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QUALITATIVE STUDY: IMPLEMENTATION OF THE STUNTING REDUCTION PROGRAM POLICY AT THE ENREKANG DISTRICT HEALTH OFFICE

Puput Putri*, Nuristha Febrianti, Hardianti

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ABSTRACT

Background: Stunting is a condition of stunted growth in young children caused by chronic malnutrition, particularly during the first 1,000 Days of Life (TDL). Stunting (short stature in children) is a critical nutritional issue, especially in poor and developing countries. The impacts of stunting on children include lower intelligence (IQ) and weakened immune systems, which make children more susceptible to various illnesses.

Methods: This study uses a descriptive qualitative design. The sample consists of 7 individuals involved in the stunting reduction program, selected purposively. Data was collected through semi-structured, in-depth interviews conducted directly.

Results: The results of this study show that the communication of the stunting reduction program policy implementation is functioning well. Information from policymakers to policy implementers has been delivered clearly and consistently. In terms of the quantity of human resources at the district level, it is considered adequate; however, some regional organizations, particularly in the health sector (nutrition staff), still face limitations. There are also constraints related to funding and facilities in the health sector that support field measurements, which affects the optimal implementation of the stunting reduction program. The attitude/disposition of commitment and support from the Regional Government, relevant OPDs (Regional Work Units), and village governments in implementing the stunting reduction program is considered good but not yet optimal in fulfilling duties and responsibilities for accelerating stunting reduction. As for the bureaucracy structure, the implementation of the stunting reduction program is progressing adequately, with the program's mechanisms aligning with Presidential Regulation Number 72 of 2021 on Accelerating Stunting Reduction, and the organizational structure has been established with clear division of tasks.

Conclusiond: The Nutrition Health Officers at the Health Office serve as accelerators in the process of analyzing and implementing appropriate interventions in Enrekang District. Programs in the form of education, community service, and supplementation are the most important factors chosen by the Enrekang District Health Office.

Keyword: Policy Implementation, Program, Stunting