Abstract
Severe malnutrition may increase the risk of mortality, morbidity from infectious diseases, and delayed physical likewise cognitive development. The incidence of severe malnutrition in Cilacap in 2013 was 112 cases and increased in 2014 to 116 cases. Therefore, it was necessary to know and analyze the implementation of severe malnutrition management, in terms of input, process, and output components. This study used qualitative research, using case study design on 6 informants selected with eligibility criteria. Data collection was conducted by observation, in-depth interviews, and document studies. Validity test was done with triangulation. Data were analyzed with Miles and Huberman analysis model. It showed that the management of severe malnutrition was good enough. It could be seen from the input components (the number of health volunteers and the infrastructure facilities have been fulfilled, while the number of nutrition officers was still less and their role have not been well implemented), the process components (preparation stage was good, while organizing has not well structured, implementation and severe malnutrition service flow have not well run as procedure), and the output components (malnourished children under five have treated for 3 months and there was an improvement to better nutritional status).
Highlights
Masalah gizi terjadi di setiap siklus kehidupan, dimulai sejak dalam kandungan, bayi, anak, dewasa, dan usia lanjut
Severe malnutrition may increase the risk of mortality
using case study design on 6 informants selected with eligibility criteria
Summary
Sejarah Artikel: Diterima Agustus 2016 Disetujui September 2016 Dipublikasikan Januari 2017. Angka kejadian gizi buruk di Cilacap pada tahun 2013 terdapat 112 kasus dan meningkat di tahun 2014 sebanyak 116 kasus. Perlu dilakukan penelitian untuk mengetahui dan menganalisis implementasi penatalaksanaan gizi buruk, ditinjau dari komponen input, proses, dan output. Penelitian ini menggunakan jenis penelitian kualitatif, menggunakan desain studi kasus pada 6 orang informan yang dipilih dengan kriteria tertentu. Teknik pengumpulan data dilakukan secara observasi, wawancara mendalam, dan studi dokumen. Hal ini terlihat dari komponen input (jumlah kader dan sarana prasarana sudah memenuhi, sedangkan jumlah tenaga gizi masih kurang dan tenaga kesehatan belum berperan optimal), komponen proses (tahap persiapan sudah baik, pengorganisasian belum terstruktur baik, pelaksanaan dan alur pelayanan gizi buruk belum berjalan sesuai prosedur seharusnya), dan komponen output (balita gizi buruk sudah menjalani perawatan selama 3 bulan dan terjadi perubahan status gizi ke status gizi yang lebih baik)
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