Integration of risk mitigation programmes in stunting prevention efforts for early childhood.

Abstract

Stunting in early childhood remains a pressing public health issue in Gunungkidul Regency, Yogyakarta, Indonesia, which also faces frequent environmental challenges such as droughts. These challenges necessitate innovative approaches to ensure children's health and resilience. The purpose of this research is to examine the integration of mitigation programmes with efforts to combat stunting in early infancy, addressing the dual challenge of enhancing resilience while reducing stunting prevalence. This study employs a qualitative case study approach. Participants include key stakeholders such as health staff, government agencies, and parents of stunted children. The research findings reveal that integrating mitigation programmes can significantly enhance children's resilience to adverse conditions and prevent stunting by building community capacity, educating the public on preparedness and nutrition, and improving access to health services. The study identifies significant barriers, such as difficulties in sector coordination, low public awareness of the relationship between environmental risks and stunting, and limited resources. The findings have important policy and practical implications. Policymakers should prioritise cross-sector collaboration, allocate sufficient resources, and strengthen public awareness campaigns to ensure the effectiveness of integrated programmes. Practical interventions could include targeted training for healthcare providers and educators, community engagement in nutrition initiatives, and evidence-based decision-making to address these intertwined challenges comprehensively.

Contribution: Exploration of the intersection between risk mitigation efforts and stunting prevention in early childhood provides valuable insights into how integrated programmes can enhance child resilience and prevent stunting in vulnerable communities. These findings offer actionable recommendations for improving policies and programme design in Indonesia while also serving as a reference for regions facing similar challenges globally, thereby contributing to broader discussions on public health and community resilience.