Strengthening Indonesia's Nutrition through Primary Health Care: A Case Study of Pencerah Nusantara

Background/Aims: With 9,767 Puskesmas across Indonesia, Public Health Centers (Puskesmas) has a strategic role to improve nutrition at the grassroots level. Pencerah Nusantara program has a mission to strengthening the delivery of nutrition services through the health system including Puskesmas and...

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Bibliographic Details
Published in:Annals of nutrition and metabolism 2019-01, Vol.75, p.411
Main Authors: Zakiyah, Wahid, Egi Abdul
Format: Article
Language:English
Subjects:
Health care
Health care facilities
Intervention
Malnutrition
Nutrition
Nutritional status
Public health
Strengthening
Villages
Wellness programs
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Summary:Background/Aims: With 9,767 Puskesmas across Indonesia, Public Health Centers (Puskesmas) has a strategic role to improve nutrition at the grassroots level. Pencerah Nusantara program has a mission to strengthening the delivery of nutrition services through the health system including Puskesmas and Integrated health posts (Posyandu) in 8 selected districts across Indonesia. As Puskesmas staff deliver technical supervision and visit Posyandu regularly, increasing Puskesmas staff capacity on nutrition will contribute to improving Posyandu outcomes and nutritional status of children and pregnant women. The study aimed to evaluate Pencerah Nusantara Program on improving nutrition status through strengthening Puskesmas. Methods: The study was conducted with a pre-post evaluation method using data from program quarterly report during April 2015 to December 2018. Results: Pencerah Nusantara's Puskesmas had a higher level of accreditation score compared to neighboring Puskesmas. Quality of Puskesmas management was increased from 45% to 75% after three years of intervention program. The prevalence of malnutrition reduced by 0.1%. During intervention period, Pencerah Nusantara conducted 102 trainings to Puskesmas' nutrition officer and 72 trainings targeted to Posyandu cadres. At the end of intervention, Posyandu visitation rate increased from 78 to 82%. Further, the Pencerah Nusantara advocated for village fund allocation for Posyandu and health facilities. As a result, 8 deployments budgeted their village funds for health program. Conclusion: Strengthening Puskesmas and Posyandu through Pencerah Nusantara has contributed to nutritional status improvement.
ISSN:0250-6807
1421-9697
DOI:10.1159/000501751