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Journal : Health Dynamics

Evaluating Acceleration of Stunting Prevention in Indonesia (2018-2024): A Roadmap-Based Program Analysis Rusdianti, Alfi; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Santosa, Budi Joko; Sunarto, Sunarto
Health Dynamics Vol 2, No 5 (2025): May 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20504

Abstract

Indonesia’s 2018-2024 National Roadmap for Stunting Prevention aims to reduce stunting prevalence to 14% by 2024 through multisectoral interventions. This commentary evaluates the program’s acceleration, identifying systemic gaps in implementation despite robust policy frameworks. Using qualitative analysis of government reports, field studies, and secondary data, we assess progress against key roadmap indicators, including nutrition-specific interventions, community empowerment, and interagency coordination. Findings reveal persistent challenges: fragmented coordination between national and local agencies, uneven funding distribution favoring urban centers, and inadequate real-time monitoring systems. Case studies from regions like Lombok (successful integrated nutrition campaigns) and Papua (persistent access barriers to clean water and healthcare) illustrate disparities in program effectiveness. Additionally, socio-cultural factors, such as low parental awareness of nutrition, further hinder progress. We argue that accelerating stunting reduction requires strengthening decentralized governance, prioritizing budget equity for rural areas, and leveraging digital tools for data integration. Community-driven education initiatives, supported by local leaders, are critical to shifting health behaviors. Without addressing these structural and operational bottlenecks, Indonesia risks missing its 2024 target, undermining broader Sustainable Development Goals (SDGs) linked to child health and equity. This analysis urges policymakers to adopt adaptive, evidence-based strategies to transform roadmap commitments into actionable outcomes.
Early Warning Alone Is Not Enough: Rethinking Disaster Preparedness Through Resource Mobilization Sunarto, Sunarto; Suparji, Suparji; Nugroho, Heru Santoso Wahito; Arsyad, Gusman; Indriyawati, Nina
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21005

Abstract

The effectiveness of disaster preparedness cannot be measured solely from the existence of an early warning system (EWS). Warnings without prompt and coordinated action risk losing their significance in saving lives. In practice, many regions face challenges when warning signals are received, but response and resource mobilization are slow. This demonstrates that preparedness does not stop at detection systems, but rather relies on institutional, social, and technical capacity to act promptly. This opinion piece examines the limitations of EWS implementation in Indonesia from three dimensions: technical (limited reach and data interoperability), social (low risk literacy and community engagement), and institutional (unintegrated command, logistics, and anticipatory financing). This condition is exacerbated by weak coordination at the local level, including in the activation of volunteers and social networks, so that vulnerable groups are often not reached by warnings or early assistance. Based on lessons learned from case studies in Indonesia and international literature on anticipatory action, this paper emphasizes the need to review preparedness indicators by including aspects of resource mobilization as a main component. Policy recommendations include strengthening the capacity of Disaster Resilient Villages in the dissemination of warnings (last-mile warning), the application of the mechanism trigger and anticipatory financing, as well as the integration of preparedness with health services, education, logistics, search and rescue, and refugee readiness. This new approach positions preparedness not simply as the ability to receive warnings, but as an integrated system capable of translating warnings into concrete, life-saving actions.
Co-Authors Abdul Latif Abdul Rosid Abdullah Al Mamun Achmad Imam Agung Acob, Joel Rey U. Acob, Joel Rey Ugsang Agus Sarwo Prayogi Agus Wiyono Ainil Ma’sura Aisyah Endah Palupi Aji, Rozan Asyrofi Rakyan Risang Akbar Pandu Pratamalistya Akhmad Ikraam Ali Husain, Muhammad Amir Firmansyah Anas Lutfi Anis Rifai Apriliawati, Anita Aria Yuditia Arie Wardhono Arief Budiono Arief, Risca Aries Machmud Aries Prasetyo Arsyad, Gusman Aslam, Lera Kurniatul Astin Nur Hanifah Astuti Setiyani, Astuti Aswardi, Adzan Swarna Aswin, Albert Stephen AUTA, Tanko Titus AVANDRI, AHMAD Bahtiar Bahtiar Caskiman Caskiman Chotijah, Putri Indriyani Renti Çobanoğlu, Ömer Debby Rahmawati Dessy Kurnia Doni Septo Edy Sanyoto Ekohariadi Enisah, Enisah Farid Baskoro Febriana, Citra Nurwidya Febrianto, Ika Fikri, Achmad Fiolentin, Enggar Fokky Fuad gani, vonny kartika Guntoro, Renita Haekal, Muhammad Husein Handayani, Tinuk Esti Handoyo Handoyo Hapsari, Rafif Naufi Waskitha Hariyanto, Rohadi Hendrawati, Dian Herdiawan, Gilang Cahya Herlina, Tutiek Heru Santoso Wahito Nugroho Hidayati, Syariefah Hidayatulloh, Muhammad Kris Yuan Hilmawan, Fajrin Husain, Alwi Ilham Ilham Indriyanto Seno Adji Intening, Vivi Retno Irfansyah, Ade Ismoyowati, Tri Wahyuni Istiqomah Istiqomah Jatmiko Jatmiko Khairunnisa, Adriana Khambali, Khambali Koesmantoro, Hery Kristyani, Devi Kulsum, Maria U. Kusnan Kusnan Kusumaningtias, Rifky Ayu Lugina, Gira Lutfiyah Hidayati Machmud, Aris Maryani, Ai Melati, Nimsi Melianawati, Lina Muhammad Abdul Roni Muhammad Husein Haekal Nana Usnawati Nanang Joko Sulistyono Nina Indriyawati nurlailis saadah Nurweningtyas, Nurweningtyas Nurwijayanti Nuryani Nuryani Pertiwi, Nabila Putri Pramanik, Yulia R. Puspasari Hartono, Berlian Rachmawati, Evi Rafqi Mizi Rahayu, Diah Viptara Dwi Rahayu, Teta Puji Ratna Suhartini Ridha Fauzy Rina Harimurti Rintowati, Ariani Roro Wanda Ayu D.A. Rusdianti, Alfi Rusfiantini, Rina Sadino Sadino Sadino, Sadino Sanglar Polnok, Sanglar Santosa, Budi Joko Septianti, Triana Sillehu, Sahrir Sirait, Velix Setiawan Soeparno Soeparno Suartini, Suartini SUGENG HARIANTO Suhartini , Ratna Suharto, Agung Sulikah Sulikah Sumaningsih, Rahayu Sumasto, Hery Sunarto Sunarto Suprapto Suprapto Surtinah, N. Surtinah, Nani Susanti, Evy Suwadi , Pujiyono Suwarno Imam Samsul SWN, Heru Toscania, Annafis N. Tri Rijanto Velix Setiawan Sirait WARDANI, TUESDAY TRI Widhawati, Setya Widiantoro, Oni Wijayanti, Suci Wiyanto, Theodorus Yusuf Hidayat Yusuf Hidayat Yusup Hidayat Yusup Hidayat