STAKEHOLDERS' ROLE IN THE IMPLEMENTATION OF STUNTING MANAGEMENT POLICIES IN GARUT REGENCY
Background: Convergence is a comprehensive integrated and coordinated activity to accelerate stunting reduction.
Aims: This exploratory qualitative study analyzed the roles of stakeholders in stunting management.
Methods: This study was conducted in Garut District from April to July 2021. Key informants including policymakers across programs were selected from the district, sub-district, and village levels. All of them were interviewed, and the interview data were processed with content analysis techniques and presented descriptively.
Results: Stakeholders had roles in the implementation of stunting handling programs as seen in the four quadrants indicated by vertical (interest) and horizontal (influence) lines. The Head of the District and the Deputy of the Head District had the most contribution and influence on the program's success. District-level government institutions (i.e., the DHO, Regional Planning and Development Agency, DPMD, PPKBP3A and PUPR) in Quadrant II are critical. Others can be found in Quadrant III for provincial and district institutions (medium category). The sub-district, community leaders, and cadres (Quadrant IV) all significantly contributed to the program's success.
Conclusion: Policymaker participation is acknowledged as a major concern in developing health policies. It is important to clearly outline the roles of stakeholders to promote their involvement actively, especially of local stakeholders that need to be advocacy-oriented in stunting management.
Keywords: Policy, Stakeholder, Stunting
ADB (2021) Prevalensi Stunting Balita Indonesia Tertinggi ke-2 di Asia Tenggara. https://databoks.katadata.co.id/datapublish/2
Ansell, C and Gash, A. (2008) ‘Collaborative governance in theory and practice', Journal of Public Administration Research and Theory, 18(4),p. 543. https://doi.org/https://doi.org/10.1093/jopart/mum032
Astuti, S., Megawati, G. and Samson (2018) ‘Gerakan Pencegahan Stunting Melalui Pemberdayaan Masyarakat Di Kecamatan Jatinangor Kabupaten Sumedang', Jurnal Aplikasi Ipteks untuk Masyarakat, 7(3), pp. 185–188.
Barat, P.D.K.G.P.J. (2018) Keputusan Bupati Garut Nomor 44 tahun 2018 tentang Pembentukan Satgas Gerakan Nasional Percepatan Perbaikan Gizi Dalam Penanggulangan Stunting.
Elwy, A.R. et al. (2022) ‘Involving Stakeholders as Communication Partners in Research Dissemination Efforts', Journal of General Internal Medicine, pp. 123–127. https://doi.org/10.1007/s11606-021-07127-3
Febrian, F. and Yusran, R. (2021) ‘Koordinasi Dalam Implementasi Kebijakan Pencegahan Stunting di Kota Padang', Jurnal Manajemen dan Ilmu Administrasi Publik, 3(1), pp. 11–21.
Gani, A.A. et al. (2021) ‘The effect of convergent action on reducing stunting prevalence in under-five children in Banggai District, Central Sulawesi, Indonesia', Gaceta sanitaria, 35(2), pp. S421–S424. https://doi.org/https://doi.org/10.1016/j.gaceta.2021.10.066
Garut, P.D.K. (2018) ‘Strategi Implementasi Komunikasi Perubahan Perilaku Masyarakat Untuk Mencegah Stunting', Surat Edaran Bupati Nomor 555 Tahun 2018 [Preprint].
Indonesia, K.H. dan H.A.M.R. (2021) Peraturan Presiden Republik Indonesia No 72 Tahun 2021 tentang Percepatan Penurunan Stunting.
Iqbal, M. and Yusran, R. (2021) ‘Upaya Konvergensi Kebijakan Pencegahan Stunting di Kota Padang', Jurnal Manajemen dan Ilmu Administrasi Publik, 3(2), pp. 109–116.
Iswarno et al. (2013) ‘Analisis Untuk Penerapan Kebijakan: Analisis Stakeholder Dalam Kebijakan Program Kesehatan Ibu Dan Anak Di Kabupaten Kepahiang', Jurnal Kebijakan Kesehatan Indonesia, 2 No. 02 J.
Kathuria, A.K., Digwaleu-Kariko, E.A.B. and Arur, A. (2019) Success Stories with Reducing Stunting : Lessons for PNG. Available at: https://policycommons.net/artifacts/1462680/success-stories-with-reducing-stunting/2106149/
Kementrian koordinator Bidang Pembangunan Manusia dan Budaya (2018) ‘Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting)'.
Kennedy, E. et al. (2016) ‘Implementing Multisector Nutrition Programs in Ethiopia and Nepal: Challenges and Opportunities from a Stakeholder Perspective', Food and Nutrition Bulletin, 37(4_suppl), pp. S115–S123. https://doi.org/10.1177/0379572116674552
Khoisah and Muhardini, S. (2019) ‘Pelatihan Pengembangan Sumber Daya Manusia (PSDM) Unsur Perangkat Desa Dan Kader Pembangunan Manusia Se-Kecamatan Aikmel Kabupaten Lombok Dalam Konvergensi Pencegahan Stunting', Jurnal Pendidikan Mandala, 4(5), pp. 318–322.
Laili, U. and Andriani, R.A.D. (2019) ‘Pemberdayaan Masyarakat Dalam Pencegahan Stunting', Jurnal Pengabdian Masyarakat Ipteks, 5(1), pp. 8–12.
Lailia, I., Kismartini and Rahman, A.Z. (2021) ‘Peran Stakeholders Dalam Implementasi Kebijakan Intervensi Gizi Sensitif Di Kota Semarang', Journal Of Public Policy And Management Review, 10(3). 10.14710/jppmr.v10i3.31228
Permanasari, Y. et al. (2020) ‘Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas', Media Penelitian dan Pengembangan Kesehatan, 30(4), pp. 315–328.
Petkovic, J. et al. (2020) ‘Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation', Systematic Reviews, 9(1). https://doi.org/10.1186/s13643-020-1272-5
RI, B.L.K. (2021) Buku Saku Hasil Studi Status Gizi Nasional (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021.
Rubin, H.J. and Rubin, I. (2012) Qualitative Interviewing: The Art of Hearing Data. 2nd edn. Thousand Oaks: SAGE Publications.;
Saputri, R.A. (2019) ‘Upaya Pemerintah Daerah Dalam Penanggulangan Stunting Di Provinsi Kepulauan Bangka Belitung', Jdp (Jurnal Dinamika Pemerintahan), 2(2), pp. 152–168. https://doi.org/10.36341/jdp.v2i2.947.
Saufi, A. (2021) ‘Dinamika Collaborative Governance dalam Penanggulangan Stunting Ditengah Pandemi Covid-19', Prosiding Seminar Nasional Penanggulangan Kemiskinan, 1(1), pp. 80–95.
Syafrina, M., Masrul and Firdawati (2019) ‘Analisis Komitmen Pemerintah Kabupaten Padang Pariaman dalam Mengatasi Masalah Stunting Berdasarkan Nutrition Commitment Index 2018', Jurnal Kesehatan Andalas, 8(2), pp. 233–244.
Titaley, C.R. et al. (2019) ‘Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey', Nutrients, 11(5). https://doi.org/10.3390/nu11051106.
Widianingsih, I., Gunawan, B. and Rusyidi, B. (2018) ‘Peningkatan Kepedulian Stakeholder Pembangunan Dalam Mencegah Stunting Di Desa Cangkuang Wetan Kecamatan Dayeuhkolot Kabupaten Bandung', Kumawula: Jurnal Pengabdian Kepada Masyarakat, 1(2), pp. 120–130. https://doi.org/10.24198/kumawula.v1i2.20836.
World Health Organization (2020) Global targets 2025.
World Health Organization (WHO). (2021) National health policies, strategies and plans: engaging stakeholders. Geneva, Switzerland.
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