Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra

Abstract

Stunting prevalence varies significantly across Indonesian provinces and districts/municipalities, including West Sumatra. This research aims to identify the driving and inhibiting factors for implementing the stunting reduction acceleration program at the district level in West Sumatra. The research was conducted in 2022 with a qualitative study design and a case study approach. Data were collected through (i) group interviews with key informants involving policymakers and program managers at the provincial, district, sub-district, and village levels and (ii) in-depth interviews with mothers of stunted children. Two districts were selected as research sites. One district represents an area that has yet to be developed (District A or failed district). The other district has seen a significant reduction in the prevalence of stunting (District B or successful district). We found several driving and inhibiting factors that affect the reduced prevalence of stunting, such as the need for the relevant agency to play a strong role as the leading and responsible sector for stunting convergence actions. Another important factor is paying close attention to improving the quality of stunting data and providing adequate funding support. High commitment from Public Health Centers to maternal health through classes for pregnant women, infants, and children under the age of five can also have an impact. Furthermore, properly performing duties by assigned actors in specific and sensitive programs and integrated monitoring and evaluation of program implementation and outcomes can influence stunting prevalence. Recommendations for accelerating stunting reduction include improving communication and coordination, establishing stunting prevalence reduction as a performance indicator among the related district government and its various agencies, and assisting the village administration with planning and budgeting to support stunting prevention.

Health education lecture method to increase posyandu cadres' knowledge about stunting prevention in children

“…Although the lecture method has advantages in increasing knowledge, keep in mind that its effectiveness can also be influenced by other factors such as the material's quality, the speaker's ability, and continuous support for applying knowledge in the daily practice of Posyandu cadres. Therefore, combining other educational methods and a holistic approach can be a more effective strategy for preventing stunting in children (Syafrawati et al, 2023).…”

Emergence of National Nutrition Policy in the Lao People’s Democratic Republic: an analysis of collaborations between governmental and external actors

“…However, each country faces unique challenges in implementing their nutrition plans and achieving their goals. For example, Indonesia's nutrition plan has encountered difficulties in addressing the high prevalence of stunting and wasting in some regions due to various factors, including poor coordination, inadequate strategies, limited stakeholder engagement, unequal collaboration structures, a shortage of human resources, and budget constraints [ 43 , 44 ].…”

Analisis Tren Jumlah Balita Stunting Kota Madiun Tahun 2019-2021

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