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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
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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
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