Skip to main content
Original Research Article Open Access SINTA 2 Accredited

Integration of Regional Policies and Collaborative Governance in Acceleration of Stunting Reduction

Case Study of Bekasi City

Authors

  • Episcia Puspita Lautt * Corresponding author
  • Amy Yayuk Sri Rahayu
  • Faculty of Administrative Science, Universitas Indonesia, Depok, Indonesia
  • *Corresponding author
DOI
10.21787/jbp.16.2024.589-597
Published & Pages
31 December 2024 · pp. 589-597
Manuscript History
Received19 Dec 2024 Published31 Dec 2024
License
CC Attribution-NonCommercial-ShareAlike 4.0
Read PDF 661 KB Cite

1,104 Views 1,076 Downloads

Abstract

This study analyzes the success of collaborative governance implementation in handling stunting in Bekasi City, where the stunting rate has decreased significantly from 18.18% (2018) to 2.33% (2023), far exceeding the national target of 14% for 2024. By using a qualitative case study approach, this study examines how multi-stakeholder collaboration contributed to this success. Based on the Dodeca-Helix model involving 12 stakeholder dimensions, the study revealed that effective collaborative governance is achieved through strong facilitative leadership, inclusive institutional design, and high stakeholder commitment. The collaborative framework integrates government at all levels, private sector entities, academics, and community organizations in a structured approach to stunting reduction. Data collected through in-depth interviews with key stakeholders, field observations, and document analysis show that integrating local policies with the national framework, complemented by bottom-up community participation, creates a sustainable system for stunting interventions. The experience of Bekasi City offers valuable insights for other regions developing stunting reduction programs, emphasizing the importance of multi-level policy integration, cross-sector coordination, and active community involvement. This study contributes to the theoretical understanding of collaborative governance in public health interventions and practical applications for implementing successful stunting reduction programs at the local government level.

Keywords:

Read the Full Text

The full text of this article is available as PDF. Version of record published in Vol. 16 No. 3 (2024).

Open PDF

References

34 references
  1. Akseer, N., Kandru, G., Keats, E. C., & Bhutta, Z. A. (2020). COVID-19 Pandemic and Mitigation Strategies: Implications for Maternal and Child Health and Nutrition. The American Journal of Clinical Nutrition, 112(2), 251–256. https://doi.org/10.1093/ajcn/nqaa171
  2. Ansell, C., & Gash, A. (2007). Collaborative Governance in Theory and Practice. Journal of Public Administration Research and Theory, 18(4), 543–571. https://doi.org/10.1093/jopart/mum032
  3. Arieffiani, D., Roro, M., Ekowanti, L., & Praja, J. B. (2024). Evaluating Local Government Policy Innovations: A Case Study of Surabaya’s Efforts in Combating Stunting and Enhancing Public Health Services Quality. Jurnal Bina Praja, 16(1), 1–20. https://doi.org/10.21787/jbp.16.2024.1-20
  4. Barela, E. (2007). Book Review: Multiple Case Study Analysis, by Robert E. Stake. New York: Guilford Press, 2006. American Journal of Evaluation, 28(4), 570–572. https://doi.org/10.1177/1098214007307454
  5. Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A Review of Child Stunting Determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
  6. Bhutta, Z. A., Akseer, N., Keats, E. C., Vaivada, T., Baker, S., Horton, S. E., Katz, J., Menon, P., Piwoz, E., Shekar, M., Victora, C., & Black, R. (2020). How Countries Can Reduce Child Stunting at Scale: Lessons From Exemplar Countries. The American Journal of Clinical Nutrition, 112, 894S-904S. https://doi.org/10.1093/ajcn/nqaa153
  7. Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P., Lartey, A., & Black, R. E. (2013). Evidence-Based Interventions for Improvement of Maternal and Child Nutrition: What Can Be Done and at What Cost? The Lancet, 382(9890), 452–477. https://doi.org/10.1016/S0140-6736(13)60996-4
  8. Black, M. M., Walker, S. P., Fernald, L. C. H., Andersen, C. T., DiGirolamo, A. M., Lu, C., McCoy, D. C., Fink, G., Shawar, Y. R., Shiffman, J., Devercelli, A. E., Wodon, Q. T., Vargas-Barón, E., & Grantham-McGregor, S. (2017). Early Childhood Development Coming of Age: Science Through the Life Course. The Lancet, 389(10064), 77–90. https://doi.org/10.1016/S0140-6736(16)31389-7
  9. Bryson, J. M., Crosby, B. C., & Stone, M. M. (2015). Designing and Implementing Cross-Sector Collaborations: Needed and Challenging. Public Administration Review, 75(5), 647–663. https://doi.org/10.1111/puar.12432
  10. Creswell, J. W., & Poth, C. N. (2016). Qualitative Inquiry & Research Design: Choosing Among Five Approaches (C. N. Poth, Ed.). SAGE Publications.
  11. Cusick, S. E., & Georgieff, M. K. (2016). The Role of Nutrition in Brain Development: The Golden Opportunity of the “First 1000 Days.” The Journal of Pediatrics, 175, 16–21. https://doi.org/10.1016/j.jpeds.2016.05.013
  12. Doberstein, C. (2016). Designing Collaborative Governance Decision-Making in Search of a ‘Collaborative Advantage.’ Public Management Review, 18(6), 819–841. https://doi.org/10.1080/14719037.2015.1045019
  13. Emerson, K., & Ahn, M. W. (2021). Collaborative Governance Regimes: Informing Practice Through Research. In D. P. Gitterman & N. Britto (Eds.), The Intersector: How the Public, Nonprofit, and Private Sectors Can Address America’s Challenges (pp. 62–81). Brookings Institution Press. https://www.jstor.org/stable/10.7864/j.ctv13xpqm9.11
  14. Emerson, K., Nabatchi, T., & Balogh, S. (2012). An Integrative Framework for Collaborative Governance. Journal of Public Administration Research and Theory, 22(1), 1–29. https://doi.org/10.1093/jopart/mur011
  15. Essa, W. Y., Nurfindarti, E., & Ruhyana, N. F. (2021). Strategies for Handling Stunting in Bandung City. Jurnal Bina Praja, 13(1), 15–28. https://doi.org/10.21787/jbp.13.2021.15-28
  16. Framke, E., Sørensen, O. H., Pedersen, J., Clausen, T., Borg, V., & Rugulies, R. (2019). Effect of a Participatory Organizational Workplace Intervention on Workplace Social Capital: Post-hoc Results From a Cluster Randomized Controlled Trial. BMC Public Health, 19(1), 1–10. https://doi.org/10.1186/s12889-019-6903-1
  17. Ginn, G. M., & Munn, S. L. (2019). Interviews: Learning the Craft of Qualitative Research Interviewing, Third Edition, by Svend Brinkmann and Steinar Kvale. Thousand Oaks, CA: Sage, 2015. 405 pages, $60.00 (paperback). New Horizons in Adult Education and Human Resource Development, 31(2), 67–69. https://doi.org/10.1002/nha3.20251
  18. Headey, D., Heidkamp, R., Osendarp, S., Ruel, M., Scott, N., Black, R., Shekar, M., Bouis, H., Flory, A., Haddad, L., & Walker, N. (2020). Impacts of COVID-19 on Childhood Malnutrition and Nutrition-Related Mortality. The Lancet, 396(10250), 519–521. https://doi.org/10.1016/S0140-6736(20)31647-0
  19. Hill, M., & Hupe, P. (2021). Implementing Public Policy. SAGE Publications Ltd.
  20. Hollweck, T. (2023). Robert K. Yin. (2014). Case Study Research Design and Methods (5th ed.). The Canadian Journal of Program Evaluation, 30(1), 108–110. https://doi.org/10.3138/cjpe.30.1.108
  21. Hooghe, L., & Marks, G. (2020). A Postfunctionalist Theory of Multilevel Governance. The British Journal of Politics and International Relations, 22(4), 820–826. https://doi.org/10.1177/1369148120935303
  22. Kumala Dewi, L. P. R., & Dartanto, T. (2019). Natural Disasters and Girls Vulnerability: Is Child Marriage a Coping Strategy of Economic Shocks in Indonesia? Vulnerable Children and Youth Studies, 14(1), 24–35. https://doi.org/10.1080/17450128.2018.1546025
  23. Maxwell, J. A. (2012). Qualitative Research Design: An Interactive Approach. SAGE Publications.
  24. Miles, M. B., Huberman, A. M., & Saldana, J. (2014). Qualitative Data Analysis: A Methods Sourcebook. SAGE.
  25. Ministry of Health of the Republic of Indonesia. (2021). Buku Saku: Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. Ministry of Health of the Republic of Indonesia.
  26. Saksono, H. (2020). Innovation Hub: Media Kolaborasi Menuju Pemerintahan Daerah Inovatif. Nakhoda: Jurnal Ilmu Pemerintahan, 19(1), 1–16. https://doi.org/10.35967/JIPN.V19I1.7854
  27. Selsky, J. W., & Parker, B. (2005). Cross-Sector Partnerships to Address Social Issues: Challenges to Theory and Practice. Journal of Management, 31(6), 849–873. https://doi.org/10.1177/0149206305279601
  28. Susilawati, & Pratama, N. H. (2023). Literature Review: Analisis Implementasi Kebijakan Penurunan Stunting di Wilayah Pesisir Medan Belawan. Miracle Journal, 3(2), 33–37. https://doi.org/10.51771/mj.v3i2.604
  29. Thomas, W. (2021). What’s At Stake? The Implications of Nonstate Actor Violence. In The New Dogs of War: Nonstate Actor Violence in International Politics (pp. 170–184). Cornell University Press. https://doi.org/10.7591/cornell/9781501758898.003.0006
  30. UNICEF. (2023, May). Malnutrition in Children. UNICEF DATA. https://data.unicef.org/topic/nutrition/malnutrition/
  31. UNICEF, WHO, & World Bank Group. (2023). Levels and Trends in Child Malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates: Key Findings of the 2023 Edition. https://www.who.int/publications/i/item/9789240073791
  32. Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting Maternal and Child Undernutrition in Low-Income and Middle-Income Countries: Variable Progress Towards an Unfinished Agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9
  33. Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N., & Adhitya, D. (2022). Determinants of Socioeconomic and Rural–Urban Disparities in Stunting: Evidence From Indonesia. Rural and Remote Health, 22(1), 1–9. https://doi.org/10.22605/RRH7082
  34. World Bank Group. (2018). Aiming High: Indonesia’s Ambition to Reduce Stunting. World Bank Group.

Copyright & Open Access License

Copyright (c) 2024 Author(s). This article is licensed under CC Attribution-NonCommercial-ShareAlike 4.0.

Most read articles by the same author(s)