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The high stunting rate in Kebumen District makes this region one of the special locations for handling stunting in Indonesia. One of the reasons is because the policies and regulations on stunting interventions have not been maximally used as a common foundation in dealing with this problem. One of them is the policy of utilizing village funds. The purpose of this study was to analyze the implementation of policies and formulation of advocacy for the use of village funds for stunting in Kebumen Regency in 2019. This study was a qualitative study using the RAP (Rapid Assessment Procedure) approach. The subjects of this study were stakeholders at the District, Sub District and Village level governments that were selected using a purposive technique. The results showed that the uptake of village funds in the health sector including stunting was still very small. In five villages the stunting locus reached only 2.7%. Therefore a strategy is needed, through synchronization and policy collaboration from the Office of Community and Village Empowerment (Dispermades) with policies from the Health Office
Based on the results of a nutritional status monitoring survey (PSG) in 2018, as many as 26.64% of children under five in North Lampung Regency were stunted. In 2020 North Lampung Regency was established as one of the stunting focus districts. Regarding the implementation of stunting dropping interventions at the community level, it is known that not all villages have formed human development cadres (HDC) including villages in the working area of the Kotabumi II Public Health Center. The purpose of this study was to identify the knowledge, attitudes, motivations and behavior of posyandu cadres about stunting and its prevention in the context of preparing policy advocacy documents regarding the role of cadres. The study uses qualitative methods with rapid assessment procedure design. The informants in this study were 6 posyandu cadres, with 7 key informants namely 5 midwives, 1 nutritionis and 1 puskesmas head. Data collection was carried out by means of in-depth interviews via cellular telephone, using interview guidelines. The results of this study indicate that the knowledge of posyandu cadres about stunting and prevention is still largely lacking, all cadres have a positive attitude about stunting and prevention, all cadres have high motivation, and cadre behavior regarding early detection of stunting and prevention, most are still lacking. Based on the identification results, a policy advocacy document can be prepared in the form of a policy brief with recommendations including: need to increase the capacity of posyandu cadres, and the need to establish human development cadres (KPM) as staff who can assist in overcoming stunting problems in the village by increasing the role of posyandu cadres . Considering that North Lampung Regency is one of the special stunting location districts, there should be an integrated stunting prevention policy at the community level by making stunting a priority program in village fund budgets and forming human development cadres (HDC) by recruiting posyandu cadres
Background: The amount of people with mental disorders is increasing in Indonesia. Referring to National Health Survey conducted by the Ministry of Health in 2018, the prevalence of people with severe mental disorders (schizophrenia / psychosis) increased from 0.15% to 0.18%. to determine mental health issues in the community, there is an urgency for potential workers in the community, namely mental health cadres. Objective: This study aims to describe the role of mental health cadres in mental health programs within the community. Method: Qualitative method with a phenomenological design comprises interview and FGD were used in this research. Result: Of 20 informants, we found that cadres have performed their roles including the role in primary prevention namely person with mental issues data collection (screening), motivating families and people with mental disorders, and providing health education. Subsequently, roles in detection and outreach as a secondary prevention. Tertiary prevention is to motivate people with mental disorders so they will take prescriptions, mentoring to take medication and make a referrals. Conclusion: 2 mental health cadres have performed their roles, however there are still many obstacles in society that cadres need to overcome.
The aims of the research are to find out (1) the implementation of health operational assistance (BOK) at Bekasi City Health Center, (2) the size and objectives of the policy, (3) implementation of coverage programs for obstetric complications management, (4) the availability of human resources, (5) implementation disposition and (6) social, economic and political environment that affect the implementation of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center in 2019. Research variables include human resources, budget, guidelines, facilities, planning, implementation, monitoring and evaluation. The sample involved in implemention of health operational assistance (BOK) with coverage of obstetric complications management in the Bekasi City Health Center consisted of 9 respondents. The results of the research revealed that budget planning was in accordance with technical guidelines, human resource policies were inadequate, the amount of funds was sufficient and the accountability process needed 2 supervision and simplification of reporting. At the level of achievement of the obstetric complications management program, service coverage has increased, but there are some services that do not meet the Minimum Service Standards (MSS) targets.
