Abstract

Stunting is a complex issue influenced by multiple factors, including specific factors within and outside the health sector. Achieving a significant reduction in stunting needs the involvement of relevant local government offices in the Stunting Reduction Acceleration Team (SRAT). This study aimed to investigate SRAT performance in a specific context of accelerating stunting reduction in Malaka District. This qualitative study, with a phenomenological approach, was conducted in Malaka District, Indonesia, and Timor Leste Border Area from July to September 2023. This study revealed four major themes of SRAT performance to accelerate stunting reduction in Malaka District: activities to accelerate stunting reduction, challenges faced in implementing the programs, supporting factors for program implementation, and alternative activities initiated by the local government. This study showed that the many local government agencies responsible for specific and sensitive interventions have effectively fulfilled their mandatories and roles in accelerating the elimination of stunting in Malaka District. However, inadequate internal coordination within SRAT has led to a dearth of harmonization in its execution.

References

1. Presiden Republik Indonesia. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan Penurunan Stunting. Jakarta: Pemerintah Republik Indonesia; 2021.

2. Kementerian Kesehatan Republik Indonesia. Hasil Survei Status Gizi Indonesia (SSGI) 2022. Jakarta: Kementerian Kesehatan Republik Indonesia; 2022.

3. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2013 Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.

4. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

5. Kementerian Kesehatan Republik Indonesia. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota tahun 2021. Jakarta: Kementerian Kesehatan Republik Indonesia; 2021.

6. Prentice AM. Stunting in Developing Countries. World Rev Nutr Diet. 2017; 117: e108–216. DOI: 10.1159/000484505.

7. Muhammad HFL. Obesity as the Sequel of Childhood Stunting: Ghrelin and GHSR Gene Polymorphism Explained. Acta Med Indones. 2018; 50 (2): 159–164.

8. Bupati Kabupaten Malaka. Keputusan Bupati Malaka Nomor 110/HK/2022 tentang Tim Percepatan Penurunan Stunting Kabupaten Malaka. Malaka: Pemerintah Kabupaten Malaka; 2022.

9. Bakari L, Antu Y, Katili AY. Analisis Implementasi Kebijakan Percepatan Pencegahan dan Penanggulangan Stunting dan Implikasinya Bagi Kemandirian Kesehatan di Kabupaten Bone Bolango. PUBLIK J Manaj Sumber Daya Manusia Adm Pelayanan Publik. 2023; 10 (3): 1219–1232.

10. Nurva L, Maharani C. Analisis Pelaksanaan Kebijakan Penanggulangan Stunting: Studi Kasus di Kabupaten Brebes. J Kebijak Kesehat Indones JKKI. 2023;12(02):74–83.

11. Friska E, Andriani H. Implementasi Kebijakan Percepatan Pencegahan Stunting pada Masa Pandemi COVID-19 Di Kabupaten Kudus. J Kesehat Masy. 2022; 10 (5): 586–592.

12. Nurak A, Andayani L, Sahriani. Efektivitas Peran Pemerintah Daerah Kabupaten Mamberamo Tengah dalam Upaya Penanggulangan Stunting. J Pendidik dan Konseling. 2023; 5 (1): 3803–389.

13. Badan Kependudukan dan Keluarga Berencana Nasional. Keputusan Deputi Bidang Pengendalian Penduduk BKKBN Nomor 5/Kep.Dalduk/D2/2022 Tentang Tim Pelaksana Pendampingan Perguruan Tinggi Dalam Percepatan Penurunan Stunting Daerah Kabupaten dan Kota Pada Provinsi NTT Tahun 2022. Jakarta: Badan Kependudukan dan Keluarga Berencana Nasional; 2022.

14. World Health Organization. Weekly iron and folic acid supplementation as an anaemia-prevention strategy in women and adolescent girls: Lessons learnt from implementation of programmes among non-pregnant women of reproductive age. Geneva: World Health Organization; 2018.

15. Feriyanti A, Deviatin NS, Nurmala I, et al. Determinant of Adherence to iron supplementation in Adolescent Girl In Spesific Intervention For Stunting Prevention: Systematic Review. Media Gizi Indones Nati Nutr J. 2022; 17 (1SP): 90–96. DOI: 10.20473/mgi.v17i1SP.90-96.

16. Fernandez-Gaxiola A, De Regil L. Intermittent iron supplementation for reducing anaemia and its associated impairments in adolescent and adult menstruating women (Review). Int J Evid Based Healthc. 2020; 18 (2): 274–275. DOI: 10.1002/14651858.CD009218.pub3.

17. Nugraheni A, Purnami CT, Mawarni A. Pre-Marriage Course Regarding Health Reproductive: Knowledge and Attitude of Bride and Groom Candidate in Preparing Health Status before Pregnant in Grobogan District. Indian J Public Heal Res Dev. 2020; 11 (03): 1150–1154.

18. Traore SS, Bo Y, Kou G, et al. Iron supplementation and deworming during pregnancy reduces the risk of anemia and stunting in infants less than 2 years of age: A study from Sub-Saharan Africa. BMC Pregnancy Childbirth. 2023; 23 (1): 23–63. DOI: 10.1186/s12884-023-05399-7.

19. Haider BA, Olofin I, Wang M, et al. Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: Systematic review and meta-analysis. BMJ. 2013; 347: f3343.

20. Svefors P, Sysoev O, Ekstrom EC, et al. Relative importance of prenatal and postnatal determinants of stunting: Data mining approaches to the MINIMat cohort, Bangladesh. BMJ Open. 2019; 9 (8): e025154.

21. Dean S V., Lassi ZS, Imam AM, et al. Preconception care: Nutritional risks and interventions. Reprod Health. 2014; 11 (Suppl 3): S3.

22. Agustina R, Wirawan F, Sadariskar AA, et al. Associations of Knowledge, Attitude, and Practices toward Anemia with Anemia Prevalence and Height-for-Age Z-Score among Indonesian Adolescent Girls. Food Nutr Bull. 2021; 42 (1_suppl): S92–108. DOI: 10.1177/037957212110111.

23. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2021 Tentang Penyelenggaraan Pelayanan Kesehatan Masa Sebelum Hamil, Masa Hamil, Persalinan, dan Masa Sesudah Melahirkan, Pelayanan Kontrasepsi dan Pelayanan Kesehatan Seksual. Jakarta: Kementerian Kesehatan Republik Indonesia; 2021.

24. Krebs NF, Hambidge KM, Westcott JL, et al. Birth length is the strongest predictor of linear growth status and stunting in the first 2 years of life after a preconception maternal nutrition intervention: The children of the Women First trial. Am J Clin Nutr. 2022; 116 (1): 86–96. DOI: 10.1093/ajcn/nqac051.

25. Dinas Kesehatan Kependudukan dan Pencatatan Sipil Provinsi Nusa Tenggara Timur. Revisi Pedoman Teknis Pemberian PMT Lokas Tinggi Protein Hewani Berbasis “Serbuk Marungga NTT” Tahun 2023. Kupang: Dinas Kesehatan Kependudukan dan Pencatatan Sipil Provinsi Nusa Tenggara Timur; 2023.

26. Putra AIYD, Setiawan NBW, Sanjiwani MID, et al. Nutrigenomic and Biomolecular Aspect of Moringa oleifera Leaf Powder as Supplementation for Stunting Children. J Trop Biodivers Biotechnol. 2021; 6 (1): jtbb.60113. DOI: 10.22146/jtbb.60113.

27. Veterini AS, Susanti E, Ardiana M, et al. Effects of Consuming Biscuits Made From Moringa Oleifera Leaf on Body Weight and Height of Children under Five in Bangkalan, Madura island. Media Gizi Indones Nat Nutr J. 2023; 18 (2): 150–156. DOI: 10.20473/mgi.v18i2.150-156

28. Siahaan MF, Rahmatika A, Nadhiroh SR. Literature Review: Food Supplement Intervention to Increase Z-Score Height for Age in Stunting Children. Amerta Nutr. 2023; 7 (1): 154–160. DOI: 10.20473/amnt.v7i1.2023.154-160.

29. Zhang Z, Li F, Hannon BA, et al. Effect of oral nutritional supplementation on growth in children with undernutrition: A systematic review and meta‐analysis. Nutrients. 2021; 13 (9): 1–20. DOI: 10.3390/nu13093036.

30. Mazengia AL, Biks GA. Predictors of stunting among school-age children in Northwestern Ethiopia. J Nutr Metab. 2018; 2018: 7521751. DOI: 10.1155/2018/7521751.

31. Sanin KI, Haque A, Nahar B, et al. Food Safety Practices and Stunting among School-Age Children—An Observational Study Finding from an Urban Slum of Bangladesh. Int J Environ Res Public Health. 2022; 19 (3): 8044. DOI: 10.3390/ijerph19138044.

32. Kelompok Kerja Kabupaten Malaka. Road Map dan Rencana Aksi Daerah Percepatan Penurunan Prevalensi Stunting, AKI dan AKB Kabupaten Malaka Tahun 2022-2026. Malaka; Kelompok Kerja Kabupaten Malaka; 2022.

Share

COinS