This study examines Community Health Center (Puskesmas) service innovations for stunting prevention and management in Kerinci Regency and explains their potential contribution to human capital formation and local development. The study employed a qualitative descriptive approach using a multiple-case study design. Eight innovations implemented across seven Community Health Centers were examined through document review of innovation proposals, activity reports, beneficiary data, and available implementation evidence. The analysis combined within-case analysis, cross-case thematic analysis, life-cycle mapping, and a Theory of Change framework. Innovation maturity scores were used descriptively to indicate implementation readiness rather than programme effectiveness. Four cross-case themes emerged: life-course prevention and early risk detection; maternal-risk monitoring and safe delivery; breastfeeding support and nutrition education; and local food-based supplementary feeding and child nutrition support. The innovation portfolio covered adolescent girls, pregnant women, childbirth, infants, and young children, with the strongest concentration of interventions during pregnancy and early childhood. Service mechanisms included home visits, monitoring of high-risk pregnancies, collaboration between midwives and traditional birth attendants, digital nutrition education, breastfeeding support, and local food-based supplementary feeding. The findings show complementary primary health-care responses to stunting risks. Nevertheless, the available documents primarily report activities and programme outputs; they do not yet provide sufficient evidence to establish causal effects on stunting prevalence.
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