KINERJA TENAGA PELAKSANA GIZI PUSKESMAS HUBUNGANNYA DENGAN EFEKTIVITAS PROGRAM MAKANAN PENDAMPING AIR SUSU IBU PADA ANAK BAWAH DUA TAHUN DENGAN GIZI BURUK DI KABUPATEN KARIMUN, KEPULAUAN RIAU

Abstract

Background: Complementary breastfeeding program is a
program implemented at health centers which is meant to
improve nutrition status of the community and this is a duty of
nutrition staff at health centers. The prevalence of cases of
complementary breastfeeding side effects may be due to
inappropriate storage and supply as performance of nutrition
staff of health centers.
Objective: To identify the relationship between the
performance of nutrition staff of health centers with the
effectiveness of complementary breastfeeding program among
children less than two years from poor families with poor
nutrition.
Method: The study was observational with cohort design,
applied to children under two years from poor families with
poor nutrition who got complementary breastfeeding.
Qualitative method and descriptive analysis were used to
identify the distribution system of complementary breastfeeding
through in-depth interview using questionnaires with open
questions. Location of the study was in the District of Karimun
and the analysis unit was District Health Office of Karimun.
Subject of the study consisted of 9 nutrition staff of health
center and 15 malnourished children under two. Data analysis
of complementary breastfeeding distribution system was done
descriptively.
Result: The program of complementary breastfeeding which
had been implemented for 3 months to malnourished children
less than two years did not improve nutrition status from
malnourished to good nutrition status. The performance of
nutrition staff at the health center in the program of
complementary breastfeeding was low in the specification of
target age, the amount of complementary breastfeeding portion
and in the preparation of complementary breastfeeding. The
distribution of complementary breastfeeding at the health office
and health center did not comply to complementary
breastfeeding distribution and management guidelines, such
as in aspects of target specif ication, complementary
breastfeeding preparation information, and monitoring of
complementary breastfeeding distribution.
Conclusion: The program of complementary breastfeeding
was ineffective in improving nutrition status of children less
than two years from malnourished to good nutrition status.
The performance of nutrition staff at the health center in
complementary breastfeeding program was low.
Complementary breastfeeding distribution and management
system at the health office and health center at District of
Karimun had not run well.
Keywords: nutrition staff, performance, complementary
breastfeeding, children under two, malnutrition