Midwife competency training management model based on Participatory Innovative Collaborative (PILAR) for stunting prevention in West Nias Regency

BACKGROUND: Stunting is a persistent challenge in Indonesia, particularly in regions like West Nias Regency, where limited access to healthcare and education impacts maternal and child health. Midwives are essential in combating stunting, but there is a lack of effective training models to enhance their competencies in this area. This study aims to analyze the characteristics, assess the feasibility, and determine the effectiveness of the Participatory, Innovative, and Collaborative (PILAR)-based midwife competency training management model for stunting prevention in West Nias Regency. MATERIAL AND METHODS: The research employed the Research and Development (R&D) method, involving midwives from the region. The model was developed through several stages, including needs analysis, model development, field trials, and final evaluation. RESULTS: The research results show that the model is highly feasible, with an average expert feasibility score of 87.48% and an average user trial score of 84.68%. After the trial, the average midwife competency increased from 35.03 to 59.76, with an average competency gain of 24.73. CONCLUSIONS: These findings indicate that the PILAR model can significantly improve midwives' knowledge and skills in stunting prevention.