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Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra

Stunting prevalence varies significantly across Indonesian provinces and districts/municipalities, including West Sumatra. This research aims to identify the driving and inhibiting factors for implementing the stunting reduction acceleration program at the district level in West Sumatra. The researc...

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Autores principales: Syafrawati, Syafrawati, Lipoeto, Nur Indrawati, Masrul, Masrul, Novianti, Novianti, Gusnedi, Gusnedi, Susilowati, Andi, Nurdin, Asrawati, Purnakarya, Idral, Andrafikar, Andrafikar, Umar, Hermita Bus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065257/
https://www.ncbi.nlm.nih.gov/pubmed/37000777
http://dx.doi.org/10.1371/journal.pone.0283739
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author Syafrawati, Syafrawati
Lipoeto, Nur Indrawati
Masrul, Masrul
Novianti, Novianti
Gusnedi, Gusnedi
Susilowati, Andi
Nurdin, Asrawati
Purnakarya, Idral
Andrafikar, Andrafikar
Umar, Hermita Bus
author_facet Syafrawati, Syafrawati
Lipoeto, Nur Indrawati
Masrul, Masrul
Novianti, Novianti
Gusnedi, Gusnedi
Susilowati, Andi
Nurdin, Asrawati
Purnakarya, Idral
Andrafikar, Andrafikar
Umar, Hermita Bus
author_sort Syafrawati, Syafrawati
collection PubMed
description Stunting prevalence varies significantly across Indonesian provinces and districts/municipalities, including West Sumatra. This research aims to identify the driving and inhibiting factors for implementing the stunting reduction acceleration program at the district level in West Sumatra. The research was conducted in 2022 with a qualitative study design and a case study approach. Data were collected through (i) group interviews with key informants involving policymakers and program managers at the provincial, district, sub-district, and village levels and (ii) in-depth interviews with mothers of stunted children. Two districts were selected as research sites. One district represents an area that has yet to be developed (District A or failed district). The other district has seen a significant reduction in the prevalence of stunting (District B or successful district). We found several driving and inhibiting factors that affect the reduced prevalence of stunting, such as the need for the relevant agency to play a strong role as the leading and responsible sector for stunting convergence actions. Another important factor is paying close attention to improving the quality of stunting data and providing adequate funding support. High commitment from Public Health Centers to maternal health through classes for pregnant women, infants, and children under the age of five can also have an impact. Furthermore, properly performing duties by assigned actors in specific and sensitive programs and integrated monitoring and evaluation of program implementation and outcomes can influence stunting prevalence. Recommendations for accelerating stunting reduction include improving communication and coordination, establishing stunting prevalence reduction as a performance indicator among the related district government and its various agencies, and assisting the village administration with planning and budgeting to support stunting prevention.
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spelling pubmed-100652572023-04-01 Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra Syafrawati, Syafrawati Lipoeto, Nur Indrawati Masrul, Masrul Novianti, Novianti Gusnedi, Gusnedi Susilowati, Andi Nurdin, Asrawati Purnakarya, Idral Andrafikar, Andrafikar Umar, Hermita Bus PLoS One Research Article Stunting prevalence varies significantly across Indonesian provinces and districts/municipalities, including West Sumatra. This research aims to identify the driving and inhibiting factors for implementing the stunting reduction acceleration program at the district level in West Sumatra. The research was conducted in 2022 with a qualitative study design and a case study approach. Data were collected through (i) group interviews with key informants involving policymakers and program managers at the provincial, district, sub-district, and village levels and (ii) in-depth interviews with mothers of stunted children. Two districts were selected as research sites. One district represents an area that has yet to be developed (District A or failed district). The other district has seen a significant reduction in the prevalence of stunting (District B or successful district). We found several driving and inhibiting factors that affect the reduced prevalence of stunting, such as the need for the relevant agency to play a strong role as the leading and responsible sector for stunting convergence actions. Another important factor is paying close attention to improving the quality of stunting data and providing adequate funding support. High commitment from Public Health Centers to maternal health through classes for pregnant women, infants, and children under the age of five can also have an impact. Furthermore, properly performing duties by assigned actors in specific and sensitive programs and integrated monitoring and evaluation of program implementation and outcomes can influence stunting prevalence. Recommendations for accelerating stunting reduction include improving communication and coordination, establishing stunting prevalence reduction as a performance indicator among the related district government and its various agencies, and assisting the village administration with planning and budgeting to support stunting prevention. Public Library of Science 2023-03-31 /pmc/articles/PMC10065257/ /pubmed/37000777 http://dx.doi.org/10.1371/journal.pone.0283739 Text en © 2023 Syafrawati et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Syafrawati, Syafrawati
Lipoeto, Nur Indrawati
Masrul, Masrul
Novianti, Novianti
Gusnedi, Gusnedi
Susilowati, Andi
Nurdin, Asrawati
Purnakarya, Idral
Andrafikar, Andrafikar
Umar, Hermita Bus
Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title_full Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title_fullStr Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title_full_unstemmed Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title_short Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra
title_sort factors driving and inhibiting stunting reduction acceleration programs at district level: a qualitative study in west sumatra
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10065257/
https://www.ncbi.nlm.nih.gov/pubmed/37000777
http://dx.doi.org/10.1371/journal.pone.0283739
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