Evidence map›Paper›PMID 39581709›Full record

ArticleBMJ open2024

Implementation outcomes of convergence action policy to accelerate stunting reduction in Pidie district, Aceh province, Indonesia: a qualitative study.

Sofyan Sufri, Iskandar Iskandar, Nurhasanah Nurhasanah, Saiful Bakri, Misbahul Jannah, Rajuddin Rajuddin, Sarah Ika Nainggolan, Fathima Sirasa, Jonatan Anderias Lassa

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sofyan SufriNursing Division, Aceh Polytechnic of the Ministry of Health, Banda Aceh, Aceh, Indonesia sfr.aries@gmail.com.ORCID http://orcid.org/0000-0001-5026-4950
Iskandar IskandarNutrition, Aceh Polytechnic of the Ministry of Health, Aceh Besar, Aceh, Indonesia.
Nurhasanah NurhasanahFaculty of Teacher Training and Education, Syiah Kuala University, Banda Aceh, Indonesia.
Saiful BakriAceh Polytechnic of the Ministry of Health, Banda Aceh, Aceh, Indonesia.
Misbahul JannahSchool of Medicine, Syiah Kuala University, Banda Aceh, Aceh, Indonesia.
Rajuddin RajuddinSchool of Medicine, Syiah Kuala University - Darussalam Campus, Banda Aceh, Aceh, Indonesia.
Sarah Ika NainggolanSchool of Medicine, Syiah Kuala University - Darussalam Campus, Banda Aceh, Aceh, Indonesia.
Fathima SirasaApplied Nutrition, Wayamba University of Sri Lanka, Kuliyapitiya, North Western Province, Sri Lanka.
Jonatan Anderias LassaResilience Development Initiative (RDI), Indonesian Think Tank Initiative, Bandung, West Java, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe research aims to understand the challenges and opportunities in policy and programme convergence to accelerate interventions for reducing stunting at the district, subdistrict and the 10 focused villages.

designData were collected through qualitative methods (in-depth interviews and document reviews), and then analysed using thematic processes with NVivo V.11 software, by QSR International The process included coding, categorising and linking to the eight implementation outcome variables (as determined themes), namely acceptability, adoption, appropriateness, feasibility, compliance, implementation cost, coverage and sustainability. The variables of convergence action policies were implemented differently by stakeholders at different layers of governance.

settingPidie district, Aceh province, Indonesia.

participants106 respondents from provincial to village levels were selected and interviewed, including leaders and policymakers (n=10); and convergence action implementers from the province to the villages (n=96).

resultsStunting reduction policies were generally acceptable to local leaders and policymakers as a policy imperative. Implementation costs were considered sufficient by stakeholders, although focusing only on nutrition-specific interventions. However, in terms of adoption, feasibility, compliance, nutrition-sensitive intervention coverage and sustainability aspects were insufficiently implemented in all the focused villages due to inadequate collaboration between health and non-health sectors and limited experts.

conclusionsThis study offers key recommendations for policy and practice changes and considerations. The utilisation of methods and findings from this study in other areas in Indonesia or other low- and middle-income countries is important to explore more about the applicability, benefits and weaknesses of this study.

Indexed as

Growth DisordersQualitative ResearchChild, PreschoolFemaleHealth PolicyHumansIndonesiaInfantMalehealth policynutrition & dieteticspublic health

Identifiers

PMID39581709
PMCPMC11590851

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.