IMPLEMENTASI MODEL EDUKASI BIMBINGAN PADA IBU HAMIL UNTUK PENCEGAHAN RESIKO STUNTING DIKABUPATEN BANYUMAS : STUDI KUALITATIF
DOI:
https://doi.org/10.58185/jkr.v13i2.48Keywords:
Coaching Education Model, pregnant women, prevention of stuntingAbstract
AbstractBackground: Based on the 2021 Indonesian Toddler Nutrition Status Survey (SSGBI), the prevalence of stunting in Indonesia is still high, namely 24.4 percent or 5.33 million toddlers (1). One of the causes of stunting is malnutrition when the baby is in the womb and in the early stages of the baby's birth. The problem of malnutrition in pregnant women can cause low birth weight babies (LBW), malnutrition in toddlers and predispose to edit(2). One of the efforts to prevent stunting during pregnancy is through nutrition education and coaching for pregnant women. The coaching method improves the healthy lifestyle of pregnant women. improve the ability of pregnant women to regulate their nutritional patterns and nutrition during pregnancy
Objective To explore coaching methods for pregnant women to increase knowledge about stunting prevention.
Method: This research method is a qualitative research using a phenomenological design. The research was conducted in Banyumas Regency. Selection of purposive sampling informants. Data collection through in-depth interviews and analyzed using the Miles and Huberman method
Result: The results of this study explored the nutritional coaching educational model for pregnant women, which is an educational model that combines education through pregnant women classes, home visits and the use of WhatsApp groups as an educational tool. Material development includes the concept of self-management, setting goals, planning, actions related to the nutritional status of pregnant women towards balanced nutrition, and explaining healthy eating patterns in pregnant women. Information about healthy sanitation. the importance of exclusive breastfeeding and healthy parenting for toddlers
Conclusion: The conclusion of the nutritional coaching educational model for pregnant women requires a joint commitment from midwives as coaches and pregnant women so that the main goal of increasing stunting prevention knowledge on healthy nutritional status during pregnancy can be achieved.
Keywords: Coaching Education Model, pregnant women, prevention of stunting.
Abstrak
Latar belakang: Berdasarkan Survei Status Gizi Indonesia (SSGI) 2021, prevalensi stunting di Indonesia masih tinggi yaitu 24,4 persen atau 5,33 juta balita. Penyebab stunting salah satunya kekurangan gizi ketika janin dalam kandungan dan pada masa awal bayi lahir. Masalah kekurangan gizi ibu hamil dapat menyebabkan Berat Badan Bayi Lahir Rendah (BBLR). Upaya untuk mencegah stunting selama hamil salah satunya melalui edukasi dan bimbingan gizi pada ibu hamil. Metode bimbingan diharapkan dapat meningkatkan gaya hidup sehat ibu hamil. Meningkatkan kemampuan ibu hamil mengatur pola gizi dan nutrisinya selama hamil
Tujuan: Mengeksplorasi bagaimana implementasi keberlanjutan metode bimbingan ibu hamil untuk meningkatkan pengetahuan mengenai pencegahan stunting setelah pemberian intervensi
Metode Penelitian ini merupakan penelitian kualitatif menggunakan desain case study. Penelitian dilakukan di Kabupaten Banyumas. Pemilihan informan purposive sampling. Informan primer meliputi Ibu hamil dan bidan sebanyak 25 orang. Validasi data hasil wawancara mendalam dilakukan dengan melakukan triangulasi melalui informan sekunder yakni Ahli gizi Puskesmas, Dosen Gizi di Universitas, Dokter Umum sebanyak 5 orang. Pengambilan data melalui wawancara mendalam dan dianalisis dengan menggunakan Miles and Huberman method
Hasil: Penelitian ini implementasi metode edukasi bimbingan gizi pada ibu hamil setelah pemberian intervensi masih kurang optimal karena bidan selaku coach/pembimbing masih terfokus pada pelayanan kebidanan yang tidak holistik. Faktor pendorong implementasi meliputi pelayanan yang diberikan oleh bidan, motivasi ibu hamil untuk berubah, dukungan sosial, respon positif terhadap topik bimbingan manajemen diri dan pola asuh. Faktor penghambat meliputi faktor internal individu (tidak konsisten) dan respon negative terhadap topik sanitasi sehatn
Kesimpulan: Keberlanjutan implementasi model edukasi bimbingan gizi pada ibu hamil memerlukan komitmen bersama dari bidan selaku pembimbing dan ibu hamil agar tujuan utama perubahan perilaku peningkatan pengetahuan pencegahan stunting status gizi sehat selama hamil dapat tercapai.
References
Kementerian Koordinator Bidang Pembangunan Manusia dan Kebudayaan Republik Indonesia. Kejar Target! Per Tahun Prevalensi Stunting Harus Turun 3 Persen. Siar Pers Nomor16/HUMAS PMK/I/2022 [Internet]. 2021; Available from: www.kemenkopmk.go.id
Gayatri M, Romadlona NA, Utomo B, Rahayu S. Tren Kebutuhan dan Penggunaan Kontrasepsi di Indonesia 2002 - 2017 : Sub-Nasional Analisis Program Keluarga Berencana. Pros Forum Ilm Tah IAKMI (Ikatan Ahli Kesehat Masy Indones. 2020;1–8.
Badan Pusat Statistik. Survei Demografi dan Kesehatan 2017. Ris Kesehat Dasar 2018. 2018;1–446.
Khatooni E, Akbarzadeh I, Abdalmaleki E, Abdi Z, Ahmadnezhad E. Evaluating maternal and child health indicators for the Sustainable Development Goals in 2018: what is Iran’s position? Epidemiol Health. 2019;41:e2019045.
Mita AA. et. a. Pendidikan Orang Tua, Pengetahuan Gizi Ibu Mengenai Konsep Tumbuh Kembang Anak Dan Status Gakin Dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan Di Wilayah Kerja Puskesmas Karangmojo II Gunungkidul. Elex Media Komputindo [Internet]. 2016;168–77. Available from: http://eprints.poltekesjogja.ac.id/eprint/1134
Teja M. PERCEPATAN PENURUNAN PREVALENSI STUNTING 14 %. 2022;(April).
Jateng P. Turunkan Prevalensi Stunting pada 2024, Ini Langkah Banyumas dan Wonosobo - Pemerintah Provinsi Jawa Tengah.
Zamrodah Y. FAKTOR RISIKO YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS NUSAWUNGU II CILACAP. J Nutr Coll. 2016;15(2):1–23.
Akseer N, Salehi AS, Hossain SMM, Mashal MT, Rasooly MH, Bhatti Z, et al. Achieving maternal and child health gains in Afghanistan: a Countdown to 2015 country case study. Lancet Glob Heal. 2016 Jun;4(6):e395-413.
Ni Wayan Dian Ekayanthi1 PS. Edukasi Gizi pada Ibu Hamil Mencegah Stunting pada Kelas Ibu Hamil. J Kesehat. 2019;41(1):39.
Malia A, Farhati F, Rahmah S, Maritalia D, Nuraina N, Dewita D. Pelaksanaan Kelas Ibu Hamil dalam Upaya Pencegahan Stunting. J Kebidanan. 2022;12(1):73–80.
Seward MW, Simon D, Richardson M, Oken E, Gillman MW, Hivert MF. Supporting healthful lifestyles during pregnancy: A health coach intervention pilot study. BMC Pregnancy Childbirth. 2018;18(1):1–11.
Li LJ, Aris IM, Han WM, Tan KH. A promising food-coaching intervention program to achieve optimal gestational weight gain in overweight and obese pregnant women: pilot randomized controlled trial of a smartphone app. JMIR Form Res. 2019;3(4).
Clements V, Leung K, Khanal S, Raymond J, Maxwell M, Rissel C. Pragmatic cluster randomised trial of a free telephone-based health coaching program to support women in managing weight gain during pregnancy: The Get Healthy in Pregnancy Trial. BMC Health Serv Res [Internet]. 2016;16(1):1–9. Available from: http://dx.doi.org/10.1186/s12913-016-1704-z
Wolever RQ, Jordan M. Coaching in Healthcare. SAGE J. 2022;(September).
PATANDUNG VP. PENGARUH EDUKASI TERSTRUKTUR DENGAN TELEPHONE HEALTH COACHING TERHADAP HEALTH LITERACY DAN KADAR HbA1C PADA PASIEN DIABETES MELITUS TIPE 2. 2018.
Origlia Ikhilor P, Hasenberg G, Kurth E, Asefaw F, Pehlke-Milde J, Cignacco E. Communication barriers in maternity care of allophone migrants: Experiences of women, healthcare professionals, and intercultural interpreters. J Adv Nurs. 2019;75(10):2200–10.
Levesque JF, Harris MF, Russell G. Patient-centred access to health care: Conceptualising access at the interface of health systems and populations. Int J Equity Health [Internet]. 2013;12(1):1. Available from: International Journal for Equity in Health
Beydokhti TB, Dehnoalian A, Moshki M, Akbary A. Effect of educational- counseling program based on precede-proceed model during Pregnancy on postpartum depression. Nurs Open. 2021;8(4):1578–86.
Saturno-Hernández PJ, Martínez-Nicolás I, Moreno-Zegbe E, Fernández-Elorriaga M, Poblano-Verástegui O. Indicators for monitoring maternal and neonatal quality care: a systematic review. BMC Pregnancy Childbirth. 2019 Jan;19(1):25.
Grenier LN, Atkinson SA, Mottola MF, Wahoush O, Thabane L, Xie F, et al. Be Healthy in Pregnancy: Exploring factors that impact pregnant women’s nutrition and exercise behaviours. Matern Child Nutr. 2021;17(1):1–9.
Ai-ris Y. Collier, MD*,‡, Rose L. Molina, MD M. Maternal Mortality in the United States: Updates on Trends, Causes, and Solutions. Physiol Behav. 2018;176(1):139–48.
Hadjigeorgiou E, Kouta C, Papastavrou E, Papadopoulos I, Mårtensson LB. Women’s perceptions of their right to choose the place of childbirth: an integrative review. Midwifery. 2012 Jun;28(3):380–90.
Bogulski CA, Willis DE, Williams CA, Ayers BL, Andersen JA, McElfish PA. Stressful life events and social support among pregnant Marshallese women. Matern Child Health J. 2022;26(6):1194–202.
Morrison J, Thapa R, Basnet M, Budhathoki B, Tumbahangphe K, Manandhar D, et al. Exploring the first delay: a qualitative study of home deliveries in Makwanpur district Nepal. BMC Pregnancy Childbirth. 2014 Feb;14:89.
van Dijk MR, Koster MPH, Oostingh EC, Willemsen SP, Steegers EAP, Steegers-Theunissen RPM. A mobile app lifestyle intervention to improve healthy nutrition in women before and during early pregnancy: Single-center randomized controlled trial. Vol. 22, Journal of Medical Internet Research. 2020.
Kuewa Y, Herawati, Sattu M, Otoluwa AS, Lalusu EY, Dwicahya B. Hubungan Sanitasi Lingkungan dengan Kejadian Stunting pada Balita Di Desa Jayabakti Tahun 2021. J Kesmas Untika Luwuk Public Heal J. 2021;12(2).
Banjarmasin M, Asuh P. Hubungan Pola Asuh Ibu dengan Kejadian Stunting Anak Usia 12-59 Bulan. J Ilmu Keperawatan Anak. 2021;4(1):37–42.
Goldstein RF, Boyle JA, Lo C, Teede HJ, Harrison CL. Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation. BMC Pregnancy Childbirth. 2021;21(1):1–16.
de Jersey S, Meloncelli N, Guthrie T, Powlesland H, Callaway L, Chang AT, et al. Outcomes from a hybrid implementation-effectiveness study of the living well during pregnancy Tele-coaching program for women at high risk of excessive gestational weight gain. BMC Health Serv Res [Internet]. 2022;22(1):1–12. Available from: https://doi.org/10.1186/s12913-022-08002-5
Kikuchi K, Yasuoka J, Nanishi K, Ahmed A, Nohara Y, Nishikitani M, et al. Postnatal care could be the key to improving the continuum of care in maternal and child health in Ratanakiri, Cambodia. PLoS One. 2018;13(6):e0198829.
Holtz B, Smock A, Reyes-Gastelum D. Connected Motherhood: Social Support for Moms and Moms-to-Be on Facebook. Telemed J e-health Off J Am Telemed Assoc. 2015 May;21(5):415–21.
Tsai M-S, Chen M-H, Lin C-C, Liu C-Y, Chen P-C. Children’s environmental health based on birth cohort studies of Asia (2) - air pollution, pesticides, and heavy metals. Environ Res. 2019 Dec;179(Pt A):108754.
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