FORMULIR METODE FREKUENSI MAKANAN Nama Bahan Makanan

(1)

FORMULIR METODE RECALL

Hari Ke :...

Waktu

Makan

Nama

Masakan

Bahan Makanan

Jenis

Banyaknya

Keterangan

URT

Gr

Pagi/Jam

Siang/Jam

(2)

FORMULIR METODE FREKUENSI MAKANAN

Nama Bahan

Makanan

Frekuensi Konsumsi

Keterangan

Tidak

-

hasil olahannya.

4. Minyak

dan

lemak

-

minyak kelapa

-

minyak sawit

-

minyak kacang

tanah

(3)

5. Buah/

Biji

Berminyak

-

kacang mete

-

kelapa

-

kemiri

-

wijen

(4)

DAFTAR SUSUNAN ANGGOTA RUMAH TANGGA

Nama Kepala Keluarga

:

Kode Rumah Tangga :

Alamat

:

Nama Anggota

Rumah Tangga

Hubungan

dengan

KK

Umur

Jenis

Kelamin

Pendidikan Pekerjaan

Utama

(5)

Lampiran

No

Nama

JK

Umur

JAK

Pekerjaan

Pendidikan

TKE

TKP

TRP

1 Resman

1

2

12

3

2

3

1

(6)

Keterangan

JK :

Jenis Kelamin

Umur : Umur kepala keluarga

JAK : Jumlah Anggota Keluarga

TKE : Tingkat Kecukupan Energi

1 = Laki-laki

1 : 20 -29 tahun

1 :

≤ 4

1 : Baik

2 = Perempuan

2 : 30 - 49 tahun

2 : 5-6

2 : Sedang

3 : 50 - 64 tahun

3:

≥ 7

3 : Kurang

4 : Defisit

Pekerjaan

TKP : Tingkat Kecukupan Protein

TKP : Tingkat Ragam Pangan

1:

Kontraktor

_{1 : Baik}

2:

Security

_{2 : Sedang}

3:

Kepling

_{3 : Kurang}

4:

Karyawan Swasta

_{4 : Defisit}

5:

Guru

6:

Wirausaha

7:

Supir

8:

Mocok

9:

Tukang Becak

(7)

Jenis Kelamin Kepala keluarga

Frequency Percent Valid Percent

Cumulative Percent

Valid Laki-laki 28 93.3 93.3 93.3

Perempuan 2 6.7 6.7 100.0

Total 30 100.0 100.0

Umur Kepala Keluarga

Cumulative

Jumlah Anggota Keluarga

Cumulative Percent

Valid Kecil 19 63.3 63.3 63.3

Sedang 11 36.7 36.7 100.0

Total 30 100.0 100.0

Pekerjaan Kepala Keluarga

(8)

Pendidikan Kepala Keluarga

Cumulative

Tingkat Kecukupan Energi

Cumulative

Tingkat Kecukupan Protein

Cumulative

Tingkat Keragaman Pangan

Cumulative Percent

Valid Tinggi 27 90.0 90.0 90.0

Sedang 3 10.0 10.0 100.0

(9)

Tingkat Kecukupan Energi * Jumlah Anggota Keluarga Crosstabulation Jumlah Anggota Keluarga

Total Kecil Sedang

Tingkat Kecukupan Energi

Baik Count 3 5 8

% within Jumlah Anggota Keluarga

15.8% 45.5% 26.7%

% of Total 10.0% 16.7% 26.7%

Sedang Count 11 4 15

57.9% 36.4% 50.0%

% of Total 36.7% 13.3% 50.0%

Kurang Count 5 2 7

26.3% 18.2% 23.3%

% of Total 16.7% 6.7% 23.3%

Total Count 19 11 30

100.0% 100.0% 100.0%

% of Total 63.3% 36.7% 100.0%

Pekerjaan Kepala Keluarga * Tingkat Kecukupan Energi Crosstabulation

Total Baik Sedang Kurang

Pekerjaan Kepala Keluarga

Kontraktor Count 1 0 0 1

% within Tingkat Kecukupan Energi

12.5% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Security Count 1 1 0 2

12.5% 6.7% .0% 6.7%

% of Total 3.3% 3.3% .0% 6.7%

Kepling Count 1 0 0 1

12.5% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Karyawan Swasta

Count 1 8 3 12

12.5% 53.3% 42.9% 40.0%

% of Total 3.3% 26.7% 10.0% 40.0%

Guru Count 2 0 0 2

25.0% .0% .0% 6.7%

% of Total 6.7% .0% .0% 6.7%

Wirausaha Count 1 0 0 1

12.5% .0% .0% 3.3%

(10)

Supir Count 0 2 3 5 % within Tingkat

Kecukupan Energi

.0% 13.3% 42.9% 16.7%

% of Total .0% 6.7% 10.0% 16.7%

Mocok Count 0 1 0 1

.0% 6.7% .0% 3.3%

% of Total .0% 3.3% .0% 3.3%

Tukang Becak Count 0 0 1 1

.0% .0% 14.3% 3.3%

% of Total .0% .0% 3.3% 3.3%

Pengacara Count 1 0 0 1

12.5% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Buruh Cuci Count 0 1 0 1

.0% 6.7% .0% 3.3%

% of Total .0% 3.3% .0% 3.3%

Tukang Bangunan

Count 0 2 0 2

.0% 13.3% .0% 6.7%

% of Total .0% 6.7% .0% 6.7%

Total Count 8 15 7 30

100.0% 100.0% 100.0% 100.0%

% of Total 26.7% 50.0% 23.3% 100.0%

Tingkat Kecukupan Energi * Pendidikan Kepala Keluarga Crosstabulation

Pendidikan Kepala Keluarga

Total SD SMP SMA Sarjana

Baik Count 0 0 5 3 8

% within Pendidikan Kepala Keluarga

.0% .0% 25.0% 100.0% 26.7%

% of Total .0% .0% 16.7% 10.0% 26.7%

Sedang Count 1 5 9 0 15

50.0% 100.0% 45.0% .0% 50.0%

% of Total 3.3% 16.7% 30.0% .0% 50.0%

Kurang Count 1 0 6 0 7

50.0% .0% 30.0% .0% 23.3%

% of Total 3.3% .0% 20.0% .0% 23.3%

Total Count 2 5 20 3 30

(11)

Tingkat Kecukupan Protein * Jumlah Anggota Keluarga Crosstabulation

Jumlah Anggota Keluarga

Total Kecil Sedang

Tingkat Kecukupan Protein Baik Count 3 3 6

15.8% 27.3% 20.0%

% of Total 10.0% 10.0% 20.0%

Sedang Count 7 4 11

36.8% 36.4% 36.7%

% of Total 23.3% 13.3% 36.7%

Kurang Count 9 4 13

47.4% 36.4% 43.3%

% of Total 30.0% 13.3% 43.3%

100.0% 100.0% 100.0%

% of Total 63.3% 36.7% 100.0%

Pekerjaan Kepala Keluarga * Tingkat Kecukupan Protein Crosstabulation Tingkat Kecukupan Protein

Kontraktor Count 1 0 0 1

% within Tingkat Kecukupan Protein

16.7% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Security Count 0 2 0 2

.0% 18.2% .0% 6.7%

% of Total .0% 6.7% .0% 6.7%

Kepling Count 1 0 0 1

16.7% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Karyawan Swasta

Count 0 6 6 12

.0% 54.5% 46.2% 40.0%

% of Total .0% 20.0% 20.0% 40.0%

Guru Count 2 0 0 2

33.3% .0% .0% 6.7%

% of Total 6.7% .0% .0% 6.7%

Wirausaha Count 1 0 0 1

16.7% .0% .0% 3.3%

(12)

Supir Count 0 2 3 5 % within Tingkat

Kecukupan Protein

.0% 18.2% 23.1% 16.7%

% of Total .0% 6.7% 10.0% 16.7%

Mocok Count 0 1 0 1

.0% 9.1% .0% 3.3%

% of Total .0% 3.3% .0% 3.3%

Tukang Becak

Count 0 0 1 1

.0% .0% 7.7% 3.3%

% of Total .0% .0% 3.3% 3.3%

Pengacara Count 1 0 0 1

16.7% .0% .0% 3.3%

% of Total 3.3% .0% .0% 3.3%

Buruh Cuci Count 0 0 1 1

.0% .0% 7.7% 3.3%

% of Total .0% .0% 3.3% 3.3%

Tukang Bangunan

Count 0 0 2 2

.0% .0% 15.4% 6.7%

% of Total .0% .0% 6.7% 6.7%

100.0% 100.0% 100.0% 100.0%

% of Total 20.0% 36.7% 43.3% 100.0%

Tingkat Kecukupan Protein * Pendidikan Kepala Keluarga Crosstabulation

Total

SD SMP SMA Sarjana

Tingkat Kecukupan Protein

Baik Count 0 0 3 3 6

.0% .0% 15.0% 100.0% 20.0%

% of Total .0% .0% 10.0% 10.0% 20.0%

.0% 80.0% 35.0% .0% 36.7%

% of Total .0% 13.3% 23.3% .0% 36.7%

Kurang Count 2 1 10 0 13

100.0% 20.0% 50.0% .0% 43.3%

% of Total 6.7% 3.3% 33.3% .0% 43.3%

100.0% 100.0% 100.0% 100.0% 100.0%

(13)

Tingkat Keragaman Pangan * Jumlah Anggota Keluarga Crosstabulation

Jumlah Anggota Keluarga

Total Kecil Sedang

Tingkat Keragaman Pangan Tinggi Count 16 11 27

84.2% 100.0% 90.0%

% of Total 53.3% 36.7% 90.0%

Sedang Count 3 0 3

15.8% .0% 10.0%

% of Total 10.0% .0% 10.0%

100.0% 100.0% 100.0%

% of Total 63.3% 36.7% 100.0%

Pekerjaan Kepala Keluarga * Tingkat Keragaman Pangan Crosstabulation Tingkat Keragaman Pangan

Total Tinggi Sedang

Kontraktor Count 1 0 1

% within Tingkat Keragaman Pangan

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Security Count 2 0 2

7.4% .0% 6.7%

% of Total 6.7% .0% 6.7%

Kepling Count 1 0 1

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Karyawan Swasta

Count 12 0 12

44.4% .0% 40.0%

% of Total 40.0% .0% 40.0%

Guru Count 2 0 2

7.4% .0% 6.7%

% of Total 6.7% .0% 6.7%

Wirausaha Count 1 0 1

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Supir Count 3 2 5

11.1% 66.7% 16.7%

(14)

Mocok Count 1 0 1 % within Tingkat

Keragaman Pangan

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Tukang Becak

Count 0 1 1

.0% 33.3% 3.3%

% of Total .0% 3.3% 3.3%

Pengacara Count 1 0 1

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Buruh Cuci Count 1 0 1

3.7% .0% 3.3%

% of Total 3.3% .0% 3.3%

Tukang Bangunan

Count 2 0 2

7.4% .0% 6.7%

% of Total 6.7% .0% 6.7%

Total Count 27 3 30

100.0% 100.0% 100.0%

% of Total 90.0% 10.0% 100.0%

Tingkat Keragaman Pangan * Pendidikan Kepala Keluarga Crosstabulation

Total

SD SMP SMA Sarjana

Tingkat Keragaman Pangan

Tinggi Count 2 5 17 3 27

100.0% 100.0% 85.0% 100.0% 90.0%

% of Total 6.7% 16.7% 56.7% 10.0% 90.0%

.0% .0% 15.0% .0% 10.0%

% of Total .0% .0% 10.0% .0% 10.0%

100.0% 100.0% 100.0% 100.0% 100.0%

(15)

Tingkat Keragaman Pangan * Tingkat Kecukupan Energi Crosstabulation

Tinggi Count 8 15 4 27

100.0% 100.0% 57.1% 90.0%

% of Total 26.7% 50.0% 13.3% 90.0%

Sedang Count 0 0 3 3

.0% .0% 42.9% 10.0%

% of Total .0% .0% 10.0% 10.0%

100.0% 100.0% 100.0% 100.0%

% of Total 26.7% 50.0% 23.3% 100.0%

Tingkat Keragaman Pangan * Tingkat Kecukupan Protein Crosstabulation

Tingkat Kecukupan Protein

Tinggi Count 6 11 10 27

100.0% 100.0% 76.9% 90.0%

% of Total 20.0% 36.7% 33.3% 90.0%

Sedang Count 0 0 3 3

.0% .0% 23.1% 10.0%

% of Total .0% .0% 10.0% 10.0%

100.0% 100.0% 100.0% 100.0%

(16)

(17)

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Gambar I

: Melakukan recall kepada salah seorang ibu rumah tangga yang

menjadi anggota P2KP

(19)