Collaborative Governance for Stunting Reduction: A Qualitative Case Study from Bangka Regency, Indonesia

Then Suyanti, Dedeh Maryani, Petrus Polyando

Abstract


Stunting remains a major public health challenge in Indonesia, requiring integrated and multisectoral responses. Collaborative governance provides a framework for aligning stakeholder roles in local-level health interventions. This study examines the implementation of collaborative governance in stunting mitigation efforts in Bangka Regency, Indonesia. A qualitative case study approach was employed, involving in-depth interviews with 15 key informants representing government agencies, academia, civil society, media, and the private sector. Data were collected between February and April 2025 and analyzed thematically using the framework of collaborative governance developed by Ansell and Gash, complemented by a SOAR (Strengths, Opportunities, Aspirations, Results) analysis. Findings indicate that although a formal convergence structure exists through the Stunting Reduction Acceleration Team (TPPS), notable gaps persist in role clarity, coordination, and monitoring mechanisms. Strengths identified include strong political commitment, accredited health facilities, and supportive local regulations on sanitation and smoke-free areas. However, implementation varies across stakeholders, with unequal participation and limited outreach to remote areas. The SOAR analysis revealed key aspirations, including equitable premarital health services, behavioral change strategies, and improved performance monitoring. The study underscores the potential of collaborative governance to advance stunting prevention efforts, while emphasizing the need for improved institutional alignment, capacity building, and integrated monitoring systems. Strengthening stakeholder engagement and leveraging local aspirations into measurable actions are critical to achieving sustainable health outcomes.

 

Keywords: Collaborative governance, Stunting, Ansell and Gash, SOAR, Indonesia


Full Text:

PDF

References


BAPPENAS. (2020). Intervensi Spesifik dan Sensitif dalam Upaya Penurunan Stunting. https://cegahstunting.id/intervensi/intervensi-spesifik/

BKKBN. (2021). Panduan Pelaksanaan Pendampingan Keluarga dalam Upaya Percepatan Penurunan Stunting di Tingkat Desa/Kelurahan. Jakarta : Badan Kependudukan dan Keluarga Berencana Nasional.

Fristiwi, P., Nugraheni, S. A., & Kartini, A. (2023). Effectiveness of Stunting Prevention Programs in Indonesia : A Systematic Review. Jurnal Penelitian Pendidikan IPA, 9(12), 1262–1273. https://doi.org/10.29303/jppipa.v9i12.5850

Gunawan, A. (2025). Collaborative Governance in Urban Waste Management: Policy Evaluation of Malang City in the Post-Pandemic SDGs Era. Pangripta, 8(1), 73–85. https://doi.org/10.58411/qbxhb898

Herawati, D. M. D., & Sunjaya, D. K. (2022). Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study. International Journal of Environmental Research and Public Health, 19(20), 1–16. https://doi.org/10.3390/ijerph192013591

Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI) 2023. Jakarta : Badan Kebijakan Pembangunan Kesehatan. https://www.badankebijakan.kemkes.go.id/hasil-ski-2023/

Kementerian Sekretariat Negara RI Sekretariat Wakil Presiden. (2019). Strategi Nasional Percepatan Pencegahan Anak Kerdil Periode 2018-2024. Jakarta: Sekretariat Wakil Presiden Republik Indonesia. file:///C:/Users/win11/Downloads/Stranas_Percepatan_Pencegahan_Anak_Kerdil.pdf

Lautt, E. P., & Rahayu, A. Y. S. (2024). Integration of Regional Policies and Collaborative Governance in Acceleration of Stunting Reduction: Case Study of Bekasi City. Jurnal Bina Praja, 16(3), 589–597. https://doi.org/10.21787/jbp.16.2024.589-597

Mohamed, N. A., & Kulmie, D. A. (2023). Role of Effective Monitoring and Evaluation in Promoting Good Governance in Public Institutions. Public Administration Research, 12(2), 48–58. https://doi.org/10.5539/par.v12n2p48

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), 1–29. https://doi.org/10.3390/nu17091493

Okunuga, A. (2025). Improving healthcare financial performance through data-driven forecasting, cost modeling, and reimbursement optimization tools. International Journal of Research Publication and Reviews, 6(4), 331–354. https://doi.org/10.55248/gengpi.6.0425.1673

Rahayu, S., Mahsyar, A., & Fatmawati. (2024). Collaborative Governance in Overcoming Stunting in Bantaeng Regency. International Journal of Science and Society, 6(2), 134–145. https://doi.org/10.54783/ijsoc.v6i2.1118

Saleh, N. F., Balqis, Darmawansyah, Razak, A., & Syafar, M. (2024). Implementation of Convergence (Cross-Sectoral) Action for the Acceleration of Stunting Reduction in Palopo City, South Sulawesi, Indonesia. South Eastern European Journal of Public Health, XXV, 893–900. https://doi.org/10.70135/seejph.vi.2189

Sukanti, S., & Faidati, N. (2021). Collaborative Governance Dalam Upaya Penanggulangan Stunting Di Kabupaten Sleman. Jurnal Caraka Prabu, 5(1), 91–113. https://doi.org/10.36859/jcp.v5i1.418

Syafrawati, S., Lipoeto, N. I., Masrul, M., Novianti, N., Gusnedi, G., Susilowati, A., Nurdin, A., Purnakarya, I., Andrafikar, A., & Umar, H. B. (2023). Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra. PLoS ONE, 18(3 MARCH), 1–21. https://doi.org/10.1371/journal.pone.0283739

UNICEF. (2020). COVID-19 dan Anak-Anak di Indonesia Agenda Tindakan untuk Mengatasi Tantangan Sosial Ekonomi. Jakarta : United Nations Children’s Fund.

UNICEF. (2023). Formative Evaluation of the National Strategy to Accelerate Stunting Prevention. Jakarta : UNICEF.

WHO. (2022). Global nutrition targets 2025: low birth weight policy brief. World Health Organization. https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2

Wijaya, M. I., Kartinawati, K. T., Pradnyawati, L. G., Bayuningrat, I. I. G. N. M., Subrata, T., Pariartha, I. M., Indraningrat, A. A. G., Wijaya, M. D., & Sari, K. (2023). A Qualitative Study on Barriers to Stunting Primordial Prevention during the PentaCOME Project. Open Access Macedonian Journal of Medical Sciences, 11(E), 152–161. https://doi.org/10.3889/oamjms.2023.11289

Wirawati, D., & Awalin, F. (2025). Balanced Nutrition Health Education for Infants and Toddlers Increase Parental Knowledge in Preventing Stunting. Multidiscience : Journal of Multidisciplinary Science, 2(1), 110–118. https://doi.org/10.59631/multidiscience.v2i1.304




DOI: http://dx.doi.org/10.30829/contagion.v7i2.24139

Refbacks

  • There are currently no refbacks.


Copyright (c) 2025 Then Suyanti, Dedeh Maryani, Petrus Polyando

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

 
Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.