Opening the Gateway to Nutrition: An Evaluation of Public Service Access and Health Education in Stunting Prevention in Cikarang
DOI:
https://doi.org/10.31334/transparansi.v8i2.5416Kata Kunci:
public service access; health education; stunting prevention; urban-industrial community;Abstrak
Abstrak
Penelitian ini bertujuan untuk menganalisis pengaruh akses layanan publik dan edukasi kesehatan terhadap pencegahan stunting pada komunitas perkotaan-industrial di Cikarang, Kabupaten Bekasi. Dengan menggunakan pendekatan penelitian kuantitatif eksplanatori, data dikumpulkan dari 300 responden, termasuk ibu hamil dan menyusui, ibu balita, kader kesehatan, serta tenaga kesehatan melalui survei yang dilakukan di beberapa posyandu. Data dianalisis menggunakan Exploratory Factor Analysis (EFA) dan Partial Least Squares–Structural Equation Modeling (PLS-SEM). Hasil penelitian menunjukkan bahwa akses layanan publik berpengaruh positif signifikan terhadap edukasi kesehatan (β = 0.161; p = 0.01), namun pengaruh langsungnya terhadap pencegahan stunting tidak signifikan (β = 0.118; p = 0.081). Sebaliknya, edukasi kesehatan memiliki pengaruh positif signifikan terhadap pencegahan stunting (β = 0.292; p = 0.000) dan memediasi hubungan antara akses layanan publik dan pencegahan stunting (β = 0.047; p = 0.032). Temuan ini mengindikasikan bahwa keberhasilan pencegahan stunting tidak hanya bergantung pada ketersediaan fasilitas kesehatan, tetapi juga pada efektivitas edukasi kesehatan serta kolaborasi lintas sektor dalam tata kelola layanan publik. Penelitian ini merekomendasikan penguatan posyandu sebagai pusat edukasi gizi berbasis komunitas dan penyesuaian layanan publik dengan karakteristik sosial-ekonomi masyarakat industrial.
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