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: Stunting, Reproductive Health Rights, Women's Welfare, Women's Empowerment, Gender Justice

Abstract

Stunting, as a global issue, has become a primary concern in Indonesia, with a declining trend in prevalence but still predominant indirect interventions for children under five years old. However, the impact of stunting on pregnant women or mothers of toddlers, who are the closest caregivers to stunted children, is often overlooked. Throughout the pregnancy and child-rearing periods, many reproductive rights of women remain unfulfilled, leading to suboptimal health conditions for both the mother and child. This research aims to describe sexual health rights, gender justice, and their relation to the stunting issue in Indonesia. The research method employed was a literature review accessing online databases, including Google Scholar, using keywords such as “stunting,” “women's rights,” “gender,” and “reproductive health rights.” Out of 700 articles identified, a reselection was conducted using the VoSViewer software to obtain literature relevant to the research theme. This article emphasizes that many health services in Indonesia are not optimal in fulfilling women's rights. Conversely, some health services are even challenging for women to access, indicating the government's negative contribution to fulfilling women's rights. Therefore, preventing stunting requires a broader and more integrative approach, including women's empowerment, reconstructing social norms regarding reproductive health, and strengthening health services that favor women. Consequently, the Indonesian government needs to intensify efforts to ensure the fulfillment of women's reproductive health rights as a strategic step in preventing stunting issues in the future.

Downloads

Download data is not yet available.

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.

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.

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.

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.

Cook, R. J. (2020). International human rights and women’s reproductive health. Women, Medicine, Ethics and the Law, 37–50.

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.

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.

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.

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.

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.

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.

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.

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.

Kramsch, C. (2020). Language as symbolic power. Cambridge University Press.

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.

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.

Parker, W. J. (2020). The moral imperative of reproductive rights, health, and justice. Best Practice & Research Clinical Obstetrics & Gynaecology, 62, 3–10.

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.

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.

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.

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.

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.

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
Section
Articles