| Abstrak/Abstract |
ThisstudyaimstoexplorestuntingpreventionbehaviorsinSawaiVillage,CentralMalukuDistrict,usingthehealthactionmodel.Methods:AqualitativecasestudywasconductedinApril2024,involving25participantspurposivelyselectedfromvariousgroups,includingparents,caregivers,pregnantwomen,healthworkers,villageofficials,andcadres.Datawerecollectedthroughinterviewsandobservations,andanalyzedusingframeworkanalysissupportedbyOpencodesoftware.Results:StuntingpreventioneffortsinSawaiVillageinvolvevariousstakeholders.Theanalysisidentifiedninekeythemesthatshapestuntingpreventionbehavior:1)stuntingpreventionbehaviors;2)beliefsystems;3)motivationsystems;4)normativesystems;5)knowledge;6)skills;7)physicalenvironment;8)socio-economicfactors;and9)socio-culturalfactors.Whilecommunitypracticesgenerallyalignwithchildhealthefforts,theyarenotexplicitlyaimedatstuntingprevention.Theinvolvementoffathersisminimal,cadreshavelimitedtechnicalcapacity,andtraditionalbeliefs,economicbarriers,andlackoftargetedknowledgehindereffectiveprevention.Conclusion:AlthoughstuntingpreventioninSawaiVillageinvolvesmultipleactors,itremainssuboptimal.AcomprehensivebehaviorchangeinterventionbasedontheHAMframeworkisneeded,alongwithPosyandurevitalizationtoenhancecommunityparticipationandknowledge.Keywords:communitybehavior;healthactionmodel;stuntingpreventionINTRODUCTIONStuntingisaseriousglobalhealthissuecausedbychronicandrecurrentmalnutritionduringthefirst1,000daysoflife(HPK).Itsimpactextendsbeyondimpairedphysicalgrowth,includingreducedcognitiveability,decreasedproductivity,andahigherriskofdegenerativediseases.Theseeffectsultimatelyhindernationaleconomicdevelopment.InIndonesia,thefinanciallossduetostuntingisestimatedat10.5%oftheGrossDomesticProduct(GDP),equivalentto286trillionrupiah[1–4].Accordingtothe2022IndonesianNutritionStatusStudy(SSGI),thenationalprevalenceofstuntingreached21.6%.MalukuProvinceremainsoneoftheregionswithahighstuntingrateat26.1%.Althoughthefigureshaveshownaslightdecline,alldistrictsandcitiesinMalukuarestillcategorizedas“highprevalence”areas(20%–<30%)basedonWorldHealthOrganization(WHO)standards[5].Theprovincialgovernmentaimstoreducethisrateto14%by2024,butitsgeographicstructure—comprisingnumerousislands—presentssignificantchallengesinimplementation[6].1
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