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national strategy to accelerate stunting reduction 2018 2024 vice president republic of indonesia introduction future generations must be healthy clear headed creative and productive when children are born healthy grow ...

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                                  NATIONAL STRATEGY  
                                        TO ACCELERATE  
                                STUNTING REDUCTION  
                                               2018-2024 
                                                                  
                                                             
                                                             
          
        
                                
                         VICE PRESIDENT  
                       REPUBLIC OF INDONESIA  
                              
                         Introduction 
        
       Future generations must be healthy, clear-headed, creative and productive. When children are born 
       healthy, grow well and are supported by a good education, they will uphold the success of our national 
       development. However, when children are born and grow up in conditions of chronic malnutrition they 
       will experience stunting to the detriment of all.  
       Stunting is the result of poor growth in children under five years of age and is evident in low weight and 
       height. The cause is chronic malnutrition beginning in the womb and continuing through the first two 
       years of life. The first 1,000 days of life, in fact, is the critical period and effects a child’s physical growth, 
       aptitude and productivity throughout their lives.  
       Our  efforts  to  reduce  stunting  must  be  coordinated  across  many  different  sectors  and  involve 
       stakeholders from the Government, regional governments, the private sector, the public, and others. The 
       President and Vice President are committed to directly leading efforts to reduce the prevalence of 
       stunting across Indonesia.  
       This  “National  Strategy  to  Accelerate  Stunting  Reduction”  was  produced  as  a  guide  to  promote 
       institutional  cooperation and ensure the convergence of all programs and activities associated with 
       stunting reduction. Particular attention is placed on increasing the coverage and quality of nutrition-
       specific and nutrition-sensitive interventions for pregnant women, breastfeeding women and children 
       aged 0-23 months, which are gathered together under the title ‘the first 1,000 days of life households’.  
       I hope this book will be used as a common reference and draw together resources to support our efforts 
       to accelerate the reduction of stunting prevalence in Indonesia.  
        
                                 Jakarta, November 2018 
                           VICE PRESIDENT OF THE REPUBLIC OF INDONESIA 
                                       
                                       
                                  M. JUSUF KALLA 
        
                     
                     
                    Contents 
                    Introduction ....................................................................................................................................................   
                    Glossary ....................................................................................................................................................... iv 
                    1.    Introduction .......................................................................................................................................... 1 
                       1.1.      Stunting Definition and Context in Indonesia ............................................................................ 1 
                       1.2.      Legal Framework, Policies and Implementation Constraints .................................................... 1 
                       1.3.      The National Commitment to Reduce Stunting ......................................................................... 4 
                       1.4.      Framework of Determinants and Approaches .......................................................................... 5 
                    2.    Objectives and Priorities ...................................................................................................................... 7 
                       2.1.      Objectives .................................................................................................................................... 7 
                       2.2.      Targets ......................................................................................................................................... 7 
                       2.3.      Nutrition-Specific Interventions ................................................................................................. 8 
                       2.4.      Nutrition-Sensitive Interventions ............................................................................................... 9 
                       2.5.      District / Municipal Priorities ................................................................................................... 10 
                    3     The National Strategy to Accelerate Stunting Reduction (Stranas Stunting) ................................... 12 
                    3.1  Pillar 1: Leadership Commitment and Vision .................................................................................... 12 
                       3.1.1     Objective ................................................................................................................................... 12 
                       3.1.2     Performance Strategies ............................................................................................................ 13 
                       3.1.3     Implementation Instruments ................................................................................................... 13 
                    3.2  Pillar 2: National Campaign and Behavior-Change Communication ................................................ 15 
                       3.2.1     Objective ................................................................................................................................... 15 
                       3.2.2     Performance Strategies ............................................................................................................ 15 
                       3.2.3     Implementation Instruments ................................................................................................... 15 
                    3.3  Pilar 3: National, Regional and Village Program Convergence ......................................................... 18 
                       3.3.1     Objective ................................................................................................................................... 18 
                       3.3.2     Performance Strategies ............................................................................................................ 18 
                       3.3.3     Implementation Instruments ................................................................................................... 20 
                    3.4  Pilar 4: Food and Nutrition Security .................................................................................................. 22 
                       3.4.1     Objective ................................................................................................................................... 22 
                       3.4.2     Implementation Strategies ....................................................................................................... 22 
                       3.4.3     Implementation Instruments ................................................................................................... 23 
                    3.5  Pilar 5: Monitoring and Evaluation .................................................................................................... 24 
                                                                                  i 
                     
                   
                    3.5.1    Objective ................................................................................................................................... 24 
                    3.5.2    Results Frameworks .................................................................................................................. 25 
                    3.5.3    Achievements and Performance Indicators ............................................................................. 26 
                    3.5.4    National Reports on Accelerating Stunting Reduction ............................................................ 27 
                    3.5.5    Performance Strategies ............................................................................................................ 28 
                    3.5.6    Implementation Instruments ................................................................................................... 29 
                  4    Coordination and Roles of Various Parties ........................................................................................ 32 
                    4.1      Coordination Implementation .................................................................................................. 32 
                    4.2      Roles of Other Parties ............................................................................................................... 35 
                  5    Funding Frameworks .......................................................................................................................... 37 
                    5.1      Funding Sources ........................................................................................................................ 37 
                    5.2      Funding Challenges ................................................................................................................... 38 
                    5.3      Performance Strategies ............................................................................................................ 39 
                    5.4      Funding Mechanisms for Convergence Actions / Integration Actions .................................... 40 
                   
                   
                   
                                                     
                                                                         ii 
                   
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...National strategy to accelerate stunting reduction vice president republic of indonesia introduction future generations must be healthy clear headed creative and productive when children are born grow well supported by a good education they will uphold the success our development however up in conditions chronic malnutrition experience detriment all is result poor growth under five years age evident low weight height cause beginning womb continuing through first two life days fact critical period effects child s physical aptitude productivity throughout their lives efforts reduce coordinated across many different sectors involve stakeholders from government regional governments private sector public others committed directly leading prevalence this was produced as guide promote institutional cooperation ensure convergence programs activities associated with particular attention placed on increasing coverage quality nutrition specific sensitive interventions for pregnant women breastfee...

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