Factors Related to Visits Weighing Toddlers (6-59 Months)

at Melati II Posyandu Region Work at

Jatiuwung Community Health Center in 2019

Angelica Irayanni Purba

and Gisely Vionalita

Student Department of Public Health, Faculty of Health and Sciences, Universitas Esa Unggul, Jl. Arjuna Utara No.9,

RT.1/RW.2, Duri Kepa, Daerah Khusus Ibukota Jakarta 11510, Indonesia

Lecture Department of Public Health, Faculty of Health and Sciences, Universitas Esa Unggul, Jl. Arjuna Utara No.9,

RT.1/RW.2, Duri Kepa, Daerah Khusus Ibukota Jakarta 11510, Indonesia

Keywords: Toddlers, Weighing Toddlers (6-59 Months), Posyandu, Underweight, KMS.

Abstract: Childhood is a period of determining the success of children in the next period. Based on Riskesdas,

children aged 6-59 months that have not been weighed in the past six months increased from 25.5% (2007)

to 34.3% (2013). The scope of the visit was weighed divided by all toddlers (% D / S) in Melati II Posyandu

in 2018 in August at 43.71%, September 44.12%, October at 44.31%, November at 46.10%, December at

40,11%, and January 2019 at 80.95%. The general objective of this study was to find out the factors related

to under-five weighing visits (6-59 months) at the Melati II Posyandu in the Work Area of Jatiuwung Health

Center in 2019. This study used a quantitative approach with a cross-sectional research design. Sampling is

done by a simple random sampling technique. The results of the Chi-square test stated that there was a

significant relationship between maternal knowledge, cadre support, family support (p-value 0,000), and

maternal attitudes (p-value 0.031) for under-five weighing visits (6- 59 months) at Melati II Posyandu.

While not to the significant relationship between employment status and under-five weighing visits. It is

recommended for posyandu cadres to provide information about the benefits of visiting Posyandu.

1 INTRODUCTION

Nutrition plays an important role in the human life

cycle from the composition to the elderly. Currently,

Indonesia is one of 117 countries that have three

high nutritional problems in infants, namely

stunting, wasting and overweight reported in the

2014 Global Nutrition Report (Nutrition Country

Profile Indonesia). The third prevalence of

nutritional problems is stunting 37.2%, wasting

12.1% and overweight 11.9% (McGuire, 2015).

Based on WHO data in 2017, 151 million children

under the age of 5 were stunted, while 38 million

were overweight and 51 million were wasting. The

National Medium-Term Development Plan 2010-

2014, improving the nutritional status of the

community is one of the priorities by reducing the

prevalence of underweight children to 15% and the

prevalence of short children (stunting) to 32% in

2014. Riskesdas results from 2007 to the year 2013

showed an alarming fact where underweight

increased from 18.4% to 19.6%, stunting also

increased from 36.8% to 37.2%, while wasting

decreased from 13.6% to 12.1% (Indonesian Health

Profile, 2016).

Toddlerhood is an important period in the

process of human growth and development.

Development and growth in that period will

determine the success of children in the next period.

Toddlers who get exclusive breastfeeding and

nutritious food are less likely to occur malnutrition,

poor nutrition, and over nutrition. At the age of 6-59

months is a vulnerable period where toddlers not

only get breast milk but also get additional food

(Anggraini, 2010). Based on data from the

Tangerang City Health Office in 2015 about the

nutritional status of children under five in Tangerang

City obtained from monitoring based on Weight by

Age (BB / U) Underweight Malnutrition toddlers as

many as 636 children (0.7%), Underweight Nutrition

Status as many as 5,955 children ( 6.58%), Good

Nutrition Status as many as 80,362 children

(88.77%), and more Nutritional Status as many as

Purba, A. and Vionalita, G.

Factors Related to Visits Weighing Toddlers (6-59 Months) at Melati II Posyandu Region Work at Jatiuwung Community Health Center in 2019.

DOI: 10.5220/0009569301450151

In Proceedings of the 1st International Conference on Health (ICOH 2019), pages 145-151

ISBN: 978-989-758-454-1

145

3,580 children (3.95%). Of 636 children with severe

malnutrition in BB / U, it was found that there were

180 children with poor nutritional status based on

body weight according to height (BB / TB) (City

Health Office Tangerang, 2016).

Weighing coverage based on the 2015 Jatiuwung

Puskesmas profile (% D / S) weighed divided by all

toddlers in Jatiuwung Puskesmas was 64.99%, in

2016 (% D / S) was 73%, in 2017 (% D / S ) by 53%

and in 2018 an increase (% D / S) of 75%.

Based on the basic theory developed by

Lawrence Green (1991) in Nursalam (2014), the

health of a person or community is influenced by

behavioral factors (behavior causes) and factors

outside behavior (non-behavior causes). While

behavioral factors are influenced by three factors:

predisposing factors which include age, occupation,

education, knowledge, and attitudes, enabling

factors manifested in the physical environment and

distance to health facilities, and factors

reinforcement (Reinforcing Factors) manifested in

the support provided by families and community

leaders (Notoatmodjo, 2010).

Based on the description above, the researcher is

interested in conducting a study entitled "Factors

related to under-fives weighing visits (6-59 months)

at Posyandu Melati II in the Work Area of

Jatiuwung Health Center in 2019".

2 THEORY REVIEW

Toddler's visit to Posyandu can be seen based on the

Posyandu visit book and also MCH book by looking

at weighing toddlers every month. Based on the

2013 Riskesdas, monitoring of children's growth

was obtained from the frequency of weighing

children 6-59 months over the past six months.

Ideally, in six months children under five are

weighed at least four times (RI Ministry of Health,

2017). The frequency of weighing ≥ 4 times slightly

decreased in 2013 (44.6%) compared to 2007

(45.4%). Children aged 6-59 months who have never

been weighed in the last six months increased from

25.5% (2007) to 34.3% (2013).

Many factors affect the achievement of the ratio

of children under five who are present and weighed.

Distance to Posyandu, encouragement from family,

encouragement from community leaders, work,

knowledge, mother's attitude, motivation, number of

children under five, posyandu facilities and

equipment, needs or needs are factors related to the

level of mother's visit in weighing activities at

Posyandu (Wahidin, 2016). Other factors that

influence the arrival of mothers at Posyandu include

your knowledge about the benefits of Posyandu,

your motivation to bring her children to Posyandu,

your work, support and motivation from Posyandu

cadres and community leaders, facilities and

infrastructure at Posyandu and the distance from the

Posyandu (Kemenkes RI, 2011).

Based on the basic theory developed by

Lawrence Green (1991) in Nursalam (2014), the

health of a person or community is influenced by

behavioral factors (behavior causes) and factors

outside behavior (non-behavior causes). While

behavioral factors are influenced by three factors:

predisposing factors which include age, occupation,

education, knowledge, and attitudes, enabling

factors manifested in the physical environment and

distance to health facilities, and factors

reinforcement (Reinforcing Factors) manifested in

the support provided by families and community

leaders (Notoatmodjo, 2010). Based on research

(Idaningsih, 2016), it is known that there is a

relationship between family support and the visit of

mothers of children under five to posyandu.

The purpose of this study was to determine the

factors associated with under five (6-59 months)

weighing visits to Posyandu Melati II in the Work

Area of Jatiuwung Health Center in 2019.

3 METHOD

This research was conducted with the type of

quantitative research methods and a cross-sectional

research design. This research was conducted at

Posyandu Melati II, Pasir Jaya District.

The population is all research objects or objects

under study (Notoarmodjo, 2012). The population

used in this study were all mothers of toddlers aged

6-59 months who visited the Posyandu in Pasir Jaya

Sub-district, the working area of Jatiuwung Health

Center as many as 788 toddlers.

The sample in this study were mothers who have

toddlers with age (6-59 months) in Posyandu Melati

II as many as 90 samples.

The type of data in this study is primary data.

Data collection techniques in this study were

conducted by interview using a questionnaire. The

method of taking samples in this study uses the

technique of Simple Random Sampling. The

research instrument used in the form of a

questionnaire and KMS toddlers.

ICOH 2019 - 1st International Conference on Health

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4 RESULT

4.1 Univariate Analysis

The univariate analysis will describe the frequency

distribution of the dependent variable (infants

weighing 6-59 months at Posyandu Melati II) and

also the independent variables (mother's knowledge,

mother's attitude, work status, cadre support, and

family support).

In Table 1 it is known that the frequency

distribution of under-fives weighing visits (6-59

months) is 41 respondents (45.6%) and good in 49

respondents (54.4%); The distribution of poor

mother's knowledge is 45 respondents (50%) Good

mother's knowledge is 45 respondents (50%); The

distribution of negative mothers 'attitudes was 44

respondents (48.9%) and positive mothers' attitudes

were 46 respondents (51.1%); Distribution of

mother's occupational status not working as many

as 70 respondents (77.78%) employment status of

working mothers as many as 20 respondents

(22.22%); Distribution of cadre support that did not

support 42 respondents (46.7%) and cadre support

that supported 48 respondents (53.3%);

Distribution of family support that does not support

as many as 27 respondents (30%) and family

support that supports as many as 63 respondents

(70%).

Table 1: Frequency Distribution of Research Variables with Toddler Weighing Visits (6-59 Months) at Posyandu Melati II

Working Area of Jatiuwung Health Center.

No Variable N %

1 Visiting Considerations

Bad 41 45,6

Good 49 54,4

2 Mother’s Knowledge

Bad 45 50

Good 45 50

3 Mother’s Attitude

Neative 44 48,9

Positive 46 51,1

4 Job Status

Work 20 22,2

Not work 70 77,8

5 Kadre support

Doesn’t Support 42 46,7

Support 48 53,3

6 Family Support

Doesn’t Support 27 30

Support 63 70

Factors Related to Visits Weighing Toddlers (6-59 Months) at Melati II Posyandu Region Work at Jatiuwung Community Health Center in

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4.2 Bivariate Analysis

Table 2: Relationship between Knowledge of Mother, Mother's Attitude, Employment Status, Cadre Support, and Family

Support with Toddler Weighing Visits (6-59 months) at Posyandu Melati II Working Area of Jatiuwung Health Center in

2019.

No Variable

Toddler Visiting Considerations (6-

59 bulan)

Total

PR p-value

Bad Good

n % n % n %

Visiting Considerations

Bad

37 82,2 8 17,8 45 100 9,25

(3,594-

23,804)

0.000

Good

4 8,9 41 91,1 45 100

Mother’s Knowledge

Bad

35 79,5 9 20,5 44 100 6,098

(2,894-

13,054)

0.031

Good

6 13 40 87 46 100

Mother’s Attitude

Neative

12 0,6 8 0,4 20 100 1,448

(0,920-

2,279)

0.224

Positive

29 41,4 41 58,6 70 100

Job Status

Work

33 78,6 9 21,4 42 100 4,714

(2,456-

9,048)

0.000

Not work

8 16,7 40 83,3 48 100

Kadre support

Doesn’t Support

23 85,2 4 24,8 27 100 2,981

(1,957-

4,542)

0.000

Support

18 28,6 45 71,4 63 100

5 DISCUSSION

5.1 Relationship between Mother's

Knowledge and Toddler Weighing

Visit (6-59 Months) at Posyandu

Melati II

Based on the results of the analysis of the mother's

knowledge by weighing visits (6-59 months) at

Posyandu Melati II, the highest proportion was

91.1% on good maternal knowledge and good

toddler weighing visits (6-59 months), while the

highest proportion of underweight toddler weighing

visits (6-59 months) was poor with knowledge bad

mothers by 82.2%.

The results of the analysis of the relationship of

maternal knowledge with under five (6-59 months)

weighing visits to Posyandu Melati II in 2019, found

the highest proportion of good maternal knowledge

and good under five (6-59 months) weighing visits.

The p-value for the mother's knowledge variable and

the 95% confidence level (CI) is 0,000, meaning that

there is a relationship between the mother's

knowledge and the toddler weighing visit (6-59

months) at Posyandu Melati II. From the results of

the analysis, the PR value was 9,250, which means

that poor mother's knowledge is at risk of 9,250 with

a bad weighing visit to the posyandu compared to

good mother's knowledge.

Based on observations, although the mother's

knowledge can be said to be quite good, for deeper

knowledge Regarding the nutritional status of

children under five, many mothers of children under

five do not understand. Therefore, the researcher

wants to give advice to posyandu cadres so that after

carrying outweighing activities for toddlers and

taking notes, posyandu cadres can simply explain

the nutritional status of toddlers recorded in the

KMS book. This section must be in one column.

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5.2 Relationship between Mother's

Attitudes and Toddler Weighing

Visits (6-59 Months) at Posyandu

Melati II

Based on the results of research on maternal

attitudes towards weighing visits toddlers (6-59

months) in Posyandu Melati II, the highest

proportion of positive mother attitudes and toddler

weighing visits (6-59 months) is good (87%).

Based on the analysis of the relationship between

maternal attitudes and toddler weighing visits (6-59

months) at Posyandu Melati II in 2019, the highest

proportion was found on good toddler weighing

visits on positive maternal attitudes. The p-value for

the mother's attitude variable and the 95%

confidence level (CI) is 0.031, meaning that there is

a relationship between the mother's attitude and the

toddler weighing visit (6-59 months) at Posyandu

Melati II. From the results of the analysis obtained a

PR value of 6.908, which means negative maternal

attitudes are at risk 6.098 with a poor toddler

weighing a visit to posyandu compared with positive

maternal attitudes.

Based on observations, it is known that the

attitude of mothers with a toddler weighing visit has

a positive attitude, but there are mothers of toddlers

who do not understand that weighing activities need

to be done every month at the Posyandu, even

though toddlers get immunization in the hospital.

Based on the explanation of the attitude of mothers

who did not visit after immunization to the doctor,

the researcher has a suggestion to the posyandu

cadre to inform the toddler mothers that the

recording of toddler weight in the KMS book should

be done every month to find out the growth and

development of toddlers. Toddlers who do not have

a weight record will affect the health examination of

toddlers.

5.3 Relationship between Work Status

and Toddler Weighing Visit (6-59

Months) at Posyandu Melati II

Based on the results of research on the status of the

work of mothers of under-fives weighing visits (6-59

months) at Posyandu Melati II, the highest propor-

tion of non-working mothers' work status and under-

fives visits (6-59 months) were good at 58.6%.

Based on the results of the analysis of the

relationship between work status and under-fives

visits (6-59 months) at Posyandu Melati II in 2019,

the highest proportion was found on good under-

fives visits on the working status of mothers who did

not work. The p-value for the mother's work status

variable and the 95% confidence level (CI) is 0.224,

meaning that there is no relationship between work

status and the under-fives visit. From the results of

the analysis obtained a homework value of 1.448,

which means the working status of working mothers

who are at risk of 1,448 for under-fives weighing

visits (6-59 months).

There is no relationship between work status and

toddler weighing visit (6-59 months) at Posyandu

Melati II because work status is not the only factor

that led to the weighing visit of infants (6-59

months) at Posyandu Melati II.

5.4 Relationship between Cadre

Support and Toddler Weighing

Visit (6-59 Months) at Posyandu

Melati II

The results of the analysis of the relationship of cadre

support with toddler weighing visits (6-59 months) at

Posyandu Melati II, found the highest proportion of

cadre support that supports with toddler weighing

visits (6-59 months) which is good at 83.3%.

Based on the analysis of the relationship between

cadre support and toddler weighing visits (6-59

months) at Posyandu Melati II in 2019, the highest

proportion was obtained, namely on good toddler

weighing visits and supporting cadre support. The p-

value in the cadre support variable and a 95%

confidence level (CI) is 0,000, meaning that there is

a relationship between cadre support and toddler

weighing visits. From the analysis, results obtained a

PR value of 4.714 which means that the support of

cadres who do not support the risk of 4,714 with a

poor toddler weighing a visit to the posyandu

compared to supporting cadres who support.

Based on observations, the activities of home

visits of toddlers who did not attend 2 consecutive

sessions were rarely carried out by the posyandu

kaser on the grounds of personal activities carried

out by cadres. As for the other cadres, they have no

initiative if not instructed by the cadre leader. Based

on the explanation of the activities of cadres who

rarely make home visits, researchers have a

suggestion that the cadre leader can coordinate other

cadres in the division of tasks so that each cadre has

their respective responsibilities. The cadre leader can

also make a toddler visit schedule for other cadre

members so that when the cadre leader has other

activities outside the Posyandu activities, other cadre

members can carry out their duties according to the

agreed schedule.

Factors Related to Visits Weighing Toddlers (6-59 Months) at Melati II Posyandu Region Work at Jatiuwung Community Health Center in

2019

149

5.5 Relationship between Family

Support and Toddler Weighing

Visit (6-59 Months) at Posyandu

Melati II

The results of the analysis of family support with

under-fives visits (6-59 months) at Posyandu Melati

II, found the highest proportion of unsupportive

family support and poor under-fives visits (6-59

months) of 85.2%.

Based on the analysis of the relationship between

family support and toddler weighing visits (6-59

months) at Posyandu Melati II in 2019, the highest

proportion was obtained at a good toddler weighing

visit. The p-value for the mother's knowledge

variable and a 95% confidence level (CI) is 0,000,

meaning that there is a relationship between family

support and toddler weighing visits. From the

analysis, results obtained a PR value of 2.981 which

means that family support that does not support the

risk of 2.981 with a poor weighing visit to the

posyandu compared to supportive family support.

Based on observations, the lack of family

understanding of the benefits of weighing has an

impact on ignorance families about the importance

of posyandu activities. This happens, because

posyandu activities rarely involve family members

in their activities, such as providing information

about the benefits of weighing, the importance of

health checks, and health counseling about posyandu

is rarely found by family members.

6 CONCLUSIONS

Based on the results of research and discussion it can

be concluded:

1. The description of toddler weighing visits (6-

59 months) at Posyandu Melati II with the

highest proportion is a good toddler weighing

visit which is 49 respondents (54.4%).

2. The description of mothers' knowledge in

Posyandu Melati II with the highest

proportion is good knowledge that is 45

respondents (50%).

3. The description of the attitudes of mothers in

Posyandu Melati II with the highest

proportion is the positive attitude of mothers

as many as 46 respondents (51.1%).

4. The description of the employment status of

mothers in Posyandu Melati II with the

highest proportion is the work status of

mothers who do not work as many as 70

respondents (77.8%).

5. The highest proportion of cadres in Posyandu

Melati II support is the support of cadres who

support that is 48 respondents (53.3%).

6. The highest proportion of family support in

Posyandu Melati II is family support that

supports 63 respondents (70%).

7. There is a relationship between a mother's

knowledge and an under-fives weighing visit

(6-59 months) at Posyandu Melati II in the

Work Area of Jatiuwung Health Center in

2019 (PR = 9,250).

8. There is a relationship between maternal

attitudes and toddler weighing visits (6-59

months) at Posyandu Melati II in the Work

Area of Jatiuwung Health Center in 2019 (PR

= 1,764).

9. There is no relationship between employment

status and under-fives visits (6-59 months) at

Posyandu Melati II in the Work Area of

Jatiuwung Health Center in 2019.

10. There is a relationship between cadre support

and toddler weighing visits (6-59 months) at

Posyandu Melati II in the Work Area of

Jatiuwung Health Center in 2019 (PR =

4,714).

11. There is a relationship between family support

and toddler weighing visits (6-59 months) in

Posyandu Melati II Working Area of

Jatiuwung Health Center in 2019 (PR =

2.981).

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