UPAYA MENINGKATAN PENANGGULANGAN GAKI PADA ANAK SEKOLAH DI DAERAH GONDOK ENDEMIK BERAT DI KOTA SURABAYA

Abstract

Background:  Iodine  deficiency  disorder  is  one  of  four
malnutrition problems in Indonesia. Initial surveys at Primary
School  children  in  East  Java  reveal  the  goiter  prevalence  is
high, the Total Goiter Rate (TGR) 22,9%. The recent study at
Surabaya  City,  has  16,93%  of  severely  iodine-deficiency
villages,  higher  than  normative  value  (less  than  5%).  Since
Surabaya is regarded as the second largest city after Jakarta,
the  iodine-deficiency  disorder  have  been  considered  major
problem.  This  need  to  be  examined  and  analysed  the
implementing programmed after all.
Method:  The  purpose  of  this  study  was  a  descriptive  type,
done cross sectionally a carried out from Mei to July 2005. The
study was conducted to examine the effect of iodine-deficiency
disorder in 7 district area at 10 villages in Surabaya; Tambak
Oso  Wliangun,  Romokalisari  (Benowo),  Sidotopo  Wetan,
Tambak Wedi  (Kenjeran),  Manyar  Sabrangan  (Mulyorejo),
Kedung Cowek (Bulak), Perak Utara, Nyamplungan (P.Cantikan),
Bubutan, and Bangkingan (Lakarsantri).
Result: The result show many faktor, such as social economic
factors from the society, the lack of iodine-deficiencies discrder
knowledge, low health staff motivation to run the program etc.
The  middle  term  and  short  programme  of  iodine-deficiency,
planning, organizing, actuating and coordination at the Primary
Health Center (Puskesmas) should be taken soon.
Conclusion:  The  recommendation  as  follow  promotive,
preventive, curative and rehabilitative strategy, by socialization,
advocation  salty  iodine  and  knowledge  of  goiter  disease  to
related  cross  sectoral  department,  as  well  as  health  staffs,
Primary  Health  Center  staff,  the  society  in  severely  iodine-
deficiency, nutrition and food awareness area. Provide overall
health  services  for  iodine-deficiency  disorder  problems;  diet
counseling, medical treatment, integrated management planning,
organizing and actualization. Coordinating and evaluating the
programme, improve the quality and professionalism in managing
the  iodine-deficiency  disorder  problem  especially  in  Primary
Health Center in Surabaya City.
Keywords:  iodine-deficiency  disorder  problem,  society  and
health staff  factors,  management and control