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"Angka Kurang Energi Protein (KEP) di Indonesia 63,9 % (SKRT,1997) sementara di Propinsi Sumatera Barat angka KEP Total sebesar 20,1 % dan Kabuptem Padang Pariaman 25 % ( Profil Kesehatan Kabupaten Padang Pariaman 1998). Untuk menurunkan Angka KEP pemerintah melaksanakan program penimbangan di posyandu di setiap Desa. Kehadiran posyandu di setiap desa di harapkan mampu menurunkan angka KEP dan meningkatkan derajat kesehatan masyarakat terutama balita.Tujuan penelitian ini adalah untuk memperoleh gambaran cakupan penimbangan balita di posyandu dilihat dari faktor-faktor kader yang berhubungan dengan cakupan penimbangan. Penelitian ini dilakukan di Kabupaten Padang Pariaman Propinsi Sumatera Barat.Rancangan penelitian yang digunakan Cross Sectional. Sampel penelitian adalah kader posyandu yang terdapat di Kabupaten Padang Pariaman dan pengambilan sampel dilakukan secara Sistematic Random Sampling sebanyak 110 kader.Hasil Penelitian menunjukan bahwa 60 % cakupan penimbangan balita di posyandu Kabupaten Padang Pariaman masih rendah (DIS<60%) dan 40 % dengan cakupan penimbangan baik (DIS > 60 %). Penelitian ini menyimpulkan bahwa di Kabupaten Padang Pariaman tidak jauh berbeda antara posyandu yang mempunyai cakupan penimbangan baik dan yang kurang. Faktor supervisi petugas kesehatan, kemampuan motivasi kader, keaktifan kader, pendidikan kader dan pembinaan desa mempunyai hubungan yang bermakna terhadap cakupan penimbangan balita.Berdasarkan hasil penelitian ini dapat direkomendasikan perlunya peningkatan kualitas dan kuantitas supervisi petugas kesehatan, pelatihan kader yang berkelanjutan untuk meningkatkan kemampuan motivasi kader, memberikan reward kader dalam menunjang keaktifan kader dan meningkatkan pembinaan desa guna meningkatkan cakupan penimbangan balita di posyandu tesebut.

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The figure of Kurang Energi Protein (KEP) or Protein Energy Deficiency in Indonesia is 63,9%(SKRT), while in West Sumatera Province Total KEP reaches 20,1%, and in Padang Pariaman District it is 25% (Health Profile of Padang Pariaman District, 1998). To lower those figures on KEP, the government caries out a body weighing program for balita or children under five at posyandus or integrated health service posts shelter in every village. The existence of such posts is expected to decrease the figure of KEP and enhances the quality of health of the people, particularly children under five.

This study was aimed to obtain adescription of the range of the body weighing program for children under five at posyandus viewed in respect of factors on cadres that correlate with the rang of the program. This study was conducted in Padang Pariaman District of West Sumatra Province.

The research design employed was a cross sectional study included cadres of posyandus that spread in Padang Pariaman District. Sample selection was carried out through a systematic random sampling and come up with a number off 110 cadres. The study results reveal that 60% of the coverage of weighing program for children under five at posyandus in Padang Pariaman District is poor (D/S <60%) and 40% indicate good coverage of weighing program (DIS > 60%).

This study concludes that there is a little difference in figure between posyandus with good coverage of the program and posyandu with poor coverage of the program. Factors such as supervision by health staff, cadres' activities, cadres' education and guidance from the village office have significant correlation with the coverage of weighing program for children under five.

Based on the findings, it is recommended that the quality and the quantity of supervision by health staff be increased, regular training program for improving the quality of the cadres be established, cadres be rewarded for their involvement in the program and guidance from the village office be increased to expand the range of the weighing program for children under five in the local posyandus."

"Penyakit Tuberculosis (TB Paru), masih menjadi masalah kesehatan masyarakat. Tuberculosis merupakan penyebab kematian nomor 2 setelah penyakit cardiovasculer dan nomor satu dari golongan penyakit infeksi. Di Kota Bogor telah dilaksanakan upaya-upaya untuk menunjang tercapainya Kebijakan operasional baru Pelita VI yang dimulai tahun 1995, tetapi masih ditemukan permasalahan-permasalahan dalam pencapaian target program pemberantasan TB Paru. Tujuan penelitian adalah untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kinerja Puskesmas dalam program pemberantasan TB Paru di Kota Bogor tahun 2000. Penelitian ini dilakukan dengan rancangan Cross- Sectional dengan pendekatan kuantitatif. Sampel penelitian ini adalah 23 Puskesmas untuk mengukur faktor masukan, sedangkan untuk mengamati faktor proses dilakukan dengan Diskusi Kelompok Terarah pada 6 Puskesmas yang mempunyai kinerja baik. Hasil penelitian menunjukkan bahwa adanya fasilitas laboratorium dan dukungan dana amat diperlukan untuk menunjang keberhasilan Puskesmas dalam melaksanakan program pemberantasan TB Paru. Juga ditemukan bahwa proses pelaksanaan yang baik sesuai dengan protap program dapat diamati pada Puskesmas yang mempunyai kinerja baik mempunyai kegiatan yang innovatif dan pengendalian yang kuat pada setiap penderita TB Paru. Melihat hasil penelitian maka disarankan untuk meningkatkan keberhasilan cakupan program, setiap Puskesmas dapat dilengkapi fasilitas laboratorium yang memadai, alokasi dan pemanfaatan dana yang optimal untuk program TB Paru serta pelaksanaan proses diharapkan sesuai dengan protap program.

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Factors Related With Community Health Center Performance In National Lung TB Control In Bogor City 2001Tuberculosis disease (lung TB), still becomes public health problem. Tuberculosis stands as the second death cause after cardiovascular disease and as the first death cause in the group of infectious disease. In the city of Bogor there had some efforts to support the new operational policy of Pelita VI that had been applied since 1995. However, there are still some problems to achieve target of National lung TB control.

The goal of this research is to analyze the influence of factors that are related to the performance of community Heath Centre in National lung TB control in the city of Bogor. This research is a cross-sectional study design, which applies a Quantitative approach. To measure the incoming factors, twenty-three Community Health Centers has been taken as the samples of this research: and to analyze the process factors, Focus Group Discussion have been applied in six Community Health Centers which have good performance.

The result of this research shows that the existence of adequate laboratories facilities and provision financial support are needed to realize the success of National lung TB control. Furthermore, it could be analyzed that the good operational process happens in the Community Health Centers which have good performance; in those centers, they have innovative program and strong control towards every lung patient.

Analyzing the result of the research, it is suggested that to improve the scope of the successful program, every Community Health Centre need to be supported by adequate laboratory facilities, adequate financial budget allocation, optimum budget operation and appropriate performance of personal in applying the process of national lung TB control."