Executive Report 2022

EXECUTIVE REPORT
ACCELERATING THE REDUCTION

OF STUNTING YEAR 2022
TEAM FOR THE ACCELERATION OF STUNTING REDUCTION

NATIONAL POPULATION AND FAMILY PLANNING BOARD
2023
Team for the Acceleration of Stunting Reduction

01
National Population and Family Planning Board - 2023
@BKKBNoffi cial w w w .bkkb n.g o,i d
EXECUTIVE REPORT

2023

National Population and Family Planning Board - 2023 i
Editorial Board
Advisor:
Dr. (H.C.) dr. Hasto Wardoyo, Sp.OG (K)
Editor in Chief:
Tavip Agus Rayanto
Vice Editors in Chief:

Ir. Siti Fathonah, MPH
dr. Irma Ardiana, MAPS
Writers:
Dr. dr. Lucy Widasari, M.Si
Rico Kurniawan, SKM, MKM
Contributors:
1. Lina Wydiastuti, SKM, MAPS
2. Alifah Nuranti, S.Psi, MPH
3. Cikik Sikmiyati, S.IP, MM
4. Farida Ekasari, S.IP, MKM
5. Lisna Prihantini, S.Psi, M.Si
6. Dr. Maria Gayatri, S.Si, MAPS
7. Mohamad Iqbal Apriansyah, SH, MPH
8. Rohidin Sudarno,SE.,MM
9. Febriansyah Soebagio, S.IP, MCPD
10. Meuthia Alifia Kadi, S.I.A
11. Radithya Citra Wicaksono, SE
12. Rahmah Dwiyantari, S.Tr.Gz
13. Meindy Diaini, S.Si
Translator:
Vanda Moniaga
Graphic Designer:
Subhan Subiyakto
Published by:
Secretariat of
Central Implementing Team for the Acceleration of Stunting Reduction BKKBN
2023
@BKKBNofficial www.bkkbn.go,id
ii Executive Report Accelerating the Reduction of Stunting Year 2022

Table of Contents
List of Tables v
List of Figures vi
List of Attachments vii
Acronyms and Abbreviations viii
Foreword x
Opening xi
Key Statement from Deputy Team Leaders for the Acceleration of Stunting Reduction xii
Executive Summary 1
1. Introduction 13
2. Progress toward Intermediate Target 17

2.1. Nutrition-Specific Interventions 18
2.2. Nutrition-Sensitive Interventions 20
3. Progress toward National Strategy Target 23

3.1. Pillar 1. Commitment and Vision of the Leadership in Ministries/Agencies,
and in Provincial, District/City and Village Governments 24
3.1.1. Increased Commitment toward Accelerating Stunting Reduction 24
3.1.2. Capacity Strengthening of Village Government (3 outputs) 26
3.2. Pillar 2. Behavior Change Communication and Community Empowerment 26
3.2.1. On Going Behavior Change Communication and Campaign 27
3.2.2. Institutional Capacity Strengthening on Behavior Change Communication 28
3.2.3. Enhanced Role of Faith-Based Organizations 29
3.3. Pillar 3. Convergence of Nutrition-Specific and Nutrition-Sensitive
Interventions at National, Provincial, District/City and Village Levels 31
3.3.1. Convergence in planning and budgeting 31
3.3.2. Convergence in Interventions on Family Life Preparation 32
3.4. Pillar 4. Food and Nutrition Security at the Individual, Family, and Society Level 32

National Population and Family Planning Board - 2023 iii
Table of Contents
3.4.1. Fulfillment of Food and Nutrition Needs of Individuals, Families,

and the Public, Including the Needs During Disasters 32
3.4.2. Improvement in Food Fortification Quality 33
3.5. Pillar 5. System, Data, Information, Research, and Innovation 33
3.5.1. Strengthening an Integrated Monitoring and Evaluation System 33
3.5.2. Development of an Integrated Data and Information System 34
3.5.3. Strengthening Research, Innovation, and Development 34
3.5.4. Development of a Knowledge Management System 34
4. Implementation of RAN PASTI 35

4.1. Provision of Data on Families at-risk of Stunting 36
4.2. Family Support 40
4.3. Audit of Stunting Cases 40
5. Partnerhip in Accelerated Stunting Reduction 43

5.1. Foster Father of Stunted Children (BAAS) 44
5.2. Guidance for Family of Golden Under-five Children (BKB Emas) and Excellent
Integrative Holistic Guidance for Family of Under-five Children (BKB HIU) 45
5.3. Smart Poster of Stunting (POSTER PINTAR) 45
5.4. Road Show with the Indonesian Army 45
5.5. Home Renovation and Nutrition-Specific Intervention
for Families at-risk of Stunting in North Sumatra 46
6. Budget for Accelerating Stunting Reduction in 2022 47

6.1. Special Allocation Fund (DAK) for Accelerating Stunting Reduction 49
6.2. Local Budget (APBD) Funds for Accelerating Stunting Reduction 53
6.3. Village Fund for Accelerating Stunting Reduction 53
7. Closing 55
7.1. Conclusion 56
7.2. Challenges 59
7.3. Recommendations 59
References 61
Attachment 63
iv Executive Report Accelerating the Reduction of Stunting Year 2022

List of Tables
Table 1. Number of Families at-risk of Stunting 39
Table 2. Achievement of 4 Indicators of Audit Stunting Case in 2022 42
Table 3. Budget Allocation for Accelerating Stunting Reduction

in FY 2022 (thousand IDR) 49
Table 4. List of Sectors and Line Items that are Funded by DAK Fisik
in FY 2022 in Support of the Accelerated Stunting Reduction Program 50
Table 5. DAK Non Fisik for Accelerating Stunting Reduction in FY 2022 51

National Population and Family Planning Board - 2023 v
List of Figures
Figure 1. Data Availability and Achievement

of Intemediate Targets that are Listed in Perpres 72/2021 2
Figure 2. Data Availability and Achievement of Pillar 1 Target Indicators 4
Figure 7. Stunting Case Trend and 2024 Target 14
Figure 8. Achievement Trend and Targets of Nutrition-Specific Intervention 20
Figure 9. Achievement Trend and Targets of Nutrition-Sensitive Intervention 22
Figure 10. National Stunting Forum 2022 25
Figure 11. Interpersonal Communication Target and Achievement 28
Figure 12. National Halaqoh 30
Figure 13. Conceptual Framework of Families at-risk of Stunting 37
Figure 14. Implementation and Achievement of Audit Stunting Case in 2022 41
Figure 15. Achievements of Audit Stunting Case Indicators 42
Figure 16. Foster Father of Stunted Children (BAAS) Program 44
Figure 17. Partnership of BKKBN with the Indonesian Army 46
Figure 18. Partnership between BKKBN, PT. Pertamina (Persero)

and the Indonesian Army 46
Figure 19. Budget Allocation Trend in Support of Stunting Reduction 48
Figure 20. Allocation from District/City APBD in FY 2019-2023

to Accelerate Stunting Reduction 53
vi Executive Report Accelerating the Reduction of Stunting Year 2022

List of Attachments
Attachment 1. Achievement and Target of Nutrition-Specific Interventions 63

Attachment 2. Achievement and Target of Nutrition-Sensitive Interventions 64
Attachment 3. Achievement and Target of Increasing the Commitment and Vision
of Leadership in Ministries/Agencies, Provincial, District/City,
and Village Governments 65
Attachment 4. Achievement and Target of Improving Behavior
Change Communication and Community Empowerment 66
Attachment 5. Achievement and Target of Improving the Convergence
of Nutrition-Specific and Nutrition-Sensitive Interventions in Ministries/
Agencies, Provincial, District/City, and Village Governments 68
Attachment 6. Achievement and Target of Increasing Food and Nutrition Security
at the Individual, Family and Society level 71
Attachment 7. Achievement and Target in Strengthening
and Development of System, Data, Information, Research,
and Innovation 72

National Population and Family Planning Board - 2023 vii
Acronyms and Abbreviations
APBN : Anggaran Pendapatan Belanja Negara (State Budget)

APBD : Anggaran Pendapatan Belanja Daerah (Local Budget)
APBDes : Anggaran Pendapatan Belanja Desa (Village Budget)
ASI : Air Susu Ibu (Breast Milk)
AKS : Audit Kasus Stunting (Stunting Case Audit)
Baduta : Bawah Dua Tahun (Under two years)
Balita : Bawah Lima Tahun (Under five years)
BAU : Business as Usual
Bansos Rastra : Bantuan Sosial Beras Sejahtera (Social Assistance Rice for Welfare)
BBLR : Berat Badan Lahir Rendah (Low Birth Weight)
Bimtek : Bimbingan Teknis (Technical Assistance/Support)
BKB : Bina Keluarga Balita (Family Support with Under-five Child)
BKKBN : National Population and Family Planning Board
BKR : Bina Keluarga Remaja (Youth Family Development)
BPNT : Bantuan Pangan Non Tunai (Non-cash Food Assistance)
BPS : Badan Pusat Statistik (Central Statistics Agency)
BPOM : Badan Pengawasan Obat dan Makanan (National Agency
of Drug and Food Control)
DASHAT : Dapur Sehat Atasi Stunting (Healthy Kitchen to Overcome Stunting)
e-PPGBM : Elektronik-Pencatatan dan Pelaporan Gizi Berbasis Masyarakat
(electronic Community-based Nutrition Recording and Reporting
HPK : Hari Pertama Kehidupan (First Days of Life)
KAP : Komunikasi Antar Pribadi (Interpersonal Communication – IPC)
K/L : Kementerian Lembaga (Ministry/Agency)
KRS : Keluarga Berisiko Stunting (Family at-risk of Stunting)
KEK : Kurang Energi Kronik (Chronic Energy Deficiency)
Kemendagri : Kementerian Dalam Negeri (Ministry of Home Affairs)
KemenPPN/Bappenas : Kementerian Perencanaan Pembangunan Nasional/
Badan Perencanaan Pembangunan Nasional (Ministry of National
Development Planning/ National Development Planning Agency)
Kemenkeu : Kementerian Keuangan (Ministry of Finance)
Kemenko PMK : Kementerian Koordinator Bidang Pembangunan Manusia
dan Kebudayaan (Coordinating Ministry for Human Development
and Cultural Affairs)
Kemenkes : Kementerian Kesehatan (Ministry of Health)
Kemenag : Kementerian Agama (Ministry of Religious Affairs)
Kemensos : Kementerian Sosial (Ministry of Social Affairs)
KMS : Kartu Menuju Sehat (Road-to-Health Card)
KPM (Kemensos) : Keluarga Penerima Manfaat (Family Beneficiary)
KPM (Kemendesa-PDTT) : Kader Pembangunan Manusia (Human Development Cadre)
KPP : Komunikasi Perubahan Perilaku (Behavior Change Communication)
NGO/ LSM : Non-Governmental Organization
viii Executive Report Accelerating the Reduction of Stunting Year 2022

OPD : Organisasi Perangkat Daerah (Regional Implementing
Organization)
PAUD : Pendidikan Anak Usia Dini (Early Childhood Education)
PDB/ GDP : Produk Domestik Bruto (Gross Domestic Product)
Perpres : Peraturan Presiden (Presidential Decree)
Perban : Peraturan Badan (Regulation of the Agency)
PKH : Program Keluarga Harapan (Hope Family Program)
PMBA : Pemberian Makanan Bayi dan Anak Balita (Infant and Young
Child Feeding)
PMT : Pemberian Makanan Tambahan (Supplementary Feeding)
PIK-R : Pusat Informasi dan Konseling (PIK) Remaja
(Adolescent Information and Counseling Center)
Promkes : Promosi Kesehatan (Health Promotion)
Rakortek : Rapat Koordinasi Teknis (Technical Coordination Meeting)
RAN PASTI : Rencana Aksi Nasional Percepatan Penurunan Angka Stunting
Indonesia (National Action Plan for the Acceleration
of Stunting Reduction Indonesia)
Riskesdas : Riset Kesehatan Dasar (Basic Health Research)
RKA K/L : Rencana Kerja dan Anggaran Kementerian/ Lembaga (Work and
Budget Plan of Ministry/Agency)
RK K/L : Rencana Kerja Kementerian/ Lembaga (Work Plan
of Ministry/Agency)
SDM : Sumber Daya Manusia (Human Resources)
SSGBI : Studi Status Gizi Balita Indonesia (Study on the Nutritional Status
of Under-five Children Indonesia)
SSGI : Survei Status Gizi Indonesia (Indonesia Nutritional Status Survey)
STBM : Sanitasi Total Berbasis Masyarakat (Community-led Total Sanitation)
Stranas Stunting : Strategi Nasional Percepatan Pencegahan Stunting
(National Strategy to Accelerate Stunting Reduction)
StraKom : Strategi Komunikasi (Communication Strategy)
Susenas : Survei Sosial Ekonomi Nasional (National Socio-Economic Survey)
TA : Tahun Anggaran (Fiscal Year)
TPPS : Tim Percepatan Penurunan Stunting (Team for the Acceleration
of Stunting Reduction)
TPK : Tim Pendamping Keluarga (Family Support Team)
TP2S Setwapres : Tim Percepatan Pencegahan Anak Stunting Sekretariat Wakil
Presiden RI (Team for the Acceleration of Stunting Reduction
Vice Presidential Secretariat)
TP PKK : Tim Penggerak Pemberdayaan dan Kesejahteraan Keluarga
(Family Empowerment and Welfare Mobilizing Team)
TTD : Tablet Tambah Darah (Iron Folic Acid-IFA) tablet
WHO : World Health Organization

National Population and Family Planning Board - 2023 ix
Foreword
Thanks be to the Almighty God, we have finalized this 2022 Report on

Accelerating the Reduction of Stunting (PPS). It is hoped that this report
provides encouragement and affirmation, as well as recognizes the great
contributions that all parties at the national and sub-national level have
made to accelerate the reduction of stunting in Indonesia.
Accelerating the reduction of stunting is a difficult endeavor without

convergent, collaborative, and integrated actions through a pentahelix
approach that combines support from central and regional governments
with active engagement of members of academics, businesses, media, and
the community. Recognizing the critical role of pentahelix collaboration,
BKKBN as the lead in the Implementing Team for the Acceleration of
Stunting Reduction, since early on has been garnering the potential of
various parties, from professional associations, faith-based organizations,
academics, both university instructors and students, to the private sector,
media, government ministries and agencies, also local governments. The
goal is to ensure there is convergence in the planning and implemen
tation of nutrition-sensitive and nutrition-specific interventions, as
well as periodic routine joint monitoring and evaluation.
This report provides an overview on how activities to accelerate the

reduction of stunting were implemented in 2022. It describes the
things that have been done well, things that need improvement,
also barriers and challenges that can inform and refine future
implementation of stunting reduction acceleration activities.
At this valuable opportunity, allow us to thank all the parties

who have contributed thoughts and ideas to this 2022
Accelerated Stunting Reduction report. We hope
this report will bring benefits to our great effort of
reducing the rate of stunting in Indonesia.
Jakarta, March 2023

Principle Secretary,
as Head of the Secretariat of
Central Implementing Team for the Acceleration
of Stunting Reduction
Tavip Agus Rayanto
x Executive Report Accelerating the Reduction of Stunting Year 2022

Opening
Praise and thanksgiving are lifted up to the Almighty God for His
grace and guidance such that this 2022 report on Accelerating the
Reduction of Stunting (PPS) is now finalized. This report provides an
overview of Acceleration of Stunting Reduction implementation by
Ministries/Agencies and Local Governments throughout 2022, and
describes the achievement of various stunting reduction targets
as outlined in the national strategic plan on stunting reduction in
Indonesia.
The Government of Indonesia is fully committed to preventing

and overcoming stunting in order to prepare high-quality human
resources as part of the strategy to utilize the demographic bonus
by year 2030. As documented in Indonesia Nutritional Status Survey
(SSGI), the prevalence of stunting in Indonesia has decreased from
24.4% in 2021 to 21.6% in 2022. This means that further reduction
of 7.6% is needed in the next two years in order to achieve the
target of 14% stunting prevalence by 2024. Looking at the
limited time that remains, it is crucial that all elements of the
nation through a pentahelix cooperation, carry out massive
convergence efforts, and focus their interventions on at-risk
families and under-five children.
We extend our gratitude and highest appreciation to all the

parties whose support and contribution have enabled the
preparation of this report. May all the efforts be beneficial
to accelerate the reduction of stunting and produce future
generations of healthy, smart, and highly-qualified
Indonesians.
Jakarta, March 2023

Head of BKKBN
as Leader of the Central Implementing Team
for the Acceleration of Stunting Reduction
Dr. (H.C.) dr. Hasto Wardoyo, Sp.OG (K)

National Population and Family Planning Board - 2023 xi
Key Statement
from Deputy Team Leaders
for the Acceleration of Stunting Reduction
Successfully reducing stunting prevalence by 2.8% from 24.4% in 2021 to

21.6% in 2022 is a commendable achievement. It is a success that is shared
by all parties, from Ministries and Agencies at the central level to Provincial,
District/City, and Village Governments, who turn their strong vision and
commitment into various concrete actions that accelerate the reduction
of stunting.
Going forward, a stronger leadership vision and commitment toward real

actions is necessary to reduce stunting prevalence by 7.6% in the next 2
years. Planning and budgeting need to be improved and better measured,
matching interventions and activities with funding availability so the
target set in the Presidential Decree number 72/2021 will be achieved.
Non-government institutions (businesses, universities, professional
associations, civil society, development partners, media, religious
educators and teachers, also women organization) also need to play
a stronger role in accelerating stunting reduction.
Dr. Ir. Suprayoga Hadi, M.S.P
Deputy for Policy Support on Human Development

and Equitable Development,
Secretariat of the Vice President
as
Deputy Team Leader for Advocacy
and Leadership Commitment
Central Team for the Acceleration of Stunting
Reduction
xii Executive Report Accelerating the Reduction of Stunting Year 2022

Indonesia’s Nutritional Status Survey (SSGI) reports that the prevalence of
stunting among under-five children has decreased by 2.8 percent, from 24.4
to 21.6 percent in 2022. Several provinces such as South Kalimantan, North
Sumatra, and Banten show quite a significant decrease mostly due to the
active contribution of various ministries/agencies in carrying out nutrition-
specific and nutrition-sensitive interventions, from supplementary feeding,
iron-folic acid supplementation, complete basic immunization to conditional
cash assistance, sanitation, and drinking water supply. Regional governments
also play a critical role in ensuring convergent implementation of the different
interventions in the field, while non-government parties actively take part in
collaborative efforts to reduce stunting, providing support through research,
advocacy, mentorship, and other technical assistance. Nevertheless, stunting
reduction efforts still have to overcome many challenges.
Hard, intensive work is needed to achieve the National Medium-

term Development Plan (RPJMN) target of 14 percent. Each
year, stunting prevalence needs to decrease by around 3.8
percent in order to achieve the target in 2024. Improved and
accelerated resource mobilization at the central and regional
level is essential, so that key interventions can be budgeted,
implemented, and utilized with strict adherence to the standard.
Integrated monitoring and evaluation need to be strengthened
along with good data management so that each indicator
that is listed in the Presidential Decree number 72/2021
on accelerated stunting reduction can be achieved
more quickly.
Drs. Amich Alhumami, MA, M.Ed, Ph.D
Deputy for Human Development, Society and

Culture, Ministry of National Development
Planning/Bappenas
as
Deputy Team Leader for Planning,
Monitoring and Evaluation,
Reduction

National Population and Family Planning Board - 2023 xiii
The Ministry of Home Affairs that is part of the Central
Team for the Acceleration of Stunting Reduction supports
the stunting policy and target and is fully committed
to accelerate the reduction of the national stunting
prevalence to 14% by 2024 in accordance with the 2020-
2024 RPJMN target.
Interventions are conducted by mentoring and

strengthening of the capacity at the regional level, also
by building synergy with all relevant parties to support
accelerated reduction of stunting. Interventions include:
1) Establishment of Stunting Reduction Acceleration
Team (TPPS) in 34 provinces and 514 districts/cities across
Indonesia, 2) Implementation of 8 Convergence Actions
to Accelerate Stunting Reduction at the regional level, 3)
Development of a Technical Guideline for Evaluating the
Implementation of 8 Convergence Actions on Stunting
Reduction. This guideline is to be used by Provincial
Governments to evaluate the performance of districts/
cities in implementing the 8 convergence actions, and
4) aksi.bangda.kemendagri.go.id website for local
governments to submit reports and map priority
stunting reduction programs/activities that are
funded by the local budget (APBD).
Dr. Teguh Setyabudi, M.Pd
Director General of Regional Development,

Ministry of Home Affairs
as
Deputy Team Leader for Coordination and
Supervision of Local Government
xiv Executive Report Accelerating the Reduction of Stunting Year 2022

Management of stunting interventions is a multi-sectoral
effort that requires each ministry/agency to engage
in strong coordination, synchronization, control and
stewardship of nutrition-specific and nutrition-sensitive
interventions, as mandated by the Presidential Decree
(Perpres) number 72/2021. Oversight is also important to
ensure that field activities implemented by each sector
are on target, and are able to reach and provide the
intended population with benefits. Oversight ensures
that intermediate targets listed in the attachment to
Perpres 72/2021 are met so that the national medium-
term development plan (RPJMN) target of 14% stunting
prevalence by 2024 is achieved, in accordance with the
President’s directive.
Ir. Yohanes Baptista Satya Sananugraha, M.Eng
Deputy III for Coordination of Health Quality

Improvement and Population Development,
Coordinating Ministry for Human Development
and Cultural Affairs
as
Deputy Team Leader for Coordination,
Synchronization, Control, and Stewardship
of Implementation, Central Team for the
Acceleration of Stunting Reduction

National Population and Family Planning Board - 2023 xv
The prevalence of stunting in Indonesia has continued to show a significant
decline. As recorded by the Indonesia Nutritional Status Survey (SSGI), the
stunting prevalence among under-five children in 2022 is 21.6%, a further
decrease from 24.4% in 2021. This is the fruit of the hard work that provinces
and districts/cities across the country have done to contribute to the
national prevalence. Routine data also show that almost all of the nutrition-
specific interventions have achieved their target. Congratulations to all the
provinces and districts for successfully reducing the stunting prevalence in
their region, and a big applause for the hard work that have been done.
While a decrease in prevalence is observed, accelerated efforts are

necessary to achieve the target prevalence of 14% by 2024. A closer look at
the stunting incidence shows that a lot of new cases occur before the age
of 2, among newborns (18.5%) and children aged 12-23 months (22.4%). This
a period whose outcome depends on many factors including the quality of
pregnancy, exclusive breastfeeding, supplementary feeding (MP-ASI),
complete immunization, access to sanitation and clean water as
well as early detection of nutritional problems and interventions
to address the problem through monthly growth monitoring
in posyandu (integrated health service post) services. The
Government continues to improve the maternal and child health
care program by ensuring the availability of ultrasound scan,
and anthropometric measurement, as well as by strengthening
posyandu services. Going forward, all parties need to join
hands and move together to ensure that all interventions
can reach the target populations.
dr. Maria Endang Sumiwi, MPH
Director General of Public Health, Ministry of Health

as
Deputy Team Leader for Nutrition
-Specific Interventions
Reduction
xvi Executive Report Accelerating the Reduction of Stunting Year 2022

Executive Summary
EXECUTIVE REPORT
@ B K K B N o f f ic ia l w w w . b k k bn.g o , id 1
The prevalence of stunting in Indonesia has shown a decreasing trend since 2013. The Indonesia
Nutritional Status Survey (SSGI) reported the 2022 prevalence to be 21.6%, 2.8 points lower than
the previous year (24.4% in 2021). Much work however remains to be done to lower the rate
further to the targeted prevalence of maximum 14% by 2024, which translates to a decrease in
prevalence of at least 3.8% every year.
Progress toward Intermediate Target
Attachment A of Presidential Decree (Perpres) number 72/2021 on Accelerating the Reduction

of Stunting lists the intermediate targets that must be achieved and divides the targets
into 2 (two) main categories: 1) availability of nutrition-specific interventions with 9 (nine)
indicators and 2) availability of nutrition-sensitive interventions with 11 (eleven) indicators.
Figure 1. Data Availability and Achievement of Intermediate Targets Listed

in Perpres 72/2021
NUTRITION-SPECIFIC INTERVENTIONS
7
Data Available
9 (100%) Target Not Achieved
Target Achieved
1 Data Not Available

1 Achievement not yet determined
NUTRITION-SENSITIVE INTERVENTIONS
6
Data Available
11 (100%) Target Not Achieved
5 Target Achieved
Data Not Available
2 Executive Report Accelerating the Reduction of Stunting Year 2022

Achievement of Nutrition-Specific Interventions
As illustrated in Figure 1, all nine indicators of nutrition-specific interventions that are listed in
Attachment A, Presidential Decree (Perpres) 7/2021 are reported here. In terms of achievement,
targets are achieved for 7 (seven) indicators, but not for 1 (one) indicator, while the remaining
one indicator has undetermined achievement.
The seven indicators where the targets are achieved are:

(1) Percentage of pregnant women with chronic energy deficiency (CED) who receive
nutritional supplements (achievement: 89.1% ; 2022 target: 85%),
(2) Percentage of pregnant women who consume at least 90 Iron-Folic Acid (IFA) tablets
during pregnancy (achievement: 87.1% ; 2022 target: 60%),
(3) Percentage of adolescent girls who consume Iron-Folic Acid (IFA) tablets (achievement:
46.4% ; 2022 target: 45%),
(4) Percentage of children under five years of age with severe malnutrition who receive
intervention as part of standard management of malnutrition (achievement: 90% ; 2022
target: 83%),
(5) Percentage of children under five years of age whose growth and development are
monitored (achievement: 78.3% ; 2022 target: 75%),
(6) Percentage of malnourished children under five years of age who receive nutritional
supplements (achievement: 84.5% ; 2022 target: 80%),
(7) Percentage of children under five years of age with complete basic immunization
(achievement: 97% ; 2022 target: 90%).
Achievement cannot be determined for one indicator which is the percentage of infants
aged 6-23 months who receive complementary food (MP-ASI). The target for 2022 was 60%
while data shows that 4,974,380 infants between 6-23 months received complementary food.
The remaining one indicator where the target is not achieved is the percentage of infants
under 6 months who are exclusively breastfed (achievement is 66.4% while the 2022 target
is 70%). Various studies have shown that exclusive breastfeeding up to the age of 6 months
strongly contributes to preventing stunting so the timing of introduction of complementary
food in addition to breast milk is of critical importance since inappropriate timing may be
disadvantagous to a child’s nutritional status.
Achievement of Nutrition-Sensitive Interventions
Figure 1 shows that all the outputs of nutrition-sensitive interventions listed in Attachment B
of Perpres 72/2021 are reported in this report. Out of the 11 indicators, the 2022 target has been
achieved for 6 (six) indicators but not for 5 (five) indicators.
The six indicators where the targets are achieved are:

(1) Percentage of postpartum family planning (PPFP) service that is provided (achievement:
52.6% ; 2022 target: 50%),
(2) Percentage of unintended pregnancies (achievement: 11% ; 2022 target: 16.5%),
(3) Percentage of future reproductive-age couples who receive a health check-up as part of
premarital services (achievement: 75.5% ; 2022 target: 70%),

National Population and Family Planning Board - 2023 3
(4) Percentage of families at-risk of stunting who receive support (achievement: 42.7% ; 2022
target: 30%),
(5) Number of poor and vulnerable families who receive conditional cash assistance (million
poor families) (achievement: 10 million ; 2022 target: 10 million),
(6) Percentage of target population in priority sites with good comprehension about stunting
The five indicators where the targets are not achieved are:
(1) Percentage of households in priority districts/cities with access to improved drinking water
(achievement: 93% ; 2022 target: 95.9%),
(2) Percentage of households in priority districts/cities with access to adequate sanitation
(domestic liquid waste) (achievement: 79.06% ; 2022 target: 82%),
(3) Percentage of villages/kelurahan with open-defecation-free (ODF) status (achievement:
57% ; 2022 target: 60%),
(4) Coverage of social assistance program among the bottom 40% of the population (million
population) (achievement: 96.7 million ; 2022 target: 96.8 million), and
(5) Number of poor and vulnerable families who receive non-cash food assistance (million
family beneficiaries) (achievement: 18.66 million ; 2022 target: 18.8 million).
Progress toward the National Strategy Target
Overall, Indonesia is on track to achieve the stunting national strategy targets, even though
some targets within the 5 pillars of the national strategy have not been achieved optimally in
2022.
Figure 2. Data Availability and Achievement of Pillar 1 Targets
pillar 1
3
4
Data Available
Data Not Available

8 4
Target Achieved
Target Not Achieved
Pillar 1. As seen in Figure 2, among the 11 (eleven) indicators of Pillar 1 targets, 3 (three) of them
do not yet have data. Out of the 8 (eight) indicators (84%) that have data, targets are achieved
for 4 (four) indicators (50%) but not for the remaining 4 (four) indicators (50%).

The four indicators where targets are achieved are:
(1) One annual coordination meeting that is attended by senior government leaders at the
central, provincial, and district/city level in 2022,
(2) Availability of midwives in villages/kelurahan as needed (achievement: 92.6% ; 2022 target:
80%),
(3) Percentage of provinces where stunting reduction acceleration receive increased allocation
from the local budget (APBD) (achievement: 100% ; 2022 target: 100%), and
(4) Number of Family Hope Program (PKH) mentors who receive training on health and
nutrition (achievement: 127.6% (7,659 people) of the targeted 6,000 people for 2022).
The four indicators that require attention to ensure achievement of the national target are:
(1) Coordination meeting at the district/city level (achievement: 493 of 514 districts/cities),
(2) Stunting consultation forum (rembuk) at the sub-district level (achievement: 75.3% sub-
districts ; 2022 target: 100%),
(3) Bupati/mayor policy/ regulation about the authority of villages/kelurahan in carrying out
stunting reduction interventions (achievement: 430 of 540 districts/cities), and
(4) Percentage of districts/cities where stunting reduction acceleration efforts receive
increased allocation from the local budget (APBD) (achievement: 78% ; 2022 target: 100%).
The three indicators that do not have data are

(1) Number of villages/kelurahan that are free of stunting,
(2) Number of village officials who receive support to build their capacity to manage stunting
reduction activities,
(3) Percentage of villages/kelurahan whose human development cadres receive guidance
from the district/city government.
pillar 2
4
4
Data Available
1 Data Not Available
9 Target Achieved
3 Target Not Achieved
Not Target
Pillar 2. Based on the illustration in Figure 3, Pillar 2 has 13 (thirteen) indicators, and data are not
available for 4 (four) of them. Of the 9 (nine) indicators that have data, targets are achieved
for 4 (four) indicators (44.4%), but not for the other 4 (four) indicators (44.4%). Attention is
therefore necessary to ensure achievement of the national targets. The last 1 (one) indicator
does not yet have a 2022 target, so target achievement cannot be determined.

The four indicators where targets are achieved are:
(1) Percentage of children below five years of age who completed their basic immunization
(achievement: 97.5% ; 2022 target: 90%),
(2) Percentage of villages/kelurahan that hold parenting classes for families with under-five
children (BKB) to guide them about child care practices during the first 1,000 days of life
(3) Percentage of Adolescent Information and Counseling Centers (PIK-R) and Adolescent
Family Development (BKR) programs that provide youth with education on reproductive
health and nutrition (achievement: 99.7% ; 2022 target: 70%), and
(4) Number of districts/cities that have a minimum of 20 basic-level trainers and provide
education and training about child care, stimulation and management of stunting to
teachers of early childhood education (PAUD) (achievement: 122 districts/cities (122%) ;
2022 target: 100 districts/cities).
The four indicators that require attention to ensure achievement of the national target are:
(1) National campaign on stunting prevention (achievement: 83.6% ; target: 100% 3 channels/
method/month),
(2) Percentage of families who stop open defecation practices (achievement: 89.51% ; 2022
target: 100%),
(3) Percentage of families as beneficiaries of Family Hope Program (PKH) who attend family
development sessions/meetings (P2K2) that discuss the topic of health and nutrition
(achievement: 46.7% ; 2022 target: 70%), and
(4) Interfaith behavior change communication forum for stunting reduction (achievement:
40.8% ; target: 100% districts/cities with 2 forum per year).
The one indicator that does not yet have a target for 2022 is the percentage of soon-to-be-
married couples who receive counseling on stunting prevention (achievement: 1,579 buddhists,
543,734 muslim, 944 hindus).
pillar 3
1
7
1
3 Data Available
Data Not Available
10 Target Achieved
Target Not Achieved
21 Achievement not yet determined
No Target

Pillar 3. Figure 4 shows that out of 22 (twenty-two) indicators in Pillar 3, data is unavailable for
1 (one) indicator. The remaining 21 (twenty-one) indicators have data, and targets are achieved
for 10 (ten) indicators (47.6%), but not for 7 (seven) indicators, which will require attention
(33.3%). Targets also have not been determined for 3 (three) indicators (14.2%), while for the
remaining 1 (one) indicator, target achievement is still undetermined (4.8%).
The ten indicators where targets are achieved are:

(1) Percentage of villages/kelurahan that converge their various accelerated stunting
reduction programs (achievement: 81.9% ; 2022 target: 80%),
(2) Percentage of pregnant women with chronic energy deficiency (CED) who receive
nutritional supplements (achievement: 89.1% ; 2022 target: 85%),
(3) Percentage of pregnant women who receive minimum 90 IFA tablets during pregnancy
(4) Percentage of children under five years of age with severe malnutrition who receive intervention
as part of standard management of malnutrition (achievement: 90%; 2022 target: 75%),
(5) Percentage of malnourished children under five years of age who receive nutritional
supplements (achievement: 84.5% ; 2022 target: 80%),
(6) Percentage of districts/cities that receive facilitation to become women- and child-
friendly regions for accelerated stunting reduction (100% of the targeted 66 districts/
cities in 2022),
(7) Coverage of support to families at-risk of stunting (achievement: 42.7% ; 2022 target: 30%),
(8) Availability of data from surveillance on families at-risk of stunting once every 6 months,
(9) Percentage of postpartum family planning service (PPFP) (achievement: 52.6% ; 2022
target: 50%), and
(10) Percentage of districts/cities with food safety intervention to support accelerated
stunting reduction (achievement: 46% (235 districts/cities) ; 2022 target: 45%).
The seven indicators that require attention to ensure achievement of the national target are:
(1) Number of provinces, districts/cities that integrate accelerated stunting reduction
programs and activities into local planning and budgeting documents (regional long-
term development plan, regional medium-term development plan, regional action plan
on food and nutrition, local government work plan, local budget, and local work plan
and budget) (achievement: 84.6% or 435 out of 514 districts/cities),
(2) Percentage of districts/cities that implement the convergence actions for accelerated
stunting reduction (achievement: 96% ; 2022 target: 100%),
(3) Percentage of villages/kelurahan that integrate accelerated stunting reduction programs
and activities into village/kelurahan planning and budgeting documents (village medium-
term development plan and village government work plan, also village budget, village
work and budget plan) (achievement: 82.4% ; 2022 target: 100%),
(4) Percentage of infants younger than 6 months who are exclusively breastfed (achievement:
66.4%) ; 2022 target: 70%),
(5) Percentage of future reproductive-age couples who receive guidance and education on
reproductive health and nutrition 3 months before marriage (achievement: 66.4% ; 2022
target: 70%),
(6) Percentage of districts/cities with age-specific fertility rate (ASFR) of at least 18 per 1,000
women aged 15-19 (achievement: 24.9% ; 2022 target: 28%), and
(7) Percentage of unmet need for family planning (achievement: 14.7% ; 2022 target: 8%).

The three indicators without 2022 target are:
(1) Percentage of villages/kelurahan that allocate more funding from the village/kelurahan
fund for nutrition-specific and nutrition-sensitive interventions to reduce stunting
(achievement is 72.6%),
(2) Percentage of villages/kelurahan that implement community-led total sanitation (CLTS)
(achievement is 86%),
(3) Percentage of teenage girls who receive a hemoglobin test to check for anemia
(achievement among seventh graders: 46.76%, tenth graders: 31.7%).
There is also one indicator with undetermined achievement because the available data is only in
absolute value. The indicator is the percentage of infants between the age of 6-23 months who
receive complementary food (MP-ASI). A total of 4,974,380 infants received complementary
food, while the 2022 target is 60%.
pillar 4
6
6
Data Available Data Not Available No Target
Pillar 4. As seen in Figure 5, 1 (one) of the 7 (seven) indicators in Pillar 4 does not have data.
Targets have also not been set for indicators that have data available. They are:
(1) Percentage of families at-risk of stunting who utilize home-yard food garden to increase
their nutritional intake (10.5%),
(2) Percentage of families at-risk of stunting who receive promotions to incorporate more
local fish into their diet (13.8%),
(3) Number of pregnant women, breastfeeding women, and under-two children who are
beneficiaries of staple commodities food assistance program* (59,436 beneficiaries),
(4) Percentage of reproductive-age couples in the poor-and-have-social-welfare-issues group
who receive conditional cash assistance (5,289,843 beneficiaries),
(5) Percentage of reproductive age couples in the poor-and-have-social-welfare-issues group
who receive non-cash food assistance (8,802,763 beneficiaries),

(6) Percentage of reproductive age couples who are poor and needy who become contribution
assistance recipients (PBI) of the social health insurance program (15,207,801 beneficiaries).
Another indicator has no data which is the indicator on the percentage of monitored fortified
food product that is followed up by business actors.
pillar 5
18 13
Data Available Data Not Available Target Achieved Target Not Achieved No Target
Pillar 5. Figure 6 illustrates that data is available for all 18 (eighteen) indicators of Pillar 5, and
the targets for 13 (thirteen) indicators are achieved (72.2%), but attention is needed for the
remaining 5 (five) indicators (27.8%) to ensure achievement of national targets.
The thirteen indicators where targets are achieved are:

(1) Percentage of village government with good convergence in their stunting reduction
acceleration interventions (achievement: 46.2% ; 2022 target: 40%),
(2) Publication of stunting data at the district/city level (achievement: 1 ; 2022 target: 1),
(3) Monitoring and evaluation of the implementation of the national strategy on accelerating
stunting reduction (achievement: 2 times ; 2022 target: 2 times),
(4) Audit of stunted under-two children (achievement: 86.5% ; 2024 target: 50%),
(5) Availability of a fund transfer system to the sub-national level, and village/kelurahan fund
that supports integrated acceleration of stunting reduction (achievement: 1 ; 2022 target: 1),
(6) Availability of an integrated data and information system on accelerated reduction of
stunting. (the “Satu Data Stunting” platform is in the process of development),

(7) Availability of data on families at-risk of stunting updated through the Family Information
System (SIGA) (achievement: 2 times ; 2022 target: 2 times),
(8) Availability of a screening and counseling system for future, soon-to-be-married
reproductive-age couples (achievement: 1 ; 2022 target: 1),
(9) Percentage of districts/cities who receive assistance to accelerate stunting reduction from
universities based on the threefold mission (Tri Dharma) of higher education (achievement:
68% ; 2022 target: 50%),
(10) Establishment of a knowledge-sharing platform for acceleration of stunting reduction
(achievement: 1 ; 2022 target: 1),
(11) Establishment of a recognition and reward system for regions with good performance in
accelerating stunting reduction (achievement: 1 ; 2022 target: 1),
(12) Availability of a financial incentive system for regions with good performance in integrating
accelerated stunting reduction activities, (achievement: 1 ; 2022 target: 1), and
(13) Review of government budget and spending for accelerated stunting reduction activities
(achievement: 1 ; 2022 target: 1).
The five indicators that require attention to ensure achievement of national targets are:
(1) Percentage of provincial and district/city governments with good convergence in
accelerating stunting reduction (achievement: 69% ; 2022 target: 71%),
(2) Monitoring and evaluation of accelerated stunting reduction activities at the provincial
government level (achievement: 29 of 34 provinces in 2022),
(3) Monitoring and evaluation of accelerated stunting reduction activities at the district/city
government level (achievement: 345 of 514 districts/cities in 2022),
(4) Monitoring and evaluation of accelerated stunting reduction activities at the village
government level (achievement: 72.6% of 83,733 villages in 2022), and
(5) Percentage of districts/cities that implement an electronic nutrition surveillance system as
part of nutritional intervention monitoring to reduce stunting (achievement: 75.49% ; 2022
target: 90%).
Implementation of RAN PASTI

(National Action Plan to Accelerate the Reduction of Stunting)
The National Action Plan to Accelerate the Reduction of Stunting lists priority activities that
at a minimum include 1). Provision of data on families at-risk of stunting; 2). Assistance to
families at-risk of stunting; 3). Assistance to soon-to-be-married couples/future reproductive-
age couples; 4) Surveillance of families at-risk of stunting; and 5). Audit of stunting cases.
Provision of Data on Families at-risk of Stunting

Family enumeration data (PK) that was updated in the second semester of 2022 show
that 13,511,649 out of 67,453,124 families in 33 provinces or 20.03% of families are at-risk of
stunting. This database is used as reference for the stunting reduction acceleration team
(TPPS) in determining target families and carrying out targeted interventions.

Family Support
To support and guide families, BKKBN established Family Support Teams (TPK) with midwife,
cadre of TP-PKK (family welfare and empowerment organization mobilizing team), and family
planning cadre as members. However, teams still face a number of challenges in carrying out
their task, and therefore need capacity building support to improve the quality of assistance
that is provided to families.
Audit of Stunting Cases (AKS)

Audit Stunting Case at-risk is an effort to identify risks and causes of stunting in the target
populations using routine surveillance data or other data sources. The purpose is to screen
difficult cases and to address underlying issues that may be present in the at-risk target
populations that include soon-to-be-married couples, pregnant women, breastfeeding/
postpartum women, and children under the age of two or five. In 2022, audit of stunting
cases consists of the following activities: (1) guideline discussion meeting with AKS expert
team, (2) AKS sensitization, (3) six sessions of AKS coaching, (4) AKS survey, (5) reflection on
the AKS survey, and (6) analysis of AKS achievement for 2022.
Partnership Program
Stunting is a multidimensional issue that requires a concerted and integrated effort where
different sectors and all stakeholders through an inclusive partnership work together to
accelerate the reduction of stunting in Indonesia. In this regard, pentahelix partnerships have
been created between the government, businesses, civil society, development partners,
academics, and other organizations, and all these initiatives have contributed to accelerating
the reduction of stunting. The partnerships that have been built are among others, the
Foster Father of Stunted Children (BAAS), Guidance for Family of Golden Under-five Children
(BKB) and Excellent Integrative Holistic Guidance for Family of Under-five Children (BKB HIU),
Smart Poster of Stunting (POSTER PINTAR), Road Show with the Indonesian Army, and Home
Renovation of families at-risk of stunting.
Budget Allocation for the Acceleration of Stunting Reduction (PPS)

In 2022, the total fund provided for Acceleration of Stunting Reduction from the state budget
of ministries/government agencies was IDR 34.1 trillion. The fund was used for nutrition-
sensitive interventions (IDR 29.2 trillion), nutrition-specific interventions (IDR 4.1 trillion) and
other activities related to guidance, coordination, and technical assistance (IDR 861.9 billion).
Conclusion
The Government of Indonesia has made significant progress in quickly reducing the prevalence
of stunting as shown by the 2022 Indonesia Nutritional Status Survey (SSGI) that reports the
stunting prevalence as 21.6%, a further decrease from the 24.4% prevalence in 2021. Much
work however remains to be done to further reduce the prevalence and achieve the target
of 14% by year 2024. As discussed in the previous section, various initiatives and strategies
have been implemented, and most of the indicators have achieved the 2022 target.

Challenges
Accelerating the reduction of stunting must address several noteworthy challenges that
pertain to budget commitment, inadequate comprehension of convergence actions, limited
capacity of family support team (TPK), limited multisectoral engagement in accelerating
the reduction of stunting, and inavailability of a monitoring and evaluation guideline on the
implementation of convergence.
Recommendations
Recommendations as informed by the achievements and challenges in accelerating stunting
reduction throughout 2022 are as follows;
(1) Tag the budgets associated with stunting, determine the percentage of village fund
that should be used for stunting reduction activities; optimize the tools to monitor and
identify any increase in the provincial budget that is allocated for stunting reduction
interventions;
(2) Strengthen multisectoral coordination;
(3) Strengthen the capacity and skills of family support teams (TPK) to provide education,
counseling, and support to at-risk families;
(4) Establish an integrated recording, monitoring and evaluation system that can be utilized
by the TPPS, the Task Force, and TPK; and
(5) Equip religious leaders with technical knowledge and encourage them to join the effort
of accelerating the reduction of stunting in Indonesia.

1 Introduction
EXECUTIVE REPORT
@ B K K B N o f f ic ia l w w w . b k k bn.g o , id13
The Government of Indonesia is strongly committed to reducing stunting and has taken
decisive steps to accelerate nutritional improvement and stunting reduction in Indonesia
as stated in the National Medium-term Development Plan (RPJMN) for 2020-2024. Stunting
is impaired growth and development of children as a result of chronic malnutrition and
recurring infection, and is characterized by body length or height that is below the standard
set by the minister who manages government affairs in the field of health.
Starting in 2013, stunting rates in Indonesia have been on a downward trend and in 2022,
survey on the nutritional status in 486 districs/cities within 33 provinces of Indonesia (SSGI)
reported the stunting prevalence as 21.6%, a 2.8% decrease from the 24.4% prevalence in
2021 (MOH, 2022). The target is to further reduce stunting prevalence to maximum 14% by
year 2024, translating to an average reduction of 3.8% per year. Significant work therefore
lies ahead to ensure achievement of the target.
Figure 7. Stunting Case Trend and 2024 Target
40 -
36,8 37,2
35,6
34
30,8
30 -
27,7 Covid-19 Pandemic
24,4 -3.8/yr
21,6
20 - 17,8
14
10 -
0-
2007 2010 2013 2016 2018 2019 2020 2021 2022 2023 2024
Source: Ministry of Health, Result of SSGI 2022.

The 2022 SSGI shows that there are at least 18 provinces with a stunting prevalence above
the national average. The highest prevalence at 35.3% is recorded in East Nusa Tenggara
while the lowest prevalence is seen in Bali at 8.0% (MOH, 2022).
To support the achievement of national targets, the President of the Republic of Indonesia
issued Presidential Decree number 72/2021 on Accelerating the Reduction of Stunting. A
stunting reduction strategy was developed with the following objectives:
(I) Reduce the prevalence of stunting;
(II) Improve the preparation for family life;
(III) Ensure adequate nutritional intake;
(IV) Improve parenting practices;
(V) Increase access to health services and improve service quality;
(VI) Increase access to drinking water and sanitation focusing on specific target groups that
consist of adolescents, soon-to-be-married couples, pregnant and breastfeeding women,
and children aged 0-59 months.
As follow up to the Presidential Decree number 72/2021, the Head of National Population
and Family Planning Board (BKKBN) issued Regulation of the Head of BKKBN number
12/2021 on National Action Plan to Accelerate the Reduction of Stunting in Indonesia for
2021-2024. The regulation regulates the mechanism, procedure, structure, tasks, and
function of the Team for the Acceleration of Stunting Reduction (TPPS) at all levels of the
government, from the central level, to the province, district/city and down to the village
level. This regulation serves as a reference that guides government ministries/agencies
and local governments in implementing stunting reduction interventions.
Head of the National Population and Family Planning Board (BKKBN) as Leader of the
Implementing Team for the Acceleration of Stunting Reduction (TPPS) has been coordinating
all the parties at the national and sub-national level to work together on Indonesia’s
accelerated stunting reduction agenda. As of December 2022, TPPS has been established in
all provinces and districts/cities (100%), in 95% of sub-districts and 97% of villages/kelurahan.
Evaluation of stunting reduction acceleration is based on 20 intermediate target indicators
(Attachment A of Presidential Decree number 72/2021), 71 output indicators (Attachment
B), and priority activities listed in the National Action Plan to Accelerate the Reduction of
Stunting in Indonesia (RAN PASTI).

This Executive Report on Accelerating the Reduction of Stunting year 2022 describes
the achievement of targets that are part of the national strategy to accelerate stunting
reduction, the challenges that must be overcome, and recommendations for follow-up
actions to further strengthen the strategy and accelerate the reduction of stunting in 2023-
2024.

2 Progress toward
Intermediate Target
EXECUTIVE REPORT
As a form of concrete actions to accelerate the reduction of stunting in Indonesia, the Pre-
sident of the Republic of Indonesia through Presidential Decree (Perpres) number 72/2021
gives a mandate that efforts to accelerate the reduction of stunting should include nutri-
tion-specific and nutrition-sensitive interventions through convergent, holistic, integrated,
and high-quality activities that are jointly implemented by different sectors at the central,
regional, and village levels.
Attachment A of Perpres 72/2021 lists the intermediate targets that stunting reduction in-
terventions must achieve, which are divided into 2 (two) groups: 1) availability of nutrition-
specific interventions that have 9 (nine) indicators and 2) availability of nutrition-sensitive
interventions with 11 (eleven) indicators.
2.1 Nutrition-Specific Interventions
Nutrition-specific interventions directly address the cause of stunting and are general-
ly carried out by the health sector, for example interventions around dietary intake,
infection prevention, mother’s nutritional status, and monitoring of child growth and
development.
Out of the 9 (nine) indicators, all the targets are achieved, except for 1 (one) indica-
tor, which is the percentage of infants under 6 months who are exclusively breastfed
(achievement is 66.4% while the 2022 target is 70%). It is known that exclusive bre-
astfeeding up to the age of 6 months strongly contributes to preventing stunting, so
the timing of introduction of complementary food is of critical importance since inap-
propriate timing may be disadvantageous to a child’s nutritional status.
There is also 1 (one) indicator with undetermined achievement, namely the percentage
of infants aged 6-23 months who receive complementary food (MP-ASI). Data shows
that 4,974,380 infants received complementary food, and the 2022 target is 60%.
Pregnant women with Chronic Energy Deficiency (CED) who receive nutritional sup-
plements. In the first and second semester of 2022, 82.7% and 89.1% of pregnant wo-
men with CED respectively received nutritional supplements. This shows that the inter-
vention has achieved and even exceeded the 2022 target of 85.0%.
Pregnant women who take at least 90 Iron-Folic Acid (IFA) tablets during pregnancy.
The second indicator in nutrition-specific intervention is the percentage of pregnant
women who consume at least 90 Iron-Folic Acid (IFA) tablets during pregnancy, and
the 2022 target is 60.0%. The achievement was not measured in the first semester of
2022, and was 87.1% in the second semester, which means that the target is met.

Adolescent girls who consume Iron-Folic Acid (IFA) tablets. This indicator demonstra-
tes the percentage of teenage girls who consume Iron-Folic Acid (IFA) tablets for at
least one month in any period of time. For 2022, the government targeted to have at
least 45% of teenage girls in Indonesia take IFA tablets for a minimum of one month.
The achievement in semester 1 of 2022 was only 16.47%, but increased to 46.4% in the
second semester.
Infants under 6 months who are exclusively breastfed. Exclusive breastfeeding for
the first 6 months is critical for an infant’s nutritional and health needs. For 2022 the
target is 70.0% and the achievement for semester 1 and 2 is 65.4% and 66.4% respecti-
vely. This shows that efforts need to be intensified to increase achievement and meet
the target.
Infants aged 6-23 months who receive complementary food (MP-ASI). The fifth indica-
tor is the percentage of infants between the age of 6-23 months who receive comple-
mentary food and the 2022 target was set to be 60.0%. Data for this indicator is only
available for the second semester of 2022 and is in absolute number; 4,974,380 infants.
Children under five years of age with severe malnutrition who receive intervention
as part of standard management of malnutrition. The target for 2022 is 83.0%, whi-
le the achievement in semester 1 and 2 is 82.6% and 90% respectively. The combined
achievements have met the target for 2022.
Children under five years of age who receive growth and development monitoring.
The target is to monitor 75% of children in 2022. The target was achieved in the second
semester (78.3%), but in semester 1 only 24% of children were monitored, indicating
that there were challenges in monitoring the growth and development of under-five
children.
Malnourished children under five years of age who receive nutritional supplements.
This is the eighth indicator, and the target that must be achieved in 2022 is 80%. The
achievement was 64.9% in semester 1 and increased to 84.5% in semester 2.
Children under five years of age with complete basic immunization. For this indicator,
the target was for at least 90% of under-five children to have completed their basic
immunization. In semester 1, the percentage was only 64.9%, which means that a lot of
under-five children have not received complete basic immunization, but in the second
semester, the percentage increased to 97.5%.

Figure 8. Achievement Trend and Targets of Nutrition-Specific Intervention
9 Nutrition-Specific Interventions
Target achievement of indicator 4 (infants younger than 6 months who are exclusively
breastfed) is not optimal.
100 97,5
89,1 87,1 90 90
90 85 83 84,5
80
80 75 78,3
70 66,4
70
60 60 60
Precentage (%)
60
45 46,4
4,974,380 Infants
50
40
30
20
10
0
Indicator 1 Indicator 2 Indicator 3 Indicator 4 Indicator 5 Indicator 6 Indicator 7 Indicator 8 Indicator 9
Target Achievment Source: Bappenas & MOH RI 2023
Indicator:
1. Pregnant women with Chronic Energy Deficiency 6. Children below five years of age with severe malnutrition
(CED) who receive nutritional supplement. who receive intervention as part of standard management
2. Pregnant women who consume at least 90 Iron Folic of malnutrition.
Acid (IFA) tablets during pregnancy. 7. Children under five years of age whose growth and
3. Adolescent girls who consume Iron Folic Acid (IFA) development is monitored.
tablets. 8. Malnourished children under five years of age who receive
4. Infants younger than 6 months who are exclusively nutritional supplements.
breastfed. 9. Children under five years of age with complete basic
5. Infants aged 6-23 months who receive immunization.
complementary food (MP-ASI).
2.2 Nutrition-Sensitive Interventions
Nutrition-sensitive interventions are interventions that address the indirect causes of

stunting that are generally outside the health sector. They are divided into 4 (four) types,
namely increasing the availability of drinking water and sanitation, nutrition and health
services, increasing the awareness about parenting practices and nutrition, also increasing
access to nutritious food.
Attachment 2 shows that the targets for 5 (five) of the 11 (eleven) indicators of nutrition-
sensitive interventions have not been achieved in 2022. Those indicators are:
(1) Percentage of households in priority districts/cities with access to improved drinking
water (achievement: 93% ; 2022 target: 95.9%),
(2) Percentage of households in priority districts/cities with access to adequate sanitation
(domestic liquid waste) (achievement: 79.1% ; 2022 target: 82.1%),
(3) Percentage of villages/kelurahan that achieve Open-Defecation-Free (ODF) status
(achievement: 57% ; 2022 target: 60%),

(4) Coverage of social assistance program among the bottom 40% of the population
(million population) (achievement: 96.7 million ; 2022 target: 96.8 million), and
(5) Number of poor and vulnerable families who receive non-cash food assistance (million
family beneficiaries) (achievement: 18.66 million ; 2022 target: 18.8 million).
Postpartum family planning service (PPFP). This indicator measures the percentage of
women who give birth and receive contraceptive service postpartum, and the 2022 target
is 50%. In the first semester, only 7.9% women received PPFP, but the percentage sharply
increased to 52.6% in the second semester. This shows that postpartum family planning
service delivery has significantly increased in the second semester.
Unintended pregnancy. This indicator measures the percentage of unplanned or unwanted

pregnancies out of the total number of pregnancies that occur in a population. The lower
the percentage, the better it is because it indicates there is good access and utilization of
contraceptive methods that align with individual needs and preferences. The target that
should be achieved is 16.5%. Data on the achievement in semester 1 was not available, while
in semester 2, the percentage of unintended pregnancies dropped to 11%. This shows an
increase in the use of contraceptives and improved planning for families.
Future reproductive-age couples who receive a health check-up as part of premarital

services. In this third indicator, the target for 2022 is for 60% of future reproductive-age
couples to get a health check-up as part of premarital services. The check up includes
physical examination, laboratory test, and health counseling with a goal to facilitate early
detection of potential health risks among soon-to-be-married couples. The achievement in
semester 1 was 11.5%, and increased to 75.5% in semester 2.
Households with access to improved drinking water. This indicator measures the
percentage of households in priority districts/cities that have access to improved drinking
water, and the target is 95.9%. The achievement in semester 1 was not recorded, while in
semester 2 it was 93%.
Households with access to adequate sanitation. The target for this indicator is 82.1% while the
achievement data is not available in semester 1, and is 79.1% in semester 2. This indicator provides
indication on how many households in priority regions have access to adequate sanitation.
Coverage of social assistance program among the bottom 40% of the population. This
indicator measures the number of poor people, primarily those in the bottom 40% of the
population, who receive social assistance from the government. The target is for 96.8
million people of the lowest income group to receive social assistance. In semester 1, social
assistance programs were able to reach 87.3 million of people from the lowest income
group, while in semester 2, the coverage increased to 96.7 million people.
Families at-risk of stunting who receive support. Support is provided in the form of
information and education about nutrition and health, also psychosocial support, and
health monitoring of children. The hope is for families to receive knowledge and skills to
maintain a balanced diet and good health. The target for this indicator was 30% and the
achievement in semester 2 was 42.7%. This percentage shows that support can potentially
be expanded to reach more at-risk families.

Poor and vulnerable families who receive conditional cash assistance. The target for this
indicator was 10,000,000 families, and was achieved in both semester 1 and semester 2.
Target population in priority sites with good comprehension about stunting. The target is
for 70% of the target population to have good comprehension about stunting by year 2024.
In 2022 the achievement in semester 2 was 74%, which has exceeded the target.
Number of poor and vulnerable families who receive non-cash food assistance (million
poor families). In the first semester, 18.2 million poor and vulnerable families received
food assistance, and in the second semester the number increased to 18.6 million. Even
though the number is still below the 2022 target, there was a 2.53 % increase in achievement
between the first and second semester.
Villages/kelurahan with open-defecation-free (ODF) status. The target for this indicator
is 60%, meaning that the expectation is for 60% of villages/kelurahan in a region to achieve
an ODF status. In semester 1, 50.6% of villages/kelurahan achieved the ODF status, and in
semester 2, the percentage increased to 57%. Achievement in the first semester shows that
only 50.6% of villages/kelurahan successfully achieve the ODF status, which is still below
the targeted percentage but in the second semester, the percentage increased to 57%,
indicating there is improvement in the performance and progress toward the target.
Figure 9. Achievement Trend and Targets of Nutrition-Sensitive Intervention
11 Nutrition-Sensitive Interventions
The achievement in 5 indicators of nutrition-sensitive
interventions is not yet optimal and has not met the 2022 target
95,9 93 100 99,8 100 100 100 99

100
82,1
18,66 million families*
90
79,1
10 million fal=milies
75,5 74
18,8 million families
80
10 million families
70
Precentage (%)
70
60 57
96,8 million
96,7 million
60 52,6
50 50,6
50 42,7
40
30
30
20
16,5
11,0
10
0
Indicator 1 Indicator 2 Indicator 3 Indicator 4 Indicator 5 Indicator 6 Indicator 7 Indicator 8 Indicator 9 Indicator10 Indicator11
Target Achievment *Indicates achievment of Semester 1 2022

Source: BKKBN, Bappenas & MOH, Ministery of Public Works & Housing
Indicator:
1. Postpartum FP service. 7. Families at-risk of stunting who receive support.
2. Unintended pregnancy. 8. Poor and vulnerable families who receive conditional cash
3. Future reproductive-age couples who receive health check- assistance.
up as part of premarital services. 9. Target population in priority sites who have good
4. Households in priority regions with access to improved comprehension about stunting.
drinking water. 10.Poor and vulnerable families who receive non-cash food
5. Households in priority regions with access to adequate assistance.
sanitation (domestic liquid waste). 11.Villages/kelurahan with open-defecation-free (ODF) status.
6. Social assistance to the bottom 40% of the population
(million population).

3 Progress toward
National Strategy Target
EXECUTIVE REPORT
To accelerate the reduction of stunting, the Government of Indonesia through Presidential
Decree number 72/2021 established 5 pillars of stunting reduction as mandates in the National
Strategy to Accelerate Stunting Reduction. The 5 pillars are as follows:
1. Commitment and vision of the leadership in ministries/agencies, and in provincial, district/
city and village governments;
2. Behavior change communication and community empowerment;
3. Convergence of nutrition-specific and nutrition-sensitive interventions at national,
provincial, district/city and village levels;
4. Food and nutrition security at the individual, family, and society levels; and
5. System, data, information, research, and innovation.
3.1. Pillar 1. Commitment and Vision of the Leadership in Ministries/

Agencies, and in Provincial, District/City and Village Governments
Commitment and vision of the leadership at all levels of the government is key in stunting
reduction efforts. Pillar 1 has at least 2 (two) main activities and 11 (eleven) outputs that are
expected to be conducted and produced to accelerate the reduction of stunting in Indonesia.
3.1.1. Increased Commitment toward Accelerating Stunting Reduction
Activities to increase the commitment of the leadership from the central level, to the
provincial, district/city and village levels have 8 (eight) indicators that are considered
as outputs. Out of the 8 (eight) expected outputs, 3 (three) have not been obtained in
2022, namely:
1. Coordination meeting at the district/city level. Approximately 493 of 514 districts/
cities have held tiered coordination meetings (central and provincial level).
2. Stunting consultation forum (rembuk stunting); approximately 75.3% of the 7,281 sub-
districts in Indonesia have organized a stunting consultation forum.
3. Bupati/Mayor policy/regulation about the authority of villages/kelurahan in stunting
reduction initiatives. Out of the 514 districts/cities, 430 have published a regulation on
this matter.
Data is unavailable for 1 (one) output, which is the number of villages/kelurahan that are
free of stunting.
At the central level, increased commitment to accelerating the reduction of stunting is in the
form of the following activities:
a. Coordination Meeting of the Team for the Acceleration of Stunting Reduction

(Central TPPS)
In July 2022, BKKBN initiated a TPPS coordination meeting together with 5 Deputy
Leaders of the TPPS. The meeting participants mutually agreed on several matters,
including:

1. Determination of priority sites for acceleration of stunting reduction,
2. Use of shared database namely the Family Enumeration Database (Pendataan
Keluarga - PK21), and
3. Budget mapping.
b. Technical Coordination Meeting to Accelerate Stunting Reduction

On 5 December 2022, the Team for the Acceleration of Stunting Reduction – Vice
Presidential Secretariat (TPPS Setwapres) held a Technical Coordination Meeting
(Rakortek) on accelerated stunting reduction (PPS) with a theme “Real Actions
toward Stunting-free Indonesia”. The agenda of the 2022 national stunting rakortek
included discussions about the support that has been provided to 12 priority
provinces, and follow up actions to respond to and address the main problems that
have been identified focusing on the governance aspect, also nutrition-specific and
nutrition-sensitive interventions.
c. National Stunting Forum (FNS) 2022

In December 2022 BKKBN, in collaboration with Tanoto Foundation, organized a
National Stunting Forum (FNS) with a theme “Joining Hands with Frontline Workers
and Supporting Families to Accelerate Stunting Reduction”. The Forum becomes a
critical moment of evaluation, introspection, and reflection on stunting reduction
acceleration programs. It is hoped that the FNS is able to facilitate increased
commitment from local government leaders in the form of budgetary policy for
accelerated stunting reduction program, and improved coordination between
various regional implementing organizations (OPDs) and stakeholders.
Figure 10. National Stunting Forum 2022
Source: bkkbn.go.id

d. Intersectoral Policies and Collaboration on Accelerated Stunting Reduction
One pillar in the national strategy to prevent stunting is commitment and vision that
can be translated into targeted and adequate policies in all regions. As manifestation
of the joint commitment between ministries and agencies to accelerating the
reduction of stunting, throughout 2022, BKKBN has created and signed several
cooperative agreements with various sectors, totaling to at least 18 memorandums
of understanding (MoU) and cooperative agreements (PKS).
3.1.2. Capacity Strengthening of Village Government (3 outputs)
Three outputs are expected to be produced from capacity strengthening of village

governments. They are, 1) Number of village officials who receive capacity strengthening
support to manage accelerated stunting reduction programs, 2) Number of Family Hope
Program (PKH) mentors who receive training about health and nutrition, 3) Percentage
of villages/kelurahan whose human development cadres receive guidance from their
respective district/city government.
Target is fully achieved for 1 (one) output, which is the number of PKH mentors who
receive training on health and nutrition. Up to end of 2022, 7,659 out of the targeted
6,000 PKH mentors have been trained (127.6% achievement).
Data is however unavailable for the other 2 (two) outputs, namely a) the number of village
officials who receive capacity strengthening support to manage accelerated stunting
reduction programs and b) percentage of villages/kelurahan whose human development
cadres receive guidance from their respective district/city government.
3.2. Pillar 2. Behavior Change Communication and Community

Empowerment
Pillar two aims to increase people’s awareness and understanding about stunting, also
promote behavior change toward stunting prevention. Activities under this pillar are
coordinated by the Ministry of Health and the Ministry of Communication and Information
Technology. Direct education and campaign have been performed through various platforms,
using conventional media as well as social media. Pillar 2 objectives are achieved through
three primary strategies:
1. On Going Behavior Change Communication and Campaign.
Attention should be paid to 2 (two) indicators, namely a) national campaign on

stunting prevention (achievement: 83.6% ; target: 100% 3 channels/method/month), b)
percentage of families who stop the practice of open defecation (achievement: 89.5% ;
target: 90%).
Data is unavailable for 1 (one) indicator which is the percentage of families who practice
a clean and healthy lifestyle (in the process of gathering data).

2. Institutional capacity strengthening on behavior change communication to reduce
stunting
To achieve the national target, 1 (one) indicator needs attention, which is the percentage
of Family Hope Program (PKH) beneficiaries (KPM) who attend family development
sessions (P2K2) that discuss the topic of health and nutrition. The 2022 achievement is
46.7% while the target is 70%.
There are 3 (three) indicators for which data are not available. They are a) percentage
of village/kelurahan with Early Childhood Education (PAUD) teachers who have received
education and training on child care, stimulation, and management of stunting from
the district/city, b) percentage of Early Childhood Education (PAUD) institutions that
develop a Holistic Integrative Early Childhood Education (PAUD-HI) program, and c)
delivery of standardized growth and development monitoring service in posyandus
(integrated health service posts).
3. Enhanced role of faith-based organizations in communication for behavior change to

reduce stunting
To achieve the national target, attention should be paid to 1 (one) indicator that looks
at an interfaith behavior change forum for stunting reduction. At present, the target
of holding this forum at least twice a year is only achieved in 40.8% of the 514 districts/
cities.
Inavailability of a 2022 target also results in inability to determine the target achievement
for 1 (one) indicator, which is about the percentage of soon-to-be-married couples who
receive premarital counseling on stunting prevention (the number of couples who
received counseling is 1,579 buddhists, 543,734 muslim, 944 hindus).
3.2.1. On Going Behavior Change Communication and Campaign
Behavior Change Communication (BCC) is a systematic and interactive approach

that aims to influence and change the specific behavior of a target group. Stunting
communication strategy (StraKom) includes strategies to: a) conduct campaign
and outreach at the national and regional level, b) improve the interpersonal
communication (IPC) skills of health care providers and cadres, c) advocate that
decisionmakers prioritize stunting reduction program and develop adequate
regulations for the implementation of stunting prevention programs and behavior
change communication (BCC) strategies.
Activities under the communication strategy (StraKom) are jointly coordinated by the
Ministry of Health, who focus on the behavior change communication component, and
the Ministry of Communication and Information Technology, who focus on national
campaign on stunting prevention. The communication strategy acts as a guide for
relevant stakeholders to develop their own local BCC strategy and accelerate stunting

Figure 11. Interpersonal Communication Target and Achievement
600
514 514
500
400
300’
220 220
200 140 141 141
100 84
71 93 93
0
Achievement Achievement Achievement Achievement Achievement
2020 2021 2022 2023 2024
Regulasi Comm.StrategyDocument IPC Training IPC Implementation
Source: MOH, 2022 (Presentation by the Ministry of Health at FNS, 2022)
reduction at the provincial, district/city, and village level. The strategy gives detailed
description about target audiences, messages that are relevant to behavior change,
also other technical elements like interpersonal communication platform, choice of
communication channels, and policy advocacy activities.
As shown in Figure 11, [1] 220 Districts/Cities have published a regulation on behavior
change communication (BCC) about stunting, [2] 141 Districts/Cities already have a BCC
strategy document and [3] 93 Districts/Cities are already implementing interpersonal
communication (IPC) to reduce stunting. The target for year 2023 and 2024 is for all 514
Districts/Cities to have implemented the three above initiatives.
3.2.2. Institutional Capacity Strengthening on Behavior Change Communication
The Ministry of Health has conducted a national campaign that promotes the 5 (five)
stunting prevention movements focusing on two life phases and 11 intervention programs
including education, information, and promotion. Programs cover the two life phases that
have the highest determinants of stunting. The five movements of stunting prevention
are:
a. Aksi Bergizi (Action on Nutrition) Movement: the goal is to build a habit of exercising,
eating breakfast and taking IFA (iron folic acid) tablet to reduce the anemia rate among
teens. Activities include anemia screening, morning exercise, healthy breakfast, and
IFA tablet consumption. The Aksi Bergizi movement was launched simultaneously in
34 provinces on 26 October 2022, participated by around 6,420 schools and 2,289,871
students.
b. Healthy Pregnant Women: the goal is to improve the health of pregnant women by
more frequent pregnancy check up and increased knowledge of pregnant women. The
campaign ran from 14 December to 22 December 2022 in 34 provinces simultaneously.

Activities consist of pregnancy check up for a minimum of 6 times during pregnancy,
two of which include an examination by a physician and ultrasound examination,
Vibrant Pregnancy Class (eating together, IFA consumption and support from family/
husband) also appreciation and support to pregnant women.
c. Active Posyandu: activities aim to expand the coverage of growth and development
monitoring during posyandu services as part of early detection, and prevention of
malnourishment and stunting.
d. Cadre Jamboree: the goal of this movement is to improve cadres’ capability to deliver
service.
e. Preventing Stunting is Important: activities include public education about stunting

and its prevention.
In partnership with the Ministry of Health, in 2023 BKKBN will support the national
campaign on 5 movements of stunting prevention by strengthening the information,
education and communication activities on accelerated stunting reduction as part of
behavior change communication for stunting prevention.
Each district/city is expected to prepare their own behavior change communication

strategy based on the specific context and local wisdom of the area. The goal is to develop
interventions that can more effectively and quickly reduce the prevalence of stunting by
correctly identifying the cause, the solution and the local potential that can be used in
behavioral interventions.
3.2.3. Enhanced role of faith-based organizations
Engaging religious leaders is a behavior change method that can be effectively applied
to many target audiences including adolescents, soon-to-be-married couples, pregnant
and breastfeeding women, mothers of under-five children and other influential groups.
On 6 October 2022, in support of accelerated stunting reduction, a National Islamic Study

Circle or Halaqoh was held at the Vice-Presidential Palace attended by a broad range of
religious teachers. Religious leaders, leaders of islamic community organizations, also
religious teachers are people who convey religious values and messages to the community.
They have a strong influence in their important role as a source of knowledge (manbaul
‘ulum), educator (murabbi), mobilizer (muharrik), and role model (uswatun hasanah)
for people. Messages around stunting prevention can be incorporated into religious
teachings, such as an invitation to adopt a clean and healthy lifestyle by maintaining a
clean home and environment, and eliminating open defecation practice since cleanliness
is part of the teachings of Islam.
The National Halaqoh was held as a hybrid event. Offline participants were 24
representatives of Religious Educator Working Group (Pokjaluh), also Heads of the Ministry
of Religious Affairs’ Regional Office in 12 stunting priority provinces, and leadership of
islamic community organizations at the central level. A total of 32,661 people from various
institutions also attended the event virtually as a form of support to stunting reduction

Figure 12. National Halaqoh
rekomendasi
1. Pemerintah Daerah perlu didorong untuk
memberikan pembekalan teknis yang lebih
komprehensif terkait stunting kepada para
penyuluh Agama, Da’i, dan Da’iyah.
2. Perlu juga untuk menyelenggarakan

kegiatan serupa dengan sasaran penyuluh
agama non muslim.
Evaluasi
1. Secara umum pelaksanaan Halaqoh Nasional Pelbatan Penyuluh Agama, Da’i, dan Da’iyah
untuk Mendukung Percepatan Penurunan Stunting berjalan lancar.
2. Jumlah peserta yang mengikuti kegiatan tersebut melebihi target yang diharapkan sebanyak
32.661 orang.
3. Dari lembar evaluasi yang disebar panitia pada saat acara berlangsung, sebagian besar
menjawab puas dengan penyelenggaraan kegiatan..
4. Beberapa masukan membangun yang disampaikan kepada panitia antara lain, waktu
pelaksanaan yang mundur dari yang dijadwalkan, juga kapasitas akun zoom yang kecil jika
dibandingkan dengan target peserta yang diharapkan.
acceleration. They are religious educators, religious teachers, Head of Religious Affairs
Office, also representatives of regional offices of the Ministry of Religious Affairs, regional
offices of BKKBN across Indonesia, and other ministries/agencies.
The Ministry of Religious Affairs is committed to having the religious educators under
its ministry play a stronger role in the accelerated stunting reduction (PPS) program.
The fast-paced technology era demands speed and online-based performance, and
Islamic Religious Educators/Counselors (PAI), both civil servants and non-civil servants,
also utilize technology in the form of e-PAI application. Since 2021, the e-PAI application
has been modified to e-PA that allows direct visualization of the results of guidance and
counseling/education that have been given.Administrative management is easier with
e-PA due to its direct documentation and data recapitulation, giving an indication of the
creativity and performance of counselors/educators in the field.

Recommendations:
1. Encourage local governments to equip religious educators, religious teachers with
technical information more comprehensively.
2. Organize a similar activity with non-muslim religious educators.
3.3. Pillar 3. Convergence of nutrition-specific and nutrition-sensitive

interventions at national, provincial, district/city and village levels
The third pillar aims to strengthen convergence, coordination, and consolidation of

national, regional, and community programs through activities at the central, regional, and
village level. The Ministry of National Development Planning and Directorate General of
Regional Development of the Ministry of Home Affairs have a special role in strengthening
the capacity of provincial and district/city governments to implement convergent priority
nutrition interventions to at-risk families in priority regions. Convergence of interventions
is achieved by aligning all the processes that need to be done for the various resources
that are available for stunting prevention from planning, budgeting, implementation to
monitoring. Pillar 3 is achieved through two main strategies.
Of the 22 (twenty-two) indicators in Pillar 3, data is unavailable for 1 (one) of the indicators,
while the remaining 21 (twenty-one) indicators have data. Targets are achieved for 10
(ten) indicators (47.6%), but not for 7 (seven) indicators which will require attention in
order to achieve the national target (33.3%). Targets also need to be set for 3 (three)
indicators (14.2%), while achievement is still undetermined for 1 (one) indicator (4.8%).
Convergence of program activities needs to be continually improved despite all the

challenges, including challenges at the regional level that are related to policymakers and
the understanding of program implementers on operational activities in the field.
Up to 84.6% of the 34 provinces, and 435 of the 514 districts/cities that are prioritized for
accelerated stunting reduction program have allocated funds from their local budget for
the program.
3.3.1. Convergence in Planning and Budgeting
Convergence in program planning and budgeting, and alignment of activities at the

central and regional level that aim to increase the type, coverage, and quality of priority
nutrition interventions generate 15 (fifteen) output indicators. Among the 15 (fifteen)
indicators, the achievement is still undetermined for 3 (three) indicators, and the target
is not achieved for 4 (four) indicators. Details are as follows:
1). Number of provinces, districts/cities that integrate accelerated stunting reduction

programs and activities into local planning and budgeting documents (regional long-
term development plan, regional medium-term development plan, regional action
plan on food and nutrition, local government work plan, local budget, and local work
plan and budget). As many as 435 out of 514 districts/cities have achieved the target
(84.6%).

2) Percentage of districts/cities that implement the convergence actions for accelerated
stunting reduction (achievement: 96% ; 2022 target: 100%).
3) Percentage of villages/kelurahan that integrate accelerated stunting reduction
programs and activities into village/kelurahan planning and budgeting documents
(village medium-term development plan and village government work plan, also
village budget, village work and budget plan) (achievement: 82.4% ; 2022 target: 100%).
4) Percentage of infants younger than 6 months who are exclusively breastfed
(achievement: 66.4%) ; 2022 target: 70%).
Three indicators have undetermined achievement. They are 1) the percentage of villages/
kelurahan that allocate more funding from the village/kelurahan fund for nutrition-
specific and nutrition-sensitive interventions to reduce stunting (achievement is 72.6%),
2) percentage of infants aged 6-23 months who receive complementary food (MP-ASI).
Data shows that 4,974,380 infants received complementary food, and 3) percentage of
villages/kelurahan that implement community-led total sanitation (CLTS) (achievement is
86%).
Data is still unavailable for 1 (one) indicator, which is the percentage of future reproductive-
age couples/future mothers who receive iron-folic acid (IFA) tablets.
3.3.2. Convergence in Interventions on Family Life Preparation
Convergence in activities to prepare people to start a family is indicated by 7 (seven)

output indicators, and the target is not achieved for 3 (three) of the following indicators:
1) Percentage of future reproductive-age couples who receive guidance and counseling
on reproductive health and nutrition 3 months before marriage (achievement: 66.4% ;
2022 target: 70%);
2) Percentage of districts/cities with age-specific fertility rate (ASFR) of at least 18 per
1,000 women aged 15-19 (achievement: 24.9% ; 2022 target: 70%).
3) Percentage of unmet need for family planning (achievement: 14.7% ; 2022 target: 8%).
3.4. Pillar 4. Food and Nutrition Security at the Individual, Family, and
Society Level
Pillar 4 promotes policies that increase access to nutritious food which is a key factor in
increasing food security in Indonesia. This pillar has two main strategies.
3.4.1. Fulfillment of food and nutrition needs of individuals, families, and the public, including
the needs during disasters
Fulfillment of individual, family and community needs for food and nutrition that include
the needs during a disaster is monitored through 6 (six) indicators. Achievement cannot
be determined yet because the 2022 targets have not been set. The indicators are as
follows:

1) Percentage of families at-risk of stunting who utilize home-yard food garden to
increase their nutritional intake. The achievement is 10.5%, while the 2024 target is 50%
at-risk families.
2) Percentage of families at-risk of stunting who receive promotions to incorporate more
local fish into their diet. The achievement is 13.8%, while the 2024 target is 90% at-risk
families.
3) Number of families that have pregnant women, breastfeeding women, and under-
two children who are beneficiaries of staple commodities food assistance program. A
total of 59,436 family beneficiaries have received assistance from the program, while
the 2024 target is 90% families.
4) Percentage of reproductive-age couples in the poor-and-have-social-welfare-issues
group who receive conditional cash assistance (5,289,843 beneficiaries), while the
2024 target is 90% couples.
5) Percentage of reproductive age couples in the poor-and-have-social-welfare-issues
group who receive non-cash food assistance (8,802,763 beneficiaries), while the 2024
target is 90% couples.
6) Percentage of reproductive age couples who are poor and needy who become
contribution assistance recipients (PBI) of the social health insurance program
(15,207,801 beneficiaries), while the 2024 target is 90% couples.
3.4.2. Improvement in Food Fortification Quality
One indicator that measures the increase in food fortification quality has no data, which
is the indicator on the percentage of monitored fortified food product that is followed
up by business actors.
3.5. Pillar 5. System, Data, Information, Research, and Innovation
3.5.1. Strengthening an Integrated Monitoring and Evaluation System
Strengthening of the integrated monitoring and evaluation system that is put in place
for accelerated stunting reduction is shown in the form of 8 (eight) indicators. The 2022
target is not achieved for 4 (four) of the indicators:
1) Percentage of provincial and district/city governments with good convergence in
accelerating stunting reduction. This is achieved by 345 (69%) districts/cities, while the
target is to have 360 districts/cities (71%) with such performance.
2) Monitoring and evaluation of accelerated stunting reduction activities at the provincial
government level.
3) Monitoring and evaluation of accelerated stunting reduction activities at the district/
city government level.
4) Monitoring and evaluation of accelerated stunting reduction activities at the village
government level at least twice a year. At present, this has been achieved by 72.58% of
villages.
There is 1 (one) indicator that still has undetermined achievement which is the indicator
on audit of stunted under-two children (achievement: 86.5%).

3.5.2. Development of an Integrated Data and Information System
Activities to develop an integrated data and information system has 5 (five) indicators as
output. One of the indicators has undetermined achievement, which is the percentage
of districts/cities that implement an electronic nutrition surveillance system as part of
nutritional intervention monitoring to reduce stunting. The achievement is 96.5%.
A policy review on Accelerated Stunting Reduction Program in 6 (six) islands of Indonesia

year 20221 recommends that stunting situation analysis that universities conduct as part
of their assistance be more standardized. There should be agreement on data that need
to be collected, such that documents and data collection forms are more consistent and
uniform.
3.5.3. Strengthening Research, Innovation, and Development
Activities to strengthen research, innovation and development of the research/innovation

results has 1 (one) output indicator which is the percentage of districts/cities that receive
assistance from universities to accelerate stunting reduction based on the threefold
mission (Tri Dharma) of higher education (achievement: 68% ; target: 50%).
3.5.4. Development of a Knowledge Management System
This activity has 4 (four) output indicators, and the 2022 target is achieved for all 4 (four)
indicators. They are:
1) Establishment of a knowledge-sharing platform for acceleration of stunting reduction.
The website www.cegahstunting.id is now available.
2) A recognition and reward system for regions with good performance in accelerating
stunting reduction is currently being developed.
3) Availability of a financial incentive system for regions with good performance in
integrating accelerated stunting reduction activities; and
4) Review of government budget and spending for accelerating stunting reduction. (see
Chapter 6).

4 Implementation of
RAN PASTI
EXECUTIVE REPORT
The National Action Plan to Accelerate Stunting Reduction in Indonesia year 2021-2024,
known as RAN PASTI for 2021-2024 is a national action plan that guides coordination,
synchronization, and integration of programs that central-level ministries/agencies, local
governments at the provincial, district/city, and village level, and other stakeholders
implement in order to produce human resources that are healthy, smart, and productive.
To improve the organization and coordination between sectors that contribute to the five
pillars of stunting national strategy, activities in the national action plan are divided into
the following clusters;
1) Data Precision (Predictive, Systematic, Responsive) Cluster that contains specific

activities to provide up-to-date, real-time target data in a regular/routine manner. To
provide high-quality data that is closest to the actual value, systematic and random
errors have to be avoided. Priority activities in the data precision cluster are: 1. Provision
of data on families at-risk of stunting; and 2. Surveillance of families at-risk of stunting.
2) Accelerated Stunting Reduction Operational Cluster. Activities in this cluster consist

of educational/sensitization sessions, behavior change communication, and various
support to families who are at-risk of stunting. The objective is to ensure that at-risk
families receive information about stunting, have access to health care and referral,
sanitation and clean water, have access to social assistance programs, and receive
support from family support teams.
3) Accelerated Stunting Reduction Managerial Cluster. Integration of programs and activities

as part of accelerated stunting reduction requires modification to procedures and changes
at the institutional level. All the changes are expected to bear fruit in the form of a stunting
prevention and intervention system that is clear, holistic, and integrated.
The three clusters above are interrelated and influence one another to form a system.
The National Action Plan consists of priority activities that at a minimum include:
1. Provision of data on families at-risk of stunting;
2. Support to families at-risk of stunting;
3. Guidance to soon-to-be-married couple/future reproductive-age couple;
4. Surveillance of families at-risk of stunting; and
5. Audit of stunting cases.
Support and guidance that is provided to families at-risk of stunting, soon-to-be-married

couple/future reproductive-age couple, and surveillance of families at-risk of stunting form
a series of activities that are part of Family Support activities.
4.1. Provision of Data on Families at-risk of Stunting
Family at-risk of stunting is defined as a family with one or more stunting risk factors
that include presence of a family member who is a teenage girl/is soon to be married/is
pregnant/is an infant aged 0-23 months/is a child between the age of 24-59 months; low
economic status; low educational level; poor environmental sanitation; and lack of access
to improved drinking water.

A target family is determined as at-risk of stunting through screening, which is an activity
to recognize, and identify the presence of any stunting risk factors in the family. Risk
factors are divided into nutrition-specific risk factors (factors that directly influence
stunting such as nutritional status of under-five children, soon-to-be-married youth who
is anemic, pregnant woman with chronic energy deficiency), and nutrition-sensitive risk
factors (factors that indirectly influence stunting, for example access to improved drinking
water and adequate sanitation, poverty, low educational level, etc.).
Figure 13. Conceptual Framework of Families at-risk of Stunting
Support Target
01 Soon-to-be-
02 Reproductive-
03
married couples age couples Pregnant women
04 Families with 05 Families with 24- to

0- to 23-mo 59-mo children
infants ant women
Risk Factors
Poverty sensitiVE
Education
speCifiC
Pre-marriage Pregnancy Interval period

SPECIFIC FACTORS DURING THE INCUBATION PERIOD:
Health Status, Nutritional Status, etc.
INCUBATION
Sanitation Clean water
ECOSYSTEM
Family Enumeration 2021 mapped families at-risk of stunting:

Screen target families based on sanitation, access to clean water and 4Ts – too
young, too old (35-40 yrs), too frequent pregnancies, too many children
Source: Guideline for Updating, Verifying and Validating Data on Families at-risk of Stunting

Family Enumeration 2021 mapped at-risk families based on screening of risk factors that are
easily observed and have a significant influence on stunting incidence. These risk factors
are sanitation, access to clean water supply, and the characteristics of reproductive-age
couples in the family known as 4Ts. Screening looks at whether the woman of reproductive
age (WRA) in the family is too young (<20 years old), too old (in the 35–40-year age group
based on the consideration that the birth rate among WRA older than 40 is lower), has
too closely-spaced pregnancies (children are less than 2 years apart), has too many
children (have more than 2 children). An inter-office memo from the Deputy for Advocacy,
Mobilization, and Information number 496/LP.02/G4/2023 also states that 4Ts risk factor
screening should also look at use of modern contraceptive by the target families.
To provide support and ensure that all target families, to-be-married couples/future
reproductive-age couples who are at-risk of stunting are covered, data on individual names
and addresses are needed and are available through the Family Enumeration 2021 (PK21)
database that is periodically updated, verified, and validated.
Updating, verification and validation of data on at-risk families is a process of comparing

data from the family enumeration 2021 activity (PK21) with the current situation in the field
and generate a working map of families based on most recent data. Data updating that
was performed in the second semester of 2022 reported that 20.03 % of the 67,453,124
families that are recorded in 33 provinces are at-risk of stunting. This translates to 13,511,649
families.

Table 1. Number of Families at-risk of Stunting
% of Families
# of Families
No Province # of Target at-risk of Stunt-
# of Families at-risk of
Families ing relative to
Stunting # of Families
1 ACEH 1.242.322 798.082 315.165 25,37
2 NORTH SUMATERA 3.378.814 1.873.923 791.390 23,42
3 WEST SUMATERA 1.232.610 713.798 329.682 26,75
4 RIAU 1.436.965 934.512 389.030 27,07
5 JAMBI 952.187 609.461 224.759 23,60
6 SOUTH SUMATERA 2.151.109 1.332.678 498.229 23,16
7 BENGKULU 526.069 330.937 97.327 18,50
8 LAMPUNG 2.191.891 1.335.150 394.550 18,00
9 KEP. BANGKA BELITUNG 404.108 238.751 57.711 14,28
10 RIAU ISLAND 437.985 298.742 116.021 26,49
11 WEST JAWA 13.432.849 7.868.128 2.714.752 20,21
12 CENTRAL JAWA 10.805.425 5.887.480 1.618.926 14,98
13 SPECIAL REGION OF YOGYAKARTA 1.099.027 520.456 133.080 12,11
14 EAST JAWA 11.907.732 6.264.436 1.757.481 14,76
15 BANTEN 2.854.070 1.841.637 532.580 18,66
16 BALI 1.063.670 599.944 183.410 17,24
17 WEST NUSA TENGGARA 1.545.989 940.445 338.035 21,87
18 EAST NUSA TENGGARA 1.071.895 639.998 431.247 40,23
19 WEST KALIMANTAN 1.123.757 704.862 466.100 41,48
20 CENTRAL KALIMANTAN 571.366 370.247 157.405 27,55
21 SOUTH KALIMANTAN 1.064.732 638.705 217.811 20,46
22 EAST KALIMANTAN 814.529 511.105 156.860 19,26
23 NORTH KALIMANTAN 127.494 82.700 38.888 30,50
24 NORTH SULAWESI 643.379 328.122 114.914 17,86
25 CENTRAL SULAWESI 742.730 450.449 201.052 27,07
26 SOUTH SULAWESI 2.173.410 1.210.067 427.754 19,68
27 SOUTH EAST SULAWESI 615.961 382.274 165.230 26,82
28 GORONTALO 333.345 200.097 83.313 24,99
29 WEST SULAWESI 305.510 196.708 101.638 33,27
30 MALUKU 312.780 182.786 97.563 31,19
31 NORTH MALUKU 236.602 155.260 71.427 30,19
32 PAPUA 522.621 305.060 239.405 45,81
33 WEST PAPUA 130.191 76.303 48.914 37,57
TOTAL 67.453.124 38.823.303 13.511.649 20,03
Source: Family Enumeration Update, April 2023

4.2. Family Support
Guidance and support that is provided to families consists of education, facilitation for
accessing referral service and social assistance, all of which aim to provide increased access to
information, and service. Priority target groups are pregnant women, postpartum women, and
children aged 0-59 months. In addition, as part of premarital services, all soon-to-be-married/
future reproductive-age couples receive guidance on this matter 3 (three) months before the
wedding to enable early detection of stunting risk factors, minimize the impact of those risk
factors or prevent stunting.
BKKBN has formed Family Support Teams (TPK) to carry out the support function. A team
consists of a midwife, a TP-PKK cadre (family welfare and empowerment organization mobilizing
team), and a family planning cadre whose tasks are to counsel and educate families, facilitate
referral service and social assistance, and monitor the families and at-risk target groups (soon-
to-be-married/future reproductive-age couples, pregnant women, postpartum women, and
under-five children) for early detection of stunting risk factors.
Integrated guidance and support activity that was jointly carried out by 19 ministries/agencies
to 12 priority provinces between June and November 2022 reported several critical findings on
family support activities (P2S KSP Integrated Support Report):
1. Inadequate ability of Family Support Team (TPK) members to guide at-risk families. Many
families have not received support.
2. There is a need to provide operational support and honorarium to Family Support Teams,
particularly to teams who have to cover a great distance to visit their target families.
3. Application-based recording and reporting is less optimal since a lot of TPK members do
not understand how to use the application, while target families are often located in areas
that are far with poor internet connection.
Recommendations:
1. Improve the education and counseling knowledge and skills of Family Support Teams
(TPK);
2. Review the arrangement of support activities and adjust the honorarium to increase the
team’s motivation and work quality;
3. Increase the reporting skills of TPK for both application-based and manual reporting, also
maximize the use of manual reporting in areas with limited internet connectivity.
4.3. Audit of Stunting Cases
Audit Stunting Case is a priority activity as stated in the Regulation of the Head of BKKBN
number 12/2021 on National Action Plan to Accelerate the Reduction of Stunting in Indonesia
for 2021-2024.
Audit Stunting Case is an effort to identify risks and causes of stunting in the target population
using routine surveillance data or other data sources. The purpose is to screen difficult cases
and address underlying issues that may be present in at-risk target populations that include

soon-to-be-married couples, pregnant women, breastfeeding/postpartum women, and
children under the age of two or five. Audit of stunting cases (AKS) is part of maternal perinatal
audit that is carried out to prevent maternal and neonatal death, trace and determine causes
as part of a continuum of care or as part of other factors.
Audit of stunting cases is carried out through the following 4 (four) activities:
a. Form an audit team,
b. Audit stunting cases and manage family support activities,
c. Disseminate findings, and
d. Follow up on findings.
To increase the Audit Stunting Case capacity of district/city government staffs, the Directorate
of Family and Under-five Children of BKKBN has organized 6 coaching sessions on audit stunting
case between May and November 2022.
Figure 14. Implementation and Achievement of Audit Stunting Case in 2022
aks 2023
Evaluation of AKS achievement based
on 4 indicators
• Percentage of districts/cities with
AKS team: 92.2%
Achievement • Percentage of AKS and family
6 support that is implemented and
of AKS 2022
followed-up in 2022: 73.09% each
(good)
Reflection and presentation Reflection
of AKS 2022 narrative in on AKS 2022
5
December 2022
AKS Survey
Goal: continual improvement. 4 October 2022
Sample: non-probabilistic, (Timeline:
30 September-2 October 2022). Total https://bit.ly/SurveyPelaksanaan AKS
samples: 1297.
Result: (among others) AKS coaching
adds knowledge about AKS
Coaching AKS coaching was held between July-
implementation to 63% of respondents
AKS 2022 3 December 2022 (6 times)
2 Sensitization
AKS sensitization about AKS
was held in June
2022
Discussion about the Discussion about the guideline and
guideline with AKS 1 discussion about AKS with experts
Expert Team from 4 professional associations was
held in early 2022
Source: Directorate of Family and Under-five Children, BKKBN, 2022

Figure 15. Achievements of Audit Stunting Case Indicators
ACHIEVEMENT IN Audit STUNTING CASE

YEAR 2022
The City has an
audit team
100%
80% audit 2x/year
60%
40%
Dissemination
20% 2x/year
0%
Follow up
2x/year
Target
Achievement
Figure 15 above illustrates the implementation of Audit Stunting Case (AKS) in 2022 starting
with (1) meetings to discuss the audit guideline with an AKS expert team,(2) AKS sensitization,
(3) six AKS coaching sessions, (4) AKS survey, (5) reflection on the AKS survey, and (6) analysis
of AKS achievement for 2022. As seen in figure 15, the achievement in all 4 (four) target
indicators is above 80%.
Table 2. Achievement of 4 Indicators of Audit Stunting Case in 2022
target
No. indicator 2022 DATA PERFOR- UNIT IN
2022 2023 2024 ACHIEVEMENT SOURCE MANCE CHARGE
1 Percentage of districts/cities that 100 100 100 97% Ditbalnak* 97% Ditbalnak
have a audit stunting case team. (excellent)
2 Percentage of stunting case 100 100 100 86,5% SIPASTI* 86,5% Ditbalnak
audit and family support that is (good)
implemented 2x/year.
3 Percentage of stunting case 100 100 100 85% SIPASTI* 85% Ditbalnak
audit and family support result (good)
that is disseminated 2x/year.
4 Percentage of stunting case 100 100 100 81,5% SIPASTI* 81,5% Ditbalnak
audit and family support result (good)
that is followed-up 2x/year
Source : Directorate of Family and Under-five Children (Ditbalnak), BKKBN, 2022
Note: excellent (>90%), good (80-90%), average (70-79%), and poor (<70%)

Partnerhip
5 in Accelerated
Stunting Reduction
EXECUTIVE REPORT
Stunting is a multidimensional issue that requires a concerted and integrated effort where
different sectors and all stakeholders through an inclusive partnership work together to
accelerate the reduction of stunting in Indonesia. In this regard, many multi-party partnerships
have been created between the government, businesses, civil society, development partners,
academics, and other organizations, and all these initiatives have contributed to accelerating
the reduction of stunting.
5.1. Foster Father of Stunted Children (BAAS)
One program that is aimed to meet the food and nutrition needs of individual child is the
Foster Father of Stunted Children (BAAS) program, which is a movement to mobilize all
elements of the nation to collaboratively accelerate the reduction of stunting by directly
targeting families who are at-risk of stunting. The program was initiated to lessen the
load of the central and regional governments to provide supplementary food (PMT),
install healthy latrines, provide clean water and other supporting facilities to families at-
risk of stunting.
Figure 16. Foster Father of Stunted Children (BAAS) Program
BAPAK ASUH ANAK STUNTING (baas)
5.987
Anak mendapat bantuan
3 Agustus 2022
ASUHAN PRIORITAS
• PMT Catin/Ibuhamil dan
balita atau pemberian
MP-ASI
• Penyediaan Jamban 9.603
sehat dan air bersih Anak mendapat bantuan
1. Baduta stunting 9 Agustus 2022
2. Ibu hamil dari keluarga
berisiko stunting (KBS) ASUHAN PENDUKUNG
Bapak Asuh Anak Stunting 3. Catin, Keluarga baru atau
(BAAS) adalah gerakan PUS yang merencanakan • Komunikasi, Informasi
gotong royong seluruh kehamilan dari keluarga dan Edukasi Kelompok 10.433
kehamilan dari KBS sasaran Anak mendapat bantuan
elemen bangsa dalam
• Pemberdayaan 14 Desember 2022
mempercepat penurunan 4. Balita stunting (>2 tahun)
stunting yang menyasar 5. Baduta tidak stunting dari ekonomi keluarga
langsung keluarga berisiko keluarga miskin (Risiko • Lainnya menyesuaikan Jumlah Anak yang mendapatkan bantuan
stunting. tinggi stunting) kebutuhan bertambah dari waktu ke waktu.
Sumber: Direktorat Bina

pengertian sasaran kegiatan asuhan Keluarga Balita dan Anak,
14 DESEMBER 2022
Source: Directorate of Family and Under-five Children, BKKBN, December 2022
Achievements of BAAS program: up to 14 December 2022, 10,433 children have

received assistance from the BAAS program for 3-5 consecutive months. BAAS program
interventions are integrated with follow-up actions that audit on stunting cases (AKS)
recommend. This aligns with the AKS guideline that states how optimal program
implementation does not only depend on the central role of AKS technical team, but
also on good collaboration between ministries/agencies, professional associations, and
business owners.

5.2. Guidance for Family of Golden Under-five Children (BKB Emas) and
Excellent Integrative Holistic Guidance for Family of Under-five
Children (BKB HIU)
In collaboration with Tanoto Foundation, BKKBN developed modules on guidance for

family of golden under-five children (BKB Emas) and excellent, integrative, holistic
guidance for family of under-five children (BKB HIU). Activities also include training for
capacity development of Family Support Teams in several provinces in Indonesia, and
support in the form of behavior change communication strategy to several districts/
cities and provinces in Indonesia. Tanoto Foundation also mobilized additional funding
partners such as USAID, Aman Mineral Nusa Tenggara, Bank Central Asia (BCA) and
Bakti Barito to support BKKBN in accelerating stunting reduction and making National
Stunting Forum a routine event starting in 2021.
5.3. Smart Poster of Stunting (POSTER PINTAR)
As the leader of the Implementing Team for the Acceleration of Stunting Reduction
(KP3S) in Indonesia, BKKBN continues to engage in various innovative efforts to further
reduce the prevalence of stunting in Indonesia and reach the 14% target by 2024. One
innovation is an Important Poster Orientation program that will be implemented in five
pilot provinces through a collaboration with the 1000 Days Fund of Seribu Cita Bangsa
Foundation.
Activities are in the form of training about IMPORTANT POSTER for 3,000 midwives
who will be part of family support teams, also procurement and distribution of 23,000
IMPORTANT POSTER to families who have under-five children. Support will also include
a national webinar.
5.4. Road Show with the Indonesian Army

A road show and delivery of assistance packages to families at-risk of stunting was held
by the Central-level Military Spouse Organization Dharma Pertiwi in 9 of the 12 stunting
priority provinces (West Java, North Sumatra, Aceh, East Java, West Nusa Tenggara,
East Nusa Tenggara, South East Sulawesi, West Kalimantan, and South Kalimantan).
A BKKBN-National Armed Forces collaborative activity called 2022 United Armed
Forces-Bangga Kencana-Health (TMKK) Integrated event was also held from 1 August
to 30 September 2022 and successfully recruited 3,436,610 family planning users or 121
percent of the 2,837,540 target users. The next agenda in the collaboration includes
promoting military health facilities to be registered with the BKKBN system such that
those facilities will have access to contraceptive supply free of charge. The overall
goal is to expand family planning service access to military health facilities. The three
branches of the national armed forces, the Army (TNI AD), Navy (TNI AL) and Air Force
(TNI AU) play a significant role in mobilizing people in the field.

Figure 17. Partnership of BKKBN with the Indonesian Army
Source: bkkbn.go.id
5.5. Home Renovation and Nutrition-Specific Intervention for Families at-

risk of Stunting in North Sumatra
As part of activity series for the 29th National Family Day 2022 in North Sumatra Province,
an event that was attended by the President of the Republic of Indonesia, BKKBN
collaborated with PT. Pertamina (Persero) and the Indonesian Army and organized
a program that provides Home Renovation and Nutrition-specific Interventions to
families at-risk of stunting in North Sumatra province, specifically in Medan City and
Deli Serdang District. The program was implemented in the area of the Military District
Command (Kodim) 0201/Medan and Kodim 0204/Deli Serdang. Assistance was provided
to 30 (thirty) and 10 (ten) families in Medan and Deli Serdang respectively in the form of
home renovation to provide improved living conditions, and food assistance to at-risk
families.
Figure 18. Partnership between BKKBN, PT. Pertamina (Persero) and the Indonesian Army
Source: bkkbn.go.id

Budget for
6 Accelerating Stunting
Reduction in 2022
EXECUTIVE REPORT
The total 2022 budget that is available from Government Ministries/Agencies State Budget
(APBN) for accelerating stunting reduction is IDR 34.1 trillion, which was used for nutrition-
sensitive interventions (IDR 29.2 trillion), nutrition-specific interventions (IDR 4.1 trillion) and
other activities related to guidance, coordination, and technical assistance (IDR 861.9 billion).
Figure 19. Budget Allocation Trend in Support of Stunting Reduction
FY 2018 FY 2019 FY 2020 FY 2021 FY 2022
Rp1,4 T Rp2,3 T Rp1 T Rp3,7 T Rp0,6 T Rp1,4 T Rp0,4 T Rp2,4 T Rp0,86 T Rp4,1 T
13 K/L 18 K/L 20 K/L 19 K/L 17 K/L

(Rp24 T) (Rp29 T) (Rp39,8 T) (Rp35,3 T) (Rp34,1 T)
Rp20,3 T Rp24,3 T Rp37,8 T Rp32,5 T Rp29,2 T
Nutrition-specific Nutrition-sensitive Guidance, Coordination

Interventions Interventions and Technical Assistance
Note: The number of Ministries/Agencies has changed from 19 in 2021 to 17 in 2022 due to restructurization
of BATAN (National Nuclear Energy Agency) and BPPT (Agency for the Assessment and Application of
Technology) to become BRIN (National Research and Innovation Agency)
Source: Summary of detailed output of Ministries/Agencies in FY2022

for Acceleration of Stunting Reduction, Bappenas and the Ministry of Finance
As illustrated in Figure 19 above, the Central Government has allocated quite a large budget
for stunting reduction each year, particularly in 2020 when the budget allocation for social
protection was increased due to the Covid-19 pandemic. The budget proportion for nutrition-
specific interventions is much lower than the proportion for nutrition-sensitive interventions.
The average Ministry/Agency budget allocation for nutrition-specific interventions from 2018
to 2022 is only 9%. In 2022 it was only 11.97%, which was the programmatic budget of the
Ministry of Health.
One way to accelerate the reduction of stunting is by allocating sufficient funds to various
interventions. Over the years, nutrition-sensitive interventions generally receive more
funding than other interventions. In the 2021 fiscal year, 92% of the total budget for stunting
reduction was allocated for nutrition-sensitive interventions. The fund is commonly provided
to social assistance program for families of pregnant women and under-two children.
The budget allocation for nutrition-specific interventions is still low (11.7%) and will need to be
increased in the future considering that nutrition-specific interventions address the immediate
determinants of stunting. Nutrition-specific interventions also have quite a large target, which
needs to be supported with an adequate budget.

6.1. Special Allocation Fund (DAK) for Accelerating Stunting Reduction
The Special Allocation Fund (DAK) has been supporting the acceleration of stunting
reduction since 2018. In general, the policy of the Physical (DAK Fisik) and Non-Physical
DAK (DAK Non Fisik) for FY2022 is the same as the FY2021 policy, with strengthened
program activities and program convergence across sectors. A specific change that
was made to FY2022 DAK was the elimination of DAK Fisik for Environment and DAK
Non Fisik for operational assistance to early childhood education (BOP PAUD). A list
of sectors and activities that are funded by DAK Fisik in FY2022 to accelerate stunting
reduction is provided in Table 4 below.
Table 3. Budget Allocation for Accelerating Stunting Reduction in FY 2022 (thousand IDR)
Analysis on the Budget Allocation to Support Stunting Reduction

No Ministry/Agency
Nutrition-Specific Nutrition-Sensitive Support Total
Intervention Intervention
1 Kemensetneg - - 25.598.740 25.598.740
2 Kemendagri - - 7.350.000 7.350.000
3 Kementan - 137.100.000 - 137.100.000
4 Kemendikbud - 22.791.664 2.686.100 25.477.764
5 Kemenkes 4.087.451.268 4.069.818.971 104.721.533 8.261.991.772
6 Kemenag - 31.136.778 - 31.136.778
7 Kemensos - 23.284.704.234 48.600.000 23.333.304.234
8 KemenKP - 15.174.296 - 15.174.296
9 KemenPUPR - 1.352.465.783 - 1.352.465.783
10 KemenkoPMK - - 1.250.000 1.250.000
11 KemenPPPA - - 2.634.150 2.634.150
12 KemenPPN/Bappenas - - 700.000 700.000
13 Kemenkominfo - 14.905.496 - 14.905.496
14 BPOM - 130.092.885 - 130.092.885
15 KemendesPDTT - - 823.820 823.820
16 BKKBN 143.621.833 666.818.528 8.10.440.361
17 BATAN - - - -
18 BRIN - - - 0
19 BNPP - - 700.000 700.000
TOTAL 4.087.451.268 29.201.811.940 861.882.871 34.151.146.079
PRECENTAGE 11.97% 85.51% 2.52%
Source: Summary of Detailed Output in Annual and Semester Report Accelerated
Stunting Reduction, MoF& Bappenas, January 2022

Table 4. List of Sectors and Line Items that are Funded by DAK Fisik in FY 2022 in Support
of the Accelerated Stunting Reduction Program
No Sector Line Item in FY 2022 Note

1 Health (Sub-sector: 1. Provision of supplementary food
Accelerating Stunting 2. Strengthened nutrition promotion,
Reduction) surveillance, and management
2 Health (Sub-sector: 1. Puskesmas facility — BEmONC capable Relatively the same

Reducing Maternal 2. Medical devices in BEmONC-capable as the previous year
and Infant Mortality Puskesmas
Rate) 3. Hospital facility - CEmONC
4. Medical devices in CEmONC hospital
5. Strengthened Public Safety Center (PSC)
6. Teleconsultation
7. Blood Transfusion Unit (UTD)
3 Family Planning (FP) Facility and infrastructure for accelerating Focus on facility and
stunting reduction infrastructure
4 Drinking water 1. Expansion of piped water supply system Expansion of

(SPAM JP) Integrated DAK
2. Construction of new piped water supply
system
3. Construction of transmission lines to supply
bulk water to regional water supply system
4. Construction of communal non-piped water
supply system (SPAM BJP)
5. Expansion of water supply system for
government institution (SPAM IP) (Integrated
DAK)
6. Construction of new piped water supply
system (Integrated DAK)
7. Increase in water supply system for
government institution (SPAM IP) (Integrated
DAK)
5 Sanitation 1. Development and Construction of Expansion of

a Centralized Domestic Wastewater Integrated DAK
Management System (SPALD-T)
2. Development and Construction of
a Centralized Domestic Wastewater
Management System (SPALD-T) (Integrated
DAK)
3. Construction of Localized Domestic
Wastewater Management System (SPALD-S)
4. Construction of Localized Domestic
Wastewater Management System (SPALD-S)
(Integrated DAK)
5. Provision of Waste Management Facilities
and Infrastructure
6. Provision of Waste Management Facilities
and Infrastructure (Integrated DAK)
Source: Regulation of DAK Fisik FY 2022 (processed)

In FY 2022, support from DAK Fisik to the accelerated stunting reduction program
is provided to the Health sector (MOH), family planning (BKKBN), and to water and
sanitation (Ministry of Public Works and Public Housing). In the health sector, funding
is focused on 2 sub-sectors: 1) Accelerated Stunting Reduction and 2) Reduction of
Maternal and Child Mortality Rate. Overall, the policy of DAK, both the regular DAK and
assignment DAK (DAK penugasan), is to follow the usual budget planning cycle that
consists of proposal submission from the regional level, inputting, funding disbursement
and activities implementation. In this system, at the end of each year, budget execution
cannot be visualized 100% until the first quarter or the first semester of the following year.
Therefore, an annual report will only list the percentage of funding disbursement, while
budget execution will be reported in the first semester of the following year.
Funding from FY 2022 DAK Non Fisik to the accelerated stunting reduction program is as follows:
Table 5. DAK Non Fisik for Accelerating Stunting Reduction in FY 2022
No. SECTOR LINE ITEM
1 Health Operational Assistance (BO) 1. Development of regulations on stunting

2. Program Mapping and Situation Analysis
3. Consultation Forum (Rembuk) on Stunting
4. Coaching of Beneficiaries
5. Stunting Measurement and Publication
6. Recording and Reporting
7. Annual Performance Review on Stunting
Integrated Action
2 Family Planning Operational 1. Operational cost of support person for to-

Assistance (BO) be-married couples
2. Operational cost of support person for
pregnant women
3. Operational cost of support person for
postpartum women
4. Operational cost of stunting surveillance
5. Cost of mini-workshop at sub-districts
6. Cost of stunting case audit
7. Cost of printing of families at-risk of
stunting data
3 Food and Agriculture Food and Agriculture Security
Source: Regulation of DAK Non FisikFY 2022 (processed

Challenges
a. Stunting reduction activities that are listed in DAK Fisik budget line items do not include
unit cost information to allow complete achievement of the program’s targeted
output. As a result, local implementers tend to replicate the same activities from one
area to another without attention to context-specific characteristics.
b. Procurement of goods for stunting reduction through the DAK Fisik mechanism has
been incomplete due to administrative delays, also delays in the procurement process
and activities implementation. This creates an opportunity for misuse and deviation in
the use of DAK Fisik for stunting reduction program.
c. Funding allocation that is available from DAK Non Fisik does not match the number of
priority sites and targets.
Recommendations
a. The unit cost of stunting reduction activities that is used in the budget of DAK Fisik
should allow complete achievement of the program’s targeted output, which in
turn will advance a variety of development programs. At the same time, review on
an appropriate unit cost should be conducted since the start of the budget planning
process to prepare for the following year’s DAK Fisik.
b. It is hoped that all parties, primarily the Government Internal Supervisory Apparatus
(APIP), will participate in the monitoring and evaluation of the procurement process of
DAK Fisik, from planning to execution, to delivery of goods. If additional supervision is
needed, the government can encourage civil societies to be involved in the monitoring
by providing input, reports or by participating in other supervision mechanism such as
a social audit.
c. Relevant parties need to jointly set targeted priorities of DAK Non Fisik spending by
introducing an indicative allocation that can be used as a ceiling for DAK Non Fisik and
focus on priority sites and target populations that are not typically supported by DAK
Non Fisik. Efforts are also needed to mobilize alternative sources of funding to cover
resource gaps that cannot be covered by DAK Non Fisik.

6.2. Local Budget (APBD) Funds for Accelerating Stunting Reduction
Each year, from FY 2019 to FY 2022, priority district/city governments have been requesting
more support from the local budget (APBD) for stunting reduction, and the amount of budget
that is allocated has also been increasing. In 2022, 490 districts/cities (95.3%) tagged stunting
reduction in the APBD through the aksi.bangda website.
Figure 20. Allocation from District/City APBD in FY 2019-2023

to Accelerate Stunting Reduction
Rp 32,3 T
Rp 25,01 T
Rp 8,8 T
Rp 3,4 T
Rp 1,3 T
2019 2020 2021 2022 RKPD 2023
Source: Aksi Bangda website of Ministry of Home Affairs, 11 January 2023
6.3. Village Fund for Accelerating Stunting Reduction
Data on the stunting budget from the Village Fund comes from the ‘treatment‘ line
item in the 2020 - 2021 Village Fund allocation for stunting as recorded in OM-SPAN
(Online Monitoring of the State Treasury and Budget System). Data in OM-SPAN is
grouped per sector and reflects the cumulative fund for activities in each sector. The
total village fund allocation for community empowerment of the whole province is
IDR 361,322,170,694.
Stunting interventions under the activity of village community empowerment are:

training on how to prepare nutritious food for PAUD (early childhood education)
teachers and parents of students, utilization of village land to prepare healthy,
nutritious food for pregnant women, under-five children, and school children, growth
monitoring and provision of healthy food for nutritional improvement of under-five
children and school children. The total village fund allocation for development of
villages in the whole province is IDR 4,790,947,528,590.

Village development activities consist of advocacy for convergence of stunting
prevention program in villages through the e-HDW (electronic human development
worker) application, operational cost of stunting assistance beneficiaries (KPM),
training of PAUD teachers on convergence of stunting prevention programs, health
promotion activities/clean and healthy lifestyle movement/Integrated Health
Promotions Post/Stunting intervention, promotive and preventive activities through
healthy village homes, and other integrated interventions.
The ministry in charge of village activities is the Ministry of Village, Development of

Disadvantaged Regions and Transmigration (Kemendesa-PDTT). The Ministry also
provides support to the target achievement in several activity pillars that other
ministries/agencies, provincial, district, and village governments have to implement,
including ensuring that villages allocate portions of their fund to accelerated stunting
reduction programs.
Village-level targets of accelerated stunting reduction program based on Perpres

72/2021 are:
1) By 2024 all villages will be stunting free;
2) All villages sign a commitment to accelerate stunting reduction;
3) By 2024, all villages will have received capacity strengthening on management of
accelerated stunting reduction program;
4) By 2024, 90% of village-level human development cadres (KPM) will have received
guidance from the regional government;
5) By 2022, all villages will have integrated stunting prevention activities into the
Village Medium-term Development Plan (RPJM) and Village Government Work Plan
(RKP);
6) By 2024, 90% of villages will have increased their village fund allocation for
nutrition-specific and nutrition-sensitive interventions;
7) By 2022, 80% of villages will converge accelerated stunting reduction activities;
8) By 2024, 90% of village governments will have good performance in accelerated
stunting prevention implementation;
9) Establishment of a digital knowledge-sharing platform as part of accelerated
stunting reduction in 2021.

7 Closing
EXECUTIVE REPORT
7.1. Conclusion
The Government of Indonesia has made significant progress in quickly reducing the prevalence
of stunting as shown by the 2022 Indonesia Nutritional Status Survey (SSGI) that reports the
stunting prevalence as 21.6%, a further decrease from the 24.4% prevalence in 2021. Much work
however remains to be done to further reduce the prevalence and achieve the target of 14% by
year 2024. Various initiatives and strategies have been implemented, and as discussed in the
previous section, indicators show that most of the 2022 target have been achieved, except for
some that still need improvement. Overall, the strategy and national action plan to accelerate
stunting reduction have been implemented following the set policy direction. The conclusions
from the 2022 Accelerated Stunting Reduction report are:
1. Achievement of intermediate targets listed in Attachment A of Perpres number 72/2021

a. Out of 9 (nine) indicators for availability of nutrition-specific interventions, data is
available and the 2022 targets have been achieved for 7 (seven) indicators as follows:
i. Percentage of pregnant women with chronic energy deficiency (CED) who receive
nutritional supplements (achievement: 89.1% ; 2022 target: 85%).
ii. Percentage of pregnant women who consume at least 90 Iron-Folic Acid (IFA)
tablets during pregnancy (achievement: 87.1% ; 2022 target: 60%),
iii. Percentage of teenage girls who consume Iron-Folic Acid (IFA) tablets
(achievement: 46.4% ; 2022 target: 45%).
iv. Percentage of children under five years of age with severe malnutrition who receive
intervention as part of standard management of malnutrition (achievement: 90% ;
2022 target: 83%).
v. Percentage of children under five years of age whose growth and development
are monitored (achievement: 78.3% ; 2022 target: 75%).
vi. Percentage of malnourished children under five years of age who receive
vii. Percentage of children under five years of age with complete basic immunization
b. Of the 11 (eleven) indicators that signify the availability of nutrition-sensitive

interventions, 6 (six) of them have data and show achievement of the 2022 targets.
They are:
i. Percentage of postpartum family planning (PPFP) service that is provided
ii. Percentage of unintended pregnancies (achievement: 11% ; 2022 target: 16.5%).
iii. Percentage of future reproductive-age couples who receive a health check-up as
part of premarital services (achievement: 75.5% ; 2022 target: 70%)
iv. Percentage of families at-risk of stunting who receive support (achievement:
42.7% ; 2022 target: 30%)
v. Number of poor and vulnerable families who receive conditional cash assistance
(million poor families) (achievement: 10 million ; 2022 target: 10 million).
vi. Percentage of target population in priority sites with good comprehension about
stunting (achievement: 74% ; 2024 target: 70%).

2. Achievement of outputs listed in Attachment B of Perpres number 72/2021.
a. Pillar 1. Among the 11 (eleven) output indicators, data is available for 8 (eight)
indicators, and the output is achieved for 4 (four) of the 8 (eight) indicators that have
data as listed below:
i. One annual coordination meeting that is attended by senior government leaders
at the central, provincial and district/city level in 2022.
ii, Availability of midwives in villages/kelurahan in line with the need (achievement:
92.6% ; 2022 target: 80%).
iii. Percentage of provinces where stunting reduction acceleration receives increased
allocation from the local budget (APBD) (achievement: 100% ; 2022 target: 100%).
iv. Number of Family Hope Program (PKH) mentors who receive training on health
and nutrition (achievement: 127.6% (7,659 people) of the targeted 6,000 PKH
mentors for 2022).
b. Pillar 2. Out of 13 (thirteen) output indicators, data is unavailable for 4 (four) of them.
Among the 9 (nine) indicators that have data, the target is achieved for 4 (four)
indicators as follows:
i. Percentage of children under five years of age with complete basic immunization
ii. Percentage of villages/kelurahan that hold parenting classes for families with
under-five children (BKB) to guide them about child care practices during the first
1,000 days of life (achievement: 91.7% ; 2022 target: 70%).
iii. Percentage of Adolescent Information and Counseling Centers (PIK-R) and
Adolescent Family Development (BKR) programs that provide youth with
education on reproductive health and nutrition (achievement: 99.7% ; 2022 target:
70%).
iv. Number of districts/cities that have a minimum of 20 basic-level trainers and
provide education and training about child care, stimulation and management
of stunting to teachers of early childhood education (PAUD) (achievement: 122
districts/cities (122%) ; 2022 target: 100 districts/cities).
c. Pillar 3. Of the 22 (twenty-two) indicators in Pillar 3, data is unavailable for 1 (one)

of the indicators. Among the remaining 21 (twenty-one) indicators that have data,
targets are achieved for 10 (ten) indicators, namely:
i. Percentage of villages/kelurahan that converge their various accelerated stunting
reduction programs (achievement: 81.9% ; 2022 target: 80%).
ii. Percentage of pregnant women with chronic energy deficiency (CED) who receive
iii. Percentage of pregnant women who receive minimum 90 IFA tablets during
pregnancy (achievement: 87.1% ; 2022 target: 60%).
iv. Percentage of children under five years of age with severe malnutrition who receive
intervention as part of standard management of malnutrition (achievement: 90%;
2022 target: 75%).
v. Percentage of malnourished children under five years of age who receive
vi. Percentage of districts/cities with food safety intervention to support accelerated
stunting reduction (achievement: 46% (235 districts/cities) ; 2022 target: 45%).

vii. Percentage of districts/cities that receive facilitation to become women- and
child-friendly regions for accelerated stunting reduction (100% of the targeted 66
districts/cities in 2022).
viii. Coverage of support to families at-risk of stunting (achievement: 42.7% ; 2022
target: 30%).
ix. Availability of data from surveillance on families at-risk of stunting once every 6
months.
x. Percentage of postpartum family planning service (PPFP) (achievement: 52.6% ;
2022 target: 50%).
d. Pillar 4. Of the 7 (seven) indicators in Pillar 4, data is unavailable for 1 (one) indicator,
while 2022 target has not been set for the remaining 6 (six) indicators. Achievement is
therefore still undetermined for the six indicators below:
i. Percentage of families at-risk of stunting who utilize home-yard food garden to
increase their nutritional intake (achievement: 10.5%).
ii. Percentage of families at-risk of stunting who receive promotions to incorporate
more local fish into their diet (achievement: 13.8%).
iii. Percentage of family beneficiaries who have a pregnant woman, a breastfeeding
woman, or an under-two child in the family and receive food assistance outside
rice and eggs (carbohydrates, animal protein, plant protein, vitamins and mineral
and/or complementary food/MP-ASI) (achievement: 59,436 beneficiaries).
iv. Percentage of reproductive-age couples in the poor-and-have-social-welfare-issues
group who receive conditional cash assistance (achievement: 5,289,843 beneficiaries).
v. Percentage of reproductive-age couples in the poor-and-have-social-welfare-issues
group who receive non-cash food assistance (achievement: 8,802,763 beneficiaries).
vi. Percentage of reproductive age couples who are poor and needy who become
contribution assistance recipients (PBI) of the social health insurance program
(achievement: 15,207,801 beneficiaries).
e. Pillar 5. Of the 18 (eighteen) indicators of Pillar 5, the target has been achieved for 13
(thirteen) of the indicators as listed below:
i. Percentage of village government with good convergence in their stunting reduction
acceleration interventions (achievement: 46.2% or 31,171 villages ; target: 40%).
ii. Publication of stunting data at the district/city level once a year in the form of SSGI
Pocket Book.
iii. Monitoring and evaluation on the implementation of the national strategy on
accelerating stunting reduction twice a year.
iv. Audit of stunted under-two children (achievement: 86.5% ; 2024 target: 50%).
v. Availability of a fund transfer system to the sub-national level, and village/
kelurahan fund that supports integrated stunting reduction acceleration.
vi. Availability of an integrated data and information system on accelerated reduction of
stunting. The “Satu Data Stunting” platform is currently in the development process.
vii. Availability of data on families at-risk of stunting that is updated through the
Family Information System (SIGA) every 6 months.
viii. Availability of a screening and counseling system for future, soon-to-be-married
reproductive-age couples.

ix. Percentage of districts/cities who receive assistance to accelerate stunting
reduction from universities based on the threefold mission (Tri Dharma) of higher
education (achievement: 68% ; 2022 target: 50%).
x. Establishment of a knowledge-sharing platform for acceleration of stunting
reduction (cegahstunting.id).
xi. Establishment of a recognition and reward system for regions with good
performance in accelerating stunting reduction.
xii. Availability of a financial incentive system for regions with good performance in
integrated accelerated stunting reduction activities.
xiii. Review of government budget and spending for accelerated stunting reduction
activities.
7.2. Challenges
Integrated guidance to 12 priority provinces (Report on Integrated Guidance by the
Coordinating Ministry for Human Development and Cultural Affairs/Kemenko PMK)
reports several challenges that must be overcome to accelerate stunting reduction in
Indonesia. They are:
l Budgetary commitment to stunting reduction is not reflected in regional planning
documents.
l Limited understanding about convergence at various levels; convergence actions
have not been implemented broadly.
l Regional medium-term development plan and strategic plan do not necessarily put
stunting as a priority program.
l Inavailability of a technical guideline on the percentage of village fund that should
be allocated for stunting.
l Data are scattered across sectors and there is yet to be a mechanism for data sharing
and utilization.
l Inavailability of data for several indicators.
l Inadequate capacity of Family Support Teams (TPK).
l Inadequate sensitization of rules/regulations from the central level to the provincial,
district and village level.
l Limited engagement of universities, partners, faith-based organizations, and
community organizations with regional governments.
l Inavailability of a guideline on monitoring and evaluation of convergence.
7.3. Recommendations
l Budget: Provide clarification about the tagging of budgets associated with stunting
activities for implementation of convergence at the regional level; determine the
percentage of village fund that should be used for stunting reduction activities;
optimize the tools to monitor and identify any increase in the provincial government
budget (APBD) that is allocated for accelerated stunting reduction.
l Coordination: a coordination forum at the central and regional level is necessary
to strengthen program planning, implementation, and evaluation; a guideline and
mapping of the role of partners and universities at the regional level is needed.

l Human resources: Strengthen the capacity and skills of family support teams (TPK)
in providing interpersonal education, and counseling to target groups; increase the
ability of TPK to support at-risk families.
l Recording, monitoring and evaluation: there is a strong need to: create a mechanism
of data sharing that can be utilized by the TPPS, Task Force and TPK; integrate data
between the family enumeration database, e-PPGBM (electronic community-based
nutrition recording and reporting), pamsimas (community-based drinking water and
sanitation program) – sanimas (community-based sanitation); revise the technical
guideline and instrument of tiered integrated M&E for use by ministries/agencies and
regional implementing organizations (OPDs) also the mechanism for reporting results
of evaluation on implementation and target achievement.
l Encourage regional governments to equip religious educators with more
comprehensive technical knowledge about stunting.
BKKBN supports the convergence between accelerated stunting reduction policy at the
regional level and role of universities in supporting regional governments. As part of the
threefold mission (Tri Dharma) of higher education, universities should be encouraged to
support local governments in stunting reduction effort as a way to apply all the innovations
a university has developed, implementing them within the framework of accelerating the
reduction of stunting. In this regard, support has been provided by 296 universities in
317 districts/cities. A Policy Review on Accelerated Stunting Reduction Program in 6 (six)
islands of Indonesia year 2022 has the following conclusions:
1. Increase the role of nutritional status surveillance by doing more sensitization

and advocacy to improve the understanding of stunting-related data and their
significance.
2. Prevent early marriage and develop services on preconception care for soon-to-be-
married couples and teenage girls through the teen “Genre” (Planned Generation)
ambassador program. School campaign and fun activities can be utilized to bring
existing programs closer to students in rural areas, especially in areas with a high
rate of early marriage.
3. Create a formal media that is agreed by various sectors as a platform to disseminate
knowledge and information on stunting issues and as a campaign media.
4. Improve the concept and strategy in pentahelix partnership that involves five actors:
the government, business, academicians, the public, and media.
5. Increase sensitization and advocacy to improve the current understanding about
stunting data and the significance of stunting measurement. To facilitate an improved
understanding, data presentation should include a comparison of data that have the
same standard of measurement across regions.
6. Increase the collaboration and commitment toward stunting at the district/city
level, such as in integrated guidance by various offices, development of innovative
modules on stunting, training and capacity development activities, entrepreneurship
development, and development of nutritious food for pregnant women and under-
five children using nutrient-rich local food ingredients.

References
1. Report on Accelerating Stunting Reduction Year 2022 and 2023 Action Plan, Team for the
Acceleration of Stunting Reduction, April 2023.
2. Presidential Decree number 72/2021 on Accelerating Stunting Reduction.
3. Regulation of the Head of National Population and Family Planning Board (Perban BKKBN)
number 12/2021 regarding National Action Plan to Accelerate Stunting Reduction in
Indonesia year 2021-2024.
4. National Population and Family Planning Board. Achievement of RAN PASTI indicators
under the responsibility of BKKBN year 2022. Link: bit.ly/IndikatorBKKBN. Downloaded on
20 January 2023.
5. National Population and Family Planning Board. Achievement of RAN PASTI indicators under
the responsibility of BKKBN year 2022. Link: bit.ly/IndikatorRANPASTI2022. Downloaded
on20 January 2023.
6. National Agency for Drug and Food Control (BPOM). Data on Accelerated Stunting
Reduction BPOM. 5 April 2023.
7. Ministry of Religious Affairs. Coverage of Premarital Counseling Service per 7 March 2022.
8. Ministry of Home Affairs (MOHA). Achievement and Target Indicators of MOHA. March
2023.
9. Ministry of Home Affairs. Assessment of Good Practices in PPS. February 2023.
10. Ministry of Health. National Basic Health Research (Riskesdas) Report year 2018. Jakarta:
Ministry of Health, 2018.
11. Ministry of Health. Guideline on Management of Chronic Energy Deficiency among

Pregnant Women. Jakarta: Ministry of Health, 2002.
12. Ministry of Health. Indonesia Nutritional Status Survey (SSGI) year 2021. Jakarta: Ministry
of Health, 2022.
13. Ministry of Health. Indonesia Nutritional Status Survey (SSGI) year 2021. Jakarta: Ministry
of Health, 2021.
14. Ministry of Health. Survey on the Nutritional Status of Under-five Children in Indonesia
year 2019. Jakarta: Ministry of Health, 2019.
15. Ministry of Health. Target and achievements are obtained from the Directorate General of
Public Health, MOH, per 7 March 2023 and 24 March 2023.

16. Ministry of Public Works and Public Housing. Target and achievements are obtained from
the Directorate of Drinking Water and the Directorate of Sanitation per 7 March 2023.
17. Ministry of Social Affairs. Secretary General of Ministry of Social Affairs. Request for data
on achievement of indicators. Ministry of Social Affairs. 30 March 2023.
18. National Seminar Report, Directorate of Planning for Population Control, BKKBN.
19. Report on the Result of Monitoring and Evaluation of Mini Workshop and FGD on
Accelerating the Reduction of Stunting, Directorate of Field Implementation, BKKBN
20. Report on Integrated Guidance to Accelerate Stunting Reduction in South East Sulawesi,
West Nusa Tenggara, and Central Java, Directorate of Family and Under-five Children,
BKKBN.
21. Policy Brief on Cultural Approach to Reduce Stunting, Directorate on Collaboration for
Population Education, BKKBN.
22. Review on Integrated Guidance to Accelerate Stunting in 12 Priority Provinces, Kemenko

PMK.
23. Report from the Deputy Chief Executive for Coordination, Guidance and Supervision
of AcceleratedStunting Reduction Implementation, Directorate General of Regional
Development, MOHA.
24. Pocket Book - Indonesia Nutritional Status Survey Results (SSGI) 2022, Health Development
Policy Agency, MOH.
25. Guideline for Update, Verification, and Validation of Data on Families at-risk of Stunting,
Directorate of Reporting and Statistics, BKKBN, May 2022.
26. Family Data Tabulation and Update 2022, Directorate of Reporting and Statistics,BKKBN,
March 2023.
27. Summary of Detailed Output from Annual and Semester Report regarding Accelerating
Stunting Reduction, MOF& Bappenas, January 2022.

Attachment
Attachment 1. Achievement and Target of Nutrition-Specific Interventions
2022 Target Ministry/

Goal Indicators Target Achievement 2023 2024 Agency
in charge
Semester 1b Semester 2b
Availability a. Percentage of pregnant
of nutrition- women with chronic
energy deficiency (CED) 85.0% 82.7% 89.1% 87.0% 90.0% MOH
specific
interventions who receive nutritional
supplements.
b. Pregnant women who
take at least 90 Iron-Folic
60.0% NA 87.1% 70.0% 80.0% MOH
Acid (IFA) tablets during
pregnancy.
c. Percentage of teenage
girls who consume Iron- 45.0% 16.47% 46.4% 50.0% 58.0% MOH
Folic Acid (IFA) tablets.
d. Percentage of infants
younger than 6 months 70.0% 65.4% 66.4% 75.0% 80.0%
who are exclusively MOH
breastfed.
e. Percentage of infants
aged 6-23 months who 60.0% NA 4.974.380 70.0% 80.0%
receive complementary
food (MP-ASI). MOH
f. Percentage of children
under five years of age
with severe malnutrition
who receive intervention 83.0% 82.6% 90% 87.0% 90.0% MOH
as part of standard
management of
malnutrition.
g. Percentageof children
under five years of MOH
age whose growth 75.0% 24% 78.3% 85.0% 90.0%
and development are
monitored.
h. Percentage of
malnourished children MOH
under five years of age 80.0% 64.9% 84.5% 85.0% 90.0%
who receive nutritional
supplements.
i. Percentage of children
under five years of age 90.0% 64.9% 97.5% 90.0% 90.0% MOH a
with complete basic
immunization.
Source:
a. MOH: Target and achievement data is obtained from the Directorate General of Public Health, MOH, per 7 March
2023
b. Information from BAPPENAS: Target and achievement data is based on independent reports of Min/Agency that
Bappenas compiled, per 22 February 2023

Attachment 2. Achievement and Target of Nutrition-Sensitive Interventions
2022 Target Ministry/

Goal Indicators Target Achievement 2023 2024 Agency
in charge
Semester 1 Semester 2
Availability Percentage of postpartum
of nutrition- family planning (PPFP) service 50.0% 7.9% 52.6% 60.0% 70.0% BKKBN d
sensitive *MOH, Dec 2022
interventions Percentage of unintended 16.5% - 11% 16.0% 11% BKKBN e
pregnancies
Percentage of future
reproductive-age couples
who receive a health check- 70% 11.5% 75.5 % 60.0% 90.0% BKKBN a
up as part of premarital
services (couples)
Percentage of households in Min.Public
priority districts/cities with 95.9% - 93% 97.9% 100% Works-
access to improved drinking Housing c
water (%)
Percentage of households
in priority districts/cities Min.Public
with access to adequate 82.1% - 79.1% 86.03% 90% Works-
sanitation (domestic liquid Housing c
waste) (%)
Coverage of social
assistance program
among the bottom 40% 96,800,000 87.300.000 96.700.000 96,800,000 112.900.000 MOH b
of the population (million
population)
Percentage of families at- 30% - 42.7% 60% 90.0% BKKBN d
risk of stunting who receive
support (%)
Number of poor and
vulnerable families who
receive conditional cash 10,000,000 10.000.000 10.000.000 10.000.000 10.000.000 Min. Social
assistance (million poor Affairs a
families)
Percentage of target
population in priority sites - - 74% - 70.0% MOH b
with good comprehension
about stunting (%)
Number of poor and
vulnerable families who 18,800,000 18.200.000 18.660.0000 18.800.000 15.600.039 Min. Social
receive non-cash food Affairs f
assistance (million family
beneficiaries)
Percentage of villages/
kelurahan with open- 60% 50.6% 57.0% 70.0% 90.0% MOH b
defecation-free (ODF)
status.
Source:
a. BAPPENAS: Target and achievement data is based on independent reports of Min/Agency that Bappenas compiled, per 22
February 2023
b. MOH: Target and achievement data is obtained from the Directorate General of Public Health, MOH, per 7 March 2023
c. KemenPUPR (Min. of Public Works and Public Housing): Target and achievement data is obtained from the Directorate of
Drinking Water and Directorate of Sanitation per tanggal 7 March 2023
d. MOH: achievement data is obtained from the Directorate General of Public Health, MOH, per 24 March 2023
e. Family Enumeration 2022 Update
f. Ministry of Social Affairs (Kemensos): Target and achievement data is obtained from Kemensos Secretary General per 30
March 2023

Attachment 3. Achievement and Target of Increasing the Commitment and Vision of
Leadership in Ministries/Agencies, Provincial, District/City, and Village Governments
Pillar 1: Commitment and vision of the leadership in ministries/agencies, and in provincial, district/
city and village governments
Target and Year Achievement Ministry/

Activity Output of Achievement in 2022 Agency
2022 2023 2024 Semester 2 in charge
a. Increase the 1. Annual coordination Vice Presidential
commitment meeting that is attended Secretariat,
toward by high-ranking officials at 1 1 1 1 Ministry of State
acceleration the central, provincial and Secretariat a
of stunting district/city level
reduction
2. Coordination meeting at the 514 514 514 493 District/City
district/city level Government d
3. Stunting consultation forum

(rembukstunting)at the sub- 7281 7281 7281 75.3% District/City
district level Government d
4. Bupati/Mayor policy/
regulation about the
authority of villages/ Provincial
514 - - 430 Government d
kelurahan in stunting
reduction initiatives
5. Availability of midwives in District/City
villages/kelurahanin line with 80% 90% 100% 92.6%
Government b
the need
6. Number of stunting-free - - 100% NA District/City
villages/kelurahan Government
7. Percentage of provinces
where stunting reduction 100%
acceleration receive 100% 100% 100% Ministry of
Home Affairs a
increased allocation from the
local budget (APBD)
8. Percentage of districts/cities
where stunting reduction Provincial
acceleration receive 100% 100% 100% 78% Government d
increased allocation from the
local budget (APBD)
b. Strengthen 1. Number of village officials
the capacity who receive capacity District/City
of village strengthening support 100% - - NA Government
government for managing accelerated
officials stunting reduction programs
2. Number of Family Hope
Program (PKH) mentors who 127,6% Ministry of
receive training about health - - 100% (7.659 people) Social Affairs c
and nutrition.
3. Percentage of villages/
kelurahan whose human District/City
development cadres - - 90% NA Government
receive guidance from
their respective district/city
government.
Source:
a. Target and achievement data is based on independent reports of Min/Agency that Bappenas compiled, per 22 February 2023
b. Achievement data is obtained from MOH, per 13 March 2023
c. Target and achievement data isobtained from the Secretary General of Kemensos, per 31 March 2023
d. TPPS Report through Task Forces across Indonesia, 21 March 2023

Attachment 4. Achievement and Target of Improving Behavior Change Communication and
Community Empowerment
Pillar 2: Behavior Change Communication and Community Empowerment

a. Engage in on 1. National campaign on stunting 3 3 3 District/City
going behavior prevention. channels/ channels/ channels/ BKKBN: 83.6% Government a
change method method method
communication every every every
and campaign. month month month
2. Percentage of families who
stop the practice of open 90% 90% 90% NA District/City
defecation. Government
3. Percentage of families who
practice a clean and healthy - - 70% NA District/City
lifestyle (PHBS). Government
4. Percentage of under-five
children who receive complete 90% 90% 90% 97.5% (=Attachment District/City
basic immunization. A) Government a
1. Number of districts/cities
b. Strengthen
the capacity that have a minimum of 20
of institutions basic-level trainers and provide
to carry out education and training about 100 514 122districts/cities Provincial
behavior child care, stimulation and districts/ - (122%) Government b
change management of stunting to cities
communication teachers of early childhood
to reduce education (PAUD).
stunting.
2. Percentage of village/
kelurahan with Early Childhood
Education (PAUD) teachers
who have received education - 90% NA District/City
and training on child care, Government
stimulation and management
of stunting from the district/
city.
3. Percentage of Early Childhood
Education (PAUD) institu
tions that develop a Holistic - 70% NA District/City
Government
Integrative Early Childhood
Education (PAUD-HI) program.
4. Delivery of standardized
growth and development District/City
- 90% NA
monitoring service in Government
posyandus (integrated health
service posts).
kelurahan that hold parenting
classes for families with under- 70% 80% 90% 91.7% District/City
five children (BKB) to guide Government e
them about child care practices
during the first 1,000 days of
life.

Pillar 2: Behavior Change Communication and Community Empowerment

6. Percentage of Family Hope

Program (PKH) beneficiaries
(KPM) who attend family 70% 80% 90% 46,7% District/City
development sessions (P2K2) Government c
that discuss the topic of health
and nutrition.
7. Percentage of Adolescent
Information and Counseling
Centers (PIK) and Adolescent 70% 80% 90% 99.7% District/City
Government e
Family Development (BKR)
programs that provide youth
with education on reproductive
health and nutrition.
c. Enhance 1. Interfaith behavior change
the role of 2 2 2 40.8% District/City
communication forum for Government d
faith-based stunting reduction.
organizations in
communication 2. Percentage of soon-to-be- l 1,579 families
for behavior married couples who receive - (Buddhist)
change to - Ministry of
premarital counseling on l 543,734 people Religious
reduce stunting stunting prevention. 90%
(muslim) Affairs a
l 944 families (Hindus)
Source:
a. Target and achievement data is based on independent reports of Min/Agency that Bappenas
compiled, per 22 February 2023
b. Achievement data is obtained from the Ministry of Education and Culture, per 13 March 2023
c. Target and achievement data is obtained from the Secretary General of Ministry of Social Affairs
(Kemensos), per 31 March 2023
d. TPPS Report through Task Forces across Indonesia,21 March 2023
e. BKKBN, 20 February 2023 through bit.ly/IndikatorBKKBN

Attachment 5. Achievement and Target of Improving the Convergence of Nutrition-Specific
and Nutrition-Sensitive Interventions in Ministries/Agencies, Provincial, District/City, and
Village Governments

2020 2021 2022 2023 2024 Semester 2 in charge
Pillar 3: Convergence of nutrition-specific and nutrition-sensitive interventions at national,

provincial, district/city and village levels
a. Converge 1. Number of provinces,

the planning districts/cities that
budgeting, and integrate accelerated
implementation stunting reduction
of activities programs and activities
at the central into local planning and
and regional budgeting documents
level in order (regional long-term
to increase the development plan, 84.6% Ministry of
type, coverage, regional medium-term (435 Districts/ Home Affairs a
and quality development plan, - - 514 - - Cities - 34
of priority regional action plan Provinces)
nutrition on food and nutrition,
interventions local government work
plan, local budget, and
local work plan and
budget).
2. Percentage of districts/
cities that implement Provincial
the convergence - - 100% - - 96% Government c
actions for accelerated
stunting reduction.
kelurahan that integrate
accelerated stunting
reduction programs
and activities into
village/kelurahan District/City
- - 100% - - 82,4% Government c
planning and
budgeting documents
(village medium-term
development plan and
village government
work plan, also village
budget, village work
and budget plan).
kelurahan that allocate
more funding from
the village/kelurahan - - - - 90% 72,6% District/City
fund for specific and Government c
sensitive interventions
to reduce stunting.
5. Percentage of
villages/kelurahan
that implement - - 80% - - 81,9%
convergence in District/City
Government c
reduction activities.
6. Percentage of
villages/kelurahanthat
implement community- - - - - 100% 86% District/City
led total sanitation Government
(CLTS).


7. Percentage of future District/City

reproductive-age couples/ - - - - 90% NA Government
mothers who receive iron-
folic acid (IFA) tablets.
8. Percentage of pregnant
women with chronic District/City
energy deficiency (CED) - - 85% 87% 90% 89.1% Government a
who receive nutritional (= Attachment A)
supplements.
9. Pregnant women who
receive at least 90 Iron- 87.1% District/City
Folic Acid (IFA) tablets - - 60% 70% 80% (= Attachment A) Government a
during pregnancy.
10. Percentage of infants
younger than 6 months - - 70% 75% 80% 66.4% District/City
who are exclusively (= Attachment A) Government a
breastfed.
11. Percentage of infants
aged 6-23 months who - - 60% 70% 80% 4.974.380 District/City
receive complementary (=Attachment A) Government a
food (MP-ASI).
12. Percentage of children
under five years of age
with severe malnutrition
who receive intervention - - 75% 87% 90% 90% District/City
as part of standard (=Attachment A) Government a
management of
malnutrition.
13. Percentage of
malnourished children 84.5% District/City
under five years of age - - 80% 85% 90% (=Attachment A) Government a
who receive nutritional
supplements.
cities with food safety Provincial
intervention to support - - 45% 75% 100% 46%
Government h
reduction.
cities that receive 100%
facilitation to become - - 66 73 73 100% Provincial
b
women- and child-friendly districts/ districts/ districts/ (66 districts/cities) Government
regions for accelerated cities cities cities
stunting reduction. (13%)* (14%)* (14%)*


b. Implement 1. Coverage of support to District/City

convergence in families at-risk of stunting. - - 30% 60% 90% 42.7% Government f
interventions
to prepare for
family life
2. Percentage of future
who receive guidance - - 70% 80% 90% 66.4% District/City
and counseling on Government g
reproductive health and
nutrition 3 months before
marriage.
3. Percentage of teenage girls District/City

who receive a hemoglobin - - - - 90% Grade 7: 46.76% Government
test to check for anemia. Grade 10: 31.7%
4. Availability of data from - - 1x/6 1x/6 1x/6 1 District/City

surveillance on families mos mos mos Government a
at-risk of stunting.
5. Percentage of districts/ District/City

cities with age-specific Government d
fertility rate (ASFR) of at - - 28% 60% 90% 24.9%
least 18 per 1,000 women
aged 15-19.
6. Percentage of postpartum District/City

family planning service. - - 50% 60% 70% 52,6% Government f
7. Percentage of unmet need District/City

for family planning. - - 8% 7.7% 7.40% 14.7% Government e
Note: For achievement of indicator on Unmeet Need and Intended Pregnancy, the lower the percentage,
the better.
Source:
a. Target and achievement data is based on independent reports of Min/Agency that Bappenas compiled,
per 22 February 2023
b. Achievement data is obtained from the Ministry of Women Empowerment and Child Protection, per 14
March 2023
c. TPPS Report through Task Forces across Indonesia,21 March 2023
d. Susenas (National Socio-Economic Survey) year 2021(processed)
e. Family Enumeration Data 2022 Update
f. MOH: achievement data is obtained from the DG of Public Health, MOH, per 24 March 2023
g. BKKBN, 20 January 2023 through bit.ly/IndikatorBKKBN
h. Target and achievement data is obtained from the Principal Secretary, BPOM (National Agency of Food
and Drug Control), 5 April 2023

Attachment 6. Achievement and Target of Increasing Food and Nutrition Security at the
Individual, Family and Society level

Pillar 4: Food and Nutrition Security at the Individual, Family, and Society level
a. Fulfill the food 1. Percentage of families at-

and nutrition risk of stunting who utilize District/City
needs of home-yard food garden to Government a
individuals, increase their nutritional - - - - 50% 10,5%
family and intake.
the society,
including the 2. Percentage of families
needs during at-risk of stunting who District/City
a disaster. receive promotions to - - - - 90% 13,8% Government a
incorporate more local fish
into their diet.
3. Percentage of family
beneficiaries who have
a pregnant woman, a
breastfeeding woman, or
an under-two child in the
family and receive food - - - - 90% 59.436 District/City
assistance of varied items beneficiaries Government b
outside rice and eggs
(carbohydrates, animal
protein, plant protein,
vitamins and mineral and/
or complementary food/
MP-ASI).
4. Percentage of
in the poor-and-have- - - - - 90% 5.289.843 District/City
social-welfare-issues beneficiaries Government b
group who receive
conditional cash
assistance.
5. Percentage of
in the poor-and-have- - - - - 90% 8.802.763 District/City
social-welfare-issues beneficiaries Government b
group who receive non-
cash food assistance.
6. Percentage of reproductive
age couples who are poor
and needy who become
contribution assistance - - - - 90% 15.207.801 District/City
recipients (PBI) of the beneficiaries Government b
social health insurance
program.
b. Improve 1. Percentage of monitored
the quality fortified food product that - - - - 90% NA District/City
of food is followed up by business Government
fortification.. actors.
Source:
a. TPPS Report through Task Forces across Indonesia, 21 March 2023,
b. Target and achievement data is obtained from the Secretary General of Ministry of Social Affairs
(Kemensos), 30 March 2023

Attachment 7. Achievement and Target in Strengthening and Development of System, Data,
Information, Research, and Innovation

Pillar 5: System, Data, Information, Research, and Innovation

a. Strengthen 1. Percentage of provincial 71% (34
an integrated and district/city provinces 69% (34 provinces Ministry of
monitoring governments with and 360 and 345 districts/ Home Affairs a
and evaluation good convergence in - - districts/ - 90% cities)
system on accelerating stunting cities)
accelerated reduction.
stunting
reduction. 2. Percentage of village
government with good 46.2% Ministry of
convergence in their - - 40% - 90% (31.171 Vilages) Village a
stunting reduction
acceleration interventions.
3. Publication of stunting Ministry of
data at the district/city - - 1 1 1 1 (SSGI Pocket Health a
level. Book)
4. Monitoring and evaluation
of the national strategy
on accelerating stunting - - 2 2 2 2 times BKKBN a
reduction.
of accelerated stunting
reduction activities at the Provincial
- - 2 2 2 29 provinces Government
provincial government b
level.
of accelerated stunting District/City
reduction activities at the - - 2 2 2 345 districts/ b
cities Government
district/city government
level.
of accelerated stunting - - 2 2 2 72,6% Village
reduction activities at the Government b
village government level.
8. Audit of stunted under- District/City
two children. - - - - 50% 86.5% Government c
b. Develop an 1. Availability of a fund

integrated transfer system to the
data and sub-national level, and - 1 1 - - 1 Ministry of
information village/kelurahan fund Finance a
system. that supports integrated
acceleration of stunting
reduction.
2. Availability of an Ministry of
integrated data and 1 (in development National
information system on - 1 1 - - Satu Data Development
accelerated reduction of Stunting) Planning/
stunting. BAPPENAS a
3. Availability of data on
families at-risk of stunting
that is updated through - - 1x/6 1x/6 1x/6 2 x/year District/City
the Family Information mos mos mos Government a
System (SIGA).

Pillar 5: System, Data, Information, Research, and Innovation

4. Availability of a screening
and counseling system for
future, soon-to-be-married - 1 1 - - 1 (Elsimil) BKKBN a
reproductive-age couples.
cities that implement
an electronic nutrition Provincial
surveillance system - - 90% 100% - 75,5% Government d
to monitor nutritional
intervention and reduce
stunting.
c. Strengthen 1. Percentage of districts/

research and cities who receive 68%*
innovation, assistance to accelerate *monevpenduk.
also develop stunting reduction from - - 50% 75% 100% org and penting. BKKBN a
and utilize universities based on bkkbn.go.id
the result of the threefold mission
research and (Tri Dharma) of higher
innovation. education.
Ministry of
d. Develop a 1. Establishment of a National
knowledge knowledge-sharing 1 1 1 - - 1 (cegahstunting.id) Development
management platform for acceleration Planning/
system. of stunting reduction. BAPPENAS a
2. Establishment of a
recognition and reward
system for regions with - 1 1 - - in development Ministry of
good performance in Home Affairs a
accelerating stunting
reduction.
3. Availability of a financial
incentive system for
regions with good Ministry of
performance in integrated - 1 1 - - 1 Finance a
4. Review of government
budget and spending - 1 1 1 1 1 Ministry of
for accelerated stunting Finance a
Source:
BAPPENAS: Target and achievement data is based on independent reports of Min/Agency that
Bappenas compiled, per 22 February 2023;
b TPPS Report through Task Forces across Indonesia, 21 March 2023;
c BKKBN, 20 January 2023

2023
@BKKBNofficial www.bkkbn.go,id

TIM PERCEPATAN PENURUNAN STUNTING
BADAN KEPENDUDUKAN DAN KELUARGA BERENCANA NASIONAL
2023

Executive Report 2022

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EXECUTIVE REPORT

ACCELERATING THE REDUCTION

TEAM FOR THE ACCELERATION OF STUNTING REDUCTION

Team for the Acceleration of Stunting Reduction

TEAM FOR THE ACCELERATION OF STUNTING REDUCTION

Team for the Acceleration of Stunting Reduction

Vice Editors in Chief:

ii Executive Report Accelerating the Reduction of Stunting Year 2022

2. Progress toward Intermediate Target 17

3. Progress toward National Strategy Target 23

Team for the Acceleration of Stunting Reduction

3.4.1. Fulfillment of Food and Nutrition Needs of Individuals, Families,

4. Implementation of RAN PASTI 35

5. Partnerhip in Accelerated Stunting Reduction 43

6. Budget for Accelerating Stunting Reduction in 2022 47

iv Executive Report Accelerating the Reduction of Stunting Year 2022

Table 1. Number of Families at-risk of Stunting 39

Table 2. Achievement of 4 Indicators of Audit Stunting Case in 2022 42

Table 3. Budget Allocation for Accelerating Stunting Reduction

Table 5. DAK Non Fisik for Accelerating Stunting Reduction in FY 2022 51

Team for the Acceleration of Stunting Reduction

Figure 1. Data Availability and Achievement

Figure 2. Data Availability and Achievement of Pillar 1 Target Indicators 4

Figure 3. Data Availability and Achievement of Pillar 2 Target Indicators 5

Figure 4. Data Availability and Achievement of Pillar 3 Target Indicators 6

Figure 5. Data Availability and Achievement of Pillar 4 Target Indicators 8

Figure 6. Data Availability and Achievement of Pillar 5 Target Indicators 9

Figure 7. Stunting Case Trend and 2024 Target 14

Figure 8. Achievement Trend and Targets of Nutrition-Specific Intervention 20

Figure 9. Achievement Trend and Targets of Nutrition-Sensitive Intervention 22

Figure 10. National Stunting Forum 2022 25

Figure 11. Interpersonal Communication Target and Achievement 28

Figure 12. National Halaqoh 30

Figure 13. Conceptual Framework of Families at-risk of Stunting 37

Figure 14. Implementation and Achievement of Audit Stunting Case in 2022 41

Figure 15. Achievements of Audit Stunting Case Indicators 42

Figure 16. Foster Father of Stunted Children (BAAS) Program 44

Figure 17. Partnership of BKKBN with the Indonesian Army 46

Figure 18. Partnership between BKKBN, PT. Pertamina (Persero)

Figure 19. Budget Allocation Trend in Support of Stunting Reduction 48

Figure 20. Allocation from District/City APBD in FY 2019-2023

vi Executive Report Accelerating the Reduction of Stunting Year 2022

Attachment 1. Achievement and Target of Nutrition-Specific Interventions 63

Team for the Acceleration of Stunting Reduction

APBN : Anggaran Pendapatan Belanja Negara (State Budget)

viii Executive Report Accelerating the Reduction of Stunting Year 2022

Team for the Acceleration of Stunting Reduction

Thanks be to the Almighty God, we have finalized this 2022 Report on

Accelerating the reduction of stunting is a difficult endeavor without

This report provides an overview on how activities to accelerate the

At this valuable opportunity, allow us to thank all the parties

Jakarta, March 2023

Tavip Agus Rayanto

x Executive Report Accelerating the Reduction of Stunting Year 2022

The Government of Indonesia is fully committed to preventing

We extend our gratitude and highest appreciation to all the

Jakarta, March 2023

Dr. (H.C.) dr. Hasto Wardoyo, Sp.OG (K)

Team for the Acceleration of Stunting Reduction

Successfully reducing stunting prevalence by 2.8% from 24.4% in 2021 to

Going forward, a stronger leadership vision and commitment toward real

Dr. Ir. Suprayoga Hadi, M.S.P

Deputy for Policy Support on Human Development