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All Journal International Journal of Public Health Science (IJPHS) Jurnal Kedokteran Brawijaya Health Science Journal of Indonesia Jurnal Kesehatan Masyarakat Jurnal Administrasi Publik JAM : Jurnal Aplikasi Manajemen Research Journal of Life Science MNJ (Malang Neurology Journal) Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya Jurnal Penelitian Pendidikan IPA (JPPIPA) Journal Of Nursing Practice Journal of Nursing Care and Biomolecular PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Riset Kesehatan Poltekkes Depkes Bandung Jurnal Manajemen Bisnis dan Kewirausahaan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Ilmiah Kesehatan Rustida Narra J International Journal of Science and Society (IJSOC) Parsimonia: Jurnal Akuntansi, Manajemen dan Bisnis Journal of Nursing Science Update Jurnal Kebidanan dan Keperawatan Aisyiyah Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Keperawatan JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal Penelitian Pendidikan Indonesia Promotion and Prevention in Mental Health Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Media Penelitian dan Pengembangan Kesehatan
Tita Hariyanti
Faculty Of Medicine, Universitas Brawijaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : Narra J

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Reality of implementation, barriers, and local-based innovations of stunting reduction programs in Papua region, Indonesia: A systematic review Mustasmara, Rida; Hariyanti, Tita; LPH. Mastuti, Ni
Narra J Vol. 6 No. 1 (2026): April 2026
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i1.3023

Abstract

Stunting remains a major public health problem in Indonesia, with a disproportionate burden in Papua, where many districts are classified as 3T regions (frontier, outermost, and least-developed areas) characterized by limited infrastructure, restricted access to services, and distinct socio-cultural challenges. The aim of this study was to comprehensively examine the implementation of stunting reduction programs in Papua’s 3T regions, including program delivery, barriers, and local innovations, through a systematic review. Articles were identified through searches of five major databases and grey literature and were selected using the PRISMA framework. Eligible studies reported on program implementation, barriers, risk factors, and/or strategies related to stunting reduction in Papua. A total of 45 studies met the inclusion criteria and were synthesized using a thematic narrative approach. The review indicated that stunting reduction efforts in Papua have included both nutrition-specific and nutrition-sensitive interventions, supported by the establishment of acceleration teams, the use of integrated health service posts (Posyandu), supplementary feeding, micronutrient supplementation, and the 1,000 days of life initiative. However, program effectiveness is constrained by geographical isolation, health workforce shortages, weak cross-sectoral coordination, and a persistent gap between national policy design and local implementation capacity. Frequently reported risk factors included suboptimal caregiving practices, inadequate dietary intake, recurrent infections, poor sanitation, poverty, and a double burden borne by women, all of which impede program success. Conversely, locally grounded strategies—such as local food-based interventions, strengthening cadres and traditional leaders, community education, and pentahelix collaboration—emerged as more contextually appropriate and community-accepted approaches. Overall, these findings underscore the need to adapt policies to local conditions, strengthen convergence governance, and expand long-term evaluative research to improve the effectiveness and sustainability of stunting interventions in Papua’s 3T regions.
Co-Authors . Djumahir Achmad Rudijanto Achmad Yunus Adiwignyo, Dandy Drestanto Agnes Widayu Estiningsih Agni Hadi P, Agni Hadi Ahsan Alberto, Alberto Andriana, Kiki Rizki Fista Anisa Ramadhani Kusumastiti ANISYAH ACHMAD Aryo Dewanto Asfi Manzilati Asiana Oktavia Purwaningsih Athallandi, Kemal Bramantya Surya Pratama, Bramantya Surya Catharina Louise Rhynanti Chriswantara, Riz’q Threevisca David David Dewi Kartikawati Ningsih Dewi Kartikawati Ningsih, Dewi Kartikawati Dewi Lelonowati Dewi Lelonowati Dewi, Sagung Manik Dwi Purnama Dhimas Anggi Septiansyah Dolly Irbantoro Dwi Indriani Lestari Dwi Saputro Edy Supriyanto Endiki Surya Wira Pratama Erich Hudisusanto Erika Widayanti Lestari Eriko Prawestiningtyas Fajar Juli Nursanti Fantri Pamungkas, Fantri Fatchur Rohman Fatchurohmani . Fitri Anita Fitri Anita Frista, Ardaleni Gladys Kurniawan Hamdani, Romi Harien Lestari Harjayanti, Nofita Dwi Harsono Harsono Harsono Mardiwiyoto Harun Al Rasyid Harun Al Rasyid Hasan, Haliza Heni Dwi Windarwati Hinting, Lia Natalia I Gede Sastrawan Iriene Kusuma Wardhani Irsan, Istan Irmansyah Juwitasari Juwitasari Kartikasari, Dhian Komang Ayu Krisna Dewi Kristianingsih, Rey Kuncoro, Wahyudi Kurnia Widyaningrum Kusuma Wardhana, Eka Chandra Kusumastiti, Anisa Ramadhani Laily Yuliatun Lelonowati, Dewi Lidia Emilinda Lilik Zuhriyah Lilis Widianah LPH. Mastuti, Ni Lucia Pujiastuti, Lucia Lukman Hakim Mahardika, Yesika Yuristi Mardiana Kusumawati, Anita Markes, Anabela Masrochanah, Siti Maulana, Ragil Maya Dewi Hanggraningrum Menis Rahmawati Muhammad Barlian Nugroho Mulyatim Koeswo Mustasmara, Rida Nanik Setijowati Nasar Radfan Ni Luh Putu Ninik Pujaning Dyah Nofita Dwi Harjayanti Novia , Kristia Nur 'Aini Nursanti, Fajar Juli Nurul Laili Nuthea, Merry Palastri, Aisha Rifda Pradina, Fifin Prahadiani, Saesar Revita Prayoga, I Wayan Eka Putra Purwati, Ajeng Budi Puspitasari, Vicky Qomariyah, Durrotul R. Henggar Sulistiarto Rahmani Ratri, Devita Rahmani, Nuraida Fara Ratri, Devita Rahmani retnaningtyas, sri Retno Lestari Rezkiah, Fahmy riskiyah, Riskiyah - Sabatina, Sindy Sabrina Aulia Rahma Sadewo, Ageng Bagus Salizar Binti Mohamed Ludin Satria Pandu Persada Isma Septiana, Celsy Citra Setijowatie, Eva Diah Siahaan, Sahat Manampin Silvy Rahmah Yanthy Sindy Sabatina Siti Juhariah Siti Umi Ernawati, Siti Umi Soegeng Hery Priyanto Sri Andarini Sri Soenarti Sri Sunarti Sri Winarsih Sugeng Susilo, Sugeng Sujianto Sujianto Sujiono Sujiono Sujiono Sujiono Sujiono, Sujiono Suminar Pertiwi, Dian Tae, Vidria Handayani Thomas Erwin Christian Junus Huwae Tina Handayani Nasution Titin Andri Wihastuti Tjatur Budi Winarko Tontowi Jauhari Tony Suharsono Tri Wahyu Sarwiyata Unix Cahya Husada Vistiandini, Seravina Ayu Wahyu Febrianto Wahyu Purnomo Wardhani, Iriene Kusuma Wati, Linda Ratna Wening Prastowo Widodo Mardi Santoso, Widodo Mardi Wijaya, Yunus Adi Windarwati, Heni Dwi Wiwin Indriani Wulandari, Meidina Yayi S Prabandari Yayi Suryo Prabandari Youandi, Abdi Agus Yulianto, Wahyu Yuni Kartika S, Yuni Kartika Zhafira Anisah Kesuma