Sensitive Interventions in Overcoming Chronic Energy Deficiency of Pregnant Women in A Northern Coastal City of Central Java
Abstract
Pregnant women with Chronic Energy Deficiency (CED) can cause health problems for both mother and baby. Among them are babies with low birth weight (LBW), who are at risk of stunting. The Pekalongan City Government issued Mayor Regulation Number 11 of 2023 concerning the Acceleration of Integrated Stunting Reduction, where the group of CED pregnant women is one of the targets of Stunting-prone Families who need specific and sensitive interventions. This study aimed to analyze implementation of the policy, especially sensitive interventions of CED pregnant women in Pekalongan City. This study used a descriptive qualitative method. The research was conducted from August to September 2024. The object of the study was the implementation of sensitive interventions of CED pregnant women which was analyzed with Van Metter-Van Horn policy implementation model. The research was conducted through in-depth interviews, observation and documentation. The determination of informants used a non-probability technique with a purposive method, and 11 informants were obtained. The stages in data analysis were data collection, reduction, presentation, data verification and conclusion drawn. The results of the study found that sensitive interventions in form of access to clean drinking water and sanitation, housing improvement programs, social assistance recipient programs and training facilitation for families of CED pregnant women are still not optimal. Pregnant women in CED had not been considered as a priority in obtaining the benefits of assistance programs. It needed to be improved again in policy socialization, quality and quantity of resources, coordination and communication, and improvement of the environmental situation.
Keywords
References
Pedoman Gizi Seimbang. Jakarta: Kementerian Kesehatan Republik Indonesia, 2014.
S. Aswar and F. Istyanto, “Determinants Of Chronic Energy Deficiency (CED) Among Pregnant Women,” Indones. J. Glob. Heal. Res., vol. 2, no. 4, pp. 595–604, 2019, doi: 10.37287/ijghr.v2i4.250.
Pedoman Penanggulangan KEK pada Ibu Hamil. Jakarta: Kementerian Kesehatan Republik Indonesia, 2015.
A. Yusriyani and I. Budiono, “Faktor Risiko Kurang Energi Kronis (KEK) pada Ibu Hamil di Kecamatan Harjamukti Kota Cirebon,” Bunda Edu-Midwifery J., vol. 6, no. 2, pp. 140–147, 2023.
I. S. L. Oktavia, Suprihatin, and J. A. Siauta, “Analisis Ibu Hamil Dengan Kekurangan Energi Kronik Di UPTD Puskesmas Rawat Inap Maja Kabupaten Lebak,” J. Penelit. dan Kaji. Ilm. Kesehat. Politek. Medica Farma Husada Mataram, vol. 7, no. 2, pp. 191–198, 2021, doi: 10.33651/jpkik.v7i2.273.
N. L. Fitri, S. A. Sari, N. R. Dewi, Ludiana, and S. Nurhayati, “Hubungan Usia Ibu Dengan Kejadian Kek Pada Ibu Hamil Di Wilayah Kerja Puskesmas Ganjar Agung Kecamatan Metro Barat Kota Metro,” J. Wacana Kesehat., vol. 7, no. 1, p. 26, 2022, doi: 10.52822/jwk.v7i1.406.
A. D. Gernand, K. J. Schulze, C. P. Stewart, K. P. West, and P. Christian, “Effects and Prevention in Pregnancy Worldwide: Health Effects and Prevention,” Nat Rev Endorinol, vol. 12, no. 5, pp. 274–289, 2016, doi: 10.1038/nrendo.2016.37.Micronutrient.
B. Koletzko et al., “Nutrition During Pregnancy, Lactation and Early Childhood and its Implications for Maternal and Long-Term Child Health: The Early Nutrition Project Recommendations,” Ann. Nutr. Metab., vol. 74, no. 2, pp. 93–106, 2019, doi: 10.1159/000496471.
T. Mariyami and R. Sanjaya, “Hubungan BBLR dan Status Pemberian ASI Dengan Kejadian Stunting pada Baduta,” J. Curr. Heal. Sci., vol. 2, no. 1, pp. 13–18, 2022.
Z. He, G. Bishwajit, S. Yaya, Z. Cheng, D. Zou, and Y. Zhou, “Prevalence of low birth weight and its association with maternal body weight status in selected countries in Africa: A cross-sectional study,” BMJ Open, vol. 8, no. 8, pp. 1–8, 2018, doi: 10.1136/bmjopen-2017-020410.
B. Rosha, K. Sari, I. Yunita, N. Amaliah, and Utami, “Roles of Sensitive and Spesific Nutritional Interventions in The Improvement of Nutritional Problems,” Bul. Penelit. Kesehat., vol. 44, no. 2, pp. 127–138, 2016.
Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi Di Kabupaten/ Kota. Jakarta: Kementerian Perencanaan dan Pembangunan Nasional/ Badan Perencanaan dan Pembangunan Nasional (Bappenas), 2018.
N. Kadek, D. Septani, A. Palimbo, Y. P. Lestari, and U. S. Mulia, “Analisis Deskriptif Keberhasilan Intervensi Spesifik Dan Sensitif Pada Program Percepatan Penurunan Stunting Di Kota Banjarmasin,” vol. 8, no. 10, pp. 145–155, 2024.
F. Tat, Implementasi Kebijakan Pelayanan Kesehatan. Bandung: CV. Media Sains Indonesia, 2022.
L. Agustino, Dasar-Dasar Kebijakan Publik. Bandung. Bandung: CV. Alfabeta, 2006.
Zulfian, “Implementasi Kebijakan Program Pendataan Keluarga Sejahtera Dalam Pendistribusian Alat Kontrasepsi Di Kabupaten Sintang,” Procedia Manuf., vol. 1, no. 22 Jan, pp. 1–17, 2014.
I. Ajrina, U. Wahyudin, and A. Saepudin, “Pengaruh Sosialisasi Program Akreditasi Kursus Terhadap Motivasi Pengelola Untuk Menyiapkan Akreditasi Program Pada Satuan Pendidikan LKP Di Kota Bandung,” J. UPI, vol. 7, no. 2, 2015.
A. Maramis, Hitam Putih Kebijakan Publik di Indonesia. Indramayu: Penerbit Adab, 2021.
E. Ungusari, “Peran Pendamping Dalam Mensukseskan Program Keluarga Harapan Di Kecamatan Gapura Kabupaten Sumenep,” J. Wiraraja, vol. 151, no. 1995, pp. 10–17, 2015.
A. Kurniawati and R. Handayani, “Penerapan Pendampingan Ibu Hamil Oleh Kader Kesehatan Dengan Metode ‘Siska’ Satu Ibu Satu Kader Sebagai Upaya Peningkatan Kualitas Kesehatan Ibu Hamil,” Kolaborasi J. Pengabdi. Masy., vol. 3, no. 4, pp. 253–259, 2023, doi: 10.56359/kolaborasi.v3i4.307.
W. Pitaloka and N. Siyam, “Penerapan Empat Pilar Program Pencegahan dan Pengendalian Infeksi Tuberkulosis Paru,” Higeia J. Public Heal. Res. Dev., vol. 4, no. 1, pp. 133–145, 2020, [Online]. Available: http://journal.unnes.ac.id/sju/index.php/higeia
T. Mulyati, M. Munawaroh, and H. Herdiana, “Pengaruh Pengetahuan Ibu, Sarana Dan Prasarana Serta Peran Keluarga Terhadap Antenatal Care Terpadu Di Desa Pakuncen Kec. Bojonegara Tahun 2022,” SENTRI J. Ris. Ilm., vol. 2, no. 6, pp. 1883–1895, 2023, doi: 10.55681/sentri.v2i6.978.
Hutapea, P. Ulia, and Nurriana, Teori, Desain, Kasus dan Penerapan untuk HR dan Organisasi yang dinamis. Jakarta: Gramedia Pustaka Utama, 2008.
D. Hasim, “Patologi Birokrasi Dalam Pelayanan Publik,” J. Gov. Polit., vol. 3, no. 1, pp. 1–15, 2023.
M. Dianto, Implementasi Kebijakan Anggaran Pengembangan Kompetensi Sumber Daya Aparatur. Sains Sosio Hum, 2020.
S. A. Wahab, Analisis Kebijakan: Dari Formulasi ke Penyusunan Model-Model Implementasi Kebijakan Publik. Jakarta: Bumi Aksara, 2021.
M. Fahturrahman, “Faktor Birokrasi Dalam Keberhasilan Implemetnasi Kebijakan Publik,” J. Tarbawi, vol. 2, no. 02, pp. 14–27, 2016.
Subandi and E. Rahmawati, “Pemahaman Konseptual Tentang Standard Operating Procedure (SOP): Dasar, Tujuan, Manfaat, Dan Penerapan,” J. Media Akad., vol. 2, no. 6, pp. 3031–5220, 2024.
F. Rahmawati, N. Nazhifah Suryana, J. Gegerkalong Hilir, K. Parongpong, K. Bandung Barat, and J. Barat, “Pentingnya Standar Operasional Prosedur (SOP) Dalam Meningkatkan Efisiensi Dan Konsistensi Operasional Pada Perusahaan Manufaktur,” J. Manaj. Bisnis Digit. Terkini, vol. 1, no. 3, pp. 2–15, 2024, [Online]. Available: https://doi.org/10.61132/jumbidter.v1i2.112
K. B. S. Suwandi, “Implementasi Kebijakan Sertifikasi Guru Dilihat Dari Aspek Kecenderungan Pelaksana (Implementor) Di SMA Negeri 2 Tanjung Kabupaten Tabalong,” JAPB, vol. 1, no. 1, 2018.
R. Massie, “Kebijakan Kesehatan: Proses, Implementasi, Analisis Dan Penelitian,” Bul. Penelit. Sist. Kesehat., vol. 12 No.4, no. 23, pp. 409–417, 2009.
N. L. Srinadi, T. Puspitawati, and N. A. Wantini, “Relationship of Family Economic Status with Chronic Energy Deficiency in Pregnant Women in Jetis Community Health Center, Yogyakarta,” pp. 29–33, 2020, doi: 10.26911/the7thicph.03.47.
N. Utami, Mustamin, and A. Ipa, “Family Income With Less Chronic Energy (LCE) in Pregnant Women,” Media Gizi Pangan, vol. 25, no. 2, p. 57, 2019, doi: 10.32382/mgp.v25i2.391.
M. I. Kartasurya, “Determinants of chronic energy deficiency (CED) incidence in pregnant women: A crosssectional study in Banyumas, Indonesia,” Narra J, pp. 1–8, 2024, [Online]. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC11125398/pdf/NarraJ-4-e742.pdf
R. Molama, K. Rofiah, and H. A. Pribadi, “Hubungan Antara Usia Dan Pendidikan Dengan Kejadian Kurang Energi Kronik Pada Ibu Hamil Trimester I,” J. Mhs. Kesehat., vol. 4, no. 1, pp. 83–91, 2022, doi: 10.30737/jumakes.v4i1.3516.
S. Patra, “Motherhood in childhood: Addressing reproductive health hazards among adolescent married women in India,” Reprod. Health, vol. 13, no. 1, pp. 1–9, 2016, doi: 10.1186/s12978-016-0171-7.
S. Bhalotra, J. F. Gomes, D. Clarke, and A. Venkataramani, “Maternal Mortality and Women’S Political Power,” J. Eur. Econ. Assoc., vol. 21, no. 5, pp. 2172–2208, 2023, doi: 10.1093/jeea/jvad012.
DOI: https://doi.org/10.31983/jkb.v14i2.12459
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