Implementation program of child under 5 years’ growth and development problems in bangkalan, madura

There are high cases of child growth and development problems (CGDPs) and Bangkalan Regency as the highest rate of severe wasting and high stunted cases from Indonesian health survey in East Java Province (2013), but CGDPs early detection and intervention coverage are very low even though there are few programmes that have been made to tackle it. It’s aimed to assess the implementation of CGDPs programs to overcome it. This qualitative study is conducted with informants that’s consisted of head of health care, child nutrition coordinators and child growth development coordinators in each level (Regency and Subregency), Child growth development nurse in Hospital, 3 Midwives in village maternal health center, 3 Posyandu cadre and 25 mothers of child under 5 years. Data were collected by observation, in-depth interview and validated by the triangulation method. The result shows that there are prohibitions from all community-based program such as low participation of the community, lack competency of midwives to do early detection of CGDPs, lack participation of cadre. Besides that, if health provider finally tracks cases, unfortunately almost half of the mothers refuse to be referred. It’s happened because they feel ashamed of that condition and accepted it as a natural process. In the other side, there is no integrated CGDPs referred system means there is no strong commitment and coordination among stakeholders. There is a need for collaboration between practitioners and academic also multisectoral support for program planning until evaluation.