Cross-Sector Collaboration Assessment Instrument for Handling Stunting in Gorontalo Province: Indicators, Validity, and Reliability
DOI:
https://doi.org/10.56294/saludcyt20251787Keywords:
Cross-sector collaboration, Stunting intervention, Indicator validationAbstract
Cross-sector collaboration plays a crucial role in addressing stunting by fostering partnerships among organizations from various sectors. This study aimed to develop and validate reliable indicators to evaluate cross-sector collaboration within the stunting reduction program in Gorontalo Province, Indonesia. A questionnaire was formulated following an initial qualitative study and administered to 32 members of the stunting reduction acceleration team. The instrument consisted of 10 domains encompassing 95 items. Validity testing confirmed 93 items as valid, while two were excluded. Reliability analysis using Cronbach’s Alpha demonstrated exceptional reliability for the domains of cross-sector role and structure, and cross-sector performance. Six additional domains—including vision and mission, partner profile, resource availability, leadership, communication, and partnership function—showed very good reliability. One domain exhibited good reliability (cross-sector context), and another moderate reliability (need for cross-sector collaboration). The findings offer a comprehensive and validated set of indicators to assess the effectiveness of cross-sector collaboration in stunting management. These indicators serve as a foundation for systematic evaluation, contributing to improved coordination and program outcomes in Gorontalo Province.
References
1. Towe VL, Leviton L, Chandra A, Sloan JC, Tait M, Orleans T. Cross-sector collaborations and partnerships: Essential ingredients to help shape health and well- being. Health Aff. 2016;35(11):1964-1969. doi:10.1377/hlthaff.2016.0604
2. Kritz J. Effective cross-sector collaborations create sustainability. Lancet Glob Heal. 2018;6(9):e952-e953. doi:10.1016/S2214-109X(18)30299-7
3. Kementerian Kesehatan RI. SSGI 2024 (Survei Status Gizi Indonesia dalam Angka). Published online 2025. https://www.badankebijakan.kemkes.go.id/survei-status-gizi-indonesia-ssgi-2024/
4. Svefors P, Pervin J, Islam Khan A, et al. Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh. Acta Paediatr Int J Paediatr. 2020;109(1):122-133. doi:10.1111/apa.14929
5. Black RE, Allen LH, qar Bhutta ZA, et al. Maternal and Child Undernutrition 1 Maternal and child undernutrition: global and regional exposures and health consequences. www.thelancet.com.:243. doi:10.1016/S0140
6. Mashar SA, Suhartono S, Budiono B. Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Anak: Studi Literatur. J Serambi Eng. 2021;6(3):2076-2084. doi:10.32672/jse.v6i3.3119
7. Saufi A. Dinamika Collaborative Governance dalam Penanggulangan Stunting Ditengah Pandemi Covid-19. Pros Semin Nas Penanggulangan Kemiskin. 2021;1(1):80-95. https://conference.trunojoyo.ac.id/pub/semnaspk/article/view/40/47
8. Nurhaeni H, Badrin S, Dinarti D, Riasmini M, Riyanti E. Kolaborasi Penanganan Stunting. J Heal Sains. 2021;2(5):598-603. doi:10.46799/jhs.v2i5.158
9. Fernandes D, Daud Niga J, Seran Klau R. Collaborative Governance In The Handling of Stunting Program In East Flores District. Devot J Community Serv. 2022;3(14):2611-2624. doi:10.36418/dev.v3i14.317
10. Erison Y. ABCGM-BASED STUNTING PREVENTION GOVERNANCE IN BATANG DISTRICT. Indones J Soc Sci Policy, Polit. 2024;2(1):26-33. https://ijsspp.yayasanwayanmarwanpulungan.com/ojs/index.php/IJSSPP%0AABCGM-BASED
11. Balqis B, Rahmadani S, Abadi MY, et al. Development of Cross-Sector Collaboration Indicators for Accelerating the Reduction of Stunting in South Sulawesi, Indonesia. J Public Heal Pharm. 2024;4(3):225-237. doi:10.56338/jphp.v4i3.5924
12. Zhu X, Weigel P, Baloh J, Nataliansyah M, Gunn N, Mueller K. Mobilising cross-sector collaborations to improve population health in US rural communities: A qualitative study. BMJ Open. 2019;9(11). doi:10.1136/bmjopen-2019-030983
13. Workie SB, Mekonen T, Mekonen TC, Fekadu W. Child development and nutritional status in 12-59 months of age in resource limited setting of Ethiopia. J Heal Popul Nutr. 2020;39(1):1-10. doi:10.1186/s41043-020-00214-x
14. Mutapi F, Pfavayi L, Osakunor D, et al. Assessing early child development and its association with stunting and schistosome infections in rural zimbabwean children using the griffiths scales of child development. PLoS Negl Trop Dis. 2021;15(8):1-22. doi:10.1371/journal.pntd.0009660
15. Bargain O, Zeidan J. Stature , Skills and Adult Life Outcomes : Evidence from Indonesia.; 2014. https://halshs.archives-ouvertes.fr/halshs-01020788
16. Vogl TS. Height, skills, and labor market outcomes in Mexico. J Dev Econ. 2014;107:84-96. doi:10.1016/j.jdeveco.2013.11.007
17. Leroy JL, Frongillo EA. Perspective: What Does Stunting Really Mean? A Critical Review of the Evidence. Adv Nutr. 2019;10(2):196-204. doi:10.1093/advances/nmy101
18. Guerrant RL, Deboer MD, Moore SR, Scharf RJ, Lima AAM. The impoverished gut - A triple burden of diarrhoea, stunting and chronic disease. Nat Rev Gastroenterol Hepatol. 2013;10(4):220-229. doi:10.1038/nrgastro.2012.239
19. Hanson SK, Munthali RJ, Lundeen EA, Richter LM, Norris SA, Stein AD. Stunting at 24 months is not related to incidence of overweight through young adulthood in an urban South African birth cohort. J Nutr. 2018;148(6):967-973. doi:10.1093/jn/nxy061
20. DeSalvo KB, Claire Wang Y, Harris A, Auerbach J, Koo D, O’Carroll P. Public health 3.0: A call to action for public health to meet the challenges of the 21st century. Prev Chronic Dis. 2017;14(9):1-9. doi:10.5888/pcd14.170017
21. WHO. Health in all policies: Helsinki statement. Framework for country action. 8th Glob Conf Heal Promot. Published online 2014:21.
22. Sekretariat Wakil Presiden Republik Indonesia. Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting) periode 2018-2024. Published online 2018.
23. Kementerian Sekretariat Negara Republik Indonesia. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting. Published online 2021. https://cegahstunting.id/unduhan/regulasi/
24. Bach A, Gregor E, Sridhar S, Fekadu H, Fawzi W. Multisectoral Integration of Nutrition, Health, and Agriculture: Implementation Lessons From Ethiopia. Food Nutr Bull. 2020;41(2):275-292. doi:10.1177/0379572119895097
25. Kohli N, Nguyen PH, Avula R, Menon P. The role of the state government, civil society and programmes across sectors in stunting reduction in Chhattisgarh, India, 2006-2016. BMJ Glob Heal. 2020;5(7):2006-2016. doi:10.1136/bmjgh-2019-002274
26. Hope Corbin J, Jones J, Barry MM. What makes intersectoral partnerships for health promotion work? A review of the international literature. Health Promot Int. 2018;33(1):4-26. doi:10.1093/heapro/daw061.
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Copyright (c) 2025 Misrawatie Goi, Faizal Fahmi, Nur Afiah Herson, Raden Ayu Cahyaning Alam, Rahayu Indriasari, Muhamad Syafar, Stang, Rizal Martua Damanik, Amil Ahmad Ilham, Nurhaedar Jafar, Andi Ummu Salmah, Anwar Mallongi (Author)
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