Policy Study and Stunting Prevention in Surabaya

Autor: Sherly Jeniawaty, Queen Khoirun Nisa Mairo
Rok vydání: 2020
Předmět:
Zdroj: Medico-Legal Update. 20
ISSN: 0974-1283
0971-720X
DOI: 10.37506/mlu.v20i4.1853
Popis: Background: Nutritional Status Survey in 2017 showed prevalence of stunting toddlers in Indonesia wasstill high, which was 29,6% above the limitation determined by WHO (20%).8 Conducted study by Ricardoin Bhutta in 2013 stated that stunting toddler contributed against 1,5 million (15%) of toddler mortality in theworld and caused 55 millions of children had lost their healthy life time every year..2 Result of Basic healthresearch (Riskesdas) in 2013 stated that condition of consuming food for pregnant woman and toddlers in2016-2017 showed in Indonesia, 1 from 5 pregnant women was malnutrition. Decrease of stunting rateonly reached 4% in 1992 until 2013. Presidential Regulation number 42/2013 had determined NationalMovement of First Thousand Days of Life for increasing toddler’s nutritional status that was followed bydevelopment program, including its budget.7Method: This research was mix method research, which was a step in the research by combining two kindsof approaches, qualitative and quantitative. Besides, this research utilized gradual mix technique. Populationin this research was Public Health Centers in Surabaya area. Meanwhile, the sample was all of policyholdersin Surabaya, who were Head of Public Health Centers and midwives. This research utilized data analysisin gradual qualitative-quantitative. Not conflict of interest, source of funding self and ethical clearancetaken from committee ethic.Hence, the analysis was conducted on qualitative data, then, it was followed byquantitative data.Result and Analysis: Public Health Center of Pucang Surabaya still had the highest stunting rate among 10Public Health Centers. Public Health Center of Tanah Kali Kedinding Surabaya had quite high increasingrate against stunting from 2017 until 2018. Almost all programs were appropriate with 1000 HPK (1000first day of life) guidelines in area of Public Health Centers Surabaya that had been done by the midwives.According to FGD result, regulation and policies which were related to 1000 HPK, particularly for regulationof exclusive breast milk and PMBA which had been quite many either in was statute law, GovernmentRegulation, Minister of Health Regulation, Decree of Minister of Health, or Regional Regulation. Handlingstunting was done by synergy among central government, regional government, entrepreneur and communityorganization. High commitment from all health professions was much needed so that it could be able tohasten the decrease of stunting.Conclusion and Suggestion: the implementation of 1000 HPK program had been conducted as an effortin reducing stunting rate. However, stunting problem still had not been solved. Therefore, it was neededcooperation mutually in cross sector for handling stunting problem, particularly in Surabaya City, East JavaProvince, Indonesia.
Databáze: OpenAIRE
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