Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District

Authors

  • Made Ayu Diah Prabasari Public Health Postgraduate Program, Faculty of Medicine, Udayana University
  • Dinar Saurmauli Lubis 2 Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University
  • Ni Ketut Sutiari 2 Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University

DOI:

https://doi.org/10.53638/phpma.2021.v9.i2.p04

Keywords:

community participation, stunting locus, village fund

Abstract

Background and purpose: The Indonesian government has set a target to reduce stunting prevalence from 27.7% in 2019 to 14% in 2024. There are 10 villages in Gianyar District have been selected as stunting loci since 2018, however, the percentages of the village fund utilized for health and nutrition were low. This research aims to identify the level of community participation in the utilization of village fund for stunting prevention in two stunting loci villages in Gianyar.

Methods: This was a qualitative study using a multiple case study approach conducted in two stunting loci villages in Gianyar, Bali. Data collection was conducted from May to June 2020 through in-depth interview with 12 key informants. Thematic qualitative analysis was done using the ladder of participation concept with Arnsteinand political approach by Carpentier which involves several key concepts such as process, field, actor, decision making moment and power.

Results: The level of community participation in the village fund utilization for stunting prevention was still in the of pseudo participation – Placation level. The majority of proposals or recommendation for stunting prevention program came from cadres of community health post, health care workers and the village assistants. Final decision making in the planning stage was largely depending on the village government. The community plays the role as program recipient. Several challenges for optimal utilization of village fund for stunting prevention were geographical condition, paternalistic leadership as well as the lack of understanding and capacity of key actors.

Conclusion:The community participation in utilization of the village fund for stunting program in the two villages was in the vague participation level. The village government should provide more rooms to empower the community in order to increase their participation level.

References

Unicef/WHO/World Bank Group. Levels and trends in child malnutrition: key findings of the 2019 edition of the joint child malnutrition estimates. Geneva: World Health Organization; 2019.

Ministry of National Development Planning of Indonesia. Kebijakan percepatan penurunan stunting [Stunting reduction acceleration policy]. Presented in The Training of Trainers Candidates for Capacity Buiding Modules in Convergen Action to Accelerate Stuntung Reduction in Districts/Cities, Jakarta, 10th March, 2020.

Stein AD, Wang M, Martorell R, Norris SA, Adair LS, Bas I, et al. Growth patterns in early childhood and final attained stature: data from five birth cohorts from low- and middle-income countries. Am J Hum Biol. 2010; 22(3): 353-359.

Walker SP, Chang SM, Powell CA, Simonoff E, Grantham-mcgregor SM. Early childhood stunting is associated with poor psychological functioning in late adolescence and effects are reduced by psychosocial stimulation. The Journal of Nutrition. 2007; 137(11): 2464-2469.

Woldehanna T, Behrman JR, Araya MW. The effect of early childhood stunting on children’s cognitive achievements: evidence from young lives Ethiopia. Ethiopian Journal of Health Development. 2017; 31(2): 75-84.

Hoffman DJ, Sawaya AL, Verreschi I, Tucker KL, Roberts SB. Why are nutritionally stunted children at increased risk of obesity? Studies of metabolic rate and fat oxidation in shantytown children from Sao Paulo, Brazil. The American Journal of Clinical Nutrition. 2000; 72(3): 702–707.

McGovern ME, Krishna A, Aguayo VM, Subramanian SV. A review of the evidence linking child stunting to economic outcomes. International Journal of Epidemiology. 2017; 46(4): 1171-1191.

Renyoet BS, Martianto D, Sukandar D. Potensi kerugian ekonomi karena stunting pada balita di Indonesia tahun 2013 [Economic potential losses due to stunting in under five years old children in Indonesia year 2013]. J Gizi dan Pangan. 2016; 11(3): 247-254.

Satriawan E. Strategi Nasional Percepatan Pencegahan Stunting Periode 2018-2024 [National strategy for accelerating stunting prevention 2018-2024]. National Team for the Acceleration of Poverty Reduction (TNP2K) Secretariat of the Vice President of the Republic of Indonesia. 2018.

Ministry of Health of Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.02.02/MENKES/52/2015 tentang Rencana Strategis Kementerian Kesehatan Tahun 2015-2019 [Decree of The Ministry of Health of Indonesia No. HK.02.02/MENKES/52/2015 on the Ministry of Health Strategic Plan for 2015-2019]. Jakarta: Ministry of Health of Indonesia; 2015.

Gianyar District Health Office. Persentase dana desa untuk Usaha Kesehatan Bersumberdaya Masyarakat (UKBM) Kabupaten Gianyar tahun 2018 dan 2019 [Percentage of village funds for Community Based Health Enterprises (UKBM) of Gianyar District in 2018 and 2019]. Gianyar: Gianyar District Health Office; 2019

Ministry of Village, Disadvantaged Regions and Transmigration of Indonesia. Peraturan Menteri Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi Republik Indonesia Nomor 16 Tahun 2018 tentang prioritas penggunaan dana desa tahun 2019 [Regulation of The Minister of Village, Disadvantaged Regions and Transmigration of Indonesia No. 16 2018 on village funds usage priority for 2019]. Jakarta: Ministry of Village, Disadvantaged Regions and Transmigration of Indonesia; 2018.

Ministry of Village, Disadvantaged Regions and Transmigration of Indonesia. Peraturan Menteri Desa, Pembangunan Daerah Tertinggal, dan Transmigrasi Republik Indonesia Nomor 11 Tahun 2019 tentang prioritas penggunaan dana desa tahun 2020 [Regulation of The Minister of Village, Disadvantaged Regions and Transmigration of Indonesia No. 11 2019 on village funds usage priority for 2020]. Jakarta: Ministry of Village, Disadvantaged Regions and Transmigration of Indonesia; 2019.

World Health Organization. Community participation in local health and sustainable development: approaches and techniques. Regional Office for Europe: World Health Organization; 2002.

Tumbel SM. Partisipasi masyarakat dalam pengelolaan dana Desa Tumaluntung Satu, Kecamatan Tareran, Kabupaten Minahasa Selatan [Community participation in the management of funds in Tumaluntung Satu Village, Tareran Sub-District, South Minahasa District]. Politico: Jurnal Ilmu Politik. 2017; 6(1): 161029.

Luthfi A, Rini HS, Aji F, Arsal T, Rochana T. Partisipasi masyarakat dalam pengelolaan dan pemanfaatan dana desa di Desa Keji Kabupaten Semarang [Community participation in the management and utilization of village funds in Keji Village, Semarang District]. Matra Pembaruan: Jurnal Inovasi Kebijakan. 2017; 1(2): 121-130.

Hulu Y, Harahap RH, Nasution MA. Pengelolaan dana desa dalam pemberdayaan masyarakat [Village fund management in community empowerment]. Jurnal Pendidikan Ilmu-Ilmu Sosial. 2018; 10(1): 146-154.

Suarsih S, Sunjaya DK, Setiawati EP, Wiwaha G, Herawati DM, Rinawan F. Analisis kebijakan dana desa untuk pembangunan kesehatan di Kabupaten Malinau dengan pendekatan segitiga kebijakan [Policy analysis of village funds for health development in Malinau District by triangle policy approach]. Jurnal Sistem Kesehatan. 2017; 2(4): 211-217.

Arnstein SR. A ladder of citizen participation. Journal of the American Institute of Planners. 1969; 35(4): 216-246.

Carpentier N. Beyond the ladder of participation: an analytical toolkit for the critical analysis of participatory media processes. Javnost-The Public. 2016; 23(1): 70-88.

National Team for the Acceleration of Poverty Reduction (TNP2K). Panduan konvergensi program/kegiatan percepatan pencegahan stunting [Guidelines for the convergence of stunting prevention programs/activities]. 2018th ed. National Team for the Acceleration of Poverty Reduction (TNP2K) Secretariat of the Vice President of the Republic of Indonesia, editor. 2018.

Ministry of Home Affairs of Indonesia. Peraturan Menteri Dalam Negeri Republik Indonesia Nomor 114 Tahun 2014 tentang Pedoman Pembangunan Desa [Regulation of The Minister of Home Affairs of Indonesia No. 114 Year 2014 on Village Development]. Jakarta: Ministry of Home Affairs of Indonesia; 2014.

Ministry of Home Affairs of Indonesia. Peraturan Menteri Dalam Negeri Republik Indonesia Nomor 110 Tahun 2016 tentang Badan Permusyawaratan Desa [Regulation of The Minister of Home Affairs of Indonesia No. 110 2016 on Village Council]. Jakarta: Ministry of Home Affairs of Indonesia; 2017.

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Published

2022-08-08

How to Cite

Prabasari, M. A. D. ., Lubis, D. S. ., & Sutiari, N. K. . (2022). Community participation in the utilization of village fund for stunting prevention: Case study in two villages in Gianyar District . Public Health and Preventive Medicine Archive, 9(2). https://doi.org/10.53638/phpma.2021.v9.i2.p04

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