The case study of the workload of nutrition service: an analysis based on Patton and Sawicki’s theory in Puskesmas Beji, Depok, West Java, 2019

Abstract

Purpose: To analyze the workload of nutrition service in Beji Puskesmas UPT, Depok City, West Java Province in 2019.

Method: A qualitative study, through in-depth interviews with the Head of Puskesmas, the Head of Administration, Quality Control and Nutritionist.

Results: Nutrition counseling services in the building cannot be done every day during Puskesmas working hours because nutrition workers have to conduct regular monthly visits to 32 integrated community health service posts (posyandu).  Even so, the scheduled staff cannot visit all posyandu within 1 month due to limited time and energy. Thus, the distribution and monitoring of supplementary feeding (PMT) is assisted by community health workers (CHW). There are two different recording and reporting applications, namely Community Based Nutrition Recording and Reporting (e-PPGBM) from the Ministry of Health and local applications from the Depok City Health Office. Inadequate computer equipment, infrastructure, and internet facilities, as well as incomplete population data, were highly time-and-energy consuming. Another increase in workload is the non-cooperation of families with malnourished children which often refused to be referred to the TFC (Therapeutic Feeding Center).

Conclusion: Nutrition service efforts both inside the building and outside the building are less optimal because nutrition services are only carried out by a nutrition officer. Nutrition service, especially outside the building, must empower CHWs in order to increase the scope of nutrition services.