Baca Naskah Lengkap
Isi lengkap artikel ini tersedia dalam format PDF. Versi resmi yang diterbitkan pada Vol 17 No 3 (2025).
Artikel Riset Asli Akses Terbuka Terakreditasi SINTA 2
Koordinasi Lintas Sektor dalam Percepatan Penurunan Stunting
Studi Kasus Implementasi Kebijakan di Kecamatan Pahandut, Kota Palangkaraya
- Tanggal Terbit & Halaman
- 31 Desember 2025
- Riwayat Naskah
- Diterima28 Agu 2025 Disetujui23 Nov 2025 Terbit31 Des 2025
679 Dilihat 609 Diunduh
Abstrak
Stunting merupakan masalah multidimensi yang pengelolaannya bergantung pada koordinasi lintas sektor. Namun, dalam birokrasi daerah di Indonesia, yang masih dipengaruhi oleh patrimonialisme, koordinasi formal seringkali tidak efektif, sehingga menciptakan ketegangan antara desain kebijakan hierarkis dan realitas implementasi yang terdesentralisasi. Penelitian ini menggunakan desain studi kasus kualitatif di Kecamatan Pahandut, Kota Palangka Raya. Pemilihan lokasi didasarkan tidak hanya pada prevalensi stunting (20,8%) tetapi juga pada karakteristik hibrida perkotaan-pedesaan, yang menawarkan latar ideal untuk menguji model implementasi Winter. Data dikumpulkan melalui wawancara mendalam dengan sembilan informan kunci, observasi partisipan, dan analisis dokumen, kemudian dianalisis secara tematik menggunakan triangulasi. Implementasi kebijakan stunting lebih ditentukan oleh peran aktor lapangan dan jaringan informal (misalnya, grup WhatsApp) daripada struktur formal. Tim Pendamping Keluarga (TPK) bertindak sebagai birokrat tingkat jalanan, menggunakan sumber daya diskresioner seperti penggunaan bahasa lokal dan pendidikan berbasis konteks untuk mengatasi keterbatasan sistem. Namun, mereka menghadapi insentif minimal dan fragmentasi data. Temuan ini memperkaya model Winter dengan memperkenalkan konsep "ketahanan tata kelola informal," yaitu kemampuan sistem kebijakan untuk bertahan melalui mekanisme informal ketika tata kelola formal gagal. Rekomendasinya meliputi pelembagaan praktik informal, penyediaan insentif yang tepat untuk TPK, dan perancangan kebijakan yang responsif terhadap hambatan struktural lokal.
Kata Kunci:
Cross-Sector Coordination in Accelerating Stunting Reduction: A Case Study of Policy Implementation in Pahandut District, Palangkaraya City
Stunting is a multidimensional issue whose management depends on cross-sectoral coordination. However, in Indonesia's regional bureaucracy, which is still influenced by patrimonialism, formal coordination is often ineffective, creating tensions between hierarchical policy design and the reality of decentralized implementation. This research uses a qualitative case study design in Pahandut District, Palangka Raya City. The location selection was based not only on the prevalence of stunting (20.8%) but also on its urban-rural hybrid characteristics, which offer an ideal setting for testing Winter's implementation model. Data were collected through in-depth interviews with nine key informants, participant observation, and document analysis, and were then analyzed thematically using triangulation. The stunting policy implementation was determined more by the agency of field actors and informal networks (e.g., WhatsApp groups) than by formal structures. Family Assistance Teams (TPK) acted as street-level bureaucrats, using discretionary resources such as local language use and context-based education to address system limitations. However, they faced minimal incentives and data fragmentation. The findings enrich Winter's model by introducing the concept of "informal governance resilience," the ability of a policy system to survive through informal mechanisms when formal governance fails. Recommendations include institutionalizing informal practices, providing appropriate incentives for TPK, and designing policies that are responsive to local structural barriers.
Kata Kunci:
Daftar Pustaka
25 rujukan- Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic Costs of Childhood Stunting to the Private Sector in Low- and Middle-Income Countries. eClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
- Arieffiani, D., & Ekowanti, M. R. L. (2024). Evaluating Local Government Policy Innovations: A Case Study of Surabaya’s Efforts in Combating Stunting and Enhancing Public Health Services Quality. Jurnal Bina Praja, 16(1), 1–20. https://doi.org/10.21787/jbp.16.2024.1-20
- Benjamin-Chung, J., Mertens, A., Colford, J. M., Hubbard, A. E., van der Laan, M. J., Coyle, J., Sofrygin, O., Cai, W., Nguyen, A., Pokpongkiat, N. N., Djajadi, S., Seth, A., Jilek, W., Jung, E., Chung, E. O., Rosete, S., Hejazi, N., Malenica, I., Li, H., … Consortium, T. K. C. G. (2023). Early-Childhood Linear Growth Faltering in Low- and Middle-Income Countries. Nature, 621(7979), 550–557. https://doi.org/10.1038/s41586-023-06418-5
- Crookston, B. T., Dearden, K. A., Alder, S. C., Porucznik, C. A., Stanford, J. B., Merrill, R. M., Dickerson, T. T., & Penny, M. E. (2011). Impact of Early and Concurrent Stunting on Cognition. Maternal & Child Nutrition, 7(4), 397–409. https://doi.org/10.1111/j.1740-8709.2010.00255.x
- Danaei, G., Andrews, K. G., Sudfeld, C. R., Fink, G., McCoy, D. C., Peet, E., Sania, A., Smith Fawzi, M. C., Ezzati, M., & Fawzi, W. W. (2016). Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLOS Medicine, 13(11), 1–18. https://doi.org/10.1371/journal.pmed.1002164
- de Onis, M., & Branca, F. (2016). Childhood Stunting: A Global Perspective. Maternal & Child Nutrition, 12(S1), 12–26. https://doi.org/10.1111/mcn.12231
- Endrinikapoulos, A., Afifah, D. N., Mexitalia, M., Andoyo, R., Hatimah, I., & Nuryanto, N. (2023). Study of the Importance of Protein Needs for Catch-Up Growth in Indonesian Stunted Children: A Narrative Review. SAGE Open Medicine, 11. https://doi.org/10.1177/20503121231165562
- Erlyn, P., Hidayat, B., Fatoni, A., & Saksono, H. (2021). Nutritional Interventions by Local Governments as an Effort to Accelerate Stunting Reduction. Jurnal Bina Praja, 13(3), 543–553. https://doi.org/10.21787/jbp.13.2021.543-553
- Essa, W. Y., Nurfindarti, E., & Ruhyana, N. F. (2021). Strategies for Handling Stunting in Bandung City. Jurnal Bina Praja, 13(1), 15–28. https://doi.org/10.21787/jbp.13.2021.15-28
- Herawati, D. M. D., & Sunjaya, D. K. (2022). Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study. International Journal of Environmental Research and Public Health, 19(20), 13591. https://doi.org/10.3390/ijerph192013591
- Hermawati, A., Ramlawati, R., Husin, H., Nurwati, N., & Martaleni, M. (2021). Real Description Regarding the Management of Human Resource and Tourism Marketing at Micro, Small and Medium Enterprises of Tourism Sector in East Java. Jurnal Aplikasi Manajemen, 19(1), 112–129. https://doi.org/10.21776/ub.jam.2021.019.01.11
- Kolomboy, F., Adhyanti, Nurmiaty, Arsyad, G., Aminuddin, Faisal, T. I., Ramadhan, K., & Jun, C. H. W. (2025). Cross-Sectoral Collaboration in Stunting Prevention: Implementation in Donggala Regency, Central Sulawesi. Journal of Public Health and Pharmacy, 5(1), 191–199. https://doi.org/10.56338/jphp.v6i1.6277
- Lautt, E. P., & Rahayu, A. Y. S. (2024). Integration of Regional Policies and Collaborative Governance in Acceleration of Stunting Reduction: Case Study of Bekasi City. Jurnal Bina Praja, 16(3), 589–597. https://doi.org/10.21787/jbp.16.2024.589-597
- Lipsky, M. (1980). Street-Level Bureaucracy: Dilemmas of the Individual in Public Services. Russell Sage Foundation. https://www.jstor.org/stable/10.7758/9781610447713
- Miles, M. B., & Huberman, A. M. (1994). An Expanded Sourcebook Qualitative Data Analysis (2nd ed.). SAGE Publications, Inc.
- Pratchett, L. (1999). New Technologies and the Modernization of Local Government: an Analysis of Biases and Constraints. Public Administration, 77(4), 731–751. https://doi.org/10.1111/1467-9299.00177
- Restrepo-Méndez, M. C., Barros, A. J., Black, R. E., & Victora, C. G. (2015). Time Trends in Socio-Economic Inequalities in Stunting Prevalence: Analyses of Repeated National Surveys. Public Health Nutrition, 18(12), 2097–2104. https://doi.org/10.1017/S1368980014002924
- Tage, P. K. S., & Febriyanti, E. (2024). Barrier from the Side of Stunting Management Policy in Rural Areas of Indonesia: A Qualitative Study. Jurnal Info Kesehatan, 22(4), 891–905. https://doi.org/10.31965/infokes.Vol22.Iss4.1522
- Takele, B. A., Gezie, L. D., & Alamneh, T. S. (2022). Pooled Prevalence of Stunting and Associated Factors Among Children Aged 6–59 Months in Sub-Saharan Africa Countries: A Bayesian Multilevel Approach. PLOS One, 17(10), 1–19. https://doi.org/10.1371/journal.pone.0275889
- Taufiqurokhman, T. (2023). Equality Strategy for Reducing Stunting Prevalence Rate: Case Study of DKI Jakarta Province. Jurnal Bina Praja, 15(3), 495–506. https://doi.org/10.21787/jbp.15.2023.495-506
- Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in Childhood: An Overview of Global Burden, Trends, Determinants, and Drivers of Decline. The American Journal of Clinical Nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
- Winter, S. C. (1990). Integrating Implementation Research. In D. J. Palumbo & D. J. Calista (Eds.), Implementation and the Policy Process. Greenwood Press.
- Winter, S. C. (2012). Implementation Perspectives: Status and Reconsideration. In B. G. Peters & J. Pierre (Eds.), The SAGE Handbook of Public Administration (pp. 265–278). SAGE Publications Ltd. https://doi.org/10.4135/9781446200506.n17
- Yogopriyatno, J., & Sartika, S. (2024). Determination of Stunting Handling Policy on Enggano Island as One of The Outer Islands. Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health, 4(2), 32–46. https://doi.org/10.62951/icistech.v4i2.72
- Yusnita, M., Kurniawan, I., & Hakim, A. (2024). Public Policy Analysis in Stunting Reduction: A Review of National Programs and Strategies. Jurnal Indonesia Sosial Sains, 5(05), 1182–1188. https://doi.org/10.59141/jiss.v5i05.1109
Hak Cipta & Lisensi Akses Terbuka
Hak Cipta (c) 2025 Penulis. Artikel ini dilisensikan di bawah CC Attribution-NonCommercial-ShareAlike 4.0.