Socio-cultural Factors Influencing the Incidence of Stunting among Children Under Five in the Tengger Tribe, East Java, Indonesia
DOI:
https://doi.org/10.26911/thejmch.2026.11.01.01Abstract
Background: Indications of stunting incidence in toddlers of the Tengger Tribe in East Java, related to socio-cultural practices in daily life that have an impact on health conditions and nutritional fulfillment of toddlers. This study aims to analyze the socio-cultural factors that affect the incidence of stunting in Tengger Tribe toddlers in East Java.
Subjects and Method: This study is a qualitative research with a phenomenological approach. The research was conducted at the Lumajang Regency Health, Population Control, and Family Planning Office (P2KB), Senduro District Office, Senduro Health Center, and Ranupani Village. A total of 9 key informants, including the head of nutrition and public health, the head of population and family planning, the head of the Senduro Health Center, nutritionists, village midwives, family planning field officers of Senduro District, the head of the Ranupani Village government, the traditional shaman of the Tengger Tribe, and the baby shaman. A total of 9 mothers of toddlers as the main informants and 9 supporting informants were purposively sampling, including family members, cadres, health care officers, and sanitarians. Data collection was carried out through interviews, observations, and documentation, then analyzed using the Miles and Huberman interactive model.
Results: The study showed limited maternal knowledge about the health conditions and growth of toddlers. Traditional shamans play an important role in social decision-making, while gender equality affects the workload of mothers in economic activities. The parenting and care of toddlers is influenced by the cultural practices of the Tengger Tribe which are still strongly attached to daily life, as well as the environmental conditions of mountain communities who mostly depend on the agricultural sector for their livelihoods. Belief in ancestral spirits influences health decisions, through restrictions on maternal activity and mobility during pregnancy and after childbirth, as well as dietary restrictions that are believed to have adverse effects on pregnancy and toddlers.
Conclusion: The incidence of stunting in toddlers of the Tengger Tribe is related to socio-cultural factors which include maternal knowledge, social interaction patterns, toddler parenting patterns, and belief in ancestral spirits in health decision-making.
Keywords:
socio-cultural factors, stunting, children under fiveHow to Cite
References
Adriany F, Hayana H, Nurhapipa N, Septiani W, Sari N (2021). Association of environmental sanitation and knowledge with stunting among under-five children in the Rambah Health Center.J Kesehat Glob,4(1),17-25.https://doi.org/10.33085/jkg.v4i1.4767
Atamou L, Rahmadiyah D, Hassan H, Setiawan A (2023). Analysis of the determinants of stunting among children aged below five years in stunting locus villages in Indonesia. Healthcare, 11(6), 810. https://doi.org/10.3390/healthcare11060810
Ayu M, Susanti M, Durungan T (2023). A stunting risk model based on children's parenting style. IJPHE, 2(2), 578-583. https://doi.org/10.55299/ijphe.v2i2.347
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM (2018). A review of child stunting determinants in Indonesia. JMCH, 14 (4):1-10. https://doi.org/10.1111/mcn.12231
Budhathoki S, Bhandari A, Gurung R, Gurung A, Ashish K. (2019). Stunting among under 5-year-olds in Nepal: trends and risk factors. JMCH, 24(S1), 39-47. https://doi.org/10.1007/s10995-019-02817-1
Dhefiana T and Suhelmi R (2023). Association between parental clean and healthy living behaviors and stunting among children in Air Hitam, Samarinda, Indonesia. Sanitation: J Environmental Health, 16(1). https://doi.org/10.29238/sanitasi.v16i1.1484
Dwipajati D, Agustin N, Nurani H, Ayundari R (2022). Evaluation of complementary feeding practice assessment elements for preventing stunting risk during the COVID-19 pandemic: a study among Indonesian toddlers. Amerta Nutr, 6 (1SP), 324-335. https://doi.org/10.20473/amnt.v6i1sp.2022.324-335
Dyson L (2016). The roles of physicians, village midwives, and traditional birth attendants in health care among the Tengger community. Bioculture, V (2), 237-246. https://journal.unair.ac.id/download-fullpapers-bk25fdb5a9e3full.pdf
Edward G and Richard S (2023). Perceived socio-cultural barriers to children's acquisition of kiswahili pre-reading skills in rural pre-primary schools in Tanzania. AJOL, 41 (1), 18-29. https://www.ajol.info/index.php/ped/article/view/249961
Elga C, Adiwena B, Siswanto S (2023). Psychological dynamics of individuals using shaman-assisted alternative treatment: the application of the health belief. Psychoborneo: J Ilm Psycho, 11(3), 312. https://doi.org/10.30872/psikoborneo.v11i3.11084
Endrinikapoulos A, Afifah D, Mexitalia M, Andoyo R, Hatimah I, Nuryanto N (2023). Study of the importance of protein needs for catch-up growth in Indonesian stunted children: a narrative review. SAGE Open Med., 11. https://doi.org/10.1177/20503121231165562
Foster, GM and Anderson, BG (2013). Medical Anthropology (Suryadarma PP and Swasono MFH, transl). Jakarta: UI-Press
Ilahi RK and Lailatul M (2020). Sociocultural aspects of nutrition among the madurese ethnic group and stunting among children aged 24–59 months in Bangkalan, Indonesia. Indonesian Nutrition Media, 11 (2). https://doi.org/10.20473/mgi.v11i2.135-143
Ministry of Health of the Republic of Indonesia (2022). Results of the 2022 Indonesian nutritional status survey (SSGI) at national, provincial, and district/city levels. (in Indonesia). [internet]. Retrieved from https://www.badankebijakan.kemkes.go.id/survei-status-gizi-indonesia-ssgi-2024/
Khamis A, Mwanri A, Ntwenya J, Kreppel K (2019). The influence of dietary diversity on the nutritional status of children between 6 and 23 months of age in Tanzania. BMC Pediatrics, 19(1). https://doi.org/10.1186/s12887-019-1897-5
Mishra N, Salvi S, Lyngdoh T, Agrawal A (2020). Low lung function in the developing world is analogous to stunting: a review of the evidence. Wellcome Open Res, 5, 147. https://doi.org/10.12688/wellcomeopenres.15929.2
Muharry A, Annashr N, Laksmini P (2024). Social environmental determinants of stunting in Cipicung Village, Sukatani Subdistrict, Purwakarta Regency, Indonesia. Medicine, 8(1), 62-72. https://doi.org/10.52643/jukmas.v8i1.2699
Ohal G and Supardal S (2025). Role dynamics of informal community leaders in decision-making and development in Umamanu Village. Social: J Inov Social Studies Educators, 5(2), 703-711. https://doi.org/10.51878/social.v5i2.6197
Pati D (2024). Determinants of stunting among under-five children in Mahu Subdistrict, East Sumba Regency, Indonesia. IF. 3(1),01-09.https://doi.org/10.59024/jikas.v3i1.1063
Presidential regulation No. 72/2021 on accelerating stunting reduction, https://stunting.go.id/perpres-nomor-72-tahun-2021-tentang-percepatan-penurunan-stunting/
Qi X, Zhu Y, Wang Y, He Q, Hee J, Chen W, Tang K (2021). Socio-economic inequalities in children's nutritional status in democratic republic of the congo in 2017–2018: an analysis of data from a nationally representative survey. Public Health Nutr, 1-12. https://doi.org/10.1017/s1368980021004249
Rahmawati AF, Lailaitul M, Fina Z (2023). Association between macronutrient intake, complementary feeding practices, and exclusive breastfeeding history with stunting among children aged 6–24 months in the tengger ethnic community, Indonesia. JIUBJ, 23 (3): 3063-3071. https://doi.org/10.33087/jiubj.v23i3.4070
Salsabila S, Noviyanti R, Kusudaryati D (2023). Association between maternal education level and parenting practices with stunting among children aged 12–36 months in the Sangkrah Primary Health Care, Indonesia. Isl Media Publ Penel Profession, 19(No.2), 143-152. https://doi.org/10.26576/profesi.v19ino.2.103
Saputra R, Sanjaya R, Maina A, Ulyah R, Fikriah I, Khotimah S, Sawitri E (2023). Interventions for the prevention of childhood stunting in Kutai Kartanegara and Samarinda, Indonesia. Title: A Journal of Community Service. 6(2): 254. https://doi.org/10.24198/kumawula.v6i2.42526
Sarma H, Khan J, Asaduzzaman M, Uddin F, Tarannum S, Hasan M, Ahmed T (2017). Factors influencing the prevalence of stunting among children aged below five years in Bangladesh.Food Nutr Bull, 38(3),291-301. https://doi.org/10.1177/0379572117710103
Setyaningsih P, Jumiatun J, Nani S, Sandhi S, Dewi D (2024). Information, education, and communication (IEC) on stunting prevention among mothers of under-five children in Kebonagung Village, Ngampel Subdistrict, Kendal Regency, Indonesia. JKPM, 7(5), 2209-2216. https://doi.org/10.33024/jkpm.v7i5.14454
Siagian E and Ramschie P (2024). The influence of mother's knowledge of toddler nutrition on their knowledge and attitudes towards stunting. J Ber Ilm Nursing, 17(2), 180-188. https://doi.org/10.23917/bik.v17i2.2835
Scott, ER (2022). Indigenous Peoples: a story of hope and struggle. Bantul: Bening Pustaka
SJMJ S, Toban R, Madi M (2020). Association between exclusive breastfeeding and stunting among under-five children. J Ilm Health Sandi Husada 11(1), 448-455. https://doi.org/10.35816/jiskh.v11i1.314
Sulaeman ES (2022). Qualitative and mixed methods research in public health. Surakarta: UNS Press
Swierad EM, Lenny RV, Marlee K (2017). The influence of ethnic and mainstream cultures on african american's health behaviors: a qualitative study. Behav Sci, 7 (49). 10.3390/BS7030049
Tobing ML, Masdalina P, Ester H (2021). Maternal parenting practices and stunting among children aged 24–59 months in the working area of the Sekupang Subdistrict Primary Health Care Center, Batam City, Indonesia. PREPOTIF: J Health Sciences, 5 (1): 448-465. at:10.31004/prepotif.v5i1.1630
Watkins A (2023). Qualitative research in health care services. Yogyakarta: UGM Press
Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta Z (2020). Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. Am J Clin. Nutr., 112, 777S-791S. Available at: https://doi.org/10.1093/ajcn/nqaa159
Wahyuningsih S, Hayati N, Abdillah A, Sulistyo RE, Kurnianto S (2022). Reducing early marriage through cultural-based approaches as a strategy to improve adolescent health. J Dynamics, 7 (2), 322-326. 10.25047/j-dynamic.v7i2.2422
WHO (2024). Malnutrition fact sheet. [internet]. https://www.who.int/news-room/fact-sheets/detail/malnutrition


