Abstract
Whether or not a policy is effective can be caused by implementing factors. The implementation implementer referred to as the street bureaucracy is the link between the bureaucracy and the community. In such relationships are influenced by the culture of each. This article discusses the implementation of stunting handling in West Pasaman District, West Sumatra Province. The objectives of this article are: describe the implementation of stunting handling policies by implementers and explain the acceptance of targets to the policy implementation program. This article is based on research using qualitative methods with an ethnographic approach. The research data were collected by observation techniques and in-depth interviews. The results showed that the implementation of stunting prevention in West Pasaman has been formally carried out well. The Regional Apparatus Organization involved and the implementation officer at the spearhead are working seriously with each of their duties. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective. This has made the Regional Government of West Pasaman Regency ranked first in the Convergence Action to Accelerate Stunting Reduction 4 times in a row from 2019 to 2022. However, people in Nagari who are the locus of stunting feel that the program approach actually makes the target community (especially those with stunting children) feel depressed and intimidated, causing resistance to posyandu activities. So it can be said that the implementation of stunting prevention carried out is less effective.
Keywords
Klik untuk membaca artikel penuh PDF
References
Ahlers, A. L., & Schubert, G. (2015). Effective Policy Implementation in China's Local States. Modern China, 41(4), 372–405. https://doi.org/10.1177/0097700413519563
Bappeda. (2019). Convergence action, 1–15.
Bose, K., Biswas, S., Bisai, S., Ganguli, S., Khatun, A., Mukhopadhyay, A., & Bhadra, M. (2007). Stunting, underweight and wasting among Integrated Child Development Services (ICDS) scheme children aged 3 – 5 years of Chapra, Nadia District, 216–221.
Brynard, P. A. (2009). Mapping the factors that influence policy implementation. Journal of Public Administration, 44(3–1), 557–577. Retrieved from http://search.proquest.com/docview/1400825477?accountid=8330%5Cnhttp://library.anu.edu.au:4550/resserv?genre=article&issn=00360767&title=Journal+of+public+administration&volume= 44&issue=3-1&date=2009-10-01&atitle=Mapping+the+factors+that+influence+policy+
Buisman, L.R., Poel, E. Van De, Donnell, O.O., & Doorslaer, E.K.A. Van. (2019). What explains the fall in child stunting in Sub-Saharan Africa? SSM - Population Health, 100384. https://doi.org/10.1016/j.ssmph.2019.100384
Creswell, J. W. (2013). Qualitative Research and Research Design: Choosing among Five Approaches (3rd ed.). Yogyakarta: Student Library.
Fardon, C.R., Harris, O., Marchand, T.H.J., Nuttall, M., Shore, C., Strang, V., & Wilson, R.A. (2012). The SAGE Handbook of Social Anthropology Anthropology and Public Policy Policy ( Why ) Policy Matters. https://doi.org/10.4135/9781446201077
Hudson, B., Hunter, D., & Peckham, S. (2019). Policy failure and the policy-implementation gap: can policy support programs help? Policy Design and Practice, 2(1), 1–14. https://doi.org/10.1080/25741292.2018.1540378
Keesing, R. M. (1997). Theories of Culture, 52(Social and cultural), 4–31.
Indonesian Ministry of Health. (2021). pocket book of the results of the Indonesian nutritional status study (SSGI) at the national, provincial and district/city levels in 2021. Angewandte Chemie International Edition, 6(11), 951–952., 2013–2015.
Indonesian Ministry of Health, & BPS. (2019). Susenas Integration Implementation Report March 2019 and SSGBI 2019, 69.
Ministry of Health of the Republic of Indonesia. (2022). Pocket Book of 2022 Indonesian Nutritional Status Study Results (SSGI). Indonesian Ministry of Health, 1–14. Retrieved from https://www.litbang.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
Kruger, G., Pienaar, A.E., Africa, S., Africa, S., Pienaar, A., & Africa, S. (2012). Prevalence of stunting, wasting and underweight in Grade 1-learners : The NW-CHILD Study, (Who 2000), 1–7. https://doi.org/10.4102/hsag.v19i1.750
Marzali, A. (2014). Advancing Indonesian National Culture, 26(3).
Mthethwa, R. M. (2012). Mthethwa_Critical(2012). African Journal of Public Affairs, Volume 5 n, 36–47.
Nisbett, N., Gillespie, S., Haddad, L., & Harris, J. (2014). Why Worry About the Politics of Childhood Undernutrition? World Development, 64, 420–433. https://doi.org/10.1016/j.worlddev.2014.06.018
O'Toole, L. J. (2004). The theory-practice issue in policy implementation research. Public Administration, 82(2), 309–329. https://doi.org/10.1111/j.0033-3298.2004.00396.x
Pritasari, K. (2018). Public Health Policy in Efforts to Reduce Stunting. North Sumatra Regional Health Work Meeting 2018, 6.
Saputri, RA (2019). UPPER-DOWNSTREAM STUNTING REDUCTION IN INDONESIA, (97671).
Schneider, A. L., & Klein, M. (2016). Studying Policy Implementation, 6(6), 715–730.
Sutrisno, M., & Putranto, H. (2005). Cultural Theories. (M. Sutrisno & H. Putranto, Eds.). Yogyakarta: Kanisius.
te Lintelo, DJH, Page, P., Kaganda, J., & Esau, D. (2020). Tanzania's story of change in nutrition: Political commitment, innovation and shrinking political space. Global Food Security, 24(July 2019), 100350. https://doi.org/10.1016/j.gfs.2020.100350
Ugwuanyi, B.I., & Chukwuemeka, EEO (2013). The Obstacles to Effective Policy Implementation by the Public Bureaucracy in Developing Nations: The Case of Nigeria. Singaporean Journal of Business, Economics and Management Studies, 1(8), 34–43. https://doi.org/10.12816/0003788
Dokumen PDF sudah dibaca/diunduh : 5 kali