Implementasi Program Hygiene dan Sanitasi dalam Upaya Penurunan Penyakit Infeksi pada Balita untuk Penurunan Prevalensi Stunting di Puskesmas Tirto 2 Kabupaten Pekalongan
DOI:
https://doi.org/10.71417/galen.v1i2.46Kata Kunci:
Hygiene and Sanitation, Infectious Diseases, Policy Implementation, StuntingAbstrak
Stunting is a public health issue influenced by various factors, including hygiene and environmental sanitation conditions. This study aims to analyze the implementation of hygiene and sanitation programs in efforts to reduce infectious diseases in toddlers as a strategic measure to lower the prevalence of stunting in the working area of Tirto 2 Health Center, Pekalongan Regency. This research employed a qualitative approach with a descriptive narrative method, involving in- depth interviews, observations, and documentation with key informants such as health workers, health cadres, community leaders, and mothers of toddlers. The results show that the implementation of hygiene and sanitation programs, including Community-Based Total Sanitation (STBM) and the provision of proper latrines, has been carried out but faces obstacles such as limited funding, low public awareness, poor hygiene habits, and geographic challenges such as tidal flooding. Factors influencing successful implementation include effective communication, availability of resources, policy implementers’ disposition, and bureaucratic structure. The conclusion emphasizes the need for intersectoral approaches and strengthened community participation in sanitation programs to sustainably reduce the rates of infectious diseases and stunting.
Unduhan
Referensi
Anin, S., Tiza, A. L., & Fritantus, Y. (2024). Implementasi kebijakan pemerintah daerah dalam menangani kebersihan lingkungan di Terminal Kefamenanu Kelurahan Kefa Selatan Kabupaten Timor Tengah Utara. JianE (Jurnal Ilmu Administrasi Negara), 6(1), 10–18. https://doi.org/10.32938/jan.v6i1.2832
Arafat. (2023). Kebijakan publik: Teori dan praktik. PT Literasi Nusantara Abadi Grup.
Bappenas. (2023). Strategi nasional percepatan penurunan stunting. Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional. https://www.bappenas.go.id
Black, R. E., Victora, C. G., Walker, S. P., & Christian, P. (2021). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 397(10291), 703–716. https://doi.org/10.1016/S0140-6736(20)32549-1
Checkley, W., Epstein, L. D., Gilman, R. H., Black, R. E., Cabrera, L., & Sterling, C. R. (2022). Effects of acute diarrhea on linear growth in Peruvian children. American Journal of Epidemiology, 191(4), 613–623. https://doi.org/10.1093/aje/kwac004
Dalisay, S. N. M., Lumangaya, C. R., de Guzman, L. M. C., Leong, R. N. F., Siao, T. G., Leonardia, J. A., de Verya, C., & Belizario, V. Y. (2024). A qualitative analysis of the implementation of the water, sanitation, and hygiene in schools program in the Philippines using the One Health lens. International Journal of One Health, 10(1), 1–11. https://doi.org/10.14202/IJOH.2024.1-11
Dewey, K. G., & Begum, K. (2022). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 18(3), e13368. https://doi.org/10.1111/mcn.13368
Diaz, R. (2022). Evaluation of intervention methods used to reduce preventable illnesses in rural and impoverished communities (pp. 29–52).
Dinas Kesehatan Kabupaten Pekalongan. (2023). Laporan status gizi dan kesehatan ibu anak Kabupaten Pekalongan. Dinas Kesehatan Kabupaten Pekalongan.
Guerrant, R. L., DeBoer, M. D., Moore, S. R., Scharf, R. J., & Lima, A. A. M. (2023). The impoverished gut—a triple burden of diarrhoea, stunting and chronic disease. Nature Reviews Gastroenterology & Hepatology, 20(2), 123–138. https://doi.org/10.1038/s41575-022-00732-2
Humphrey, J. H., Mbuya, M. N., Ntozini, R., & Stoltzfus, R. J. (2022). Sanitation hygiene infant nutrition efficacy and stunting. The Lancet Global Health, 10(1), e125–e137. https://doi.org/10.1016/S2214-109X(21)00411-3
Jatmikowati, S. H. (2021). A study of public policy implementation in e-administration services. Academy of Strategic Management Journal, 20(Special Issue 2), 1–23.
Kementerian Kesehatan RI. (2022). Hasil survei status gizi Indonesia tahun 2022. Badan Kebijakan Pembangunan Kesehatan. https://www.litbang.kemkes.go.id
Kementerian Kesehatan RI. (2023). Rencana aksi nasional percepatan penurunan stunting 2021–2025. Direktorat Gizi Masyarakat.
Kogoya, Y., Togodly, A., Tingginehe, R. M., Ruru, Y., & Bouway, D. (2024). Evaluation of policy implementation (G. Edward III theory) on the stunting prevention and treatment program at Waena Health Center, Jayapura City, Papua Province. Formosa Journal of Science and Technology (FJST), 3(2), 233–246. https://journal.formosapublisher.org/index.php/fjst
Makmur, S. (2023). Kesalahan penafsiran komunikasi, sumber daya, disposisi dan struktur birokrasi dalam implementasi kebijakan. Lentera: Multidisciplinary Studies, 1(3), 172–176.
Pramono, J. (2020). Implementasi dan evaluasi kebijakan publik. UNISRI Press.
Prendergast, A. J., & Humphrey, J. H. (2024). The stunting syndrome in developing countries. Paediatrics and International Child Health, 44(1), 1–10. https://doi.org/10.1080/20469047.2023.2226652
Puskesmas Tirto 2. (2024). Laporan kasus stunting dan penyakit infeksi Puskesmas Tirto 2. Dinas Kesehatan Kabupaten Pekalongan.
Sh, S., & Safitri, M. (2021). Status kesehatan korban banjir rob di Desa Jeruksari Kabupaten Pekalongan. JPKM: Jurnal Profesi Kesehatan Masyarakat, 2(1), 87–92. https://doi.org/10.47575/jpkm.v2i1.211
Tim Percepatan Penurunan Stunting Jateng. (2023). Profil percepatan penurunan stunting Provinsi Jawa Tengah. Pemerintah Provinsi Jawa Tengah.
Towantja, A. A., & Ferianto, F. (2024). Implementasi kebijakan pencegahan stunting di Kelurahan Talise Valangguni Kecamatan Mantikulore Kota Palu, 1(3), 1–13.
UNICEF. (2023). Reducing stunting: The importance of nutrition, sanitation, and early childhood development. UNICEF Data. https://data.unicef.org
USAID. (2024). Community-based approaches to reducing stunting in Indonesia. United States Agency for International Development. https://www.usaid.gov
Victora, C. G., de Onis, M., Hallal, P. C., Blössner, M., & Shrimpton, R. (2021). Worldwide timing of growth faltering: Revisiting implications for interventions. Pediatrics, 147(3), e2020046276. https://doi.org/10.1542/peds.2020-046276
Waruwu, M. (2023). Pendekatan penelitian pendidikan: Metode penelitian kualitatif, penelitian kuantitatif, dan metode penelitian kombinasi (mixed method). Jurnal Pendidikan Tambusai. https://doi.org/10.36706/jbti.v9i2.18333
WHO. (2022). Global nutrition targets 2025: Policy brief series. World Health Organization. https://www.who.int
WHO. (2023). Reducing stunting in children: Equity considerations for achieving the global nutrition targets 2025. World Health Organization. https://www.who.int
WHO, & UNICEF. (2023). Progress on household drinking water, sanitation and hygiene 2000–2022. World Health Organization & United Nations Children’s Fund. https://www.who.int
Diterbitkan
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2025 Safa Lahalisi, Yuniarti, Dewi Nugraheni RM, Teguh Irawan (Author)
Artikel ini berlisensiCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
