<![CDATA[Introduction: Stunting remains a major public health concern in Indonesia. Local-food supplementary feeding (PMT berbasis pangan lokal) is prioritized in national strategies, yet implementation fidelity varies. This study aimed to assess determinants of PMT implementation in Donggala, Indonesia, a sequential explanatory mixed-methods approach among community health cadres and health workers, guided by Edwards III’s policy implementation framework. Methodology: A sequential explanatory mixed-methods design was employedmixed-methods sequential explanatory design was applied. Quantitative data were collected via structured questionnaires from 54 cadres and health workers, while qualitative insights were derived from focus group discussions (FGDs). . Binary logistic regression examined the associations between communication, resources, disposition, and bureaucratic structure with PMT implementation, adjusting for education, occupation, and years of service. Results are presented as odds ratios (ORs), 95% confidence intervals (CIs), pseudo-R², and exact p-values. Qualitative data were derived from focus group discussions and analyzed thematically to contextualize quantitative findings. Results: Disposition emerged as the only statistically significant determinant in the adjusted model (OR = 21.01; 95% CI: 3.02–146.18; p = 0.002), whereas communication, resources, and bureaucratic structure lost significance after adjustment. Qualitative findings reinforced these results, highlighting intrinsic motivation, peer solidarity, and willingness to serve as key drivers of implementation. Participants also identified systemic barriers, including unclear SOP dissemination, limited resources, and administrative burdens, which affected program continuity and cadre performance. Conclusion: Cadre disposition plays a pivotal role in PMT implementation; however, its effectiveness depends on supportive structural and resource conditions. Motivation alone cannot compensate for weak communication systems, limited budgets, or burdensome administrative procedures. Strengthening supervision, improving communication channels, and ensuring adequate resource allocation are essential. Findings should be interpreted cautiously given the modest sample size and non-validated measurement instruments. Further research using larger samples and validated tools is recommended.]]>
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