Situation Analysis as a Effort to Accelerate Stunting Reduction in Labuhan Batu Regency in 2022

. Indonesia has set a target in accordance with the SDGs Program in 2030 in the health sector, namely through efforts to improve nutrition and health quality in combating the prevalence of stunting. The achievement of the SDGs goals must be prepared from now on by coordinating cross-sectoral. Over the last 20 years, the handling of the stunting problem has been very slow, globally, the percentage of children whose growth is stunted has decreased by only 0.6% per year since 1999. It is predicted that if this continues, 15 years later it is estimated that 450 million children will experience growth retardation or stunting. The contributing factor is suspected to be the lack of cross-sectoral roles in preventing stunting, so it is necessary to strengthen the role through convergence action to accelerate stunting reduction. The role of Universities as the Regency/City Assistance Implementation Team through the Stunting Reduction Acceleration Program in 10 loci in Labuhan Batu Regency with a 5-pillar approach, namely; (1) increasing commitment and leadership of the Village/Urban Government; (2) System strengthening and development, data, information, research and innovation; (3) communication of behavior change and community empowerment in terms of nutrition, healthy behavior, mutual cooperation and independence; (4) convergence of specific and sensitive interventions through a family approach caring for stunting; (5) food security at the level Individuals, Families and Communities through optimizing the use of local food ingredients. The factors that encourage the implementation of convergence actions to accelerate stunting reduction are the government's commitment, as well as the involvement of various parties, both from the health and non-health sectors.


INTRODUCTION
Stunting is one of the problems faced in the health sector, namely the lack of optimal nutrition for the community, which is marked by the high number of stunting in children under five. who wish that the handling of stunting should be carried out as early as possible to free children, especially in Labuhan Batu from the risk of inhibiting brain development which causes children's intelligence levels to not be optimal (Kemenkes RI, 2018). Stunting is a condition of failure to thrive in children under five as a result of chronic malnutrition so that children are too short for their age. , 2012). From the time of the fetus to the age of the first two years, the child will experience a phase of rapid growth (growth spurt) so that this phase is a period of golden Stunting prevention efforts require the integrated implementation of nutrition interventions at the location and priority target groups of households in the first 1,000 days of life (HPK). The percentage of families who fulfill the Nutrition Awareness Family (Kadarzi) reaches 76.68% (Annual Survey of the Labuhanbatu District Health Office) in Labuhanbatu District in 2020 The percentage of Kadarzi in Labuhanbatu District is still below the national target of 80% (Hendarwan et al., 2013). Higher education is a forum that produces intellectual people in applying an innovation that is beneficial for the benefit so that the role of contributing in applying the knowledge that has been obtained is very important in solving existing problems (Ministry of Health RI, 2018). The government has held coordination and consolidation meetings by collaborating across sectors in the community and one of them is Universities in order to jointly realize a stunting reduction acceleration program with a target of 25.8% to 14% in 2024 (Poverty, 2017). Various efforts have been carried out but have not obtained maximum results through the North Sumatra Rector's Forum, so Universities play an important role in the stunting reduction acceleration program which is included in the stunting locus section to be able to implement the 5 Pillars of stunting intervention (Sumarni, 2015).

METHODS
This service method is carried out in several stages such as (Notoatmodjo, 2003); (1) Conducting Situation Analysis; (2) Conducting cross-sectoral coordination and consolidation; (3) Disseminating Situation Analysis; (4) Making Planning strategy with 5 pillars of Convergence approach.

Situation Analysis
Labuhanbatu Regency is one of the areas on the East Coast of Sumatra. Geographically, Labuhanbatu Regency is located at 1041'00' -2044'00'' North Latitude and 99033' -100022' East Longitude with an altitude of 0-700 meters above sea level. Labuhanbatu Regency occupies an area of 2,561.38 Km² (256,138 Ha). The Labuhanbatu Regency Government Administration consists of 9 sub-districts, and 98 definitive villages/kelurahan with a description of 23 urban villages and 75 villages with a population of 493,899 people. Labuhanbatu Regency is famous for its oil palm and rubber plantations. Labuhanbatu Regency has a strategic location, which is at the intersection of West Sumatra and Riau, which connects regional development centers in Sumatra and Java, and is directly adjacent to the Malacca Strait so that it has adequate access to foreign countries. Like most other areas in the North Sumatra Region, Labuhanbatu Regency is an area with a tropical climate. So this area has 2 seasons, namely the dry season and the rainy season. The dry season and the rainy season are usually marked by the number of rainy days and the volume of rainfall in the month of the season. district at 1,150 people/km2. For the sub-district with the smallest population density in 2020 is Panai Tengah District, which is 94 people/km2.

Cross-sectoral Coordination and Consolidation
Based on the decision of the Minister of National Development Planning or the Head of Bappenas No. KEP.42./M.PPN/HK/04/2020 dated April 9, 2020 regarding the determination of the expansion of urban districts where the focus of integrated stunting reduction interventions has been set in 2018-2020 as many as 360 urban districts, one of which is Labuhan Batu Regency. Stunting prevention efforts require the integrated implementation of specific and sensitive interventions, especially nutrition improvement in locations and priority target groups of households in the first 1,000 days of life (HPK) (Nugroho et al., 2014). To equate perceptions related to tasks and functions in an effort to accelerate the reduction of stunting or failure to thrive in children, the Higher Education Assistance Implementation Team, both at the Provincial and Regency/Municipal Levels, held meetings in the context of consolidation and coordination. With the establishment of this meeting, it is hoped that the convergence of programs and activities from various sectors can work well, so that a strengthening of the management of one stunting data can be produced and strengthening of monitoring and evaluation and reporting of acceleration of stunting reduction, so as to formulate solutions and recommendations to overcome the problem. that occur in the district/city that they accompany (Public TIJ of, Health, 2008).

Disseminate Situation Analysis
To achieve the Convergence of Stunting Reduction Policies in the Regions, the role of Higher Education Assistance to Regional Governments is an implementation of all existing innovations at Universities within the framework of accelerating Stunting Reduction by compiling an analysis of existing gaps, obstacles, challenges and opportunities. (1) The presentation is displayed based on the Gap Analysis in the Batubara Regency area, which is described on the slide below according to what was found both in the form of data and during field observations, the information conveyed in essence is as follows: Weakness; (1) The translation of stunting handling commitments varies between villages according to the level of understanding and perception of the urgency of stunting handling for each village head; (2) The occurrence of a pandemic made the stunting budget relocated for handling covid in villages by 8%; (3) Massive campaigns are not adequate enough considering the geographical and socio-demographic conditions related to the tidal conditions in the three regions; (4) The pattern of coordination at several loci is hampered by the limitations of DM and the absence of strategic health workers (village midwives) due to geographical conditions; (5) Awareness of the community because most of the community only eats food without seeing improving family nutrition; (6) Myths that are still believed by most people regarding the food that must be consumed; (7) The stunting mash handling program in the form of specific nutrition interventions has not led to nutritional interventions really sensitive.