Evaluation of policies and implementation of early initiation of breastfeeding, exclusive breastfeeding, and stunting reduction in Gunungkidul regency: Integration of local evidence and policy-based recommendations
Keywords:
stunting, Breastfeeding, educationAbstract
Early Initiation of Breastfeeding (EIBF) and exclusive breastfeeding are key strategies in preventing stunting. Although Gunungkidul Regency has achieved a relatively high EIBF coverage of 80%, the exclusive breastfeeding rate remains only 52%, far below the national target of 85%. This study aims to analyze the barriers, policies, and local innovations in the context of national and global policies related to exclusive breastfeeding programs and stunting reduction. A qualitative study using thematic analysis was conducted with both primary and supporting informants. Major barriers to exclusive breastfeeding include socioeconomic factors, such as working mothers, and cultural myths surrounding breastfeeding. Local stunting prevention programs, such as “Ayunda Si Menik” and the use of moringa leaves in complementary feeding, show potential but are limited in scale. Strengthening evidence-based policies, utilizing technology for education and monitoring, and fostering cross-sectoral collaboration are required to meet national targets and align with WHO/WMA recommendations.
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