Cultural Innovation in the Foster Family Program for Stunted Toddlers: Integrating Traditional Practices and Modern Governance in Ciamis Regency
Abstract
Stunting among toddlers remains a serious public health issue in Indonesia, including in Ciamis Regency, West Java. Socio-cultural factors, such as local beliefs and low health literacy, exacerbate the high prevalence of stunting. This study aims to analyze the implementation of the Foster Family Program for Stunted Toddlers in Sindangrasa Urban Village, Ciamis Regency, as a culturally based public innovation that integrates traditional approaches with modern governance. The research focuses on exploring how the integration of local values and modern mechanisms can enhance the effectiveness of stunting interventions. This study employs a qualitative ethnographic method, with data collected through observation, in-depth interviews, and document analysis. The findings indicate that the program has successfully reduced stunting rates by leveraging strong kinship ties and the spirit of mutual cooperation within the Ciamis community. It also involves multiple stakeholders, including local civil servants, community leaders, health cadres, and local entrepreneurs. The culturally rooted approach—especially the principles of silih asah, silih asih, silih asuh—has proven effective in strengthening social solidarity, active participation, and collective responsibility. These findings highlight the importance of holistic and collaborative public policies that are culturally sensitive, not only in terms of nutritional interventions but also in community empowerment. The program contributes to the achievement of the Sustainable Development Goals (SDGs), particularly Goal 2 (Zero Hunger) and Goal 3 (Good Health and Well-being). This study offers a potential model for other regions with similar characteristics, emphasizing the integration of local wisdom and modern policy for sustainable solutions.
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