Case Report Assisted Village Project by Rizki Amalia Medika Hospital Support National Program Against Stunting Wasting

Stunting and wasting remain critical public health issues in Indonesia, with a steadily rising prevalence. Early, integrated intervention is essential to prevent long-term developmental consequences in children. Despite various programs implemented by primary healthcare facilities, delays in diagnosis and referral to pediatric specialists hinder timely management. This study aims to evaluate the effectiveness of a hospital-led integrated nutrition intervention through the Assisted Village Program initiated by Rizki Amalia Medika General Hospital in Panjatan Subdistrict, Kulon Progo, in accelerating early detection and treatment of stunting cases. A descriptive case study approach was used. Data were collected through anthropometric measurements (height and weight), nutritional status screening, and structured interviews with caregivers. Primary data were obtained from village health activities, while secondary data were sourced from hospital medical records. The study population consisted of toddlers in six assisted villages, with purposive sampling applied to select subjects. Data were analyzed both quantitatively and qualitatively to assess nutritional and developmental improvements following intervention. Among 103 toddlers screened across six villages, two were identified as stunted and wasted. Both children were referred to Rizki Amalia Medika Hospital for comprehensive medical and nutritional intervention over one month. Results showed a weight gain of 0.8–1.2 kg and height gain of 1–2 cm. Developmental assessments also revealed improvements in motor and cognitive skills. The hospital-based Assisted Village Program demonstrates a more rapid and effective case detection and management model compared to conventional programs led by primary health facilities. This approach highlights the critical role of secondary referral hospitals in supporting national stunting prevention programs. Detailed discussions of the integrated nutrition strategies, counseling methods, and intersectoral collaboration models are essential to guide future implementation and replication of this model in other regions.