Implementasi Percepatan dan pencegahan Stunting di Kabupaten Bengkulu Tengah

Sumaryadi, Dr.Supriyati,S.Sos,.M.Kes; Tony Arjuna, M.NutDiet., Ph.D, An, APD

2023 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Stunting merupakan masalah kesehatan di Kabupaten Bengkulu Tengah. Untuk mengatasi masalah stunting dilakukan upaya percepatan pencegahan dan penurunan stunting. Penggunaan A model of the policy implementation of Van Meter and Van Horn Framework dengan metode kualitatif akan dapat mendeskripsikan implemetasi program secara komprehensif.

Metode: Penelitian ini menggunakan metode kualitatif deskriptif dengan rancangan studi kasus. Teknik purposive digunakan untuk mendapatkan informan sesuai kriteria yang dibutuhkan dengan jumlah informan 20 orang. Lokasi penelitian di Kabupaten Bengkulu Tengah. Data diambil melalui wawancara mendalam, dan telaah dokumen. Kredibilitas data dengan menggunakan triangulasi dan member checking. Analisis data menggunakan analisis tematik

Hasil: Kegiatan yang tidak sesuai dengan sasaran kebijakan, keterbatasan jangkauan penerimaan layanan yang disebabkan oleh infastruktur, sarana dan prasarana. Keterbatasan jumlah sumber daya manusia, penyerapan sumber daya finansial sudah baik namun masih ada keterbatasan dalam pengganggaran, keterlambatan pelaksanaan kegiatan yang disebakan oleh pencairan anggaran yang lama. OPD memiliki perannya masing-masing yang diatur melalui petunjuk teknis dan peraturan perundang-undangan, pekerjaan yang tidak sesuai dengan jabatan fungsional, OPD memiliki sikap terhadap kebijakan. Komunikasi yang dilakukan intens baik melalui rapat atau pemanfaatan teknologi, pendelegasian wewenang dan ego sektoral pada setiap OPD, dukungan ekonomi sosial dan politik dalam bentuk peraturan dan anggaran

Kesimpulan: Keberhasilan upaya percepatan pencegahan dan penurunan stunting di Kabupaten Bengkulu Tengah karena adanya dukungan kebijakan ekonomi sosial dan politik. Masih adanya kegiatan yang tidak sesuai dengan sasaran kebutuhan, keterbatasan sumber daya manusia, masih ditemukan hambatan baik dalam koordinasi ataupun dalam pelaksanaan.

Kata kunci: stunting; implementasi

Background: Stunting is a health problem in Central Bengkulu Regency. To overcome the problem of stunting, efforts are made to accelerate the prevention and reduction of stunting. The use of A model of the policy implementation of Van Meter and Van Horn Framework with qualitative methods will be able to describe program implementation comprehensively.

Methods: This study uses a descriptive qualitative method with a case study design. The purposive technique was used to get informants according to the required criteria with a total of 20 informants. The research location is in Central Bengkulu Regency. Data were collected through in-depth interviews and document review. Data credibility by using triangulation and member checking. Data analysis using thematic analysis

Result: Activities that are not in accordance with policy objectives, limited range of service reception caused by infrastructure, facilities and infrastructure. Limited number of human resources, absorption of financial resources is good but there are still limitations in budgeting, delays in the implementation of activities caused by long budget disbursements. The Organization has its own role which is regulated through technical guidelines and laws and regulations, work that is not in accordance with functional positions, OPD has an attitude towards policy. Intense communication is carried out either through meetings or the use of technology, delegation of authority and sectoral egos in each OPD, social and political economic support in the form of regulations and budgets

Conclusion: The success of efforts to accelerate the prevention and reduction of stunting in Central Bengkulu Regency is due to the support of social and political economic policies. There are still activities that are not in accordance with the target needs, limited human resources, obstacles are still found both in coordination and in implementation.

Keywords: stunting; implementation

Kata Kunci : Stunting, Implementasi