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description Journal article public Buletin Penelitian Sistem Kesehatan

Analisis Situasi dan Upaya Perbaikan Gizi Balita di Tingkat Kabupaten: Studi Kasus Kabupaten Garut Tahun 2008

Ni Ketut Aryastami, Brian Sri Prahastuti, Made Asri Budisuari
Published July 2012

Abstract

Background: Malnutrition is the major public health problem among the underfive years old children as a predisposing cause of child mortality especially at the district of Garut, West Java. Malnutrition and diseases are inter-rela ting factors affecting children nutritional status and mortality This study was done to analyze public health problems focusing on mothers and children's health related determinants in the district of Garut, West Java. Methods: The design of the study is explorative design through interview and secondary data collection, problems solving and analysis of policy implementation. Results: The results of the study were, the prevalence of severe malnutrition is high, namely 5.7 compared to West Java (3.7) and lndonesia (5.4) per 100 underfive children. Based on the three nutrition indicators called weight/age, height/age and weight/height, Garut facing the acute (Weight/age is above 10% of UNHCR standard) as well as chronic (TB/U is above the national prevalence) malnutrition problems. Factors related to the cause of children mortality and severe malnutrition were among others: 1) environment and sanitation (including low birth weight and infectious diseases); 2) behavior (hygiene and immunization), 3) health services provision (eady detection, ca se management, monitoring of child's nutrition and budget allocation for nutrition programs). Conclusion: Problem solving for nutrition program has to be innovatively developed at the district level referring to the national goals and strategy Nutrition intervention to the children only is not enough, but pregnant mothers who are chronically malnourished has to be intervened to prevent low birth weight babies. Indirect intervention at the district level is recommended through strengthening the health and nutrition system involving community, local government as well as inter sectors; as the root of malnutrition problem is broaden over poverty and cultural.

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