Optimalisasi Promosi Kesehatan dan Aktivitas Fisik sebagai Strategi Preventif Determinan Stunting
DOI:
https://doi.org/10.61116/jp3t.v4i2.1013Keywords:
Promosi Kesehatan, Aktivitas Fisik, Preventif, StuntingAbstract
Stunting merupakan masalah gizi kronis yang masih menjadi tantangan utama dalam pembangunan kesehatan, khususnya di negara berkembang termasuk Indonesia. Kondisi ini tidak hanya berdampak pada pertumbuhan fisik anak, tetapi juga berpengaruh terhadap perkembangan kognitif, kesehatan jangka panjang, dan produktivitas di masa depan. Penelitian ini bertujuan untuk mengkaji determinan stunting serta menganalisis peran pendekatan promosi kesehatan dan aktivitas fisik dalam upaya pencegahan dan penanganannya. Metode yang digunakan adalah systematic literature review (SLR) dengan mengacu pada pedoman PRISMA. Pencarian literatur dilakukan melalui database PubMed, Scopus, Web of Science, dan Google Scholar dengan rentang tahun publikasi 2020–2025. Sebanyak 20 artikel yang memenuhi kriteria inklusi dianalisis secara deskriptif-tematik. Hasil penelitian menunjukkan bahwa determinan stunting meliputi faktor langsung seperti asupan gizi dan infeksi, faktor tidak langsung seperti pola asuh, sanitasi, dan akses layanan kesehatan, serta faktor dasar seperti kondisi sosial ekonomi dan pendidikan ibu. Promosi kesehatan terbukti berperan dalam meningkatkan pengetahuan dan perubahan perilaku keluarga terkait gizi dan pengasuhan anak, sementara aktivitas fisik mendukung perkembangan motorik dan kesehatan anak secara keseluruhan. Integrasi antara intervensi gizi, promosi kesehatan, aktivitas fisik, dan perbaikan lingkungan menjadi strategi yang lebih efektif dalam menurunkan prevalensi stunting. Oleh karena itu, diperlukan pendekatan multisektoral dan berbasis komunitas yang berkelanjutan untuk mengoptimalkan upaya pencegahan stunting.
References
Amelia, Z., Sari, M., Hummisyah, F., Siregar, V. F., Dalimunthe, N. A., Maharani, J., Lubis, L. B., Damia, N., Permatasari, C., & Ananda, M. A. (2026). Peran Orang Tua dalam Menjaga Kesehatan Anak Akibat Masalah Kesehatan Gizi. Edukasi Elita : Jurnal Inovasi Pendidikan, 3(1), 213–226. https://doi.org/10.62383/edukasi.v3i1.2804
Andriyani, S., Sulastri, A., Fitriana, L. A., Darmawan, D., Perdani, A. L., Safariah, T. D., Malisa, N., Putri, T. H., & Mediani, H. S. (2025). Effectiveness of a Precede–Proceed Model-Based Health Promotion Intervention on Evaluating Changes In Mothers’ Knowledge of Stunting Prevention in Indonesian Communities. Journal of Multidisciplinary Healthcare, 18, 8249–8256. https://doi.org/10.2147/JMDH.S541443
Atamou, L., Rahmadiyah, D. C., Hassan, H., & Setiawan, A. (2023). Analysis of the Determinants of Stunting among Children Aged below Five Years in Stunting Locus Villages in Indonesia. Healthcare, 11(6), 810. https://doi.org/10.3390/healthcare11060810
Bhutta, Z. A., Islam, M., Gaffey, M. F., Victora, C. G., Menon, P., Katz, J., Horton, S. E., Yearwood, J., & Black, R. E. (2025). What works for reducing stunting in low-income and middle-income countries? Cumulative learnings from the Global Stunting Exemplars Project. The American Journal of Clinical Nutrition, How Nutrition Improves: Learning from Exemplars of Childhood Stunting Reduction and Reducing Anemia in Women of Reproductive Age, 121, S113–S128. https://doi.org/10.1016/j.ajcnut.2025.03.004
Cameron, L., Chase, C., Haque, S., Joseph, G., Pinto, R., & Wang, Q. (2021). Childhood stunting and cognitive effects of water and sanitation in Indonesia. Economics & Human Biology, 40, 100944. https://doi.org/10.1016/j.ehb.2020.100944
Elisaria, E., Mrema, J., Bogale, T., Segafredo, G., & Festo, C. (2021). Effectiveness of integrated nutrition interventions on childhood stunting: A quasi-experimental evaluation design. BMC Nutrition, 7(1), 17. https://doi.org/10.1186/s40795-021-00421-7
Falensya, R. (2025). Pentingnya Gizi Seimbang dalam Mencegah Stunting pada Anak Usia Dini. Journal Innovation In Education, 3(4), 08–21. https://doi.org/10.59841/inoved.v3i4.3549
Hailu, B. A., Bogale, G. G., & Beyene, J. (2020). Spatial heterogeneity and factors influencing stunting and severe stunting among under-5 children in Ethiopia: Spatial and multilevel analysis. Scientific Reports, 10(1), 16427. https://doi.org/10.1038/s41598-020-73572-5
Haque, M. A., Choudhury, N., Wahid, B. Z., Ahmed, S. T., Farzana, F. D., Ali, M., Naz, F., Siddiqua, T. J., Rahman, S. S., Faruque, A., & Ahmed, T. (2023). A predictive modelling approach to illustrate factors correlating with stunting among children aged 12-23 months: A cluster randomised pre-post study. BMJ Open, 13(4), e067961. https://doi.org/10.1136/bmjopen-2022-067961
Hs, M., S, H., T, P., As, M., & M, S. (2022). Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. Journal of Multidisciplinary Healthcare, Volume 15, 1069–1082.
Jeong, J., Chi, H., Bliznashka, L., Pitchik, H. O., & Kim, R. (2025). Co-Occurrence of Stunting and Off-Track Early Child Development in Low- and Middle-Income Countries. JAMA Network Open, 8(3), e2462263. https://doi.org/10.1001/jamanetworkopen.2024.62263
Jokhu, L. A., Syauqy, A., Lin, L.-Y., Dieny, F. F., & Rahadiyanti, A. (2024). Determinants of stunting among children 6–23 months: A population-based study in Indonesia. Nutrition & Food Science, 54(8), 1369–1382. https://doi.org/10.1108/NFS-01-2024-0025
Keats, E. C., Das, J. K., Salam, R. A., Lassi, Z. S., Imdad, A., Black, R. E., & Bhutta, Z. A. (2021). Effective interventions to address maternal and child malnutrition: An update of the evidence. The Lancet. Child & Adolescent Health, 5(5), 367–384. https://doi.org/10.1016/S2352-4642(20)30274-1
Kusumawardani, H. D., Laksono, A. D., Hidayat, T., Supadmi, S., Latifah, L., Sulasmi, S., Ashar, H., & Musoddaq, M. A. (2023). Stunting Among Children Under Two Years in the Islands Areas: A Cross-sectional Study of the Maluku Region in Indonesia, 2021. Journal of Research in Health Sciences, 23(4), e00597. https://doi.org/10.34172/jrhs.2023.132
Laksono, A. D., Izza, N., Trisnani, T., Paramita, A., Sholikhah, H. H., Andarwati, P., Rosyadi, K., & Wulandari, R. D. (2024). Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: A secondary data analysis of the 2022 Indonesian national nutritional status survey. BMJ Open, 14(9), e089531. https://doi.org/10.1136/bmjopen-2024-089531
Mudadu Silva, J. R., Vieira, L. L., Murta Abreu, A. R., de Souza Fernandes, E., Moreira, T. R., Dias da Costa, G., & Mitre Cotta, R. M. (2023). Water, sanitation, and hygiene vulnerability in child stunting in developing countries: A systematic review with meta-analysis. Public Health, 219, 117–123. https://doi.org/10.1016/j.puhe.2023.03.024
Muhawarman, A. (2025). SSGI 2024: Prevalensi Stunting Nasional Turun Menjadi 19,8%. Kemenkes RI.
Mulyani, A. T., Khairinisa, M. A., Khatib, A., & Chaerunisaa, A. Y. (2025). Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction-A Narrative Review. Nutrients, 17(9), 1493. https://doi.org/10.3390/nu17091493
Mustikawati, I. S., Putri, S. S. E. L. M., Mahadewi, E. P., Muniroh, M., Nurmalasari, M., & Sangadji, N. W. (2024). The Effectiveness of Stunting Prevention Promotion to Improve Mothers’ Knowledge. NUSRA : Jurnal Penelitian Dan Ilmu Pendidikan, 5(1), 400–406. https://doi.org/10.55681/nusra.v5i1.2263
Nabillah, K., & Sumarmi, S. (2023). Perbedaan Pola Asuh Pada Balita Stunting dan Non Stunting di Provinsi Nusa Tenggara Timur (Analisis Data Riskesdas 2018). Media Gizi Kesmas, 12(2), 704–712. https://doi.org/10.20473/mgk.v12i2.2023.704-712
Nugraheni, A., Muniroh, M., Pramono, D., Nindita, Y., Nugroho, T. W., & Son, D. (2025). Investigating the Impact of Drinking Water on Urban Stunting in Indonesia. Yonago Acta Medica, 68(4), 306–314. https://doi.org/10.33160/yam.2025.11.002
Perpres RI. (2021). Peraturan Presiden (Perpres) Nomor 72 Tahun 2021 tentang Percepatan Penurunan Stunting. (72), 23.
Purwani, Y. D., Yuwono, T., Rimawati, E., Handayani, S., Wiwoho, S., & Kharisma, D. C. (2025). Determinants of Childhood Stunting in Central Java, Indonesia: The Role of Maternal Mental Health and Child Health History. Sage Open Pediatrics, 12, 30502225251401695. https://doi.org/10.1177/30502225251401695
Sari, B. N., Keb, M. T., Gurnita, B. F. W., Keb, M. T., & Ulya, B. F. H. (2025). Upaya Menuju Zero Stunting: Solusi Generasi Cerdas Masa Depan. Nuansa Fajar Cemerlang Jakarta.
Sideropoulos, V., Draper, A., Munoz-Chereau, B., Ang, L., & Dockrell, J. E. (2025). Childhood stunting and cognitive development: A meta-analysis. Journal of Global Health, 15, 04257. https://doi.org/10.7189/jogh.15.04257
Sihotang, W. Y., Hulu, V. T., Samosir, F. J., Pane, P. Y., Hartono, H., Manalu, P., Siagian, M., & Panjaitan, H. I. L. (2023). Determinants of stunting in children under five: A scoping review. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 12(1), 9–20. https://doi.org/10.14710/jgi.12.1.9-20
Siramaneerat, I., Astutik, E., Agushybana, F., Bhumkittipich, P., & Lamprom, W. (2024). Examining determinants of stunting in Urban and Rural Indonesian: A multilevel analysis using the population-based Indonesian family life survey (IFLS). BMC Public Health, 24(1), 1371. https://doi.org/10.1186/s12889-024-18824-z
Siswati, T., Iskandar, S., Pramestuti, N., Raharjo, J., Rubaya, A. K., & Wiratama, B. S. (2022). Impact of an Integrative Nutrition Package through Home Visit on Maternal and Children Outcome: Finding from Locus Stunting in Yogyakarta, Indonesia. Nutrients, 14(16), 3448. https://doi.org/10.3390/nu14163448
Sulistiyorini, D., & Ekaningrum, A. Y. (2025). Water, Hygiene, and Sanitation Risk Factors towards Stunting among Children (0-14 years): A Systematic Literature Review. Buletin Penelitian Kesehatan, 53(2), 121–146. https://doi.org/10.33860/bpk.v53i2.4044
Tamir, T. T., Gezhegn, S. A., Dagnew, D. T., Mekonenne, A. T., Aweke, G. T., & Lakew, A. M. (2024). Prevalence of childhood stunting and determinants in low and lower-middle income African countries: Evidence from standard demographic and health survey. PLOS ONE, 19(4), e0302212. https://doi.org/10.1371/journal.pone.0302212
Tamir, T. T., Tekeba, B., Mekonen, E. G., Zegeye, A. F., & Gebrehana, D. A. (2024). Spatial heterogeneity and predictors of stunting among under five children in Mozambique: A geographically weighted regression. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1502018
Tokan, P. K., Owa, K., Kes, M., Robert, D., Kes, M., Fankari, F., Bai, M. K. S., Wisanti, E., Kep, M., Maramis, J. L., & Kes, M. (2025). Bunga Rampai Media Promosi Kesehatan. Pt Media Pustaka Indo.
Ufthoni, G., Widjanark, B., Kartini, A., & Joko, T. (2022). The Health Promotion Effectiveness On Mother Knowledge Of Stunting Prevention In Toddlers: Literature Review. Health Science Journal of Indonesia, 13(2), 38–48. https://doi.org/10.22435/hsji.v13i2.6452
Wand, H., Moodley, J., Naidoo, S., & Govender, V. (2025). Population-Level Impact of Risk Factors on Stunting Among Children Under Five in Sub-Saharan Africa (2015-2022). Acta Paediatrica, 114(10), 2665–2674. https://doi.org/10.1111/apa.70161
Wang, X., & Zhou, B. (2024). Motor development-focused exercise training enhances gross motor skills more effectively than ordinary physical activity in healthy preschool children: An updated meta-analysis. Frontiers in Public Health, 12, 1414152. https://doi.org/10.3389/fpubh.2024.1414152
WHO. (2024, June 26). Physical activity. https://www.who.int/news-room/fact-sheets/detail/physical-activity
WHO. (2025a). Global nutrition targets 2030: Stunting brief. https://www.who.int/publications/i/item/B09383
WHO. (2025b). Joint Child Malnutrition Estimates: Latest estimates. World Health Organization. https://www.who.int/teams/nutrition-and-food-safety/monitoring-nutritional-status-and-food-safety-and-events/joint-child-malnutrition-estimates/latest-estimates
Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N., & Adhitya, D. (2022). Determinants of socioeconomic and rural-urban disparities in stunting: Evidence from Indonesia. Rural and Remote Health, 22(1), 7082. https://doi.org/10.22605/RRH7082
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Alimin Hamzah, Asri Awal

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.








