DOI: https://doi.org/10.14710/jpki.19.1.50-57

Family Roles and Support in Preventing Stunting: A Systematic Review

Nur Alam Fajar  -  Faculty of Public Health, Universitas Sriwijaya, Indonesia
Mohammad Zulkarnain  -  Faculty of Medicine, Universitas Sriwijaya, Indonesia
Ridha Taqwa  -  Faculty of Social and Political Sciences, Universitas Sriwijaya, Indonesia
*Kiki Sulaningsi  -  Faculty of Public Health, Universitas Sriwijaya, Indonesia
Esti Sri Ananingsih  -  Poltekkes Kemenkes Palembang, Indonesia
Riris Diana Rachmayanti orcid scopus  -  Faculty of Public Health, Universitas Airlangga, Indonesia
Siau Ching Sin  -  Health Education Programme Centre for Community Health Studies (ReaCH), Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Malaysia
Open Access Copyright (c) 2023 Jurnal Promosi Kesehatan Indonesia under http://creativecommons.org/licenses/by-sa/4.0.

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Abstract

Background: Stunting is inadequacy in physical growth. Stunting can be detrimental to children under five as it causes low intelligence, decreased endurance, and inhibited growth and development. This will increase risk of infections and non-communicable diseases in adulthood. The optimal implementation of family roles supports the improvement of nutritional status in toddlers so it can reduce the incidence of stunting.

Method: This systematic review is written in accordance to the PRISMA guidelines. The process includes analysis on online articles from databases of ScienceDirect, PubMed, and Google Scholar for the past five years the period from 2019 with the keywords "stunting and parents or family".

Results: There are researches from eight articles related to the role and support of families in preventing stunting. Based on several syntheses reviewed, it was determined that culture can be an inhibiting factor in preventing stunting. Still, with local wisdom, it can also be a catalyst in reducing stunting itself. Culture is one of the specific nutrition interventions that can reduce the prevalence of stunting by emphasizing aspects of a mother as the “center of life”, family roles and support, and the role of fathers in preventing stunting. Families have an important role to play in preventing and managing the problem of stunting. Families play an important role in preventing stunting at every stage of life from fetus in the womb, to newborn, toddler, teenager, married, pregnant, and so on. Therefore, efforts to empower families are necessary.

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Keywords: stunting; parents; family

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Section: Research Article
Language : EN
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  1. Indonesian Government. Presidential Decree of Republic Indonesia No 72/2021 about Accelerating Stunting Reduction. Indones Gov. 2021;(1):23
  2. WHO. World Health Statistics Overview 2019. In: World Health Statistics Overview 2019. 2019. p. 5–10
  3. Syukur SB, Harismayanti H. Analisis Masalah Stunting (Pendek) pada Baduta di 1000 Hari Pertama Kehidupan di wilayah Kerja Puskesmas Telaga Kabupaten Gorontalo. Media Publ Promosi Kesehat Indones. 2021;4(2):179–86
  4. Bangelesa F, Hatløy A, Mbunga BK, Mutombo PB, Matina MK, Akilimali PZ, et al. Is stunting in children under five associated with the state of vegetation in the Democratic Republic of the Congo? Secondary analysis of Demographic Health Survey data and the satellite-derived leaf area index. Heliyon. 2023;9(2)
  5. Taib WRW, Ismail I. Evidence of stunting genes in Asian countries: A review. Meta Gene. 2021;30(June):100970
  6. Banerjee K, Dwivedi LK. Linkage in stunting status of siblings: a new perspective on childhood undernutrition in India. J Biosoc Sci. 2020;52(5):681–95
  7. Bashir S, Khan N, Ariff S, Ihtesham Y, Tanimoune M, Rizvi A. Effectiveness of nutritional supplementation during the fi rst 1000-days of life to reduce child undernutrition : A cluster randomized controlled trial in Pakistan. 2022;4:1–11
  8. Husseini M, Darboe MK, Moore SE, Nabwera HM, Prentice AM. Thresholds of socio-economic and environmental conditions necessary to escape from childhood malnutrition: A natural experiment in rural Gambia. BMC Med. 2018;16(1):1–9
  9. Fitriani SF, Zahra AS, Rahmat A. Effectiveness of Training and Use of Si Centing Application on Knowledge and Skills of Posyandu Cadres. J Promkes Indones J Heal Promot Heal Educ. 2022;10(1):24–9
  10. Hines M, Hardy N, Martens A, Zimmerman E. Birth order effects on breastfeeding self-efficacy , parent report of problematic feeding and infant feeding abilities. J Neonatal Nurs. 2022;28(1):16–20
  11. Kahale LA, Elkhoury R, Mikati I El, Pardo-hernandez H, Khamis AM, Schünemann HJ, et al. Research Article PRISMA flow diagrams for living systematic reviews : a methodological survey and a proposal F1000Research. 2021;10(192)
  12. Rosales A, Sargsyan V, Abelyan K, Hovhannesyan A, Ter-Abrahanyan K, Jillson KQ, et al. Behavior change communication model enhancing parental practices for improved early childhood growth and development outcomes in rural Armenia – A quasi-experimental study. Prev Med Reports. 2019;14(August 2018):100820
  13. Nsiah-Asamoah C, Adjei G, Agblorti S, Doku DT. Association of maternal characteristics with child feeding indicators and nutritional status of children under-two years in Rural Ghana. BMC Pediatr. 2022;22(1):1–16
  14. Wemakor A, Awuni V, Issah S. Maternal autonomy but not social support is a predictor of child feeding indicators in the Northern Region, Ghana. BMC Nutr. 2022;8(1):1–10
  15. Bukit DS, Keloko AB, Ashar T. Father’s Support and Mother’s Behavior in Stunting Prevention Efforts. J Heal Sci Prev. 2021;5(2):100–5
  16. Yunitasari E, Pradanie R, Arifin H, Fajrianti D, Lee BO. Determinants of stunting prevention among mothers with children aged 6–24 months. Open Access Maced J Med Sci. 2021;9:378–84
  17. Hadi AJ, Riman EY, Sudarman S, Manggabarani S, Ahmad H, Ritonga N, et al. Socio-Family Culture Against Stunting Risk : A Cross- Sectional Population-Based Study. 2022;9(1):1301–11
  18. Januarti LF, Hidayathillah AP. Parenting Culture on The Role of Father in Prevention of Stunting in Toddler. Babali Nurs Res. 2020;1(2):81–90
  19. Sartika AN, Khoirunnisa M, Meiyetriani E, Ermayani E, Pramesthi IL, Nur Ananda AJ. Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia. PLoS One. 2021;16(7 July):1–14
  20. Ahishakiye J, Bouwman L, Brouwer ID, Matsiko E, Armar-Klemesu M, Koelen M. Challenges and responses to infant and young child feeding in rural Rwanda: A qualitative study. J Heal Popul Nutr. 2019;38(1):1–10
  21. Sutrio S, Sumardilah DS. Qualitative Study Of Complementary Feeding For Stunting Toddlers Aged 13-24 Months In Cipadang Village, Pesawaran District. JPK J Prot Kesehat. 2020;9(1):52–61
  22. Saleh A, Syahrul S, Hadju V, Andriani I, Restika I. Role of Maternal in Preventing Stunting: a Systematic Review. Gac Sanit. 2021;35:S576–82
  23. Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan. Int J Pediatr Adolesc Med. 2021;8(1):10–7
  24. Danso F, Appiah MA. Prevalence and associated factors influencing stunting and wasting among children aged 1 to 5 years in Nkwanta South Municipality, Ghana. Nutrition. 2023;110:111996
  25. Ken M, Maye L, Hastie C. Influence of grandmothers on breastfeeding practices in a rural community in Papua New Guinea : A critical discourse analysis of first-time mothers ’ perspectives. Women and Birth. 2022;(December 2021):1–7
  26. Budge S, Parker AH, Hutchings PT, Garbutt C. Environmental enteric dysfunction and child stunting. Nutr Rev. 2019;77(4):240–53
  27. Kamran F, Tajalli S, Ebadi A, Sagheb S, Fallahi M. Quality of life and stress in mothers of preterm infant with feeding problems : A cross sectional study. J Neonatal Nurs. 2022;(October 2021)
  28. Boyle B, Altimier L. On family-centred and child-centred care - And the moral distress therein. J Neonatal Nurs. 2022;28(2):81–2
  29. Fahmida U, Pramesthi IL, Kusuma S, Wurjandaru G, Izwardy D. Problem Nutrients and Food-Based Recommendations for Pregnant Women and Under-Five Children in High-Stunting Districts in Indonesia. Curr Dev Nutr. 2022;6(5):nzac028
  30. Ulfah M, Anggraeni S. The Effect of Attitudes, Subjective Norms, and Perceptions of Behavioral Control on Pregnancy Check-ups in Bojonegoro. J Promkes. 2023;11(1):93–100
  31. Mohebi S, Parham M, Sharifirad G, Gharlipour Z. Social Support and Self ‑ Care Behavior Study. J Educ Health Promot. 2019;(January):1–6
  32. Salasibew MM, Moss C, Ayana G, Kuche D, Eshetu S, Dangour AD. The fidelity and dose of message delivery on infant and young child feeding practice and nutrition sensitive agriculture in Ethiopia: A qualitative study from the Sustainable Undernutrition Reduction in Ethiopia (SURE) programme. J Heal Popul Nutr. 2019;38(1):1–11
  33. Liem A. Beliefs, attitudes towards, and experiences of using complementary and alternative medicine: A qualitative study of clinical psychologists in Indonesia. Eur J Integr Med. 2019;26(August 2018):1–10
  34. Tafese Z, Alemayehu FR, Anato A, Berhan Y, Stoecker BJ. Child feeding practice and primary health care as major correlates of stunting and underweight among 6- To 23-month-old infants and young children in food-insecure households in ethiopia. Curr Dev Nutr. 2020;4(9):nzaa137
  35. Mekonnen H, Lakew D, Tesfaye D, Wassie B. Determinants of stunting among under-five years children in Ethiopia from the 2016 Ethiopia demographic and Health Survey : Application of ordinal logistic regression model using complex sampling designs. Clin Epidemiol Glob Heal. 2020;8(2):404–13
  36. Sari, Diah Retno; Fatmaningrum, Widati; suryawan A. Relations Between Ethnic, Exlusive Breastfeeding, and Birth Weight With Stunting In Children Age 12-59 Months In Surabaya. Indones Midwifery Heal Sci J. 2019;3(4):320–30
  37. Saaka M. Women s decision-making autonomy and its relationship with child feeding practices and postnatal growth. J Nutr Sci. 2020;9:1–13
  38. Paramashanti BA, Dibley MJ, Huda TM, Alam A. Breastfeeding perceptions and exclusive breastfeeding practices : A qualitative comparative study in rural and urban Central Java , Indonesia. Appetite. 2022;170(March 2021):105907
  39. YuliastiYuliastini, S., Sudiarti, T., & Sartika, R. A. D. (2020). Factors related to stunting among children age 6-59 months in babakan madang sub-district, West Java, Indonesia. Current Research in Nutrition and Food Science, 8(2), 454–461. https://doi.o S, Sudiarti T, Sartika RAD. Factors related to stunting among children age 6-59 months in babakan madang sub-district, West Java, Indonesia. Curr Res Nutr Food Sci. 2020;8(2):454–61
  40. Nasrum M, Bahagia AD, Hatta M, Astika T, Permatasari E, Hidayati E, et al. Effect of breastfeeding on children ’ s health and its relationship to NRAMP1 expression : A cross-sectional study. Ann Med Surg. 2021;71(September):103017
  41. Kemenkes RI. Pedoman ibu hamil, ibu nifas, dan bayi baru lahir. Pedoman Bagi Ibu Hamil , Ibu Nifas dan Bayi Baru Lahir Selama Covid-19. 2020;10(2):Kemenkes
  42. Van Tuijl CJW, Madjdian DS, Bras H, Chalise B. Sociocultural and economic determinants of stunting and thinness among adolescent boys and girls in Nepal. J Biosoc Sci. 2020; Jul;53(4):531-556

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Last update: 2025-09-14 13:13:45

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