Socio-cultural factors and nursing ethical dilemma affect stunting in indonesian children

DOI: https://doi.org/10.56922/mchc.v4i9.2063

Authors

  • Elvira La Bula Universitas Muhammadiyah Yogyakarta
  • Fitri Arofiati Universitas Muhammadiyah Yogyakarta

Children Ethics Indonesia Socio-Cultural Stunting.

Abstract

Background: Stunting is a body condition that occurs due to chronic malnutrition due to the lack of fulfillment of nutritional needs over a long period of time. In Indonesia, it is estimated that almost less than 20% of children are stunted.

Purpose: to outline the socio-cultural factors and ethical dilemmas of nursing that contribute to stunting in children in Indonesia.

Method: To achieve this goal, the author conducted a systematic review of quantitative research articles that addressed the topic. Article searches were conducted through Google Scholar and ScienceDirect using keywords such as "social," "cultural," "ethical," "stunting," "child," and "Indonesian." Relevant articles, published within the last five years (2020-2025), and available in Indonesian and English, are then selected based on the inclusion and exclusion criteria that have been set. Search results resulted in ten articles that met the criteria.

Results: From the ten articles, eight main themes were found that became socio-cultural factors and ethical dilemmas of nursing related to stunting in children in Indonesia. These themes are based on the results of the journal analysis: nutritional intake of pregnant women, exclusive breastfeeding, complementary breastfeeding (MPASI), community attitudes towards stunting, childcare patterns, environmental cleanliness, as well as economic and educational aspects of parents.

Conclusion: Through this systematic review, this study succeeded in revealing how complex socio-cultural factors are interrelated and contribute to the occurrence of stunting in children in Indonesia. These factors include the nutritional adequacy of the mother during pregnancy, the success of exclusive breastfeeding, complementary feeding practices, public views on stunting, the parenting methods applied, the quality of environmental sanitation, as well as the economic conditions and education level of parents.

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References

Ahmad, S. N. A. J., & Pay, F. S. (2024). Hubungan Sosial Budaya Dengan Kejadian Stunting Pada Balita Usia 24-59 Bulan. Jurnal Pembaruan Kesehatan Indonesia, 1(1), 10-18.

Akbar, H., & Ramli, M. (2022). Faktor Sosial Ekonomi dengan Kejadian Stunting pada Anak Usia 6-59 Bulan di Kota Kotamobagu. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(2), 200-204.

Andari, F. N., Kosvianti, E., & Febriawati, H. (2024). Analisis Faktor Kejadian Stunting Pada Balita: Berbasis Transcultural Nursing. Citra Delima Scientific journal of Citra Internasional Institute, 8(1), 32-38.

Asian Development Bank. (2022). Indonesia : Impact of Adolescent Nutrition Support on Development Outcomes. Retrieved from: https://www.adb.org/projects/51354-001/main

Astuti, Y., Paek, S. C., Meemon, N., & Marohabutr, T. (2024). Analysis of traditional feeding practices and stunting among children aged 6 to 59 months in Karanganyar District, Central Java Province, Indonesia. BMC pediatrics, 24(1), 29.

Aziz, B. W. (2025). Analisis Sosiologis Pengaruh Pendidikan Ibu terhadap Kejadian Stunting pada Anak di Sulawesi Selatan. J-CEKI: Jurnal Cendekia Ilmiah, 4(2), 46-56.

Ermiati, E., Ardianti, A. S., Azizatunnisa, A. Z., & Sihemran, K. K. (2024). The Role of Nurses and Midwives In Handling Malnutrition Among Pregnant Women and Children: A Scoping Review. Journal of Nursing Care, 7(3).

Ginting, J. A., & Hadi, E. N. (2023). Faktor Sosial Budaya yang Mempengaruhi Kejadian Stunting pada Anak: Literature Review. Media Publikasi Promosi Kesehatan Indonesia (Mppki), 6(1), 43-50.

Goddard, F. G., Hunegnaw, B. M., Luu, J., Haneuse, S. J., Zeleke, M., Mohammed, Y., & Chan, G. J. (2024). Prevalence, incidence, and reversal pattern of childhood stunting from birth to age 2 years in Ethiopia. JAMA Network Open, 7(1), e2352856-e2352856.

Harahap, A. (2024). Hubungan ASI Ekslusif dengan Kejadian Stunting Di Menawi Kabupaten Kepulauan Yapen. Jurnal Kesehatan Tropis Indonesia, 2(1), 25-33.

Haryani, S., Astuti, A. P., & Sari, K. (2021). Pencegahan stunting melalui pemberdayaan masyarakat dengan komunikasi informasi dan edukasi di wilayah Desa Candirejo Kecamatan Ungaran Barat Kabupaten Semarang. Jurnal pengabdian kesehatan, 4(1), 30-39.

Hasmyati, H., Aswar, N. F., Aslam, A. P., Abadi, R. R., & Anwar, N. I. A. (2025). Faktor Risiko Kejadian Stunting pada Masyarakat Pesisir Sulawesi Selatan. Journal of Innovation Research and Knowledge, 4(8), 5843-5854.

Islami, K., Amelia, L., Kawuryan, U., Mardiyani, R., & Rahmawati, A. (2025). Pengetahuan Ibu Rumah Tangga Tentang Pencegahan Stunting Pada Balita. Jurnal Riset Keperawatan dan Kesehatan, 2(3), 102-108.

Janah, A. M., Rini, A. S., & Jayatmi, I. (2023). Hubungan Sikap Ibu, Dukungan Keluarga dan Sosial Budaya Dengan Pemberian Makanan Pendamping Asi (MPASI) Dini pada Bayi di Desa Cicadas Kabupaten Bogor Tahun 2022. Jurnal Ilmiah Kebidanan Indonesia, 13(02), 55-62.

Khoirunnisa, A., Kisnawaty, S. W., & Firmansyah, F. (2025). Hubungan Pengetahuan dan Sikap Ibu tentang 1000 Hari Pertama Kehidupan (HPK) dengan Kejadian Stunting Pada Balita di Wilayah Puskesmas Gilingan. Ranah Research: Journal of Multidisciplinary Research and Development, 7(4), 2365-2372.

Ministry of Health of the Republic of Indonesia. (2024). Profil Kesehatan Indonesia 2023. Retrieved from: https://kemkes.go.id/id/profil-kesehatan-indonesia-2023

Nazara, R., & Wahyu, A. (2025). Studi Etnografi Kejadian Stunting Pada Suku Nias di Desa Lolofaoso Kecamatan Lotu Kabupaten Nias Utara. AT-TAKLIM: Jurnal Pendidikan Multidisiplin, 2(5), 665-682.

Rosida, B. S., & Kusmiati, Y. (2023). Pengaruh Budaya Pola Konsumsi Makanan Ibu Hamil Terhadap Kejadian Stunting di Kecamatan Kembayan Kabupaten Sanggau Kalimantan Barat. Jurnal_Kebidanan, 13(1), 75-86.

Tange, W., Adam, A., & Alim, A. (2025). Makna Sosial Budaya di Balik Praktik Perawatan Anak dan Pencegahan Stunting Pada Keluarga Balita di Wilayah Kerja Puskesmas Doda, Kabupaten Poso. Jurnal Bidang Ilmu Kesehatan, 15(3), 251-260.

Udayana, S., & Wulan, D. S. R. (2022). The influence of local culture on mothers during pregnancy on stunting incidence. Journal of Positive Psychology & Wellbeing, 6(1), 2172-2180.

Werdaningtyas, R., & Mahmudiono, T. (2024). Pengaruh edukasi gizi seimbang dan pemanfaatan daun kelor sebagai pencegahan stunting. Jurnal Kesehatan Tambusai, 5(2), 5138-5147.

World Health Organization. (2023). Levels and trends in child malnutrition. Retrieved from: file:///Users/gadis/Downloads/JME-2023-Levels-and-trends-in-child-malnutrition.pdf

World Health Organization. (2025). Prevalence of stunting in children under 5 (%). Retrieved from: https://data.who.int/indicators/i/A5A7413/5F8A486

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Published

2025-12-25