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Abstrak :
Universal Child Immunization coverage in Depok is low. It might cause illnesses which can be prevented by immunization. Therefore it is important to conduct compliance immunization analyze. The purpose of this study was to determine the association of compliance immunization with selected maternal characteristics and interaction client-health profession. The design of this research was cross sectional. The sample of this study was 237 mothers of 11—23 months infants. The instruments employed including Social Support questionnaire 6, Health Self-Determinism Index, Communicable Disease Perceived Vulnerability Score, and an investigator–developed instrument. Data were collected by using a structure interview to each respondent. Descriptive statistics were used to examine maternal characteristics and element of client - professional interaction. The result of this study are UCI coverage about 31,6% and Hepatitis B0-7 coverage about 38,6%. It’s mean falling off the coverage. Bivariate analysis were used to test the associations among maternal characteristic, maternal affective anclient-professional interaction factors and immunization compliance. Based on logistic regression analysis was found that health insurance and affective response to immunization has correlation with immunization compliance. Further, nurses should conduct health education optimally. Recommendation for future research is conducting the research to look external and internal factors.

Abstrak :
Rendahnya angka cakupan imunisasi lengkap yang tertuang dalam Universal Child Immunization (UCI) di kota Depok akan menimbulkan mudah terjangkitnya Penyakit yang Dapat Dicegah dengan Imunisasi (PD3I). Hal ini menjadi dasar untuk dilakukan analisis kepatuhan imunisasi. Tujuan studi ini adalah menganalisis faktor-faktor yang mempengaruhi tingkat kepatuhan imunisasi bayi di kota Depok. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel yang diambil sebanyak 237 ibu yang mempunyai bayi usia 12- 23 bulan. Instrumen yang digunakan adalah modifikasi Social Support Queslionnaire 6, Health Self-Determinism Index, Communicable Disease Perceived Vulnerability Score dan instrumen yang dikembangkan sendiri oleh peneliti. Pengumpulan data dilakukan dengan wawancara terstmktur. Statistik deskriptif digunakan untuk mengidentifikasi distribusi variabel bebas dan terikat. Sedangkan analisis bivariat digunakan untuk menguji korelasi antara kepatuhan dengan faktor-faktor yang mungkin mempengaruhi pada skala signifikansi 5%. Hasil studi statistik cakupan imunisasi didapatkan nilai UCI 31,6% dan terlihat penurunan angka cakupan imunisasi Hepatitis B0-7 menjadi sebesar 38,4%. Hasil analisis multivariat ditemukan hubungan bermakna faktor jaminan kesehatan dan respon terhadap imunisasi dengan kepatuhan imunisasi. Implikasi keperawatannya adalah optimalisasi pendidikan kesehatan pada ibu dan petugas kesehatan untuk meningkatkan angka cakupan imunisasi. Rekomendasi penelitian selanjutnya adalah penelitian yang melihat seluruh faktor baik internal maupun eksternal yang dapat mempengaruhi kepatuhan imunisasi. ......Universal Child Immunization coverage in Depok is low. It might cause illnesses which can be prevented by immunization. Therefore it is important to conduct compliance immunization analyze. The purpose of this study was to determine the association of compliance immunization with selected maternal characteristics and interaction client-health profession. The design of this research was cross sectional. The sample of this study was 237 mothers of 11—23 months infants. The instniments empioyed including Social Support Qucstionnaire 6, Health Self-Detcrminism lndex, Communicable Disease Perceived Vulnerability Score, and an investigator - developed instrument. Data were collected by using a structure interview to each respondent. Descriptive statistics were used to examine matemal characteristics and element of client - professional interaction. The resuit of this study are UCI coverage about 31,6% and Hepatitis B0-7 coverage about 38,6%. Tt’s mean falling off the coverage. Bivariate analysis were used to test the associations among matemal characteristic, maternal affective anclient-professional interaction factors and immunization compliance. Based on logistic regression analysis was found that health insurance and affective response to immunization has correlation with immunization compliance. Further, nurses should conduct health education optimally. Recommendation for future research is conducting the research to look extemal and internal factors.

Abstrak :
Kejadian malnutrisi pada balita menjadi perhatian besar karena menyangkut investasi sumber daya manusia. Indonesia menghadapi triple burden status gizi balita yang menjadi beban negara. Berbagai upaya dilakukan untuk menurunkan prevalensi kurang gizi balita. Growth faltering sebagai indikator awal risiko terjadinya stunting menjadi titik awal intervensi intensif dilakukan untuk mencegah stunting. Upaya mengatasi growth faltering dilakukan melalui intervensi spesifik terutama pemberian makan bayi dan anak pada baduta. Penelitian ini bertujuan untuk mengidentifikasi efektivitas brief intervention terhadap praktik pemberian makan responsif pada bayi growth faltering usia 6-23 bulan. Desain penelitian ini adalah pre-experimental study dengan sampel 33 responden di kelompok kontrol (mendapatkan intervensi konseling pemberian makan bayi dan anak/PMBA dan kelompok intervensi (mendapatkan intervensi konseling PMBA dan brief intervention). Hasil penelitian ini menunjukkan bahwa kelompok yang mendapatkan intervensi cenderung meningkatkan skor total pemberian makan responsif dan skor active feeding, meskipun tidak ditemukan signifikansi (pValue > 0,05); sedangkan pad kelompok kontrol selisih skor menunjukkan penurunan. Hasil ini menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok yang mendapat intervensi konseling PMBA dengan kelompok yang mendapatkan intervensi PMBA dan brief intervention “Mentari”. Rekomendasi pelayanan menunjukkan bahwa konseling PMBA tetap dapat menjadi intervensi mengubah praktik pemberian makan. ......The incidence of malnutrition in children under five is a big concern because it involves investing in human resources. Indonesia faces a triple burden on the nutritional status of children under five. Various efforts were made to reduce the prevalence of malnutrition. Growth faltering as an early indicator of the risk of stunting is the starting point for intensive interventions to prevent stunting. Efforts to overcome growth faltering are carried out through specific interventions, especially infant and young child feeding practices. This study aims to identify the effectiveness of the brief intervention on responsive feeding practices in growth-faltering infants aged 6-23 months. The design of this study was a pre-experimental study with a sample of 33 respondents in the control group (getting infant and young child feeding counselling interventions/IYCF and intervention groups (getting IYCF counselling interventions and brief intervention). The results of this study showed that the group that received the intervention tended to improve the total responsive feeding score and active feeding score, although no significance was found (pValue > 0.05); Meanwhile, in the control group, the difference in scores showed a decrease. These results showed no significant difference between the group that received IYCF counselling intervention and the group that received IYCF intervention and brief intervention. Service recommendations suggest that IYCF counselling can still be an intervention to change feeding practices.

Abstrak :
Kejadian malnutrisi pada balita menjadi perhatian besar karena menyangkut investasi sumber daya manusia. Indonesia menghadapi triple burden status gizi balita yang menjadi beban negara. Berbagai upaya dilakukan untuk menurunkan prevalensi kurang gizi balita. Growth faltering sebagai indikator awal risiko terjadinya stunting menjadi titik awal intervensi intensif dilakukan untuk mencegah stunting. Upaya mengatasi growth faltering dilakukan melalui intervensi spesifik terutama pemberian makan bayi dan anak pada baduta. Penelitian ini bertujuan untuk mengidentifikasi efektivitas brief intervention terhadap praktik pemberian makan responsif pada bayi growth faltering usia 6-23 bulan. Desain penelitian ini adalah pre-experimental study dengan sampel 29 responden di kelompok kontrol (mendapatkan intervensi konseling pemberian makan bayi dan anak/PMBA dan 27 responden kelompok intervensi (mendapatkan intervensi konseling PMBA dan brief intervention). Hasil penelitian ini menunjukkan bahwa kelompok yang mendapatkan intervensi cenderung meningkatkan skor total pemberian makan responsif dan skor active feeding, meskipun tidak ditemukan signifikansi (pValue > 0,05); sedangkan pada kelompok kontrol selisih skor menunjukkan penurunan. Hasil ini menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok yang mendapat intervensi konseling PMBA dengan kelompok yang mendapatkan intervensi PMBA dan brief intervention “Mentari”. Rekomendasi pelayanan menunjukkan bahwa konseling PMBA tetap dapat menjadi intervensi mengubah praktik pemberian makan. ......The incidence of malnutrition in children under five is a big concern because it involves investing in human resources. Indonesia faces a triple burden on the nutritional status of children under five. Various efforts were made to reduce the prevalence of malnutrition. Growth faltering as an early indicator of the risk of stunting is the starting point for intensive interventions to prevent stunting. Efforts to overcome growth faltering are carried out through specific interventions, especially infant and young child feeding practices. This study aims to identify the effectiveness of the brief intervention on responsive feeding practices in growth-faltering infants aged 6-23 months. The design of this study was a pre-experimental study with a sample of 29 respondents in the control group (getting infant and young child feeding counselling interventions/IYCF and 27 respondents in the intervention groups (getting IYCF counselling interventions and brief intervention). The results of this study showed that the group that received the intervention tended to improve the total responsive feeding score and active feeding score, although no significance was found (pValue > 0.05); Meanwhile, in the control group, the difference in scores showed a decrease. These results showed no significant difference between the group that received IYCF counselling intervention and the group that received IYCF intervention and brief intervention. Service recommendations suggest that IYCF counselling can still be an intervention to change feeding practices.