A Narrative Review: How to Optimize Program Keluarga Harapan in Addressing Nutritional Issues in Indonesia
DOI:
https://doi.org/10.55480/saluscultura.v4i1.203Keywords:
Conditional Cash Transfer, Program Keluarga Harapan, Poverty, Nutrition, StuntingAbstract
Indonesia's Conditional Cash Transfer (CCT) program, Program Keluarga Harapan (PKH), aims to alleviate poverty and improve access to essential services. However, its effectiveness in addressing the root causes of poverty, malnutrition, and stunting has been subject to criticism, as it primarily focuses on alleviating immediate financial constraints. This literature review critically analyses the existing research on the PKH program's effectiveness in addressing nutritional issues in Indonesia. Literature selection, data extraction, and analysis were employed. Based on the literature search strategy and criteria, four key papers were collected. These studies indicated that CCT/PKH could not stand alone in tackling nutritional problems. There are several supporting components that should be taken into consideration in implementing the programme, including 1) the requirement of a standardized healthcare facility; 2) focusing on quality in small numbers rather than covering a wide scale with minimum impact; 3) supplementing CCT/PKH with health education and promotion programme; and 4) improving access to health and nutritional services. A whole-system approach, involving various stakeholders and integrating targeted interventions, has the potential to break the intergenerational cycle of poverty and ensure a healthier future for all Indonesians.
References
Alatas, V. (2012). The World Bank Office Jakarta Indonesia Stock Exchange Building Tower II/12th Floor.
Andriani, H., Friska, E., Arsyi, M., Sutrisno, A. E., Waits, A., & Rahmawati, N. D. (2023). A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys. BMC Public Health, 23(1), 1836.
Badan Pusat Statistik. (2024). Pertumbuhan Ekonomi Indonesia Triwulan IV-2023. Badan Pusat Statistik. Retrieved from https://www.bps.go.id/id/pressrelease/2024/02/05/2379/ekonomi-indonesia-triwulan-iv-2023-tumbuh-5-04-persen--y-on-y-.html.
Cahyadi, N., Hanna, R., Olken, B. A., Prima, R. A., Satriawan, E., & Syamsulhakim, E. (2020). Cumulative impacts of conditional cash transfer programs: Experimental evidence from Indonesia. American Economic Journal: Economic Policy, 12(4), 88-110.
Corvalán, C., Reyes, M., Garmendia, M. L., & Uauy, R. (2019). Structural responses to the obesity and non‐communicable diseases epidemic: Update on the Chilean law of food labelling and advertising. Obesity Reviews, 20(3), 367-374.
Cumming, O., & Cairncross, S. (2016). Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications. Maternal & child nutrition, 12, 91-105.
de Onis, M., Dewey, K. G., Borghi, E., Onyango, A. W., Blössner, M., Daelmans, B., Piwoz, E., & Branca, F. (2013). The World Health Organization’s global target for reducing childhood stunting by 2025: rationale and proposed actions. Maternal & Child Nutrition, 9(S2), 6–26.
Gortmaker, S. L., Swinburn, B. A., Levy, D., Carter, R., Mabry, P. L., Finegood, D. T., ... & Moodie, M. L. (2011). Changing the future of obesity: science, policy, and action. The Lancet, 378(9793), 838-847.
Goudet, S., Kimani-Murage, E. W., Wekesah, F., Wanjohi, M., Griffiths, P. L., Bogin, B., & Madise, N. J. (2019). How does poverty affect children's nutritional status in Nairobi slums? A qualitative study of the root causes of undernutrition. Public Health Nutrition, 22(4), 608-619.
Hadna, A. H. (2022). The impact of conditional cash transfers on low-income individuals in Indonesia. Advances in Southeast Asian Studies, 15(1), 23-41.
Haliim, W., Ferdiansyah, F., & Sari, A. Y. E. S. Power Relations between Program Keluarga Harapan (PKH) Facilitators and Beneficiary Families (KPM)(Study on PKH Implementation in Malang Regency). International Journal of Current Science Research and Review.
Hawkes, C. (2008). Dietary implications of supermarket development: a global perspective. Development Policy Review, 26(6), 657-692.
Hawkes, C., Jewell, J., & Allen, K. (2020). A food policy package for healthy diets and the prevention of obesity and diet‐related non‐communicable diseases: the NOURISHING framework. Obesity Reviews, 14, 159-168.
He, F. J., Brinsden, H. C., & MacGregor, G. A. (2014). Salt reduction in the United Kingdom: a successful experiment in public health. Journal of Human Hypertension, 28(6), 345-352.
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.
Hodge, J., Herforth, A., Gillespie, S., Beyero, M., Jellema, J. J., & Bloem, M. (2015). New metrics for a new era: assessing public funding for nutrition from an ecological perspective. African Journal of Food, Agriculture, Nutrition and Development, 15(5), 10438-10462.
Hoefer, R. (2022). The Multiple Streams Framework: Understanding and Applying the Problems, Policies, and Politics Approach. Journal of Policy Practice and Research, 3(1), 1–5.
Holmemo, C., Acosta, P., George, T., Palacios, R. J., Pinxten, J., Sen, S., & Tiwari, S. (2020). Investing in People: Social Protection for Indonesia's 2045 Vision.
Interaction Design Foundation. (2016). Stakeholder Maps - Keep the Important People Happy. Interaction Design Foundation. Retrieved from https://www.interaction-design.org/literature/article/stakeholder-maps-keep-the-important-people-happy.
Jazuli, M. R., Steenmans, I., & Mulugetta, Y. (2021). Navigating policy dilemmas in fuel-subsidy reductions: learning from Indonesia’s experiences. Sustainability: Science, Practice and Policy, 17(1), 391–403.
Kustanto, A. (2021). The Prevalence of Stunting, Poverty, and Economic Growth in Indonesia: A Panel Data Dynamic Causality Analysis. Journal of Developing Economies, 6(2), 150.
Kok, M. C., Dieleman, M., Taegtmeyer, M., Broerse, J. E., Kane, S. S., Ormel, H., & de Koning, K. A. (2015). Which intervention design factors influence performance of community health workers in low-and middle-income countries? A systematic review. Health Policy and Planning, 30(9), 1207-1227.
Kraak, V. I., & Story, M. (2015). Influence of food companies' brand mascots and entertainment companies' cartoon media characters on children's diet and health: a systematic review and research needs. Obesity Reviews, 16(2), 107-126.
Luwiti, R. S., & Rahmat, A. (2020). Role of Community Based Empowerment of Poor Communities Through Hope Family Programs in Indonesia. Multidisciplinary Peer Reviewed Journal, 6(7).
Manley, J., Alderman, H. and Gentilini, U. (2022). More evidence on cash transfers and child nutritional outcomes: a systematic review and meta-analysis. BMJ Global Health, 7(4), p. e008233.
Mardaus, M., & Khaidir, A. (2021). The Influence of the Family Hope Program (PKH) Policy on Community Welfare in Kubung District, Solok Regency. Jurnal Ilmiah Ilmu Administrasi Publik, 11(1), 149–160.
Marmot, M., & Bell, R. (2016). Social inequalities in health: a proper concern of epidemiology. Annals of Epidemiology, 26(4), 238–240.
Melisa, M., Kasmawati, K., Sitompul, St. A. F. P., Monalisa, M., Monalisa, R., & Novianti, M. N. (2022). The Government Policy for Stunting Countermeasure Strategy in Indonesia be preparing for Golden Generation 2045. Scholars International Journal of Law, Crime and Justice, 5(12), 554–563.
Ministry of Social Affairs. (2021). Pedoman Pelaksanaan Program Keluarga Harapan (PKH) Tahun 2021-2024. In Ministry of Social Affairs. Retrieved from https://kemensos.go.id/uploads/topics/17077958356740.pdf.
Mozaffarian, D., Angell, S. Y., Lang, T., & Rivera, J. A. (2018). Role of government policy in nutrition—barriers to and opportunities for healthier eating. BMJ, 361, k2426.
Nazara, S., & Rahayu, S. K. (2013). Program Keluarga Harapan (PKH): Indonesian Conditional Cash Transfer Programme.
Nurkhalim, R. F., Susilowati, I., & Jayanti, K. D. (2022). Program Keluarga Harapan: a conditional cash transfer to increase prenatal visits and birth weight. Journal of Public Health in Africa, 13(3), 1271.
Oxford Policy Management. (2017). Building inclusive social assistance in Indonesia. Oxford Policy Management. Retrieved from https://www.opml.co.uk/projects/inclusive-social-development-indonesia.
Pallas, S. W., Minhas, D., Pérez-Escamilla, R., Taylor, L., Curry, L., & Bradley, E. H. (2013). Community health workers in low-and middle-income countries: what do we know about scaling up and sustainability? American journal of public health, 103(7), e74-e82.
Perry, H. B., Zulliger, R., & Rogers, M. M. (2014). Community health workers in low-, middle, and high-income countries: an overview of their history, recent evolution, and current effectiveness. Annual review of public health, 35, 399-421.
Popkin, B.M., Corvalan, C., & Grummer-Strawn, L.M. (2020). Dynamics of the Double Burden of Malnutrition and the Changing Nutrition Reality. Lancet (London, England), 395(10217), 65–74.
Putri, L. P., Russell, D. J., O’Sullivan, B. G., Meliala, A., & Kippen, R. (2022). A critical review of definitions of rural areas in Indonesia and implications for health workforce policy and research. Health Research Policy and Systems, 20(1), 46.
Rachmi, C. N., Agho, K. E., Li, M., & Baur, L. A. (2016). Stunting, underweight and overweight in children aged 2.0–4.9 years residing in Indonesia: prevalence trends and associated risk factors. PloS one, 13(5), e0197011.
Rasanathan, K., Bennett, S., Atkins, V., Beschel, R., Carrasquilla, G., Zwi, A., & Khourshed, M. (2017). Governing multisectoral action for health in low-and middle-income countries. PLoS medicine, 14(4), e1002285.
Ravallion, M. (2016). The economics of poverty: History, measurement and policy. Oxford University Press.
Riahi, Y. (2017). Project stakeholders:Analysis and Management Processes. International Journal of Economics and Management Studies, 4(3), 39–45.
Sajalia, H., Dewi, Y. L. R., & Murti, B. (2018). Life Course Epidemiology on the Determinants of Stunting in Children Under Five in East Lombok, West Nusa Tenggara. Journal of Maternal and Child Health, 03(04), 242–251.
Schneider, H., Okello, D., & Lehmann, U. (2016). The global pendulum swing towards community health workers in low-and middle-income countries: a scoping review of trends, geographical distribution and programmatic orientations, 2005 to 2014. Human resources for health, 14(1), 65.
Sibhatu, K. T., & Qaim, M. (2018). Review: meta-analysis of the association between production diversity, diets, and nutrition in smallholder farm households. Food Policy, 77, 1-18.
Sharma, D., & Tyler, V. (2021). Systems approach to prevent all forms of malnutrition among children 5-19 years. Field Exchange 66, 8.
Siswati, T., Iskandar, S., Pramestuti, N., Raharjo, J., Rubaya, A. K., & Wiratama, B. S. (2022). Drivers of Stunting Reduction in Yogyakarta, Indonesia: A Case Study. International Journal of Environmental Research and Public Health, 19(24), 16497.
Stansfield, J., South, J., & Mapplethorpe, T. (2020). What are the elements of a whole system approach to community-centred public health? A qualitative study with public health leaders in England’s local authority areas. BMJ Open, 10(8), e036044.
Syamsulhakim, E., & Khadijah, N. (2021). Graduating from a Conditional Cash Transfer Program in Indonesia: Results of a household survey of prosperous-independent graduates of the Family Hope Program (PKH) in 2020.
The International Policy Centre for Inclusive Growth. (2018). Social protection: meeting children’s rights and needs (Vol. 15). The International Policy Centre for Inclusive Growth.
Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting in Indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC public health, 16, 1-11.
World Bank. (2020). Spending Better to Reduce Stunting in Indonesia. World Bank, Washington, DC.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Nihayatul Putri, Annisa Alifaradila Rachmayanti, Yuga Putri Pramesti

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript Template

