Efforts to Accelerate Stunting Reduction

Study on Policy Implementation Study Based on Karangasem Regent Regulation Number 35 of 2019 concerning Integrated Stunting Prevention Movement

Abstract

Stunting is a form of growth failure that causes linear growth disturbances in toddlers due to the accumulation of long-term nutritional deficiencies, starting from pregnancy until the age of 24 months.Karangasem Regency has the highest prevalence of stunting in Bali Province, which is 6.7%. This figure indicates that the stunting issue is very serious in Karangasem Regency and requires very rapid and focused intervention efforts. This research aims to describe and analyze the implementation of policies for accelerating the reduction of stunting based on the Karangasem Regent Regulation Number 35 of 2019 concerning the Integrated Stunting Mitigation Movement, as well as to describe and analyze the supporting and inhibiting factors in the implementation of policies for accelerating the reduction of stunting based on the Karangasem Regent Regulation Number 35 of 2019 concerning the Integrated Stunting Mitigation Movement.

This type of research is a qualitative descriptive study with a policy implementation model using George C. Edward III's implementation theory, focusing on the indicators of communication, resources, disposition, and bureaucratic structure. Data collection techniques used include interviews, observations, and documentation. In- depth interviews were conducted with implementers in an effort to accelerate the reduction of stunting. Next, the data analysis used is Moleong's data analysis.

The results of this study indicate that the efforts to accelerate the reduction of stunting are in accordance with Karangasem Regent Regulation Number 35 of 2019. Communication was conducted through radio broadcasts, social media, and face-to-face meetings. Although the communication conducted is quite evenly distributed, there are challenges arising from the mothers' level of knowledge, culture, and the community's language proficiency, which are still lacking. The Karangasem Regency Government has supported the program by providing facilities, transportation, and operational support. However, the limitations in human resources and the difficult reach in remote areas still need to be addressed. The Stunting Acceleration Team in Karangasem Regency has been equipped with technical guidelines and SOPs that can strengthen field implementation. The support of SOPs and appropriate regulations has shown good results with a decrease in stunting rates year by year.