The Effectiveness of the Stunting Management Program: A Case Study of Sesaot Village, Narmada District, West Lombok Regency

Abstract

Stunting is a major public health problem that affects the quality of human resources, making effective intervention programs essential. This study aims to analyze the effectiveness of the Stunting Management Program in Sesaot Village, Narmada District, West Lombok Regency, and to identify the factors that hinder its implementation. The study employed a qualitative approach with a descriptive-evaluative method. Research informants were selected through purposive sampling and included village government officials, health workers, integrated health service post (posyandu) cadres, pregnant women, and mothers with children under five years of age. Data were collected through observation, in-depth interviews, and documentation, and were analyzed using the Miles, Huberman, and Saldaña model, which consists of data condensation, data display, and conclusion drawing. Data validity was ensured through source, technique, and time triangulation. The findings indicate that the Stunting Management Program has been implemented relatively effectively through various activities, including regular posyandu services, child growth monitoring, supplementary feeding programs, immunization, vitamin A supplementation, maternal health examinations, iron tablet distribution, nutrition education, and family assistance. The program’s effectiveness is reflected in the reduction of stunting cases from 53 cases during the 2021–2023 period to 49 cases during the 2025–2026 period. However, program implementation has not yet been fully optimal due to low community participation, limited understanding of stunting prevention, household economic constraints, and limited implementation resources. The findings suggest that program success is determined not only by the implementation of health interventions but also by cross-sectoral coordination, community involvement, and changes in family behavior related to nutritional practices. Therefore, strengthening educational efforts, increasing community participation, and fostering sustainable collaboration are essential to accelerate the reduction of stunting prevalence.