Analisis Implementasi Program Percepatan Penurunan Angka Stunting di Kabupaten Gayo Lues dengan Pendekatan Realist Evaluation

Abstract

Stunting is a developmental disorder in children caused by a lack of nutritional intake over a long period. Stunting affects children's cognitive and motor skills, low intellectual capacity, poor metabolism, and low productivity in adulthood. The prevalence of stunting in Indonesia stands at 21.6 percent. Aceh Province has the highest incidence of stunting in Indonesia, with Gayo Lues District's prevalence at 34.57 percent. The accelerated stunting reduction program is the President's priority program to reduce the national stunting prevalence through interventions based on early detection, improved nutrition, increased knowledge related to stunting, and targeted coverage visits to posyandu. This type of research is qualitative research with a Realist Evaluation approach. This is a theory-based research approach that uses realism to describe the success or failure of interventions. The subjects were selected using a purposive sampling and were taken from two regions with significantly different stunting prevalence rates. Data were collected through in-depth interviews and analyzed using the C-M-O configuration. In two areas with various outcomes, the external context was found to be the role of community leaders and local authorities, the existence of stigma against stunting, and the low participation of mothers in posyandu activities, with mechanisms in the form of obstacles to the implementation of socialization and direct visits. There is a need to increase the participation of community leaders in the implementation of stunting prevention activities and the utilization of cadres to achieve the target of reducing stunting rates in the Gayo Lues District.