Cadre Role and Performance in Preventing Stunting in Dolo, Central Sulawesi
Abstract
Introduction: Indonesia has the highest rate of stunting among toddlers in Southeast Asia, with a prevalence of 31.0%. A 2022 survey on nutritional status conducted across 33 Indonesian provinces ranked Central Sulawesi 6th highest for stunting, at 28.2%. Within 13 regencies/cities in Central Sulawesi province, Sigi regency had the highest stunting rate, reaching 36.8% among toddlers. Data from the Dolo Community Health Center showed a local prevalence of stunting at 14.7% in 2022. This figure remains high compared to the government's annual standard of 3.8%. The Community Health Worker program in 12 countries prevents stunting by providing nutrition education, monitoring child growth, promoting exclusive breastfeeding, and distributing additional foods and supplements. As the main pillars for improving public health, cadres are crucial in preventing stunting. Therefore, this study aimed to analyze the role and performance of cadres in preventing stunting in the Dolo, Central Sulawesi.
Methods: A qualitative case study design was adopted from March to July 2024 in Dolo, Central Sulawesi. Furthermore, 15 informants were selected by purposive sampling, including three key informants, seven primary informants, and five additional informants. Data collection involved participant observation, in-depth interviews, documentation, and focus group discussions. Analysis followed three steps: reduction, data display, and conclusion drawing/verification. Ethical approval was received from Majapahit Health Sciences College, Number: 04 /EC-SM/2024.
Results: The results showed that stunting cadres in the Dolo, Central Sulawesi, effectively fulfilled their role and responsibilities across various stages of intervention. However, several challenges were identified, including limitations in conducting home visits.
Conclusion: Cadre performance in Dolo requires a comprehensive approach, namely setting a minimum standard for each cadre's frequency of home visits. Stakeholders provide refresher training every six months and conduct periodic evaluations of cadre effectiveness.
References
Unicef. Improving Child Nutrition : The Achievable Imperative For Global Progress. New York: United Nations Children’s Fund; 2013.
Kementerian Sekretariat Negara RI. Guidelines for Behavioral Communication Strategies in Accelerating Stunting Prevention in Indonesia. Jakarta: TP2S; 2021.
Widiansari Eko Femyta Et Al. Activeness Of Cadres In Preventing Stunting In Children Under Five Years Old. Pekalongan: Nasya Expanding Management; 2023.
Who. World Health Statistics 2023 Monitoring Health For The SDGs Sustainable Development Goals Health For All. 2023.
Ministry of Health RI. Pocket Guide to the Indonesian Nutrition Status Survey (SSGI) Results. Jakarta; 2022.
Drafting Team Puskesmas Dolo. Health Profile of Dolo Health Center. Dolo; 2023.
Ministry of State Secretariat RI. Discussing the Acceleration of Stunting Prevalence Reduction of 14% by 2024, Central and Regional Stakeholders Gathered in Jakarta. Jakarta; 2023.
Perry H, Zulliger R, Scott K, Javadi D, Gergen J, Shelley K, et al. Case Studies of Large-Scale Community Health Worker Programs: Examples from Afghanistan, Bangladesh, Brazil, Ethiopia, Niger, India, Indonesia, Iran, Nepal, Pakistan, Rwanda, Zambia, and Zimbabwe. United States Agency International Development; 2017.
Juliati, Badiran M, Aini N. The Role Of Cadres In Implementing Posyandu Activities Developed In Titipanjang Area. Vol. 4, Journal of Pearl of Public Health. 2019.
Who. What Do We Know About Community Health Workers? A Systematic Review Of Existing Reviews Human Resources For Health Observer Series No 19. 2020.
Moleong J. Lexy. Qualitative Research Methodology. Bandung: Remaja Rosdakarya; 2016
Notoatmodjo Soekidjo. Health Behavioral Science. Jakarta: Rineka Cipta; 2014.
Afrizal. Qualitative Research Methods An Effort to Support the Use of Qualitative Research in Various Disciplines. Depok: Rajagrafindo Persada; 2017.
Saryono, Anggraeni Dwi M. Qualitative Research Methodology. Yogyakarta: Nuha Medika; 2011.
Syarifuddin S. Performance Of Posyandu Cadres During The Covid-19 Pandemic. 2021. Innovative: Journal Of Social Science Research, 1(2), 722–730. https://doi.org/10.31004/innovative.v1i2.282.
Farah A V, Srirahayu E, Muzarofatus D. Ghidza. Behavior Of Caders In Monitoring The Growth Babies (Study Case In Posyandu Village, Kebomas District). 2021. Ghidza Media Jurnal 96-107. ISSN 2716-5108. http://dx.doi.org/10.30587/ghidzamediajurnal.v5i1.6627.
Wirahayu BN, Udmah L, Ibad S. Supplementary Feeding for Stunted Toddlers and Chronic Energy Deficiency Pregnant Women in Dawuhan Village, Bondowoso, East Java. 2023. Parahita : Journal of Community Service, Jan 1;4(2):95–9. https://doi.org/10.25008/parahita.v4i2.111.
Nugraheni N, Malik A. The Role of Posyandu Cadres in Preventing Stunting Cases in Ngijo Village, Semarang City Ngijo Village, Semarang City. 2023. Lifelong Education Journal. ISSN: e 2776-785X. https://journal.imadiklus.or.id/index.php/lej.
Nurbaya N, Haji Saeni R, Irwan Z. Increasing The Knowledge And Skills Of Cadres Posyandu Cadres Through Education And Simulation Activities. 2022. Journal of Independent Society, Feb 13;6(1):678. https://doi.org/10.31764/jmm.v6i1.6579.
Nurjanah S, Damayanti Nur F. Implementation Of Posyandu “Healthy Toddler” During The Covid-19 Pandemic. 2021. Journal of Midwifery Community Service. https://doi.org/10.26714/jpmk.v3i2.7859.
Rahayu S, Ayu Eka Pustika Dewi R. Evaluation of Toddler Growth and Development Recording by Posyandu Cadres to Detect Stunting. 2023. Wasathon: Journal of Community Service, 1(02). https://doi.org/10.61902/wasathon.v1i02.624.
Ryan Thahara A, Zaki Khoerul Insan A, Annisa Nadzirah R, Muamalia R, Roro Raisa Puspita R, Genta Buana D, Et Al. Home Visit Counseling Program and Posyandu Calendar in Handling Stunting in One of Jakarta's Flats. 2024. Journal of Medika: Medika;3(2). https://doi.org/10.31004/jtja4r89.
Copyright (c) 2025 Journal of Public Health and Pharmacy
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Journal of Public Health and Pharmacy retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:
-
Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.
-
Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Journal of Public Health and Pharmacy.
-
License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.
