Peer-reviewed article
Formulating A Framework Toward Stunting Reduction Strategy: A Case Study of the Sidoarjo Regency Health Department, Indonesia
Fajar Muharram, Fauzan Romadlon, Dian Alviana, Wiwus Widya Futiana ·
Summary
Written by AI, not yet AICS's view · claude-sonnet-5-5This qualitative case study looks at how the Sidoarjo Regency Health Department in Indonesia plans and organises its work to reduce child stunting. Informants included health department officials, health workers, Posyandu cadres and other stakeholders. The authors conclude that four kinds of strategy (corporate, program, resource support and institutional) need to work together as one governance system. They propose a conceptual model that builds on Kooten's strategic perspective.
Key points
- Accelerating stunting reduction requires integrating Corporate, Program, Resource Support and Institutional strategies into a mutually supportive governance system.
- Corporate Strategy gives direction for policy and organizational governance.
- Program Strategy translates policy into integrated interventions, and Resource Support Strategy ensures resources are available.
- Institutional Strategy strengthens cross-sectoral collaboration.
- Effective implementation depends on coordination, monitoring and evaluation, organizational learning and continuous feedback.
Limitations
The abstract describes a qualitative case study of one district health department and reports no measured changes in stunting rates, so it cannot show that the framework reduces stunting. Findings may not apply to other regions.
Abstract
Stunting is a disorder of child growth that is caused by a mother’s nutritional status during pregnancy, suboptimal breastfeeding practices, and dietary patterns that do not meet nutritional needs. One of the regions implementing the stunting reduction policy is Sidoarjo Regency under its Health Department. However, less research specifically analyzing how the Health Department integrates organizational, program, resource support, and institutional strategies as the leading sector for accelerating stunting reduction. Therefore, this study aims to analyze the strategies of the Sidoarjo Regency Health Department to hasten the reduction of stunting and explain how integrating these four strategic dimensions contributes to achieving this goal. This study employed a qualitative method, and the research informants included officials from the Sidoarjo District Health Department, health workers, Posyandu cadres, and other stakeholders involved in the program’s implementation. The results show that accelerating the reduction of stunting requires integrating Corporate Strategy, Program Strategy, Resource Support Strategy, and Institutional Strategy into a mutually supportive governance system. Corporate Strategy provides direction for policy and organizational governance; Program Strategy translates policy into integrated interventions; Resource Support Strategy ensures the availability of resources; and Institutional Strategy strengthens cross-sectoral collaboration. Therefore, the effectiveness of implementation is determined by the integration of all four dimensions through mechanisms of coordination, monitoring and evaluation, organizational learning, and continuous feedback. The proposed conceptual model expands on Kooten’s strategic perspective by positioning strategic integration as the foundation of adaptive governance in accelerating the reduction of stunting.