Dinkes

Prov. Riau

The Accelerating Reduction Of Stunting :

Health Analysis In Riau Province,
Indonesia, 2022

OLEH :

TIM AMTC DINAS KESEHATAN PROVINSI RIAU

TAHUN 2022

Pendamping : Ibu Raden Rieka Siti Kadaria

Irwan Muryanto Rajunitrigo

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Prov. Riau
Riau Province

Riau is located between 01o05’00’’ of southern latitude to 02o25’00’ of northern

latitude and 100o00’00’’ to 105o05’00’’ of eastern longitude with the following border
areas:

North : Malaka Strait and North Sumatera Province

South : Jambi and West Sumatera Province

West : West Sumatera Province

East : Riau Island Province and Malaka Strait

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Prov. Riau
Methods

The Qualitative Study Through FGD With Thirteen Key Staff Of

Riau PHO And A Review Of Health Problem In 2021

We Used Six Steps Process Of HAPPS Consisting Of Priority

Setting, Establishing Goals, Impact Objectives, Strategy,
Evaluation And Budget
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Priority Setting
Prov. Riau

Priority Health Problem With BPRS And PEARL Approach

A B C BPRS
No Health Problem PEARL Rank
(1-10) (1-10) (1-10) (A+2B) x C

1 Increase in maternal death (180 9 9 7 190 1 2

cases)
2 Prevalence Stunting was 9 9 8 204 1 1
22.3%
3 CDR Tuberculosis was 34.4% 7 7 6 120 1 5

4 ART for PLHIV was 25% 8 7 6 134 1 4

5 Contact tracing of COVID-19 was 8 7 7 161 1 3

5.7

Note: A = Size of the problem, B = Seriousness, C = Estimated effectiveness of the intervention

PEARL = Propriety, Economic, Acceptability, Resources, and Legality.
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Prov. Riau
Jumlah dan Prevalensi Balita bulan Stunting
Di Provinsi Riau Tahun 2022

2500 35

2402

29,7 30
2000 25,7 28,4
1945 25,8
23 25
18… 23,6 23,3
22,4 21,2
1500
21,9 1618
20
19
1318
1229
15
1000 1101
962
11,4
842 10

500
5
402

206 112
0 0
Bengkalis Siak Kampar Indragiri Kuantan Kep. Rokan Indragiri Rokan Pekanbaru Dumai Pelalawan
Hulu Singingi Meranti Hulu Hilir Hilir
Jumlah (e-PPBGM) Prevalensi (SSGI 2021)
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Prov. Riau
Establishing Goals

Problem Statement (Health Problem)

Pada Tahun 2021, Prevalensi Stunting di Provinsi Riau 22,3%

Impact Objective

Pada Tahun 2027, Prevalensi Stunting di Provinsi Riau < 14%

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Health Problem Analysis
Prov. Riau

Not immediately Late receipt of supplementary food

Inadequate supplementary food taking
maternal KEK taking Lack of mother knowledge
supplementary food Limited number of
Low Birth supplementary food No medication supervisor
Weight
Blood supplement drug
Anemia in pregnant Access to health facility
is not spent
women
Lack of mother knowledge about
Inadequate of ANC
danger sign pregnancy
Delivery at non-health
No commitment to health facilities
High Exclusive facility
Delayed initiation of
prevalence of breastfeeding Inadequate socialization about IMD
breastfeeding/ IMD No policy support IMD
Stunting inadequate procedure

Low of under-five Allocation Monitoring of cadre inadequate

Inadequate child received supplementary food is
supplementary food not right on target Late updating target data
dietary
diversity Lack of knowledge about parenting
Delayed MP-ASI
intake in 6-24 Complementary Food
month of age Breastfeeding/ MP- Lack of local food wisdom (LFW)
ASI for the first time innovation
Giving alternative MP-
age ≥6 month is low Lack of mother knowledge about
ASI is too low
making alternative MP-ASI

Indirect Contributing Factors Indirect Contributing Factors Level

Health Problem Determinant Direct Contributing Factors
Level 1 2
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Intervention Decision Matrix
Prov. Riau

Contributing Impact Convenience

No Possible Intervention Conclusion
Factors (1 - 10) (1 – 10)
1. Lack of LFW Advocating activity of LFW 8 5 High impact,
innovation innovation to government difficult to doo
Socialization of LFW collaborating 6 7 High impact,
with college easy to doo
Increasing capacity of TPG in 8 9 High impact,
utilization LFW easy to doo
2. Lack of mother Training on baby and child feeding/ 5 7 Low impact,
knowledge PMBA for PHC easy to doo
about making
Accompaniment on counseling 5 7 Low impact,
alternative MP-
PMBA at PHC easy to doo
ASI
M&E alternative MP-ASI 4 8 Low impact,
easy to doo
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Jalur Intervensi
Prov. Riau

Direct Contributing Indirect Contributing Indirect Contributing

Health Problem Determinants
Factors Factors Level 1 Factors Level 2

Lack of local food

wisdom innovation
Objective:
All district has LFW
innovation (100%) by
Prevalence of Dietary diversity MP-ASI for the Only 1 of 12 district 2023
Stunting was intake in child first time age ≥6 has alternative MP-
22,3% 6-24 month of month was ASI (9%)
Impact age was 52,5% 38,2% Objective: Lack of mother
Objective: Outcome Outcome In 2024, all district knowledge about
In 2027, Objective: Objective: has alternative MP- making alternative
prevalence In 2026, In 2025, ASI (100%) MP-ASI
stunting is <14% dietary diversity MP-ASI for the
intake in child first time age ≥6 Objective: TPG of all
6-24 month of month is 70% district accompany
age is 85% mother in making
alternative MP-ASI by
2023 (100%)
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Evaluation
Prov. Riau

When to
No Objectives Indicator How Measures
Measure
1 Reducing prevalence of % stunting children Σ stunting children <5 years / Σ Annual
stunting <5 years children <5 years in survey X100% (survey)
2 Increasing % of dietary % of dietary diversity Σ dietary diversity intake in child Annual
diversity intake in child intake in child 6-24 6-24 month of age / Σ child 6-24 (survey)
6-24 month of age month of age month of age in survey x 100%
3 Increasing % of MP-ASI % of MP-ASI for the Σ of MP-ASI for the first time age Annual
for the first time age ≥6 first time age ≥6 ≥6 month / Σ of child ≥6 month (survey)
month month
4 All district has % of district has Σ of district has alternative MP-ASI Annual
alternative MP-ASI alternative MP-ASI / total district x 100%
5 All district has LFW % of district has LFW Σ of district has LFW innovation / Σ Annual
innovation innovation of total district x 100%
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Budget
Prov. Riau

Estimated Budget Plan of Increased capacity of TPG in utilization local food

wisdom in Riau Province in 2023 - 2027

Budget by years
No Intervention Total
2023 2024 2025 2026 2027
1 Socialization of LFW for across 7,950,000 7,950,000 6,050,000 5,500,000 5,000,000 32,450,000
sector
2 Training of LFW for TPG 231,250,000 231,250,000 231,250,000 - - 693,750,000
3 Technical supportive of LFW 55,500,000 55,500,000 55,500,000 55,500,000 55,500,000 277,500,000
for PHC
4 M&E of LFW to District 51,000,000 51,000,000 51,000,000 51,000,000 51,000,000 255,000,000
Total 345,700,000 345,700,000 343,800,000 112,000,000 111,500,000 1,258,700,000

*Personnel, Fasilities, Equipment, Supplies, Travel

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Conclusion
Prov. Riau

Stunting Is One Of The High Priority Of Health Problem in Riau

Province

One Of The Three Determinant Of Stunting Is Inadequate Dietary

Diversity Intake In Child 6-24 Month Of Age

We finding low of MP-ASI for the first time age ≥6 month as direct
factor, and low of alternative MP-ASI as indirect contributing
factor
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Prov. Riau Conclusion

We Recommend To Increasing Capacity Of TPG In Utilization

LFW Through Socialization For Across Sector, Training For
TPG, Technical Supportive For PHC, And M&E To District
TERIMA KASIH