Pendampingan Ibu Hamil Trimester III (Slamet R. Yuwono, dkk) 311 PENDAMPINGAN IBU HAMIL TRIMESTER III MENINGKATKAN PRAKTEK PEMBERIAN ASI DAN STATUS GIZI BALITA 0-4 BULAN (III rd Trimester Pregnant Women Mentoring Improve Breastfeeding Practice and Nutritional Status Of 0-4 Months Children) Slamet Riyadi Yuwono*, Taufiqurrahman*, Ni Ketut Sri Sulendri** *Jurusan Gizi Poltekkes Kemenkes Surabaya, Jalan Pucang Jajar Tengah No.56, Surabaya 60282 ** Jurusan Gizi Poltekkes Kmenkes Mataram Email : s_riyadiyuwono@yahoo.com ABSTRAK Pendahuluan: Hasil Riskesdas 2010 menunjukkan bahwa Cakupan tertinggi terdapat pada bayi kelompok umur 0 bulan (39,8 %) dan terendah pada bayi dengan kelompok umur 5 bulan (15,3 %). Prevalensi balita stunting (pendek+sangat pendek) di propinsi NTB adalah 43,7% Angka tersebut berada di atas angka nasional (36,5%), dan secara umum masalah balita stunting (pendek+sangat pendek) di provinsi NTB masih cukup tinggi karena memiliki prevalensi di atas 20%. Untuk itu peneliti melakukan penelitian untuk mencari model pendampingan yang tepat,sebaagai salah satu upaya untuk mengatasi masalah status gizi. Metode: Disain penelitiannya adalah rancangan penelitian Eksperimen Sederhana dengan jenis post-test only control group design. Penelitian akan dilaksankan di Madiun-Jawa Timur dan Mataram-NTB, mulai April s/d Oktober 2015. Hasil: Ada perbedaan yang signifikan praktek pemberian ASI eksklusif dari ibu yang mendapatkan pendampingan dengan metode home visit dengan ibu yang tidak mendapat pendampingan. Bayi dari ibu yang mendapatkan pendampingan mempunyai peluang/kesempatan untuk menyusui ASI saja sebesar 9,333 kali lebih tinggi dibandingkan bayi dari ibu yang tidak mendapat pendampingan. Z-score balita dari ibu yang mendapat pendampingan mempunyai nilai sedikit lebih tinggi dibandingkan yang tidak mendapat pendampingan, namun secara statistik tidak terdapat perbedaan yang signifikan status gizi balita 0-3 bulan dari kedua kelompok. Pembahasan: Sehubungan dengan hasil tersebut direkomenadasikan untuk menggunakan model pendampingan “home visit pada ibu hamil trimester 3” agar praktek pemberian ASI eksklusif meningkat. Kata Kunci: Pendampingan Ibu Hamil Trimester III, Home Visit,ASI, Status Gizi ABSTRACT Introduction: Results of Riskesdas in 2010 showed that the highest coverage was on 0 month age group infants (39,8%) and the lowest was on 5 months age group infants (15,3). Prevalence of stunted chlidren (short + very short) in NTB (West Nusa Tenggara) province is 43,7%. That rate is above the national rate (36,5%) and in general, stunted children problem in NTB province is still quite high because of the prevalence is over 20%. Therefore, the researchers conducted research to find exact mentoring model as an effort to solve nutritional status problems. Methods: The research design was simple experimental research design with the type of post-test only control group design. The research was conducted in Madiun-East java and Mataram-NTB started from April until October 2015. Result: There was a significant difference in exclusive breastfeeding practice between mothers who received the mentoring through home visit method with mothers who did not receive the mentoring. Infants of mothers who received the mentoring had opportunity / chance to breastfeed 9,333 times higher than infants of mothers who did not receive the mentoring. Discussion: Z-score of infants of mothers who received the mentoring had sligtly higher score than infants of mothers who did not receive the mentoring, but statistically there was no significant difference in 0-3 months infants nutritional status between both group. In connection with those results, it is recommended to use the mentoring model of “home visit to 3 rd trimester pregnant women” in order to increase the exclusive breastfeeding practice. Keywords: 3 rd trimester pregnant women mentoring, home visit, nutritional status. INTRODUCTION Data of WHO showed concern rate which known as 2/3 phenomenon, that was mass infants (0-1 years old) mortalities occurred on neonatal period (0-28 days new born infants). Those early neonatal mortalities were occurred on the first day of birth. The underlying cause of 54% infants’ mortality was malnutrition. Data of World Health Organization (WHO) show there are 170 million children have malnutrition in worldwide, including 3 million of them die each year due to malnutrition. According to data o National Health Survey (Susenas) in 2010, it is known that only 33,6% of infants in Indonesian who received exclusive breastfeeding. This means there are still about 2/3 infants in Indonesia who are less lucky. So, a campaign of exclusive breastfeeding increment is needed and encouraging local government and private sectors to support that. There are several factors that cause the low coverage of