The challenges and implementation in overcoming stunting by primary health care practitioners

Nurhannifah Rizky Tampubolon; Fitri Haryanti; Akhmadi Akhmadi

doi:10.26714/mki.4.3.2021.164-174

The challenges and implementation in overcoming stunting by primary health care practitioners

Nurhannifah Rizky Tampubolon^(1*), Fitri Haryanti⁽²⁾, Akhmadi Akhmadi⁽³⁾

(1) Institut Kesehatan Helvetia
(2) Magister Keperawatan, Fakultas Kedokteran Kesehatan Masyarakat Keperawatan, Universitas Gadjah Mada
(3) Magister Keperawatan, Fakultas Kedokteran Kesehatan Masyarakat Keperawatan, Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Stunting events in Indonesia have fallen by around 7% in the last 5 years. That declined nationally has not been followed by a decrease in the prevalence of stunting in all primary health care (PHC), one of the PHC in Gunung Kidul Regency, has been able to reduce stunting prevalence in the last 3 years. The purpose of this study was to find out how the challenges and implementation faced by PHC practitioner Gunung Kidul Regency to overcoming the problem of stunting. Qualitative descriptive with single case study design. Data collection was conducted with semi-structured interviews with 5 PHC practitioners and triangulation of resources with cadres and village government. PHC practitioners village government and cadres had the same perspective to overcoming the problem of stunting, but the community was still unfamiliar. This was a challenge for health center practitioner. In addition, the measurement of growth of children under five carried out by cadres at the posyandu was considered to be inaccurate health workers. Therefore the implementation of the 1000 HPK Movement places more emphasis on strengthening the capacity of cadres in capturing stunting toddlers and how cadres provide infant and child feeding counseling so that stunting toddlers were more quickly detected and stunting problems were more likely to be overcome. PHC practitioners do the same perception with the village government and cadres in overcoming the problem of stunting, so that the collaboration has an impact on reducing the prevalence of stunting. The challenge faced by PHC practitioners is to maintain the accuracy of the measurement of infant growth by cadres in the posyandu by increasing assistance.

Keywords

Stunting; Primary health care practitioner; The first 1000 days of life

Full Text:

PDF

References

Krishna A, Mejía-Guevara I, McGovern M, Aguayo V, Subramanian S V. Trends in inequalities in child stunting in South Asia. Matern Child Nutr [Internet]. 2017;(August):e12517. Available from: http://doi.wiley.com/10.1111/mcn.12517

UNICEF/WHO/World Bank Group. Level and Trends in Child Malnutrition. Jt Child Malnutrition Estim 2018 Ed. 2018;1–16.

Riskesdas. Hasil Utama Riskesdas 2018. Kementerian Kesehatan Badan Penelitian dan Pengembangan Kesehatan; 2018.

Dinas Kesehatan Provinsi. Profil Kesehatan Provinsi Daerah Istimewa Yogyakarta. 2017.

Peraturan Gubernur DIY. Peraturan Gubernur Daerah Istimewa Yogyakarta Nomor 80 Tahun 2016 Tentang Rencana Aksi Daerah Pangan dan Gizi. 2016.

Dinas Kesehatan Provinsi. Profil Kesehatan Provinsi Daerah Istimewa Yogyakarta. 2016.

Kementerian Kesehatan RI. Pendekatan Program Kesehatan Masyarakat Tahun 2018. 2017.

Khoeroh H, Indriyani D. Evaluasi Penatalaksanaan Gizi Balita Stunting. Unnes J Public Heal. 2017;6(3):1–7.

Fregonese F, Siekmans K, Kouanda S, Druetz T, Ly A, Diabaté S, et al. Impact of contaminated household environment on stunting in children aged 12-59 months in Burkina Faso. Vol. 71, Journal of Epidemiology and Community Health. 2017. p. 356–63.

Trihono, Atmarita, Tjandrarini DH, Irawati A, Utami NH, Tejayanti T, et al. Pendek (Stunting) di Indonesia, Masalah dan Solusi. Sudomo M, editor. Lembaga Penerbit Balitbangkes. Jakarta: Lembaga Penerbit Balitbangkes; 2015. 218 p.

Kementerian Kesehatan RI. Cegah Stunting itu Penting. 2nd ed. Jakarta: wartaKesmas; 2018.

Bappenas. Penguatan pelayanan kesehatan dasar di puskesmas. Komariah L, Imani N, editors. Jakarta: Direktorat Gizi Masyarakat; 2018.

Astuti S, Megawati G, CMS S. Gerakan pencegahan stunting melalui pemberdayaan masyarakat di Kecamatan Jatinangor Kabupaten Sumedang. J Apl Ipteks untuk Masy. 2018;7(3):185–8.

Creswell JW. Research Design: Pendekatan Metode Kualitatif, Kuantitatif, dan Campuran. 4th ed. Pustaka Pelajar; 2017.

Nurkharistna M, Jihad A, Rejeki S, Hartati E. Overview of experiences of pregnant women about the role of nurses as educators on healthy behaviours of the Era of Sustainable Development Goals pregnancy. Media Keperawatan Indones. 2020;(18).

Campisi SC, Cherian AM, Bhutta ZA. World perspective on the epidemiology of stunting between 1990 and 2015. Horm Res Paediatr. 2017;88(1):70–8.

Sahanggamu PD, Purnomosari L, Dillon D. Information exposure and growth monitoring favour child nutrition in rural Indonesia. 2017;26(February 2015):313–6.

Alifariki LO, Rangki L, Haryati H, Rahmawati R, Sukurni S, Salma WO. Risk Factors of Stunting in Children Age 24-59 Months Old. Media Keperawatan Indones. 2020;3(18).

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;(March):1–10.

Davis JN, Brown H, Ramsay SA. Gaps in international nutrition and child feeding guidelines : a look at the nutrition and young child feeding education of Ghanaian nurses Public Health Nutrition. 2017;(May).

Winckel M Van, Velde S Vande, Bruyne R De, Biervliet S Van. Clinical practice: Vegetarian infant and child nutrition. 2017;1489–94.

Kementerian Desa Pembangunan Daerah Tertinggal dan Transmigrasi. Buku saku desa dalam penanganan stunting. 2017;2–13.

Permen Desa. Peraturan Menteri Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi republik Indonesia tentang Penetapan Prioritas Penggunaan Dana Desa Tahun 2018 [Internet]. Menteri Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi Republik Indonesia Indonesia; 2017 p. 67. Available from: https://sooko.mojokertokab.go.id/upload/PermenDPDTT 19 Tahun 2017 Penetapan Prioritas DD Tahun 2018.pdf