The Effectiveness of Accelerating Stunting Reduction Policy

Jenifer Sevilla, Asianto Nugroho, Arida Turymshayeva

Abstract


Indonesia has implemented various policies to accelerate stunting reduction, however whether these policies have effectively reduced stunting, because the prevalence of stunting is still high, at 30.8%. The government's involvement in creating and implementing stunting policies in Indonesia still needs to be effective in terms of legal substance, structure, and culture. This research employs socio-legal research methods and a comparative approach with Finland. This research shows, first, that the existing acceleration policy has yet to effectively overcome the problem of stunting in Indonesia because there is still a policy of implementing taxes on nutritious food commodities, which affects people's purchasing power. There is a need for socialization and integration of stunting policies across sectors, technical coordination between central and regional government organizations, and community participation in policy implementation. Second, comparative studies in Finland can provide new information regarding understanding health and formulating regulations for implementing taxes on unhealthy foods. Therefore, this research has the potential to enhance the prevention of stunting and provide valuable insights for the Indonesian government to formulate and implement policies.


Keywords


Accelerating; Effectiveness; Policy; Stunting

Full Text:

PDF

References


Abass, Khaled, Tatiana Unguryanu, Eva Junqué, Darja Mazej, Janja Snoj Tratnik, Milena Horvat, and others, ‘Pilot Study on the Concentrations of Organochlorine Compounds and Potentially Toxic Elements in Pregnant Women and Local Food Items from the Finnish Lapland’, Environmental Research, 211.October 2021 (2022) https://doi.org/10.1016/j.envres.2022.113122

Angood, Chloe, Tanya Khara, Carmel Dolan, James A. Berkley, Dominique Roberfroid, Andrew Seal, and others, ‘Research Priorities on the Relationship between Wasting and Stunting’, PLoS ONE, 11.5 (2016), 1–13 https://doi.org/10.1371/journal.pone.0153221

Arkedis, Jean, Jessica Creighton, Akshay Dixit, Archon Fung, Stephen Kosack, Dan Levy, and others, ‘Can Transparency and Accountability Programs Improve Health? Experimental Evidence from Indonesia and Tanzania’, World Development, 142 (2021), 105369 https://doi.org/10.1016/j.worlddev.2020.105369

Baumont, Monique, Wenny Wandasari, Ni Luh Putu Maitra Agastya, Sally Findley, and Santi Kusumaningrum, ‘Understanding Childhood Adversity in West Sulawesi, Indonesia’, Child Abuse and Neglect, 107.October 2019 (2020), 104533 https://doi.org/10.1016/j.chiabu.2020.104533

Chan, Ho Fai, Katharina Gangl, Mohammad Wangsit Supriyadi, and Benno Torgler, ‘The Effects of Increased Monitoring on High Wealth Individuals: Evidence from a Quasi-Natural Experiment in Indonesia’, Journal of Economic Behavior and Organization, 215 (2023), 244–67 https://doi.org/10.1016/j.jebo.2023.09.017

Christian, Parul, Kristen M. Hurley, John Phuka, Yunhee Kang, Julie Ruel-Bergeron, Audrey J. Buckland, and others, ‘Impact Evaluation of a Comprehensive Nutrition Program for Reducing Stunting in Children Aged 6-23 Months in Rural Malawi’, Journal of Nutrition, 150.11 (2020), 3024–32 https://doi.org/10.1093/jn/nxaa236

Cini, Karly I., Nisaa R. Wulan, Dorothea Dumuid, Alifah Nurjannah Triputri, Iffat Abbsar, Luo Li, and others, ‘Towards Responsive Policy and Actions to Address Non-Communicable Disease Risks amongst Adolescents in Indonesia: Insights from Key Stakeholders’, The Lancet Regional Health - Southeast Asia, 18.August (2023), 100260 https://doi.org/10.1016/j.lansea.2023.100260

Dewey, Kathryn G., Charles D. Arnold, K. Ryan Wessells, Elizabeth L. Prado, Souheila Abbeddou, Seth Adu-Afarwuah, and others, ‘Preventive Small-Quantity Lipid-Based Nutrient Supplements Reduce Severe Wasting and Severe Stunting among Young Children: An Individual Participant Data Meta-Analysis of Randomized Controlled Trials’, American Journal of Clinical Nutrition, 116.5 (2022), 1314–33 https://doi.org/10.1093/ajcn/nqac232

Dong, Bin, Zhiyong Zou, Yi Song, Peijing Hu, Dongmei Luo, Bo Wen, and others, ‘Adolescent Health and Healthy China 2030: A Review’, Journal of Adolescent Health, 67.5 (2020), S24–31 https://doi.org/10.1016/j.jadohealth.2020.07.023

Fadmi, Fitri Rachmillah, Bambang Widjanarko Otok, Kuntoro, and Soenarnatalina Melaniani, ‘Analysis of Factors Affecting the Number of Stunting and Wasting in Southeast Sulawesi Using Geographically Weighted Bivariate Generalized Poisson Regression’, Journal of Law and Sustainable Development, 12.2 (2024), e2354 https://doi.org/10.55908/sdgs.v12i2.2354

Fahmida, Umi, Indriya Laras Pramesthi, Sari Kusuma, Giri Wurjandaru, and Doddy Izwardy, ‘Problem Nutrients and Food-Based Recommendations for Pregnant Women and Under-Five Children in High-Stunting Districts in Indonesia’, Current Developments in Nutrition, 6.5 (2022), nzac028 https://doi.org/10.1093/cdn/nzac028

Firmansyah, Amrie, Amardianto Arham, Resi Ariyasa Qadri, Puji Wibowo, Ferry Irawan, Nur Aisyah Kustiani, and others, ‘Political Connections, Investment Opportunity Sets, Tax Avoidance: Does Corporate Social Responsibility Disclosure in Indonesia Have a Role?’, Heliyon, 8.8 (2022) https://doi.org/10.1016/j.heliyon.2022.e10155

Gabain, Isobel L., Anouschka S. Ramsteijn, and Joanne P. Webster, ‘Parasites and Childhood Stunting – a Mechanistic Interplay with Nutrition, Anaemia, Gut Health, Microbiota, and Epigenetics’, Trends in Parasitology, 39.3 (2023), 167–80 https://doi.org/10.1016/j.pt.2022.12.004

Gamalliel, Nico, and Ahmad Fuady, ‘Indonesia’s New Health Law: Lessons for Democratic Health Governance and Legislation’, The Lancet Regional Health - Southeast Asia, 23 (2024), 100390 https://doi.org/10.1016/j.lansea.2024.100390

Gani, Aspar Abdul, Veni Hadju, Akmal Novrian Syahruddin, Anang S. Otuluwa, Sukri Palutturi, and Abdul Razak Thaha, ‘The Effect of Convergent Action on Reducing Stunting Prevalence in Under-Five Children in Banggai District, Central Sulawesi, Indonesia’, Gaceta Sanitaria, 35 (2021), S421–24 https://doi.org/10.1016/j.gaceta.2021.10.066

Hastuti, Vivilia Niken, Diana Nur Afifah, Denny Nugroho Sugianto, Gemala Anjani, and Etika Ratna Noer, ‘Socio-Demographics, Dietary Diversity Score, and Nutritional Status of Children Aged 2–5 Years: A Cross-Sectional Study of Indonesian Coastal Areas’, Clinical Epidemiology and Global Health, 27.March (2024), 101599 https://doi.org/10.1016/j.cegh.2024.101599

Hatijar, Hatijar, ‘The Incidence of Stunting in Infants and Toddlers’, Jurnal Ilmiah Kesehatan Sandi Husada, 12.1 (2023), 224–29 https://doi.org/10.35816/jiskh.v12i1.1019

Hijrawati, Andi Nilawati Usman, Syafruddin Syarif, Veni Hadju, Suryani As’ad, and Yusring Sanusi Baso, ‘Use of Technology for Monitoring the Development of Nutritional Status 1000 Hpk in Stunting Prevention in Indonesia’, Gaceta Sanitaria, 35 (2021), S231–34 https://doi.org/10.1016/j.gaceta.2021.10.028

Huicho, Luis, Elisa Vidal-Cárdenas, Nadia Akseer, Samanpreet Brar, Kaitlin Conway, Muhammad Islam, and others, ‘Drivers of Stunting Reduction in Peru: A Country Case Study’, American Journal of Clinical Nutrition, 112 (2020), 816S-829S https://doi.org/10.1093/ajcn/nqaa164

Lowe, Callum, Mattthew Kelly, Haribondhu Sarma, Alice Richardson, Johanna M. Kurscheid, Budi Laksono, and others, ‘The Double Burden of Malnutrition and Dietary Patterns in Rural Central Java, Indonesia’, The Lancet Regional Health - Western Pacific, 14 (2021), 100205 https://doi.org/10.1016/j.lanwpc.2021.100205

McGovern, Mark E., Aditi Krishna, Victor M. Aguayo, and S. V. Subramanian, ‘A Review of the Evidence Linking Child Stunting to Economic Outcomes’, International Journal of Epidemiology, 46.4 (2017), 1171–91 https://doi.org/10.1093/ije/dyx017

Meiyetriani, Eflita, Arindah Nur Sartika, Meirina Khoirunnisa, Evi Ermayani, Indriya Laras Pramesthi, Aziz Jati Nur Ananda, and others, ‘P24-084-23 Understanding the Spatial Predictors of Stunting Among 0–11 Months Children in Sambas District Indonesia Using Spatial Autoregressive Model’, Current Developments in Nutrition, 7 (2023), 100372 https://doi.org/10.1016/j.cdnut.2023.100372

Mudirah Ulya, Andi, Karita Sakharina, and Muh Hasrul, ‘Human Rights Law Regulations against Stunting Patients in Indonesia’, Scholars International Journal of Law, 4.6 (2021), 2017–19 https://doi.org/10.36348/sijlcj.2021.v04i06.002

Mulu, Nega, Bekrie Mohammed, Haile Woldie, and Kegnie Shitu, ‘Determinants of Stunting and Wasting in Street Children in Northwest Ethiopia: A Community-Based Study’, Nutrition, 94 (2022) https://doi.org/10.1016/j.nut.2021.111532

Nneli, Amarachi, Cesar Revoredo-Giha, and Wisdom Dogbe, ‘Could Taxes on Foods High in Fat, Sugar and Salt (HFSS) Improve Climate Health and Nutrition in Scotland?’, Journal of Cleaner Production, 421.August (2023), 138564 https://doi.org/10.1016/j.jclepro.2023.138564

Pineda, Elisa, Mathilde Gressier, Danying Li, Todd Brown, Sarah Mounsey, Jack Olney, and others, ‘Review: Effectiveness and Policy Implications of Health Taxes on Foods High in Fat, Salt, and Sugar’, Food Policy, 123.October 2022 (2024), 102599 https://doi.org/10.1016/j.foodpol.2024.102599

Poole, Nigel, Jason Donovan, and Olaf Erenstein, ‘Viewpoint: Agri-Nutrition Research: Revisiting the Contribution of Maize and Wheat to Human Nutrition and Health’, Food Policy, 100 (2021), 101976 https://doi.org/10.1016/j.foodpol.2020.101976

Rahut, Dil Bahadur, Raman Mishra, and Subhasis Bera, ‘Geospatial and Environmental Determinants of Stunting, Wasting, and Underweight: Empirical Evidence from Rural South and Southeast Asia’, Nutrition, 120 (2024), 112346 https://doi.org/10.1016/j.nut.2023.112346

Rivami, D.S., W. Song, and L. Weatherspoon, ‘Maternal Nutrition-Related Factors Associated With Stunting And Wasting In Indonesian Children 6-23 Months Of Age’, Clinical Nutrition ESPEN, 54 (2023), 604 https://doi.org/10.1016/j.clnesp.2022.09.430

Rizal, Muhammad Fikru, and Eddy van Doorslaer, ‘Explaining the Fall of Socioeconomic Inequality in Childhood Stunting in Indonesia’, SSM - Population Health, 9 (2019), 100469 https://doi.org/10.1016/j.ssmph.2019.100469

Rozaki, Zuhud, Food Security Challenges and Opportunities in Indonesia Post COVID-19, Advances in Food Security and Sustainability, 1st edn (Elsevier Inc., 2021), vi https://doi.org/10.1016/bs.af2s.2021.07.002

Sadler, Kate, Philip T. James, Zulfiqar A. Bhutta, André Briend, Sheila Isanaka, Andrew Mertens, and others, ‘How Can Nutrition Research Better Reflect the Relationship Between Wasting and Stunting in Children? Learnings from the Wasting and Stunting Project’, Journal of Nutrition, 152.12 (2022), 2645–51 https://doi.org/10.1093/jn/nxac091

Sassano, Michele, Carolina Castagna, Leonardo Villani, Gianluigi Quaranta, Roberta Pastorino, Walter Ricciardi, and others, ‘National Taxation on Sugar-Sweetened Beverages and Its Association with Overweight, Obesity, and Diabetes’, American Journal of Clinical Nutrition, 119.4 (2024), 990–1006 https://doi.org/10.1016/j.ajcnut.2023.12.013

Soofi, Sajid Bashir, Shabina Ariff, Gul Nawaz Khan, Atif Habib, Sumra Kureishy, Yasir Ihtesham, and others, ‘Effectiveness of Unconditional Cash Transfers Combined with Lipid-Based Nutrient Supplement and/or Behavior Change Communication to Prevent Stunting among Children in Pakistan: A Cluster Randomized Controlled Trial’, American Journal of Clinical Nutrition, 115.2 (2022), 492–502 https://doi.org/10.1093/ajcn/nqab341

Stoneham, Melissa, Melinda Edmunds, and Christina Pollard, ‘Local Governments’ Decade of Organisational Change to Promote Child Health and Wellbeing: A Western Australian Qualitative Study’, Australian and New Zealand Journal of Public Health, 45.4 (2021), 355–63 https://doi.org/10.1111/1753-6405.13128

Sudigyo, Digdo, Alam Ahmad Hidayat, Rudi Nirwantono, Reza Rahutomo, Joko Pebrianto Trinugroho, and Bens Pardamean, ‘Literature Study of Stunting Supplementation in Indonesian Utilizing Text Mining Approach’, Procedia Computer Science, 216.2022 (2022), 722–29 https://doi.org/10.1016/j.procs.2022.12.189

Supadmi, Sri, Agung Dwi Laksono, Hastin Dyah Kusumawardani, Hadi Ashar, Afi Nursafingi, Ina Kusrini, and others, ‘Factor Related to Stunting of Children under Two Years with Working Mothers in Indonesia’, Clinical Epidemiology and Global Health, 26.October 2023 (2024), 101538 https://doi.org/10.1016/j.cegh.2024.101538

Uliniansyah, Mohammad Teduh, Indra Budi, Elvira Nurfadhilah, Dian Isnaeni Nurul Afra, Agung Santosa, Andi Djalal Latief, and others, ‘Twitter Dataset on Public Sentiments towards Biodiversity Policy in Indonesia’, Data in Brief, 52 (2024), 109890 https://doi.org/10.1016/j.dib.2023.109890

Valizadeh, Pourya, and Shu Wen Ng, ‘Promoting Healthier Purchases: Ultraprocessed Food Taxes and Minimally Processed Foods Subsidies for the Low Income’, American Journal of Preventive Medicine, 000.000 (2024) https://doi.org/10.1016/j.amepre.2024.02.019

Waugh, Anne, Patricia Thille, Kerstin Roger, Andrea Bombak, Kelsey Mann, and Natalie Riediger, ‘“Coke’s Not a Food”: A Critical Discourse Analysis of Sugar-Sweetened Beverage Tax Acceptability by White Residents from an Upper-Middle Class Neighborhood in Winnipeg Manitoba’, Heliyon, 10.9 (2024), e30089 https://doi.org/10.1016/j.heliyon.2024.e30089




DOI: https://doi.org/10.53955/jsderi.v2i2.31

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Jenifer Sevilla, Asianto Nugroho, Arida Turymshayeva

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

 Journal of Sustainable Development and Regulatory Issues (JSDERI)
Print ISSN: 2987-8071
Online ISSN: 2987-8063
Website: http://journal.contrariusactus.com/index.php/JSDERI
Email: jsderijournal@gmail.com
Published by: Lembaga Contrarius Indonesia