The Analysis of Implementation of Specific and Sensitive Nutritional Intervention Programs in Reducing Stunting Toddler in Langkat District 2018

Risma Oktoria Purba, Albiner Siagian, Destanul Aulia

Abstract


There are five districts with the highest stunting rate in North Sumatra and in Langkat district by 38.7 percent in 2017. This research looks at the analysis of the implementation of specific and sensitive nutrition intervention programs to reduce stunting rates in langkat. This research is a qualitative study with a phenomological design using purposive sampling method with 8 informants with the criteria of program implementers and field implementers and the community using CFIR tools to see the implementation of specific and sensitive nutrition intervention programs to reduce stunting in toddlers in Langkat. From the analysis of 31 CFIR constructs, there are 6 strong constructs of influence, where 4 constructs have a positive effect, namely the characteristics of the agency structure, pressure to change, self-confidence, program adoption and 2 constructs have a negative effect, namely external networks and external needs and incentives. There are 4 constructs that have a weak but very impactful effect where 3 constructs have a negative effect, namely the impact and desired change, the involvement of the leader and available resources and 1 construction has a positive effect, namely the level of individual change on the reduction of stunting rates in children under five in Langkat. However, improvements are needed in terms of cooperation between agencies, budgeting, additional special programs outside the specific and sensitive nutrition intervention program, the appointment of a special program leader and support for facilities, infrastructure and human resources for the implementation of the specific and sensitive nutrition intervention program in Langkat district.


Keywords


stunting; Consolidated Framework for Implementation Research (CFIR); specific and sensitive nutrition interventions; implementation research

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References


Arikunto, Suharsimi. (2013). Prosedur Penelitian, Suatu Pendekatan Praktek, Rineka Cipta, Jakarta

Afrizal. (2014). Metode Penelitian Kualitatif, RajaGrafindo Persada, Jakarta

Dunn, William N., (2003). Pengantar Analisis Kebijakan Publik, Gadjah Mada University Press, Yogyakarta

Damschroder, L. J., & Lowery, J. C., (2013). Evaluation of a large-scale weight management program using the consolidated framework for implementation research (CFIR). Implementation Science : IS, 8(1), 51. http://doi.org/10.1186/1748-5908-8-51

Damschroder, L. J., (2012). The Role and Selection of Theoretical Frameworks in Implementation Research. Ann Arbor VA Center for Clinical Management Research .

Forum Nasional Jaringan Kebijakan Kesehatan Indonesia (Fornas JKKI)., (2017). Pembangunan Kesehatan Bersama Jaminan Kesehatan Nasional, Forum Nasional Jaringan Kebijakan Kesehatan Indonesia, Yogyakarta : Kementerian Kesehatan Republik Indonesia.

Hasibuan, S. M. et al. (2020). Relationship of Family Income and Family Support with Maternal Reference in Pregnant Women in Pantai Cermin BEmONC, Langkat District, 2019. Budapest International Research and Critics Institute-Journal (BIRCI-Journal). P. 486-493

Imron, Moch TA., (2014). Metodologi Penelitian Bidang Kesehatan, Sagung Seto, Jakarta

Morse, Janice M., 1992. Qualitative Health Research, SAGE Publications International Educational and Professional Publisher, London

Notoatmodjo, Soekidjo. (2002). Metodologi Penelitian Kesehatan, Rineka Cipta, Jakarta

Nugroho, Riant. (2014). Metode Penelitian Kebijakan, Pustaka Pelajar, Yogyakarta

Nasution, S., (2002), Metode Research (Penelitian Ilmiah), Bumi Aksara, Jakarta

Kemenkes RI., (2011). Keputusan Menteri Kesehatan Republik Indonesia Nomor 1995/MENKES/SK/XII/2010 tentang Standar Antropometri Penilaian Status Gizi Anak, Jakarta : Dirjen Bina Gizi dan Kesehatan Ibu dan Anak Kemenkes RI.

Kemenkes RI., (2015). Rencana Strategis Kementerian Kesehatan Republik Indonesia Tahun 2015-2019, Jakarta : Kementerian Kesehatan Republik Indonesia.

"Mengenal "Stunting" dan Efeknya pada Pertumbuhan Anak", https://lifestyle.kompas.com/read/2017/02/08/100300123/mengenal.stunting.dan.efeknya.pada.pertumbuhan.anak.

Peter, D. H., Tran, N. T., & Adam, T., (2013). Implementation Research in Health : A practical Guide, Geneva : WHO Switzerland.

Peter, D. H., El-Saharty, S., Siadat, B., Janovsky, K., & Vujicic, M. (2009). Improving Health Service Delivery in Developing Countries, Washington DC : World Bank Publications. http://doi.org/10.1596/978-0-8213-7888-5

Proctor, E. K., Powell, B. J., & McMillen, J. C. (2013). Implementation strategies: recommendations for specifying and reporting. Implementation Science : IS, 8, 139. http://doi.org/10.1186/1748-5908-8-139

Riset Kesehatan Dasar (RISKESDAS) (2013) : Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia.

Shinta, H.,E. et al. (2020). Potential Stunting in Riverside Peoples (Study on Pahandut Urban Village, Palangka Raya City). Budapest International Research and Critics Institute-Journal (BIRCI-Journal). P. 1618-1625

Surantini, SI., 2015. Profil Kesehatan Provinsi Sumatera Utara Tahun (2014), Medan : Dinas Kesehatan Provinsi Sumatera Utara.

Sutarjo, U.S., Budijanto, Didik., et al, (2017). Profil Kesehatan Indonesia Tahun 2016, Jakarta : Kementerian Kesehatan Indonesia.

Sugiyono. (2005). Memahami Penelitian Kualitatif, Alfabeta, Bandung

Sukidin, Basrowi. (2002), Metode Penelitian Kualitatif Perspektif Mikro, Insan Cendikia, Surabaya

Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K). (2017). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting) Ringkasan, Tim Nasional Percepatan Penanggulangan Kemiskinan : Sekretariat Wakil Presiden Republik Indonesia.

Trisnantoro, Laksono. (2016a). Mengapa Riset Implementasi Diperlukan, Yogyakarta : Pusat Kebijakan Dan Manajemen Kesehatan Universitas Gadjah Mada.

Trisnantoro, Laksono. (2016c). Apa Itu Riset Implementasi, Yogyakarta : Pusat Kebijakan Dan Manajemen Kesehatan Universitas Gadjah Mada.

Team, C. R., Research, C. for C. M., & Complex, N. C. R. (n.d.). Consolidated Framework for Implementation Research. Retrieved from http://cfirguide.org/constructs.html

WHO. (2014). Implementation Research Toolkit. Geneva Switzerland: WHO.

WHO. (2014). Implementation Research in Health – A Practical Guide Chapter 1-4. Geneva Switzerland: WHO.




DOI: https://doi.org/10.33258/birci.v3i3.1220

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