Suchergebnisse

Abstrak Gizi stunting saat ini menjadi salah satu masalah yang masih dihadapi. Sejak pemerintah mengeluarkan kebijakan tentang percepatan penanggulangan stunting, penanganan masalah stunting masih sangat lambat. Puskesmas menjadi ujung tombak dalam penanganan stunting melalui intervensi spesifik. Tujuan penulisan artikel ini adalah untuk mengetahui bagaimana peran puskesmas dalam penanganan stunting. Metodologi penelitian ini menggunakan rancangan studi mix method dengan menggali informasi dari pihak puskesmas, tokoh masyarakat dan masyarakat sehingga didapatkan gambaran mendalam tentang peranan puskesmas dalam usaha mengatasi stunting di wilayah kerja Puskesmas Campakamulya, Kabupaten Cianjur. Hasil penelitian menunjukkan bahwa puskesmas Campakamulya dalam keterbatasan geografis, SDM, berupaya dalam menangani stunting, namun belum maksimal dikarenakan tidak ada pedoman juknis penatalaksanaan stunting yang dapat diterapkan di puskesmas. Sementara ini penanganan masih berdasarkan pengalaman penanggulangan gizi buruk. Dukungan dari aparat desa dan masyarakat sudah mulai terlihat dalam menurunkan kasus stunting. Puskesmas perlu membuat inovasi yang dapat mengubah perilaku masyarakat dalam pencegahan stunting dengan memperhatikan penanganan perbaikan nutrisi pada anak sejak 1000 hari pertama kehidupan (HPK). Kata kunci: puskesmas, penanganan stunting Abstract Stunting nutrition is currently one of the problems that are still being faced. Since the government issued a policy on accelerating stunting reduction, the handling of stunting problems has been very slow. Primary health center are at the forefront of stunting management through specific interventions. The purpose of writing this article is to find out how the role of primary health center in handling stunting. Methodology this research used mix method study design by extracting information from the health center, community leaders and the community so that an in-depth picture of the role of the community health center in the effort to overcome stunting in the working area of the Campakamulya primary health center, Cianjur Regency was obtained. The results showed that the Campakamulya primary health center in terms of geographic limitations, human resources, tried to deal with stunting, but it was not optimal because there were no technical guidelines for stunting management that could be applied in the primary health center. Meanwhile, the treatment is based on experience in overcoming malnutrition. Support from village officials and the community has begun to appear in reducing stunting cases. Primary health center need to make innovations that can change people's behavior in preventing stunting by paying attention to the handling of improved nutrition in children since the first 1000 days of life. Key words: primary health center, handling stunting

Stunting is one of the nutritional problems faced in the world, including Indonesia. To overcome this problem, the government conducted a program to accelerate stunting prevention in 100 priority districts / cities through specific and sensitive nutrition interventions including health and non-health stakeholders. Interventions are carried out in a convergent manner by aligning various resources to achieve the goal of preventing stunting.The convergence is carried out from the planning, budgeting, implementation, to monitoring stages. The purpose of this study is to analyse the challenges of implementing the convergence of stunting prevention programs that have been running since 2018 by local governments in priority districts / cities based on content, context, process, and actors. The research method is operational research with a research design using a qualitative approach design with in-depth interviews in 13 priority districts/cities. The health policy triangle framework is used as an approach in analyzing the results of this study which consists of content, context, process, and actors. In-depth interview sources are policy makers and program managers to accelerate stunting reduction from province to sub-district and village. The results showed that the challenge in implementing convergence was the existence of sectoral egos in each OPD (stakeholders) because of the socialization was not yet optimal so that many stakeholders did not fully understand the stunting prevention program. Information that was late in being obtained, information cut off from socialization, and difficult demographic conditions in the area where one of the causes in certain areas of the obstruction of socialization. The implementation of convergence that has not been optimal is also due to the ansence operational and technical guidelines for implementing program when the research was conducted so that the regions do not know the steps to carry out these activities. Abstrak Masalah anak pendek (stunting) merupakan salah satu permasalahan gizi yang dihadapi di dunia, termasuk Indonesia. Untuk mengatasi permasalahan stunting, pemerintah melakukan program percepatan penanggulangan stunting di 100 kabupaten kota prioritas yang melibatkan sektor kesehatan dan non kesehatan melalui intervensi gizi spesifik dan sensitif. Penyelenggaraan intervensi dilakukan secara konvergen dengan menyelaraskan berbagai sumber daya untuk mencapai tujuan pencegahan stunting. Konvergensi dilakukan mulai dari tahap perencanaan, penganggaran, pelaksanaan, sampai monitoring. Tujuan penelitian ini adalah menganalisis tantangan implementasi konvergensi program pencegahan stunting yang telah berjalan sejak tahun 2018 oleh pemerintah daerah pada Kabupaten prioritas berdasarkan konten, konteks, proses, dan aktor. Metode penelitian merupakan operational research dengan desain penelitian menggunakan pendekatan kualitatif dengan metode wawancara mendalam di 13 kabupaten prioritas. Kerangka segitiga kebijakan kesehatan digunakan sebagai pendekatan dalam menganalisis hasil penelitian ini yang terdiri dari konten, konteks, proses, dan aktor. Informan wawancara mendalam ialah para pengambil kebijakan dan pengelola program percepatan penurunan stunting dari mulai provinsi sampai kecamatan dan desa. Hasil penelitian menunjukkan bahwa tantangan dalam implementasi konvergensi ialah masih adanya ego sektoral pada masingmasing OPD karena masih belum optimalnya sosialisasi sehingga banyak yang belum memahami secara menyeluruh mengenai program pencegahan stunting. Informasi yang terlambat diperoleh, terputusnya informasi dari sosialisasi, serta kondisi demografi wilayah yang sulit menjadi salah satu penyebab pada beberapa daerah tertentu tehadap terhambatnya sosialisasi. Implementasi konvergensi yang belum optimal juga dikarenakan belum diperolehnya juklak dan juknis dalam melaksanakan program saat penelitian dilakukan sehingga daerah belum tahu langkah untuk melakukan kegiatan tersebut.