“MOZILLA” (Monopoli Gizi Luar Biasa) as Innovation Media

Nutrition Education for Mothers in Posyandu Work Region

Puskemas Klampis Ngasem Surabaya

Muhammad Yusuf, Alief Dyaningayu Savitri, Asrining Pangastuti, Tri Martiana

I Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya

Keywords: Nutritional Status, MOZILA, Media Education

Abstract: Children are a source of national assets that must be considered the future. The lives of children who are

active in their growth and physical and mental development greatly affect their health status. The many big

problems and the main concern faced by children is the state of nutritional status is still low, especially for

poor families. The nutritional status of children under five in Indonesia in 2013 shows an increase in

malnutrition and malnutrition prevalence less than in 2007. Nationally, the underweight prevalence of

under-fives in Indonesia is 12.1 percent, whereas it is considered a serious public health problem when the

skinny prevalence is between 10 -14 percent (RISKESDAS: 2013). The data is supported by secondary data

on the profile of Klampis Ngasem Public Health Center in 2016, that there are 529 children under the age of

less than 1370 children under five. The cause of under-nutrition is poor diet and unhealthy behavior. The

result of in-depth interview method and metaplan found the factors that influence the nutritional status of

children under five is the low level of knowledge of the mother. These factors trigger the cause of

undernourishment. Less nutrition problems can be handled with good nutrition management. Therefore, the

author initiated MOZILA (Monopoli Gizi Luar Biasa) consisting of MOZILA On Training, MOZILA On

The Spot, The Cheap Market and MOZILA Cooking Class. MOZILA as an innovative nutrition educational

media designed like a monopoly game to increase the interest of toddlers in receiving education. Interest in

receiving education makes it easy for toddlers to understand nutrition information. Increasing knowledge of

nutrition of mother of balita at Posyandu work area of Klampis Ngasem Public Health Center Surabaya can

prevent malnutrition incident in toddler.

1 INTRODUCTION

Nutrition problem is individual or society disorders

caused by unmet needs for nutrients from food. The

number of children suffering from malnutrition in

Indonesia is still high when compared to the

threshold set by the World Health Organization

(WHO). Ministry of Health Based on 2013 Basic

Health Research (Riskesdas), there are still many

Indonesian people who do not consume fruits and

vegetables. Of course, reluctant to consume fruits

and vegetables will have an impact on the lack or

poor nutrition itself. As a result, cases of

malnutrition or malnutrition in Indonesia are quite

high.

Health development is one of the goals of the

SDGs (Sustainable Development Goals) and a major

investment for the development of Indonesia's

human resources. Health development is essentially

an effort to raise awareness, willingness and ability

of each person to be able to behave in a healthy life

to achieve community health status as high. To

achieve this, it needs a systematic health

development plan, focused, comprehensive and

integrated, and required the involvement of various

sectors and all components of the nation in its

implementation (Ministry of Health, 2017).

The World Health Organization (WHO)

estimates that 55% of child deaths in the world are

caused by malnutrition and the risk of death will

increase sharply in children with malnutrition.

Nutritional status of children in Indonesia in 2013

showed an increase in the prevalence of malnutrition

and undernourishment of 2007. Nationally, the

prevalence of underweight in children under five in

Indonesia by 12.1%, while it is already considered a

health problem serious community if the prevalence

Yusuf, M., Savitri, A., Pangastuti, A. and Martiana, T.

“MOZILLA” (Monopoli Gizi Luar Biasa) as Innovation Media Nutrition Education for Mothers in Posyandu Work Region Puskemas Klampis Ngasem Surabaya.

DOI: 10.5220/0009016700002297

In Proceedings of the Borneo International Conference on Education and Social Sciences (BICESS 2018), pages 70-74

ISBN: 978-989-758-470-1

is thin between 10-14 percent (RISKESDAS: 2013).

The data is supported by secondary data on the

profile of the Klampis Ngasem Health Center in

2016, that there were 529 infants with less nutrition

than 1370 children under five.

One effort that needs to be done to overcome this

problem is nutrition and health education with a

media. Nutrition education should be given to

mothers of children under five because the

knowledge of mothers greatly influences the

nutritional conditions and development of children

under five who are included in the nutrition-prone

group. Nutrition education is done to change

behavior. Mother's knowledge about nutrition will

help make balanced nutritious foods that are varied

and interesting for toddlers. Great attention in this

case aims to improve the quality of human resources

from an early age.

Efforts to improve maternal nutrition knowledge

that have been carried out in Indonesia, one of which

is counseling every month at the Posyandu. The

implementation of counseling is often not as

expected because it still conducts conventional

counseling through lectures. Other efforts need to be

done to increase maternal interest in receiving

nutritional materials by providing educational

media, one of which is with MOZILA

(Extraordinary Nutrition Monopoly) media that can

be applied to Posyandu in the working area of

Klampis Ngasem Surabaya Health Center. The

concept of MOZILA brought by the author is an

innovation in nutritional education media designed

like a monopoly game with a series of activities

including MOZILA On Training, MOZILA Cooking

Class, MOZILA On The Spot, and Cheap Market

MOZILA.

1.1 Formulation Problem

a. How is the educational media mechanism with

MOZILA?

b. How to empower cadres as facilitators on

MOZILA?

c. How MOZILA can help realize Sustainable

Development Goals (SDGs)?

1.2 Objective

a. Increase the interest of mothers of toddlers to

receive nutritional information through the

MOZILA media.

b. Make it easier for mothers to understand the

nutritional information obtained from MOZILA.

c. Prevent the occurrence of malnutrition in

children under five as an effort to realize the

Sustainable Development Goals.

2 LITERATURE REVIEW

2.1 Nutrition

According to the Republic of Indonesia Ministry of

Health 2014 balanced nutrition is a daily food

composition that contains nutrients in the type and

amount that suits the needs of the body, by

observing the principle of food diversity, physical

activity, hygienic behavior and maintaining normal

weight to prevent nutritional problems.

Nutrients are chemicals found in food ingredients

that the body needs to get energy, build and maintain

networks and to run the life cycle. Nutrients by

function are divided into 3 groups, namely

regulating substances, building agents, and energy

substances, all of which must be balanced to meet

the needs in the body.

2.2 Nutritional Status

Nutritional status is a reflection of the size of the

fulfillment of nutritional needs (Sandjaja, 2009).

Nutritional status can be partly measured by

anthropometry (measurement of certain parts of the

body) or clinical biochemistry. Nutritional status is

usually in good or sufficient category, but due to an

imbalanced consumption pattern, poor nutrition and

over nutrition status arise.

2.3 Sustainable Development Goals

2030 (SDGs)

The SDGs are a continuation of the Millennium

Development Goals (MDGs) agreed upon by UN

member states in 2000 and ended at the end of 2015.

But both have fundamental differences, both in

terms of substance and process of preparation.

MDGs agreed upon more than 15 years ago only

contained 8 Goals, 21 Goals, and 60 Indicators. The

goal is only aimed at halving each of the

development problems contained in the goals and

objectives.

SDGs accommodate development problems in a

more comprehensive manner, both qualitative (by

accommodating development issues that do not exist

in the MDGs) and quantitative targets for a complete

“MOZILLA” (Monopoli Gizi Luar Biasa) as Innovation Media Nutrition Education for Mothers in Posyandu Work Region Puskemas

Klampis Ngasem Surabaya

settlement of each goal and target. SDGs are also

universal giving a balanced role to all countries both

developed and developing countries. In this case the

two SDGs objectives related to MOZILA are 1)

Good Health and Well-being which ensures healthy

living and improves welfare for people of all ages

and 2) Quality Education ensures the quality of

inclusive and fair education and increases lifelong

learning opportunities for the community.

2.4 Metaplan

Metaplan is a discussion activity to explore people's

ideas or opinions about an individual problem and

build an opinion commitment on individual results

as a group decision gradually. In addition, metaplan

is a system of gathering ideas or opinions from a

group of people who work together. This method

was started by Eberhard Schnelle in Hamburg. Very

experienced moderators are able to overcome the

complexity of solving an organization's problems

and innovations. (Adiningsih, 2015).

Figure 1. Metaplan

2.5 Puskesmas

Regulation of the Minister of Health of the Republic

of Indonesia number 75 years 2014 regarding the

Community Health Center stated that the Puskesmas

is a health service facility that organizes public

health efforts and first-rate individual health efforts,

by prioritizing promotive and preventive efforts to

achieve the highest level of public health in its

working area.

2.6 Posyandu

According to the Indonesian Ministry of Health's

Health Promotion Center, Posyandu is a form of

Community Resource Health Efforts (UKBM)

which is managed from, by, for, and with the

community, in order to empower and provide

convenience to the community to obtain health

services for mothers, infants and children toddler.

Posyandu activities consist of main activities and

development activities or choices. Some of the main

activities carried out include maternal and child

health, family planning, immunization, nutrition and

prevention and control of diarrhea

Figure 2. Conceptual Framework

Nutrition Education Nutritional education is able

to improve the knowledge and feeding of maternal

practices even though child growth does not increase

directly. Nutrition education to mothers is one of

Unicef Indonesia's recommendations to alleviate

nutritional problems in Indonesia. Nutrition

education can be done individually or in groups.

From the research that has been carried out, the

nutrition counseling intervention method has been

proven to be able to improve the knowledge,

attitudes and behavior of mothers of children under

five. Counseling or socialization is one of the media

that is applied by health workers in general in

providing education or knowledge about health to

the target. Conventional counseling is monotonous

and boring so it is not effective to be used in the

delivery of nutritional education because it is only

giving material with the lecture method.

MOZILA here is an idea of media to deliver

nutrition education to mothers of toddlers. The

MOZILA program has a variety of activities

including MOZILA On Training, MOZILA On The

Spot, MOZILA Cheap Market and MOZILA

Cooking Class. MOZILA as an innovation in

nutritional education media designed like a

monopoly game to increase the interest of mothers

of toddlers in receiving education. Interest in

motherhood is one of the changes in behavior.

Behavioral change begins with a person's interest in

the program, then increased knowledge will change

the behavior pattern that has been received by the

person.

BICESS 2018 - Borneo International Conference On Education And Social

3 METHOD OF COLLECTING

DATA

Data collection techniques are structured data

collection processes on issues raised in writing

scientific papers. Data retrieval is carried out using

observation, interviews and metaplan on respondents

on problems that occur in the observation area.

Observation or observation is a direct observation of

an activity that is being carried out, the interview is a

direct conversation with a specific purpose by using

a planned question and answer format, and metaplan

is gathering ideas or opinions from a group of people

who work together.

4 ANALYSIS METHOD

Data analysis is the process of arranging data

sequences, organizing them into a pattern, category,

and basic description unit (patton). The data analysis

technique used by the author is the technical analysis

of descriptive data, the authors analyze and use data

taken from research data sources, then the authors

give an interpretation based on the literature review.

The author also uses the results of observational data

in the field as supporting material for the author's

interpretation of the writing data. The author

describes the results of observations by using a

theory book in the literature review.

5 RESULT

W The results of the metaplan conducted on mothers

under five in the work area of the Klampis Ngasem

Surabaya Puskemas indicate the factors that can

cause malnutrition based on the community

perspective are as follows.

Table 1. Result of Metaplan

Number Society’s Answer Number of

Answer

1. Bad of consumption

habbit

2. Lack of vitamin 3

3. Lack of milk 2

4. Economic need 1

5. Malnutrion 3

6. Less in good nutrition 3

From these results, we can draw conclusions that

factors the dominant that can cause malnutrition is

malnutrition and lack of vitamins and toddlers rarely

eat nutritious food.

Based on the results of metaplan, we conclude

that MOZILA is the right program to update the

tactical strategy of the Klampis Ngasem Surabaya

Health Center to address the case of undernourished

children under five. In addition, MOZILA can help

prevent the occurrence of dominant factors that

cause the occurrence of cases of undernourished

children under five. If the MOZILA program runs

optimally, especially to improve the effectiveness of

nutritional education for mothers of infants, this

program can help realize the achievement of two

SDGs, namely Good Health and Well-Being and

Quality Education. The aim of Good Health and

Well-Being can be achieved by reducing the cases of

under-five children with malnutrition and the

emergence of balanced nutritional food eating

habits, while the Quality Education objectives can

be achieved by empowering Posyandu cadres as peer

educators and engaging and communicative media

engagement to increase mother's interest and

knowledge .

Figure 3. Mozila Pad

6 CONCLUSIONS

MOZILA (Extraordinary Nutrition Monopoly)

which consists of a series of activities namely

MOZILA On Training, MOZILA Cooking Class,

MOZILA On The Spot and Cheap Market MOZILA

is a nutritional education program design for

mothers of toddlers that can increase mother's

interest in receiving nutritional information. With

the concept that carries the game media, it can

automatically reduce the mother's boredom and

“MOZILLA” (Monopoli Gizi Luar Biasa) as Innovation Media Nutrition Education for Mothers in Posyandu Work Region Puskemas

Klampis Ngasem Surabaya

make it easier for mothers of toddlers to understand

information about nutrition.

Nutrition education aims to change behavior,

especially for mothers of children under five.

Increased understanding of mothers regarding

toddler nutrition can make it easier for mothers to

regulate balanced, varied, and attractive nutritional

intake for toddlers.

If mothers of toddlers have understood and

implemented balanced, varied and interesting

nutritional education for toddlers on an ongoing

basis, it will be able to prevent the occurrence of

malnutrition in children under five in the working

area of Klampis Ngasem Surabaya Health Center

and to realize the goals of Sustainable Development

Goals, namely Good Health and Well- being and

Quality Education

SUGGESTION

a. For Puskesmas

1) Realizing the MOZILA program as a

development program for the Klampis

Ngasem Surabaya Health Center with a

budget from the Puskesmas BOK which is

expected to prevent the occurrence of under-

five children with poor nutritional status.

2) Posyandu cadres should be empowered as

peer educators or facilitators who are

committed and actively participate to

improve the knowledge of under-fives'

maternal nutrition as a peer group.

b. For Toddlers

1) Mothers should understand the details of the

mechanism of MOZILA so information can

be understood easily.

2) The mother of a toddler as a peer group

creates two-way communication with

Posyandu cadres as peer educators and

mutual interaction (brainstorming or

discussion) to use MOZILA as a forum for

learning to improve understanding. In

addition, aspects that need to be considered to

improve understanding are intelligence

capacity, special talents, motivation, need

achievement, and maturity

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BICESS 2018 - Borneo International Conference On Education And Social