Studi Instrumen Kebijakan dalam Upaya Percepatan Penurunan Stunting Kota Kediri
Abstract:
Purpose: This study aimed to identify and describe the policy instruments used by the Kediri City Government to accelerate stunting reduction.
Methodology/approach: A qualitative approach was employed in Kediri City through in-depth interviews with officials from the health department and a literature review. Data were collected using interview guides and relevant policy documents to understand the strategies and barriers to reducing stunting.
Results/findings: Five main policy instruments were identified: family and community engagement, voluntary organizations, information and exhortation campaigns, subsidies, and regulatory policies. However, several obstacles hindered their effectiveness in the past. These include poor parenting practices, particularly in infant feeding (such as lack of exclusive breastfeeding and improper complementary feeding), parents’ refusal to consult pediatricians, and failure to follow prescribed special dietary interventions (PKMK) for toddlers with stunted growth. Conclutions: Although the Kediri City Government has implemented various appropriate policies, success is constrained by limited parental knowledge and awareness. To improve outcomes, greater emphasis should be placed on targeted education and personalized outreach, particularly for families with children with stunted growth. Strengthening the role of local institutions and leveraging existing community networks can enhance the dissemination and adoption of appropriate stunting management practices.
Limitations: This study focused on only five types of policy instruments observed in the field. Future studies should explore additional instruments to achieve a more comprehensive understanding.
Contribution: This study provides practical insights into local government policy tools for tackling stunting, offering a reference for other regions aiming to implement or enhance similar initiatives in the future.
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Afandi, M. N. … Sudartini, S. (2023). Collaborative governance in a mandated setting: shifting collaboration in stunting interventions at local level. Development Studies Research, 10(1). https://doi.org/10.1080/21665095.2023.2212868
Africia, F. … Zeho, F. H. (2024). Optimalisasi Peran Kader Balita Dalam Penatalaksanaan Stunting. 2(1), 6–11.
Amril, A., & Kholil, S. (2024). Transformasi Dakwah dalam Meningkatkan Efektivitas Penanganan Stunting di Kabupaten Langkat. Jurnal Studi Ilmu Sosial dan Politik, 4(2), 105-116. doi:10.35912/jasispol.v4i2.3717
Anggara, M. R. … Soedarto, H. (2022). Analisis Ketepatan Instrumen Kebijakan Pengelolaan Sampah berbasis Reduce Reuse Recycle (3R) Di Desa Adikarto Kecamatan Muntilan Kabupaten Magelang. Journal Of Public Policy And Management Review, 11(3), 1–18.
Apriluana, G., & Fikawati, S. (2018). Analisis Faktor-Faktor Risiko terhadap Kejadian Stunting pada Balita (0-59 Bulan) di Negara Berkembang dan Asia Tenggara. Media Penelitian Dan Pengembangan Kesehatan, 28(4), 247–256. https://doi.org/10.22435/mpk.v28i4.472
Asefa, A. … Beyen, T. K. (2024). Prevalence of stunting and associated factors among under-five children in Robe Woreda, Arsi zone, Ethiopia. International Journal of Africa Nursing Sciences, 21(September), 100782. https://doi.org/10.1016/j.ijans.2024.100782
Asep Mulyana, Cory Vidiati, Pri Agung Danarahmanto, A. A. … Lisa Astria Milasari, Asister Fernando Siagian, S. M. M. (2024). Metode Penelitian Kualitatif. Widina Media Utama.
Astuti, S. J. W. … Atmojo, S. (2025). Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia. Dialogues in Health, 6(December 2024), 100206. https://doi.org/10.1016/j.dialog.2025.100206
Budhi Utami. (2024). Upaya Pencegahan Stunting dan Penyakit Degeneratif melalui Pola Makan dan Gaya Hidup Sehat 1 Program. 2(1), 51–56.
Capano, G., & Howlett, M. (2020). The Knowns and Unknowns of Policy Instrument Analysis: Policy Tools and the Current Research Agenda on Policy Mixes. SAGE Open, 10(1). https://doi.org/10.1177/2158244019900568
Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications.
Damayanti, R. … Sari, I. P. (2021). Peleburan ego sektoral: strategi menurunkan stunting di Trenggalek. Jurnal Administrasi Dan Kebijakan Publik, 6(2), 197–216. https://doi.org/10.25077/jakp.6.2.197-216.2021
Darmawan, N. D., Dewi, N. D. U., & Rahayu, L. R. (2023). Penerapan Kebijakan tentang Peraturan Daerah Nomor 7 Tahun 2017 di Kabupaten Buleleng. Jurnal Studi Ilmu Sosial dan Politik, 3(1), 21-28. doi:10.35912/jasispol.v3i1.1981
Deshpande, A., & Ramachandran, R. (2022). Early childhood stunting and later life outcomes: A longitudinal analysis. Economics and Human Biology, 44(April 2021), 101099. https://doi.org/10.1016/j.ehb.2021.101099
Desrinelti, D. … Gistituati, N. (2021). Desrinelti, 2021. JRTI (Jurnal Riset Tindakan Indonesia), 6(1), 83.
Ghinan Salman, D. A. (2022). Prevalensi Stunting di Jatim Tinggi, Ini Upaya BKKBN. Surabaya.Kompas.Com. https://surabaya.kompas.com/read/2022/03/02/172640078/prevalensi-stunting-di-jatim-tinggi-ini-upaya-bkkbn?page=all
Hasan, H. … Hakim, A. rahman. (2024). Metode Penelitian Kualitatif (Vol. 5, Issue April). Yayasan Tri Edukasi Ilmiah Redaksi:
Haudi. (2021). Kebijakan Publik sebagai Kebijakan Publik. In Jurnal MEDTEK (Vol. 2, Issue 3).
Himaz, R. (2018). Stunting later in childhood and outcomes as a young adult: Evidence from India. World Development, 104, 344–357. https://doi.org/10.1016/j.worlddev.2017.12.019
Howlett, M., & Rayner, J. (2007). Design Principles for Policy Mixes: Cohesion and Coherence in ‘New Governance Arrangements.’ Policy and Society, 26(4), 1–18. https://doi.org/10.1016/s1449-4035(07)70118-2
Izzah, A. H. N. (2024). Providing Legal AID to Underprivileged Communities as Public Policy in Malang City. Jurnal Studi Ilmu Sosial dan Politik, 4(1), 53-62. doi:10.35912/jasispol.v4i1.4102
Kharisma, B. … Rizky, F. (2024). Strategies for Handling Stunting: A Case Study in Kediri District. Indonesian Journal of Development Economics, 7(2), 116–129.
Knupp, M. … Velasco Gonzalez, M. (2021). Tourism networks - interdependent relationships among public policy actors. Journal of Multidisciplinary Academic Tourism, Special Issue 1, 39–52. https://doi.org/10.31822/jomat.2021-SP-1-39
Kundarti, F. I. … Yanuarini, T. A. (2022). Holistic Love Breastfeeding dalam Meningkatkan Produksi ASI sebagai Upaya Penurunan Stunting. Poltekita: Jurnal Pengabdian Masyarakat, 3(4), 833–841. https://doi.org/10.33860/pjpm.v3i4.1416
Maulana, I. N. H. … Wike, W. (2022). Implementasi Kebijakan Intervensi Gizi Spesifik sebagai Upaya Penanganan Stunting di Kabupaten Malang. Jurnal Ilmiah Administrasi Publik, 8(2), 136–144. https://doi.org/10.21776/ub.jiap.2022.008.02.1
Mulatu, S. … Workie, H. M. (2025). A high prevalence of stunting was observed among under-five children: A community-based cross-sectional study. Clinical Nutrition ESPEN, 66, 343–351. https://doi.org/10.1016/j.clnesp.2025.01.060
Nuradhiani, A. (2022). Upaya Pencegahan Stunting Sejak Dini melalui Pemberian Edukasi pada Ibu Hamil. Jurnal Gizi Kerja Dan Produktivitas, 3(1), 46. https://doi.org/10.52742/jgkp.v3i1.15452
Putri. (2022). Angka Stunting Masih Tinggi, 12 Provinsi Jadi Perhatian Pemerintah. Infopublik.Id. https://infopublik.id/kategori/nasionalsosial-budaya/655884/angka-stunting-masih-tinggi-12-provinsi-jadiperhatian-pemerintah#:~:text=12
Rania, G. (2024). Implementasi E-Kinerja terhadap Penilaian Kinerja PNS di Kabupaten Banyuwangi. Jurnal Studi Ilmu Sosial dan Politik, 4(1), 39-52. doi:10.35912/jasispol.v4i1.4106
Ridho, F. M. … Hanafi, H. (2024). The Effectiveness of Health Communication in Preventing Stunting. Jurnal Studi Ilmu Sosial Dan Politik, 3(2), 99–107. https://doi.org/10.35912/jasispol.v3i2.2609
Saputri, R. A. (2019). Upaya Pemerintah Daerah Dalam Penanggulangan Stunting Di Provinsi Kepulauan Bangka Belitung. JDP (JURNAL DINAMIKA PEMERINTAHAN), 2(2), 152–168. https://doi.org/10.36341/jdp.v2i2.947
Septiana, A. R. … Seran, D. A. N. (2023). Kebijakan Publik: Teori, Formulasi Dan Aplikasi. In E-Book (researchgate.net) (Issue Maret).
Setyarini, I. R. E. S. R. S. N. R. A. I. (2020). Penanganan Balita Stunting Pada Keluarga Di Wilayah Kerja Puskesmas Sukorame Kota Kediri. Jurnal Informasi Kesehatan Indonesia, 6(1), 26–38. https://ojs.poltekkes-malang.ac.id
Setyawati, V. A. V., & Ramadha, F. (2020). Pengaruh kampung KB pada intervensi gizi sensitif stunting di Desa Janegara. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 9(1), 42–47. https://doi.org/10.14710/jgi.9.1.42-47
Sugawara, E., & Nikaido, H. (2014). Properties of AdeABC and AdeIJK Efflux Systems of Acinetobacter baumannii Compared with Those of the AcrAB-TolC System of Escherichia coli. Antimicrobial Agents and Chemotherapy, 58(12), 7250–7257. https://doi.org/10.1128/AAC.03728-14
Tahangnacca, M. … Syam, A. (2020). Model of stunting determinants: A systematic review. Enfermería Clínica, 30, 241–245. https://doi.org/10.1016/j.enfcli.2019.10.076
Tsaralatifah, R. (2020). Faktor yang Berhubungan dengan Kejadian Stunting pada Baduta di Kelurahan Ampel Kota Surabaya. Amerta Nutrition, 4(2), 171. https://doi.org/10.20473/amnt.v4i2.2020.171-177
World Health Organization. (2018). REDUCING STUNTING IN CHILDREN Equity considerations for achieving the Global Nutrition Targets 2025. https://www.who.int/publications/i/item/9789241513647
Wulandari, U. R., & Kumalasari, D. (2022). Faktor Risiko Kejadian Stunting Pada Anak Balita Usia 3- 5 Tahun. Jurnal Kebidanan, 12(2), 114–120. https://doi.org/10.35874/jib.v12i2.1078
- Afandi, M. N. … Sudartini, S. (2023). Collaborative governance in a mandated setting: shifting collaboration in stunting interventions at local level. Development Studies Research, 10(1). https://doi.org/10.1080/21665095.2023.2212868
- Africia, F. … Zeho, F. H. (2024). Optimalisasi Peran Kader Balita Dalam Penatalaksanaan Stunting. 2(1), 6–11.
- Amril, A., & Kholil, S. (2024). Transformasi Dakwah dalam Meningkatkan Efektivitas Penanganan Stunting di Kabupaten Langkat. Jurnal Studi Ilmu Sosial dan Politik, 4(2), 105-116. doi:10.35912/jasispol.v4i2.3717
- Anggara, M. R. … Soedarto, H. (2022). Analisis Ketepatan Instrumen Kebijakan Pengelolaan Sampah berbasis Reduce Reuse Recycle (3R) Di Desa Adikarto Kecamatan Muntilan Kabupaten Magelang. Journal Of Public Policy And Management Review, 11(3), 1–18.
- Apriluana, G., & Fikawati, S. (2018). Analisis Faktor-Faktor Risiko terhadap Kejadian Stunting pada Balita (0-59 Bulan) di Negara Berkembang dan Asia Tenggara. Media Penelitian Dan Pengembangan Kesehatan, 28(4), 247–256. https://doi.org/10.22435/mpk.v28i4.472
- Asefa, A. … Beyen, T. K. (2024). Prevalence of stunting and associated factors among under-five children in Robe Woreda, Arsi zone, Ethiopia. International Journal of Africa Nursing Sciences, 21(September), 100782. https://doi.org/10.1016/j.ijans.2024.100782
- Asep Mulyana, Cory Vidiati, Pri Agung Danarahmanto, A. A. … Lisa Astria Milasari, Asister Fernando Siagian, S. M. M. (2024). Metode Penelitian Kualitatif. Widina Media Utama.
- Astuti, S. J. W. … Atmojo, S. (2025). Modeling environmental interactions and collaborative interventions for childhood stunting: A case from Indonesia. Dialogues in Health, 6(December 2024), 100206. https://doi.org/10.1016/j.dialog.2025.100206
- Budhi Utami. (2024). Upaya Pencegahan Stunting dan Penyakit Degeneratif melalui Pola Makan dan Gaya Hidup Sehat 1 Program. 2(1), 51–56.
- Capano, G., & Howlett, M. (2020). The Knowns and Unknowns of Policy Instrument Analysis: Policy Tools and the Current Research Agenda on Policy Mixes. SAGE Open, 10(1). https://doi.org/10.1177/2158244019900568
- Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications.
- Damayanti, R. … Sari, I. P. (2021). Peleburan ego sektoral: strategi menurunkan stunting di Trenggalek. Jurnal Administrasi Dan Kebijakan Publik, 6(2), 197–216. https://doi.org/10.25077/jakp.6.2.197-216.2021
- Darmawan, N. D., Dewi, N. D. U., & Rahayu, L. R. (2023). Penerapan Kebijakan tentang Peraturan Daerah Nomor 7 Tahun 2017 di Kabupaten Buleleng. Jurnal Studi Ilmu Sosial dan Politik, 3(1), 21-28. doi:10.35912/jasispol.v3i1.1981
- Deshpande, A., & Ramachandran, R. (2022). Early childhood stunting and later life outcomes: A longitudinal analysis. Economics and Human Biology, 44(April 2021), 101099. https://doi.org/10.1016/j.ehb.2021.101099
- Desrinelti, D. … Gistituati, N. (2021). Desrinelti, 2021. JRTI (Jurnal Riset Tindakan Indonesia), 6(1), 83.
- Ghinan Salman, D. A. (2022). Prevalensi Stunting di Jatim Tinggi, Ini Upaya BKKBN. Surabaya.Kompas.Com. https://surabaya.kompas.com/read/2022/03/02/172640078/prevalensi-stunting-di-jatim-tinggi-ini-upaya-bkkbn?page=all
- Hasan, H. … Hakim, A. rahman. (2024). Metode Penelitian Kualitatif (Vol. 5, Issue April). Yayasan Tri Edukasi Ilmiah Redaksi:
- Haudi. (2021). Kebijakan Publik sebagai Kebijakan Publik. In Jurnal MEDTEK (Vol. 2, Issue 3).
- Himaz, R. (2018). Stunting later in childhood and outcomes as a young adult: Evidence from India. World Development, 104, 344–357. https://doi.org/10.1016/j.worlddev.2017.12.019
- Howlett, M., & Rayner, J. (2007). Design Principles for Policy Mixes: Cohesion and Coherence in ‘New Governance Arrangements.’ Policy and Society, 26(4), 1–18. https://doi.org/10.1016/s1449-4035(07)70118-2
- Izzah, A. H. N. (2024). Providing Legal AID to Underprivileged Communities as Public Policy in Malang City. Jurnal Studi Ilmu Sosial dan Politik, 4(1), 53-62. doi:10.35912/jasispol.v4i1.4102
- Kharisma, B. … Rizky, F. (2024). Strategies for Handling Stunting: A Case Study in Kediri District. Indonesian Journal of Development Economics, 7(2), 116–129.
- Knupp, M. … Velasco Gonzalez, M. (2021). Tourism networks - interdependent relationships among public policy actors. Journal of Multidisciplinary Academic Tourism, Special Issue 1, 39–52. https://doi.org/10.31822/jomat.2021-SP-1-39
- Kundarti, F. I. … Yanuarini, T. A. (2022). Holistic Love Breastfeeding dalam Meningkatkan Produksi ASI sebagai Upaya Penurunan Stunting. Poltekita: Jurnal Pengabdian Masyarakat, 3(4), 833–841. https://doi.org/10.33860/pjpm.v3i4.1416
- Maulana, I. N. H. … Wike, W. (2022). Implementasi Kebijakan Intervensi Gizi Spesifik sebagai Upaya Penanganan Stunting di Kabupaten Malang. Jurnal Ilmiah Administrasi Publik, 8(2), 136–144. https://doi.org/10.21776/ub.jiap.2022.008.02.1
- Mulatu, S. … Workie, H. M. (2025). A high prevalence of stunting was observed among under-five children: A community-based cross-sectional study. Clinical Nutrition ESPEN, 66, 343–351. https://doi.org/10.1016/j.clnesp.2025.01.060
- Nuradhiani, A. (2022). Upaya Pencegahan Stunting Sejak Dini melalui Pemberian Edukasi pada Ibu Hamil. Jurnal Gizi Kerja Dan Produktivitas, 3(1), 46. https://doi.org/10.52742/jgkp.v3i1.15452
- Putri. (2022). Angka Stunting Masih Tinggi, 12 Provinsi Jadi Perhatian Pemerintah. Infopublik.Id. https://infopublik.id/kategori/nasionalsosial-budaya/655884/angka-stunting-masih-tinggi-12-provinsi-jadiperhatian-pemerintah#:~:text=12
- Rania, G. (2024). Implementasi E-Kinerja terhadap Penilaian Kinerja PNS di Kabupaten Banyuwangi. Jurnal Studi Ilmu Sosial dan Politik, 4(1), 39-52. doi:10.35912/jasispol.v4i1.4106
- Ridho, F. M. … Hanafi, H. (2024). The Effectiveness of Health Communication in Preventing Stunting. Jurnal Studi Ilmu Sosial Dan Politik, 3(2), 99–107. https://doi.org/10.35912/jasispol.v3i2.2609
- Saputri, R. A. (2019). Upaya Pemerintah Daerah Dalam Penanggulangan Stunting Di Provinsi Kepulauan Bangka Belitung. JDP (JURNAL DINAMIKA PEMERINTAHAN), 2(2), 152–168. https://doi.org/10.36341/jdp.v2i2.947
- Septiana, A. R. … Seran, D. A. N. (2023). Kebijakan Publik: Teori, Formulasi Dan Aplikasi. In E-Book (researchgate.net) (Issue Maret).
- Setyarini, I. R. E. S. R. S. N. R. A. I. (2020). Penanganan Balita Stunting Pada Keluarga Di Wilayah Kerja Puskesmas Sukorame Kota Kediri. Jurnal Informasi Kesehatan Indonesia, 6(1), 26–38. https://ojs.poltekkes-malang.ac.id
- Setyawati, V. A. V., & Ramadha, F. (2020). Pengaruh kampung KB pada intervensi gizi sensitif stunting di Desa Janegara. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 9(1), 42–47. https://doi.org/10.14710/jgi.9.1.42-47
- Sugawara, E., & Nikaido, H. (2014). Properties of AdeABC and AdeIJK Efflux Systems of Acinetobacter baumannii Compared with Those of the AcrAB-TolC System of Escherichia coli. Antimicrobial Agents and Chemotherapy, 58(12), 7250–7257. https://doi.org/10.1128/AAC.03728-14
- Tahangnacca, M. … Syam, A. (2020). Model of stunting determinants: A systematic review. Enfermería Clínica, 30, 241–245. https://doi.org/10.1016/j.enfcli.2019.10.076
- Tsaralatifah, R. (2020). Faktor yang Berhubungan dengan Kejadian Stunting pada Baduta di Kelurahan Ampel Kota Surabaya. Amerta Nutrition, 4(2), 171. https://doi.org/10.20473/amnt.v4i2.2020.171-177
- World Health Organization. (2018). REDUCING STUNTING IN CHILDREN Equity considerations for achieving the Global Nutrition Targets 2025. https://www.who.int/publications/i/item/9789241513647
- Wulandari, U. R., & Kumalasari, D. (2022). Faktor Risiko Kejadian Stunting Pada Anak Balita Usia 3- 5 Tahun. Jurnal Kebidanan, 12(2), 114–120. https://doi.org/10.35874/jib.v12i2.1078