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"Permasalahan stunting di Kabupaten Kebumen merupakan isu yang saat ini menjadi program prioritas bagi Pemerintah Kabupaten Kebumen. Tingginya prevalensi stunting di Kabupaten Kebumen menjadikan Kabupaten Kebumen sebagai salah satu dari 100 Kabupaten/Kota Prioritas Penanganan Stunting di Indonesia. Terdapat empat permasalahan yang menjadi penyebab tingginya stunting di Kabupaten Kebumen, yaitu: terdapat beberapa desa lokus dengan prevalensi stunting yang cukup tinggi, tingkat kemiskinan Kabupaten Kebumen yang tinggi, cakupan pelayanan air minum layak belum optimal, dan rendahnya kesadaran masyarakat akan Perilaku Hidup Bersih dan Sehat (PHBS) dan kecukupan gizi. Penelitian ini bertujuan untuk menganalisis strategi Pemerintah Kabupaten Kebumen dalam menangani masalah stunting tahun 2020. Teori utama yang digunakan adalah teori strategi dan manajemen strategis. Skripsi ini menggunakan metode kualitatif, dengan jenis penelitian deskriptif. Pengumpulan data dilakukan dengan wawancara mendalam dan studi kepustakaan. Hasil penelitian menunjukkan bahwa Pemerintah Kabupaten Kebumen sudah menerapkan strategi dalam menangani masalah stunting tahun 2020 walaupun dalam pelaksanaan program di lapangan terdapat hambatan yaitu dengan adanya COVID-19. Strategi penanganan stunting di Kabupaten Kebumen didasarkan pada 4 tipe strategi yaitu corporate strategy, program strategy, resource support strategy, dan institutional strategy

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The problem of stunting in Kebumen Regency is an issue that is currently a priority program for the Kebumen Regency Government. The high prevalence of stunting in Kebumen Regency makes Kebumen Regency one of the 100 Priority Regencies/Cities for Handling Stunting in Indonesia. There are four problems that cause high stunting in Kebumen Regency, namely: there are several loci villages with a fairly high prevalence of stunting, high poverty rates in Kebumen Regency, inadequate drinking water service coverage, and low public awareness of Clean and Healthy Life Behavior (PHBS) and nutritional adequacy. This study aims to analyze the strategy of the Kebumen Regency Government in dealing with the stunting problem in 2020. The main theories used are strategy theory and strategic management. This thesis uses a qualitative method, with the type of descriptive research. Data was collected by means of in-depth interviews and literature study. The results of the study show that the Kebumen Regency Government has implemented a strategy in dealing with the stunting problem in 2020 even though in the implementation of the program in the field there are obstacles, namely the presence of COVID-19. The stunting management strategy in Kebumen Regency is based on 4 types of strategies, namely corporate strategy, program strategy, resource support strategy, and institutional strategy."

"Permasalahan stunting di Kabupaten Magetan saat ini menjadi program prioritas bagi Pemerintah Kabupaten Magetan. Hal tersebut didasari karena stunting berpengaruh langsung terhadap kondisi daya saing di tingkat lokal, nasional, bahkan dunia. Tingginya prevalensi stunting menempatkan Kabupaten Magetan sebagai salah satu Kabupaten/Kota Prioritas Penanganan Stunting di Indonesia. Ada tiga masalah utama penyebab tingginya angka stunting di Kabupaten Magetan, yaitu pertama, kondisi ekonomi atau tingkat kemiskinan, kedua, pola asuh balita yang tidak tepat dan dibarengi dengan kurangnya kesadaran masyarakat, serta yang ketiga masih terdapat beberapa desa lokus stunting dengan prevalensi tinggi. Penelitian ini memiliki tujuan untuk menganalisis strategi Pemerintah Kabupaten Magetan dalam mengatasi masalah stunting. Teori utama dalam penelitian ini adalah teori strategi dan manajemen strategi yang mencakup tipe-tipe strategi serta analisis SWOT. Skripsi ini menggunakan metode kualitatif dengan jenis penelitian deskriptif. Pengumpulan data dalam penelitian ini dilakukan melalui wawancara mendalam dan studi kepustakaan. Hasil penelitian menunjukkan bahwa Pemerintah Kabupaten Magetan telah melaksanakan strategi untuk mengatasi masalah stunting, meskipun pada pelaksanaan program di lapangan sempat mengalami beberapa hambatan, salah satunya pandemi Covid-19. Strategi penanganan stunting di Kabupaten Magetan juga telah didasarkan pada empat tipe strategi yaitu strategi organisasi, strategi program, strategi pendukung sumber daya, dan strategi kelembagaan. Berdasarkan tipe-tipe strategi tersebut, selanjutnya dapat diketahui analisis SWOT yang meliputi aspek kekuatan, kelemahan, peluang serta ancaman dari strategi yang diterapkan oleh Pemerintah Kabupaten Magetan dalam mengatasi stunting.

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The problem or issue of stunting in Magetan Regency is currently a priority program for the Magetan Regency Government. This is because stunting directly affects competitiveness at local, national, and even global levels. The high prevalence of stunting places Magetan Regency as one of the Priority Regencies/Cities for Stunting Management in Indonesia. There are three main issues causing the high rate of stunting in Magetan Regency: first, economic conditions or poverty levels, second, improper parenting of toddlers coupled with a lack of community awareness, and third, there are still several villages that are stunting loci with high prevalence. This research aims to analyze the Magetan Regency Government's strategy in addressing the stunting problem. The main theory in this research is strategy and strategic management theory, which includes types of strategies and SWOT analysis. This thesis uses a qualitative method with a descriptive research type. Data collection in this research was carried out through in-depth interviews and literature studies. The results of the research show that the Magetan Regency Government has implemented strategies to address the stunting issue, although there were some obstacles in the implementation of the program in the field, one of which was the Covid-19 pandemic. The stunting management strategy in Magetan Regency is also based on four types of strategies: organizational strategy, program strategy, resource support strategy, and institutional strategy. Based on these types of strategies, further SWOT analysis can be conducted, including aspects of strengths, weaknesses, opportunities, and threats of the strategies implemented by the Magetan Regency Government in addressing stunting."

"Stunting merupakan masalah kesehatan yang menjadi perhatian semua negara di dunia bahkan pada desa lokus stunting di indonesia khususnya di propinsi tertinggi kejadian stunting Nusa Tenggara Timur yang belum pernah diteliti. Penelitian cross sectional dilakukan untuk mengetahui hubungan determinan stunting dengan kejadian stunting di desa lokusstunting. Jumlah sampel dalam penelitian ini adalah 166 ibu balita yang dipilih melalui metode proportional random sampling pada empat desa lokus stunting. Instrumen yang digunakan adalah kuesioner yang telah diuji validitas dan reliabilitas. Ditribusi frekuensi digunakan untuk melihat hasil univariat setiap variabel yang diteliti. Uji Chi Square digunakan untuk melihat analisis bivariat dan menunjukkan ada hubungan antara pengetahuan ibu (p=0,033), pola asuh ibu (p=0,016), pendapatan orang tua (p=0,025), pemanfaatan pelayanan kesehatan (p=0,022), rumah tangga sanitasi (p=0,025), jenis kelamin (p=0,036), jarak kelahiran (p=0,000) dan riwayat penyakit infeksi (p=0,025) dengan kejadian stunting. Hasil analisis multivariat menggunakan regresi logistik ganda menunjukkan bahwa faktor yang paling berhubungan dengan kejadian stunting di desa lokus stunting adalah pengetahuan ibu (p=0,000 OR 35,167; CI 95% 6,064-295,438). Pemberian asuhan keperawatan pada komunitas balita stunting sebagai populasi rentan dapat dilakukan dengan meningkatkan pengetahuan ibu tentang stunting sehingga peningkatan pengetahuan dapat berdampak pada pemahaman stunting pada balita dan menurunkan angka kejadianstuntingdi desa lokus stunting

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Stunting is a health problem that is of concern to all countries in the world, even in the village of stunting locus in Indonesia, especially in the province with the highest incidence of stunting in East Nusa Tenggara which has never been studied. A cross sectional study was conducted to determine the relationship between the determinants of stunting and the incidence of stunting in the stunting locus village. The number of samples in this study were 166 mothers of children under five who were selected through the proportional random sampling method in four stunting loci villages. The instrument used is a questionnaire that has been tested for validity and reliability. Frequency distribution is used to see the univariate results of each variable studied. Chi Square test was used to see bivariate analysis and showed that there was a relationship between mother's knowledge (p=0.033), mother's parenting pattern (p=0.016), parents' income (p=0.025), utilization of health services (p=0.022), household sanitation (p=0.025), gender (p=0.036), birth spacing (p=0.000) and history of infectious disease (p=0.025) with stunting. The results of multivariate analysis using multiple logistic regression showed that the factor most related to the incidence of stunting in the stunting locus village was maternal knowledge (p = 0.000 OR 35.167; 95% CI 6,064-295,438). The provision of nursing care to the stunting toddler community as a vulnerable population can be done by increasing mother's knowledge about stunting so that increased knowledge can have an impact on understanding stunting in toddlers and reduce the incidence of stunting in the stunting locus village."

"Stunting merupakan permasalahan serius yang dapat memberikan dampak jangka panjang kepada balita. Stunting pada anak adalah salah satu hambatan paling signifikan bagi perkembangan manusia, secara global mempengaruhi sekitar 162 juta anak di bawah usia 5 tahun. Saat ini provinsi Jawa Barat berada dalam kategori tinggi dalam permasalahan stunting. Berdasarkan Riskesdas tahun 2018, prevalensi bayi stunting di Kota Depok sebesar 23.8%. Di wilayah Puskesmas Depok Jaya masih terdapat bayi stunting dan gizi buruk. Berdasarkan data Bulan Penimbangan Balita (BPB) pada Februari 2022, ada sebanyak 34 balita stunting di Kelurahan Depok Jaya. Data ini menunjukkan angka yang lumayan tinggi untuk kasus stunting tingkat kelurahan. Penelitian ini bertujuan untuk mendapatkan evaluasi mengenai pelaksanaan strategi promosi kesehatan dalam penanganan stunting pada masa pandemi berdasarkan sudut pandang penerima program yakni ibu balita stunting. Penelitian ini menggunakan metode kualitatif deskriptif dengan wawancara mendalam kepada 3 ibu balita stunting sebagai informan utama, 3 kader sebagai informan pendukung, dan 1 ahli gizi selaku penanggung jawab program sebagai informan kunci. Kerangka konsep yang digunakan ialah Logic Model untuk melihat berbagai aspek, mulai dari sumber daya yang digunakan, proses keberlangsungannya, hasil, sampai dampak jangka panjang dari program. Hasil yang didapatkan dari sisi input, pengelola program sudah diterima dengan baik oleh ibu balita stunting, serta kebijakan pemerintah belum dipahami. Dari sisi aktivitas, program sudah tersampaikan dengan baik melalui kader dan WhatsApp, dukungan sosial juga sudah diberikan dengan baik, tetapi intervensi dan pemberdayaan belum berjalan maksimal. Dari sisi output, seluruh balita yang terdata stunting sudah mendapatkan penanganan serta ibu balita stunting sudah mendapatkan dukungan sosial yang baik, tetapi intervensi belum berjalan maksimal. Dari sisi outcome, terdapat peningkatan pengetahuan, sikap, dan perilaku positif ibu balita stunting terkait penanganan stunting pada anaknya, tetapi masih ada ibu balita stunting yang merasa tidak penting akan hal tersebut. Perlu adanya rencana rutin untuk pengadaan intervensi dan pemberdayaan, serta keberlanjutan dari program Ocan Bananas.

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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."

"Latar belakang: Stunting adalah masalah global yang menyebabkan pertumbuhan anak tidak maksimal. Selain asupan nutrisi, stunting juga dipengaruhi oleh berbagai faktor lain, seperti karakteristik sosioekonomi. Jenis lingkungan tempat tinggal, antara di urban atau rural, dapat memengaruhi faktor-faktor tersebut. Tujuan: Mengetahui hubungan antara lingkungan urban dengan lingkungan rural dan skor-Z TB/U pada balita untuk mencegah stunting. Metode: Penelitian ini adalah penelitian potong lintang komparatif antara populasi balita di lingkungan urban dan rural dengan status stunting dan skor-Z TB/U di Banten, Indonesia. Sebanyak 99 anak di Kota Serang dan 102 anak di Kabupaten Tangerang berusia 6-59 bulan diteliti. Panjang/tinggi anak diolah menggunakan WHO Anthro Survey Analyser untuk mendapatkan skor-Z TB/U. Asupan gizi dicatat menggunakan kuesioner 24-hour recall dan dihitung total konsumsi energi, karbohidrat, protein, dan lemak dalam satu hari. Karakteristik sosioekonomi pekerjaan ayah dan ibu, pendidikan ayah dan ibu, serta pemasukan keluarga per bulan) didapatkan melalui kuesioner. Hasil penelitian diuji menggunakan SPSS v20 dengan uji hipotesis Chi-Square untuk proporsi stunting dan uji T independen untuk skor-Z TB/U. Hasil: Skor-Z TB/U di lingkungan urban -1,05 (±1,42) dan di urban -0,81 (±1,09) (p: 0,183). Sedangkan, proporsi status stunting di lingkungan rural 25,5% dibandingkan di urban 14,1% (p: 0,044). Simpulan: Skor-Z TB/U antara lingkungan urban dan rural tidak berbeda signifikan, namun proporsi stunting lebih tinggi di lingkungan rural secara signifikan

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Background: Stunting is a global problem that affects growth of children. Aside from nutrition intake, stunting is also caused by other factors, for instance socioeconomic characteristics. Differences in living areas between urban and rural can affect these factors.

Aim: To find out the relation between urban and rural environment and height-forage Z-score (HAZ) in children to prevent stunting.

Methods: A cross-sectional study was held comparing population of children in rural and urban areas with stunting status and HAZ in Banten, Indonesia. The samples were 99 children from Kota Serang and 102 children from Kabupaten Tangerang aged 6-59 months. Length/height was processed using WHO Anthro Survey Analyser to get HAZ. Nutrition intake was recorded using 24-hour recall questionnaire and converted into total energy, carbohydrate, protein, and fat consumption of one day. Sosioeconomic characteristics were recorded using a questionnaire. Results of this study were processed using SPSS v20 with Chi-Square test for stunting difference proportion and independent-T test for HAZ difference.

Results: HAZ in rural area is -1,05 (±1,42) whilst in urban area is -0,81 (±1,09) (p: 0,183). Meanwhile, the proportion of stunting in rural area is 25,5% compared to in urban area, which is 14,1% (p: 0,044).

Conclusion: There is no significant difference in HAZ between urban and rural areas, but the proportion of stunting is significantly higher in rural area."

"Stunting anak 0-23 bulan di Indonesia merupakan masalah kesehatan masyarakat yang disebabkan oleh berbagai faktor langsung dan tidak langsung.  Penelitian menggunakan data Riset Kesehatan Dasar, Survey Sosial Ekonomi Nasional dan Produk Domestik Regional Bruto per kapita tahun 2018 dengan pendekatan potong lintang bertujuan mengetahui model jalur hubungan langsung dan tidak langsung berbagai faktor risiko stunting dengan prevalensi stunting tingkat kabupaten/kota.  Pengolahan data sekunder dilakukan pada Januari-April 2022. Sampel adalah 106 kabupaten/kota prevalensi stunting <20% dan 403 kabupaten/kota prevalensi stunting ≥20% (20%-<30%, 30%-40% dan >40%) yang diagregratkan pada tingkat kabupaten/kota dari 32.095 data individu anak usia 0-23 bulan yang diukur panjang badannya. Pemodelan menggunakan analisis jalur. Model jalur pencegahan risiko stunting memperlihatkan akses terhadap makanan (r=-0,31) dan pemeriksaan kehamilan (r=-0,29) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting <20%. Keluarga Berencana (r=-0,15), pemeriksaan kehamilan (r=-0,13) dan cuci tangan pakai sabun (r=-0,11) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting ≥20%. Tablet tambah darah ibu hamil (r=-0,02) dan inisiasi menyusu dini (r=-0,03) berhubungan tidak langsung melalui ASI eksklusif dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 20%-<30%. ASI eksklusif (r=-0,15) berhubungan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 20%-<30%. Cuci tangan pakai sabun berhubungan signifikan langsung dengan prevalensi stunting tingkat kabupaten/kota di kabupaten/kota prevalensi stunting 30%-40% (r=-0,22) dan >40% (r=-0,45). Model jalur menyimpulkan bahwa kabupaten/kota dapat memainkan peran penting dalam upaya pencegahan risiko stunting dengan memodifikasi sejumlah faktor risiko terutama pada keluarga anak 0-23 bulan.

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Stunting in children 0-23 months in Indonesia is a public health problem caused by various direct and indirect factors. This study uses data from Basic Health Research, National Socio-Economic Survey and Gross Regional Domestic Product per capita in 2018 with a cross-sectional approach. Secondary data processing was carried out in January-April 2022. The samples were 106 districts/cities with stunting prevalence <20% and 403 districts/cities with stunting prevalence 20% (20%-<30%, 30%-40% and >40%) Aggregated at the district/city level from 32,095 individual data for children aged 0-23 months, whose body length was measured. The modeling uses path analysis. The stunting risk prevention pathway model shows that access to food (r=-0.31) and prenatal care (r=-0.29) is directly related to the prevalence of stunting at the district/city level in districts/cities with stunting prevalence <20%. Family planning (r=-0.15), pregnancy check-ups (r=-0.13) and hand washing with soap (r=-0.11) were directly related to the prevalence of stunting at the district/city level in districts/cities stunting prevalence 20 %. Blood supplement tablets for pregnant women (r=-0.02) and early initiation of breastfeeding (r=-0.03) were indirectly related through exclusive breastfeeding with the prevalence of stunting at the district/city level in districts/cities stunting prevalence of 20%-<30% . Exclusive breastfeeding (r=-0.15) was directly related to the prevalence of stunting at the district/city level in the district/city stunting prevalence of 20%-<30%. Hand washing with soap is directly related to stunting prevalence at district/city level in districts/cities, stunting prevalence is 30%-40% (r=-0.22) and >40% (r=-0.45). The pathway model concludes that districts/cities can play an important role in preventing stunting risk by modifying a number of risk factors, especially in families of children 0-23 months."