Kajian Karakteristik Keluarga dan Penerapan Kadarzi pada Keluarga Balita di Wilayah Tembalang, Kota Semarang

Rachma Purwanti*  -  Departemen Ilmu Gizi Fakultas Kedokteran Universitas Diponegoro, Indonesia

(*) Corresponding Author

This study aims to identify the implementation of Kadarzi under five years old children family in Tembalang area, Semarang City based on family characteristics. This study uses a cross-sectional design with the type of survey research in 40 families. The variables include family characteristics and 5 Kadarzi. Data analysis includes univariate and bivariate analysis (Mann Whitney, Chi-square, and Fisher exact tests based on the fulfillment of test requirements). The 5 Kadarzi indicators have been implemented by 25% of families with under-five children in the Tembalang area, Semarang City. Another 75% of families have not whole applied the Kadarzi indicator. Father's education and mother's education had a correlation with Kadarzi's 5th indicator, which is supplement consumption accordingly its recommendation (p = 0.004 and p = 0.009). The family category according to per capita income relates to exclusive breastfeeding for 6 months (p = 0.05). Other family characteristics variables (mother's work status and family size) are not related to the 5 Kadarzi indicators. The implementation of 5 Kadarzi indicators is carried out by 25% of families with under-five children in the Tembalang area, Semarang City. The implementation of Kadarzi needs to be continuously optimized to achieve the optimal nutritional status of toddlers and families.

 

Penelitian ini bertujuan untuk mengidentifikasi penerapan Kadarzi pada keluarga balita di wilayah Tembalang, Kota Semarang berdasarkan karakteristik keluarga. Penelitian ini menggunakan desain cross sectional dengan jenis penelitian survei pada 40 keluarga balita. Variabel penelitian meliputi variabel bebas yaitu karakteristik keluarga dan variabel terikat yaitu 5 indikator Kadarzi. Analisis data secara univariat dan bivariat digunakan uji Mann whitney, Chi square, dan Fisher exact berdasarkan pemenuhan syarat uji). Penerapan 5 indikator Kadarzi telah dilaksanakan oleh 25% keluarga balita di wilayah Tembalang, Kota Semarang. Sebesar 75% keluarga lainnya belum menerapkan indikator Kadarzi secara keseluruhan. Pendidikan ayah dan pendidikan ibu berhubungan dengan indikator ke-5 Kadarzi yaitu konsumsi suplemen sesuai anjuran (p=0,004 dan p=0,009). Kategori keluarga menurut pendapatan per kapita berhubungan dengan pemberian ASI eksklusif selama 6 bulan (p=0,05). Variabel karakteristik keluarga lainnya (status pekerjaan ibu dan besar keluarga) tidak berhubungan dengan 5 indikator Kadarzi. Penerapan 5 indikator Kadarzi dilaksanakan oleh 25% keluarga balita di wilayah Tembalang, Kota Semarang. Penerapan Kadarzi perlu terus dioptimalkan untuk mencapai status gizi balita dan keluarga yang optimal.

Keywords: Kadarzi; nutrition; under five; family characteristic; Kadarzi; gizi; balita; karakteristik keluarga

  1. Aditianti, Permanasari, Y., Julianti, E.D. (2015) ‘Pendampingan minum tablet tambah darah (TTD) dapat meningkatkan kepatuhan konsumsi TTD pada ibu hamil anemia’, Penelitian Gizi dan Makanan, 38(1), pp. 71–78.
  2. Apriani, S., Baliwati, Y.F. (2011) ‘Faktor-faktor yang berpengaruh terhadap konsumsi pangan sumber karbohidrat di perdesaan dan perkotaan’, Jurnal Gizi dan Pangan, 6(3), pp. 200–207.
  3. Ariani, M., Ashari (2003) ‘Arah, kendala dan pentingnya diversifikasi konsumsi pangan di Indonesia’, Forum penelitian agro ekonomi, 21(2), pp. 99–112.
  4. Astuti, I. (2013) ‘Determinan Pemberian ASI Eksklusif Pada Ibu Menyusui’, Jurnal Health Quality, 4(1), pp. 60–68.
  5. Badan Penelitian dan Pengembangan Kesehatan (2018) Riset Kesehatan Dasar (Riskesdas) 2018, Kementerian Kesehatan RI.
  6. Bernard, J.Y. et al. (2013) ‘Breastfeeding Duration and Cognitive Development at 2 and 3 Years of Age in the EDEN Mother – Child Cohort’. Available at: https://doi.org/10.1016/j.jpeds.2012.11.090.
  7. Brown, A. (2014) ‘Maternal restraint and external eating behaviour are associated with formula use or shorter breastfeeding duration q’, APPETITE, 76, pp. 30–35. Available at: https://doi.org/10.1016/j.appet.2013.12.022.
  8. Chipojola, R. et al. (2020) ‘International Journal of Nursing Studies Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis’, International Journal of Nursing Studies, 109, p. 103675. Available at: https://doi.org/10.1016/j.ijnurstu.2020.103675.
  9. Cresswell, J.A. et al. (2019) ‘Articles The effect of the Alive & Thrive initiative on exclusive breastfeeding in rural Burkina Faso: A repeated cross-sectional cluster randomised controlled trial’, The Lancet Global Health, 7(3), pp. e357–e365. Available at: https://doi.org/10.1016/S2214-109X(18)30494-7.
  10. Dahlan, S. (2019) Statistik untuk Kedokteran dan Kesehatan: Deskriptif, Bivariat, dan Multivariat (Edisi 6, Cetakan Kedelapan). Jakarta: Epidemiologi Indonesia.
  11. Dalili, H. et al. (2020) ‘Duration of Breastfeeding and Maternal-Related Factors in Iran, Systematic Review and Meta-Analysis’, Journal of Pediatric Nursing, 54, pp. e23–e30. Available at: https://doi.org/10.1016/j.pedn.2020.04.011.
  12. Darmawan, N.I., Darmawan, E.S. (2012) ‘Analisis demand dan supply konsumsi garam beryodium tingkat rumah tangga’, Jurnal Kesehatan Masyarakat Nasional, 6(6), pp. 273–276.
  13. Demir, F., Ghosh, P., Liu, Z. (2020) ‘Effects of motherhood timing, breastmilk substitutes and education on the duration of breastfeeding: Evidence from Egypt’, World Development, 133, p. 105014. Available at: https://doi.org/10.1016/j.worlddev.2020.105014.
  14. Direktorat Jenderal Bina Kesehatan Masyarakat (2007) Strategi Keluarga Sadar Gizi ( Kadarzi ). Jakarta: Kementerian Kesehatan RI.
  15. Djamil, A. (2014) ‘Faktor-faktor yang berhubungan dengan perilaku ibu balita menimbang anaknya ke posyandu’, Jurnal Kesehatan, VIII(1), pp. 127–134.
  16. Farhan, M. (2014) ‘Analisis Pola Konsumsi Daging Sapi Pada Masyarakat Pesisir di Kabupaten Tanjung Jabung Timur’, Jurnal ilmiah ilmu-ilmu peternakan, XVII(2), pp. 62–69.
  17. Firmansyah, Afzalani, Farhan, M. (2010) ‘Keanekaragaman dan kecukupan konsumsi pangan hewani dalam hubungannya dengan kualitas sumberdaya manusia keluarga di Provinsi Jambi’, Jurnal Penelitian Universitas Jambi seri humaniora, 12(1), pp. 63–71.
  18. Habibi, M. et al. (2018) ‘The impact of maternal socio-demographic characteristics on breastfeeding knowledge and practices: an experience from Casablanca, Morocco’, International Journal od Pediatrics and Adolescence Medicine, (5), pp. 39–48.
  19. Hardinsyah (2007) ‘Review faktor determinan keragaman konsumsi pangan’, Jurnal Gizi dan Pangan, 2(2), pp. 55–74.
  20. Hassan, N.E. et al. (2018) ‘Egyptian Pediatric Association Gazette Relationship between breast feeding duration and risk of overweight/obesity among Egyptian children’, Egyptian Pediatric Association Gazette, 66(1), pp. 9–14. Available at: https://doi.org/10.1016/j.epag.2018.01.001.
  21. Ibarra-ortega, A. et al. (2021) ‘Atención Primaria Factors associated with longer breastfeeding duration in Mexican working mothers Factores asociados con mayor duración de la lactancia materna en madres’, Atención Primaria, 53(7), pp. 0–1. Available at: https://doi.org/10.1016/j.aprim.2021.102097.
  22. Ibrahim, I.A. et al. (2018) ‘Faktor-faktor yang berhubungan dengan pemanfaatan garam beryodium ibu rumah tangga di Kelurahan Pallenggu Kabupaten Jeneponto’, Al-Sihah: Public Health Science Journal, 10(1), pp. 26–36.
  23. Inoue, M. and Binns, C.W. (2014) ‘Introducing Solid Foods to Infants in the Asia Pacific Region’, pp. 276–288. Available at: https://doi.org/10.3390/nu6010276.
  24. Islam, M. and Kabir, R. (2021) ‘Prevalence and associated factors of early cessation of exclusive breastfeeding practice in Noakhali, Bangladesh: a mixed-method study’, Journal of Pediatric Nursing, 58, pp. e44–e53. Available at: https://doi.org/10.1016/j.pedn.2020.12.017.
  25. Jannah, N.F., Ulfiana, E., Wahyuni, S.D. (2020) ‘Hubungan Dukungan Keluarga dengan Perilaku Ibu dalam melaksanakan Program Keluarga Sadar Gizi (KADARZI) pada Kasus Balita dengan Kurang Gizi’, Indonesian Journal of Community Health Nursing, 5(2), pp. 88–95. Available at: https://doi.org/10.20473/ijchn.v5i2.20847.
  26. Kementerian Kesehatan RI (2019) Profil Kesehatan Indonesia Tahun 2018. Jakarta. Available at: https://doi.org/10.1080/09505438809526230.
  27. Kementerian Kesehatan RI (2021) Profil Kesehatan Indonesia 2020. Jakarta - Indonesia.
  28. Kesehatan, D. et al. (2007) ‘Pedoman pendampingan keluarga menuju kadarzi’.
  29. Mohan, N., Awasthi, S. (2013) ‘Breastfeeding practices for newborns among urban poor in Lucknow, northern India: A prospective follow-up study’, CEGH: Clinical Epidemiology and Global Health, 2(2), pp. 66–74. Available at: https://doi.org/10.1016/j.cegh.2013.03.003.
  30. Notoatmodjo, S. (2012) Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
  31. Oktaviani, P.P., Djafar, M. and Fayasari, A. (2019) ‘Penerapan perilaku keluarga sadar gizi (Kadarzi) dan status gizi balita usia 24-59 bulan di Puskesmas Kranji Bekasi’, Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya, 3 (2), pp. 115–126. Available at: https://doi.org/10.21580/ns.2019.3.2.3421.
  32. Oliveira, D.S. de et al. (2017) ‘Breastfeeding duration and associated factors between 1960 and 2000’, Journal de Pediatria, 93(2), pp. 130–135.
  33. Peven, K. et al. (2020) ‘Breastfeeding support in low and middle-income countries: Secondary analysis of national survey data’, Midwifery, 82, pp. 1–12. Available at: https://doi.org/10.1016/j.midw.2019.102601.
  34. Rahayu, S., Apriningrum, N. (2014) ‘Faktor-faktor yang berhubungan pemberian ASI ekslusif pada karyawati UNSIKA Tahun 2013’, Jurnal Ilmiah Solusi, 1(1), pp. 55–63.
  35. Rahmawati, M.D. (2010) ‘Faktor-faktor yang mempengaruhi pemberian ASI eksklusif pada ibu menyusui di Kelurahan Pedalangan Kecamatan Banyumanik, Kota Semarang’, Jurnal KesMaDaSka, 1(1), pp. 8–17.
  36. S, A., Katti, S.M., Mallapur, M.D. (2014) ‘Comparison of breastfeeding practices among urban and rural mothers: A cross-sectional study’, International Journal of Medicine and Public Health |, 4(1), pp. 120–124. Available at: https://doi.org/10.4103/2230-8598.127172.
  37. Shofiana, F.I., Widari, D., Sumarmi, S. (2018) ‘Pengaruh usia, pendidikan, dan pengetahuan terhadap konsumsi tablet tambah darah pada ibu hamil di puskesmas maron, Kabupaten Probolinggo’, Amerta Nutrition, pp. 356–363. Available at: https://doi.org/10.2473/amnt.v2i4.2018.356-363.
  38. Silva, V.A.A.L. et al. (2019) ‘Maternal breastfeeding: indicators and factors associated with exclusive breastfeeding in a subnormal urban cluster assisted by the Family Health Strategy’, Journal de Pediatria, 95(3), pp. 298–305.
  39. Tawia, S. et al. (2020) ‘Breastfeeding: Australian breastfeeding association volunteers are positive deviants in Australian society’, Women and Birth, 33(4), pp. e385–e390. Available at: https://doi.org/10.1016/j.wombi.2019.09.001.
  40. United Nations Children’s Fund (UNICEF) (2020) Situasi anak di Indonesia - Tren, peluang, dan tantangan dalam memenuhi hak-hak anak, Unicef Indonesia.
  41. Wijayanti, S., Nindya, T.S. (2017) ‘Hubungan Penerapan Perilaku Kadarzi (Keluarga Sadar Gizi) dengan Status Gizi Balita di Kabupaten Tulungagung Relationship of Kadarzi (Family Conscious Nutrition) Behavior Practice to Nutritional Status of Children Under Five Years in Tulungagung Distr’, Amerta Nutr, pp. 379–388. Available at: https://doi.org/10.20473/amnt.v1.i4.2017.378-388.
  42. Zarshenas, M., Zhao, Y. and Scott, J.A. (2020) ‘Determinants of Breastfeeding Duration in Shiraz, South West Iran’.

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