The Motivation of Mothers for Visiting Posyandu at Puskesmas Tanah Baru Depok in 2016
Author: Destry Rizkawati, Annisa Nursita Angesti, Fani Widiartha, Mutia Firnanda Presenter : Destry Rizkawati Faculty of Public Health, University of Indonesia Kampus Baru UI, Depok 16424, Indonesia
[email protected]
Background Posyandu is a place to monitoring children growth, counseling and also to delivering health and nutrition messages directly to the targets (mothers)
What is the Indicator of the posyandu went well in the area?? Mother participation in Posyandu Activities Indicators D/S (The number of children who weighed /all of under five children in the area)
Posyandu have a significant in community empowerment to achieve better health status
Why is it important? - Mother who active in posyandu activities have toodler with a good nutritional status - Mother who didn’t active in posyandu activities increased 6.8 times risk of having a toddler with Protein Energy Malnutrition (PEM) than active mothers (Yuryanti 2010; Reihana & Duarsa 2012; Octaviani, 2008)
Maternal and infant mortality rate decreased life expectancy may increase significantly
Posyandu visits by the D/S indicator Posyandu visits Indonesia
Depok
Puskesmas Tanah Baru
100.00% 80.00% 60.00%
81.85% 69.5%
80.80% 58%
53.7%
67.87%
40.00% 20.00% 0.00%
2013
Mother participation in posyandu activities toddler’s nutritional status
2014
So, mother’s motivation is very important to determine the strategy that will be carried out by Posyandu to enhance mother participation in posyandu activities
OBJECTIVES & METHODOLOGY
Objectives
• This study aimed to explore the motivation of mothers for visiting Posyandu regularly
Design
• Qualitative study through indepth interview and focus group discussion (FGD)
Location
• At Posyandu Durian in Puskesmas Tanah Baru working area, Depok on May 2016
Informant
• Total informants of this study was 16 people that selected purposively based on the principle of appropriatness and adequacy
Validity of the data to checking the validity of the data taken, we used: Data triangulation (mothers, family members, cadres)
Methods triangulation (indepth interview and FGD)
Analysis triangulation (analysed by 4 researchers).
RESULTS AND DISCUSSION Mother’s Knowledge about Posyandu Mother’s knowledge still lacking This was illustrated by the mother’s answer on FGD that posyandu was only a place of weighing a child mother who had less knowledge seldom participate in posyandu activities This was consistent with other study Mothers who had a good knowledge about posyandu and health will likely be more active in Posyandu activities than mothers who had less knowledge (Reihana & Duarsa 2012).
Access to Posyandu
From FGD and Indepth Intervies knew that Posyandu location was strategic mother only took 5-15 minutes by walking But mother visits to the Posyandu still low
Facilities and Services Posyandu Facilities and services at posyandu was one of mother’s motivation for visiting posyandu FGD and in-depth interviews result shows that if there was immunizations in Posyandu, mother’s visit will increase attendance was above 80% Some mothers during FGD mentioned that promotion from other parties such as dairies product would make them more interested to come to Posyandu Mother suggested have own posyandu building (Now at community leader’s home) and various supplementary feeding every month This was consistent with the theory that health services utilization is most closely relation to a person health service requires (Azwar 1996).
RESULTS AND DISCUSSION Cadres Support • The support from cadres such as schedule announcement at religion meeting or mosques can improve number of child weighing in Posyandu important for mother motivation • The success and sustainability of Posyandu determined by the role of cadres and community participation (Muninjaya 2004).
Family Support • Family members with the better knowledge about posyandu will provide support by reminder posyandu’s schedule or help to bring chidren to posyandu • This was consistent with research of Rihanna and Duarsa (2010) that support families related with a participation rate of mothers in Posyandu activities from husband and also from their parents or in-laws
CONCLUSIONS
Conclusions The Motivation of mother for visiting Posyandu influenced by the level of knowledge about Posyandu, cadre support, family support, facilities and services that available at the Posyandu
Suggestion Needs counseling programe for husband and other family member about the importance of posyandu in monitoring child growth and also need the facilities improvement such as own building and various supplementary feeding at posyandu Tanah Baru Depok
References • • • • • • • • • •
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