Synergy from Village, Integrated Healthcare Center, and Early Childhood Education in Stunting Prevention (Case Study)

Abstract

BACKGROUND: Stunting is a growth faltering condition due to the accumulation of insufficient nutrition that lasts a long time, especially in the first 1000 days of life Basic health research (Riskedas) in 2013 stated that in Indonesia, there has been an increase in the prevalence of stunting in children from 36.8% in 2010 to 37.2% in 2013. Although the stunting rate based on Riskesdas 2018 fell to 30.8%, the challenge of accelerating stunting reduction still quite big. One of the causes is the problem of multisector convergence of planning, budgeting, actuation-implementation, monitoring, and control of programs that have not synergized with each other.

AIM: This research is intended to see the picture of the synergy between village, Integrated Health Center (IHC), and early childhood education (PAUD) in preventing stunting.

METHODS: This research is a case study took place s in Klaten and Boyolali areas. Research respondents are the officers of village, IHC, and PAUD. The research instrument used was questionnaire aimed at assessing the synergy between stunting prevention activities that had been carried out. This synergy includes knowledge, planning, budgeting, mobilization-implementation, monitoring, and evaluation carried out by the village, IHC and PAUD officials. Data were analyzed using one-way analysis of variance and Duncan test for further analysis (post hoc). The test was carried out with a significance level of 5%.

RESULTS: Analysis of stunting prevention activities which include knowledge, planning, budgeting, actuation-implementation, monitoring, and evaluation has a relatively low average score in general. These results indicate that the synergy between village, IHC, and PAUD officials in preventing stunting is still not optimal. The achievement of the best efforts and synergies in the two areas can be seen in the implementation aspect. On the other hand, the less visible aspect is the funding aspect. The knowledge score of IHC officers is known to be lower than that of village officials and PAUD officers. Therefore, this multisector convergence problem requires a solution that is appropriate to the geographical conditions and local context.

CONCLUSION: Based on the results of research conducted in the two areas that were used as research locations, the synergy between the village apparatus, IHC, and PAUD in stunting prevention activities still needs to be optimized, especially in terms of the role of each agency and the coordination of the three.