Child Stunting Reduction in Aceh Province: Challenges and a Way Ahead
- 2 February 2023
- journal article
- research article
- Published by Springer Science and Business Media LLC in Maternal and Child Health Journal
- Vol. 27 (5), 888-901
- https://doi.org/10.1007/s10995-023-03601-y
Abstract
Introduction Indonesia ranks the fifth highest in child stunting among Asian countries. Aceh, a westernmost province in Indonesia recorded the highest prevalence of stunting in children under two years old in the nation. Our study investigated the current government efforts on child stunting reduction activities since the introduction of Governor Regulation No. 14/2019. Methods The study investigated the current efforts of Aceh governments and relevant actors on child stunting reduction using in-depth interviews, document reviews and focus group discussions. Results Thirty-five (35) respondents including policy makers were interviewed, four focus group discussions (15 each group) were conducted, and various official documents were reviewed. Various challenges for reducing child stunting in Aceh were identified: inadequate knowledge and skills of Posyandu cadres on child stunting; reluctance to consume iron and folic acid (IFA), and supplementary foods (PMT Bumil) by many pregnant women due to perceived annoying effects and unappetizing taste; work engagement, insufficient breast milk production and inadequate support from husbands failing to achieve exclusive breastfeeding among nursing women; inadequate provision of complementary fortified foods for children 6–23 months; lack of clean water, waste management and WASH practices. Conclusion The intervention on both nutrition-specific and nutrition-sensitive factors was found to be insufficient in Aceh. Although WASH (water, sanitation and hygiene) practices are the most important contributors to child stunting, only the health agency plays a singular role in reduction efforts by focussing on specific factors. Coordination between relevant agencies to address both factors is required to achieve the effectiveness of child stunting reduction and prevention in Aceh.Keywords
This publication has 15 references indexed in Scilit:
- Replacing iron‐folic acid with multiple micronutrient supplements among pregnant women in Bangladesh and Burkina Faso: costs, impacts, and cost‐effectivenessAnnals of the New York Academy of Sciences, 2019
- Maternal challenges of exclusive breastfeeding and complementary feeding in GhanaPLOS ONE, 2019
- Barriers to exclusive breastfeeding in the Ayeyarwaddy Region in Myanmar: Qualitative findings from mothers, grandmothers, and husbandsAppetite, 2016
- What Works to Improve Duration of Exclusive Breastfeeding: Lessons from the Exclusive Breastfeeding Promotion Program in Rural IndonesiaMaternal and Child Health Journal, 2014
- Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health SurveysBulletin of the World Health Organization, 2013
- Clinical Update and Treatment of Lactation InsufficiencyMedical Journal of Islamic World Academy of Sciences, 2013
- Consumption of Micronutrient-Fortified Milk and Noodles is Associated with Lower Risk of Stunting in Preschool-Aged Children in IndonesiaFood and Nutrition Bulletin, 2011
- Sanitation and HealthPLoS Medicine, 2010
- Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groupsInternational Journal for Quality in Health Care, 2007
- Cultural Barriers to Exclusive Breastfeeding by Mothers in a Rural Area of Cameroon, AfricaJournal of Midwifery & Women's Health, 2005