Abstract
Tegal is a regency with the highest stunting prevalence in toddlers in Central Java with a percentage of 22.3% in 2022. Currently, the regency has become the prioritized locus of stunting intervention in Indonesia. Tegal regency government issued the Regent Rule of Tegal Number 4 in the Year 2023 about the Communication Strategy of Behavioral Changes in Lowering Stunting Prevalence in 2023 - 2026 as the prevention and effort of decreasing the stunting rate. This research revealed the implementation of stunting prevention policy in Tegal by applying the exploratory implementation model of George Edward III, Marilee S. Grindle, and Mazmanian & Sabatier based on the triangular perspective of policy analysis. This descriptive qualitative research describes a variable orally from the respondents and the doers by observing them. The researchers collected the data by interviewing, documenting, and promoting the literature study. The researchers also interviewed the Health Agency of Tegal and Public Health Care of Kedungbanteng district. The results showed that the applied policy met the regulation in terms of local government and local apparatus organization, OPD, with collaboration and effort to realize inter-sectoral cooperation from regency to village levels. The concrete step in preventing stunting includes the provision of nutritionist teams at Kedungbanteg Public Health Care and the establishment of a police center to prevent stunting prevalence. The results were - gaining the top 99 awards of Public Service Innovation in 2023 by the Ministry of State Apparatus Utilization and Bureaucratic Reform. However, the researchers found hindrances in distributing stunting prevention at most pubic health care units in Tegal. They had not applied the concrete steps and had to improve the human resources by joining training for the cadres so they could use the measuring tool of stunting for toddlers.
References
- World Health Organization. Global Nutrition Targets 2025 Stunting Policy Brief. Vol. 122, World Health Organization. 2014. p. 12.
- Kemenkes RI. Situasi Balita Pendek (Stunting) di Indonesia. Vol. 301, Pusat Data dan Informasi Kementerian Kesehatan RI. Jakarta; 2018.
- Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, et al. Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica. 2021;92(1):1–12.
- Rosyidah M, Dewi YLR, Qadrijati I. Effects of Stunting on Child Development: A Meta Analysis. Journal of Maternal and Child Health. 2021;6(1):25–34.
- Huriah T, Nurjannah N. Risk factors of stunting in developing countries: A scoping review. Open Access Macedonian Journal Medical Sciences. 2020;8(F):155–60.
- Mediani HS. Predictors of Stunting Among Children Under Five Year of Age in Indonesia: A Scoping Review. Global Journal of Health Science. 2020;12(8):83.
- Peraturan Presiden RI. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan Penurunan Stunting. Pemerintah Republik Indonesia. 2021. p. 75.
- Kemenkes RI. Laporan Nasional Riset Kesehatan Dasar. Kementerian Kesehatan RI. 2018;1–582.
- SSGI. Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/ Kota Tahun 2021. 2021.
- Peraturan Bupati Tegal Nomor 4 tahun 2023 tentang Strategi Komunikasi Perubahan Perilaku dalam Percepatan Penurunan Stunting Periode 2023-2026.
- Ramdhani A, Ramdhani MA. Konsep Umum Pelaksanaan Kebijakan Publik. Jurnal Publik. 2017;Vol 11 (January) :1–12. Available from: https://journal.uniga.ac.id/index.php/JPB/article/download/1/1
- Mubarok S, Zauhar S, Setyowati E, Suryadi S. Policy Implementation Analysis: Exploration of George Edward III, Marilee S Grindle, and Mazmanian and Sabatier Theories in the Policy Analysis Triangle Framework. Journal of Public Administration Studies. 2020;005(01):33–8.
- Ascarya. Coding Wawancara Kualitatif : Teknik dan Contohnya. 2021.
- Permanasari Y, Permana M, Pambudi J, Rosha BC, Susilawati MD, Rahajeng E, et al. Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas. Media Penelitian dan Pengembangan Kesehatan. 2020; 30 (4) :315–28.
- Turiman T, Dai RM, Sari DS. Implementasi Kebijakan Penerapan Pola Pengelolaan Keuangan Badan Layanan Umum Daerah (PPK-BLUD) Puskesmas Di Kabupaten Bandung. Responsive. 2021;4(2):87.
- KementerianPPN/ Bappenas. Mengenal Studi Status Gizi Indonesia 2021. 2021.
- Wijayanti P, Jannah LM. Implementasi Kebijakan Manfaat Jaminan Hari Tua di Indonesia. JPSI (Journal of Public Sector Innovation). 2019;4(1):20.
- Tat F, Oedjoe MR, Pandie DB, Kase P. Characteristics of Agents Implementers to Performance Health Policy Implementation Mother and Children in East Nusa Tenggara. Journal of Advances in Social Science and Humanities. 2019;5(9):1017–32.
- Anggraeni N, Sandra C, Khoiri A. Implementasi Kebijakan Perlindungan dan Pemenuhan Hak Kesehatan Penyandang Disabilitas di Kabupaten Jember. Jurnal Kebijakan Kesehatan Indonesia: JKKI. 2022;11(01):1–13.
- Kemenkes RI. Peraturan Menteri Kesehatan RI No 43 tahun 2019 tentang Puskesmas.
- Novianti R, Paselle E, Susilowati T. Implementasi Peraturan Bupati Kutai Kartanegara No 38 Tahun 2019 Tentang Gerakan Masyarakat Hidup Sehat. eJournal Administrasi Publik. 2021;2021(1):4955–67.
- Candarmaweni, Rahayu AYS. Tantangan Pencegahan Stunting Pada Era Adaptasi Baru “New Normal” Melalui Pemberdayaan Masyarakat Di Kabupaten Pandeglang (the Challenges of Preventing Stunting in Indonesia in the New Normal Era Through Community Engagement). Jurnal Kebijakan Kesehatan Indonesia: JKKI. 2020;9(3):136–46.
- Kemenkes RI. Strategi Komunikasi Perubahan Perilaku dalam Pencegahan Stunting di Indonesia. Jakarta: Direktorat Promosi Kesehatan dan Pemberdayaan Masyarakat.; 2018.
- Wiguna AR, Meigawati D, Amirulloh MR. Implementasi Kebijakan Penanggulangan Stunting Oleh Dinas Kesehatan Di Kabupaten Sukabumi. Jurnal Ilmu Muqoddimah: Jurnal Ilmu Sosial Politik dan Hummaniora. 2021;6(1):28.
- Adriana. Implementasi Kebijakan Pencegahan Stunting Oleh Dinas Pengendalian Penduduk Dan Keluarga Berencana Kabupaten Timor Tengah Selatan Di Kecamatan Kie (Implementation of Stunting Prevention Policy by the Population Control and Family Planning Office of South. Jurnal Ilmu Ekonomi dan Sosial. 2020;1(2):1–21.
- Kusumaningrum A, Azinar M. Peran Aktor dalam Implementasi Kebijakan Pemberantasan Tuberkulosis Resisten Obat. HIGEIA (Journal of Public Health Research and Development. 2021;5(3):227–38