Criterion 2.6.4 Nutrition

 Criterion 2.6.4

Coverage and implementation of Essential Nutrition SMEs.

1) Main Thoughts:

a) Coverage of Essential Nutrition SMEs is measured by 3 (three) main service performance indicators, as follows.

(1) the percentage of babies aged less than six months who are exclusively breastfed;

(2) percentage of children aged 6-23 months who receive complementary breast milk (MP-ASI); And

(3) the percentage of malnourished toddlers who receive additional nutritional intake.

b) Determination of main performance indicators for nutrition services integrated with the determination of Puskesmas performance indicators

c) Babies aged less than six months who are exclusively breastfed are babies aged 0 months to 5 months 29 days who are given breast milk alone without food or other fluids except medicine, vitamins and minerals based on a 24 hour recall.

d) Children aged 6-23 months who receive MP-ASI are children aged 6-23 months who receive complementary breast milk food according to their age based on a 24 hour recall.

e) Undernourished toddlers who receive additional nutritional intake are toddlers aged 6-59 months with nutritional status categories based on the weight index according to body length (BB/PB) or weight according to height (BB/TB) having a Z-score - 3SD to less than -2SD who receive additional nutritional intake apart from the main food in the form of additional food, both manufactured and local food-based food.

f) To achieve the performance of Essential Nutrition UKM services, this is done by strengthening the role of nutrition workers or nutrition implementing staff in the following matters.

(1) Preparing and implementing management of nutrition services at Community Health Centers (P-1, P-2, P-3) in collaboration with those responsible for other health programs;

(2) Carry out nutritional care with the following conditions.

(a) Nutritional care is a series of organized/structured activities to identify nutritional needs and provide such care in order to achieve complete, quality nutritional services through the steps of nutritional assessment, nutritional diagnosis, nutritional intervention, and monitoring and evaluation;

(b) Availability of a nutrition care team that is competent in preventing and managing malnutrition in toddlers.

(3) Carrying out nutritional surveillance

Nutrition surveillance is an effort to continuously monitor the nutritional situation of the community quickly, accurately, regularly and sustainably to determine nutritional policies and appropriate immediate action, both in terms of timing, targets and type of action. Nutritional surveillance is carried out through:

(a) data collection through SIGIZI Terpadu (integrated nutrition information system);

(b) processing and analyzing data related to indicators and determinants of nutritional problems in Integrated SIGIZI;

(c) dissemination of the use of Integrated SIGIZI data;

(d) specific nutritional actions or interventions based on analysis results and available resources:

1. Supplementation of blood supplement tablets (TDD) for pregnant women and adolescent girls;

2. Providing additional food (PMT) to KEK pregnant women;

3. Providing additional food (PMT) for malnourished toddlers;

4. Infant and Child Feeding (IYCF);

5. Monitoring toddler growth;

6. Supplementation of vitamin A capsules for toddlers and postpartum mothers;

7. Taburia supplementation for toddlers 6 - 59 months with priority 6 - 23 months (currently only being carried out in several selected districts/cities);

8. Prevention and management of malnutrition.

g) Monitoring and analysis and follow-up are carried out on the achievements of performance indicators and efforts to achieve the performance of Essential Nutrition UKM services that have been carried out.

h) The recording and reporting of Essential Nutrition SMEs, both manually and electronically, is carried out completely, accurately and on time. Reporting to the head of the community health center and the Regency/City Regional Health Service and/or other parties refers to the provisions of the applicable laws and regulations. Reporting to the head of the community health center can be done in writing or delivered directly through meetings such as monthly mini workshops, management review meetings, and other forums.

2) Assessment Elements:

a) Achievement of performance indicators for essential nutrition SME services as requested in the Main Ideas accompanied by analysis (R,D).

b) Promotive and preventive efforts are carried out to achieve the performance of Essential Nutrition UKM services as outlined in the RPK, in accordance with the established policies, procedures and terms of reference for activities (R,D,W).

c) Periodic and continuous monitoring is carried out on the achievements of indicators and efforts that have been made (D, W).

d) A follow-up plan is prepared and follow-up is carried out based on the monitoring results which are integrated into the planning document (D,W).

e) Recording and reporting is carried out to the heads of community health centers and district/city regional health services in accordance with established procedures (R, D, W).