Biopolitics and Stunting Treatment: Barriers to Community Participation in Sambas Regency, Indonesia
DOI:
https://doi.org/10.26811/peuradeun.v13i2.1872Keywords:
Biopolitics, Stunting, Gender Roles, Border Communities, ParticipationAbstract
Stunting remains a major public health issue in Indonesia, especially in border areas like Sambas Regency, where intervention efforts have seen limited success. This study investigates the biopolitical dimensions of stunting by highlighting the disconnect between national policies and local realities, particularly in community participation and behavioral change. Using a qualitative case study in Lela Village, data were collected through interviews, observations, and document analysis. Results indicate that low paternal involvement, reliance on traditional medicine, poor health literacy, and smoking habits hinder prevention efforts. State narratives also tend to overburden mothers while neglecting shared responsibility. Biopolitical and gender based approaches to stunting remain underexplored in Indonesia. Stunting is understood here as a complex interaction of power and knowledge that influences public perspectives and government policy. The study calls for a shift from top-down technical fixes to inclusive strategies that promote gender equity, empower communities, and adapt to socio-cultural contexts. It contributes to the discourse on public health governance by advocating participatory, context-sensitive, and transformative solutions for sustainable stunting reduction.
References
Absori, A., Hartotok, H., Dimyati, K., Nugroho, H. S. W., & Nugroho, A. (2022). Public Health-Based Policy on Stunting Prevention in Pati Regency, Central Java, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(E), 8392–8398. https://doi.org/10.3889/oamjms.2022.8392.
Adriany, V., & Tesar, M. (2023). Unpacking the Discourses of Stunting in Indonesian Early Childhood Education and Parenting. Children & Society the International Journal of Childhood and Children’s Services, 37(2), 311–325. https://doi.org/10.1111/chso.12593.
Adnan, M., Marwiyati, Zurriyani, & Thahira, Z. (2025). Daughters at Risk: Analyzing the Impact of Maternal Son Preference on Stunting and Wasting in Indonesia. Jurnal Ilmiah Peuradeun, 13(1), 745–770. https://doi.org/10.26811/peuradeun.v13i1.1351.
Alifiyah, R., & Anshori, I. (2023). Legal Protection for Children in Cases of Domestic Violence in the Indonesian Households. El-Usrah, 6(2), 348–361. https://doi.org/10.22373/ujhk.v6i2.19153.
Atmarita, A. (2012). Stunting dan Kualitas Manusia Indonesia. Makalah pada Seminar Nasional 1000 Hari Pertama untuk Negeri. 21 April 2012. Yogyakarta: Jurusan Gizi Poltekkes Kemenkes.
Bappenas. (2021). National Strategy to Accelerate Stunting Reduction 2018–2024. Ministry of National Development Planning (Bappenas). https://stunting.go.id/?sdm_process_download=1&download_id=5245.
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), e12617. https://doi.org/10.1111/mcn.12617.
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., & Uauy, R. (2013). Maternal and Child Undernutrition and Overweight in Low-Incom and Middle-Incom Countries. The lancet, 382(9890), 427-451. https://doi.org/10.1016/S0140-6736(13)60937-X.
Foucault, M. (1978). The History of Sexuality: Volume 1—An Introduction. New York: Vintage Books.
Foucault, M. (2003). Society Must be Defended: Lectures at the Collège de France, 1975–1976 (D. Macey, Trans). New York: Picador.
Foucault, M. (2007). Security, Territory, Population: Lectures at the Collège de France, 1977–78 (Michel Senellart, Ed.; Graham Burchell, Trans.). Basingstoke, Basingstoke, Hampshire, UK: Palgrave Macmillan.
Green, Eric P., Blattman, C., Jamison, J., & Annan, J. (2015). Women’s Entrepreneurship and Intimate Partner Violence: A Cluster Randomized Trial of Microenterprise Assistance and Partner Participation in Post-Conflict Uganda (SSM-D-14-01580R1). Jurnal Social Science & Medicine 133, 177-188. https://doi.org/10.1016/j.socscimed.2015.03.042.
Hafid, W., Martini, S., & Devy, S. R. (2016). Faktor Determinan Status Imunisasi Dasar Lengkap Pada Bayi di Puskesmas Konang dan Geger. Jurnal Wiyata, 3(1), 38–46. https://doi.org/10.56710/wiyata.v3i1.69.
Hall, C. P., Bennett, C., Crookston, B., Dearden, K., Hassan, M., Linehan, M., Syafiq, A., Torres, S., & West, J. (2018). Maternal Knowledge of Stunting in Rural Indonesia. International Journal of Child Health and Nutrition, 7(4), 139–145. https://doi.org/10.6000/1929-4247.2018.07.04.2.
Herawati, D. M. D., & Sunjaya, D. K. (2022). Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A qualitative study. International Journal of Environmental Research and Public Health, 19(20), 13591. https://doi.org/10.3390/ijerph192013591.
Humaidi, M. W., Hariyanto, H., & Azizah, M. (2024). Green Philanthropy: Islamic Activism on Indonesia’s Environmental Democracy. Ijtihad: Jurnal Wacana Hukum Islam Dan Kemanusiaan, 24(2), 167–191. https://doi.org/10.18326/ijtihad.v24i2.167-191.
Jubba, H., Sudirman, Iribaram, S., Mokhtar, W. K. A. bin W., & Rasyid, R. (2024). Compromise of Islam and Customary Practices in the Religious Practices of the Muslim Community in Papua: A Study of Maqāsid Syarī’ah. Ijtihad: Jurnal Wacana Hukum Islam dan Kemanusiaan, 24(2), 305–330. https://doi.org/10.18326/ijtihad.v24i2.305-330.
Kasum, F. I., & Widyastuti, Y., & Ato’uallah, A. (2024). Implementation of a Coordinated Approach to Stunting Prevention Programs in Pandeglang Regency. Journal of Geopolitics and Public Policy (JOGPP), 2(1), 29-39. https://www.journal.epistemikpress.id/index.php/JOGPP/article/view/297
Lado, O. Y. L., Dodo, D. O., & Sinaga, M. (2024). Evaluasi Program Penanggulangan Stunting di Wilayah Kerja Puskesmas Panite Kecamatan Amanuban Selatan Kabupaten TTS Tahun 2023. SEHATMAS (Jurnal Ilmiah Kesehatan Masyarakat), 3(4), 785–797. https://doi.org/10.55123/sehatmas.v3i4.4286.
Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among Children Under Two Years in Indonesia: Does Maternal Education Matter?. Plos one, 17(7), e0271509. https://doi.org/10.1371/journal.pone.0271509.
Lemke, T. (2011). Biopolitics: An Advanced Introduction. New York University Press. https://www.jstor.org/stable/j.ctt9qg0rd.
Malm, G., Lindh, C. H., Hansson, S. R., Källén, K., Malm, J., & Rylander, L. (2023). Maternal Serum Vitamin D Level in Early Pregnancy and Risk for Preeclampsia: A Casecontrol Study in Southern Sweden. PLoS ONE, 18(2), 1–11. https://doi.org/10.1371/journal.pone.0281234.
Mardikanto, T., & Soebiato, P. (2015). Pemberdayaan Masyarakat dalam Perspektif Kebijakan Publik, Bandung: Alfabeta.
Megawati, G., & Wiramihardja, S. (2019). (2019). Peningkatan Kapasitas Kader Posyandu dalam Mendeteksi dan Mencegah stunting. Dharmakarya, 8(3), 154–159. https://doi.org/10.24198/dharmakarya.v8i3.20726.
Miles, M. B., & Huberman, A. M. (1994). Qualitative Data Analysis: An Expanded Sourcebook, Thousand Oaks, CA: Sage.
Ministry of Health of the Republic of Indonesia. (2022). Indonesia Mitigation on Stunting Prevention HDF2021. Ministry of Health. https://stunting.go.id/wp-content/uploads/2021/03/Indonesia-Mitigation-on-Stunting-Prevention-HDF2021-.pdf.
Norsanti, N. (2021). Efektivitas Program Percepatan Penurunan Stunting di Kecamatan Batumandi Kabupaten Balangan (Studi Kasus pada Desa Mampari dan Desa Banua Hanyar). Jurnal Administrasi Publik Dan Pembangunan, 3(1), 10–21. https://doi.org/10.20527/jpp.v3i1.3825.
Paikah, N., Yamin, M., & Hafni, N. (2024). Analysis of Policies and Strategies to Lower Childhood Stunting in South Sulawesi, Indonesia. El-Usrah, 7(1), 19–41. https://doi.org/10.22373/ujhk.v7i1.22310.
Palutturi, S., Syam, A., Asnawi, A., & Hamzah, H. (2020). Stunting in a Political Context: A Systematic Review. Enfermeria Clinica, 20(4), 95–98. https://doi.org/10.1016/j.enfcli.2019.10.049.
Permatasari, A., Sofyan, N., & Walinegoro, B. G. (2022). Stunting Prevention through Collaborative Governance in the Berbah Sub-District. In International Conference on Sustainable Innovation on Humanities, Education, and Social Sciences (ICOSI-HESS 2022) (pp. 618-628). Atlantis Press. https://doi.org/10.2991/978-2-494069-65-7_51.
Prasojo, Z. H. (2012). Dinamika Masyarakat Lokal di Perbatasan. Walisongo: Jurnal Penelitian Sosial Keagamaan, 21(2), 417-436. https://doi.org/10.21580/ws.2013.21.2.252.
Putri, F. A., & Rezky, A. P. (2024). Determinant Analysis and Policy Recommendations for Stunting Prevention in West Sulawesi Province. Jurnal Ilmiah Ilmu Administrasi Publik, 14(1), 277-288. https://doi.org/10.26858/jiap.v14i1.63809.
Rahmadiyah, D. C., Sahar, J., Widyatuti, W., Sartika, R. A. D., & Hassan, H. (2024). Family Resilience with Stunted Children Aged Below 5 Years: A Qualitative Study in Depok City, Indonesia. Global Qualitative Nursing Research, 11. https://doi.org/10.1177/23333936231221753.
Rahmaniah, S. E., Syarmiati, S., & Paramitha, R. R. (2021). Revitalisasi Literasi Kesehatan dan Ketahanan Kesehatan Masyarakat di Kalangan Milineal. In Prosiding Seminar Nasional Penerapan Ilmu Pengetahuan dan Teknologi (pp. 155-164).
Rahmaniah, S. E. (2015). Model Pembangunan Perbatasan Berbasis Human Development dan Human Security. Jakarta: Mitra Wacana Media.
Rahmat, D., Sudarto, S., Sarip, S., Sujono, S., & Aziz, M. F. (2024). The Urgency of Administrative Law in Light of Ius Constituendum Regarding the Role of Village Heads. Volksgeist: Jurnal Ilmu Hukum Dan Konstitusi, 7(1), 53–67. https://doi.org/10.24090/volksgeist.v7i1.10204.
Ranga, M., & Etzkowitz, H. (2015). Triple Helix Systems: An Analytical Framework for Innovation Policy and Practice in the Knowledge Society. Industry and Higher Education, 27(4), 237–262. https://doi.org/10.5367/ihe.2013.0165.
Riwanto, A., & Suryaningsih, S. (2022). Realizing Welfare State and Social Justice: A Perspective on Islamic Law. Volksgeist: Jurnal Ilmu Hukum Dan Konstitusi, 5(1), 41–51. https://doi.org/10.24090/volksgeist.v5i1.6430.
Rizal, S., Sumarni, S., Aji, A. S., Fatimah, F. S., & Sarwadhamana, R. J. (2022). Stunting Prevention Program of West Sumbawa Regency Health Office: A Qualitative Study in West Nusa Tenggara, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(T8), 211–214. https://doi.org/10.3889/oamjms.2022.9496.
Rose, N. (2007). The Politics of Life Itself: Biomedicine, Power, and Subjectivity in the Twenty-First Century. Princeton University Press. https://www.jstor.org/stable/j.ctt7rqmf.
Simbolon, D., Maigoda, T. C., Meriwati, M., Efrida, S., Yunita, Y., & Widiastuti, H. (2024). Policy Implementation to Accelerate Stunting Reduction: A Qualitative Study. Indonesian Journal of Health Administration, 12, 270–279. https://doi.org/10.20473/jaki.v12i2.2024.270-279.
Sinaga, F. R., Sidin, F. H. M. N., Jalal, F., Fatmawati, F., & Hardisman, H. (2023). A Qualitative Study of the Effect of Public Participation on Stunting Prevention Behavior in Pandeglang Regency. Open Access Macedonian Journal of Medical Sciences, 11(E), 122–125. https://doi.org/10.3889/oamjms.2023.7727.
Sugiyono. (2017). Metode Penelitian Kualitatif, Kuantitatif dan R&D. Bandung: Alfabeta.
Suharsono, A., Prasetyoningsih, N., & Usman, S. (2024). Women’s Inheritance Rights in Indonesia from the Perspective of the Triangular Concept of Legal Pluralism. El-Mashlahah: Jurnal Kajian Hukum Islam dan Pranata Sosial, 14(2), 247–266. https://doi.org/10.30762/el-mashlahah.v14i2.838.
Susilawati, S., Istikomah, I., & Susniwati, S. (2023). Implementation of The Stunting Prevention Policy Program In Cikawao Sub-District, Lengkong District, Bandung City. Jurnal Ilmiah Ilmu Administrasi Publik, 13(1), 189-198. https://doi.org/10.26858/jiap.v13i1.45471.
Tahapary, P. A., Chodidjah, S., & Rachmawati, I. N. (2023). Peran Ayah terhadap Status Gizi Anak Balita. Journal of Telenursing, 5(1), 1205-1214. https://doi.org/10.31539/joting.v5i1.5784.
Taufiq, M., Syahidah, J. A., Faiz, M. F., & Hariyanto, E. (2024). Tengka, Identity Politics, and the Fiqh of Civilization: The Authority of Madura’s Kiai in the Post-Truth Era. Ijtihad: Jurnal Wacana Hukum Islam Dan Kemanusiaan, 24(1), 139–165. https://doi.org/10.18326/ijtihad.v24i1.139-165.
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the Stunting of Children under Two Years old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients, 11(5), 1106. https://doi.org/10.3390/nu11051106.
Trisyani, K., Fara, Y. D., & Mayasari, A. T. (2020). Hubungan faktor ibu dengan Kejadian Stunting. Jurnal Maternitas Aisyah (JAMAN AISYAH), 1(3), 189-197. https://journal.aisyahuniversity.ac.id/index.php/Jaman/article/view/126.
UNICEF. (2019). The State of the World’s Children 2019: Children, Food and Nutrition—Growing well in a Changing World. New York, NY: United Nations Children’s Fund. https://www.unicef.org/reports/state-of-worlds-children-2019.
Victora, C. G., Adair, L. S., Fall, C. H. D., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and Child Undernutrition: Consequences for Adult Health and Human Capital. The Lancet, 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4.
Wasono, W., & Sukmana, H. (2024). Navigating Implementation Challenges of Stunting Solutions in Indonsesia’s Health Programs. Indonesian Journal of Cultural and Community Development, 15(3), 10-17. https://doi.org/10.21070/ijccd.v15i3.1106.
World Health Organization. (2020). Levels and Trends in Child Malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates—Key Findings of the 2020 Edition. Geneva, Switzerland: World Health Organization. https://www.who.int/publications/i/item/9789240003576.
Published
Issue
Section
License
Copyright (c) 2025 Syarifah Ema Rahmaniah, Ali Almurthadho Hasni, Halida Halida, Syarmiati Syarmiati, Ahmad Ghozali, Ali Akhbar Abaib Mas Rabbani Lubis (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms: (1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License (CC-BY-SA) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal; (2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal; (3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website), as it can lead to productive exchanges, as well greater citation of published work (See The Effect of Open Access).
















