Functions of Agrarian Families in the Prevention of Stunting: A Literature Review


  • Sulton Wariin Universitas Jember
  • Tantut Susanto Universitas Jember
  • Iis Rahmawati Universitas Jember



Affective Function, Agriculture, Economic Function, Family, Stunting, Reproductive Function, Socialization Functions


Aims: This research aims to identify factors related to the functions of agrarian families in rural areas that can contribute to the prevention of stunting.

Methods: This study employs a literature review design with keywords "family" "agriculture or rural" and "stunting." The selection of articles follows the PRISMA approach. Articles were selected using three search engines: PubMed, Sage Journals, and Google Scholar.

Results: This review summarizes eighteen articles. Nine articles discuss income and economic limitations within a family, ten articles explore food practices and dietary diversity (protein sources), three articles examine family size, four articles address maternal education and knowledge, three articles focus on exclusive breastfeeding, and two articles discuss parenting styles and early marriage culture, both considered influential in stunting within agrarian families in rural areas.

Conclusion: Results Optimizable family functions in stunting prevention include economic, healthcare, reproductive, and socialization functions. Affective functions were not consistently found in the reviewed articles, possibly due to the limited use of three search engines by the researchers. Future researchers are encouraged to explore similar research themes using other journal search engines to enrich the study.

Author Biographies

Sulton Wariin, Universitas Jember

1Post graduate Nursing Program Faculty of Nursing, Jember University, Indonesia

Tantut Susanto, Universitas Jember

Department of Community, Family and Geriatric Nursing, Faculty of Nursing, University of Jember, Indonesia

Iis Rahmawati, Universitas Jember

Departemen Keperawatan Maternitas dan Anak, Fakultas Keperawatan, Universitas Jember, Indonesia


Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, et al. Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomed. 2021;92(1):1–12.

Yani DI, Rahayuwati L, Sari CWM, Komariah M, Fauziah SR. Family Household Characteristics and Stunting: An Update Scoping Review. Nutrients. 2023;15(1):1–17.

UNICEF. Nutrition, for every child UNICEF nutrition strategy 2020–2030. UNICEF Publ. 2020;1–98.

Kemenkes RI. Hasil Survei Status Gizi Indonesia (SSGI) 2022. 2022;77–77. Available from:

Mustakim MRD, Irwanto, Irawan R, Irmawati M, Setyoboedi B. Impact of Stunting on Development of Children between 1-3 Years of Age. Ethiop J Health Sci. 2022 May;32(3):569–78.

Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta ZA. Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. Am J Clin Nutr. 2020;112:777S-791S.

Alam MA, Richard SA, Fahim SM, Mahfuz M, Nahar B, Das S, et al. Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study. PLoS One. 2020;15(1):e0227839.

Mutasa K, Tome J, Rukobo S, Govha M, Mushayanembwa P, Matimba FS, et al. Stunting Status and Exposure to Infection and Inflammation in Early Life Shape Antibacterial Immune Cell Function Among Zimbabwean Children. Front Immunol. 2022;13(June):1–16.

Sekretariat Kabinet Republik Indonesia. Indonesia Negara Agraris dan Maritim, tapi Banyak Petani dan Nelayan Belum Sejahtera [Internet]. 2022 [cited 2023 Nov 1]. Available from:

Pradana Putri A, Rong J-R. Parenting functioning in stunting management: A concept analysis. J Public health Res. 2021 Apr;10(2).

Berhanu A, Garoma S, Arero G, Mosisa G. Stunting and associated factors among school-age children (5-14 years) in Mulo district, Oromia region, Ethiopia. SAGE open Med. 2022;10:20503121221127880.

Maulidiana AR, Sutjiati E. Low intake of essential amino acids and other risk factors of stunting among under-five children in Malang City, East Java, Indonesia. J Public health Res. 2021;10(2):220–6.

Naibaho E, Aritonang EY. Hubungan pendapatan dan pengetahuan gizi ibu dengan ketahanan pangan keluarga di Kabupaten Tapanuli Tengah. Trop Public Heal J. 2022;2(1):18–23.

Nadhiroh SR, Riyanto ED, Jannah SZ, Salsabil IS. Potensi Balita Risiko Stunting Dan Hubungannya Dengan Keluarga Pra-Sejahtera Di Jawa Timur: Analisis Data Pk-21. Media Gizi Indones. 2022;17(1SP):112–9.

Jubayer A, Islam MH, Nayan MM. Malnutrition among under-five children in St. Martin’s Island, Bangladesh: A cross-sectional study on prevalence and associated factors. SAGE Open Med. 2022;10.

Ningrum V. Akses Pangan Dan Kejadian Balita Stunting: Kasus Pedesaan Pertanian Di Klaten. J Pangan. 2019;28(1):73–82.

Triratnawati A, Yuniati E. Belenggu Adat Memutus Stunting: Studi Kasus di Desa Labotan Kandi. J Ilmu Sos dan Hum. 2023;12(2):236–47.

Murarkar S, Gothankar J, Doke P, Pore P, Lalwani S, Dhumale G, et al. Prevalence and determinants of undernutrition among under-five children residing in urban slums and rural area, Maharashtra, India: a community-based cross-sectional study. BMC Public Health. 2020;20(1):1–9.

Permatasari TAE, Chadirin Y, Ernirita, Elvira F, Putri BA. The association of sociodemographic, nutrition, and sanitation on stunting in children under five in rural area of West Java Province in Indonesia. J Public health Res. 2023;12(3).

Indrastuti I, Sari AP, Nuraliah N. Karakteristik Keluarga Dan Pola Konsumsi Pangan Balita Di Wilayah Locus Stunting Kecamatan Balanipa Kabupaten Polewali Mandar. J Borneo Holist Heal. 2020;3(2):151–8.

Argaw A, de Kok B, Toe LC, Hanley-Cook G, Dailey-Chwalibóg T, Ouédraogo M, et al. Fortified balanced energy–protein supplementation during pregnancy and lactation and infant growth in rural Burkina Faso: A 2 × 2 factorial individually randomized controlled trial. PLoS Med. 2023;20(2):1–24.

Omer A, Hailu D, Whiting SJ. Child-Owned Poultry Intervention Effects on Hemoglobin, Anemia, Concurrent Anemia and Stunting, and Morbidity Status of Young Children in Southern Ethiopia: A Cluster Randomized Controlled Community Trial. Int J Environ Res Public Health. 2023;20(7).

Wegmüller R, Musau K, Vergari L, Custer E, Anyango H, Donkor WES, et al. Effectiveness of an integrated agriculture, nutrition-specific, and nutrition-sensitive program on child growth in Western Kenya: a cluster-randomized controlled trial. Am J Clin Nutr. 2022;116(2):446–59.

Pramithasari ID, Sefrina A. Karakteristik Keluarga dan Praktek Pengasuhan Orang Tua Dengan Kejadian Stunting. Jik J Ilmu Kesehat. 2022;6(1):168.

Susanto T. Buku Ajar Keperawatan Keluarga. 2nd ed. Jakarta: Trans Info Media; 2020. 298 p.

Jonah CMP, Sambu WC, May JD. A comparative analysis of socioeconomic inequities in stunting: a case of three middle-income African countries. Arch Public Health. 2018;76:77.

Hidayati NID. Hubungan Pendapatan Keluarga dan Ketahanan Pangan dengan Status Gizi Balita pada Era Pandemi Covid-19 di Kabupaten Pasuruan. Media Gizi Kesmas. 2023;12(1):359–66.

Inoue K, Seeman TE, Nianogo R, Okubo Y. The effect of poverty on the relationship between household education levels and obesity in U.S. children and adolescents: an observational study. Lancet Reg Heal - Am [Internet]. 2023;25:100565. Available from:

Inoue K, Seeman TE, Nianogo R, Okubo Y. The effect of poverty on the relationship between household education levels and obesity in U.S. children and adolescents: an observational study. Lancet Reg Heal Am. 2023 Sep;25:100565.

Ahmad KA, Lisa Safira TF. Hubungan Pola Asuh Nutrisi dengan Kejadian. Sari Pediatr. 2022;24(2):91–8.

Masuke R, Msuya SE, Mahande JM, Diarz EJ, Stray-Pedersen B, Jahanpour O, et al. Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PLoS One. 2021;16(5):e0250562.

BPS. Persentase Wanita Berumur 15-49 Tahun dan Berstatus Kawin yang Sedang Menggunakan/Memakai Alat KB (Persen), 2020-2022 [Internet]. 2022 [cited 2023 Nov 5]. Available from:

Kementerian Pemberdayaan Perempuan dan Perlindungan Anak. PERKAWINAN ANAK DI INDONESIA SUDAH MENGKHAWATIRKAN [Internet]. 2023 [cited 2023 Nov 5]. Available from:




How to Cite

Wariin, S., Susanto, T., & Rahmawati, I. . (2024). Functions of Agrarian Families in the Prevention of Stunting: A Literature Review . Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 10(1).