Enhance Policy an Evaluation of South Nias Health Department in Implementation Stunting Management in South Nias District Year 2021

Stunting is a chronic nutritional problem, namely the failure of a child to grow and develop optimally due to the impact of cumulative and continuous malnutrition so that the child is too short for his age. The purpose of the study was to analyze the policies of the South Nias Health Office in the implementation of stunting prevention in the South Nias Regency in 2021. This study was designed to use a qualitative case study approach that uses in-depth interviews and observation methods. The study was conducted in South Nias Regency in May 2021. The population in this study was 9 employees who worked at the South Nias Health Office. The sampling technique in this study used the Total Sampling technique. The results of the research on the implementation of the STBM Program (Community-Based Sanitation) Cross-Sectoral and Involving Stakeholders Per Region assisted by village heads, hamlet heads, local officials, and the surrounding community. Family-Based PHBS (Clean Living Behavior) Program. The Posyandu Program with Its Focus, Among Other Things, Overcoming Stunting is a posyandu program that focuses on addressing stunting, that the posyandu continues to carry out health education, especially to pregnant women and newly married mothers with a pregnancy program to have the will and focus on the nutritional level of the mother and fetus. during pregnancy, we provide counseling about what nutrition is good during pregnancy to prevent stunting at birth, then we have a program for pregnant women with pregnancy exercises and health checks for pregnant women. Food Fortification Program that food fortification in the form of Iodine is not carried out because there are no reports that the salt consumed does not contain Iodine. Equitable supply of nutritious food for children and pregnant women in the form of manufacturing (bread) to all pregnant women and toddlers has been running every month at the posyandu with the target of pregnant women with chronic energy deficiency (KEK) with an upper arm circumference of less than 23.5 cm and undernutrition under five, Below the red line, 2 T (two consecutive weighing does not increase) and for the provision of local food ingredients sourced from local wisdom, it is given to all pregnant women and toddlers who come to the posyandu. Suggestions for education as an additional reference in scientific development in the health sector regarding stunting in the community, for health centers as input for health centers in implementing education to reduce the incidence of stunting, for further researchers as an additional reference in developing further research with different variables and research methods different.