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Stunting is a serious problem that can have a long-term impact on under five years children. Child stunting is one of the most significant barriers to human development, affecting an estimated 162 million children under five years. Currently, West Java province is in the high category of stunting problems. Based on Riskesdas 2018, the prevalence of stunting in Depok City was 23.8%. In the Depok Jaya Health Center area, there are still stunted and malnourished babies. Based on data from the Under five years children Weighing Month (BPB) in February 2022, there were 34 stunting under-five years children in Depok Jaya Village. This data shows a high number of stunting cases at the sub-district level. This study aims to obtain an evaluation of the implementation of health promotion strategies in handling stunting during the pandemic based on the perspective of the program recipients, namely mothers of under five years of stunting children. This study used a descriptive qualitative method with in-depth interviews with three mothers of stunting in under five years of children as the primary informants, three cadres as supporting informants, and one nutritionist as the person in charge of the program as key informants. The conceptual framework used was the Logic Model to see various aspects, ranging from the resources used, the process of sustainability, and results, to the long-term impact of the program. The results obtained in terms of input, program managers had been well-received by mothers of under five years stunting children, and government policies had not been understood. In terms of activities, the program had been delivered well through cadres and WhatsApp, and social support had also been provided well, but intervention and empowerment had not run optimally. In terms of output, all under five years children who are recorded as stunting received treatment, and mothers of under five years stunting children had received good social support, but the intervention had not run optimally. In terms of outcomes, there was an increase in knowledge, attitudes, and positive behaviors about mothers of under five years stunting children related to handling stunting in their children. However, there were mothers of under five years stunting children who feel unimportant about this. There needs to be a regular plan for the implementation, both interventions and empowerment, as well as the sustainability of the Ocan Bananas program.
Abstrak
Stunting di Kabupaten Bantaeng masih menjadi tantangan dengan prevalensi 15,8%. Keberhasilan dalam menekan angka ini menjadi dasar untuk menelaah peran strategis KPM sebagai garda terdepan dalam program konvergensi. Tujuan penelitian ini adalah untuk menelaah implementasi peran KPM dalam upaya pencegahan stunting serta mengidentifikasi faktor pendukung dan penghambat efektivitasnya di Kabupaten Bantaeng. Penelitian ini menggunakan desain kualitatif fenomenologi dengan total 24 informan yang terdiri dari 7 KPM, 3 kepala desa, 5 tenaga kesehatan, 3 kader posyandu, dan 6 perwakilan masyarakat sasaran. Pengumpulan data dilakukan melalui wawancara mendalam dan telaah dokumen , yang kemudian dianalisis secara tematik. Hasil penelitian menunjukkan peran KPM sangat efektif dalam memfasilitasi akses terhadap layanan KIA, sanitasi, dan jaminan kesehatan, berkat kolaborasi lintas sektor dan dukungan penuh pemerintah desa. Namun, masih kurang optimal dalam intervensi yang bersifat edukatif untuk mengubah perilaku, seperti pada aspek konseling gizi dan partisipasi PAUD. Faktor penghambat utamanya adalah norma sosial yang kuat di masyarakat dan keterbatasan sumber daya untuk program edukasi yang terstruktur. Penelitian ini menyimpulkan implementasi peran KPM efektif pada intervensi yang didukung program pemerintah yang konkret dan terukur, namun lemah dalam mengubah pengetahuan dan norma sosial. Lebih lanjut, ditemukan pula kesenjangan antara kualifikasi pendidikan formal KPM dengan kompleksitas tugas edukasi dan konseling gizi yang harus diemban secara efektif. Disarankan agar Pemerintah Daerah mengembangkan kampanye sosialisasi untuk mengubah norma sosial dan mengalokasikan dana untuk program edukasi terstruktur. Selain itu, Dinas Pemberdayaan Masyarakat dan Desa (DPMD) perlu mengevaluasi kembali standar rekrutmen KPM dan merancang pelatihan terstandar dan berkelanjutan untuk meningkatkan kapasitas KPM.
This study aims to analyze the relationship between self-esteem, parenting styles, and socioeconomic status on depression among high school students in South Jakarta in 2023. The study employed a quantitative design with a cross-sectional approach using secondary data from the 2023 Adolescent Behavior Survey. The sample consisted of 866 10th- and 11th-grade students from SMAN 38 and SMAN 90 Jakarta, selected through total sampling. The analysis showed that low self-esteem (p < 0.001; OR = 7.35, CI 95%: 5.07–10.64) and negative parenting styles (p < 0.001; OR = 2.91, CI 95%: 2.16–3.91) were significantly associated with depression levels. Stratified analysis by gender revealed that low self-esteem had a stronger association with depression among male students (OR = 9.71, CI 95%: 5.90–16.00, p < 0.001) compared to female students (OR = 5.81, CI 95%: 3.81–8.84, p < 0.001). Negative parenting styles were consistently associated with depression in both genders, though the variation was smaller. This study recommends that schools provide training for teachers and counselors to detect early signs of depression in students and establish counseling services to support students with low self-esteem and negative parenting experiences. Additionally, it is essential to organize seminars on mental health and positive parenting for parents and to encourage further research using longitudinal approaches and exploration of other relevant variables
Nutritional status is a reflection of the size of the unmet needs in getting the nutritional intake and the use of nutrients by the body This study aims to see an overview of the implementation of health promotion programs in order to improve the nutritional status of children in PAUD X Bojonggede village 2015 This study is a qualitative research design Rapid assessment Procedures RAP The method used in data collection is in depth interview The results showed that the health promotion program that has been running quite well is the existing health examination for children on a regular basis and supplementary feeding program from Yayasan Balita Sehat besides cadres and officers of Yayasan Balita Sehat already received training growth and development and training of refreshing cadres management of child nutrition improvement program to support the passage of the nutritional status of children Health promotion programs are still lacking and needs to be improved is the socialization of malnutrition prevention movement that weight operation dissemination and implementation of policies to deal with malnutrition as well as promotive of health facilities around the Village area Bojonggede In order to improve health promotion efforts need to be undertaken in collaboration between the Bogor district health offices PHC Bojonggede officials Bojonggede village Yayasan Balita Sehat and health facilities in the area Bojonggede village
