GOVERNANCE OF E-PPGBM AND SYSTEMIC CHALLENGES IN COMMUNITY NUTRITION SERVICES: A CRITICAL ANALYSIS OF CADRE CAPACITY, TECHNICAL BARRIERS, AND INSTITUTIONAL DYSFUNCTION

Abstract

Background: Stunting remains a serious problem in Indonesia, with high prevalence rates that impact the quality of human resources. The e-PPGBM system was developed as a response to strengthen community-based nutrition recording and reporting, but its effectiveness is highly dependent on the quality of governance and the role of Posyandu cadres.

Research objectives: To critically analyze the factors that influence the governance of the e-PPGBM system, especially in terms of cadre capacity, technical barriers, and institutional dysfunction in stunting locus areas. A qualitative case study approach was used involving four main informants who were the persons in charge of e-PPGBM as well as Nutrition Companion Personnel (TPG) in four Community Health Centers. Data were collected through in-depth interviews, analyzed using the Braun & Clarke thematic method with the help of NVivo 12 Plus, and validated through theory and policy triangulation.

Results: Identified four main themes, namely limited knowledge and basic skills of cadres, limited access to training, inconsistency in SOP implementation, and technical and institutional challenges. These factors synergistically affect the quality of e-PPGBM data management at the Posyandu level. The results of the study also showed that the problems were not solely in individual cadres, but were a reflection of systemic weaknesses in the program's supporting structure.

Conclusion: the success of e-PPGBM is not only determined by the technical capacity of cadres, but also by the function of institutional governance and adaptive and sustainable training systems. This finding emphasizes the need for a holistic approach in strengthening community-based nutrition information systems in Indonesia.