Policy Analysis of The Regent’s Decision on Stunting in Nganjuk Regency
DOI:
https://doi.org/10.26905/j-tragos.v3i1.15445Keywords:
Nganjuk Regency, Policy, Public Health, Regional Regulation, StuntingAbstract
Stunting remains a significant public health challenge in Indonesia, including Nganjuk Regency, where high prevalence rates persist despite national intervention programs. Stunting, characterized by chronic malnutrition, affects children's physical and cognitive development, leading to long-term socioeconomic consequences. Addressing this issue requires comprehensive, data-driven policies supported by cross-sectoral collaboration and sustainable interventions. This study aims to analyze the policy of the Regent of Nganjuk on accelerating the reduction of stunting rates in 2023. The research evaluates the effectiveness of local government strategies in implementing national stunting reduction programs and identifies key challenges and opportunities for improvement. A qualitative approach was employed using a literature review to examine policy implementation and provide strategic recommendations. The study analyzed existing policies, regulatory frameworks, and best practices from other regions to assess their applicability in Nganjuk Regency The findings indicate that a data-driven approach, involving multi-sectoral collaboration and extensive community education, has positively impacted the reduction of stunting rates. However, significant challenges persist, including limited health personnel, inadequate infrastructure, and uneven access to essential healthcare services. Addressing these challenges requires strengthening monitoring and evaluation mechanisms and leveraging public-private partnerships through Corporate Social Responsibility (CSR) programs to ensure sustainability. The study recommends the establishment of a Regional Regulation (Perda) as a strong legal foundation for long-term stunting management. The conclusion emphasizes the need for synergy between the government, community, and private sector to achieve Indonesia’s national stunting reduction target of 14% by 2024. Effective implementation of policies at the local level is crucial in ensuring a healthier future for children in Nganjuk Regency.
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Adilah, L. H., Syafiq, A., & Sukoso, S. (2023). Correlation of anemia in pregnant women with stunting incidence: a review. Indonesian Journal of Multidisciplinary Science, 2(9), 3155-3169. https://doi.org/10.55324/ijoms.v2i9.545.
Candra, A. (2020). Epidemiology of stunting. In A. Candra (Ed.), Faculty of Medicine, Diponegoro University, Semarang (1st ed.). Faculty of Medicine, Diponegoro University, Semarang. https://eprints.undip.ac.id/80670/.
Dewi, AP, Rahmadini, A., Setiawati, J., & Wakhidah, AZ (2024). Impact Analysis, Solutions and Prevention of Stunting: Literature Review. Journal of Nutrition Research, 12 (1), 64.
Dini, CY, Zakiya, FF, Apriliani, D., Amelia, A., Windatari, L., Chayani, CG, Aqilalhasib, MT, Nugroho, DP, Marolop, SE, Aditya, D., R, MS, A, DA, Salsabila, AP, Ramadhan, RD, Kamilah, AN, Kusuma, AA, Afifah, CAN, Ruhana, A., Pratama, SA, … Imron, A. (2022). Reducing the Prevalence of Stunting in Sudimoroharjo Village, Nganjuk Regency as an Output of the Cross-Sector Intensive Assistance Program for Mothers with Stunting Toddlers. Indonesian Nutrition Media, 17 (1SP), 221–229. https://doi.org/10.20473/mgi.v17i1sp.221-229.
Fikawati, S., Syafiq, A., Ririyanti, R. K., & Gemily, S. C. (2021). Energy and protein intakes are associated with stunting among preschool children in central jakarta, indonesia: a case-control study. Malaysian Journal of Nutrition, 27(1), 081-091. https://doi.org/10.31246/mjn-2020-0074.
Fikadu, T., Assegid, S., & Dube, L. (2014). Factors associated with stunting among children of age 24 to 59 months in meskan district, gurage zone, south ethiopia: a case-control study. BMC Public Health, 14(1). https://doi.org/10.1186/1471-2458-14-800.
Herawati, DMD, & Sunjaya, DK (2022). 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, 19 (20), 1–16. https://doi.org/10.3390/ijerph192013591.
Herawati, P., Khumaira, L., Syahputri, A., Nazhifah, N., & Purba, H. (2024). Implementation of policies and the role of cross-sectoral government in preventing stunting. Literature study. In Jurnal Kesmas Prima Indonesia (Vol. 8, Issue 2).
Hizkia Tobing, D., Kartika Herdiyanto, Y., Puri Astiti, Y., Rustika, I., Rahayu Indrawati, K., Pande Ary Susilawati, LK, Karisma Sukmayati Suarya, LM, Diah Lestari, M., Vembriati, N., Ari Wilani, NM, Swasti
Wulanyani, NM, Nurahaeni Widiasavitri, P., Wulan Budisetyani, P., Supriyadi, & Marheni, A. (2017). Approaches in qualitative research. Psychology Study Program, Faculty of Medicine, Udayana University. https://doi.org/10.37303/likhitaprajna.v24i1.217.
Hagos, S., Mariam, D. H., Woldehanna, T., & Lindtjørn, B. (2017). Spatial heterogeneity and risk factors for stunting among children under age five in ethiopia: a bayesian geo-statistical model. Plos One, 12(2), e0170785. https://doi.org/10.1371/journal.pone.0170785.
Hoddinott, J., Behrman, J. R., Maluccio, J. A., Melgar, P., Quisumbing, A., Ramírez‐Zea, M., … & Martorell, R. (2013). Adult consequences of growth failure in early childhood. The American Journal of Clinical Nutrition, 98(5), 1170-1178. https://doi.org/10.3945/ajcn.113.064584.
Herawati, T., Sunjaya, A., & Nuraeni, A. (2024). "The Role of Corporate Social Responsibility in Enhancing Public Health Initiatives: A Study of Banyuwangi's Stunting Reduction Programs." Indonesian Journal of Health Policy, 10(1), 22-30.
Imron, A., Yanuar Dini, C., Arya Pratama, S., Kurniawan Aziz, U., Mudiyah, S., Herowati, D., & Indri Hartanti, F. (2022). Cross-sector synergy in accelerating stunting reduction in Nganjuk Regency, East Java. Indonesian Nutrition Media, 17 (1SP), 239–243. https://doi.org/10.20473/mgi.v17i1sp.239-243.
Imron, A., Yanuar Dini, C., Arya Pratama, S., Kurniawan Aziz, U., Mudiyah, S., Herowati, D., & Indri Hartanti, F. (2022). Cross-Sector Synergy In Acceleration Of Stunting Reduction In Nganjuk District, East Java. Indonesian Nutrition Media , 17 (1SP), 239–243. https://doi.org/10.20473/mgi.v17i1sp.239-243.
Kridawati Sadhana & Sukardi & Eko Agus Susilo & Ilham Nur Hanifan Maulana & Durratun Nashihah, 2025. "Fintech for sustainable economic development in coastal areas: A bibliometric review," International Journal of Innovative Research and Scientific Studies, Innovative Research Publishing, vol. 8(1), pages 1344-1355.
Littlejohn, P., Bar‐Yoseph, H., Edwards, K., Li, H., Ramírez-Contreras, C. Y., Holani, R., … & Finlay, B. B. (2023). Multiple micronutrient deficiencies alter energy metabolism in host and gut microbiome in an early-life murine model. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1151670.
Maulana, I. N. H., Dinata, C., Amali, A. C., & Dewi, D. A. (2024). Subsistence to commercial: urban farming transformation builds food security and social empowerment. JRTI (Jurnal Riset Tindakan Indonesia), 9(2), 182-196.
Maulana, I. N. H., Dinata, C., Wolo, M. M., Agustin, R. H. S., Utami, R. M. W. N., & Wulandari, P. (2024, September). Masyarakat Berdaya, UMKM Bersaing: Menggagas Ketahanan Pangan melalui Urban Farming & Menciptakan UMKM Mandiri dan Berkualitas. In Prosiding Seminar Nasional Pengabdian Masyarakat Universitas Ma Chung (Vol. 5, pp. 176-186).
Maulana, I. N. H., & Wardah, T. F. (2023). Fostering Community Resilience through Social Capital. Journal of Transformative Governance and Social Justice, 1(1), 1–10. https://doi.org/10.26905/j-tragos.v1i1.9229
Ilham Nur Hanifan Maulana, Sukardi, S., Ahmad Luthfi, Durratun Nashihah, & Tasya Fiane Wardah. (2023). PENGENDALIAN DALAM UPAYA PENCEGAHAN STUNTING SAAT PANDEMI COVID-19 DI KABUPATEN MALANG. Journal of Governance Innovation, 5(1), 144–160. https://doi.org/10.36636/jogiv.v5i1.2273
Maulana, I. N. H., Sholihah, Q., & Wike, W. (2022). Implementasi Kebijakan Intervensi Gizi Spesifik sebagai Upaya Penanganan Stunting di Kabupaten Malang. Jurnal Ilmiah Administrasi Publik, 8(2), 136-144.
Picauly, I., Mirah Adi, AAA, Meiyetriani, E., Mading, M., Weraman, P., Nashriyah, SF, Hidayat, AT, Adeline Boeky, DL, Lobo, V., Saleh, A., & Peni, JA (2023). Path analysis model for preventing stunting in dryland area island East Nusa Tenggara Province, Indonesia. PLOS ONE, 18 (11), 1–15. https://doi.org/10.1371/journal.pone.0293797.
Siringoringo, ET, Syauqy, A., Panunggal, B., Purwanti, R., & Widyastuti, N. (2020). Family characteristics and nutritional adequacy as risk factors for stunting in toddlers. Journal of Nutrition College, 9 (1), 54–62. http://ejournal3.undip.ac.id/index.php/jnc/.
Sukardi, S., Nashihah, D., & Maulana, I. N. H. (2024). Empowering communities for sustainable stunting prevention: A comprehensive approach to enhance child nutrition and family health education. Inovasi Kurikulum, 21(2), 1125-1136.
Suryagustina, Araya, W., & Jumielsa. (2018). The influence of health education on stunting prevention on mothers' knowledge and attitudes in Pahandut Village, Palangka Raya. Health Dynamics, 9 (2), 582–591. https://ojs.dinamikakesehatan.unism.ac.id/index.php/dksm/article/view/373.
Suryana, S., Marliyati, S. A., Khomsan, A., & Dwiriani, C. M. (2024). Relationship between macro- and micronutrient intakes with undernutrition among toddlers aged 12-23 months in aceh, indonesia. Malaysian Journal of Nutrition, 30(2). https://doi.org/10.31246/mjn-2023-0118.
Suryagustina, Y., Muhardi, K., & Susanti, R. (2018). "Community-Based Interventions to Reduce Stunting in Indonesia: Utilizing Local Approaches." Journal of Public Health Research, 7(2), 150-159.
Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting in indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health, 16(1). https://doi.org/10.1186/s12889-016-3339-8.
Unicef Indonesia. (2012). Maternal and child nutrition. https://www.batukarinfo.com/system/files/A6%20%20B%20Ringkasan%20Kajian%20Gizi.pdf.
Utami, FA (2021). Effect of adding water kefir probiotics on physicochemical properties, antioxidant activity, and microbiology of fruit and vegetable juices. Indonesian Journal of Technology and Food, 23–28.
World Health Organization. (2018). Reducing stunting in children: Equity considerations for achieving the Global Nutrition Targets 2025. World Health Organization. https://iris.who.int/handle/10665/260202.
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