Cross-Sectoral Support in Stunting Prevention through Integrated Health Posts (Posyandu) in Yogyakarta City

  • Utami Putri Kinayungan Universitas Medika Suherman
    (ID)
  • Mubasysyir Hasanbasri Program Studi Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
    (ID)
  • Retna Siwi Padmawati Program Studi Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada
    (ID)
Keywords: Cross Sectors, Health Systems, Integrated Service Post, Stunting

Abstract

The prevalence of stunting has decreased, but is not yet in accordance with WHO standards. There has been a lot of research on the role of the community through community based services in efforts to improve nutritional status and most of them recommend cross-sectors. The aim of this research is to identify and analyze forms of cross-sector support in preventing stunting. This type of research is qualitative with a case study approach. Data collection was carried out by in-depth interviews with mothers of toddlers, health workers at community health centers, posyandu and PKK cadres, as well as sub-district officials using a purposive sampling method. Data analysis was carried out by open coding using the OpenCode 4.03 application. The research results show that cross-sector support in preventing stunting is realized in the form of: health workforce, service delivery and financing. Health workforce is realized in empowering cadres and TPK in providing education, assisting toddlers and making posyandu reports. Service delivery is realized in measuring body weight and height, carrying out validation, following up on cases of malnourished toddlers by conducting examinations at community health centers, providing medicine and multivitamins, as well as PMT for toddlers. Financing is realized by high levels of community self-reliance in providing financial support for posyandu activities, Health Operational Assistance (BOK) from the Central government for socialization and cadre training activities, sub-district APBD for stunting PMT, and the Health Service for cadre incentives.

References

Boulle, T. M., Cromhout, P., August, K., & Woods, D. (2021). Skills2Care: An innovative, cooperative learning programme for community health workers in South Africa. African Journal of Primary Health Care and Family Medicine, 13(1), 1–10. https://doi.org/10.4102/phcfm.v13i1.2922

Demartoto, A. (2013). Teori Konstruksi Sosial dari Peter L. Berger dan Thomas Luckman.https://argyo.staff.uns.ac.id/2013/04/10/teori-konstruksi-sosial-dari-peter-l-berger-dan-thomas-luckman/

Dinkes Kota Yogyakarta. (2021). Profil Kesehatan Kota Yogyakarta Tahun 2021 AKI & AKB (Vol. 107). https://kesehatan.jogjakota.go.id/uploads/dokumen/profil_dinkes_2021_data_2020.pdf

Hafifah, N., & Abidin, Z. (2020). Peran Posyandu dalam Meningkatkan Kualitas Kesehatan Ibu dan Anak di Desa Sukawening, Kabupaten Bogor. Jurnal Pusat Inovasi Masyarakat, 2(5), 893–900. https://journal.ipb.ac.id/index.php/pim/article/view/31742

Horwood, C., Butler, L., Barker, P., Phakathi, S., Haskins, L., Grant, M., Mntambo, N., & Rollins, N. (2017). A continuous quality improvement intervention to improve the effectiveness of community health workers providing care to mothers and children: A cluster randomised controlled trial in South Africa. Human Resources for Health, 15(1), 1–11. https://doi.org/10.1186/s12960-017-0210-7

Hossain, M., Choudhury, N., Abdullah, K. A. B., Mondal, P., Jackson, A. A., Walson, J., & Ahmed, T. (2017). Evidence-based approaches to childhood stunting in low and middle income countries: A systematic review. Archives of Disease in Childhood, 102(10), 903–909. https://doi.org/10.1136/archdischild-2016-311050

Kaimila, Y., Divala, O., Agapova, S. E., Stephenson, K. B., Thakwalakwa, C., Trehan, I., Manary, M. J., & Maleta, K. M. (2019). Consumption of animal-source protein is associated with improved height-for-age Z scores in rural malawian children aged 12–36 months. Nutrients, 11(2), 1–21. https://doi.org/10.3390/nu11020480

Kementerian Kesehatan. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang Standar Antropometri Anak. http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No2_Th_2020_ttg_Standar_Antropometri_A nak.pdf

Kementerian Kesehatan. (2021). Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. In Buana Ilmu (Vol. 2, Issue 1). https://doi.org/10.36805/bi.v2i1.301

Lestari, W., & Kristiana, L. (2018). Stunting : Studi Konstruksi Sosial Masyarakat Perdesaan Dan Perkotaan Terkait Gizi Dan Pola. Aspirasi:Jurnal Masalah-Masalah Sosial, 9(1), 17–33. https://doi.org/10.46807/aspirasi.v9i1.985

Millward, D. J. (2017). Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews, 30(1), 50–72. https://doi.org/10.1017/S0954422416000238

Sanders, D., & Reynolds, L. (2017). Ending stunting: Transforming the health system so children can thrive. South African child gauge, 68-76. https://www.unicef.org/esa/sites/unicef.org.esa/files/2018-09/UNICEF-South-Africa-2017-Child-Gauge.pdf

Saputri, R. A., & Tumangger, J. (2019). Hulu-Hilir Penanggulangan Stunting Di Indonesia (Upstream and Downstream Stunting Prevention in Indonesia). Journal of Political Issues, 1(1), 1–9. https://doi.org/10.33019/jpi.v1i1.2

Sithamparapillai, K., Samaranayake, D., & Wickramasinghe, V. P. (2022). Timing and pattern of growth faltering in children up-to 18 months of age and the associated feeding practices in an urban setting of Sri Lanka. BMC Pediatrics, 22(1), 1–10. https://doi.org/10.1186/s12887-022-03265-7

Suryana, E. A., & Azis, M. (2023). The potential of economic loss due to stunting in indonesia. Jurnal Ekonomi Kesehatan Indonesia, 8(1), 52–65. https://doi.org/10.7454/eki.v8i1.6796

Syafrina, M., Masrul, M., & Firdawati, F. (2019). Analisis Komitmen Pemerintah Kabupaten Padang Pariaman dalam Mengatasi Masalah Stunting Berdasarkan Nutrition Commitment Index 2018. Jurnal Kesehatan Andalas, 8(2), 233. https://doi.org/10.25077/jka.v8.i2.p233-244.2019

UNICEF. (2020). Mengatasi Beban Ganda Malnutrisi di Indonesia. https://www.unicef.org/indonesia/id/gizi

Wakil Presiden Republik Indonesia. (2018). Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting). Sekretariat Wakil Presiden Republik Indonesia. https://stunting.go.id/en/stranas-p2k-en/

World Health Organization. (2021). Indicators for assessing infant and young child feeding practices: definitions and measurement methods. https://iris.who.int/bitstream/handle/10665/340706/9789240018389-eng.pdf?sequence=1&isAllowed=y

Yeshaneh, A., Fentahun, T., Belachew, T., Mohammed, A., & Adane, D. (2021). Utilization of growth monitoring and promotion services and associated factors among children aged 0-23 months in Banja District, Northwest Ethiopia 2020: A cross-sectional study. PLoS One, 16(11), e0259968. https://doi.org/10.1371/journal.pone.0259968

Published
2024-07-16
Section
Volume 4, Issue 2, 2024
Abstract viewed = 96 times