Abstract :

This study conducted a bibliometric analysis and visualization using VOSviewer to examine the implementation of stunting prevention programs in Indonesia. Over the past five years, there has been a significant increase in publications related to this topic, totaling 447 documents. The analysis revealed fluctuating publication trends annually, reflecting evolving research interests and methodologies. Visual network mapping identified four main clusters: (1) policy focus on stunting prevention, program effectiveness, and risks; (2) database review, coverage assessment, and risk factors; (3) infant health, risk factors, and assessments; and (4) sanitation, meta-analysis, and policy implications. These clusters highlight diverse research focuses, including policy management, data analysis, risk factors, and sanitation impacts on stunting prevalence. Integration of various datasets through overlay visualization provided insights into complex interactions influencing stunting prevalence across Indonesian districts. This research offers deep insights into the dynamics of stunting prevention program research and development in Indonesia, serving as a foundation for evidence-based policymaking and guiding future research strategies. Based on the findings and discussions, this study suggests the need for further research focusing on the district-level effectiveness of interventions against child stunting by enhancing community engagement in intervention and policy implementation. Community engagement can significantly reduce stunting prevalence by enabling better adoption of local nutrition and sanitation practices, strengthening program sustainability through active participation in planning and implementation, and building community capacity to promote sustainable behavior change at the individual and family levels.

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Keywords :

Bibliometric Analysis, Community Engagement, Health policy., Implementation Of Stunting Prevention Programs, Stunting Prevention, VosViewer

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References :

1. Global Nutrition Targets 2025 Stunting Policy Brief. The Art of Revising Poetry: 21 U.S. Poets on their Drafts, Craft, and Process. 2014. 119–123 p.
2. World Health Organization. Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. World Health Organization; 2018. 2018.
3. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018 Oct;14(4):e12617.
4. Milwan, Sunarya A. Stunting Reduction in Indonesia: Challenges and Opportunities. Int J Sustain Dev Plan. 2023;18(7):2223–31.
5. Herawati DMD, Sunjaya DK. Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study. Int J Environ Res Public Health. 2022 Oct;19(20).
6. Goudet SM, Bogin BA, Madise NJ, Griffiths PL. Nutritional interventions for preventing stunting in children (birth to 59 months) living in urban slums in low- and middle-income countries (LMIC). Cochrane database Syst Rev. 2019 Jun;6(6):CD011695.
7. Burgaz C, Gorasso V, Achten WMJ, Batis C, Castronuovo L, Diouf A, et al. The effectiveness of food system policies to improve nutrition, nutrition-related inequalities and environmental sustainability: a scoping review. Food Secur [Internet]. 2023;15(5):1313–44. Available from: https://doi.org/10.1007/s12571-023-01385-1
8. Soliman A, Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, et al. Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta bio-medica Atenei Parm. 2021 Feb 16;92:2021168.
9. Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One [Internet]. 2022;17(7 July):1–11. Available from: http://dx.doi.org/10.1371/journal.pone.0271509
10. UNICEF, WHO, WORLD BANK. Level and trend in child malnutrition. World Heal Organ [Internet]. 2023;4. Available from: https://www.who.int/publications/i/item/9789240073791
11. Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta ZA. Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. Am J Clin Nutr. 2020 Sep;112(Suppl 2):777S-791S.
12. Buku Saku Hasil Survey Status Gizi Indonesia (SSGI) Tahun 2022. Kemenkes. 2022;1–154.
13. WHO, UNICEF. The extension of the 2025 Maternal, Infant and Young Child nutrition targets to 2030. World Heal Organ [Internet]. 2017;1–12. Available from: http://www.who.int/nutrition/healthygrowthproj/en/index1.html%0Ahttp://www.who.int/nutrition/healthygrowthproj/en/index1.html%0Ahttp://www.who.int/nutrition/healthygrowthproj/en/index1.html%0Ahttps://www.who.int/nutrition/global-target-2025/discussion-pap

14. World Health Organization. Childhood Stunting: Challenges and opportunities. Report of a Promoting Healthy Growth and Preventing Childhood Stunting colloquium. WHO Geneva. 2014;34.
15. De Sanctis V, Soliman A, Alaaraj N, Ahmed S, Alyafei F, Hamed N. Early and Long-term Consequences of Nutritional Stunting: From Childhood to Acta Biomed. 2021 Feb;92(1):e2021168.
16. Febriani ADB, Daud D, Rauf S, Nawing HD, Ganda IJ, Salekede SB, et al. Risk Factors and Nutritional Profiles Associated with Stunting in Children. Pediatr Gastroenterol Hepatol Nutr. 2020 Sep;23(5):457–63.
17. Virolainen SJ, VonHandorf A, Viel KCMF, Weirauch MT, Kottyan LC. Gene-environment interactions and their impact on human health. Genes Immun. 2023 Feb;24(1):1–11.
18. Restiana RP, Fadilah TF. Relationship Between Early Marriage and Incidence of Stunting in Children Aged 24-59 Months. Adv Soc Sci Educ Humanit Res [Internet]. 2022; Available from: https://api.semanticscholar.org/CorpusID:268427660
19. Ginting R, Girsang E, Sinaga M, Manalu P. Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study. J Penelit Pendidik IPA. 2023 Oct 25;9:8185–91.
20. Fristiwi P, Nugraheni SA, Kartini A. Effectiveness of Stunting Prevention Programs in Indonesia : A Systematic Review. J Penelit Pendidik IPA. 2023 Dec 20;9:1262–73.
21. FAO, IFAD, UNICEF W and W. Food security and nutrition in the world. Lancet Diabetes Endocrinol. 2022;10(9):622.
22. UNICEF, WHO, WORLD BANK. Levels and trends in child malnutrition; UNICEF/WHO/World Bank Group-Joint child malnutrition estimstes 2021 edition. World Heal Organ [Internet]. 2021;1–32. Available from: https://data.unicef.org/resources/jme-report-2021/

23. Hanifah F, Syahrizal. Implementation of Stunting Prevention Program in Indonesia: Literature Review. Media Publ Promosi Kesehat Indones. 2024 May 1;7:1183–91.
24. Saloner B, Wilk AS, Levin J. Community Health Centers and Access to Care Among Underserved Populations: A Synthesis Review. Med Care Res Rev [Internet]. 2019 May 13;77(1):3–18. Available from: https://doi.org/10.1177/1077558719848283

25. Gizaw Z, Astale T, Kassie GM. What improves access to primary healthcare services in rural communities? A systematic review. BMC Prim care. 2022 Dec;23(1):313.
26. Donthu N, Kumar S, Mukherjee D, Pandey N, Lim WM. How to conduct a bibliometric analysis: An overview and guidelines. J Bus Res [Internet]. 2021;133:285–96. Available from: https://www.sciencedirect.com/science/article/pii/S0148296321003155

27. Ninkov A, Frank JR, Maggio LA. Bibliometrics: Methods for studying academic publishing. Perspect Med Educ [Internet]. 2022;11(3):173–6. Available from: https://doi.org/10.1007/s40037-021-00695-4
28. Yan L, Zhiping W. Mapping the Literature on Academic Publishing: A Bibliometric Analysis on WOS. Sage Open [Internet]. 2023 Jan 1;13(1):21582440231158560. Available from: https://doi.org/10.1177/21582440231158562
29. Haustein S, Larivière V. The Use of Bibliometrics for Assessing Research: Possibilities, Limitations and Adverse Effects BT – Incentives and Performance: Governance of Research Organizations. In: Welpe IM, Wollersheim J, Ringelhan S, Osterloh M, editors. Cham: Springer International Publishing; 2015. p. 121–39. Available from: https://doi.org/10.1007/978-3-319-09785-5_8
30. Rohmani, Suprapto I, Pambudi N. Practical Steps for Bibliometric Analysis: Mapping Trends in Scientific Articles on Digital Literacy Using VOSviewer from the Google Scholar Database. Int J Multidiscip Approach Res Sci. 2023 Dec 15;2:351–61.
31. Öztürk O, Kocaman R, Kanbach DK. How to design bibliometric research: an overview and a framework proposal. Rev Manag Sci [Internet]. 2024; Available from: https://doi.org/10.1007/s11846-024-00738-0
32. Aria M. bibliometrix: An R-tool for comprehensive science mapping analysis. J Informetr. 2017 Nov 1;11:959–975.
33. Baako I, Abroampa WK. Research trends on ICT integration in Education: A bibliometric analysis. Cogent Educ [Internet]. 2023;10(2). Available from: https://doi.org/10.1080/2331186X.2023.2281162
34. Guidelines On Sanitation and Health. [Internet]. World Health Organization. 2018. 1–220 p. Available from: http://www.who.int/water_sanitation_health/publications/guidelines-on-sanitation-and-health/en/
35. Tahangnacca M, Amiruddin R, Ansariadi, Syam A. Model of stunting determinants: A systematic review. Enfermería Clínica [Internet]. 2020;30:241–5. Available from: https://www.sciencedirect.com/science/article/pii/S113086212030187X
36. Dickin S, Gabrielsson S. Inequalities in water, sanitation and hygiene: Challenges and opportunities for measurement and monitoring. Water Secur [Internet]. 2023;20:100143. Available from:

https://www.sciencedirect.com/science/article/pii/S2468312423000111

37. Corburn J. Water and sanitation for all: Citizen science, health equity, and urban climate justice. Environ Plan B Urban Anal City Sci [Internet]. 2022 May 12;49(8):2044–53. Available from: https://doi.org/10.1177/23998083221094836
38. Demir F. Evidence-Based Policy-Making: Merits and Challenges BT – Global Encyclopedia of Public Administration, Public Policy, and Governance. In: Farazmand A, editor. Cham: Springer International Publishing; 2020. p. 1–13. Available from: https://doi.org/10.1007/978-3-319-31816-5_3901-1
39. Swaminathan S. Evidence, policy, impact [Internet]. World Health Organization (WHO). 2021. 10,11 & 38. Available from: https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwi3mYa6r6D7AhVm_3MBHagiC1QQFnoECCsQAQ&url=https%3A%2F%2Fapps.who.int%2Firis%2Frest%2Fbitstreams%2F1405176%2Fretrieve&usg=AOvVaw19QEBvbAUc34SC5iuteGmI
40. J RF, Huljannah N, Rochmah TN. Stunting Prevention Program in Indonesia: A SYSTEMATIC REVIEW. Media Gizi Indones. 2022;17(3):281–92.
41. Aven T. Risk assessment and risk management: Review of recent advances on their foundation. Eur J Oper Res [Internet]. 2016;253(1):1–13. Available from: https://www.sciencedirect.com/science/article/pii/S0377221715011479
42. Absori A, Hartotok H, Dimyati K, Nugroho HSW, Budiono A, Rizka R. Public Health-Based Policy on Stunting Prevention in Pati Regency, Central Java, Indonesia. Open Access Maced J Med Sci. 2022;10(28):259–63.
43. Campos PA, Reich MR. Political Analysis for Health Policy Implementation. Heal Syst Reform [Internet]. 2019;5(3):224–35. Available from: https://doi.org/10.1080/23288604.2019.1625251
44. Rechel B, Williams G, Wismar M. Policy brief What are the conditions for successful health policy implementation ? 2020. 1–80 p.
45. Franconeri SL, Padilla LM, Shah P, Zacks JM, Hullman J. The Science of Visual Data Communication: What Works. Psychol Sci Public Interes [Internet]. 2021 Dec 1;22(3):110–61. Available from: https://doi.org/10.1177/15291006211051956
46. Gusnedi G, Nindrea RD, Purnakarya I, Umar HB, Andrafikar, Syafrawati, et al. Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis. Asia Pac J Clin Nutr. 2023;32(2):184–95.
47. Lameky V. Stunting in Indonesia: Current progress and future directions. J Healthc Adm. 2024 Jun 24;3:82–90.
48. Ghorbani BD. Bibliometrix: Science Mapping Analysis with R Biblioshiny Based on Web of Science in Applied Linguistics BT – A Scientometrics Research Perspective in Applied Linguistics. In: Meihami H, Esfandiari R, editors. Cham: Springer Nature Switzerland; 2024. p. 197–234. Available from: https://doi.org/10.1007/978-3-031-51726-6_8
49. Aria M, Cuccurullo C. bibliometrix: An R-tool for comprehensive science mapping analysis. Vol. 11, Journal of Informetrics. 2017. 959–975 p.
50. Ipa M, Yuliasih Y, Astuti E, Laksono A, Ridwan W. Stakeholders’ Role in The Implementation of Stunting Management Policies in Garut Regency. J Adm Kesehat Indones. 2023 Jun 15;11:26–35.
51. Rah JH, Sukotjo S, Badgaiyan N, Cronin AA, Torlesse H. Improved sanitation is associated with reduced child stunting amongst Indonesian children under 3 years of age. Matern Child Nutr. 2020 Oct;16 Suppl 2(Suppl 2):e12741.