Evaluation of Local Supplementary Food Provision Program (PMT) For Pregnant Women with KEK in Palu City
Abstract
KEK (chronic energy deficiency) is a condition where someone suffers from chronic food shortages which is characterized by an upper arm circumference (LILA) <23.5 cm which results in health problems. In Palu City, there are 838 pregnant women with LILA <23.5 cm out of a total of 7,758 pregnant women (10.8%). To overcome the problem of pregnant women who experience KEK, it is necessary to organize Supplementary Food Provision (PMT) as an addition, not as a substitute for daily main food. In 2023, there were 184 KEK pregnant women who were intervened by the Palu City government, spread across 14 Health Centers in the Palu City area. The purpose of this study was to evaluate the implementation of the local-based PMT program for pregnant women with special economic conditions in Palu City, including the implementation of input, process, output indicators and their impact on increasing LiLA size in pregnant women with special economic conditions.
This research method is an evaluation research using a mix method, namely a combination of qualitative and quantitative research. Qualitative data collection was carried out by means of in-depth interviews and Focus Group Discussions (FGD). Analysis of qualitative data was processed using content analysis. While in quantitative research, data collection was carried out through questionnaires with a sample of 184 pregnant women with special economic conditions who received local-based PMT interventions.
The results of the study showed that the implementation of input, process and output indicators in local-based PMT for pregnant women with special economic conditions had gone well, according to the perspective of pregnant women with special economic conditions and health center nutrition officers. There were 168 pregnant women (91.3%) who experienced an increase in LiLA size to > 23.5 cm after PMT was given. Meanwhile, 16 pregnant women (8.7%) experienced an increase in LiLA size, but still < 23.5 cm. The increase in LiLA size mostly occurred after giving PMT for 60-120 days (65.8%).
Conclusion: The implementation of the local-based PMT program for KEK pregnant women has gone well, and can increase the size of LiLA pregnant women to > 23.5 cm.
Keywords: KEK Pregnant Women, Upper Arm Circumference (LiLA), Local-based PMT
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