District Health Office of North Lombok Regency is developed a Public Service Announcement (PSA) to dealing with high stunting prevalence, by inform people about poor sanitation behavior and stunting. Using SaniFOAM framework, this study aimed to critically analyzed the sanitation behavior, its setting, narratives, images, conversations conveyed by the PSA and their intertextuality with socio-cultural background of the rural society, to see if it's an effective communication media in advocating public to stop open defecation. Fairclough's Critical Discourse Analysis used to identify what sanitation behavior to change; social norms including potential sanctions or enforcement leading to behavior change; required knowledge, and sources of social support to adopting healthier behavior; and to realize the individual and community attitudes, and values as drivers for the change. The result indicated handwashing was not reminded; believing in shaman allowed them to spread knowledge and motivate improved attitudes toward environmental health. AbstrakDinas Kesehatan Kabupaten Lombok Utara membuat Iklan Layanan Masyarakat (ILM) untuk menghadapi tingginya kasus stunting, dengan menyampaikan informasi tentang perilaku sanitasi yang buruk dan kaitannya dengan stunting. Menggunakan kerangka SaniFOAM, kajian ini berusaha menganalisis secara kritis perilaku sanitasi, konteks, narasi, gambar, percakapan yang disajikan dalam ILM, serta keterkaitannya dengan latar belakang sosial budaya masyarakat pedesaan, dengan tujuan mengkaji sejauh mana ILM menjadi media komunikasi efektif dalam mengadvokasi masyarakat agar berhenti buang air besar sembarangan. Analisis Wacana Kritis Fairclough digunakan untuk mengidentifikasi perilaku sanitasi yang perlu diubah; norma sosial termasuk penegakan serta sanksi menuju adopsi perilaku baru; pengetahuan dan sumber dukungan untuk melakukan perilaku yang lebih sehat; dan memahami sikap dan nilai individu maupun masyarakat sebagai dasar perubahan perilaku. Hasil kajian ini menunjukkan bahwa mencuci tangan tidak menjadi fokus perilaku harus diubah; keyakinan pada dukun membuka peluang bagi mereka untuk berperan menyebarkan pengetahuan dan memotivasi sikap yang lebih sehat terhadap lingkungan.
Stunting is an indicator of chronic malnutrition in the first 1000 days of a child"s life. This threatens the quality of human resources of Indonesia. The local communities generally interpret stunting as "short" and use different terms such as "kerdil", "cebol", "kuntet", and "kuntring". Having short posture is frequently perceived as heredity rather than as malnutrition. Inadequate meanings derived from social perception process may lead mothers to ignore such behavior that will increase risks of stunting and undermine community participation in government-led programme to reduce stunting. This qualitative study aims to describe facts on how community preceived stunted children. Data were obtained through field observation and in-depth interviews with four mothers having under-five-aged children in Tangerang. Thematic analysis was used to analyse the collected data. This study revealed that stunting is not being associated with health or nutrition issues. In fact, participants perceive stunted children as smart children. Holding on to such perception may jeopardize optimal community participation in government"s efforts to reduce stunting prevalences. Design of appropriate activities may need to consider social perception held by local communities where the intervention will be implemented. ABSTRAKStunting adalah indikator kekurangan gizi kronis dalam periode 1000 hari pertama kehidupan seseorang. Hal ini mengancam kualitas sumber daya manusia Indonesia. Masyarakat setempat pada umumnya memaknai stunting sebatas "berbadan pendek" dengan menggunakan istilah yang berbeda, misalnya "kerdil", "cebol", "kuntet", dan ""kuntring"" sebagai akibat dari faktor keturunan. Perspektif persepsi sosial penting dalam pemaknaan tersebut, karena berpotensi mengabaikan perilaku berisiko anak stunting oleh para ibu dan menghambat partisipasi masyarakat dalam program pemerintah menurunkan kejadian stunting. Penelitian kualitatif ini bertujuan untuk mengetahui bagaimana masyarakat memaknai balita berbadan pendek. Data diperoleh melalui observasi dan wawancara mendalam dengan empat orang ibu yang memiliki anak balita di kabupaten Tangerang. Data diolah dengan analisis tematik. Hasil penelitian menunjukkan balita pendek tidak dikaitkan dengan masalah kesehatan maupun gizi, bahkan responden memandang anak ""kuntring"" sebagai anak yang pintar. Persepsi demikian dapat berdampak pada keterlibatan masyarakat yang tidak optimal dalam upaya pemerintah mengurangi kejadian stunting. Perencanaan intervensi pencegahan yang tepat perlu mempertimbangkan persepsi sosial yang berlaku dalam masyarakat.
In addition to COVID-19, stunting is another threat facing Indonesia. Although not as deadly as COVID-19, stunting requires immediate responses; otherwise it will burden our development agenda. Substantial evidences from application of Theory of Planned Behavior (TPB) accumulate significant relationship of health intentions to individuals’ behavior. Further extension of TPB that include other variables confirm the role of knowledge and risk perception in predicting health intentions and behavior. Similarly involve risk factors within public health area, risk communication of COVID-19 seems outperforms that of stunting. Using TPB’s perspective, this review of literature aims to analyze health promotion impacts of these health threats. Result indicates differences in risk communication strategy for COVID – indicated by emerging amateur health promoters – as to stunting. There is a need for intensive collaboration of Psychology and Communication studies in exploring communication strategies to help building health intentions toward performing risk-mitigating behaviors beyond COVID-19 and stunting alone.
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