Case mapping and evaluation of the stunting reduction acceleration program in Kendari, Indonesia

Abstract

Stunting is a child's growth and development disorder due to chronic malnutrition and recurrent infections. In 2022, the prevalence of stunting in Kendari was 19.5%, a decrease of 4.5% from 2021. However, this prevalence still exceeds the national target (14%). This study aimed to determine the distribution of stunting cases and evaluate the Acceleration of Stunting Reduction Program in Kendari. A mixed methods with concurrent design was carried out in August-November 2023 in Kendari. In the mapping distribution cases, the coordinate point of all cases was domiciled in 15 Focus Location Villages collected then analyzed by Quantum Geographic Information System (QGIS). For program evaluation, 10 informants were selected by purposive sampling technique. Data was collected through in-depth interviews and then analyzed using reduction techniques, data presentation and drawing conclusions. There were 82 cases of stunting spread across 15 villages, with the most cases being in Punggaloba Village with 20 cases. In implementing the acceleration reduction stunting program, it was supported with guidelines in each level, the sensitive and specific interventions from National Population and Family Planning Agency have been carried out. Several cross-programs and cross-sectors from sub-district to provincial levels play a role in implementing the program. Obstacles faced include limited operational funds, sectoral egos and low public awareness and non-acceptance of the status of stunted toddlers. Cross-sector commitment in efforts to implement the acceleration program needs to be strengthened and socialization to increase public awareness and acceptance of the community.