Dynamic Governance in Accelerating Stunting Reduction: A Study on Local Policy Implementation and the Use of Digital Platforms in Sumedang Regency, West Java
DOI:
https://doi.org/10.15575/jt.v8i2.49608Keywords:
dynamic governance, stunting reduction, digital health governance, multi-actor collaboration, SIMPATI platformAbstract
This study aims to analyze the role of dynamic governance in accelerating stunting reduction in Sumedang Regency, West Java, with a focus on the mechanisms of sensing, seizing, and transforming as well as the orchestration of multi-actor collaboration. This research is important because stunting remains a critical challenge for Indonesia in achieving the 14% target by 2024, while existing studies are mostly dominated by medical and nutritional perspectives rather than governance aspects. The study employed a qualitative research approach with a case study design, in which data were collected through in-depth interviews, Focus Group Discussions (FGDs), participatory observation, and document analysis. The findings reveal that Sumedang possesses strong dynamic governance capabilities: (1) sensing through data-driven policies utilizing Riskesdas and e-PPGBM, (2) seizing through adaptive regulations and cross-sectoral coordination with Regent Regulation No. 82/2018 and the implementation of the Eight Convergence Actions, and (3) transforming through institutional innovation with the SIMPATI platform and the establishment of a permanent stunting task force. These capabilities are strengthened by the collaborative roles of local government, NGOs, village administrations, health cadres, and the private sector. The integration of digital governance and participatory mechanisms has enabled Sumedang to successfully reduce stunting prevalence from 32.2% in 2019 to 27.6% in 2022, and further to 7.89% in 2023. The implications of this study affirm that dynamic governance can serve as a replicable model for other regions to overcome bureaucratic rigidity, strengthen cross-sectoral partnerships, and enhance evidence-based decision-making in public health policy. The originality of this research lies in positioning stunting reduction not merely as a health intervention but as an innovation in adaptive governance, thereby filling the gap in the literature that rarely discusses the intersection of governance, technology, and community participation in public health policy.
References
Agushybana, F., Pratiwi, A., Kurnia, P. L., Nandini, N., Santoso, J., & Setyo, A. (2022). Reducing stunting prevalence: Causes, impacts, and strategies. BIO Web of Conferences, 54, 9. EDP Sciences.
Akther, S., & Evans, J. (2024). Emerging attributes of adaptive governance in the global south. Frontiers in Environmental Science. doi: https://doi.org/10.3389/fenvs.2024.1372157
Bappeda Provinsi Jawa Barat. (2025). Sekda Herman Targetkan Jabar Zero New Stunting 2025. Bappeda Provinsi Jawa Barat.
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.
Ben Mesmia, H., Rajan, D., Bouhafa Chtioui, R., & Mtiraoui, A. (2023). The Tunisian experience of participatory health governance: The Societal Dialogue for Health (a qualitative study). Health Research Policy and Systems. doi: https://doi.org/10.1186/s12961-023-00996-6
BPMI Setpres. (2023). Belajar dari Sumedang, Sukses Turunkan Stunting dengan Manfaatkan Teknologi Digital. BPMI Setpres.
Bupati Sumedang. (2020). KEPUTUSAN BUPATI SUMEDANG NOMOR:441/KEP.325 -BAPPPPEDA/2020 TENTANG PEMBENTUKAN GUGUS TUGAS PERCEPATAN PENURUNAN DAN PENCEGAHAN STUNTING TERINTEGRASI.
Butler, J. R. A., Young, J. C., McMyn, I. A. G., & Warburton, C. (2015). Evaluating adaptive co-management as conservation conflict resolution: Learning from seals and salmon. Journal of Environmental Management, 160, 212–225. doi: https://doi.org/10.1016/j.jenvman.2015.06.019
Chaffin, B. C., Gosnell, H., & Cosens, B. A. (2014). A decade of adaptive governance scholarship: Synthesis and future directions. Ecology and Society, 19(3), 56. doi: https://doi.org/10.5751/ES-06824-190356
Chaffin, B. C., & Gunderson, L. H. (2016). Emergence, institutionalization and renewal: Rhythms of adaptive governance in complex social-ecological systems. Journal of Environmental Management, 165, 81–87. doi: https://doi.org/10.1016/j.jenvman.2015.09.003
Christabel, B., Kryzstov, S., & Rino, M. R. (n.d.). Bridging the Middle-Income Trap: The Snowball Effect of Economic Development during Jokowi’s Leadership. Indonesia Foreign Policy Review, 11(1), 36.
Cosens, B., & Chaffin, B. C. (2016). Adaptive governance of water resources shared with indigenous peoples: The role of law. Water (Switzerland), 8(3), 97. doi: https://doi.org/10.3390/w8030097
Deddi Rustandi. (2024). Survei Kesehatan Indonesia, Stunting di Sumedang Menurun Tajam. Sumedangkab.Go.Id.
Dharmaputra, A., Kurniawan, W. Y., Vidyana, A. N., Sugianta, I. K. A., & Gunawan, P. H. (2024). Predicting Stunting Prevalence in Indonesia Using XGBoost and Artificial Neural Networks. 2024 International Conference on Intelligent Cybernetics Technology & Applications (ICICyTA), 641–646. IEEE.
Fischer, F. (2012). Participatory governance: From theory to practice. In D. Levi-Faur (Ed.), The Oxford Handbook of Governance. Oxford University Press. doi: https://doi.org/10.1093/oxfordhb/9780199560530.013.0032
Foley, R. W., Wiek, A., Kay, B., & Rushforth, R. (2017). Ideal and reality of multi-stakeholder collaboration on sustainability problems: A case study on a large-scale industrial contamination in Phoenix, Arizona. Sustainability Science, 12(1), 123–136. doi: https://doi.org/10.1007/s11625-016-0393-1
Folke, C., Hahn, T., Olsson, P., & Norberg, J. (2005). Adaptive governance of social-ecological systems. Annual Review of Environment and Resources, 30, 441–473. doi: https://doi.org/10.1146/annurev.energy.30.050504.144511
Gilbert, S., Anderson, S., Daumer, M., & Williams, R. (2023). Learning from experience and finding the right balance in the governance of artificial intelligence and digital health technologies. Journal of Medical Internet Research. doi: https://doi.org/10.2196/43682
Gupta, N., Vashist, S., Verma, R., & Terang, P. P. (2025). Cybersecurity and privacy concern in digital health. In Navigating Innovations and Challenges in Travel Medicine and Digital Health. IGI Global. doi: https://doi.org/10.4018/979-8-3693-8774-0.ch019
Handayani, L., & Rizky, M. (2024). The Effectiveness of Pocket Book in Increasing Knowledge and Attitude among Mothers as an Effort to Prevent Stunting in the Working Are of Pakem Health Center, Sleman (Study of Mothers with Babies Aged 0-23 Months). Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(7), 1818–1826.
Hartotok, H., Absori, A., Dimyati, K., Santoso, H., & Budiono, A. (2021). Stunting prevention policy as a form of child health rights legal protection. Open Access Macedonian Journal of Medical Sciences, 9(E), 1218–1223.
Hasanah, U., & Arifah, S. (2024). The Relationship Between the Implementation of Clean and Healthy Living Behaviors and the Incidence of Stunting in Toddlers. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 6(2), 1191–1199.
Huriani, Y., Haryanti, E., Zulaiha, E., & Haq, M. Z. (2022). Women Religious Congregation as Driving Force Behind Alleviation of Urban Poor Nutrition. Cogent Social Sciences, 8(1). doi: https://doi.org/10.1080/23311886.2022.2113599
Izza, N., & Purnomo, W. (2019). Factors Affecting the Occurrence of Stunting in Indonesia. Indian Journal of Public Health Research & Development, 10(10).
Jansen, L. J. M., & Kalas, P. P. (2020). Improving governance of tenure in policy and practice: A conceptual basis to analyze multi-stakeholder partnerships for multi-stakeholder transformative governance illustrated with an example from South Africa. Sustainability (Switzerland), 12(5), 1972. doi: https://doi.org/10.3390/su12239901
Jayakumar, S. S., Meher, K., Rout, U., & Singh, S. (2024). Risk analysis of data privacy violations in digital health records and patient confidentiality. Seminars in Medical Writing and Education. doi: https://doi.org/10.56294/mw2024498
JDIH Sumedang. (2019). Peraturan Bupati Sumedang Nomor 82 Tahun 2019 Tentang Percepatan Penurunan dan Pencegahan Stunting Terintegritas. JDIH Sumedang.
Kohler, J. C., & Martinez, M. G. (2015). Participatory health councils and good governance: Healthy democracy in Brazil? International Journal for Equity in Health. doi: https://doi.org/10.1186/s12939-015-0151-5
Kurniawati, A., & Saputro, N. T. (2022). Association of maternal age during pregnancy with stunting in children age 2-3 years. Informasi Dan Promosi Kesehatan, 1(2), 52–63.
Kustanto, A., Rachmat, O., & Setyadi, S. (2024). The prevalence of stunting in Indonesia: An examination of the health, socioeconomic status, and environmental determinants. Journal of Iranian Medical Council.
Leroy, J. L., & Frongillo, E. A. (2019). Perspective: what does stunting really mean? A critical review of the evidence. Advances in Nutrition, 10(2), 196–204.
MacDonald, A., Clarke, A., & Huang, L. (2019). Multi-stakeholder partnerships for sustainability: Designing decision-making processes for partnership capacity. Journal of Business Ethics, 160(2), 409–426. doi: https://doi.org/10.1007/s10551-018-3885-3
Mardiansyah, R., Makarim, E., & Sulistyowati. (2025). Legal framework chamber of governance digital health innovation: Insights from implementation of health technology transformation in Indonesia. International Journal of Innovative Research and Scientific Studies, 8(3). doi: https://doi.org/10.53894/ijirss.v8i3.7318
Markell, D. L., & Glicksman, R. L. (2016). Dynamic Governance in Theory and Application, Part I. SSRN Electronic Journal. doi: https://doi.org/10.2139/ssrn.2734304
Marni, M., Abdullah, A. Z., Thaha, R. M., Hidayanty, H., Sirajuddin, S., Razak, A., … Liliweri, A. (2021). Cultural communication strategies of behavioral changes in accelerating of stunting prevention: a systematic review. Open Access Macedonian Journal of Medical Sciences, 9(F), 447–452.
Maxwell, J. (2009). Designing a Qualitative Study. In The SAGE Handbook of Applied Social Research Methods (Vol. 2, pp. 214–253). 2455 Teller Road, Thousand Oaks California 91320 United States: SAGE Publications, Inc. doi: https://doi.org/10.4135/9781483348858.n7
Munaretto, S., Siciliano, G., & Turvani, M. E. (2014). Integrating adaptive governance and participatory multicriteria methods: A framework for climate adaptation governance. Ecology and Society, 19(2), 74. doi: https://doi.org/10.5751/ES-06381-190274
Natsir, N., Halim, R., & Tahili, M. H. (2023). The effect of dynamic governance on public service innovation through the recruitment of managers of public organizations. Public Policy and Administration.
Neo, B. S., & Chen, G. (2007). Dynamic Governance - Embedding Culture, Capabilities and Change in Singapore. World Scientific Publishing Co. Pte. Ltd. doi: https://doi.org/10.1142/9789812771919
Novellie, P., Biggs, H., & Roux, D. (2016). National laws and policies can enable or confound adaptive governance: Examples from South African national parks. Environmental Science and Policy, 66, 40–46. doi: https://doi.org/10.1016/j.envsci.2016.08.005
Oginawati, K. (2022). Distribution of organochlorine pesticide pollution in water, sediment, mollusk, and fish at Saguling Dam, West Java, Indonesia. Toxicological Research, 38(2), 149–157. doi: https://doi.org/10.1007/s43188-021-00094-1
Organization, W. H. (2014). Global nutrition targets 2025: Stunting policy brief. World Health Organization.
Palmquist, B. (2020). Equity, participation, and power: Achieving health justice through deep democracy. Journal of Law, Medicine and Ethics, 48(2), 247–256. doi: https://doi.org/10.1177/1073110520958863
Palumbo, R. (2018). Participatory governance. In A. Farazmand (Ed.), Global Encyclopedia of Public Administration, Public Policy, and Governance. Springer. doi: https://doi.org/10.1007/978-3-319-20928-9_1834
Perpres. (2021). Peraturan Presiden (PERPRES) Nomor 72 Tahun 2021 Percepatan Penurunan Stunting. Badan Pemeriksa Keuangan. Retrieved from https://peraturan.bpk.go.id/Details/174964/perpres-no-72-tahun-2021
Promthong, N., Thaweesook, S., Sukmak, P., & Putthasri, W. (2025). Participatory Health Impact Assessment for health and well-being policy at local level in Thailand. Health Promotion Journal of Australia. doi: https://doi.org/10.1002/hpja.70073
Putut Trihusodo. (2023). Cari Tahu Cara Menurunkan Angka Stunting ke Sumedang. Indonesia.Go.Id.
Rahim, R. A. A., & Dilawati, R. (2022). Causes and Impacts of Early Marriage: A Phenomenological Study in the Cimarel Hamlet Community, West Bandung Regency. TEMALI: Jurnal Pembangunan Sosial, 5(1), 29–44. doi: https://doi.org/10.15575/jt.v5i1.16085
Raisya WM. (2025). Sumedang Teguhkan Komitmen Wujudkan Zero New Stunting. Sumedangkab.Go.Id.
Ren, H., Zhang, L., Whetsell, T. A., & Ganapati, N. E. (2025). Paving the way for collaborative resilience planning: Assessing patterns and characteristics of multisector stakeholder collaboration in Greater Miami and the Beaches. International Journal of Disaster Risk Reduction, 99, 104053. doi: https://doi.org/10.1016/j.ijdrr.2024.105171
Republika.id. (2022). Edukasi Cegah Stunting Dimulai dari Keluarga. Republika.Id. Retrieved from https://www.republika.id/posts/30558/edukasi-cegah-stunting-dimulai-dari-keluarga#:~:text=JAKARTA -- Survei Status Gizi Balita Indonesia,persen atau terjadi pada 5%2C33 juta balita.
Rilis Humas Jabar. (2022). Wagub Uu Ruzhanul: Wujudkan Jabar “Zero New Stunting” dengan Kolaborasi. Pemerintah Daerah Provinsi Jawa Barat. Retrieved from https://www.jabarprov.go.id/berita/wagub-uu-ruzhanul-wujudkan-jabar-zero-new-stunting-dengan-kolaborasi-7925
Rizaty, M. A. (2023). Data Proyeksi Jumlah Kelahiran di Indonesia hingga 2023. DataIndonesia.Id. Retrieved from https://dataindonesia.id/varia/detail/data-proyeksi-jumlah-kelahiran-di-indonesia-hingga-2023
Saputri, R. A., Anggraeni, D., & Sopamena, N. (2020). Environmental sanitation and stunting (study of the role of women in stunting intervention). Journal of Physics: Conference Series, 1655(1), 12083. IOP Publishing.
Sekretariat Kabinet Republik Indonesia. (2023). Intensifkan Pemanfaatan SPBE, Sumedang Berhasil Turunkan Stunting Hingga 8,27 Persen Read more: https://setkab.go.id/intensifkan-pemanfataan-spbe-sumedang-berhasil-turunkan-stunting-hingga-827/. Sekretariat Kabinet Republik Indonesia.
Semba, R. D., Moench-Pfanner, R., Sun, K., De Pee, S., Akhter, N., Rah, J. H., … Kraemer, K. (2011). Consumption of micronutrient-fortified milk and noodles is associated with lower risk of stunting in preschool-aged children in Indonesia. Food and Nutrition Bulletin, 32(4), 347–353.
Semba, R. D., Shardell, M., Ashour, F. A. S., Moaddel, R., Trehan, I., Maleta, K. M., … Ferrucci, L. (2016). Child stunting is associated with low circulating essential amino acids. EBioMedicine, 6, 246–252.
Setiawan, A., Rahmadiyah, D. C., & Rekawati, E. (2024). Effectiveness of family nutrition education on the incidence of stunting: Systematic review. Indonesian Journal of Global Health Research, 6(3), 1231–1242.
Setiawan, E., & Machsus, S. (2023). The role of social and economic dimensions of the family in preventing and reducing stunting in Bekasi District. Journal of Family Sciences, 66–79.
stunting.go.id. (2020). Apa saja Aksi Konvergensi itu? Stunting.Go.Id.
sumedangkab.go.id. (2024). HASIL SURVEY KESEHATAN INDONESIA TAHUN 2023. Sumedangkab.Go.Id.
Sumedangkab.go.id. (2022). Sumedang Terbaik Pertama se-Jabar Penerapan 8 Aksi Konvergensi Penurunan Stunting. Sumedangkab.Go.Id. Retrieved from https://sumedangkab.go.id/berita/detail/sumedang-terbaik-pertama-se-jabar-penerapan-8-aksi-konvergensi-penurunan-stunting
Tarmizi, S. N. (2023). Prevalensi Stunting di Indonesia Turun ke 21,6% dari 24,4%. Kementerian Kesehatan Republik Indonesia. Retrieved from https://kemkes.go.id/id/prevalensi-stunting-di-indonesia-turun-ke-216-dari-244
Teece, D. J. (2018). Dynamic Capabilities. In M. Augier & D. J. Teece (Eds.), The Palgrave Encyclopedia of Strategic Management. Palgrave Macmillan. doi: https://doi.org/10.1057/978-1-137-00772-8_689
UNICEF. (2022). Laporan Tahunan Indonesia 2022. United Nations Children’s Fund.
Utami, R. A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermeria Clinica, 29, 606–611.
Vallès Navarro, R., Costa Vilar, N., Davins Miralles, J., & Iniesta Blasco, C. (2015). El Consejo Consultivo de Pacientes de Cataluña: La voz directa del paciente en las políticas de salud en Cataluña. Medicina Clinica, 145(7), 302–306. doi: https://doi.org/10.1016/S0025-7753(15)30034-8
Vayena, E., Haeusermann, T., Adjekum, A., & Blasimme, A. (2018). Digital health: Meeting the ethical and policy challenges. Swiss Medical Weekly. doi: https://doi.org/10.4414/smw.2018.14571
Waris, I., Susanti, A., & Haryono, D. (2025). The influence of dynamic governance on public service innovation: Analysis of recruitment of officials of public organizations in local government. International Journal of Innovative Research and Scientific Studies, 8(4). doi: https://doi.org/10.53894/ijirss.v8i4.7860
Wiliyanarti, P. F., Choliq, I., Hasanah, U., & Lin, S.-Y. (2025). Mother’s experiences in caring for children with stunting in rural Indonesia. Journal of Transcultural Nursing, 36(2), 161–167.
World Health Organization. (2015). Stunting in a nutshell. World Health Organization. Retrieved from https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell
World Health Organization. (2021). WHO guidance on research methods for health emergency and disaster risk management. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/345591/9789240032286-eng.pdf
Yin, R. K. (2014). Case study research: Design and methods (5th ed.). Thousand Oaks, CA: SAGE Publications.
Ylinen, M. (2021). Incorporating agile practices in public sector IT management: A nudge toward adaptive governance. Information Polity. doi: https://doi.org/10.3233/IP-200269
Yogi Eka Sahputra. (2024). Penyebab Pemerintah Sulit Capai Target Penurunan Stunting di Indonesia. Tempo.Co.
Zangana, H. M., Omar, M., & Al-Karaki, J. N. (2025). Regulatory frameworks in science, technology, and medical innovation. In Navigating Law and Policy in STM Enterprises: Ethical Governance, Regulation, and Innovation Strategy. IGI Global. doi: https://doi.org/10.4018/979-8-3373-4862-9
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