“Positive Deviance” Bulletin

More documents

Recommendations

Info

iron supplements to those anemic children with prevention dosage during rehabilitation. During the first two week session, an important message needed to be emphasized to the participants’ mothers. The children’s rehabilitation is due to new behaviors and not only due to the iron supplement. Two weeks later a 2 nd center opened and other cadres started to manage their own rehabilitation center. In the first circle, 19 children participated in the program representing 58% with mild anemia and 42% with moderate anemia. After 10 days, 11% were rehabilitated and mild and moderate anemia decreased to 47% and 37% as described in graph 1. Of course rehabilitation should be maintained during caring at home by practicing new behaviors. Cadres conducted home visits to encourage mothers to practice the new behaviors. After 2 weeks off, the percentage of rehabilitated children increase to 26.3%, meanwhile mild and moderate anemia decreased to 42.1% and 31.5% as illustrated in the graph below. This data reflects behavior change among participants since they started to practice PD behaviors at home. The activities are facilitated by the village midwife. During the session, a village midwife facilitates the antenatal care, weighing, monitoring, TT immunizadosis preventif selama program rehabilitasi. Selama sesi dua minggu pertama suatu pesan penting perlu ditekankan kepada para ibu peserta program bahwa rehabilitasi anaknya adalah disebabkan oleh perilaku baru dan bukan hanya karena suplemen sirup zat besi. Dua minggu kemudian Pos kedua dibuka dan kader lain mulai mengelola pos rehabilitasi mereka sendiri. Pada periode pertama sejumlah 19 anak mengikuti program dimana 58% menderita anemia ringan dan 42% menderita anemia sedang. Setelah 10 hari,11 % diantaranya menjadi pulih, sementara anemia ringan dan sedang menurun masing-masing menjadi 47% dan 37% seperti yang digambarkan pada grafik 1. Tentu saja usaha rehabilitasi ini harus diteruskan selama perawatan di rumah dengan mempraktekkan perilaku baru. Para kader melakukan kunjungan rumah untuk mendorong para ibu mempraktekkan perilaku baru. Setelah 2 minggu libur, persentase anak yang normal meningkat menjadi 26.3%, sementara anemia ringan dan sedang menurun masing-masing menjadi 42.1% dan 31.5%. Data ini menunjukkkan terjadinya perubahan perilaku pengasuh peserta program karena mempraktekkan perilaku-perilaku PD dirumah. PD for High Risk Pregnancies By Maria - CARE OME (Center for Mother Education) project is C designed to reduce the risks of delivery for high risk pregnancies in Kapuas and Pulang Pisau district in Central Kalimantan. CARE, in colloboration with the local Community Health Center, conducted a PDI (Positive Deviance Inquiry) on feeding, health seeking and caring practices among pregnant women. The findings of the PDI included “daily morning walk/exercise” and “more attention by their husband during pregnancy’. The project started in January 2004 with PD training for local health staff and cadres. The project now covers 11 villages in two districts with the total total number of participants 132 pregnant women. Each group consists of 6-8 participants attending the centers for 3 days (2 hours per day) per month and each participant being advised to attend 3 times during pregnancy. COME activities in Kalimantan/Kegiatan COME di Kalimantan PD pada Ibu Hamil Resiko Tinggi Oleh Maria - CARE royek COME ( Center for Mother Education) dirancang untuk mengurangi resiko melahirkan dari P kehamilan beresiko tinggi di Kabupaten Kapuas dan Pulang Pisau-Kalimantan Tengah. CARE bekerjasama dengan Puskesmas setempat melakukan penyelidikan PD mengenai kebiasaan makan dan mendapatkan pelayanan kesehatan dari para ibu hamil. Hasil temuan penyellidikan PD meliputi : “kebiasaan jalan/senam setiap pagi” dan “lebih banyak perhatian suami selama kehamilan”. Proyek ini dimulai pada bulan Januari 2004 dengan diawali dengan pelatihan PD bagi staf kesehatan dan kader setempat. Proyek ini melayani 11 desa di dua kabupaten dengan jumlah peserta 132 ibu hamil. Setiap kelompok terdiri dari 6-8 orang menghadiri pos ibu hamil (2 jam perhari) per bulan dan setiap peserta diminta mengikuti program ini sebanyak 3 kali selama kehamilan. Aktifitas kelompok difasilitasi oleh bidan desa. Selama sesi berlangsung, bidan desa melakukan pemeriksaan kehamilan, penimbangan, monitoring, imunisasi TT, mengukur tekanan darah, promosi tablet besi. 4
tion, blood pressure, promotion of iron tablets, group savings for delivery and supplemental feeding, as well as exercise which was discovered to be a PD behavior. The participants bring food contributions which are locally available and prepare meals together with the other participants. Senam hamil, tabulin (tabungan ibu bersalin), pemberian makanan tambahan dan senam yang ditemukan sebagai perilaku PD. Kegiatan COME di Kalimantan Setiap peserta membawa kontribusi bahan makanan yang tersedia local serta menyiapkan makanan secara bersama-sama. Is the PD Program Sustainable? By Dewi Saparini – PCI y design, the PD approach should be sustainable because new behaviors are internalized B and continue after the PD NERS (Positive Deviance Nutrition Education and Rehabilitation Session) ends. The PD NERP (Positive Deviance Nutrition Education and Rehabilitation Program) not only changes the behaviors of individual families, but also changes how a community perceives malnutrition and their ability to change the situation, if necessary, with only local inputs. PCI has proven that this methodology works. After PCI ended its material support at the end of March 2004, the two different communities in Tanah Tinggi and Cengkareng Barat respectively took over the responsibility of providing financial support for the three existing NERS. The two RW Health Committees succeded in convincing their community leaders, RW staff and local potential donors through community meetings and door to door visits. When Ibu Amran (Health Committee) and Ibu Evie ( a volunteer ) from Tanah Tinggi promoted the PD NERP to the community leader and local potential donors, they received positive support from the local leaders as well as some money and were asked whether they needed other food contributions. Pertemuan masyarakat membahas program keberlanjutan Pos Gizi di Tanah Tinggi/Community meeting for PD-NERS sustainability in Tanah Tinggi The 13 RT in RW 07 Cengkareng Barat are committed to providing Rp 10,000,- respectively on a monthly basis. In the first month the committee succeeded in collecting a total of Rp 210,00,- enough to conduct 2 NERS with 15 malnourished children under 3 years old per NERS. In RW 08 - Tanah Tinggi each RT donated between Rp 10,000 – 30,000 on a voluntary basis and succeeded in having enough funding to conduct 1 NERS with 10 participants. These two communities have completed 2 PD NERS with their own resources and they have asked PCI Apakah Program PD Berkelanjutan Oleh Dewi Saparini - PCI ada dasarnya, pendekatan PD seharusnya berkesinambungan karena perilaku baru di-praktekan P terus menerus setelah kegiatan PD-Pos Gizi. Program Pemulihan dan Pendidikan Gizi dengan metode PD, tidak hanya merubah perilaku keluarga secara individu, tetapi juga merubah cara berpikir masyarakat terhadap masalah kekurangan gizi dan bagaimana menggunakan kemampuan mereka sendiri untuk merubah situasi tersebut sedapat mungkin hanya dengan bahanbahan setempat. PCI telah membuktikan bahwa pendekatan ini menjamin kesinambungan. Setelah PCI mengakhiri bantuan material pada akhir Maret 2004, dua kelompok masyarakat di Tanah Tinggi dan Cengkareng Barat masing-masing mengambil alih tanggung jawab dalam meyediakan dana penyelenggaraan 3 Pos Gizi yang ada. Dua Tim Kesehatan RW berhasil meya-kinkan tokoh masyarakat mereka, pengurus RW/RT dan donor lokal potensial melalui pertemuan masyarakat maupun kunjungan kerumah-rumah. Ketika Ibu Amran (Tim Kesehatan RW) dan Ibu Evie (seorang kader) dari Tanah Tinggi mempromosikan program PD-Pos Gizi kepada tokoh masyarakat dan donor lokal potensial , mereka sangat mendukung dan langsung menyumbangkan dana bahkan menanyakan apakah mereka dapat menyumbang dalam bentuk bahan makanan lain. Tiga belas RT di RW 7 Cengkareng Barat bertekad memberi iuran bulanan masing-masing sebesar Rp 10.000,- Pada bulan pertama mereka berhasil mengumpulkan dana sebesar Rp 210.000,-yang cukup untuk membiayai penyelenggaraan 2 Pos Gizi dengan peserta 15 anak batita kurang gizi per pos. Di RW 08 – Tanah Tinggi setiap RT menyumbang antara Rp 10.000 – Rp 30.000., berdasarkan kemampuan masing-masing dan dianggap memadai untuk mendanai penyelenggaraan 1 Pos Gizi dengan jumlah 10 peserta Kedua kelompok masyarakat tersebut telah menyelesaikan 2 sesi Pos Gizi dengan menggunakan sumber 5
Page 1 and 2: POSITIVE DEVIANCE Pendekatan pemeca
Page 3: in the implementation. According to
Page 7 and 8: Cianjur, there are 27 that meet the
Page 9 and 10: fore joining the PD NERP and acted

“Positive Deviance” Bulletin

Create successful ePaper yourself

Delete template?

Save as template?