Sakti Syahria A, Putranti Latifah, Suminar Yulian A, Dongoran Romaito
Department of Early Childhood Education, Faculty of Teacher Training and Education, Universitas PGRI Yogyakarta, Yogyakarta, Indonesia.
Department of Management, Faculty of Business and Law, Universitas PGRI Yogyakarta, Yogyakarta, Indonesia.
Jamba. 2025 Aug 26;17(1):1832. doi: 10.4102/jamba.v17i1.1832. eCollection 2025.
Stunting in early childhood remains a pressing public health issue in Gunungkidul Regency, Yogyakarta, Indonesia, which also faces frequent environmental challenges such as droughts. These challenges necessitate innovative approaches to ensure children's health and resilience. The purpose of this research is to examine the integration of mitigation programmes with efforts to combat stunting in early infancy, addressing the dual challenge of enhancing resilience while reducing stunting prevalence. This study employs a qualitative case study approach. Participants include key stakeholders such as health staff, government agencies, and parents of stunted children. The research findings reveal that integrating mitigation programmes can significantly enhance children's resilience to adverse conditions and prevent stunting by building community capacity, educating the public on preparedness and nutrition, and improving access to health services. The study identifies significant barriers, such as difficulties in sector coordination, low public awareness of the relationship between environmental risks and stunting, and limited resources. The findings have important policy and practical implications. Policymakers should prioritise cross-sector collaboration, allocate sufficient resources, and strengthen public awareness campaigns to ensure the effectiveness of integrated programmes. Practical interventions could include targeted training for healthcare providers and educators, community engagement in nutrition initiatives, and evidence-based decision-making to address these intertwined challenges comprehensively.
Exploration of the intersection between risk mitigation efforts and stunting prevention in early childhood provides valuable insights into how integrated programmes can enhance child resilience and prevent stunting in vulnerable communities. These findings offer actionable recommendations for improving policies and programme design in Indonesia while also serving as a reference for regions facing similar challenges globally, thereby contributing to broader discussions on public health and community resilience.
在印度尼西亚日惹的Gunungkidul摄政区，幼儿发育迟缓仍然是一个紧迫的公共卫生问题，该地区还经常面临干旱等环境挑战。这些挑战需要创新方法来确保儿童的健康和适应能力。本研究的目的是检验缓解方案与婴儿早期发育迟缓防治工作的整合情况，应对增强适应能力和降低发育迟缓患病率这一双重挑战。本研究采用定性案例研究方法。参与者包括关键利益相关者，如卫生工作人员、政府机构和发育迟缓儿童的家长。研究结果表明，整合缓解方案可以通过建设社区能力、对公众进行防备和营养教育以及改善医疗服务可及性，显著提高儿童对不利条件的适应能力并预防发育迟缓。该研究识别出了重大障碍，如部门协调困难、公众对环境风险与发育迟缓之间关系的认识不足以及资源有限。这些发现具有重要的政策和实际意义。政策制定者应优先考虑跨部门合作、分配足够资源并加强公众宣传活动，以确保综合方案的有效性。实际干预措施可包括对医疗服务提供者和教育工作者进行有针对性的培训、社区参与营养倡议以及基于证据的决策，以全面应对这些相互交织的挑战。
探索风险缓解努力与幼儿发育迟缓预防之间的交叉点，为综合方案如何增强儿童适应能力并预防脆弱社区的发育迟缓提供了宝贵见解。这些发现为改进印度尼西亚的政策和方案设计提供了可操作的建议，同时也为全球面临类似挑战的地区提供了参考，从而有助于就公共卫生和社区适应能力展开更广泛的讨论。
