IMPLEMENTASI PROGRAM PENCEGAHAN STUNTING MELALUI KEGIATAN POSYANDU DI DESA MULYOAGUNG KECAMATAN BOJONEGORO KABUPATEN BOJONEGORO

IMPLEMENTATION OF STUNTING PREVENTION PROGRAMS

TROUGH POSYANDU ACTIVITIES IN MULYOAGUNG

BOJONEGORO CITY

ABSTRAK

Permasalahan kesehatan merupakan masalah besar negara berkembang, termasuk negara Indonesia. Program penanganan stunting menjadi fokus utama dalam pelayanan kesehatan baru-baru ini. Berdasarkan Permenkes Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan Penurunan Stunting pasal 2 yang berisi tujuan dari program stunting adalah salah satunya untuk menurunkan prevalensi stunting. Dalam implementasinya di Desa Mulyoagung  masih ditemukan masalah yaitu masih adanya permasalahan salah satunya pengaruh ekonomi yang membuat ibu balita yang memiliki balita stunting tidak menerima bantuan dari Pemerintah Desa Mulyoagung. Tujuan penelitan ini adalah untuk mengetahui dan mendeskripsikan implementasi program pencegahan stunting melalui kegiatan posyandu menggunakan teori implementasi dari Van Horn dan Van Meter yang meliputi enam indikator yaitu ukuran dan tujuan kebijakan, sumberdaya, karakteristik organisasi pelaksana, Sikap para pelaksana, komunikasi antar agen pelaksanaan, lingkungan sosial, ekonomi dan politik. Penelitian ini menggunakan pendekatan kualitatif jenis penelitian deskriptif. Hasil penelitian menunjukkan bahwa pelaksanaan posyandu sudah sesuai dengan sasaran dan standar kebijakan.  Sumber  daya  manusia  untuk  melakukan  pelaksanaan program pelayanan KIA masih kurang memadai dan jumlahnya kurang. Pelaksana sudah melaksanakan tugas dan fungsi sesuai peraturan yang berlaku. Pelaksana semua netral dalam melakukan tugas dan adanya dukungan positif dari masyarakat.  Komunikasi  antar  organisasi  sudah  berjalan  dengan  baik  dengan  selalu  berkoordinasi  antar organisasi internal maupun eksternal. Lingkungan sosial, ekonomi, diwilayah kerja posyandu Desa Mulyoagung  ini  kurang  mendukung  dikarenakan  kurangnya kesadaran  masyarakat  tentang  kesehatan   anak. Namun lingkungan politik sudah mendukung kegiatan posyandu ini. Saran penambahan jumlah sumber daya manusia, menjaga komunikasi dan koordinasi antara pihak-pihak yang terlibat.

Kata Kunci: Implementasi , Stunting, Posyandu

ABSTRACT

Health issues are a significant concern in developing countries, including Indonesia. The stunting prevention program has become a primary focus in recent healthcare services. According to the Minister of Health Regulation and the Presidential Regulation of the Republic of Indonesia Number 72 of 2021 regarding the Acceleration of Stunting Reduction, Article 2 states that one of the objectives of the stunting program is to reduce the prevalence of stunting. In its implementation in Mulyoagung Village, there are still challenges, one of which is the economic influence leading to cases where mothers of stunted toddlers do not receive assistance from the Mulyoagung Village Government. The purpose of this research is to understand and describe the implementation of the stunting prevention program through integrated health posts (posyandu) activities using the implementation theory by Van Horn and Van Meter, which includes six indicators: policy size and goals, resources, characteristics of the implementing organization, attitudes of implementers, communication among implementing agents, and the social, economic, and political environment. This study employs a qualitative approach of descriptive research. The research findings indicate that the implementation of the integrated health posts aligns with the objectives and policy standards. Human resources for the implementation of Maternal and Child Health (KIA) services are still inadequate and insufficient in number. The implementers have carried out their duties and functions in accordance with the applicable regulations. Implementers are all neutral in executing their tasks, and there is positive support from the community. Organizational communication is well-established, both internally and externally. The social and economic environment in the working area of Mulyoagung Village's integrated health posts is less supportive due to the community's lack of awareness about child health. However, the political environment supports these integrated health post activities. Recommendations include increasing the number of human resources, maintaining communication and coordination among involved parties.

Keywords: Implementation, Stunting, Integrated Health Posts (Posyandu