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Penelitian ini bertujuan mengetahui efektifitas PERGIZI dilihat dari komponen input, proses, output dan outcome. Penelitian kualitatif dengan rancangan RAP (Rapid Assesment Procedure), dilakukan minggu keempat bulan Mei 2013 dengan informan kepala seksi gizi, petugas gizi, kader, bidan di desa, ibu balita dan tokoh masyarakat. Hasil penelitian menunjukkan PERGIZI efektif untuk menanggulangi gizi buruk di Puskesmas Sepatan. dengan indikator meningkatnya status gizi sebesar 69,1%, hanya komponen input yakni dana yang disebagian besar pos gizi masih kurang, sedangkan dari komponen proses dan output telah dapat mencapai tujuan yang ditetapkan. Agar mengoptimalkan penanggulangan gizi buruk di wilayah Puskesmas Kabupaten Tangerang dengan PERGIZI.
The aims of this study was to determine the effectiveness of the PERGIZI program viewed by its component such as inputs, process, outputs and outcomes. A qualitative research with RAP (Rapid Assessment Procedure) design was conducted at fourth week of May 2013. The data collection methods used an indepth interview and focused group discussion. With the informants 42 persons consisting of section head of nutrition, nutrition workers, cadres, village midwives, mothers of under five children and community leaders. This could be seen from change of nutritional status from the under five children as much as 69,1%. From the input component the mean barrier was funding both component process and output was considered successfull and achieving the predetermined goal. It is recomended to solve existing under five nutritional problem in the district of Tangerang using the PERGIZI approach.
Abstrak
Stunting di Kabupaten Bantaeng masih menjadi tantangan dengan prevalensi 15,8%. Keberhasilan dalam menekan angka ini menjadi dasar untuk menelaah peran strategis KPM sebagai garda terdepan dalam program konvergensi. Tujuan penelitian ini adalah untuk menelaah implementasi peran KPM dalam upaya pencegahan stunting serta mengidentifikasi faktor pendukung dan penghambat efektivitasnya di Kabupaten Bantaeng. Penelitian ini menggunakan desain kualitatif fenomenologi dengan total 24 informan yang terdiri dari 7 KPM, 3 kepala desa, 5 tenaga kesehatan, 3 kader posyandu, dan 6 perwakilan masyarakat sasaran. Pengumpulan data dilakukan melalui wawancara mendalam dan telaah dokumen , yang kemudian dianalisis secara tematik. Hasil penelitian menunjukkan peran KPM sangat efektif dalam memfasilitasi akses terhadap layanan KIA, sanitasi, dan jaminan kesehatan, berkat kolaborasi lintas sektor dan dukungan penuh pemerintah desa. Namun, masih kurang optimal dalam intervensi yang bersifat edukatif untuk mengubah perilaku, seperti pada aspek konseling gizi dan partisipasi PAUD. Faktor penghambat utamanya adalah norma sosial yang kuat di masyarakat dan keterbatasan sumber daya untuk program edukasi yang terstruktur. Penelitian ini menyimpulkan implementasi peran KPM efektif pada intervensi yang didukung program pemerintah yang konkret dan terukur, namun lemah dalam mengubah pengetahuan dan norma sosial. Lebih lanjut, ditemukan pula kesenjangan antara kualifikasi pendidikan formal KPM dengan kompleksitas tugas edukasi dan konseling gizi yang harus diemban secara efektif. Disarankan agar Pemerintah Daerah mengembangkan kampanye sosialisasi untuk mengubah norma sosial dan mengalokasikan dana untuk program edukasi terstruktur. Selain itu, Dinas Pemberdayaan Masyarakat dan Desa (DPMD) perlu mengevaluasi kembali standar rekrutmen KPM dan merancang pelatihan terstandar dan berkelanjutan untuk meningkatkan kapasitas KPM.
ABSTRACT Health development aim to for increase the awareness, willingness and ability of healthy life for every people in order to existed by degree of health of society which at the farthest as well as representing of human rights being, what require to be fought for by each and everyone, socialize, inclusive of related/relevant part?s Integrated Health Post (Posyandu) represent to exist reality strive of community based health effort, having principle from, by and to community. Self reliant of Posyandu can only be reached with the improvement participate each; every element community exist in the region and motorized by cadre Posyandu. Factor influence role of cadre in improving self reliant of Posyandu for example cadre characteristic, others factor consisted of financing and construction and local policy to supporting execution of activity of Posyandu in the region. This research use approach qualitative to dig circumstantial information hit factor influencing the cadre role in improving independence Posyandu in region Public Health Center (PHC) Karang Kitri, Sub district of East Bekasi, District Bekasi by focus group discussion and others have from through in-depth interview conducted for builder coming from PHC, Leader of PKK, and chief of RW as elite figure of community. Informants in focus group discussion amount to 40 from 8 chosen Posyandu and represent cadre Posyandu have worked to become cadre during > 5 year. Result obtained there's only 2 self-reliant of Posyandu exist in region work CHC Karang Kitri. Characteristic factor of cadre have important influence in cadre lifelines execute activity Posyandu. Generally cadre age range from 31-60 year. Cadre old (aging) can only conduct balance activity, what have the low education of Faktor yang mempengaruhi..., Darmayanti, FKM UI, 2007 indigent do counseling. While cadre residence distance not have an effect on their activity execute in Posyandu, because they work voluntarily. This research concluded that active role of cadre in given the task to improve the development of the quality operational of activity Posyandu and to move community effort potency exist in this area of Posyandu. Others factor, availability of facility Posyandu, resources from community, including defrayal, to build and guidance by technical worker, joint responsibility among stakeholders as like as chief of RW as elite figure in community, community organization (PKK), and the local policy in this area. As potential human resources, cadre Posyandu have duty assist provider in collecting of data, surveillance in community health and to move empowering community participate. Finally, make-up of performance and quality of Posyandu will push reaching of self-reliant of that Posyandu itself.
The research was aimed to study on selecting and utilizing the non prescription drug by cadres in Pandeglang Disrict, 2009. It also examined both supporting and inhibiting factors of the self-medication behavior. It was a qualitative research which employed in depth interview and group discussion methods to obtain data. The results concluded that among CBIA's cadres were likely to use the medicine properly. On the contrary, the non CBIA's cadre tended to select the wrong medicine and utilize inappropriate length of therapy. Furthermore, the results showed that knowledge on drug use might increase the awareness in the medicine utilization. Electronic advertisement could influence the informant's preference in selecting certain medicine brand. Therefore, the selection and utilization of non prescription medicine tended to be influenced by the following factors : individual characteristics, exposure to drug information and accessibility to electronic media. It was also influenced by both health professional and family support.
