Upaya penurunan stunting di Indonesia salah satunya menetapkan wilayah prioritas lokus. Angka stunting di Indonesia ditargetkan turun dari 21,6% (2022) menjadi 14% (2024). Pada desa lokus dilakukan intervensi sensitif dan spesifik secara lebih intensif. Tujuan penelitian ini untuk mengetahui determinan stunting pada balita di 15 desa lokus dan 15 desa non lokus di Kabupaten Garut, Indonesia. Desain studi cross-sectional dari data sekunder dari Dinas Kesehatan Kabupaten Garut dengan jumlah sampel 2.359 balita usia 0-59 bulan. Analisis determinan stunting pada penelitian ini dilakukan secara univariat, bivariat, dan multivariat dengan uji Cox Regression. Hasil penelitian menunjukkan prevalensi stunting pada balita di desa lokus dan non lokus Kabupaten Garut sebesar 30,56% dengan perbandingan proporsi stunting lebih tinggi pada desa non lokus dibandingkan dengan desa lokus. Hasil analisis multivariat menunjukkan determinan stunting secara keseluruhan adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak sedangkan di desa lokus adalah infeksi anak, dan PMT anak adapun di desa non lokus adalah infeksi anak, riwayat gangguan kehamilan, dan PMT anak. Faktor kontekstual yang berhubungan dengan stunting keseluruhan adalah jenis desa dan merokok sedangkan di desa lokus maupun non lokus adalah merokok. Faktor yang paling memengaruhi stunting di desa lokus maupun non lokus intervensi penurunan dan pencegahan stunting Kabupaten Garut tahun 2022 adalah infeksi anak (PR 1,76; 95% CI 1,49-2,08). Hasil penelitian menyarankan pihak Pemerintah Daerah, Dinas Kesehatan, dan masyarakat dapat mencegah stunting melalui pencegahan infeksi dengan pola hidup bersih, bekerja sama dalam program desa lokus, dan melakukan kampanye anti rokok dalam rangka pencegahan dan penurunan angka stunting.

One of the efforts to reduce stunting in Indonesia is to determine locus priority areas. The stunting rate in Indonesia is targeted to decrease from 21.6% (2022) to 14% (2024). In locus villages, sensitive and specific interventions are carried out more intensively. The purpose of this study was to determine the determinants of stunting in toddlers in 15 locus villages and 15 non-locus villages in Garut District, Indonesia. The study design was cross-sectional using secondary data from the Garut District Health Office with a total sample of 2,359 toddlers aged 0-59 months. Analysis of the determinants of stunting in this study was carried out univariately, bivariately and multivariately using the Cox Regression test. The results showed that the prevalence of stunting in toddlers in locus and non-locus villages in Garut District was 30.56% with a higher proportion of stunting in non-locus villages compared to locus villages. The results of multivariate analysis showed that the overall determinants of stunting were child infection, history of pregnancy disorders, and child PMT, while in the locus village it was child infection, and child PMT while in non-locus village it was child infection, history of pregnancy disorders, and child PMT. Contextual factors related to overall stunting are the type of village and smoking, while in both locus and non-locus villages is smoking. The factor that most influences stunting in locus and non-locus intervention villages to reduce and prevent stunting in Garut District in 2022 is child infection (PR 1.76; 95% CI 1.49-2.08). The results of the study suggest that the Regional Government, the Health Service, and the community can prevent stunting by preventing infection with a clean lifestyle, working together in locus village programs, and conducting anti-smoking campaigns in the context of preventing and reducing stunting rates.

Tesis ini membahas mengenai faktor-faktor yang mempengaruhi retensi dokter di puskesmas Penelitian dilakukan dengan mengolah data sekunder hasil Riset Ketenagaan di Bidang Kesehatan (Risnakes) 2017, dengan jumlah sampel sebanyak 14.091 orang dokter yang bertugas di puskesmas. Pengolahan data menggunakan analisis jalur (path analysis). Hasil penelitian memperlihatkan bahwa dekat dengan keluarga besar adalah alasan utama kebetahan yang paling banyak disampaikan (34%). Pengaruh total variabel karakter terhadap kebetahan (retensi) 0,23, terhadap kepuasan kerja 0,04, dan terhadap motivasi 0,08. Pengaruh total variabel manfaat non finansial terhadap kebetahan (tingkat retensi) 0,15, dan motivasi 0,03. Pengaruh total variabel manfaat finansial terhadap kebetahan (tingkat retensi) 0,04, kepuasan kerja 0,13 dan motivasi 0,11. Tidak ada pengaruh langsung dari variabel manfaat finansial kepada tingkat retensi, dan dari variabel manfaat non finansial ke kepuasan. Pengaruh total variabel kepuasan terhadap retensi 0,26 dan terhadap motivasi 0,58. Pengaruh total variabel motivasi terhadap retensi 0,05. Disarankan agar Pemerintah Pusat melakukan sinkronisasi kebijakan rekruitmen dan distribusi tenaga dokter, subsidi anggaran insentif dokter daerah dengan kapasitas fiskal rendah dan atau memiliki keterbatasan finansial, dan melanjutkan program penugasan khusus penempatan dokter, menyusun dan mengaplikasikan kebijakan afirmatif distribusi tenaga dokter di puskesmas, antara lain program ikatan dinas dan beasiswa pendidikan kedokteran, datasering. Pemerintah Daerah dapat menyelenggarakan inovasi rekruitmen dan distribusi tenaga dokter melalui jalur penugasan khusus, program beasiswa daerah untuk pendidikan kedokteran, menyediakan subsidi insentif finansial yang layak bagi tenaga dokter, dan memberikan fasilitasi yang cukup bagi dokter puskesmas untuk dapat mengikuti program peningkatan kapasitas

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This thesis discusses the factors that influence the retention of doctors in community health center. The study was conducted by processing secondary data from the results of the Health Research in 2017 (Risnakes), with total sample of 14,091 doctors who served at the community health center. Processing data using path analysis. The results of the study showed that being close to extended families was the main reason for most retention (34%). The effect of total character variables on retention is 0.23, on job satisfaction 0.04, and on motivation 0.08. The effect of the total non-financial benefit variable on retention rate -0.15, and motivation 0.03. The effect of the total variable financial benefits on retention rate 0.04, job satisfaction 0.13 and motivation 0.11. There is no direct effect from the financial benefit variable on the level of retention, and from the non-financial benefit variable to satisfaction. The effect of total satisfaction variables on retention is 0.26 and on motivation 0.58. Effect of total motivational variables on retention of 0.05. It is recommended that the Central Government synchronize the recruitment and distribution policy for doctor, subsidize the budget incentives doctor for regional with low fiscal capacity and or have financial limitations, and continue  2 special assignment programs for the placement of doctor, compile and apply affirmative policies for the distribution of doctor in community health center, including programs official ties and medical education scholarships, datasering. Local Governments can carry out recruitment innovation and distribution of doctor through special assignments, regional scholarship programs for medical education, provide appropriate financial incentives for doctor, and provide sufficient facilitation for capacity building programs.