Evaluating Acceleration of Stunting Prevention in Indonesia (2018-2024): A Roadmap-Based Program Analysis

Alfi Rusdianti, Suparji Suparji, Heru Santoso Wahito Nugroho, Budi Joko Santosa, Sunarto Sunarto

Abstract


Indonesia’s 2018-2024 National Roadmap for Stunting Prevention aims to reduce stunting prevalence to 14% by 2024 through multisectoral interventions. This commentary evaluates the program’s acceleration, identifying systemic gaps in implementation despite robust policy frameworks. Using qualitative analysis of government reports, field studies, and secondary data, we assess progress against key roadmap indicators, including nutrition-specific interventions, community empowerment, and interagency coordination. Findings reveal persistent challenges: fragmented coordination between national and local agencies, uneven funding distribution favoring urban centers, and inadequate real-time monitoring systems. Case studies from regions like Lombok (successful integrated nutrition campaigns) and Papua (persistent access barriers to clean water and healthcare) illustrate disparities in program effectiveness. Additionally, socio-cultural factors, such as low parental awareness of nutrition, further hinder progress. We argue that accelerating stunting reduction requires strengthening decentralized governance, prioritizing budget equity for rural areas, and leveraging digital tools for data integration. Community-driven education initiatives, supported by local leaders, are critical to shifting health behaviors. Without addressing these structural and operational bottlenecks, Indonesia risks missing its 2024 target, undermining broader Sustainable Development Goals (SDGs) linked to child health and equity. This analysis urges policymakers to adopt adaptive, evidence-based strategies to transform roadmap commitments into actionable outcomes.

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References


National Development Planning Agency (Bappenas or National Development Planning Agency). National Roadmap for Accelerating Stunting Prevention in Indonesia 2018-2024. Jakarta: Bappenas; 2018.

Ministry of Health Republic of Indonesia. Indonesia Nutritional Status Survey (SSGI) 2022: Key Findings and Trends. Jakarta: Kemenkes; 2023.

Herawati DMD, Sunjaya DK. Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study. International Journal of Environmental Research and Public Health. 2022;19(20):13591. http://dx.doi.org/10.3390/ijerph192013591

National Team for the Acceleration of Poverty Reduction (TNP2K). Evaluation of the Non-Cash Food Assistance Program (BPNT) in Remote Areas: Evidence from Papua and East Nusa Tenggara. Jakarta: TNP2K; 2021.

Vedam S, Titoria R, Niles P, Stoll K, Kumar V, Baswal D, et al. Advancing quality and safety of perinatal services in India: opportunities for effective midwifery integration. Health Policy and Planning. 2022;37(8):1042–63. http://dx.doi.org/10.1093/heapol/czac032

Mladovsky P, Prince R, Hane F, Ridde V. The primacy of politics in neoliberal universal health coverage policy reform. A commentary on ‘financing and provision of healthcare for two billion people in low-income nations: Is the cooperative healthcare model a solution?” by William C Hsiao and Winnie Yip. Social Science and Medicine. 2024;345:115742. http://dx.doi.org/10.1016/j.socscimed.2023.115742

Boedeker W, Watts M, Clausing P, Marquez E. Response to: “letter to the editor regarding the article ‘the global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review’” by Dunn et al. 2021 in BMC public health. BMC Public Health. 2021;21(1):1943. http://dx.doi.org/10.1186/s12889-021-11941-z

Ministry of Health Indonesia (Kemenkes). Technical Guidelines for Specific Nutrition Interventions: Revitalization of Posyandu and Iron Supplementation. Jakarta: Kemenkes; 2019.

Suryahadi A, Alisjahbana A, Yumna A. Multisectoral collaboration in stunting reduction: Lessons from Indonesia’s national strategy. Global Health Action. 2022;15(1):2007656. http://dx.doi.org/10.1080/16549716.2021.2007656

Ministry of Villages, Development of Disadvantaged Regions, and Transmigration (Kemendes PDTT). SANITASI Program: Clean Water and Sanitation Infrastructure Development in Priority Villages. Jakarta: Kemendes PDTT; 2020.

Rackimuthu S, Hasan MM, Ray I, Sahito AM, Chawla P, Ghosh D. Teleradiology in India during the COVID-19 pandemic: merits, pitfalls and future perspectives. Health Policy and Planning. 2022;37(9):1203–1206. http://dx.doi.org/10.1093/heapol/czac045

Sousa LMO, Pereira HB de B, de Araújo EM, Miranda JGV. Analysis of intermunicipal journeys for cardiac surgery in Brazilian Unified Health System (SUS): an approach based on network theory. International Journal for Equity in Health. 2023;22(1):48. http://dx.doi.org/10.1186/s12939-023-01857-y

Munawaroh S, Fajri MN, Ajija SR. The Effects of Social Assistance Programs on Stunting Prevalence Rates in Indonesia. Jurnal Administrasi Kesehatan Indonesia. 2024;12(1):74–85. http://dx.doi.org/10.20473/jaki.v12i1.2024.74-85

Melisa M, Kasmawati K, Sitompul StAFP, Monalisa M, Monalisa R, Novianti MN. The Government Policy for Stunting Countermeasure Strategy in Indonesia be preparing for Golden Generation 2045. Scholars International Journal of Law, Crime and Justice. 2022;5(12):554–63. http://dx.doi.org/10.36348/sijlcj.2022.v05i12.006

Sugianti E, Putri BD, Buanasita A. Peran Ayah terhadap Kejadian Stunting pada Balita di Perdesaan. Amerta Nutrition. 2024;8(2):214–221. http://dx.doi.org/10.20473/amnt.v8i2.2024.214-221

Chapman AJ, Ebido CC, Tening RN, Huang Y, Sougou NM, Kolopaking R, et al. Creating culturally-informed protocols for a stunting intervention using a situated values-based approach (WeValue InSitu): a double case study in Indonesia and Senegal. BMC Public Health. 2024;24(1):987. http://dx.doi.org/10.1186/s12889-024-18485-y

Al Jeraisy M, Alshammari H, Albassam M, Al Aamer K, Abolfotouh MA. Utility of patient information leaflet and perceived impact of its use on medication adherence. BMC Public Health. 2023;23(1). http://dx.doi.org/10.1186/s12889-023-15346-y

Jensen RK, Skovsgaard CV, Ziegler DS, Schiøttz-Christensen B, Mieritz RM, Andresen AK, et al. Surgical trends and regional variation in Danish patients diagnosed with lumbar spinal stenosis between 2002 and 2018: a retrospective registry-based study of 83,783 patients. BMC Health Services Research. 2023;23(1). http://dx.doi.org/10.1186/s12913-023-09638-7

Asefa A, Dossou JP, Hanson C, Hounsou CB, Namazzi G, Meja S, et al. Methodological reflections on health system-oriented assessment of maternity care in 16 hospitals in sub-Saharan Africa: an embedded case study. Health Policy and Planning. 2022;37(10):1257–1266. http://dx.doi.org/10.1093/heapol/czac078

Prasetyo A, Noviana N, Rosdiana W, Anwar MA, Hartiningsih, Hendrixon, et al. Stunting Convergence Management Framework through System Integration Based on Regional Service Governance. Sustainability. 2023;15(3):1821. http://dx.doi.org/10.3390/su15031821

Skamagki G, Carpenter C, King A, Wåhlin C. Management of Chronic Musculoskeletal Disorders in the Workplace from the Perspective of Older Employees: A Mixed Methods Research Study. International Journal of Environmental Research and Public Health. 2022;19(15):9348. http://dx.doi.org/10.3390/ijerph19159348

Ripoll J, Chela-Alvarez X, Briones‑Vozmediano E, Fiol de-Roque MA, Campos RZ, Ricci‑Cabello I, et al. Correction to: Impact of COVID-19 on mental health of health care workers in Spain: a mix-methods study. BMC Public Health. 2024;24(1):880. http://dx.doi.org/10.1186/s12889-024-18312-4.




DOI: https://doi.org/10.33846/hd20504

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