INTEGRATION OF PRIMARY HEALTH SERVICES AND THE ROLE OF VILLAGE MIDWIVES IN EARLY DETECTION OF STUNTING AMONG TODDLERS

Abstract

Background: Stunting represents a chronic nutritional 
problem that threatens human resource quality. Sidem Village, 
Tulungagung Regency, with its geographically remote 
characteristics, requires optimization of village midwives' roles in 
early stunting detection. Objective: This study aims to examine the 
integration of Posyandu services and the role of village midwives 
in early stunting detection among toddlers in Sidem Village. 
Methods: A descriptive quantitative study with a cross
sectional approach was conducted involving 338 toddlers across 
three hamlets (Krajan, Pucung, Bago) in January 2026. Data were 
collected through anthropometric measurements and KPSP 
assessments by village midwives and cadres, then analyzed 
descriptively. 
Results: Stunting prevalence reached 15.7% (53 toddlers), 
with the highest rate in Krajan Hamlet (19.3%). Developmental 
screening showed 82.2% of toddlers were age-appropriate, 12.4% 
were questionable, and 5.4% were inappropriate. SDIDTK 
implementation faced constraints including limited health workers, 
low supervision, and inadequate facilities. The "Sekolah Orang Tua 
Hebat" (SOTH) program successfully improved parental 
knowledge. 
Conclusion: Early stunting detection through Posyandu 
integration and village midwife roles is essential but requires 
strengthening human resource capacity, infrastructure, and 
sustained commitment from all stakeholders.