Narrative Review: Efforts to Prevent Stunting through the Role of Midwifery during the First 1,000 Days of Life

Authors

  • Dhea Ayunanda Universitas Yarsi Pratama, Banten, Indonesia
  • Maria Doresia Sidabungke Universitas Yarsi Pratama, Banten, Indonesia
  • Siti Nurjannah Universitas Yarsi Pratama, Banten, Indonesia
  • Andre Prantino Depeda Universitas Yarsi Pratama, Banten, Indonesia
  • Lita Anggraini Universitas Yarsi Pratama, Banten, Indonesia

DOI:

https://doi.org/10.38035/ijphs.v3i4.1385

Keywords:

Stunting, Nutrition, Prevention, Public Policy, Public Health

Abstract

Stunting remains one of the major chronic nutritional problems and a serious challenge in Indonesia. This condition not only affects children’s physical growth but also impacts cognitive development, productivity, and the overall quality of human resources in the future. The Government of Indonesia has set a target to reduce the prevalence of stunting through various cross-sectoral programs, ranging from specific nutrition interventions to broader sensitive interventions. This article discusses the causes of stunting, prevention strategies involving the health, education, social, and economic sectors, as well as the role of public policy in supporting these efforts. A review of the literature indicates that reducing stunting requires an integrated approach focused on the First 1,000 Days of Life, improved access to health services, provision of nutritious food, community education, and stronger inter-agency coordination. The findings highlight that the success of stunting prevention depends not only on medical interventions but also on policy synergy, community participation, and long-term political commitment. With appropriate and sustainable strategies, Indonesia has the potential to achieve its stunting reduction targets in line with the Sustainable Development Goals (SDGs) 2030 agenda.

References

Badan Perencanaan Pembangunan Nasional (Bappenas). (2021). Strategi Nasional Percepatan Pencegahan Anak Kerdil (Stunting) Periode 2021–2024. Jakarta: Bappenas.

Badan Pusat Statistik (BPS). (2023). Statistik Kesehatan Indonesia 2023. Jakarta: BPS.

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., ... & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Bloom, D. E., Canning, D., & Sevilla, J. (2003). The Demographic Dividend: A New Perspective on the Economic Consequences of Population Change. Santa Monica, CA: RAND Corporation.

Brown, T., & Summerbell, C. (2020). Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity. British Journal of Nutrition, 92(2), 127–141. https://doi.org/10.1079/BJN20041149

Gakidou, E., Afshin, A., Abajobir, A. A., Abate, K. H., Abbafati, C., Abbas, K. M., ... & Murray, C. J. L. (2017). Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks. The Lancet, 390(10100), 1345–1422. https://doi.org/10.1016/S0140-6736(17)32366-8

Hoddinott, J., Maluccio, J. A., Behrman, J. R., Flores, R., & Martorell, R. (2008). Effect of a nutrition intervention during early childhood on economic productivity in Guatemalan adults. The Lancet, 371(9610), 411–416. https://doi.org/10.1016/S0140-6736(08)60205-6

International Food Policy Research Institute (IFPRI). (2020). 2020 Global Nutrition Report: Action on equity to end malnutrition. Washington, DC: IFPRI.

Kementerian Kesehatan RI. (2021). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) 2021. Jakarta: Badan Penelitian dan Pengembangan Kesehatan.

Kementerian Kesehatan RI. (2022). Profil Kesehatan Indonesia 2022. Jakarta: Kemenkes.

Kementerian PPN/Bappenas, BKKBN, Kemenkes, & Kemendagri. (2018). Rencana Aksi Nasional Penurunan Stunting Indonesia 2018–2024. Jakarta.

Martorell, R., & Zongrone, A. (2012). Intergenerational influences on child growth and undernutrition. Paediatric and Perinatal Epidemiology, 26(Suppl 1), 302–314. https://doi.org/10.1111/j.1365-3016.2012.01298.x

Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158

Ruel, M. T., & Alderman, H. (2013). Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? The Lancet, 382(9891), 536–551. https://doi.org/10.1016/S0140-6736(13)60843-0

Semba, R. D., & Bloem, M. W. (Eds.). (2022). Nutrition and Health in Developing Countries (3rd ed.). Cham: Springer.

Shrimpton, R., Victora, C. G., de Onis, M., Lima, R. C., Blössner, M., & Clugston, G. (2001). Worldwide timing of growth faltering: implications for nutritional interventions. Pediatrics, 107(5), e75. https://doi.org/10.1542/peds.107.5.e75

UNICEF. (2019). The State of the World’s Children 2019: Children, food and nutrition. New York: UNICEF.

UNICEF, WHO, & World Bank. (2023). Levels and Trends in Child Malnutrition: Key findings of the 2023 edition. Geneva: WHO.

United Nations. (2015). Transforming our world: The 2030 Agenda for Sustainable Development. New York: United Nations.

Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: consequences for adult health and human capital. The Lancet, 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4

WHO. (2017). Guideline: Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition. Geneva: World Health Organization.

WHO. (2020). Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide. Geneva: World Health Organization.

World Bank. (2021). Investing in Human Capital for a Resilient Future. Washington, DC: World Bank.

World Health Organization. (2021). Global nutrition targets 2025: Policy brief series. Geneva: WHO.

Yousafzai, A. K., Rasheed, M. A., Rizvi, A., Armstrong, R., & Bhutta, Z. A. (2014). Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development, growth, and health outcomes: a cluster-randomised factorial effectiveness trial. The Lancet, 384(9950), 1282–1293. https://doi.org/10.1016/S0140-6736(14)60455-4.

Published

2025-10-24