PERCEPTIONS AND MYTHS IN STUNTING PREVENTION: OPPORTUNITIES FOR CULTURE-BASED INTERVENTIONS IN INDONESIA
DOI:
https://doi.org/10.31102/bidadari.2026.9.2.110-122Keywords:
Stunting prevention, Cultural factor, Indonesia, Local wisdom, Community-based interventionsAbstract
Stunting affects 21.6% of Indonesian children under five, making it a critical public health challenge. Despite substantial government investment, conventional biomedical approaches have shown limited success, suggesting the need for culturally-sensitive interventions that address deeply embedded cultural factors influencing child nutrition and growth. This systematic review examined cultural factors, perceptions, and myths related to stunting prevention in Indonesia to identify opportunities for culture-based interventions. A comprehensive systematic review following PRISMA guidelines was conducted using the Scopus database. Studies were included if they examined cultural aspects of stunting prevention within Indonesian contexts and were published in English or Indonesian. Data extraction focused on cultural practices, beliefs, myths, and intervention strategies. Nine studies from diverse Indonesian regions were included, employing various methodologies (qualitative studies, systematic reviews, cross-sectional, mixed-methods, and case studies). Key findings revealed persistent cultural barriers, including open defecation practices despite available sanitation, traditional healing rituals, maternal and infant health myths, and family dynamics involving grandmothers' influence. Religious leaders emerged as effective communication channels, while educational settings showed promise for cultural transformation. Cultural factors significantly influence stunting prevention effectiveness in Indonesia. Successful interventions must integrate traditional beliefs with modern approaches rather than replacing them entirely. Culture-based strategies incorporating religious messaging, community leader engagement, and family-centered approaches represent promising avenues for sustainable stunting prevention across Indonesia's diverse cultural landscape.
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Alfianti, K. Z., Yunitasari, E., & Armini, N. K. A. (2023). Cultural perspectives of stunting prevention: A systematic review. Pediomaternal Nursing Journal, 9(1), 36–41. https://doi.org/10.20473/pmnj.v9i1.37242
Anggraini, S., Muthmainnah, M., Septiani, N., & Suganda, T. (2024). Strategi Intervensi Penanganan Stunting di Indonesia: Studi Literatur. SEHATI: Jurnal Kesehatan, 4(1), 15–36. https://doi.org/10.52364/sehati.v4i1.46
Aoun, S. M., Rosenberg, J., Richmond, R., & Rumbold, B. (2023). The Compassionate Communities Connectors programme: experiences of supported families and referring healthcare providers. Palliative Care and Social Practice, 17. https://doi.org/10.1177/26323524231173705
Aramico, B., Emy Huriyati, Susetyowati, & Fatwa Sari Tetra Dewi. (2024). Cultural Perception and Myths of Maternal and Infant Health Related To Stunting In Aceh Tengah Regency, Indonesia and The Opportunity For Intervention. Malaysian Journal of Public Health Medicine, 24(2), 284–292. https://doi.org/10.37268/mjphm/vol.24/no.2/art.2574
Basu, B., Das, K., & Palodhi, M. (2025). Impact of Malnutrition on Public Health: A Community-Driven Approach. In Dietary Supplements and Nutraceuticals (pp. 727–793). Springer Nature Singapore. https://doi.org/10.1007/978-981-96-8622-3_23
Beatty, A., Borkum, E., Leith, W., Null, C., & Suriastini, W. (2024). A cluster randomized controlled trial of a community‐based initiative to reduce stunting in rural Indonesia. Maternal & Child Nutrition, 20(1). https://doi.org/10.1111/mcn.13593
Bennouna, C., Gillespie, A., Stark, L., & Seff, I. (2022). Norms, Repertoires, & Intersections: Towards an integrated theory of culture for health research and practice. Social Science & Medicine, 311, 115351. https://doi.org/10.1016/j.socscimed.2022.115351
Cabassa, L. J., & Baumann, A. A. (2013). A two-way street: bridging implementation science and cultural adaptations of mental health treatments. Implementation Science, 8(1), 90. https://doi.org/10.1186/1748-5908-8-90
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
Castro, F. G., Barrera, M., & Holleran Steiker, L. K. (2010). Issues and Challenges in the Design of Culturally Adapted Evidence-Based Interventions. Annual Review of Clinical Psychology, 6(1), 213–239. https://doi.org/10.1146/annurev-clinpsy-033109-132032
Concha, N., & Jovchelovitch, S. (2021). Grandmothers: Central scaffolding sources impacting maternal and infant feeding practices in Colombia. Maternal & Child Nutrition, 17(S1). https://doi.org/10.1111/mcn.13162
Erhamwilda, E., Afrianti, N., Hakim, A., Dillon, D., & Julia, J. (2024). The effect of healthy food promotion through lunch boxes on the knowledge, attitudes and habits of elementary school students. Humanities and Social Sciences Letters, 12(3), 575–593. https://doi.org/10.18488/73.v12i3.3811
Huebner, J., & Fickling, M. (2023). Family Belief Systems: A Proposed Typology and Applications. The Family Journal, 31(3), 376–384. https://doi.org/10.1177/10664807231157020
Karmacharya, C., Cunningham, K., Choufani, J., & Kadiyala, S. (2017). Grandmothers’ knowledge positively influences maternal knowledge and infant and young child feeding practices. Public Health Nutrition, 20(12), 2114–2123. https://doi.org/10.1017/S1368980017000969
Kaya, G. D. (2023). A Critical Review: Traditional Practices Surrounding Postpartum Period Impact on Breastfeeding in Turkey and the UK. Journal of Midwifery and Health Sciences, 5(3), 131–138. https://doi.org/10.5152/JMHS.2022.930630
Lubis L.A, & Nasution, M. A. (2025). Communication strategies in handling stunting in Batu Bara, North Sumatra. Department of Communication and Sociology, Faculty of Social and Political Science, Universitas Sumatera Utara, Medan, Indonesia.
Mahaswa, R. K., & Syaja, A. (2025). Questioning local wisdom in Indonesian Indigenous research. Studies in History and Philosophy of Science, 112, 170–178. https://doi.org/10.1016/j.shpsa.2025.07.001
Marni, M., Abdullah, A. Z., Thaha, R. M., Hidayanty, H., Sirajuddin, S., Razak, A., Stang, S., & Liliweri, A. (2021). Cultural Communication Strategies of Behavioral Changes in Accelerating of Stunting Prevention: A Systematic Review. Open Access Macedonian Journal of Medical Sciences, 9(F), 447–452. https://doi.org/10.3889/oamjms.2021.7019
Muhamad, Z., Indah Nurdin, St. S., Asnidar, A., Pratama, A., Anggriani, N. P., & Lakadjo, S. (2024). Culture-based Gorontalo community support for short-term pregnancy women to prevent stunting in neonates. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13033
Pengpid, S., & Peltzer, K. (2018). Utilization of traditional and complementary medicine in Indonesia: Results of a national survey in 2014–15. Complementary Therapies in Clinical Practice, 33, 156–163. https://doi.org/10.1016/j.ctcp.2018.10.006
Perkison, W. B., Fwelo, P., Velasco-Huerta, F., Heredia, N. I., Yang, J. J., Beg, S. S., Reininger, B. M., Rodriguez, S. A., Almohamad, M., Pulicken, C., Garza, E., White, G. E., & Fernandez, M. E. (2024). Pilot Study to Assess the Effectiveness of the Sustainable Culturally Adaptive Nutrition Program (SCAN) to Improve Adherence to the National Diabetes Prevention Program. American Journal of Health Promotion, 38(7), 938–941. https://doi.org/10.1177/08901171241237522
Rani, J., Kaur, P., & Chuwa, C. (2023). Nutritional benefits of herbs and spices to the human beings. Annals of Phytomedicine an International Journal, 12(1). https://doi.org/10.54085/ap.2023.12.1.88
Rochana Ruliyandari, Fitriana Putri Utami, Helfi Agustin, & Ratu Matahari. (2025). Stunting Prevention Based on Local Wisdom in Bantul Regency, Yogyakarta, Indonesia. Social Medicine, 18(01), 14–26. https://doi.org/10.71164/socialmedicine.v18i01.2025.1657
Sanctis, V. De, Ashraf Soliman, Nada Alaaraj, Shayma Ahmed, Fawziya Alyafei, & Noor Hamed. (2021). Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Biomed.
Soesanti, I. S., Shofiya, D., Winarko, W., Mujayanto, M., & Rahmania, R. (2022). Buang Air Sembarangan dan Stunting. Media Gizi Indonesia, 17(1SP), 193–199. https://doi.org/10.20473/mgi.v17i1SP.193-199
Sutarto, Dewi Puspita Sari, R., Zakiah Oktarlina, R., & Indriyani, R. (2022). Qualitative Study of Local Cultural Wisdom and Health Services on Stunting Events. International Journal of Advanced Research, 10(02), 1109–1118. https://doi.org/10.21474/IJAR01/14318
Togatorop, V. E., Rahayuwati, L., Susanti, R. D., & Tan, J. Y. (2024). Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review. Revista Brasileira de Enfermagem, 77(2). https://doi.org/10.1590/0034-7167-2022-0625
Utami, I. D., Anshori, N., Saptaningtyas, H., & Astuti, S. P. (2025). A food resilience model integrating local wisdom and sociotechnical dynamic systems: Case study flood-affected communities in the Bengawan solo area. Progress in Disaster Science, 26, 100413. https://doi.org/10.1016/j.pdisas.2025.100413
Veiga, G. R. S., da Silva, G. A. P., Padilha, B. M., & Lima, M. de C. (2023). Determining factors of child linear growth from the viewpoint of Bronfenbrenner’s Bioecological Theory. Jornal de Pediatria, 99(3), 205–218. https://doi.org/10.1016/j.jped.2022.10.009
Wiliyanarti, P. F., Choliq, I., Hasanah, U., & Lin, S.-Y. (2025). Mother’s Experiences in Caring for Children with Stunting in Rural Indonesia. Journal of Transcultural Nursing, 36(2), 161–167. https://doi.org/10.1177/10436596241274264
Wiliyanarti, P. F., Wulandari, Y., & Nasrullah, D. (2022). Behavior in fulfilling nutritional needs for Indonesian children with stunting: Related culture, family support, and mother’s knowledge. Journal of Public Health Research, 11(4). https://doi.org/10.1177/22799036221139938
Yuliantie, P., Ningrum, N. W., & Istiqamah. (2024). Effective stunting prevention: Empowering maternal nutrition education in rural Indonesia through AKUR PENTING intervention. Health Sciences International Journal, 2(2), 183–190. https://doi.org/10.71357/hsij.v2i2.44











