Association between nutrition intervention program indicators and stunting prevalence among toddlers in Indonesia
The prevalence of stunting in Indonesia remains high, reaching 21,6% by 2022. The government has established a stunting reduction strategy using 11 specific nutrition intervention indicators and one sensitive nutrition intervention indicator. However, the implementation of these programmes is suboptimal. This study aimed to identify the nutritional factors that influence the reduction in stunting and evaluate the effectiveness of nutrition intervention programs on the prevalence of stunting. The study utilized a cross-sectional design with Spearman correlation analysis to examine the relationship between intervention indicators and stunting prevalence, and linear regression analysis to assess their impact. The results showed significant indicators (p < 0,05) included antenatal care performed six times (r= -0,666), iron tablet supplementation for pregnant women (r= -0,362), exclusive breastfeeding (r= -0,501), growth monitoring of toddlers (r= -0,386), treatment of malnourished children (r= -0,503), complete basic immunizations (r= -0,404), adolescent health screenings (r= -0,394), adolescent iron tablet supplementation (r= -0,441), and open defecation-free villages (r= -0,448). In conclusion, increased program coverage correlated with a decrease in stunting prevalence, with antenatal care (ANC) interventions showing the strongest correlation.
Keywords : Stunting prevalence, Nutrition intervention, Specific and sensitive indicators
- Agostoni, C., Baglioni, M., La Vecchia, A., Molari, G., & Berti, C. (2023).Nutrients, 15(2), 416. https://doi.org/10.3390/nu15020416
- Agustini, R. D., Sinaga, N. D., Choirunissa, R., Violentina, Y. D. S., Sari, S. I. P., Yanti, Nurhidayah, Ristianingsih, M., Susilawati, E., Aulya, Y., Kusumangrum, H., & Carolin, B. T. (2023). Asuhan Kebidanan Kehamilan (H. AKbar (ed.)). CV. Media Sains Indonesia.
- Al Rahmad, A. H., Sofyan, H., Usman, S., & Mudatsir. (2024). The Accuracy Data of the Toddlers’ Nutritional Status using the “PSG Balita” App. In T. Tahlil & P. Ardia (Eds.), The 6th Aceh International Nursing Conference (pp. 82–86). Journal of Liaquat University of Medical and Health Sciences. https://doi.org/10.22442/jlumhs.2024.01130
- Arif, A. U., Yunus, P., & Jalaluddin, S. (2022). Relationship between LBW and the incidence of stunting in toddlers aged 1-3 years at the Minasa Upa Health Center, Rappocini district. Medical and Health Science Journal, 6(1), 7–14. https://doi.org/10.33086/mhsj.v6i1.2698
- Asprika, M. C. (2023). Hubungan Pemberian Asi Eksklusif Dan Sikap Ibu Dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan Di Wilayah Kerja Puskesmas Cecar. NUTRIZIONE (Nutrition Research and Development Journal), 3(1), 40–48. https://journal.unnes.ac.id/sju/index.php/nutrizione/
- Astani, A. D., Sundu, R., & Fatimah, N. (2023). Edukasi Optimalisasi Pelaksanaan Pemberian Makanan Tambahan (PMT) di Kelurahan Sei Keledang. Jurnal Abdi Masyarakat Kita, 3(1), 1–13. https://doi.org/10.33759/asta.v3i1.363
- Astutik, M. Z. R. R. A. (2018). Faktor Risiko Kejadian Stunting Pada Anak Balita Usia 24-59 Bulan (Studi Kasus Di Wilayah Kerja Puskesmas Gabus Ii Kabupaten Pati Tahun 2017). Jurnal Kesehatan Masyarakat (e-Journal), 6(1), 409–418.
- Bappenas. (2012). SUN Movement: Gerakan Nasional 1.000 Hari Pertama Kehidupan. https://www.bappenas.go.id/id/berita/sun-movement-gerakan-nasional-1000-hari-pertama-kehidupan
- Bappenas. (2023). Laporan Pelaksanaan Pencapaian Tujuan Pembangunan Berkelanjutan. 2023, 01, 221.
- Beal, T. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4). https://doi.org/10.1111/mcn.12617
- Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617
- BKKBN. (2021). Kebijakan dan Strategi Percepatan Penurunan Stunting di Indonesia. In BKKBN.
- Cardarelli, K. M., DeWitt, E., Gillespie, R., Bandy, N., & Norman-Burgdolf, H. (2024). Enduring Effects of the COVID-19 Pandemic on Food Access, Nutrition, and Well-Being in Rural Appalachia. International Journal of Environmental Research and Public Health, 21(5), 594. https://doi.org/10.3390/ijerph21050594
- Chitekwe, S., Torlesse, H., & Aguayo, V. M. (2022). Nutrition in Nepal: Three decades of commitment to children and women. Maternal & Child Nutrition, 18(S1). https://doi.org/10.1111/mcn.13229
- de Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal and Child Nutrition, 12, 12–26. https://doi.org/10.1111/mcn.12231
- Doren, W. K., Regaletha, T. A. L., & Dodo, D. O. (2019). Evaluasi Program Pemberian Makanan Tambahan Pemulihan (PMT-P) terhadap Status Gizi Buruk Balita di Puskesmas Oepoi Kota Kupang. Lontar : Journal of Community Health, 1(3), 111–118. https://doi.org/10.35508/ljch.v1i3.2176
- Fitri, L. (2018). Hubungan Bblr Dan Asi Ekslusif Dengan Kejadian Stunting Di Puskesmas Lima Puluh Pekanbaru. Jurnal Endurance, 3(1), 131. https://doi.org/10.22216/jen.v3i1.1767
- Fitriana, Dhito Dwi Pramardika, & Rahmawati. (2020). Evaluasi Program Pemberian Makanan Tambahan Pemulihan Makanan Matang Berbahan Lokal Pada Bumil KEK. Bunda Edu-Midwifery Journal (Bemj), 3(1).
- Fufa, D. A. (2022). Determinants of stunting in children under five years in dibate district of Ethiopia: A case-control study. Human Nutrition and Metabolism, 30(September), 200162. https://doi.org/10.1016/j.hnm.2022.200162
- Godde, C. M., Mason-D’Croz, D., Mayberry, D. E., Thornton, P. K., & Herrero, M. (2021). Impacts of climate change on the livestock food supply chain; a review of the evidence. Global Food Security, 28, 100488. https://doi.org/10.1016/j.gfs.2020.100488
- Grande, M., Arigita, M., Borobio, V., Jimenez, J. M., Fernandez, S., & Borrell, A. (2012). First-trimester detection of structural abnormalities and the role of aneuploidy markers. Ultrasound in Obstetrics and Gynecology, 39(2), 157–163. https://doi.org/10.1002/uog.10070
- Jayadi, Y. I., Syarfaini, S., Ansyar, D. I., Alam, S., & Sayyidinna, D. A. (2021). Evaluasi Program Pemberian Makanan Tambahan Anak Balita Pada Masa Pandemi Covid 19 di Puskesmas Kabupaten Gowa. Al GIZZAI: Public Health Nutrition Journal, 1(2), 89–102. https://doi.org/10.24252/algizzai.v1i2.21998
- Kemenkes. (2022). Stategi Komunikasi Nasional Strategi Imunisasi Nasional 2022-2025. In Kemenkes. Kementerian Kesehatan RI.
- Kemenkes RI. (2018a). Buletin Stunting. Kementerian Kesehatan RI, 301(5), 1163–1178.
- Kemenkes RI. (2018b). Hasil Utama Riskesdas 2018. https://doi.org/10.12691/jfnr-2-12-26
- Kemenkes RI. (2018c). Pencegahan dan Penanggulangan Anemia Pada Remaja Putri dan Wanita Usia Subur (WUS).
- Kemenkes RI. (2019). Pedoman Pencegahan Dan Tatalaksana Gizi Buruk Pada Balita. Kementerian Kesehatan Republik Indonesia, 1–120.
- Kemenkes RI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes, 1–150.
- Lestari, K. Y., Desak Made ADJ, Ni Luh Putu TD, Ni Made Nopita W, & Nyoman Sudarma. (2023). Penerapan program penanggulangan stunting: pemberian edukasi dan tablet tambah darah (TTD) untuk mencegah anemia pada remaja putri. Jurnal Pengabdian Kepada Masyarakat, 6(1), 7–12.
- Martin, C. R., Ling, P. R., & Blackburn, G. L. (2016). Review of infant feeding: Key features of breast milk and infant formula. Nutrients, 8(5), 1–11. https://doi.org/10.3390/nu8050279
- Miko, A., & Al-Rahmad, A. H. (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia, 40(1), 21–34. https://doi.org/10.36457/gizindo.v40i1.222
- Muliadi, T., Ahmad, A., Nur, A., Marissa, N., Marisa, Junaidi, Reynaldi, F., Fitriyaningsih, E., Husnah, Naufal, I., Damanik, M. R. M., Adji, A., Arifin, S. R., & Annisa, D. (2023). The coverage of indicators of sensitive and specific intervention programs and prevalence of stunting under-five children: A cross-sectional study in Aceh Province, Indonesia. Nutrition and Health. https://doi.org/10.1177/02601060231164664
- Mulu, N. (2022). Determinants of stunting and wasting in street children in Northwest Ethiopia: A community-based study. Nutrition, 94, 111532. https://doi.org/10.1016/j.nut.2021.111532
- Mutasa, K. (2022). Stunting Status and Exposure to Infection and Inflammation in Early Life Shape Antibacterial Immune Cell Function Among Zimbabwean Children. Frontiers in Immunology, 13(June), 1–16. https://doi.org/10.3389/fimmu.2022.899296
- Nasriyah, N., & Ediyono, S. (2023). Dampak Kurangnya Nutrisi Pada Ibu Hamil Terhadap Risiko Stunting Pada Bayi Yang Dilahirkan. Jurnal Ilmu Keperawatan Dan Kebidanan, 14(1), 161–170. https://doi.org/10.26751/jikk.v14i1.1627
- Osendarp, S., Akuoku, J. K., Black, R. E., Headey, D., Ruel, M., Scott, N., Shekar, M., Walker, N., Flory, A., Haddad, L., Laborde, D., Stegmuller, A., Thomas, M., & Heidkamp, R. (2021). The COVID-19 crisis will exacerbate maternal and child undernutrition and child mortality in low- and middle-income countries. Nature Food, 2(7), 476–484. https://doi.org/10.1038/s43016-021-00319-4
- Permatasari, T. A. E. (2023). The Determinants of Stunting in the Under-five in Three Municipalities in the Special Capital Region of Jakarta. Jurnal Kesehatan Masyarakat Nasiona, 18(1), 32–40. https://doi.org/10.21109/kesmas.v18i1.6405
- Pirunika Sesa, Suherman Wawan S, & Indrawati. (2022). Dampak Pandemi Covid-19 Terhadap Status Gizi pada Anak Usia Dini. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 6(4), 3007–3012. https://doi.org/10.31004/obsesi.v6i4.2198
- Prabawa, A., & Maulida, D. (2023). Pemetaan Kejadian Stunting Dengan Perilaku Stop Buang Air Besar Sembarangan Per Kabupaten/Kota Di Provinsi Nusa Tenggara Timur Tahun 2021. J-REMI : Jurnal Rekam Medik Dan Informasi Kesehatan, 4(4), 228–238. https://doi.org/10.25047/j-remi.v4i4.4085
- Pradnyawati, & Ratna, D. A. P. J. (2022). Overview Of The First 1000 Days Of Life For Expectant Mothers And Toddlers Aged 0-2 Years In Gianyar Regency , Bali , Indonesia. Jurnal Widya Medika Supplemen, 1–11.
- Putri, N. Y. (2020). Pengaruh Pola Asuh Nutrisi Dan Perawatan Kesehatan Terhadap Kejadian Stunting Usia 2 – 5 Tahun Di Desa Sindang Kabupaten Indramayu Tahun 2019. Jurnal Kesehatan Indra Husada, 8(1), 31–42. https://doi.org/10.36973/jkih.v8i1.195
- Rahman, H., Rahmah, M., & Saribulan, N. (2023). Upaya Penanganan Stunting Di Indonesia. Jurnal Ilmu Pemerintahan Suara Khatulistiwa (JIPSK), VIII(01), 44–59.
- Sinaga, H. (2018). Pemeriksaan Antenatal Care (ANC) terhadap Penyakit Menular pada Ibu Hamil di Puskesmas Kampung Harapan, Kabupaten Jayapura. Jurnal Biologi Papua, 10(2), 62–67. https://doi.org/10.31957/jbp.486
- Sugianti, E. (2018). Evaluasi Pemberian Makanan Tambahan Pemulihan (Pmt-P) Pada Balita Kurang Gizi Di Kabupaten Tuban. Cakrawala, 11(2), 217–224. https://doi.org/10.32781/cakrawala.v11i2.20
- Suriati, D., Abidin, A. R., & Asmarwiati, S. (2024). Desvi Suriati 1* , Aldiga Rienarti Abidin 2 , Septien Asmarwiati 3. 5, 2928–2934.
- Theresia, G. N. (2022). Immunization status lowers the incidence of stunting in children 1-5 years. World Nutrition Journal, 6(1), 9–15. https://doi.org/10.25220/wnj.v06.i1.0003
- Tsasbita, N., Adila, H., Dewi, R., Sari, P., Indriyani, R., Lampung, U., Kesehatan, P., & Karang, T. (2023). 14044-Article Text-53055-1-10-20230521. 16(1), 149–166.
- Ulfah, I. F., & Nugroho, A. B. (2020). Menilik Tantangan Pembangunan Kesehatan di Indonesia: Faktor Penyebab Stunting di Kabupaten Jember (Observing the Challenges of Health Development in Indonesia: Factors that Cause Stunting in Kabupaten Jember). Jurnal Sosial Politik, 6(2), 201–213.
- WHO. (2020). Infant andfeeding Model Chapter for textbooks for medical students and allied health professionals. In WHO. https://doi.org/10.1016/B978-0-12-818460-8.00001-0
- WHO. (2023). World health statistics. In The Milbank Memorial Fund quarterly (Vol. 27, Issue 2). https://doi.org/10.2307/3348165


This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.