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All Journal AcTion: Aceh Nutrition Journal Jurnal Kesehatan Manarang Journal Of Agritech Science (JASc) Community Development Journal: Jurnal Pengabdian Masyarakat Indonesian Journal of Global Health research Nutrisia Journal of Noncommunicable Diseases Prevention and Control Poltekita: Jurnal Ilmu Kesehatan
Hasmar Fajriana
Poltekkes Kemenkes Mamuju
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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Implementation evaluation of a local food based supplementary feeding program to support child nutrition in West Sulawesi, Indonesia Muslimin, Irma; Fajriana, Hasmar; Salim, Andi; Salaka, Syafruddin Ali; Amin, Erna
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.3089

Abstract

Stunting remains a major public health problem in Indonesia, particularly in West Sulawesi, where structural and operational constraints limit the effectiveness of nutrition interventions. Local food-based supplementary feeding programs require systematic evaluation to understand their implementation performance within primary health care systems. This study aimed to evaluate the implementation of a local food-based supplementary feeding program to improve child nutritional outcomes in West Sulawesi. This descriptive qualitative study with a cross-sectional evaluation approach was conducted in the Mamuju, Majene, and Mamasa districts between November and December 2023. A total of 99 participants were involved, including 38 program managers and 61 mothers of beneficiary children. Data were collected through focus group discussions, in-depth interviews, structured questionnaires, and direct observations. Qualitative data were analyzed using thematic analysis, while quantitative data were summarized using descriptive statistics. Data triangulation was applied to enhance credibility. The results showed that the program was implemented in accordance with national technical guidelines but lacked locally adapted operational regulations. Most mothers (93.4%) reported weight gain among their children following program participation, and 23 of 54 undernourished children in one district showed short-term improvement in nutritional status. Key implementation challenges included limited nutrition personnel, delayed fund disbursement, inconsistent monitoring, and geographic barriers. In conclusion, the local food-based supplementary feeding program contributed to short-term improvements in child nutritional outcomes but faced operational constraints that limited optimal implementation. Strengthening governance, monitoring systems, and health workforce capacity is essential to improve program effectiveness.
Co-Authors Ahmad Yani Amin, Erna Andi Salim Fathur Rahman Ma’rifatullah Firdaus Syafii Firdaus Syafii Irma Muslimin Ma’rifatullah, Fathur Rahman Nurarifah Nurarifah Salim, Andi Subchan, Djadid Syafii, Firdaus Syafruddin Ali Salaka Venny Patricia