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All Journal Jurnal Gizi dan Pangan Jurnal Kebijakan dan Administrasi Publik
Wigati, Maria
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Decision Sciences, Operations Research & Management Education Health Professions Public Health Social Sciences

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Policy Triangle Analysis of Stunting Issues in Urban Areas: A Case Study of Yogyakarta City Wigati, Maria; Ciptanurani, Ceria
JKAP (Jurnal Kebijakan dan Administrasi Publik) Vol 27, No 2 (2023): November
Publisher : Magister Ilmu Administrasi Publik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkap.86489

Abstract

Stunting reduction is one of Indonesia’s major projects. While one-size-fits-all regulations were no longer promoted, understanding the characteristics of each region imposed a strong policy foundation. Many studies had been conducted in rural areas, but the analysis of urban areas was scarce. A study was conducted in Yogyakarta City to understand the characteristics of stunting intervention, despite the high human development index, education level, and access to health facilities. This made it important to examine the characteristics of stunting reduction efforts, based on the analysis of the contents, contexts, processes, and actors involved, in Yogyakarta City, to help with its ambition for zero stunting. A desk review and focus group discussion were conducted involving four local government staff, consisting of the Regional Planning and Development Agency, Health Office, and Office of Women's Empowerment, Child Protection, and Population Control and Family Planning, which were elaborated with literature following the policy triangle framework. A total of 13 open-access official documents and dashboards were obtained for analysis. Decrees from the local government showed a strong commitment to ending malnutrition. While most intervention packages were similar to those across Indonesia, targeted interventions for specific subjects were needed to support people who were unable to be covered by general services. Furthermore, Yogyakarta City has smaller open spaces than other districts in the province, a contradictory low nutrition awareness despite high school participation, and other factors were cross-linked with its culture in the community, implementer, to the authority levels. Stunting reduction programs were multisectoral, involving not only government offices but also non-government, mass media, community, private sectors, and academia. This study is expected to provide lessons learned for decision-makers, private sectors, academia, and public health practitioners to implement good collaboration in stunting reduction efforts.
Development of Stunting Early Detection Kit for Children under Two Years: Validity and Reliability Nurlita, Aphrodite Nadya; Wigati, Maria; Hasanbasri, Mubasysyir; Jumarko, Jumarko; Helmyati, Siti
Jurnal Gizi dan Pangan Vol. 16 No. 1 (2021)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (677.886 KB) | DOI: 10.25182/jgp.2021.16.1.39-46

Abstract

This study aimed to determine validity and reliability of the new developed Stunting Early Detection Kit (SEDEK). This study was a cross-sectional study. A total sample of 30 children under two years from a Posyandu in Seyegan, Yogyakarta, was involved in the study. Every child was measured using SEDEK and infantometer-WHO Length for Age Growth Chart as the gold standard to find out its validity. Validity was determined by sensitivity, specificity, and predictive value. Reliability in this study was measured by intra-rater reliability, by comparing the first measurement and the second measurement from a rater using SEDEK. The intra-rater reliability determined using the Intraclass Correlation Coefficient (ICC). The results showed no significant difference between length measurements using SEDEK and the gold standards (p>0.05). The SEDEK sensitivity was 80%, specificity 85%, positive predictive value 72.7%, negative predictive value 89.5%. SEDEK reliability is demonstrated by ICC of 0.781. However, this study suggest that the current SEDEK version has not met the required sensitivity and positive predictivevalue of more than 80% so that it can be used as a detection tool. Further research is needed to improve the quality of SEDEK so that the SEDEK improved version can be used at the community-based health facilities level.
Co-Authors Ciptanurani, Ceria Helmyati, Siti Jumarko, Jumarko Mubasysyir Hasanbasri Nurlita, Aphrodite Nadya