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Street Level Bureaucracy Dalam Pelaksanaan Penanganan Stunting di Kabupaten Sidoarjo Andrea Caesarinda Daffa Ardhana; Dida Rahmadanik; Adi Soesiantoro
Public Service and Governance Journal Vol. 6 No. 2 (2025): Juli: Public Service and Governance Journal
Publisher : Universitas 17 Agustus 1945 Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56444/psgj.v6i2.2964

Abstract

Street-level bureaucracy refers to the role of frontline bureaucrats who directly engage with the public in the implementation of public policies, including stunting management. In Sidoarjo Regency, stunting remains a critical public health issue with long-term implications for human capital development, despite the government’s continuous efforts to reduce its prevalence. Actors such as posyandu cadres, health center personnel, and officials from the District Health Office serve as the front line in detecting stunting cases, delivering nutritional counseling, monitoring child growth, and connecting communities with essential health services. However, the effectiveness of these roles is often constrained by limited resources, excessive workloads, lack of adequate training, and insufficient incentives that do not reflect the complexity of their responsibilities. Furthermore, policy implementation is frequently hindered by weak inter-sectoral coordination, low community engagement, and the gap between administrative guidelines and the realities faced in the field. The discretionary power held by these street-level bureaucrats becomes both a strength and a challenge—allowing for flexible adaptation to local needs while raising concerns about accountability and service consistency. Addressing stunting effectively at the local level requires strategic capacity-building for implementers through continuous training, fair compensation, and strengthened collaboration among governmental actors and other stakeholders. These efforts must be integrated, holistic, and sustainable in order to truly tackle the root causes of stunting and generate meaningful improvements in public health outcomes.
Permasalahan Stunting Pada Anak Dan Penanggulangannya di Semambung, Kabupaten Sidoarjo Andrea Caesarinda Daffa Ardhana; Ghulam Maulana Ilman
Jurnal Ilmiah Dan Karya Mahasiswa Vol. 1 No. 6 (2023): DESEMBER : JURNAL ILMIAH DAN KARYA MAHASISWA
Publisher : Institut Teknologi dan Bisnis (ITB) Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54066/jikma.v1i6.1074

Abstract

The problem of stunting is one of the vitamin problems that we face in general, especially in poor and developing countries. Stunting is a problem because it is associated with an increased risk of illness and death, and less than optimal brain development which results in motor delays and psychological retardation. Stunting is a form of slow development (failure to develop) due to the accumulation of vitamin deficiencies that occur from pregnancy until the age of 24 months. This situation continues to be exacerbated by the absence of sufficient catch-up growth. In Sidoarjo, the provisional figure for 2023 is that the number will increase to 16.3 percent. Meanwhile, in 2022 it will be 14.3 percent. The Sidoarjo Regency Government has once again demonstrated its commitment to overcoming the problem of stunting and improving children's welfare through the Bangga Kencana Consolidation and Convergence for the Acceleration of Stunting Reduction programs. This program aims to pay special attention to the growth and development of children and ensure that they grow and develop healthily. Through close collaboration between agencies, this program integrates various activities to achieve common goals, namely reducing stunting rates and improving children's quality of life.