Family Empowerment for the Prevention of Childhood Stunting in Low and Middle-Income Countries: Scoping Review

Ida Nursanti1,3), Bhisma Murti2), Sri Mulyani1)


)Doctoral Program in Public Health, Universitas Sebelas Maret, Surakarta

2)Masters Program in Public Health, Universitas Sebelas Maret, Surakarta

3)Department of Nursing, Universitas Jenderal A. Yani, Yogyakarta




Background: Progress has been made worldwide in reducing chronic undernutrition and rates of linear growth stunting in children under five years of age. However, rates remain high in many regions. Policies, programs, and interventions supporting mater­nal and child health and nutrition have the potential to improve child growth and development. An important factor contributing to the prevalence of stunting, a mani­festation of malnutrition among children, is believed to be the lack of empowerment among women and families. This study aimed to review all available family approaches to prevent childhood stunting.

Subjects and Method: This scoping review explored the available published litera­ture on family empowerment approaches to the prevention of childhood stunting. Online articles from January, 2012 to August, 2021 were searched from various data­bases, including PubMed, Science Direct, ProQuest, EBSCO, and Google Scholar. The searching keywords included family OR parent AND empowerment OR participation AND child OR children OR childhood OR infant AND stunting OR growth disorder OR feeding behavior OR nutritional status. As many as 697 articles were identified, of which 6 articles were included using the inclusion criteria. The data were analyzed narratively.

Results: Family empowerment for stunting prevention were carried out by health education approaches at the levels of individual, group, and community (such as campaign by the mass media). Changes in family behavior were maintained by coun­seling and monitoring through home visit. The other empowerment approaches included provision of food supplement, cash assistance, family food security streng­thening, free health services, clean water, and construction of latrines.

Conclusion: Empowerment for families with low economic status and food-insecurity have been implemented through various approaches. It is necessary to examine the effectiveness of family empowerment intervention in the prevention of stunting.

Keywords: family empowerment, stunting, prevention, low and middle-income countries

Correspondence: Ida Nursanti. Doctoral Program in Public Health, Universitas Sebelas Maret, Surakarta. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: nursantida@­ Mobile: 081225412615.


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