{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T14:03:51Z","timestamp":1789308231639,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"This study was supported by the Ministry of Education, Culture, Research and Technology, Indonesia."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Transcult Nurs"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>\n                      Stunting remains high in Papua, Indonesia, while sociocultural factors shaping health service use remain underexplored. This study explored the role of\n                      <jats:italic toggle=\"yes\">tiga tungku<\/jats:italic>\n                      leaders in child health services and stunting prevention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A descriptive qualitative study was conducted in Jayapura from August to October 2024. Eighteen religious, traditional, and community leaders were recruited through maximum variation sampling and interviewed. Data were analysed using inductive thematic analysis. Trustworthiness was supported through triangulation, peer debriefing, thick description, and systematic documentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Four themes were identified: the composition of\n                      <jats:italic toggle=\"yes\">tiga tungku<\/jats:italic>\n                      leaders, their community roles, their roles in health services, and their involvement in health programmes.\n                      <jats:italic toggle=\"yes\">Tiga tungku<\/jats:italic>\n                      leaders shaped community attitudes and health-related behaviours by translating health messages into culturally acceptable advice, building trust, encouraging mothers to use services, and mobilising support for nutrition and growth monitoring.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>\n                      Collaboration with\n                      <jats:italic toggle=\"yes\">tiga tungku<\/jats:italic>\n                      leaders may support culturally responsive stunting prevention in Papua.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10436596261480674","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:34:42Z","timestamp":1789036482000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Guardians of Health: The Role of Papua\u2019s\n                    <i>Tiga Tungku<\/i>\n                    Leaders in Health Care Services Regarding Stunting Prevention"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1618-7664","authenticated-orcid":false,"given":"Hotnida Erlin","family":"Situmorang","sequence":"first","affiliation":[{"name":"Universitas Indonesia, Depok, Indonesia"},{"name":"Universitas Cenderawasih, Jayapura, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3369-2694","authenticated-orcid":false,"given":"Yeni","family":"Rustina","sequence":"additional","affiliation":[{"name":"Universitas Indonesia, Depok, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8373-7790","authenticated-orcid":false,"given":"Enie","family":"Novieastari","sequence":"additional","affiliation":[{"name":"Universitas Indonesia, Depok, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5754-3872","authenticated-orcid":false,"given":"Sutanto Priyo","family":"Hastono","sequence":"additional","affiliation":[{"name":"Universitas Indonesia, Depok, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1421-5209","authenticated-orcid":false,"given":"Desi Dwi Siwi Atika","family":"Dewi","sequence":"additional","affiliation":[{"name":"Universitas Gadjah Mada, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Ahmed S. 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