Integrated regional governance framework for accelerating stunting reduction through system convergence

Abstract

This study explores how an integrated regional governance framework can accelerate stunting reduction in Indonesia, specifically in five Kalimantan provinces (North, South, Central, West, and East). The context underscores stunting as a critical public health issue, driven by chronic malnutrition, with significant long-term impacts on child development and economic outcomes. Indonesia’s national strategy (2018–2024) prioritizes stunting reduction, yet regional disparities persist, necessitating localized solutions. The research plays a pivotal role by proposing a framework to address gaps in regional stunting management, leveraging data-driven and coordinated governance. It employs a quantitative descriptive approach, analyzing secondary data from the Directorate General of Regional Development (2019–2021) across 20 stunting convergence indicators. The study examines intervention coverage in maternal, child, family, and environmental groups, using an integrated framework with five dimensions: leadership, stunting analysis, digital data, open government, and information preparedness. The framework emphasizes leadership commitment, digital tools, and transparent data systems to improve governance and stakeholder engagement. Despite increased health program coverage in 2021, equity remains a challenge. The study advocates for enhanced socialization of stunting reduction efforts to foster community involvement and sustainable outcomes, offering a scalable model for districts/cities to align with national goals.