Analisis Faktor – faktor yang Mempengaruhi Kebijakan terhadap Efektivitas Pemberian Makanan Tambahan pada Balita Gizi Kurang di Wilayah Kerja Puskesmas Padang Tiji

Abstract

The Supplementary Food Program (PTM) is a government effort in overcoming the problem of malnourished children under five. Based on the evaluation of the PMT program from September to November 2017, it was found that 18 underfives (66.7%) had no increase in nutritional status. Supplementary food provision has not been effective, it is suspected that the implementation of the PMT program has not been effective. The research objective was to determine the factors that affect the effectiveness of sending / receiving, storing, distributing and providing additional food for malnourished toddlers in the Padang Tiji Community Health Center in 2019. This type of research is descriptive qualitative with an ex post facto approach. The informants were 6 people consisting of 1 nutrition officer, 1 head of puskesmas, 4 village midwives. To further explore the effectiveness of PMT, 27 mothers of children under five were included with data collection through interviews based on questionnaires. Data were analyzed by reduction, presentation and drawing conclusions as well as describing the factors affecting the effectiveness of PMT. The results showed that PMT was not yet effective due to the delay in sending biscuits to the puskesmas, storing biscuits in the inpatient room on the floor and storing them in the target house in cupboards and boxes. Distribution requires additional officers and special vehicles so that they do not use other tasks and the form of reports is not yet systematic. Another factor is diet and health care patterns. It is recommended that the head of the puskesmas make technical guidelines on the involvement of midwives and cadres in monitoring the PMT program and provide training to improve the ability to manage the diet of malnourished toddlers. To prioritize the MCH program, especially under-nutrition children by allocating BOK funds. Health workers provide regular health education to increase maternal knowledge about the benefits of providing additional food for toddlers. Keywords: Supplementary Feeding Programs, Undernourished Toddlers