THE POTENTIAL AND CONSTRAINTS FOR THE ACCELERATION OF STUNTING REDUCTION PROGRAM IN BALI PROVINCE
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Hertog Nursanyoto
Kadek Tresna Adhi
Anak Agung Ngurah Kusumajaya
Rofingatul Mubasyiroh
Sudikno Sudikno
Olwin Nainggolan
Ni Ketut Sutiari
I Made Suarjana
Pande Putu Januraga
Abstract
Bali has the potential for good health resources. That is why Bali has been identified as the province with the lowest prevalence of stunting. However, this success should not make stakeholders think this problem is resolved. Bali still has problems which, if not addressed, will trigger a further increase in the prevalence of stunting. Considering this, it is deemed necessary to explore the perspectives of nutrition fieldworkers and other stakeholders regarding the problem of stunting in Bali. This research aims to explore the potential and constraints to accelerating stunting reduction in Bali. This is qualitative research conducted between June and July 2022. Data was collected through in-depth interviews and focus group discussions. This study found that access to affordable health services is the main potential to support the acceleration of stunting reduction. Apart from that, there is a Balinese Traditional Village Council which always synergizes with government programs for the welfare of the community. The low quality of cadres is an obstacle to the success of the program. Many parents hesitate to take their children to posyandu because they are not satisfied with the cadre's services. Apart from that, there are other inhibiting factors, such as society's wrong understanding of stunting, teenage marriage, lack of environmental hygiene and sanitation, and inappropriate parenting patterns. This condition needs attention so that the acceleration of stunting reduction in Bali can be achieved as optimally as possible.
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References
Suryana EA, Azis M. The Potential of Economic Loss due to Stunting in Indonesia. J Ekon Kesehat Indones. 2023;8(1):52–65. Available from: https://jurnalkesmas.ui.ac.id/jurnal-eki/ article/view/6796
Bagriansky J, Champa N, Pak K, Whitney S, Laillou A. The economic consequences of malnutrition in Cambodia, more than 400 million US dollar lost annually. Asia Pac J Clin Nutr. 2014;23(4):524–31. doi: 10.6133/apjcn.2014.23.4.08
Jaya IGNM, Kristiani F, Chadidjah A. Modeling prevalence of stunting in relation to human development index in Indonesia. J Math Comput Sci. 2022;12:150. doi:https://doi.org/10.28919/jmcs/7316
Anam SF, Saputra SA.The effect of human development index (IPM), gini ratio and gross domestic products on the number of stunting in Indonesia. International Journal of Innovative Science and Research Technology. 2021; 6(2):926-929. Scribd : https://bit.ly/3qyc0sN.
Ssentongo P, Ssentongo AE, Ba DM, Ericson JE, Na M, Gao X, et al. Global, regional and national epidemiology and prevalence of child stunting, wasting and underweight in low- and middle-income countries, 2006–2018. Sci Rep. 2021 Dec 1;11(1).
Kementerian Kesehatan RI. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2021. Available from: http://www.badankebijakan. kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
Maria I, Nurjannah N, Usman S, Program, Magister S, Masyarakat K, et al. Analisis Determinan Stunting menurut Wilayah Geografi di Indonesia Tahun 2018. Maj Kesehat FKUB. 2020;7(4):239–50. DOI: https://doi.org/10.21776/ub.majalahkesehatan.2020.007.04.4
Satriawan D. Pengelompokan Provinsi di Indonesia Berdasarkan Faktor Penyebab Balita Stunting. Bul Penelit Sist Kesehat. 2021;24(4):308–17.doi: https://doi.org/10. 22435/hsr.v24i4.4341
Direktorat Statistik Kesejahteraan Rakyat. Perkawinan Usia Anak di Indonesia 2013 dan 2015 (Edisi Revisi). Amannullah G, editor. Jakarta: Badan Pusat Statistik; 2017. 69 + x hal.
Kusumajaya AAN, Mubasyiroh R, Sudikno S, Nainggolan O, Nursanyoto H, Sutiari NK, et al. Sociodemographic and Healthcare Factors Associated with Stunting in Children Aged 6–59 Months in the Urban Area of Bali Province, Indonesia 2018. Nutr 2023;15(2):389. doi: 10.3390/nu15020389
Tri Priyatni E, Suryani AW, Fachrunnisa R, Supriyanto A, Zakaria I. Pemanfaatan NVivo dalam Penelitian Kualitatif: NVivo untuk Kajian Pustaka, Analisis Data, dan Triangulasi. Malang: Lembaga Penelitian dan Pengabdian kepada Masyarakat (LP2M) Universitas Negeri Malang (UM); 2020. Available from: https://fip. um.ac.id/wp-content/uploads/ 2021/10/b5-Pemanfaatan-NVIVO-dalam-Penelitian-Kualitatif.pdf
Direktorat P2PTM Kemenkes RI. Cegah Stunting dengan Perbaikan Pola Makan, Pola Asuh dan Sanitasi. 2018 [cited 2022 Oct 29]. Available from: http://p2ptm.kemkes.go.id/post/cegah-stunting-dengan-perbaikan-pola-makan-pola-asuh-dan-sanitasi
Badan Pusat Statistik. Tingkat kepadatan Penduduk Per Provinsi 2019 - 2022. 2022 [cited 2022 Nov 6]. Available from: https://www.bps.go.id/indicator/12/141/1/kepadatan-penduduk-menurut-provinsi.html
Dinas PUPR Provinsi Bali. Mengulas Sistem Jaringan Jalan Provinsi Bali: Tulang Punggung Mobilitas di Pulau Dewata – Sistem Informasi Wilayah dan Tata Ruang Bali. [cited 2023 Jan 1]. Available from: https://tarubali.baliprov.go.id/mengulas-sistem-jaringan-jalan-provinsi-bali-tulang-punggung-mobilitas-di-pulau-dewata/
BPS Provinsi Bali. Sarana Kesehatan Menurut Kabupaten/Kota di Provinsi Bali, 2021. Denpasar; 2021. Available from: https://bali.bps.go.id/statictable/2018/04/11/68/banyaknya-sarana-kesehatan-menurut-kabupaten-kota-di-provinsi-bali-2019.html
Pemerintah Provinsi Bali. Keberadaan PAKIS Bali Beri Kontribusi Nyata Dukung Desa Adat - Pemerintah Provinsi Bali. 2021 [cited 2023 Jan 1]. Available from: https://www.baliprov.go.id/web/keberadaan-pakis-bali-beri-kontribusi-nyata-dukung-desa-adat/
Anonim. PAKIS Bali dan TP PKK Bersinergi Sosialisasikan Program Nangun Sat Kerthi Loka Bali. Available from: https://www. redaksi9.com/read/3563/PAKIS-Bali-dan-TP-PKK-Bersinergi-Sosialisasikan-Program -Nangun-Sat-Kerthi-Loka-Bali.html#google _vignette
Anonim. HUT ke-3 PAKIS Bali, Pj Gubernur Apresiasi Peran Aktif Krama Istri. 2023 [cited 2023 Jan 3]. Available from: https://www.nusabali.com/berita/150714/hut-ke-3-pakis-bali-pj-gubernur-apresiasi-peran-aktif-krama-istri
Hall C, Bennett C, Crookston B, Dearden K, Hasan M, Linehan M, et al. Maternal Knowledge of Stunting in Rural Indonesia. Int J Child Heal Nutr. 2018;7:139–45. doi:10.6000/1929-4247.2018.07.04.2.
Kementerian Kesehatan RI. Hasil SSGI Tahun 2021 Tingkat Nasional, Provinsi, Kabupaten/Kota. Jakarta; 2021 [cited 2023 Jan 3]. Available from: https://drive.google.com/file/d/1p5fAfI53U0sStfaLDCTmbUmF92RDRhmS/view
Nursanyoto H, Kusumajaya AAN, Mubasyiroh R, Sudikno, Nainggolan O, Sutiari NK, et al. Low Participation of Children’s Weight as a Barrier to Acceleration Stunting Decrease in the Rural Area Bali Province: Further Analysis of Riskesdas 2018. Media Gizi Indones. 2023;18(1):8–18. doi: https://doi.org/10. 20473/mgi.v18i1.8-18.
Megawati G, Wiramihardja S. Peningkatan Kapasitas Kader Posyandu dalam Mendeteksi dan Mencegah Stunting di Desa Cipacing Jatinangor. Dharmakarya J Apl Ipteks untuk Masy. 2019;8(3):154–9. doi : https://doi.org/10.24198/dharmakarya. v8i3.20726.
Hasyim M, Irwan Z, Arief E, Gizi J, Kemenkes Mamuju P, Barat S. Peningkatan Kapasitas Kader Posyandu dalam Pemantauan Status Gizi Balita. Community Dev J J Pengabdi Masy. 2023 Jun 13;4(2):3941–5. Available from: http://journal.universitaspahlawan.ac.id/ index.php/cdj/article/view/14991
Andina E. Meningkatnya Angka Perkawinan Anak Saat Pandemi Covid-19. Jakarta; 2021. (Vol. XIII, No. 4/II/Puslit/Februari/2021). Available from: https://berkas.dpr.go.id/ puslit/files/info _singkat/InfoSingkat-XIII-4-II-P3DI-Februari-2021-232.pdf
Nabugoomu J, Seruwagi GK, Hanning R. What can be done to reduce the prevalence of teen pregnancy in rural Eastern Uganda?:Multi-stakeholder perceptions. Reprod Health. 2020;17(1):1-12.doi: https:// doi.org/10.1186/s12978-020-00984-x
Vonaesch P, Randremanana R, Gody JC, Collard JM, Giles-Vernick T, Doria M, et al. Identifying the etiology and pathophysiology underlying stunting and environmental enteropathy: study protocol of the AFRIBIOTA project. BMC Pediatr 2018; 18(236):1–18. doi: https://doi.org/10.1186/ s12887-018-1189-5
Dailey-Chwalibóg T, Huneau JF, Mathé V, Kolsteren P, Mariotti F, Mostak MR, et al. Weaning and stunting affect nitrogen and carbon stable isotope natural abundances in the hair of young children. Sci Reports 2020;101(1):1–10. Available from: https://www.nature.com/articles/s41598-020-59402-8
Uwiringiyimana V, Ocké MC, Amer S, Veldkamp A. Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition. 2019 Apr 1;60:11–8.
Dhami MV, Ogbo FA, Osuagwu UL, Ugboma Z, Agho KE. Stunting and severe stunting among infants in India: the role of delayed introduction of complementary foods and community and household factors.2019;12(1). doi: https://doi.org/ 101080/1654971620191638020.