Essential Indicators and Stunting Prevalence: An Aggregate Analysis in the Locus Villages of the Stunting Reduction Acceleration Program
Main Article Content
Abstract
The analysis aimed to evaluate the attainment of essential indicators of stunting prevalence in local villages under the Stunting Reduction Acceleration Program. Data were sourced from the Emonev Stunting Ministry of Home Affairs Dashboard, comprising aggregated information from 232 locus villages across 12 districts/cities in Riau Province for 2023. Stunting prevalence was the dependent variable, whereas essential attainment indicators served as the independent variables. Spearman’s correlation and linear regression analyses were performed. The findings revealed that 15 fundamental indicators, including exclusive breastfeeding (52,9%), did not meet the targets. Indicators that achieved targets included adolescent girls consuming iron pills, reduced unwanted pregnancies, adequate complementary feeding for children aged 6–23 months, and management services for malnourished children under the age of five. Exclusive breastfeeding was significantly associated with a lower prevalence of stunting (r = -0.134, p < .05). Interventions targeting exclusive breastfeeding could reduce stunting by up to 6.9% per 1% increase in coverage. The analysis emphasized the importance of improving essential indicators that remain below target indicators that directly influence stunting, such as exclusive breastfeeding, and require specific interventions. Recommendations include addressing the underlying challenges and providing lactation counselors at health centers in locus villages to promote breastfeeding practices and reduce stunting prevalence.
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References
• Ahmad, A., Nur, A., Muliadi, T., Marissa, N., Naufal, I., Marisa, M., Junaidi, J., Reynaldi, F., Fitriyaningsih, E., Husnah, H., Damanik, M. R. M., Adji, A., Rafiqi, S., & Annisa, D. (2024). Factors associated with stunting among children 0–23 months in Aceh: A cross-sectional study using SSGI 2021. AcTion: Aceh Nutrition Journal, 9(3), 538–547. https://doi.org/10.30867/action.v9i3.1824
• Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. eClinicalMedicine, 45, Article 101320. https://doi.org/10.1016/j.eclinm.2022.101320
• Albin, M. Q., Igihozo, G., Musemangezhi, S., Namukanga, E. N., Uwizeyimana, T., Alemayehu, G., Uwase, J. L., Nshimyiryo, A., Uwitonze, E., Habimana, P., & Mukamana, D. (2024). “When we have served meat, my husband comes first”: A qualitative analysis of child nutrition among urban and rural communities of Rwanda. PLOS ONE, 19(7), Article e0306444. https://doi.org/10.1371/journal.pone.0306444
• Alyafei, A., & Easton-Carr, R. (2024). The health belief model of behavior change. StatPearls Publishing.
• Amud Sunarya, Thaha, A. R., Yandes, J., Juniadi, D., Akbar, Y. M., & Nugroho, S. S. (2024). Factors contributing to stunting in Indonesia: A review. Politeia: Journal of Public Administration and Political Science and International Relations, 2(1), 38–47. https://doi.org/10.61978/politeia.v2i1.213
• Anton, S. S., Dewi, N. M. U. K., & Adiba, I. G. (2023). Kajian determinan stunting pada anak di Indonesia [A review of determinants of stunting among children in Indonesia]. Jurnal Yoga dan Kesehatan, 6(2), 201–217. https://doi.org/10.25078/jyk.v6i2.2907
• Arifuddin, A., Prihatni, Y., Setiawan, A., Wahyuni, R. D., Nur, A. F., Dyastuti, N. E., & Arifuddin, H. (2023). Epidemiological model of stunting determinants in Indonesia [Epidemiological model of determinants of stunting in Indonesia]. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 9(2), 224–234. https://doi.org/10.22487/htj.v9i2.928
• Atmaka, D. R., Haryana, N. R., Rachmah, Q., Setyaningtyas, S. W., Fitria, A. L., Pratiwi, A. A., Nastiti, A. N., Agustin, A. M., Diana, R., & Rifqi, M. A. (2022). Perbandingan metode online dan offline dalam peningkatan awareness calon pengantin terhadap gizi prakonsepsi sebagai upaya pencegahan stunting pada kursus persiapan pernikahan [Comparison of online and offline methods in increasing premarital couples’ awareness of preconception nutrition as an effort to prevent stunting in marriage preparation courses]. Media Gizi Indonesia, 17(1SP), 1–5. https://doi.org/10.20473/mgi.v17i1SP.1-5
• Aulia Sandra, R., & Sudaryanti, L. (2023). Determinants of stunting incidents in toddlers in Indonesia: A literature review. International Journal of Research Publications, 139(1), 360–374. https://doi.org/10.47119/IJRP10013911220235841
• Azzahra, I., Listyaningsih, U., & Mulyani, R. R. W. P. (2024). Unveiling the dynamics of stunting: A qualitative exploration of parenting patterns and toddlers aged 6–59 months in Bejiharjo, Indonesia. Child Health Nursing Research, 30(4), 266–276. https://doi.org/10.4094/chnr.2024.014
• Baschieri, A., Machiyama, K., Floyd, S., Dube, A., Molesworth, A., Chihana, M., & Cleland, J. (2017). Unintended childbearing and child growth in northern Malawi. Maternal and Child Health Journal, 21, 467–474. https://doi.org/10.1007/s10995-016-2124-8
• Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), Article e12617. https://doi.org/10.1111/mcn.12617
• Bustami, B., & Ampera, M. (2020). The identification of modeling causes of stunting among children aged 2–5 years in Aceh Province, Indonesia (data analysis of nutritional status monitoring 2015). Open Access Macedonian Journal of Medical Sciences, 8(E), 657–663. https://doi.org/10.3889/oamjms.2020.4659
• Chakravarty, N., Tatwadi, K., & Ravi, K. (2019). Intergenerational effects of stunting on human capital: Where does the compass point? International Journal of Medicine and Public Health, 9(4), 105–111. https://doi.org/10.5530/ijmedph.2019.4.24
• de Onis, M., Borghi, E., Arimond, M., Webb, P., Croft, T., Saha, K., De-Regil, L. M., Thuita, F., Heidkamp, R., Krasevec, J., Hayashi, C., & Flores-Ayala, R. (2019). Prevalence thresholds for wasting, overweight, and stunting in children under 5 years. Public Health Nutrition, 22(1), 175–179. https://doi.org/10.1017/S1368980018002434
• Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 7(3), 5–18. https://doi.org/10.1111/j.1740-8709.2011.00349.x
• Erynda, R. F., Sulaeman, S. E., & Pamungkasari, E. P. (2020). Contextual effect of the integrated health post and other determinants on completeness of basic child immunization: A multilevel analysis evidence from Jember, East Java. Journal of Maternal and Child Health, 5(2), 154–166. https://thejmch.com/index.php/thejmch/article/view/375
• Government of the Republic of Indonesia. (2021, August 5). Peraturan Presiden (Perpres) Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting [Presidential Regulation (Perpres) No. 72 of 2021 on the acceleration of stunting reduction]. https://peraturan.bpk.go.id/Details/174964/perpres-no-72-tahun-2021
• Hadi, H., Fatimatasari, F., Irwanti, W., Kusuma, C., Alfiana, R. D., Asshiddiqi, M. I. N., Nugroho, S., Lewis, E. C., & Gittelsohn, J. (2021). Exclusive breastfeeding protects young children from stunting in a low-income population: A study from eastern Indonesia. Nutrients, 13(12), Article 4264. https://doi.org/10.3390/nu13124264
• Hasianna Silitonga, H. T., Salim, L. A., Nurmala, I., Hargono, R., & Purwandini, S. (2023). Knowledge, attitude, intention, and program implementation of iron supplementation among adolescent girls in Sidoarjo, Indonesia. Journal of Public Health in Africa, 14(2), Article 2548. https://doi.org/10.4081/jphia.2023.2548
• Hidayanti, L., & Murwani, R. (2025). Dietary patterns and haemoglobin levels in female adolescents living in boarding schools in Tasikmalaya city, Indonesia. Malaysian Journal of Nutrition, 31(2), 215–227. https://doi.org/10.31246/mjn-2024-0127
• Hidayanty, H., Nurzakiah, N., Irmayanti, I., Yuliana, Y., Helmizar, H., & Yahya, Y. (2025). Perceived barriers and enablers for taking iron–folic acid supplementation regularly among adolescent girls in Indonesia: A pilot study. International Journal of Environmental Research and Public Health, 22(2), Article 209. https://doi.org/10.3390/ijerph22020209
• Horta, B. L., Loret de Mola, C., & Victora, C. G. (2015). Breastfeeding and intelligence: A systematic review and meta-analysis. Acta Paediatrica, 104(S467), 14–19. https://doi.org/10.1111/apa.13139
• Horton, S., Shekar, M., McDonald, C., Mahal, A., & Brooks, J. K. (2010). Scaling up nutrition: What will it cost? World Bank. https://hdl.handle.net/10986/2685
• İnan Kırmızıgül, E., & Şahin, S. (2024). The efficacy of web-based marriage preparation education for premarital couples. Sexuality and Disability, 42(2), 243–258. https://doi.org/10.1007/s11195-024-09842-1
• Indrawati, R., Ulfiana, E., & Ngadiyano, N. (2022). Analysis of factors associated with the use of postpartum family planning. Jurnal Profesi Bidan Indonesia (JPBI), 2(2), 8–22. https://pbi.ejournal.unan.ac.id/index.php/1/article/view/18
• Indrayani, N., Casnuri, C., & Nurtyas, M. (2024). Strategi komunikasi dalam pendampingan keluarga risiko stunting di wilayah Kalurahan Wedomartani Kapanewon Ngemplak [Communication strategies in assisting families at risk of stunting in Wedomartani Village, Ngemplak Subdistrict]. Jurnal Kesehatan Madani Medika, 15(1), 58–66. https://doi.org/10.36569/jmm.v15i01.382
• Ismainar, H., & Misbahuddin. (2021). Strategi menurunkan angka kejadian unmet need KB [Strategies to reduce the incidence of unmet need for family planning]. Penerbit Widina.
• Jain, S., Ahsan, S., Robb, Z., Crowley, B., & Walters, D. (2024). The cost of inaction: A global tool to inform nutrition policy and investment decisions on global nutrition targets. Health Policy and Planning, 39(8), 819–830. https://doi.org/10.1093/heapol/czae056
• Jokhu, L. A., Syauqy, A., Lin, L.-Y., Dieny, F. F., & Rahadiyanti, A. (2024). Determinants of stunting among children 6–23 months: A population-based study in Indonesia. Nutrition & Food Science, 54(8), 1369–1382. https://doi.org/10.1108/NFS-01-2024-0025
• Jumrani, J., & Rai, V. N. (2020). The unacceptable status quo: Malnutrition challenges of the developed and developing world. In O. P. Gupta, V. Pandey, S. Narwal, P. Sharma, S. Ram, & G. P. Singh (Eds.), Wheat and barley grain biofortification. Woodhead Publishing. https://doi.org/10.1016/B978-0-12-818444-8.00001-8
• Khan, M. N., Harris, M. L., Hassen, T. A., Bagade, T., Shifti, D. M., Feyissa, T. R., & Chojenta, C. (2024). Effects of short birth interval on child malnutrition in the Asia-Pacific region: Evidence from a systematic review and meta-analysis. Maternal & Child Nutrition, 20(3), Article e13643. https://doi.org/10.1111/mcn.13643
• Liliana, A., Hapsari, E. D., & Nisman, W. A. (2017). Pengaruh konseling laktasi terhadap pengetahuan, kemampuan, dan keberhasilan ibu dalam pemberian ASI [The effect of lactation counseling on mothers’ knowledge, skills, and success in breastfeeding]. Berita Kedokteran Masyarakat, 33(2), 91–96. https://doi.org/10.22146/bkm.13216
• McGovern, M. E., Krishna, A., Aguayo, V. M., & Subramanian, S. V. (2017). A review of the evidence linking child stunting to economic outcomes. International Journal of Epidemiology, 46(4), 1171–1191. https://doi.org/10.1093/ije/dyx017
• Menezes, R., Lelijveld, N., Wrottesley, S. V., Brennan, E., Mates, E., & James, P. T. (2022). Integrating women and girls’ nutrition services into health systems in low- and middle-income countries: A systematic review. Nutrients, 14(21), Article 4488. https://doi.org/10.3390/nu14214488
• Ministry of Health of the Republic of Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 12 Tahun 2017 tentang penyelenggaraan imunisasi [Regulation of the Minister of Health of the Republic of Indonesia Number 12 of 2017 on the implementation of immunization]. https://peraturan.bpk.go.id/Details/111977/permenkes-no-12-tahun-2017
• Ministry of Health of the Republic of Indonesia. (2023). Survei Kesehatan Indonesia Tahun 2023 [Indonesia Health Survey 2023]. Ministry of Health of the Republic of Indonesia. https://www.kemkes.go.id/app_asset/file_content_download
• Ministry of Home Affairs of the Republic of Indonesia. (2022). Petunjuk teknis pelaksanaan 8 aksi konvergensi penurunan stunting di daerah (2nd ed.) [Technical guidelines for the implementation of the eight convergence actions for stunting reduction at the local level]. Directorate General of Regional Development, Ministry of Home Affairs of the Republic of Indonesia.
• Mukharohmah, M. S., Mulyaningsih, T., & Wiyono, V. H. (2023). Determinan sosial ekonomi keadaan stunting [Socioeconomic determinants of stunting conditions]. Jurnal Litbang Sukowati: Media Penelitian dan Pengembangan, 7(2), 41–52. https://doi.org/10.32630/sukowati.v7i2.385
• National Population and Family Planning Board (BKKBN). (2024). Modul 3A konsep pemutakhiran, verifikasi, dan validasi keluarga berisiko stunting (Verval KRS) [Module 3A: Concepts of updating, verification, and validation of families at risk of stunting (Verval KRS)]. Center for Population and Family Planning Education and Training, National Population and Family Planning Board.
• Nugraheni, S. A., Mawarni, A., Purnami, C. T., Winarni, S., Asna, A. F., Kartini, A., Arso, S. P., Handayani, N., & Fauziatin, N. (2023). Gambaran implementasi kursus pranikah di Kabupaten Grobogan, Jawa Tengah, Indonesia [Implementation of premarital counseling in Grobogan District, Central Java, Indonesia]. Amerta Nutrition, 7(1), 70–78. https://doi.org/10.20473/amnt.v7i1.2023.70-78
• Nugroho, E., Wanti, P. A., Suci, C. W., Raharjo, B. B., & Najib, N. (2023). Social determinants of stunting in Indonesia. Jurnal Kesehatan Masyarakat, 18(4), 546–555. https://doi.org/10.15294/kemas.v18i4.40875
• Rahmawati, T., & Harahap, H. (2022). The intervention service coverage on convergence action to reduce stunting in Riau Province priority districts, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(T8), 200–206. https://doi.org/10.3889/oamjms.2022.9464
• Rani, H., Yunus, M., Katmawanti, S., & Wardani, H. E. (2022). Systematic literature review determinan pemberian ASI eksklusif di Indonesia [Systematic literature review of determinants of exclusive breastfeeding in Indonesia]. Sport Science and Health, 4(4), 376–394. https://doi.org/10.17977/um062v4i42022p376-394
• Rehing, E. Y., Suryoputro, A., & Adi, S. (2021). Faktor-faktor yang mempengaruhi kunjungan ibu balita ke Posyandu: Literatur review [Factors influencing mothers’ visits with under-five children to Posyandu: A literature review]. Jurnal Ilmu Keperawatan dan Kebidanan, 12(2), 256–262. https://doi.org/10.26751/JIKK.V12I2.1003
• Ruba, Y. E., Joko, T., & Budiyono, B. (2021). Faktor pendukung dan penghambat program stop buang air besar sembarangan (BABS) di wilayah kerja Puskesmas Maronggela Kecamatan Riung Barat Kabupaten Ngada [Supporting and inhibiting factors of the open defecation free (ODF) program in the Maronggela Community Health Center service area, Riung Barat Subdistrict, Ngada Regency]. Jurnal Riset Kesehatan Masyarakat, 1(2), Article 11. https://doi.org/10.14710/jekk.v1i2.13315
• Sankar, M. J., Sinha, B., Chowdhury, R., Bhandari, N., Taneja, S., Martines, J., & Bahl, R. (2015). Optimal breastfeeding practices and infant and child mortality: A systematic review and meta-analysis. Acta Paediatrica, 104(S467), 3–13. https://doi.org/10.1111/apa.13147
• Sejati, S. K. (2021). Analisis cluster unmet need keluarga berencana di Indonesia [Cluster analysis of unmet need for family planning in Indonesia]. Jurnal Litbang Sukowati: Media Penelitian dan Pengembangan, 4(2), 40–49. https://doi.org/10.32630/sukowati.v4i2.158
• Setiaatmitha, S. N., & Ilman, G. M. (2023). Implementasi program Bimwin Catin untuk mewujudkan keluarga berkualitas di Kecamatan Sukolilo Kota Surabaya [Implementation of the Bimwin Catin program to achieve quality families in Sukolilo District, Surabaya City]. Jurnal Media Administrasi, 8(2), 10–19. https://doi.org/10.56444/jma.v8i2.1153
• Shekar, M., Kakietek, J., D’Alimonte, M. R., Rogers, H. E., Eberwein, J. D., Akuoku, J. K., Pereira, A., Soe-Lin, S., & Hecht, R. (2017). Reaching the global target to reduce stunting: An investment framework. Health Policy and Planning, 32(5), 657–668. https://doi.org/10.1093/heapol/czw184
• Simbolon, D. (2022). Probability of non-compliance to the consumption of iron tablets in pregnant women in Indonesia. Journal of Preventive Medicine and Hygiene, 63(3), Article E456. https://doi.org/10.15167/2421-4248/JPMH2022.63.3.2340
• Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in urban and rural Indonesia: A multilevel analysis using the population-based Indonesian Family Life Survey (IFLS). BMC Public Health, 24(1), Article 1371. https://doi.org/10.1186/s12889-024-18824-z
• Siregar, R. J., Harahap, M. L., & Suryani, E. (2024). Determinants of stunting among children under five years in Indonesia: Evidence from the 2021–2022 Demographic and Health Survey. International Journal of Public Health Excellence (IJPHE), 3(2), 666–676. https://doi.org/10.55299/ijphe.v3i2.794
• Siregar, Z., Tarigan, N. M. R., & Sahnan, M. (2022). Strengthening human resources through introduction and stunting prevention. East Asian Journal of Multidisciplinary Research, 1(7), 1221–1228. https://doi.org/10.55927/eajmr.v1i7.1058
• Sumiyati, Hakim, A., Ermanto, C., Ali, A., Kurniawan, I., & Sumiyati. (2024). Faktor-faktor yang mempengaruhi unmet need (analisis berdasar hasil capaian data pemutakhiran keluarga tahun 2023) [Factors influencing unmet need (analysis based on the results of the 2023 family data updating)]. Action Research Literate, 8(7), 2105–2110. https://arl.ridwaninstitute.co.id/index.php/arl/article/view/459
• Suryani, L., & Sayehu, S. (2023). Efektivitas bimbingan perkawinan terhadap calon pengantin sebagai upaya pencegahan perceraian di KUA Kecamatan Cibaliung [Effectiveness of premarital counseling for prospective couples as an effort to prevent divorce at the Cibaliung District Office of Religious Affairs]. Jurnal Review Pendidikan dan Pengajaran, 6(4), 787–792. https://doi.org/10.31004/jrpp.v6i4.19890
• Tharumakunarajah, R., Lee, A., Hawcutt, D. B., Harman, N. L., & Sinha, I. P. (2024). The impact of malnutrition on the developing lung and long-term lung health: A narrative review of global literature. Pulmonary Therapy, 10(2), 155–170. https://doi.org/10.1007/s41030-024-00257-z
• Thet, M. M., Khaing, E. E., Diamond-Smith, N., Sudhinaraset, M., Oo, S., & Aung, T. (2016). Barriers to exclusive breastfeeding in the Ayeyarwaddy Region in Myanmar: Qualitative findings from mothers, grandmothers, and husbands. Appetite, 96, 62–69. https://doi.org/10.1016/j.appet.2015.08.044
• UNICEF. (2013, April 1). Improving child nutrition: The achievable imperative for global progress. United Nations Children’s Fund. https://data.unicef.org/resources/improving-child-nutrition-the-achievable-imperative-for-global-progress/
• United Nations. (2025, July 14). The Sustainable Development Goals report 2025. United Nations Department of Economic and Social Affairs. https://unstats.un.org/sdgs/report/2025.
• Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 112(Supplement 2), 777S–791S. https://doi.org/10.1093/ajcn/nqaa159
• World Health Organization (WHO). (2013, February 22). Long-term effects of breastfeeding: A systematic review. https://iris.who.int/handle/10665/79198
• World Health Organization (WHO). (2014, December 30). Global nutrition targets 2025: Stunting policy brief (WHO/NMH/NHD/14.3). World Health Organization. https://apps.who.int/iris/handle/10665/149019
• World Health Organization (WHO), & UNICEF. (2014). Global nutrition targets 2025: Breastfeeding policy brief (WHO/NMH/NHD/14.7). World Health Organization. https://apps.who.int/iris/handle/10665/149022
• Wulandari, R. D., & Laksono, A. D. (2021). Faktor-faktor yang memengaruhi kehamilan tidak diinginkan di Indonesia [Factors influencing unintended pregnancies in Indonesia]. Buletin Penelitian Kesehatan, 49(3), 155–166. https://doi.org/10.22435/bpk.v49i3.4650
• Yan, J., Liu, L., Zhu, Y., Huang, G., & Wang, P. P. (2014). The association between breastfeeding and childhood obesity: A meta-analysis. BMC Public Health, 14(1), Article 1267. https://doi.org/10.1186/1471-2458-14-1267
• Yulyani, V., Febriani, C. A., Ms, S., & Hermawan, D. (2021). Patterns and determinants of open defecation among urban people. Kesmas: National Public Health Journal, 16(1), 45–50. https://doi.org/10.21109/kesmas.v16i1.3295