基于社区赋权的印尼亚齐省皮迪区甘邦丹宗街道Gampong Ara处理发育迟缓的创新(基于2017年皮迪摄政条例第77号关于减少发育迟缓的政策实施研究)

Shinta Oktarina, Kasuwi Saiban, Catur Wahyudi
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引用次数: 2

摘要

2018年皮迪区卫生部的数据显示,35235名幼儿中有557名患有发育迟缓(1.5%),2019年37309名幼儿中有2667名(7.1%),2020年37854名幼儿中有962名(2.5%)。这与皮地区的普遍现象不同,2017年阿拉村有13例发育迟缓,2019年有4例,2020年不再有。本研究旨在基于2017年第77号关于减少发育迟缓及其驱动和抑制因素的Pidie Regent法规,分析亚齐省Pidie区Kembang Tanjong街道Gampong Ara基于社区赋权的发育迟缓处理创新。研究方法采用基于案例研究的定性方法。采用访谈法、观察法、文献法收集信息资料,并采用三角测量法进行数据一致性检验。数据分析采用Miles和Huberman(2014)的交互过程,包括数据收集、数据缩减、数据呈现、得出结论和验证。研究结果表明,阿拉村的发育迟缓处理机制和程序基于2017年第77号Pidie Regent条例,实施了几项创新,即:(1)利用Rumoh Gizi Gampong (RGG)作为社区赋权活动的中心;(2)在治理框架内利用网络构建关系;(3)以自然形式积累政府和社会支持的资金;(4)通过能力建设解决人力资源薄弱问题的举措。发育不良的突出原因可能是知识缺乏、人力资源不足、村政府支持力度不够、对清洁健康生活行为的认识错误以及环境卫生状况不佳。基于上述研究结果,本研究认为,在治理框架内网络关系结构的推动下,基于赋权的社区参与发展,政府与社区优先考虑地方文化的资金支持,以及作为克服现有抑制因素的解决方案而实施的举措的存在,政策实施的创新可以提供有效的结果。从理论上讲,本研究对爱德华三世的理论进行了批判,在资源方面,可以通过加强能力来取代弱资源的存在,从而使政策实施能够运行,甚至为创新开辟空间。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Innovation for Handling Stunting Based on Community Empowerment in Gampong Ara, Kembang Tanjong Sub-District,Pidie District, Aceh Provinceof Indonesia(Study of Policy Implementation Based on Pidie Regent Regulation Number 77 of 2017 about Reduction in Stunting)
Data from the Department of Health of Pidie District in 2018, there are 557 out of 35,235 toddlers who suffer from stunting (1.5%), and in 2019 there were 2,667 of 37,309 toddlers (7.1%) and in 2020 to 962 people from 37,854 toddlers (2.5 %). This is different from the general phenomenon in Pidie District, in Ara Village in 2017 there are 13 stunting and 4 cases in 2019, and no more in 2020. This study aims to analyze the innovation of stunting handling based on community empowerment in Gampong Ara, Kembang Tanjong Sub-District, Pidie District, Aceh Province based on the Pidie Regent Regulation number 77 of 2017 about the Reduction of Stunting and its driving and inhibiting factors. The research approach uses a case study-based qualitative method. Information data were collected using interviews, observation, documentation studies, and data consistency test was conducted using triangulation test. Data analysis used the interactive process of Miles and Huberman (2014), with the stages of data collection, data reduction, data presentation, conclusion drawing and verification. The results of the study show that the mechanisms and procedures for stunting handling in Ara Village, based on the Pidie Regent Regulation number 77 of 2017, implemented with several innovations, namely: (1) make use of the Rumoh Gizi Gampong (RGG) as a center for community empowerment-based activities; (2) build relationships by utilizing networks within the framework of governance; and (3) accumulate funding supported by the government and the community in nature form, as well as (4) the existence of initiatives to address weak human resources through capacity building. Failure in stunting handling prominently can be caused by a lack of knowledge, low human resources, weak support from the village government, there is a wrong perception about clean and healthy living behavior (PHBS), and poor environmental health. Based on the findings above, This study concludes that innovation from policy implementation can provide effective results, when pushed by the structure of network relations within the governance framework, empowerment-based community participation development, funding support is collaborative between the government and the community by prioritizing local culture, and the existence of initiatives that are implemented as a solution to overcome the existing inhibiting factors. Theoretically, this research provides a critique of the theory of Edward III, on the resource aspect, that the presence of weak resources can be substituted by strengthening capacity, so that policy implementation can run, even opening up space for innovation.
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