CHAPTER I INTRODUCTION

1.1 Background The quality of human resources is a harmonious blend and balance between the physical, mental (spiritual) and social. One of the determination of human qualities is the requirement for nutrients obtained through food consumption. The realization of the quality of human resources is a long-term process that must be considered since the fetus in the womb to old age, so that people obtain healthy, productive and resilient to the challenges of the times. To reach the quality of human resources, one must have a good nutritional status. Good nutritional status can be gained if the food consumed could meet the required nutritional adequacy, both in quantity and quality of the food itself (Depkes RI, 2005). Nutritional problems occur in every cycle of life, beginning in the womb (fetal), infants, children, adults and the elderly.The Period of the first two years of life is a critical period, because during this period of growth and development occurred very rapidly. Nutritional disorder that occurs in this period is permanent, cannot be recovered even if the nutritional needs are met during the next phase (Depkes RI, 2007). The growth of child requires more nutrients than adults. In people who experience mild and severe malnutrition as well as the situation of high infection, generally we will find higher mortality rates in children under the age of four years and a baby (Suhardjo, 1996). The growth and development of a toddler is very rapid. Therefore, the toddler age group needs more attention, because it is a group that is prone to malnutrition (Kemenkes RI, 2011). Malnutrition is the condition in which a person's status is a lack of nutrients, or nutrients below the standard. Malnutrition is still a problem that has not been resolved to date. Malnutrition experienced by infants under five years (toddlers). Malnutrition has become a global concern because most

patients are generally malnourished children under five. Malnutrition is a disgrace to the government and society because of the rapid advances occurring. For these reasons, this issue has always been a special handling by government programs (Hasaroh, 2010). Nutritional problems in children under five years old in Indonesia improved. It can be seen, among others, a decrease in the prevalence of malnutrition among children under five years of 5.4% in 2007 to 4.9% in 2010. Despite the decrease, the nominal amount of child malnutrition is still relatively large. The number of cases of malnutrition are found and dealt with in West Java Province in 2011 was 4,358 cases. The highest number is Majalengka (762 cases), whereas the lowest was Sukabumi (6 cases), whereas for Purwakarta own 28 cases. The prevalence of malnutrition at Wanayasa health center are as many as 19 cases. 9 cases were scattered in the village, including the village Sakambang, Prog village, village Wanayasa, Wanasari Village, Village Legokhuni, Ciawi village, Sukadami village, village Tonggoh Trg, Trg village Central. Where Legokhuni village and Trg Tonggoh has the highest malnutrition in Wanayasa, as many as four cases in each - each village. 11 were accompanied by co-morbidities such as TB, Cerebral Palsy, Down Syndrome and hernia, 2 of them had a history of LBW and 6 without comorbidities. (Depkes, 2012) Reflecting on the low numbers of malnutrition in children under five, and nutrition bank policies that have been set by the Purwakarta,government, the discovery of a toddler under the red line is a gaffe. Therefore, the authors wanted to provide an overview of the extent to which the knowledge of parents with children under five malnutrition, problems encountered, solutions and parental expectations of the condition of children who are below the red line.

1.2 Rumusan Masalah

Based on the above background, the researchers formulate the problem as follows: 1. "Describing malnutrition knowledge of parents of children under the red nutrition without comorbidities in District Wanayasa" 2. "What are the obstacles faced by parents in addressing malnutrition". 3. "What are the solutions parents if it occurs malnutrition in their respective regions". 4. "What are the expectations of the parents in dealing with cases of malnutrition".

1.3

Tujuan Penelitian

The purpose of research is to describe the knowledge from parents of children under the red line against malnutrition without comorbidities Wanayasa district in 2013.

1.4 Problem Identification

Based on the above background, the researcher formulate the problem as follows: 1. "How is the description about knowledge of malnutrition from the mothers of under red line without complication children in Wanayasa district 2. What are the obstacles faced by midwives and nutritional holders to handle malnutrition cases" 3. What are the solutions the mothers of under red line without complication children for the nutritional problems " 4. What are the expectations the mothers of under red line without complication children in dealing with cases of malnutrition

1.5

Objective The objective for this research is knowing overview of knowledge, the mothers of under red line without complication children against malnutrition at Wanayasacommunity health care.

1.6 Purpose 1. Provide information to the the mothers of under red line without complication children district 2. Suggestion to the primary health care and head of Department of Health: to improve knowledge of malnutrition, particularly mothers . 3. Feedback for all health center staff to be more motivated to further improve health promotion in mothers who have infants to prevent malnutrition. about the level of knowledge in Wanayasa

1.5. Location and Time Research

1.5.1. Location Research The location of this research is Wanayasa primary health care, Wanayasa district, Purwakarta.

1.5.2. Time Research This Research took place from November 4, 2013 until Novmber 30, 2013 During the PBL III.

1.6. Research Method Research method which used by writer is :

Method

Qualitative

Data collection technique Principal instrument Population

: : :

in depth interview Tape recorder Mothers of the under red line without comorbidities children .

Sample collection technque Sample amount Data analysis

: : :

whole sample 6 Mothers Qualitative