Faktor-Faktor Yang Berhubungan Dengan Pelayanan Pemantauan Anak Balita Di Posyandu Di Kecamatan Rantau Kabupaten Aceh Tamiang Tahun 2015
ABSTRAK
Pemanfaatan posyandu sebagai pelayanan pemantauan tumbuh kembang
balita dan pelayanan gizi masih belum dimanfaatkan secara optimal. Kebanyakan ibu
ke posyandu hanya untuk mendapatkan imunisasi pada bayi, pelayanan Keluarga
Berencana (KB) dan pengobatan. Berdasarkan Riskesdas tahun 2013 secara nasional
kekurangan gizi pada
balita adalah 19.6%, sementara sasaran Millenium
Development Goals (MDGs) tahun 2015 sebesar 15,5%. Prevalensi kekurangan gizi
pada balita di Kabupaten Aceh Tamiang sebesar 23% masih di atas target MDGs
tahun 2015.
Penelitian ini merupakan jenis penelitian analitik dengan pendekatan Cross
Sectional yang bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan
pelayanan pemantauan anak balita di posyandu di Kecamatan Rantau Kabupaten
Aceh Tamiang. Populasi penelitian ini seluruh anak balita yang berusia umur 12 - 59
bulan tinggal di wilayah kerja Puskesmas Rantau Kabupaten Aceh Tamiang, sampel
pada penelitian ini adalah anak balita berusia 12 - 59 bulan terdaftar di buku register
posyandu di wilayah kerja Puskesmas Rantau dengan kriteria posyandu tingkat
madya sebanyak 142 orang. Analisis data melalui tahapan analisis univariat, analisis
bivariat dengan uji Chi-square, dan analisis multivariat dengan regresi poisson.
Hasil penelitian menunjukan ada pengaruh yang bermakna antara variabel
dukungan bidan (p=0,002, RP=2,385, 95%CI:1,366-4,163), dukungan keluarga
(p=0,027, RP=2,279, 95%CI:1,099-4,725) dan dukungan kader posyandu (p=0,033,
RP=1,925, 95%CI:1,055-3,512) terhadap pelayanan pemantauan anak balita di
posyandu. Variabel yang dominan berpengaruh terhadap pelayanan pemantauan anak
balita di posyandu adalah dukungan bidan (Koefisien B =0,869).
Keberadaan bidan di masyarakat merupakan role model (contoh teladan/
panutan) dalam berperilaku hidup sehat bagi masyarakat. Upaya kegiatan promosi
berkaitan dengan posyandu perlu untuk ditingkatkan dengan tujuan meningkatkan
pengetahuan keluarga dan masyarakat berkaitan dengan posyandu agar dapat
memanfaatkan pelayanan kesehatan dasar di posyandu. Keberhasilan pengelolaan
posyandu memerlukan dukungan dan kerjasama yang baik dari berbagai pihak yaitu :
puskesmas, bidan, kepala desa, tim pengerak PKK, kader, seluruh masyarakat dan
dukungan perusahaan swasta baik dukungan moril, material maupun finansial.
Kata Kunci : Posyandu, Anak Balita, Bidan, Kader Posyandu, Promosi
Kesehatan.
i
ABSTRACT
The utilization of posyandu (integrated service post) as the service for monitoring the
growth of under five years children and nutrition service has not been used optimally.
Most of mothers who visited posyandu want to get only immunization for their babies,
Family Planning Service, and medical care. Based on Riskesdas in 2013, it was found
that nationally the malnutrition of under five years children were 19.6% while the
target of the Millennium Development Goals (MDGs) was 15.5% in 2015. The
prevalence of malnutrition of under five years in Aceh Tamiang District was 23%
which is greater than the target of MDGs in 2015.
The research is an analytic research with cross sectional approach which
aimed to analyze the factors related to service for monitoring under five years
children at posyandu in Rantau Subdistrict Aceh Tamiang District. The population
was all under five years children aged 12-59 months-old in the working area of
Rantau Puskesmas, Aceh Tamiang District, sample of this research was under five
years children recorded in register book at posyandu with the criteria of madya
level and 142 of them were used as the samples. The data were analyzed by using
univariate analysis, bivariate analysis with chi square test, and multivariate analysis
with poisson regression analysis.
The result of the research showed that there were significant influence of the
variables of midwives support (p=0.002, RP=2.385, 95%CI:1.366-4.163), family
support (p=0.027, RP=2.279, 95%CI:1.099-4.725), and cadre’s support (p=0.033,
RP=1.925, 95%CI:1.055-3.512) on the service for monitoring under five years
children at posyandu. The variable which had the most dominant influence on the
service for monitoring under five years children at posyandu was support from
midwives (Coefficient of B=0.869).
The existence of midwives in society is the role model in people’s healthy life
behavior. Promotion related to posyandu should be improved in order to increase the
knowledge of families and people concerning posyandu so that basic health care at
posyandu can be improved. Success in posyandu management needs good support
and cooperation from various stakeholders such as puskesmas (health center),
midwives, village heads, initiator team of PKK, cadres, and all people and support
from private companies morally, materially, and financially.
Keywords: Posyandu, under
Promotion.
five years
ii
children, midwives, Cadres, Health
Pemanfaatan posyandu sebagai pelayanan pemantauan tumbuh kembang
balita dan pelayanan gizi masih belum dimanfaatkan secara optimal. Kebanyakan ibu
ke posyandu hanya untuk mendapatkan imunisasi pada bayi, pelayanan Keluarga
Berencana (KB) dan pengobatan. Berdasarkan Riskesdas tahun 2013 secara nasional
kekurangan gizi pada
balita adalah 19.6%, sementara sasaran Millenium
Development Goals (MDGs) tahun 2015 sebesar 15,5%. Prevalensi kekurangan gizi
pada balita di Kabupaten Aceh Tamiang sebesar 23% masih di atas target MDGs
tahun 2015.
Penelitian ini merupakan jenis penelitian analitik dengan pendekatan Cross
Sectional yang bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan
pelayanan pemantauan anak balita di posyandu di Kecamatan Rantau Kabupaten
Aceh Tamiang. Populasi penelitian ini seluruh anak balita yang berusia umur 12 - 59
bulan tinggal di wilayah kerja Puskesmas Rantau Kabupaten Aceh Tamiang, sampel
pada penelitian ini adalah anak balita berusia 12 - 59 bulan terdaftar di buku register
posyandu di wilayah kerja Puskesmas Rantau dengan kriteria posyandu tingkat
madya sebanyak 142 orang. Analisis data melalui tahapan analisis univariat, analisis
bivariat dengan uji Chi-square, dan analisis multivariat dengan regresi poisson.
Hasil penelitian menunjukan ada pengaruh yang bermakna antara variabel
dukungan bidan (p=0,002, RP=2,385, 95%CI:1,366-4,163), dukungan keluarga
(p=0,027, RP=2,279, 95%CI:1,099-4,725) dan dukungan kader posyandu (p=0,033,
RP=1,925, 95%CI:1,055-3,512) terhadap pelayanan pemantauan anak balita di
posyandu. Variabel yang dominan berpengaruh terhadap pelayanan pemantauan anak
balita di posyandu adalah dukungan bidan (Koefisien B =0,869).
Keberadaan bidan di masyarakat merupakan role model (contoh teladan/
panutan) dalam berperilaku hidup sehat bagi masyarakat. Upaya kegiatan promosi
berkaitan dengan posyandu perlu untuk ditingkatkan dengan tujuan meningkatkan
pengetahuan keluarga dan masyarakat berkaitan dengan posyandu agar dapat
memanfaatkan pelayanan kesehatan dasar di posyandu. Keberhasilan pengelolaan
posyandu memerlukan dukungan dan kerjasama yang baik dari berbagai pihak yaitu :
puskesmas, bidan, kepala desa, tim pengerak PKK, kader, seluruh masyarakat dan
dukungan perusahaan swasta baik dukungan moril, material maupun finansial.
Kata Kunci : Posyandu, Anak Balita, Bidan, Kader Posyandu, Promosi
Kesehatan.
i
ABSTRACT
The utilization of posyandu (integrated service post) as the service for monitoring the
growth of under five years children and nutrition service has not been used optimally.
Most of mothers who visited posyandu want to get only immunization for their babies,
Family Planning Service, and medical care. Based on Riskesdas in 2013, it was found
that nationally the malnutrition of under five years children were 19.6% while the
target of the Millennium Development Goals (MDGs) was 15.5% in 2015. The
prevalence of malnutrition of under five years in Aceh Tamiang District was 23%
which is greater than the target of MDGs in 2015.
The research is an analytic research with cross sectional approach which
aimed to analyze the factors related to service for monitoring under five years
children at posyandu in Rantau Subdistrict Aceh Tamiang District. The population
was all under five years children aged 12-59 months-old in the working area of
Rantau Puskesmas, Aceh Tamiang District, sample of this research was under five
years children recorded in register book at posyandu with the criteria of madya
level and 142 of them were used as the samples. The data were analyzed by using
univariate analysis, bivariate analysis with chi square test, and multivariate analysis
with poisson regression analysis.
The result of the research showed that there were significant influence of the
variables of midwives support (p=0.002, RP=2.385, 95%CI:1.366-4.163), family
support (p=0.027, RP=2.279, 95%CI:1.099-4.725), and cadre’s support (p=0.033,
RP=1.925, 95%CI:1.055-3.512) on the service for monitoring under five years
children at posyandu. The variable which had the most dominant influence on the
service for monitoring under five years children at posyandu was support from
midwives (Coefficient of B=0.869).
The existence of midwives in society is the role model in people’s healthy life
behavior. Promotion related to posyandu should be improved in order to increase the
knowledge of families and people concerning posyandu so that basic health care at
posyandu can be improved. Success in posyandu management needs good support
and cooperation from various stakeholders such as puskesmas (health center),
midwives, village heads, initiator team of PKK, cadres, and all people and support
from private companies morally, materially, and financially.
Keywords: Posyandu, under
Promotion.
five years
ii
children, midwives, Cadres, Health