PENGENDALIAN FAKTOR RISIKO STUNTING ANAK BADUTA DI SULAWESI TENGAH
Abstract
Stunting merupakan perhatian utama kesehatan masyarakat di seluruh dunia. Tujuan penelitian menganalisis faktor risiko baduta stunting di Sulawesi Tengah dan model pengendaliannya. Penelitian Cross Sectional dilaksanakan pada tanggal 06 Juli-31 Agusutus 2018 di Kota Palu, Kabupaten Poso, Sigi dan Kabupaten Banggai di Provinsi Sulawesi Tengah. Populasi semua anak baduta di Sulawesi Tengah. Metode penarikan sampel dengan simple random sampling sebanyak 384 orang. Stunting adalah status gizi anak 0-23 bulan skor TB/U < -2SD Standar WHO 2005. Data diperoleh dengan wawancara menggunakan kuesioner, Faktor risiko yang paling dominan dilakukan analisis multivariat regresi logistik terhadap variabel faktor risiko risiko rumah tangga dan keluarga, risiko makanan pendamping ASI, risiko praktek menyusui, risiko penyakit infeksi, risiko sosial dan masyarakat. Analisis bivariat nilai p <0,25 dilanjutkan dengan uji regresi logistik. Selanjutnya faktor risiko dominan dikendalikan dengan model promosi multilevel dengan pendekatan Multilevel Approach To Community Health (MATCH). Hasil penelitian menunjukkan variabel yang memiliki faktor risiko terhadap kejadian stunting adalah berat badan lahir rendah OR=5,512 (1,992-15,256) tidak mencuci tangan OR=5,359 (1,758-16,341) serta tidak memiliki jamban dengan OR= 7,398 (2,072-30,714). Model MATCH dengan melaksanakan program peningkatan efektivitas program Kesehatan ibu dan anak seperti antenatal care, kelas ibu hamil, suplementasi Fe dan kalsium. Pemberian makanan tambahan ibu hamil. Pelatihan praktik mencuci tangan pada air mengalir menggunakan sabun. Dukungan prasarana Air bersih dengan pemipaan. Bantuan kepemilikan jamban dan cara perawatannya serta pelatihan sanitasi berbasis masyarakat.References
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