Understanding Contributing Factors to Variations in Stunting Prevalence in Selected Local Governments

Team Member: Elza Elmira, Hastuti , Rachma Indah Nurbani, M. Sulton Mawardi, Akhmad Ramadhan Fatah
Completion Year:
Lampung, Jawa Tengah, Nusa Tenggara Timur, Kepulauan Bangka Belitung, Bali
Children & Youth, Economic Policy, Food & Nutrition, Governance & Decentralization, Health

Collaborating Partners

Funding body :

World Bank


Description & Progress


Indonesia’s rates of stunting and malnutrition are at crisis levels. Riset Kesehatan Dasar (Riskesdas) (2013) found 37.2% of Indonesian children under 5 years of age were stunted, 19.6% were under weight, 12.1% were wasted and 11.9% were either overweight or obese.

The Government of Indonesia has set ambitious target in the National Development Medium Term Plan (RPJMN 2015-2019) to reduce stunting prevalence 28 percent by 2019.

Subnational governments play critical role in delivering and supporting stunting reduction interventions and responsible for provision of basic service delivery. However, information on how local government is prioritizing, allocating, and implementing stunting reduction interventions is lacking, hindering efficient and effective allocation of resources for stunting reduction interventions.



This case study is to understand factors that may contribute to variations in stunting prevalence outcomes in selected local governments in Indonesia.

The findings from this study will provide input to the World Bank support to the Ministry of Finance and Ministry of Health in developing a better understanding on the level, composition, and effectiveness of public spending allocated for stunting reduction interventions at the central and subnational level. The findings from this case study is also crucial in improving the effectiveness of stunting reduction interventions at the subnational level.



The analysis will utilize quantitative and qualitative approaches. The quantitative approach will be applied to analyze spending pattern (allocation, composition and disbursement) on stunting intervention.

The qualitative approach will be utilized to explore challenges in the implementation of stunting interventions across budget process and cycle, to understand the success factors and challenges in implementing stunting reduction interventions, and at certain extent also assess the effectiveness of spending for selected stunting intervention, as well as explore policy options to improve intervention to reduce stunting prevalence. Data and information to be analyzed will be collected through focus group discussions (FGDs) and in-depth interviews. In addition, the research team will also conduct interviews with relevant ministries, donors, academics and experts, and nongovernment institutions at the central level.