Nutrition for Growth (N4G) commitment
Through SUN Budget Analysis Exercise (BAE), the trend of budget allocation on Nutrition Intervention in Indonesia has continued to increase since the commitment was signed. In comparison to 2019 BAE Report, Indonesia allocated IDR50.05 trillion in 2020. The budget allocation for specific, sensitive intervention, and coordination were IDR1.4 trillion, IDR48.1 trillion, and IDR0.48 trillion, respectively. In addition, the central government has Special Budget Allocation (DAK) for districts government as a fiscal transfer to support accelerate stunting reduction in their area, which also are intended to act as an incentive to implement the programmes. As another matter of fact, Indonesia allocated Dana Desa as a fiscal transfer to districts that could be used to fund acceleration of stunting reduction programs.
Reported progress suggests commitment is on course.
Since 2013, data has shown that stunting prevalence in Indonesia has continued to decrease. The stunting prevalence decreased from 37.2% in 2013 to 30.8% in 2018 to 27.7% in 2019. We aim to continue reducing stunting prevalence to 14% by 2024.
Assuming a linear rate of reduction, the stunting prevalence in 2019 (27.7%) is greater than the required prevalence by this stage (25.8%) to remain on course with the target of a further 40% reduction by 2025.
Since 2013, Indonesia has launched policies to scale up the national nutrition actions. Indonesia put the concern on nutrition through the National Medium-Term Development Plan (RPJMN) in the latest 2 periods, 2014-2019 and 2020-2024. Moreover, in the RPJMN 2020-2024, Indonesia stated stunting as a major project and published the National Strategy on Stunting Reduction Acceleration (Stranas) in 2018. The Stranas used Nutrition-Specific and -Sensitive approaches to implement the programmes in order to accelerate stunting reduction in Indonesia. At the central government level, there were 20 Ministries, Departments, and Agencies (MDAs) involved in reducing stunting in 2020. Likewise, since Indonesia is working on stunting reduction programmes at district level, the movement has improved by announcing the prioritised locations for stunting reduction. The number of prioritised districts for stunting reduction increased from 260 in 2020 to 360 districts in 2021. The district governments from those 360 districts signed a commitment to intensify their efforts in addressing stunting in Indonesia. By 2022, the stunting reduction programme will be expanded to all 514 districts/cities in Indonesia. To support the district governments, the central government published a financial policy known as Special Budget Allocation (DAK). Districts which have been selected as prioritised locations have the privilege to access this policy. To strengthen our commitment to reduce stunting, the President has signed Presidential Decree Number 72 of 2021 on Acceleration of Stunting Reduction. Some focuses in this decree are to strengthen the coordination between national and sub-national governments and to enhance the involvement of non-state actors, so that the actions can be well performed in society.
Reported progress suggests commitment has been met
Initially, Indonesia worked with 20 MDAs to improve the nutrition programmes, both specific and sensitive. MoH had put strategies in place to improve the implementation of specific nutrition interventions, while other MDAs had been in place to the implementation of sensitive nutrition interventions. Instances are the preparation and harmonization of policies on gender-responsive health in the Ministry of Women Empowerment and Child Protection, and the provision of early childhood services by the Ministry of Education and Culture, etc. As part of the Promotion of Maternal and Infant and Young Child Feeding (IYCF), the report from MoH mentions that up to May 2021 the MoH and subnational health offices in 34 provinces had trained 2,957 health workers on IYCF counseling. Between June 2020 and May 2021, most health posts (posyandu) had reactivated and primary health centers (puskesmas) had started to provide nutrition services again. For the Management of SAM, despite booklets for health workers which were already developed by MoH, Indonesia put concern on the development of Ready-To-Use Therapeutic Food (RUTF) made from local food. Besides, Indonesia has been working with UNICEF to develop the Global Action Plan on Child Wasting. However, discussions are still at an early stage. To improve the nutritional status among prioritised family members, we distributed massively Supplementary Feeding for Chronic Energy Deficiency (CED) among pregnant women; and for wasting among under-5 children, Non-Cash Food Assistance (BPNT), and Food Fortification. Based on MoH data, there were 755,631 CED pregnant women allocated to receive supplementary food as well as 1,304,564 wasting cases among under-5 children in 2020. As a part of sensitive intervention, MoSA continuously provide social assistance poor and vulnerable population. To fight micronutrient deficiencies, Indonesia has mandatory fortification of salt, wheat flour, and palm oil as well as the development of biofortification. Overall, there are 22 outputs of sensitive interventions that have met at least 90% of the intended targets.
All individual commitment components across supplementation, food fortification, and management of severe acute malnutrition are assessed to be on course