan pengasuh. [series online] 2020 [cited 2021 Jan 18]. Available from: URL: https://www.unicef.org/indonesia/id/laporan/imunisasi-rutin-anak-selama-pandemi-covid-19-di-indonesia
  14. Suriastini W, Alfah D, Sikoki B, Hermoko R, Rifai IU, Prasetya D, et al. Dampak pandemi COVID-19 terhadap layanan kesehatan balita. Jurnal Keluarga Berencana. 2021;6(1):1–10. doi: 10.37306/kkb.v6i1.56
  15. Yulia R, Syafiq A, Pratomo H, Sulastri NE. Dampak pandemi COVID-19 pada layanan kesehatan ibu dan anak (KIA) di Kota Depok. Ikesma: Jurnal Ilmu Kesehatan Masyarakat. 2021;17(2):87-95. doi: 10.19184/ikesma.v17i2.25067
  16. UNICEF. Towards a child-focused COVID-19 response and recovery: a call to action. [series online] 2021 [cited 2021 Jan 18]. Available from: URL: https://www.unicef.org/indonesia/reports/towards-child-focused-covid-19-response-and-recovery
  17. Aritonang J, Anita S, Sinarsi, Sirega WW. Kecemasan pandemi COVID-19 dalam keikutsertaan posyandu di Kelurahan Pekan Tanjung Morawa Tahun 2020. Jurnal Health Reproductive. 2020;5(1):34–42. doi: 10.51544/jrh.v5i1.1426
  18. Stuart GW. Buku saku keperawatan jiwa. 5th ed. Penerbit Kedokteran: EGC; 2006.
  19. Luh N, Dian P, Sari Y, Dewa I, Gde A, Pradiptha F, et al. Perceptions of health workers, cadres, and mothers regarding the posyandu program during COVID-19 pandemic: a qualitative study. International Journal of Nursing and Health Services (IJHNS). 2022;5(1):107-16.
  20. Bahatheg RO. Young children’s nutrition during the COVID-19 pandemic lockdown: a comparative study. Early Child Educ J. 2021;49(5):915–23. doi: 10.1007/s10643-021-01192-3
  21. Araujo LA de, Veloso CF, Souza M de C, de Azedevo JMC, Tarro G. The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr (Rio J). 2021;97(4):369-377. doi: 10.1016/j.jped.2020.08.008
  22. Sari MGK, Widyaningsih V, Wardani MM, Murasmita A, Ghufron AA. Hubungan pemantauan pertumbuhan anak baduta pada masa pandemi COVID-19 dan pengetahuan ibu tentang MP-ASI dengan status gizi. J SEMAR. 2020;10(1):70–7. doi: 10.20961/semar.v10i1.46911
  23. Haddad EN, Kojaoghlanian T, Comstock SS. Moving toward remote, parent-reported measurements in pediatric anthropometrics for research and practice. Front Pediatr. 2022;10: :838815. doi: 10.3389/fped.2022.838815. doi: 10.3389/fped.2022.838815
  24. Tenenbaum A, Shefer-Averbuch N, Lazar L, Yakobovitch-Gavan M, Phillip M, Oron T. Growth assessment of children during the COVID-19 pandemic—Can we rely on parental measurements? Acta Paediatr. 2021;110(11):3040–5. doi: 10.1111/apa.16034
  25. Rusdiarti R. Analisis pengukuran ketepatan antropometri tinggi badan balita pada pelatihan kader posyandu di Panduman Kecamatan Jelbuk. Health Information: Jurnal Penelitian. 2019;11(2):173–81.



DOI: https://doi.org/10.22146/ijcn.71703

Article Metrics

Abstract views : 2434 | views : 1675

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2022 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats