This study examines the determinants of stunting prevention among toddlers in fishing families residing in the coastal areas of Bengkulu City. Utilizing a mixed-method approach, the research combined survey data from 70 respondents and in-depth interviews with 11 informants. Findings indicate that health behavior and genetic factors from health status, alongside education level and occupation from socioeconomic status, play pivotal roles in stunting prevention. Consumption patterns, particularly the consistent provision of animal protein and vegetables in daily meals, significantly contribute to the absence of stunting cases in the studied population. However, limited fruit intake persists due to economic barriers. The study underscores the necessity of integrated strategies, including nutrition education, enhanced access to nutritious foods, and economic support for fishing families, to sustain stunting prevention in coastal communities.
The hopes and aspirations of Law No. 6/24 on Village autonomy has faced several problems and challenges. These problems and challenges arose when the village government had to undertake various delegated tasks assigned by the regency, provincial, and central governments. As a result, the village is preoccupied with delegated tasks assigned by supra-village authorities, straining its resources and budget. The shift in focus resulted the village government are unable to perform their main tasks and responsibilities. This situation is akin to the Village Head functioning as a state employee. Stunting is one of the assignment programs that causes various problems and instrumentalizes villages. This process involves mobilizing village institutions, human resources, and budgets to ensure the program’s success. This study employed exploratory-qualitative approach to investigate the challenges arising from the stunting program’s implementation in Ngargosari Village. The research informants included the village head, village officials, posyandu cadres, community leaders, and program beneficiaries. The data were gathered through in-depth interviews were validated and reconfirmed using Focus Group Discussions. Furthermore, an in-depth analysis was carried out to obtain findings related to village instrumentalization in the stunting program. The findings revealed that the stunting program’s implementation involved mobilizing village institutions, resources, and budgets. The village government lacked bargaining power against supra-village policies, despite their alignment with local values and wisdom. The central government dictated the system, procedures, mechanisms, and methods for handling stunting in a centralized manner, disregarding local wisdom and the authority of village governments as outlined in Law Number 6 of 2014 on Villages. Consequently, the stunting program represents a form of village instrumentalization akin to the New Order era, with centralistic initiatives that relegate village heads to the role of state employees.
The problem of stunting is not only related to children’s short height, but also has an impact on high morbidity rates, due to long-term nutritional deficiencies. which hinders motor and mental development in children. The objectives of this research are: 1) to understand household food security, 2) to understand the eating habits of pregnant women and toddlers regarding existing belief systems and traditions, and 3) to understand resilience mechanisms in overcoming food emergencies to prevent stunting. The data collection process uses a mixed methods approach by combining qualitative and quantitative research. The research results show that the determining factor for the incidence of stunting in coastal areas of Indonesia is the lack of household food availability due to subsistence economic life which then has an impact on eating behavior in the household, namely the lack of quality and quantity of the types of food consumed. daily. Apart from that, there is still a lack of understanding by pregnant women regarding the importance of providing complementary breast milk food to toddlers, low literacy of food diversity among toddlers, and low public trust in the importance of immunization. Furthermore, the high rate of early marriage in society and the limited awareness of using clean water is caused by a philosophy that still considers rivers as a source of life, so the water is used for consumption. Apart from that, socio-cultural mechanisms as a strategy to resolve the problem of food shortages have not yet been implemented.
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