Women’s Welfare, Stunting, and Access to Reproductive Rights: An Overview of the Situation in Indonesia

  • Simona Christina Henderika Litaay Universitas Pattimura
  • Sitti Nurjana Batjo STIA Abdul Azis Kataloka Ambon
Keywords: Gender Justice, Reproductive Health Rights, Stunting, Women’s Empowerment, Women’s Welfare

Abstract

This article explores the interconnection between women’s welfare, stunting, and access to reproductive rights in Indonesia, highlighting the often-overlooked role of women’s health and empowerment in combating child stunting. The study aims to analyze how structural barriers, gender inequality, and unmet reproductive health rights contribute to the persistence of stunting, particularly among children under five. Utilizing a literature review method, this research draws from scholarly databases and bibliometric analysis to examine relevant publications on stunting, women’s rights, gender, and reproductive health. The findings reveal that many healthcare services in Indonesia remain inadequate in fulfilling women’s reproductive rights, with limited access to essential services reflecting broader issues of gender injustice and state neglect. The novelty of this article lies in its integrated perspective that frames stunting not only as a child health issue but also as a gender and social equity concern. This study contributes to the social sciences and humanities by emphasizing the need for a holistic, long-term strategy that centers women as both rights holders and key agents in public health. It recommends policy reforms focused on reproductive justice, structural health equity, and the transformation of social norms to ensure that stunting prevention efforts are sustainable and gender-responsive.

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References

Akseer, N., Vaivada, T., Rothschild, O., Ho, K., & Bhutta, Z. A. (2020). Understanding multifactorial drivers of child stunting reduction in Exemplar countries: a mixed-methods approach. The American Journal of Clinical Nutrition, 112(Supplement_2), 792S-805S. https://doi.org/10.1093/ajcn/nqaa152

Alson, J. G., Robinson, W. R., Pittman, L., & Doll, K. M. (2021). Incorporating measures of structural racism into population studies of reproductive health in the United States: a narrative review. Health Equity, 5(1), 49–58. https://doi.org/10.1089/heq.2020.0081

Arifuddin, H., Arifuddin, H., Arifuddin, A., & Nur, A. F. (2023). The Risk Factors of Stunting Children Aged 0-5 Years in Indonesia: A Multilevel Analysis. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 9(1), 109–120. https://doi.org/10.22487/htj.v9i1.1004

Arman, A., Muchlis, N., Nadira, N. S., Fachrin, S. A., Ahri, R. A., & Patimah, S. (2020). Integrasi Budaya Lokal dan Program Pelayanan Kesehatan dalam Penanganan Stunting di Wilayah Kerja Puskesmas Maiwa Kabupaten Enrekang. Jurnal Penelitian Kesehatan” SUARA FORIKES”(Journal of Health Research” Forikes Voice”), 12(1), 1–5.

Badan Pusat Statistik. (2022). Tujuan Pembangunan Berkelanjutan: Kesetaraan Gender.

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). https://doi.org/10.1111/mcn.12617

Black, M. M., Pérez-Escamilla, R., & Fernandez Rao, S. (2015). Integrating Nutrition and Child Development Interventions: Scientific Basis, Evidence of Impact, and Implementation Considerations. Advances in Nutrition, 6(6), 852–859. https://doi.org/10.3945/an.115.010348

Blackburn, S. (2014). Women and the State in Modern Indonesia. Cambridge University Press.

BPS. (2023). Nikah dan Cerai Menurut Provinsi, 2022. In BPS. https://www.bps.go.id/indikator/indikator/view_data_pub/0000/api_pub/VHpUK3MrOVd6dTJjcHdoQ1Z6TGlmUT09/da_04/1

Brahima, J. J., Noor, N. N., & Jafar, N. (2020). Immunization and distance relationship status on the birth events 1000 HPK stunting work in bone health district Barebbo. Enfermería Clínica, 30, 318–322. https://doi.org/10.1016/j.enfcli.2019.10.091

Cook, R. J. (2020). International human rights and women’s reproductive health. Women, Medicine, Ethics and the Law, 37–50. https://doi.org/10.4324/9781003073789-3

Correa, S., & Petchesky, R. (2017). Reproductive and sexual rights: a feminist perspective. In Culture, society and sexuality (pp. 314–332). Routledge.

Dahlberg, M., & Thapar-Björkert, S. (2023). Conceptualizing xenophobia as structural violence in the lives of refugee women in Gauteng, South Africa. Ethnic and Racial Studies, 1–23. https://doi.org/10.1080/01419870.2023.2179890

Danaei, G., Andrews, K. G., Sudfeld, C. R., Fink, G., McCoy, D. C., Peet, E., Sania, A., Smith Fawzi, M. C., Ezzati, M., & Fawzi, W. W. (2016). Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLOS Medicine, 13(11), e1002164. https://doi.org/10.1371/journal.pmed.1002164

Duana, M., Siregar, S. M. F., Anwar, S., Musnadi, J., & Husna, A. (2022). Dampak Pernikahan Dini Pada Generasi Z Dalam Pencegahan Stunting. COMSEP: Jurnal Pengabdian Kepada Masyarakat, 3(2), 195–200. https://doi.org/10.54951/comsep.v3i2.292

Eyanoer, P. C., & Zaluchu, F. (2020). COVID-19 and the Fourth Burden of Women in Developing Countries: A Mini Review. Open Access Macedonian Journal of Medical Sciences, 8(T1), 476–479. https://doi.org/10.3889/oamjms.2020.5470

Frasetya, S. A., Nuraini, V., Sari, D. A. P., & Mahardika, I. K. (2023). Mengatasi Stunting dalam Pertumbuhan dan Perkembangan Balita. Jurnal Pendidikan Tambusai, 7(3), 27397–27401.

Ganle, J. K., Baatiema, L., Quansah, R., & Danso-Appiah, A. (2020). Barriers facing persons with disability in accessing sexual and reproductive health services in sub-Saharan Africa: A systematic review. PloS One, 15(10), e0238585. https://doi.org/10.1371/journal.pone.0238585

Hafid, F., Ansar, A., Nasrul, N., Ramadhan, K., & Ardiansyah, A. (2023). Prevalence and Determinants Stunting Among Children Under Two Years in Indonesian District. Poltekita: Jurnal Ilmu Kesehatan, 16(4), 553–563. https://doi.org/10.33860/jik.v16i4.2246

Handayani, N. S., Huriyati, E., & Hasanbasri, M. (2023). Association of Maternal Education With Nutritional Outcomes of Poor Children With Stunting in Indonesia. Asia Pacific Journal of Public Health, 35(5), 373–380. https://doi.org/10.1177/10105395231185980

Huriah, T., & Nurjannah, N. (2020). Risk factors of stunting in developing countries: A scoping review. Open Access Macedonian Journal of Medical Sciences, 8(F), 155–160. https://doi.org/10.3889/oamjms.2020.4466

Kementrian Kesehatan RI. (2022). Survei Status Gizi 2021.

Knight, A., & Miller, J. (2021). Prenatal genetic screening, epistemic justice, and reproductive autonomy. Hypatia, 36(1), 1–21. https://doi.org/10.1017/hyp.2020.50

Kramsch, C. (2020). Language as symbolic power. Cambridge University Press. https://doi.org/10.1017/9781108869386

Lens, J. W. (2020). Miscarriage, stillbirth, & reproductive justice. Wash. UL Rev., 98, 1059.

Lindberg, R., McKenzie, H., Haines, B., & McKay, F. H. (2023). An investigation of structural violence in the lived experience of food insecurity. Critical Public Health, 33(2), 185–196. https://doi.org/10.1080/09581596.2021.2019680

Maharani, T., & Galih, B. (2021, September 28). Sepanjang 2004-2021, Komnas Perempuan Catat 544.452 Kekerasan dalam Rumah Tangga. Kompas.Com, 1. https://nasional.kompas.com/read/2021/09/28/10181941/sepanjang-2004-2021-komnas-perempuan-catat-544452-kekerasan-dalam-rumah?page=all#google_vignette

Marmot, M., & Allen, J. J. (2014). Social Determinants of Health Equity. American Journal of Public Health, 104(S4), S517–S519. https://doi.org/10.2105/AJPH.2014.302200

Mulyani, S. (2021). Isu Kesetaraan Gender dalam Pencegahan dan Penanganan Stunting. Jurnal Pusdiklat Kesos, 9(17), 1–15.

Palutturi, S., Syam, A., & Asnawi, A. (2020). Stunting in a political context: A systematic review. Enfermería Clínica, 30, 95–98. https://doi.org/10.1016/j.enfcli.2019.10.049

Parker, W. J. (2020). The moral imperative of reproductive rights, health, and justice. Best Practice & Research Clinical Obstetrics & Gynaecology, 62, 3–10. https://doi.org/10.1016/j.bpobgyn.2019.07.006

Perempuan, K. (2020). Kekerasan meningkat: Kebijakan penghapusan kekerasan seksual untuk membangun ruang aman bagi perempuan dan anak perempuan. Catahu: Catatan Tahunan Tentang Kekerasan Terhadap Perempuan, 1–109.

Perempuan, K. (2021). Perempuan dalam himpitan pandemi: Lonjakan kekerasan seksual, kekerasan siber, perkawinan anak, dan keterbatasan penanganan ditengah covid-19. Catatan Tahunan.

Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158

Putri, I. M., & Rosida, L. (2023). Upaya Pencegahan Stunting melalui Sosialisasi Program Pendewasaan Usia Perkawinan dan Anemia Remaja. Masyarakat Berdaya Dan Inovasi, 4(1), 80–87.

Safitri, D., Arif, F., Handayani, F., Juwita, M., Efendi, R., & Sabila, S. (2022). Stunting dan Pencegahannya di Desa Pulau Balai, Kecamatan Pulau Banyak, Aceh Singkil. Jurnal Ilmiah Universitas Batanghari Jambi, 22(3), 1726–1731. https://doi.org/10.33087/jiubj.v22i3.2788

Sari, G. M. (2021). Early Stunting Detection Education as an Effort to Increase Mother’s Knowledge about Stunting Prevention. Folia Medica Indonesiana, 57(1), 70–75. https://doi.org/10.20473/fmi.v57i1.23388

Strasser, J., & Schenk, E. (2023). Prescribing authority for pharmacists is integral to protecting reproductive health and rights. Health Affairs Forefront.

UNICEF East Asia dan Pasific Region. (2021). Southeast Asia Regional Report on Maternal Nutrition and Complementary Feeding.

Usman, A. N., Syarif, S., Hadju, V., As’ad, S., & Baso, Y. S. (2021). Use of technology for monitoring the development of nutritional status 1000 hpk in stunting prevention in Indonesia. Gaceta Sanitaria, 35, S231–S234. https://doi.org/10.1016/j.gaceta.2021.10.028

Wang, Y. (2021). ‘Passionate aesthetics’: TP gender practices and discourses, and the hierarchies within lesbian (lala) communities in contemporary mainland China. Journal of Gender Studies, 30(5), 561–572. https://doi.org/10.1080/09589236.2021.1929094

Wendt, A. S., Sparling, T. M., Waid, J. L., Mueller, A. A., & Gabrysch, S. (2019). Food and Agricultural Approaches to Reducing Malnutrition (FAARM): protocol for a cluster-randomised controlled trial to evaluate the impact of a Homestead Food Production programme on undernutrition in rural Bangladesh. BMJ Open, 9(7), e031037. https://doi.org/10.1136/bmjopen-2019-031037

Wieringa, S. E. (2020). Heteronormativity and passionate aesthetics. The SAGE Handbook of Global Sexualities, 291. https://doi.org/10.4135/9781529714364.n14

Zaluchu, F. (2022). Redeeming Gender Imbalances: How Biblical Interpretation Can Affect Women’s Health in Indonesia. Christian Journal for Global Health, 9(2), 11–22. https://doi.org/10.15566/cjgh.v9i2.651

Zaluchu, F., Wieringa, S., & Kok, B. De. (2017). Maternal Deaths: Do Women still have the Right to Life? A Case Study in Nias Island. Jurnal Perempuan, 22(2), 93. https://doi.org/10.34309/jp.v22i2.175

Published
2024-05-27
How to Cite
Litaay, S., & Batjo, S. (2024). Women’s Welfare, Stunting, and Access to Reproductive Rights: An Overview of the Situation in Indonesia. Baileo: Jurnal Sosial Humaniora, 1(3), 332-343. https://doi.org/10.30598/baileofisipvol1iss3pp332-343
Section
Articles