Akses terbuka Jurnal
Dynamic Model of Stunting Incidents and Policies in Padang City
Media Kesehatan Masyarakat Indonesia · Vol. 21 No. 2 (2025) · hlm. 180–191
- ISSN
- 2356-4067, 0216-2482
- Terbit
- 2025-06-30
- Penerbit
- Faculty of Public Health, Hasanuddin University, Makassar
- Bahasa
- en
Abstrak
Stunting remains a significant public health challenge with complex, interconnected causative factors. Traditional static approaches fail to capture the dynamic relationships between environmental, health, and socioeconomic determinants. Dynamic modeling is essential for understanding these multifaceted interactions and developing effective prevention policies. Despite declining trends, Padang City's high prevalance of stunting necessitates urgent, targeted interventions to achieve national targets. This study aims to develop a dynamic model analyzing stunting factors in Padang City and formulate effective prevention policies. A quantitative descriptive method with a dynamic systems approach was employed. Primary data were obtained through stakeholder questionnaires, while secondary data were obtained from the Padang City Health Office and Statistical Reports (2018-2023). Analysis utilized PowerSim Studio 10 for dynamic systems modeling and Interpretative Structural Modeling (ISM) for policy strategy development. Seven main factors influencing stunting were identified: low birth weight, maternal health, immunization, diarrhea, living in slum areas, access to clean water access, and household sanitation. Simulation modeling demonstrated that improving environmental conditions, increasing immunization coverage, and administering iron tablets could reduce stunting rates by 50% over 25 years. ISM analysis revealed environmental factors (sanitation, waste management, and access clean water) as key elements with the highest driving force. Consistent immunization coverage could reduce stunting prevalence from 24.2% to 12% within the projection period, while improved sanitation programs may lower prevalence by 15%. The research provides an integrated approach prioritizing basic infrastructure improvement, environmental sanitation enhancement, cross-sector coordination, and community capacity building. This dynamic modeling framework offers valuable insights for comprehensive stunting prevention strategies. However, limitations include a modeling-only scope requiring field validation for implementation effectiveness.
Kata kunci
Jaringan kolaborasi para penulis
30 penulis · 84 tautan kepenulisan bersama · 36 lintas organisasi
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- Universitas Negeri Padang
- University of Brawijaya
- Rumah Sakit Umum Pusat Dr. M. Djamil Padang
- Queen Mary University of London
- State University of Semarang
- University of Palangka Raya
- Chinese Academy of Sciences
- Organisasi lain
- Afiliasi tidak diketahui
- Organisasi berbeda
- Organisasi sama
- Afiliasi tidak diketahui
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Tampilkan sebagai tabel
| Rekan penulis | Organisasi | Artikel bersama |
|---|---|---|
| Nia Kurniawan | University of Brawijaya | 2 |
| Andri Maulidi | University of Brawijaya | 2 |
| Linda Handayuni | Afiliasi tidak diketahui | 2 |
| Midratul Fardilla | Universitas Negeri Padang | 1 |
| Hafida Istigfarini | Universitas Negeri Padang | 1 |
| Eri Barlian | Universitas Negeri Padang | 1 |
| Inaya Sari Melati | State University of Semarang | 1 |
| Jean Elikal Marna | Universitas Negeri Padang | 1 |
| Weni Softazia | Universitas Negeri Padang | 1 |
| Retwando Retwando | Universitas Negeri Padang | 1 |
| Bustari Muchtar | Universitas Negeri Padang | 1 |
| Fajar Kaprawi | Afiliasi tidak diketahui | 1 |
| Rijal Satria | Universitas Negeri Padang | 1 |
| Ahmad Muammar Kadafi | University of Palangka Raya | 1 |
| Ade Prasetyo Agung | Chinese Academy of Sciences | 1 |
| Aguung Sih Kurnianto | Afiliasi tidak diketahui | 1 |
| Anggun Sausan Firdaus | National Central University | 1 |
| Agung Sih Kurnianto | Universitas Jember | 1 |
| Bagus Priambodo | University of Brawijaya | 1 |
| Elsa Yuniarti | Universitas Negeri Padang | 1 |
| Alfitri | Rumah Sakit Umum Pusat Dr. M. Djamil Padang | 1 |
| Elliyanti Aisyah | Andalas University | 1 |
| Atradinal | Rumah Sakit Umum Pusat Dr. M. Djamil Padang | 1 |
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