KUESIONER POLA MAKAN, KECUKUPAN GIZI DAN STATUS GIZI BALITA PADA KELUARGA MISKIN DI PERUMNAS MANDALA, KELURAHAN KENANGAN BARU

Lampiran 1 : Kuesioner Penelitian KUESIONER POLA MAKAN, KECUKUPAN GIZI DAN STATUS GIZI BALITA PADA KELUARGA MISKIN DI PERUMNAS MANDALA, KELURAHAN KENANGAN BARU IDENTITAS Nomor Responden : Alamat Responden : Nama : Nama balita : Jenis Kelamin : Hari/Tanggal Wawancara : I. IDENTITAS KELUARGA No Nama Status dalam Keluarga Jenis Kelamin Umur Agama Pendidikan Pekerjaan Pendapatan 1. 2. 3. 4. 5. II. IDENTITAS BALITA 1. Nama : 2. Umur : 3. Jenis Kelamin : 4. Berat Badan : 5. Tinggi Badan : 63

Lampiran 2 : Food Recall Questionaire FORMULIR RECALL MAKANAN BALITA 24 JAM Waktu Nama / Jenis Makanan Nama Bahan Jumlah yang Dikonsumsi URT Gram Pagi / Sarapan Selingan (Cemilan) Siang Malam 64

Lampiran 3 : Food Frequency Questionaire Frekuensi 4-6 1-3 Jumlah Jenis Makanan 1-3 x/hr 1 x/bulan x/mgg x/mgg n % n % n % n % n % Makanan Sumber Energi Nasi Makanan Sumber Protein Ikan Daging Ayam Daging Sapi Telur Tahu Tempe Sayur-Sayuran Bayam Tauge Kol/Wortel/Buncis Kentang Kacang Panjang Daun Ubi Kangkung Buah-Buahan Pisang Pepaya Jeruk Rambutan Buah-buahan lain Susu Jajanan Kerupuk Biskuit/Roti Chiki dan lain-lain 65

66

67

68

69

70

71

72

73

74

75

76

77

78

Lampiran 11 Hasil Uji Statistik Umur Ayah Frequency Percent Valid Percent Cumulative Percent Valid 26-30 Tahun 23 35.4 35.4 35.4 31-35 Tahun 30 46.2 46.2 81.5 36-40 Tahun 12 18.5 18.5 100.0 Umur Ibu Frequency Percent Valid Percent Cumulative Percent Valid 21-25 Tahun 6 9.2 9.2 9.2 26-30 Tahun 36 55.4 55.4 64.6 31-35 Tahun 18 27.7 27.7 92.3 36-40 Tahun 5 7.7 7.7 100.0 Pendidikan Ayah Frequency Percent Valid Percent Cumulative Percent Valid SD 3 4.6 4.6 4.6 SMP 26 40.0 40.0 44.6 SMA 29 44.6 44.6 89.2 D3/S1 7 10.8 10.8 100.0 Pendidikan Ibu Frequency Percent Valid Percent Cumulative Percent Valid SD 16 24.6 24.6 24.6 SMP 28 43.1 43.1 67.7 SMA 21 32.3 32.3 100.0 79

80 Pekerjaan Ayah Frequency Percent Valid Percent Cumulative Percent Valid Pedagang 42 64.6 64.6 64.6 Tukang Becak 7 10.8 10.8 75.4 Supir Angkot 14 21.5 21.5 96.9 Buruh 2 3.1 3.1 100.0 Pekerjaan Ibu Frequency Percent Valid Percent Cumulative Percent Valid Pedagang 2 3.1 3.1 3.1 Ibu Rumah Tangga 56 86.2 86.2 89.2 Buruh 7 10.8 10.8 100.0 Valid 500.000-1.000.000 1.000.000-1.800.000 Penghasilan Ayah Frequency Percent Valid Percent Cumulative Percent 23 35.4 35.4 35.4 42 64.6 64.6 100.0 Valid 500.000-1.000.000 1.000.000-1.800.000 Penghasilan Ibu Frequency Percent Valid Percent Cumulative Percent 63 96.9 96.9 96.9 2 3.1 3.1 100.0 80

81 Jumlah Anggota Keluarga Frequency Percent Valid Percent Cumulative Percent Valid 3-4 Orang 40 61.5 61.5 61.5 5-6 Orang 23 35.4 35.4 96.9 7 Orang 2 3.1 3.1 100.0 Agama Ayah Frequency Percent Valid Percent Cumulative Percent Valid Islam 42 64.6 64.6 64.6 Protestan 20 30.8 30.8 95.4 Khatolik 3 4.6 4.6 100.0 Agama Ibu Frequency Percent Valid Percent Cumulative Percent Valid Islam 42 64.6 64.6 64.6 Protestan 20 30.8 30.8 95.4 Khatolik 3 4.6 4.6 100.0 Berat Badan Frequency Percent Valid Percent Cumulative Percent Valid 8-12.5 32 49.2 49.2 49.2 12.6-16.5 31 47.7 47.7 96.9 16.6-20.5 2 3.1 3.1 100.0 Tinggi Badan Frequency Percent Valid Percent Cumulative Percent Valid 78-88.5 23 35.4 35.4 35.4 88.6-98.5 28 43.1 43.1 78.5 98.6-108.5 13 20.0 20.0 98.5 108.6-118.5 1 1.5 1.5 100.0 81

82 Umur Balita Frequency Percent Valid Percent Cumulative Percent Valid 24-36 bulan 30 46.2 46.2 46.2 37-60 bulan 35 53.8 53.8 100.0 Pola Makan Frequency Percent Valid Percent Cumulative Percent Valid Lengkap 28 43.1 43.1 43.1 Tidak Lengkap 37 56.9 56.9 100.0 Kecukupan Energi Frequency Percent Valid Percent Cumulative Percent Valid >100 (Baik) 35 53.8 53.8 53.8 >80-99 (Sedang) 25 38.5 38.5 92.3 70-80 (Kurang) 5 7.7 7.7 100.0 Kecukupan Protein Frequency Percent Valid Percent Cumulative Percent Valid >100 (Baik) 65 100.0 100.0 100.0 Kecukupan Lemak Frequency Percent Valid Percent Cumulative Percent Valid >100 (Baik) 30 46.2 46.2 46.2 >80-99 (Sedang) 30 46.2 46.2 92.3 70-80 (Kurang) 3 4.6 4.6 96.9 <70 (Defisit) 2 3.1 3.1 100.0 82

83 BB/U Frequency Percent Valid Percent Cumulative Percent Valid Kurang 5 7.7 7.7 7.7 Baik 60 92.3 92.3 100.0 TB/U Frequency Percent Valid Percent Cumulative Percent Valid Pendek 22 33.8 33.8 33.8 Normal 43 66.2 66.2 100.0 BB/TB Frequency Percent Valid Percent Cumulative Percent Valid Kurus 5 7.7 7.7 7.7 Umur 24-36 Bulan Normal 60 92.3 92.3 100.0 37-60 Bulan Pola Makan Berdasarkan Umur Balita Pola Makan Lengkap Tidak Lengkap Count 16 14 30 % Within Umur 53.3% 46.7% 100.0% % Within Pola makan 57.1% 37.8% 46.2% % Of 24.6% 21.5% 46.2% Count 12 23 35 % Within Umur 34.3% 65.7% 100.0% % Within Pola makan 42.9% 62.2% 53.8% % Of 18.5% 35.4% 53.8% Count 28 37 65 % Within Umur 43.1% 56.9% 100.0% % Within Pola makan 100.0% 100.0% 100.0% % Of 43.1% 56.9% 100.0% 83

84 Umur 24-36 Bulan 37-60 Bulan Konsumsi Energi Berdasarkan Umur Balita Konsumsi Energi >100 (Baik) >80-99 (Sedang) 70-80 (Kurang) Count 19 9 2 30 % Within Umur 63.3% 30.0% 6.7% 100.0% % Within Energi 54.3% 36.0% 40.0% 46.2% % Of 29.2% 13.8% 3.1% 46.2% Count 16 16 3 35 % Within Umur 45.7% 45.7% 8.6% 100.0% % Within Energi 45.7% 64.0% 60.0% 53.8% % Of 24.6% 24.6% 4.6% 53.8% Count 35 25 5 65 % Within Umur 53.8% 38.5% 7.7% 100.0% % Within Energi 100.0% 100.0% 100.0% 100.0% % Of 53.8% 38.5% 7.7% 100.0% Konsumsi Protein Berdasarkan Umur Balita Konsumsi Protein >100 (Baik) Umur 24-36 Bulan Count 30 30 % Within Umur 100.0% 100.0% % Within Protein 46.2% 46.2% % Of 46.2% 46.2% 37-60 Bulan Count 35 35 % Within Umur 100.0% 100.0% % Within Protein 53.8% 53.8% % Of 53.8% 53.8% Count 65 65 % Within Umur 100.0% 100.0% % Within Protein 100.0% 100.0% % Of 100.0% 100.0% 84

85 Umur 24-36 Bulan 37-60 Bulan Konsumsi Lemak Berdasarkan Umur Balita Konsumsi Lemak >100 (Baik) >80-99 (Sedang) 70-80 (Kurang) <70 (Defisit) Count 15 13 2 0 30 % Within Umur 50.0% 43.3% 6.7%.0% 100.0% % Within Lemak 50.0% 43.3% 66.7%.0% 46.2% % Of 23.1% 20.0% 3.1%.0% 46.2% Count 15 17 1 2 35 % Within Umur 42.9% 48.6% 2.9% 5.7% 100.0% % Within Lemak 50.0% 56.7% 33.3% 100.0% 53.8% % Of 23.1% 26.2% 1.5% 3.1% 53.8% Count 30 30 3 2 65 % Within Umur 46.2% 46.2% 4.6% 3.1% 100.0% % Within Lemak 100.0% 100.0% 100.0% 100.0% 100.0% % Of 46.2% 46.2% 4.6% 3.1% 100.0% Status Gizi BB/U Berdasarkan Umur Balita BB/U Kurang Baik Umur 24-36 Bulan Count 2 28 30 % Within Umur 6.7% 93.3% 100.0% % Within BB/U 40.0% 46.7% 46.2% % Of 3.1% 43.1% 46.2% 37-60 Bulan Count 3 32 35 % Within Umur 8.6% 91.4% 100.0% % Within BB/U 60.0% 53.3% 53.8% % Of 4.6% 49.2% 53.8% Count 5 60 65 % Within Umur 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 85

86 Status Gizi TB/U Berdasarkan Umur Balita TB/U Pendek Normal Umur 24-36 Bulan Count 8 22 30 % Within Umur 26.7% 73.3% 100.0% % Within TB/U 36.4% 51.2% 46.2% % Of 12.3% 33.8% 46.2% 37-60 Bulan Count 14 21 35 % Within Umur 40.0% 60.0% 100.0% % Within TB/U 63.6% 48.8% 53.8% % Of 21.5% 32.3% 53.8% Count 22 43 65 % Within Umur 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% Status Gizi BB/TB Berdasarkan Umur Balita BB/TB Kurus Normal Umur 24-36 Bulan Count 2 28 30 % Within Umur 6.7% 93.3% 100.0% % Within BB/TB 40.0% 46.7% 46.2% % Of 3.1% 43.1% 46.2% 37-60 Bulan Count 3 32 35 % Within Umur 8.6% 91.4% 100.0% % Within BB/TB 60.0% 53.3% 53.8% % Of 4.6% 49.2% 53.8% Count 5 60 65 % Within Umur 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 86

87 Status Gizi BB/U Berdasarkan Pola Makan BB/U Kurang Baik Pola makan Lengkap Count 0 28 28 Tidak Lengkap % Within Pola makan.0% 100.0% 100.0% % Within BB/U.0% 46.7% 43.1% % Of.0% 43.1% 43.1% Count 5 32 37 % Within Pola makan 13.5% 86.5% 100.0% % Within BB/U 100.0% 53.3% 56.9% % Of 7.7% 49.2% 56.9% Count 5 60 65 % Within Pola makan 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Status Gizi TB/U Berdasarkan Pola Makan TB/U Pendek Normal Pola makan Lengkap Count 0 28 28 Tidak Lengkap % Within Pola makan.0% 100.0% 100.0% % Within TB/U.0% 65.1% 43.1% % Of.0% 43.1% 43.1% Count 22 15 37 % Within Pola makan 59.5% 40.5% 100.0% % Within TB/U 100.0% 34.9% 56.9% % Of 33.8% 23.1% 56.9% Count 22 43 65 % Within Pola makan 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% 87

88 Status Gizi BB/TB Berdasarkan Pola Makan BB/TB Kurus Normal Pola makan Lengkap Count 0 28 28 Tidak Lengkap % Within Pola makan.0% 100.0% 100.0% % Within BB/TB.0% 46.7% 43.1% % Of.0% 43.1% 43.1% Count 5 32 37 % Within Pola makan 13.5% 86.5% 100.0% % Within BB/TB 100.0% 53.3% 56.9% % Of 7.7% 49.2% 56.9% Count 5 60 65 Konsumsi Energi % Within Pola makan 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Status Gizi BB/U Berdasarkan Konsumsi Energi BB/U Kurang Baik >100 (Baik) Count 0 35 35 % Within Energi.0% 100.0% 100.0% % Within BB/U.0% 58.3% 53.8% % Of.0% 53.8% 53.8% >80-99 (Sedang) Count 0 25 25 % Within Energi.0% 100.0% 100.0% % Within BB/U.0% 41.7% 38.5% % Of.0% 38.5% 38.5% 70-80 (Kurang) Count 5 0 5 % Within Energi 100.0%.0% 100.0% % Within BB/U 100.0%.0% 7.7% % Of 7.7%.0% 7.7% Count 5 60 65 % Within Energi 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 88

89 Konsumsi Energi Status Gizi TB/U Berdasarkan Konsumsi Energi TB/U Pendek Normal >100 (Baik) Count 0 35 35 % Within Energi.0% 100.0% 100.0% % Within TB/U.0% 81.4% 53.8% % Of.0% 53.8% 53.8% >80-99 (Sedang) Count 17 8 25 % Within Energi 68.0% 32.0% 100.0% % Within TB/U 77.3% 18.6% 38.5% % Of 26.2% 12.3% 38.5% 70-80 (Kurang) Count 5 0 5 % Within Energi 100.0%.0% 100.0% % Within TB/U 22.7%.0% 7.7% % Of 7.7%.0% 7.7% Count 22 43 65 % Within Energi 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% Konsumsi Energi Status Gizi BB/TB Berdasarkan Konsumsi Energi BB/TB Kurus Normal >100 (Baik) Count 0 35 35 % Within Energi.0% 100.0% 100.0% % Within BB/TB.0% 58.3% 53.8% % Of.0% 53.8% 53.8% >80-99 (Sedang) Count 0 25 25 % Within Energi.0% 100.0% 100.0% % Within BB/TB.0% 41.7% 38.5% % Of.0% 38.5% 38.5% 70-80 (Kurang) Count 5 0 5 % Within Energi 100.0%.0% 100.0% % Within BB/TB 100.0%.0% 7.7% % Of 7.7%.0% 7.7% 89

90 Count 5 60 65 Konsumsi Protein % Within Energi 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Status Gizi BB/U Berdasarkan Konsumsi Protein BB/U Kurang Baik >100 (Baik) Count 5 60 65 % Within Protein 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Count 5 60 65 Konsumsi protein % Within Protein 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Status Gizi TB/U Berdasarkan Konsumsi Protein TB/U Pendek Normal >100 (Baik) Count 22 43 65 % Within Protein 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% Count 22 43 65 % Within Protein 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% Konsumsi protein Status Gizi BB/TB Berdasarkan Konsumsi Protein BB/TB Kurus Normal >100 (Baik) Count 5 60 65 % Within Protein 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 90

91 Count 5 60 65 Konsumsi Lemak % Within Protein 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% Status Gizi BB/U Berdasarkan Konsumsi Lemak BB/U Kurang Baik >100 (Baik) Count 0 30 30 % Within Lemak.0% 100.0% 100.0% % Within BB/U.0% 50.0% 46.2% % Of.0% 46.2% 46.2% >80-99 (Sedang) Count 0 30 30 % Within Lemak.0% 100.0% 100.0% % Within BB/U.0% 50.0% 46.2% % Of.0% 46.2% 46.2% 70-80 (Kurang) Count 3 0 3 % Within Lemak 100.0%.0% 100.0% % Within BB/U 60.0%.0% 4.6% % Of 4.6%.0% 4.6% <70 (Defisit) Count 2 0 2 % Within Lemak 100.0%.0% 100.0% % Within BB/U 40.0%.0% 3.1% % Of 3.1%.0% 3.1% Count 5 60 65 % Within Lemak 7.7% 92.3% 100.0% % Within BB/U 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 91

92 Konsumsi Lemak Status Gizi TB/U Berdasarkan Konsumsi Lemak TB/U Pendek Normal >100 (Baik) Count 0 30 30 % Within Lemak.0% 100.0% 100.0% % Within TB/U.0% 69.8% 46.2% % Of.0% 46.2% 46.2% >80-99 (Sedang) Count 17 13 30 % Within Lemak 56.7% 43.3% 100.0% % Within TB/U 77.3% 30.2% 46.2% % Of 26.2% 20.0% 46.2% 70-80 (Kurang) Count 3 0 3 % Within Lemak 100.0%.0% 100.0% % Within TB/U 13.6%.0% 4.6% % Of 4.6%.0% 4.6% <70 (Defisit) Count 2 0 2 % Within Lemak 100.0%.0% 100.0% % Within TB/U 9.1%.0% 3.1% % Of 3.1%.0% 3.1% Count 22 43 65 % Within Lemak 33.8% 66.2% 100.0% % Within TB/U 100.0% 100.0% 100.0% % Of 33.8% 66.2% 100.0% 92

93 Konsumsi Lemak Status Gizi BB/TB Berdasarkan Konsumsi Lemak BB/TB Kurus Normal >100 (Baik) Count 0 30 30 % Within Lemak.0% 100.0% 100.0% % Within BB/TB.0% 50.0% 46.2% % Of.0% 46.2% 46.2% >80-99 (Sedang) Count 0 30 30 % Within Lemak.0% 100.0% 100.0% % Within BB/TB.0% 50.0% 46.2% % Of.0% 46.2% 46.2% 70-80 (Kurang) Count 3 0 3 % Within Lemak 100.0%.0% 100.0% % Within BB/TB 60.0%.0% 4.6% % Of 4.6%.0% 4.6% <70 (Defisit) Count 2 0 2 % Within Lemak 100.0%.0% 100.0% % Within BB/TB 40.0%.0% 3.1% % Of 3.1%.0% 3.1% Count 5 60 65 % Within Lemak 7.7% 92.3% 100.0% % Within BB/TB 100.0% 100.0% 100.0% % Of 7.7% 92.3% 100.0% 93

Lampiran 12 Dokumentasi Penelitian Gambar 1. Penimbangan Berat Badan Balita Gambar 2. Wawancara dengan ibu balita 94

Gambar 3. Pengukuran Tinggi Badan Balita 95