Extending intervention window from 1000 to 8000 first day of life: how can it boost the stunting reduction program?
DOI:
https://doi.org/10.53638/phpma.2024.v12.i1.p00Keywords:
stunting, reduction programAbstract
Stunting is one of the triple malnutrition burdens in Indonesia, beside obesity and micronutrient deficiency. Stunting is a reflection of long-term undernourishment which resulted in stunted growth. National Health Survey Data showed the reduction of stunting rate among under-five children in Indonesia from 37.2% in 2013 to 30.4% in 2018 and 21.5% in 2023. Despite this decreasing trend, the national stunting rate was still above the World Health Organization threshold of 20%. There is also a wide discrepancy between provinces in Indonesia with stunting rate ranges from 7.2% in Bali to 39.2% in Papua.
Back in 2011, there was a movement by 28 countries including Indonesia regarding the 1000 first day of life (1000-days) program. This was an approach targeting children during their 1000 first day of life through specific and sensitive nutritional interventions. The 1000-days is started during pregnancy until the child is two years old. This movement involved related stakeholders from national and sub-national level including ministries, community organization, private sectors, professional organization, academics and others.
References
Ministry of Health of Republic of Indonesia. Laporan Hasil Riset Kesehatan Dasar 2013 [The 2013 Indonesian Basic Health Research]. Jakarta: Ministry of Health of Republic of Indonesia; 2013.
Ministry of Health of Republic of Indonesia. Buletin stunting [Stunting bulletin]. Jakarta: Ministry of Health of Republic of Indonesia; 2018.
Ministry of Health of Republic of Indonesia. Survei Kesehatan Indonesia dalam angka [Indonesian Health Survey in figures]. Jakarta: Ministry of Health of Republic of Indonesia; 2024.
Ministry of People's Welfare of Republic of Indonesia. Pedoman perencanaan program gerakan nasional percepatan perbaikan gizi dalam rangka seribu hari pertama kehidupan (Gerakan 1000 HPK) [Guidelines for planning the national movement for accelerating nutrition improvement in the first 1000 days of life (first 1000 days of life movement)]. Jakarta: Ministry of People’s Welfare of Republic of Indonesia; 2013.
Bundy DAP, de Silva N, Horton S, Jamison DT. Disease control priorities Volume 8 3rd edition: Child and adolescent health and development. Washington DC: World Bank Publications; 2017.
Bundy DAP, de Silva N, Horton S, Patton GC, Schultz L, Jamison DT, et al. Investment in child and adolescent health and development: Key messages from disease control priorities. The Lancet. 2018; 391(10121): 687-699.
Renyoet BS, Nugroho CVR, Dary D. Intervensi pada remaja perempuan 8000 hari pertama kehidupan (HPK) sebagai upaya pencegahan stunting pada generasi di masa depan: Literatur review [Interventions for adolescent girls in the first 8000 days of life as an effort to prevent stunting in future generations: A literature review]. Amerta Nutrition. 2023; 7(2): 295-306.
Mayor of Yogyakarta. Peraturan Walikota Yogyakarta nomor 41 tahun 2021 tentang rencana aksi daerah mempersiapkan generasi unggul melalui program 8000 hari pertama kehidupan tahun 2021-2025 [Regulation of the Mayor of Yogyakarta number 41 of 2021 concerning the regional action plan for preparing superior generations through the 8000 days of life program for 2021-2025]. Yogyakarta: Mayor of Yogyakarta; 2021.
Widaryanti R, Rahmuniyati ME, Yuliani I. Kesiapan penerapan program 8000 hari pertama kehidupan (HPK) di Kota Yogyakarta [Readiness for the implementation of the first 8000 days of life program in Yogyakarta City]. Jurnal Jarlit. 2021; 17(1): 86-106.
Picauly I, Tira DS, Taco B, Kartini R, Tena B. Pendampingan 25 indikator percepatan penurunan stunting di Kabupaten Flores Timur, Propinsi Nusa Tenggara Timur [Assistance with 25 indicators for accelerating stunting reduction in East Flores District, East Nusa Tenggara Province]. Jurnal Pengabdian pada Masyarakat Kepulauan Lahan Kering. 2022; 3(1): 32-43.
Rahmanda F, Gurning FP. Analisis implementasi kebijakan pencegahan dan penanggulangan stunting terintegrasi dalam program gerakan 1000 HPK di Puskesmas Pagar Jati [Analysis of the implementation of integrated stunting prevention and control policies in the first 1000 days of life movement program at Pagar Jati Public Health Center]. PubHealth Jurnal Kesehatan Masyarakat. 2022; 1(1): 18-27.
Purwanti AD. Hambatan dalam implementasi program gerakan 1000 hari pertama kehidupan: A review [Obstacles in the implementation of the first 1000 days of life movement program: A review]. Cerdika: Jurnal Ilmiah Indonesia. 2021; 1(6): 622-632.
Ulfah M. Analysis the implementation of program for reducing malnutrition status of toddlers by Health Department of Banda Aceh City. Jurnal Ilmiah Mahasiswa Fakultas Ilmu Sosial & Ilmu Politik. 2019; 4(4): 1-15.
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Maternal & Child Nutrition. 2018; 14(4): 1-10.
World Health Organization. Global adult tobacco survey: Indonesia report 2021 [Internet]. 2021. Available from: https://cdn.who.int/media/docs/default-source/ncds/ncd-surveillance/data-reporting/indonesia/indonesia-national-2021-factsheet.pdf?sfvrsn=53eac4fd_1
Bella A, Dartanto T, Nurshadrina DS, Kusnadi G, Moeis FR, Nurhasana R, et al. Do parental smoking behaviors affect children's thinness, stunting, and overweight status in Indonesia? Evidence from a large-scale longitudinal survey. Journal of Family and Economic Issues. 2023; 44(3): 714-726.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Ni Ketut Sutiari, Kadek Tresna Adhi , Ni Wayan Arya Utami, Putu Ayu Swandewi Astuti
This work is licensed under a Creative Commons Attribution 4.0 International License.
**Creative Commons Attribution 4.0 International License (CC BY 4.0)**
*Welcome to the world of open collaboration and shared creativity! The Creative Commons Attribution 4.0 International License (CC BY 4.0) empowers creators to share their work with the world while maintaining certain rights.*
**Key Points:**
1. **Freedom to Share:** CC BY 4.0 allows creators to share their work globally, granting others the freedom to use, remix, and build upon it.
2. **Attribution Requirement:** Users can use the work for any purpose, even commercially, as long as they provide appropriate credit to the original creator.
3. **Flexibility:** Applicable to various content types—text, images, music, videos—the license fosters a diverse range of creations.
**Common Use Cases:**
- **Education:** Widely used for educational materials, promoting open learning environments.
- **Research:** Applied to scholarly articles, accelerating the dissemination of knowledge.
**How to Use:**
1. **Share:** Share your work with the world, marking it with the CC BY 4.0 license.
2. **Attribution:** Users, when utilizing the work, must provide proper attribution to honor the original creator.
**Conclusion:**
CC BY 4.0 contributes to a more open and collaborative digital landscape. Join the movement of shared knowledge and creativity!
*For full license details, visit [Creative Commons](https://creativecommons.org/licenses/by/4.0/).*
