Factor Affected Stunting Prevention in North Bengkulu District: a Qualitative Study
Abstract
Stunting has been a considerable problem that indicates the poor level of public health in Indonesia. There are various efforts made to reduce stunting rates. The North Bengkulu regency has significantly successfully reduced the stunting rate over three years. This study aims to determine the measures to accelerate stunting reduction in the North Bengkulu regency. This is a qualitative descriptive study with data collected through focus group discussions and in-depth interviews. The study was implemented at the North Bengkulu regency in October 2021. There were five participants in the focus group discussion, and two participants were in-depth interviewed. The data were then transcribed verbatim and analyzed using the narrative analysis technique. The result of this study shows that the Head of the North Bengkulu Regency has been an outstanding leader with a strong commitment and vision to prevent stunting. The head of villages in North Bengkulu regency collaborates with public health centers in using village funds and determining the priority scale for stunting prevention. The involvement of cadres to empower the community is essential. The implementation of cross-program cooperation has been implemented. However, the cross-sectoral collaboration was not optimal. There is a difference in determining to stunt between cadres and nutrition workers. The training for stunting cadres and nutrition officers was carried out in stages. The cross-sectoral collaboration needs to increase to improve the program's effectiveness. The cadres and nutritionists need to train to determine stunting rates.
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Erik, Rohman A, Rosyana A, Rianti A, Muhaemi A, Yuni EE, Fauziah F, et al. Stunting pada anak usia dini (study kasus di Desa Mirat Kec Lewimunding Majalengka). Etos. 2020;2(1):24–36.
Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 demographic and health survey. BMC Public Health. 2019;19(1):175.
Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: a multilevel analysis of the 2013 Indonesia basic health survey. Nutrients. 2019;11(5):1106.
Flora R. Stunting dalam kajian molekuler. Palembang: Unsri Press: 2021.
de Onis M, Branca F. Childhood stunting: a global perspective. Matern Child Nutr. 2016;12(Suppl 1):12–26.
Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, et al. Risk factors for childhood stunting in 137 developing countries: a comparative risk assessment analysis at global, regional, and country levels. PLoS Med. 2016;13(11):e1002164.
Budiastutik I, Rahfiludin MZ. Faktor risiko stunting pada anak di negara berkembang. Amerta Nutr. 2019;3(3):122–9.
Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia tahun 2019. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.
Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan Republik Indonesia. Laporan Provinsi Bengkulu Riskesdas 2018. Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan; 2019.
Media Center Pemerintah Kabupaten Bengkulu Utara. BU mewakili Provinsi Bengkulu lomba stunting tingkat nasional [Internet]. Bengkulu Utara: Media Center Pemerintah Kabupaten Bengkulu Utara; 2020 [cited 2022 March 15]. Available from: https://mediacenter.bengkuluutarakab.go.id/berita/bu-mewakili-provinsi-bengkulu-lomba-stunting-tingkat-nasional.
Sugiyono. Metode penelitian kuantitatif kualitatif dan R&D. Bandung: Alfabeta; 2011.
Direktorat Gizi Masyarakat, Direktorat Jenderal Kesehatan Masyarakat, Kementerian Kesehatan Republik Indonesia. Rencana aksi kegiatan Direktorat Gizi Masyarakat tahun 2020–2025 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020 [cited 2022 April 10]. Available from: https://gizi.kemkes.go.id/katalog/rak-pembinaan-gizi-masyarakat.pdf.
Tim Nasional Percepatan Penanggulangan Kemiskinan. Strategi nasional percepatan pencegahan anak kerdil (stunting) periode 2018–2024 [Internet]. Jakarta: Tim Nasional Percepatan Penanggulangan Kemiskinan; 2018 [cited 2022 April 15]. Available from: https://www.tnp2k.go.id/filemanager/files/Rakornis%202018/Stranas%20Percepatan%20Pencegahan%20Anak%20Kerdil.pdf.
Fauzy A, Adlin. Political will Pemerintah Kabupaten Pelalawan terhadap pelestarian satwa di Taman Nasional Tesso Nilo tahun 2011–2012. JOM FISIP. 2015;2(2):1–13.
Notoatmodjo S. Promosi kesehatan dan perilaku kesehatan. Revised Edition. Jakarta: PT Rineka Cipta; 2012.
Husaini M. Karakteristik sosial ekonomi rumah tangga dan tingkat ketahanan pangan rumah tangga petani di Kabupaten Barito Kuala. Agrides. 2012;4(2):320–32.
Damanik IPN. Strategi rumah tangga dalam memenuhi kebutuhan pangan (studi kasus: Desa Latuhalat Kecamatan Nusaniwe Kota Ambon). J Agroforestri. 2008;3(2):80–6.
Sari MR, Prishardoyo B. Faktor-faktor yang mempengaruhi kerawanan pangan rumah tangga miskin di Desa Wiru Kecamatan Bringin Kabupaten Semarang. Jejak. 2009;2(2):135–43.
Sianipar JE, Hartono S, Hutapea RTP. Analisis ketahanan pangan rumah tangga tani di Kabupaten Manokwari. Sepa. 2012;8(2):68–74.
United Nations Children’s Fund. Tracking progress child and maternal nutrition: a survival and development priority. New York: United Nations Children’s Fund; 2009.
Ihab AN, Rohana AJ, Wan Manan WM, Wan Suriati WN, Zalilah MS, Rusli AM. Nutritional outcomes related to household food insecurity among mothers in rural Malaysia. J Health Popul Nutr. 2013;31(4):480–9.
Hayati AW, Hardiansyah, Jalal F, Madanijah S, Briawan D. Pola konsumsi pangan dan asupan energi dan zat gizi anak stunting dan tidak stunting 0–23 bulan. J Gizi Pangan. 2012;7(2):73–80.
Fiese BH, Gundersen C, Koester B, Jones B. Family chaos and lack of mealtime planning is associated with food insecurity in low income households. Econ Hum Biol. 2016;21:147–55.
Drennen CR, Coleman SM, Ettinger de Cuba S, Frank DA, Chilton M, Cook JT, et al. Food insecurity, health, and development in children under age four years. Pediatrics. 2019;144(4):e20190824.
Kementerian Perencanaan Pembangunan Nasional Republik Indonesia/Badan Perencanaan dan Pembangunan Nasional. Pedoman pelaksanaan intervensi penurunan stunting terintegrasi di kabupaten/kota [Internet]. Jakarta: Kementerian Perencanaan Pembangunan Nasional Republik Indonesia/Badan Perencanaan dan Pembangunan Nasional; 2018 [cited 2022 June 28]. Available from: https://www.tnp2k.go.id/filemanager/files/Rakornis%202018/Pedoman%20Pelaksanaan%20Intervensi%20Penurunan%20Stunting%20Terintegrasi%20Di%20Kabupaten%20Kota.pdf.
Tim Percepatan Pencegahan Anak Kerdil (Stunting)/TP2AK. Pedoman pelaksanaan monitoring dan evaluasi (Monev) strategi nasional percepatan pencegahan anak kerdil (stunting) periode 2018–2024 [Internet]. Jakarta: Tim Percepatan Pencegahan Anak Kerdil (Stunting)/TP2AK; 2020 [cited 2022 June 29]. Available from: https://dashboard.stunting.go.id/wp-content/uploads/2021/02/Pedoman%20Pelaksanaan%20Monev%20Stranas%20Stunting_FinalRevision.pdf.
DOI: https://doi.org/10.29313/gmhc.v10i2.9496
pISSN 2301-9123 | eISSN 2460-5441
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