Stunting Management: A Systematic Review
Keywords:
Strategy, Management, Stunting, Prevention, HandlingAbstract
Stunting is a global problem, especially in developing countries. The management of stunting involves the cooperation of various parties and several factors that are carried out to overcome and prevent stunting because of its impact on hindering cognitive and productivity of children in the future. This study was designed to determine the management of handling children with stunting. This research method is a systematic literature review using 4 electronic databases namely PubMed, Google Scholar, Sciencedirect, and ProQuest. Articles containing stunting management strategy were analyzed using the PRISMA method. There were 15 articles met the criteria based on PRISMA analysis, emphasizing 7 strategies in the management of stunted children, namely fulfilling child nutrition, breastfeeding and colustrum, government policies, health promotion, maternal mental health, home visits (mentoring) and environmental sanitation.The main management of stunting is the maternal factor, starting from the fulfillment of nutrition during pregnancy period, breastfeeding to maternal mental health to provide good parenting. Cross-sectoral cooperation from the government and community support is also required to help care for children with stunting.
References
Ainy, F. N., Susanto, T., & Susumaningrum, L. A. (2021). The relationship between environmental sanitation of family and stunting among under-five children: A cross-sectional study in the public health center of jember, indonesia. Nursing Practice Today, 8(3). https://doi.org/10.18502/npt.v8i3.5932
Ardiana, A., Afandi, A. T., Mahardita, N. G. P., & Prameswari, R. (2021). Implementation of peer group support towards knowledge level of mother with toddlers about stunting. Pakistan Journal of Medical and Health Sciences, 15(1).
Bailey, J., Opondo, C., Lelijveld, N., Marron, B., Onyo, P., Musyoki, E. N., Adongo, S. W., Manary, M., Briend, A., & Kerac, M. (2020). A simplified, combined protocol versus standard treatment for acute malnutrition in children 6–59 months (ComPAS trial): A cluster-randomized controlled non-inferiority trial in Kenya and South Sudan. PLoS Medicine, 17(7). https://doi.org/10.1371/journal.pmed.1003192
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. In Maternal and Child Nutrition (Vol. 14, Issue 4). https://doi.org/10.1111/mcn.12617
Beatty, A., Borkum, E., Leith, W., Null, C., & Suriastini, W. (2024). A cluster randomized controlled trial of a community-based initiative to reduce stunting in rural Indonesia. Maternal and Child Nutrition, 20(1). https://doi.org/10.1111/mcn.13593
Castro-Bedriñana, J., Chirinos-Peinado, D., & De La Cruz-Calderón, G. (2021). Predictive model of stunting in the Central Andean region of Peru based on socioeconomic and agri-food determinants. Public Health in Practice, 2. https://doi.org/10.1016/j.puhip.2021.100112
Chew, C. C., Lim, X. J., Low, L. L., Lau, K. M., Kari, M., Shamsudin, U. K., & Rajan, P. (2022). The challenges in managing the growth of indigenous children in Perak State, Malaysia: A qualitative study. PLoS ONE, 17(3 March). https://doi.org/10.1371/journal.pone.0265917
Dani, V., Satav, K., Pendharkar, J., Satav, A., Ughade, S., Adhav, A., & Thakare, B. (2017). Community-based management of severe malnutrition: SAM and SUW in the tribal area of Melghat, Maharashtra, India. Clinical Epidemiology and Global Health, 5(2). https://doi.org/10.1016/j.cegh.2016.11.003
Erawati, N. K. (2020). Literatur Review: Program Mother Smart Grounding (MSG) dalam Penanganan Gizi Stunting. Jurnal Kesehatan Dr. Soebandi, 8(1). https://doi.org/10.36858/jkds.v8i1.157
Galasso, E., Weber, A. M., Stewart, C. P., Ratsifandrihamanana, L., & Fernald, L. C. H. (2019). Effects of nutritional supplementation and home visiting on growth and development in young children in Madagascar: a cluster-randomised controlled trial. The Lancet Global Health, 7(9). https://doi.org/10.1016/S2214-109X(19)30317-1
Gope, R. K., Tripathy, P., Prasad, V., Pradhan, H., Sinha, R. K., Panda, R., Chowdhury, J., Murugan, G., Roy, S., De, M., Ghosh, S. K., Sarbani Roy, S., & Prost, A. (2019). Effects of participatory learning and action with women’s groups, counselling through home visits and crèches on undernutrition among children under three years in eastern India: a quasi-experimental study. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7274-3
Grebmer, K. von, Bernstein, J., Wiemers, M., Schiffer, T., Hanano, A., Towey, O., Chéilleachair, R. N., Foley, C., Gitter, S., Ekstrom, K., & Fritschel, H. (2021). 2021 Global Hunger Index: Hunger and Food Systems in Conflict Settings. https://www.globalhungerindex.org/pdf/en/2021.pdf
Grijalva-Eternod, C. S., Beaumont, E., Rana, R., Abate, N., Barthorp, H., McGrath, M., Negesse, A., Abera, M., Abdissa, A., Girma, T., Allen, E., Kerac, M., & Berhane, M. (2021). Malnutrition in infants aged under 6 months attending community health centres: A cross sectional survey. Nutrients, 13(8). https://doi.org/10.3390/nu13082489
Indra, J., & Khoirunurrofik, K. (2022). Understanding the role of village fund and administrative capacity in stunting reduction: Empirical evidence from Indonesia. PLoS ONE, 17(1 January). https://doi.org/10.1371/journal.pone.0262743
Indtiyastuti, I. H., & Kartono, T. D. (2022). Implementation of the Sustainable Development Goals (SDGs) Program on the Management of Stunting Cases in Indonesia. International Journal of Recent Research in Interdisciplinary Sciences (IJRRIS), 9(2).
Jannah, H. R., Kusumadewi, S., & Fitriyanto, R. E. (2022). Stunting Management Monitoring System. Sinkron, 7(1). https://doi.org/10.33395/sinkron.v7i1.11267
Jannah, R. N., Susanto, T., Susumaningrum, L. A., & Kholidi, M. (2022). Relationship between family connectedness and nutritional status among under-five children in Jember Regency of Indonesia. Journal of Community Empowerment for Health, 5(1). https://doi.org/10.22146/jcoemph.66461
Kementerian Kesehatan RI. (2022). Buku Saku Hasil Survei Status Gizi Indonesia (SSGI) 2022. https://stunting.go.id/buku-saku-hasil-survei-status-gizi-indonesia-ssgi-2022/
Maribet, A. L., Susanti, M., Lassie, N., Hariyani, I. P., Gusmira, Y. H., & Jelmila, S. N. (2021). The Association Between Maternal Depression and Stunting on Children Under Five Years Old in Developing Countries: A Systematic Review. Jurnal Pendidikan Tambusai , 5(1).
Nugraheni, A., Margawati, A., Utami, A., & Wahyudi, F. (2023). Hubungan Stunting dengan Anemia, Morbiditas dan Perkembangan Anak Usia Batita di Puskesmas Kebondalem Pemalang. Jurnal Epidemiologi Kesehatan Indonesia, 7(1). https://doi.org/10.7454/epidkes.v7i1.6667
Nugraheni, A., Margawati, A., Wahyudi, F., Adespin, D. A., & Hariyana, B. (2020). Determinant Factors on Stunting Incidence among Children Age 6-24 Months, Pemalang, Central Java: A Case Study. https://doi.org/10.26911/the7thicph.03.28
Prasetyo, A., Noviana, N., Rosdiana, W., Anwar, M. A., Hartiningsih, Hendrixon, Harwijayanti, B. P., & Fahlevi, M. (2023). Stunting Convergence Management Framework through System Integration Based on Regional Service Governance. Sustainability (Switzerland), 15(3). https://doi.org/10.3390/su15031821
Rahayu, D., Fresty Africia, Zauhani Kusnul H, & Erwin Yektiningsih. (2023). Exclusive Breast Feeding As An Effort To Overcome Stunting In Toddlers With The Family Empowerment Strategy Approach. Journal for Quality in Women’s Health, 6(2), 120–126. https://doi.org/10.30994/jqwh.v6i2.226
Rohmawati, L., Sari, D. K., Sitepu, M., & Rusmil, K. (2021). A randomized, placebo-controlled trial of zinc supplementation during pregnancy for the prevention of stunting: Analysis of maternal serum zinc, cord blood osteocalcin and neonatal birth length. Medicinski Glasnik, 18(2). https://doi.org/10.17392/1267-21
Roy, S. K., Jahan, K., Khatoon, S., Alam, N., Tasnim, S., Parveen, S., Ferdaus, A., & Cubra, K. (2022). Effectiveness of home-based “egg-suji” diet in management of severe acute malnutrition of Rohingya refugee children. Journal of Health, Population and Nutrition, 41(1). https://doi.org/10.1186/s41043-022-00321-x
Sari Dewi, E., Choiriyah, M., Suryanto, S., Kumboyono, K., Dewi Sartika Lestari Ismail, D., Andri Wihastuti, T., Yusuf Habibie, I., Ayu Istifiani, L., Kusumastuty, I., Melani Astari, A., Iis Ariska, H., Rosuli, A., Yanuar Fahmi Pamungkas, A., Satrianto, A., Hermanto, A., Dwi Ariyani, A., Munif, B., Kusumawati, D., Andi Rahmawan, F., … Gizi, D. (2025). Optimalisasi Program Pencegahan Stunting: Hubungan Pengetahuan Ibu Dengan Persepsi Keluarga. NURSING INFORMATION JOURNAL, 4(2), 174–183. https://doi.org/10.54832/nij.v4i2.1023
Soe, T. K., Laohasiriwong, W., Sornlorm, K., & Mahato, R. K. (2023). Safely managed sanitation practice and childhood stunting among under five years old children in Myanmar. PLoS ONE, 18(11 November). https://doi.org/10.1371/journal.pone.0290600
Tiyas, R., & Hasanbasri, M. (2023). Systematic Literature Review: Strategi Promosi Kesehatan Dalam Mencegah Stunting. Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management), 26(3). https://doi.org/10.22146/jmpk.v26i3.8538
Utami, A. S., & Ainy, A. (2023). Systematic Review Inovasi Program Pencegahan Stunting Innovation of Stunting Prevention Program: A Systematic Review. In JIKM (Vol. 15, Issue 4).
Wardoyo, H., Moeloek, N. D., Basrowi, R. W., Ekowati, M., Samah, K., Mustopo, W. I., Nurdjasmi, E., Widyahening, I. S., Medise, B. E., Darus, F., Sundjaya, T., & Pelangi, B. (2024). Mental Health Awareness and Promotion during the First 1000 Days of Life: An Expert Consensus. In Healthcare (Switzerland) (Vol. 12, Issue 1). https://doi.org/10.3390/healthcare12010044
Win, H., Shafique, S., Mizan, S., Wallenborn, J., Probst-Hensch, N., & Fink, G. (2022). Association between mother’s work status and child stunting in urban slums: a cross-sectional assessment of 346 child-mother dyads in Dhaka, Bangladesh (2020). Archives of Public Health, 80(1). https://doi.org/10.1186/s13690-022-00948-6
World Health Organization (WHO). (2020). World health statistics 2020: monitoring health for the SDGs, sustainable development goals. WHO. https://iris.who.int/bitstream/handle/10665/332070/9789240005105-eng.pdf?sequence=1
