What is UPGK?

UPGK

UPGK (Usaha Peningkatan Gizi Keluarga) is a program of improvement on family nutrient in Indonesia which is held in POSYANDU (post of combined services)

The meaning of UPGK
UPGK is an effort of family to improve the nutrient for all family members.
UPGK is held by family together with society by guidance of the official: HEALTH, FAMILY PLANNING (KB), AGRICULTURE, RELIGION, SOCIAL, EDUCATION AND CULTURE, PUBLIC FIGURE, SOCIAL SELF-SUPPORTING ACTIVITY GROUP (LSM).

Objective
A. Family nutrient improvement

1. Every child under five’s body weight increases every year
2. The number of KEP sufferer decreases or not exist
3. The number of pregnant women with blood deficiency decreases
4. The number of cretinous baby decreases
5. The sufferer of vitamin A deficiency (KVA) decreases
6. Fertile woman (WUS) who lack of chronic energy (KEK) decreases

B. Behaviors which support nutrient improvement

• Pregnant woman regularly checks
• Pregnant woman eats more portion, minimum 4 plates
• TT Injection
• Fertile couple participates in KB (Family Planning)
• The use of iodized salt
• Exclusive mother’s milk for 6 months
• Giving oralit to the sufferer of diarrhea
• Giving vitamin A to child under five and mother in parturition
• Immunization towards baby, prospective bride-bridegroom, primary school student, and pregnant mother
• Weighing children regularly every month

C. Participation and even distribution in activities
The activities extend by, from, and for the public.

TARGET : WUS, pregnant woman, breast-feeding mother, baby, child under five, and advanced age
ACTIVITY : Nutrient service at posyandu
Illumination
Making use of yard

The implementer of UPGK is KADER (cadre)

• KADER of UPGK
• WORK SINCERELY AND VOLUNTARILY
• WILLING AND CAPABLE OF DOING ACTIVITIES
• ABLE TO ORGANIZE THE ACTIVITIES

POSYANDU

Posyandu (post of combined services) is a center of public activities where UPGK programs are held, includes the following 5 programs:

• KB
• KIA
• Nutrient
• Immunization
• Diarrhea

Target : pregnant mother, breast-feeding mother, baby, child under five, WUS, and advanced age

The implementation is using a system of 5 tables:
I. Registration
II. Weighing
III. Recording
IV. Service and Illumination
V. Service by interrelated official: consultation, treatment

Program of activity development at posyandu:

1. The dental health effort of rural society (UKGMD)
2. Supporting Group of KIA (KP-KIA), PP-ASI
3. Combined Service (Yandu) of advanced age
4. TOGA
5. PJB (Occasionally monitoring of mosquito larva)
6. Oralit Corner, ASI (mother’s milk) Corner
7. PHBS
8. Health funds
9. BKB, BKL, BKR
10. UPPKS
11. SAMIJAGA

YANDU OF ADVANCED AGE

1. DEFFINITION
Posyandu of Advanced Age: an activity place for the advanced age in maintaining health and improving welfare and making efficient use of advanced age.

2. STRUCTURE and DEVALOPMENT

Chairman
Secretary
Treasurer
Section: Health
Sport
Art
Spirituality
Pangrukti loyo (funeral)
Etc, adjusted with the local condition and capability

3. DIRECT TARGET

• Pre-senile age of 45 – 51
• Age of 60 – 64
• High-risk age of > 70 or 60 who has health problem

4. EQUIPMENT
a. REGISTER and other administration book
b. KMS and status card
c. Scales and body tall gauge
d. Tension gauge and stethoscope
e. Place

5. ACTIVITY
a. Registration
b. Body weight and tall measurement to determine the body mass index (IMT)
c. Sport
d. Illumination
e. Laboratory examination
f. And other activity adjusted with local condition

6. ANALYSIS OF MONITORING
1. Indicator of coverage : K/S
2. Indicator of participation : D/S
3. Indicator of nutrient progra : H/D
4. Indicator of fitness : D/S
5. Indicator of health : T/D or P/D

7. DATA OF MONITORING
1. The number of all advanced age : S
2. The number of advanced age with KMS : K
3. The number of advanced age who come to posyandu : D
4. The number of green IMT : H
5. The number of advanced age with normal tension : T
6. The number of advanced age who’s active in sport/gym : O
7. The number of advanced age with disease risk : P

9. ACTIVITY ORDER AT POSYANDU OF ADVANCED AGE

TABLE I Registration
Books: KMS, control card
TABLE II Weighing and body tall measurement
Tension measurement
TABLE III Recording (KMS and IMT)
TABLE IV Vitamin/medicine service
PMT service
Illumination
TABLE V Cross-sector
Laboratory service
Health consultation and examination service
Service of Medicine

SIRCULATION OF POSYANDU SERVICE

CHILD UNDER FIVE ADVANCED AGE

TABLE I REGISTRATION.................TABLE I REGISTRATION
Attendant list book and Control Card.............LILA Measurement


TABLE II WEIGHING.............TABLE II WEIGHING
Carrying out of weighing.............Measure body weight and tall


TABLE III RECORDING............. TABLE III RECORDING
Filling in the control card filling in the KMS and IMT determination........ Filling in the KMS
Body Weigh Interpretation (standard KMS) .........Filling in the immunization


TABLE IV SERVICE AND ILLUMINATION......... TABLE IV SERVICE AND ........................................................ILLUMINATION
Nutrition giving (Vit. A, Fe) and Vitamin service, PMT, Illumination
Alcon
PMT.........................................................Vitamin Service, Illumination

TABLE V
CROSS-SECTOR
Laboratory
Health Consultation and Examination
Service of Medicine

MOTHER LOVING MOVEMENT (GSI)

I. DEFFINITION
The movement of accelerating the decrease of death rate of bearing mother and pregnant mother which is held together with the government and society.

II. KSI
Kecamatan sayang ibu (Sub-district loves mother) is kecamatan which operates the GSI activity.

III. TARGET OF ACTIVITY: pregnant mother, bearing mother and children

IV. IMPLEMENTATION OF ACTIVITY
A. PREGNANT MOTHER CARE
Identification of pregnant mother by health staff
Pregnant mother with risk by kader (cadre)
Recording and data collecting
Monitoring

• Minimum 4 times examination at health service place
• Consumption of tablet to increase blood every day
• Advice to bear at health service place

B. BEARING MOTHER CARE
The existence of BACKGROUND

1. Late to recognize the danger
2. Late to arrive at referral facility
3. Late to accept help at referral facility

The need of preventive efforts
1. Funds collecting
Tabulin : a cut of arisan
Jimpitan
Saving money from rest of expense
2. Blood donor registration --- preparation of obstetrical emergency
3. Rural Ambulance: public/government vehicle to carry the bearing mother to the referral place of birth

C. AFTER BIRTH

• KB (family planning)
• Service of vitamin A for mother of parturition
• Giving Fe until 40 days after bearing

V. STRATEGY OF IMPLEMENTATION
1. Collecting data by approach toward cross-sector:

• Camat
• Social Division
• PKK

2. Mapping
3. The approach toward cadre and people (identification of pregnant mother, high risk, risti factor)
4. Giving the direct health facility in order to facilitate the program implementation.