Implementation of Stunting Reduction Regulations and Policies in East Lombok Regency, Indonesia

Abstract

Objective: This research aims to develop a theoretical model for implementing stunting management policies applicable in East Lombok Regency, Indonesia, and other districts with high stunting prevalence across Indonesia through the enactment of statutory regulations. The study focuses on community engagement, cross-sector collaboration, and capacity building. Theoretical framework: Drawing upon the Network Policy Model concept and supported by the Social-Ecological Model from USAID. Methodology: Employing a qualitative approach, the research utilizes a phenomenological study of stunting incidents, complemented by focus group discussions and interviews. Field observations are integrated to validate the data. Research is conducted in 11 intervention and 10 non-intervention sub-districts. Results: The 2023 intervention exhibited a significant decrease in stunting prevalence from 17.46% (2022) to 14.22% and wasting rate from 5.93% (2022) to 5.07%. Four aspects of success emerged: mapping of stunting areas, improved regulations, community involvement, and collaborative education programs. Conclusion: Successful stunting and wasting management in 11 sub-districts in East Lombok Regency began with intervention mapping. Government collaboration with SEAMEO RECFON, UNICEF, and universities was pivotal. Regulatory improvements included strengthening marriage regulations and school regulations. Community involvement and collaborative education programs were vital, ensuring comprehensive program implementation. Recommendation: The five recommendations from this research are strengthening community involvement by encouraging active participation, improving the governance structure, enhancing capacity building by continuing and expanding training initiatives for the organization's regional representatives, and fostering cross-sector collaboration by strengthening partnerships between regional organizations, NGOs, academic institutions, and international organizations; collaborative efforts can leverage diverse expertise, resources, and networks to accelerate efforts to reduce stunting and prevent wasting; promoting nutrition education and outreach: implement comprehensive nutrition education programs targeting schools, communities, and families. Emphasize the importance of a balanced diet, breastfeeding practices, and proper nutrition during critical periods of growth and development. Research Implications: The findings inform policymakers, program managers, and stakeholders involved in stunting reduction efforts in East Lombok Regency, facilitating evidence-based decision-making and program design for more effective and sustainable interventions. Originality/Value: This research contributes to the existing literature on stunting reduction by providing empirical evidence and insights using the Network Policy Model concept and the Social-Ecological Model. The study's contextual specificity, methodological rigor, stakeholder engagement, and multiple perspectives enrich the understanding of stunting management initiatives.