POSTPARTUM DEPRESSION AND THE RISK OF STUNTING AMONG CHILDREN IN INDONESIA: A LITERATURE REVIEW

Authors

  • Al Ilham Ksatria Gagah Perkasa Perkasa Universitas Indonesia
  • Jessica Reitanya Putri 1Department of Nutrition, Faculty of Public Health, Universitas Indonesia
  • Nibras Azeenshia Winarno Department of Nutrition, Faculty of Public Health, Universitas Indonesia
  • Bunga Pelangi Health Collaborative Center
  • Salma Dhiya Rachmadani Department of Epidemiology, Faculty of Public Health, Universitas Indonesia

DOI:

https://doi.org/10.63953/jisn.v4i2.86

Keywords:

postpartum depression, maternal depression, stunting, indonesia

Abstract

Background: Postpartum depression was found to be linked to disrupted growth development patterns, particularly stunting. In Indonesia, challenges are found in correlating the two variables due to the lack of official data. The findings of this review may provide valuable initiatives for further research and intervention on maternal mental well-being. Objective: This study aims to review the correlation between postpartum depression and the risk of stunting, alongside the trends in Indonesia; and how it is compared with the global context. Method: We searched PubMed, Scopus, Taylor and Francis, and Google Scholar (2016-2026) for cross-sectional studies, cohort studies, systematic reviews, and meta-analyses examining the correlation between postpartum depression and stunting within a global and local context, alongside challenges faced by the healthcare system regarding postpartum depression. Results: Despite the lack of official data on postpartum depression, we found studies that examined positive correlations between depression and the risk of stunting in Indonesia. A higher risk of stunted children was found in mothers with postpartum depression. Several challenges in the Indonesian healthcare system were also found, these consist of lack of focus on mental health indicators, stigmatization of mental illnesses especially in mothers, a lack of access to maternal mental health care, and the limited training provided to healthcare workers on maternal mental health. Conclusion: Despite consistent evidence from multiple studies, Indonesia still faces major gaps in data, awareness, and mental health services for mothers; gaps that are worsened by stigmatization, and prioritization of physical over psychological healthcare. Integration of maternal mental health screening and support into existing mother-child health programs is recommended to mitigate stunting and improve child development outcomes.

References

Tosto V, Ceccobelli M, Lucarini E, Tortorella A, Gerli S, Parazzini F, et al. Maternity Blues: A Narrative Review. J Pers Med. 2023 Jan 13;13(1):154. doi:10.3390/jpm13010154

Justesen K, Jourdaine D. American Family Physician [Internet]. 2023 [cited 2026 Jun 12]. Peripartum Depression: Detection and Treatment. Available from: https://www.aafp.org/afp/2023/0900/peripartum-depression

Carlson K, Mughal S, Azhar Y, Siddiqui W. Perinatal Depression [Internet]. StatPearls Publishing; 2026 [cited 2026 May 27]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519070/ PubMed PMID: 30085612.

Wang Z, Liu J, Shuai H, Cai Z, Fu X, Liu Y, et al. Mapping global prevalence of depression among postpartum women. Transl Psychiatry. 2021 Oct 20;11(1):543. doi:10.1038/s41398-021-01663-6

Setiawati DN, Purnamawati D. Faktor-Faktor yang Mempengaruhi Kejadian Depresi Postpartum di Kabupaten Bogor Tahun 2019. Muhammadiyah Public Health Journal. 2020;1(1).

Kusuma R. Karakteristik Ibu Yangmengalami Depresi Postpartum. Jurnal Ilmiah Universitas Batanghari Jambi. 2019 Jan 22;19(1):99. doi:10.33087/jiubj.v19i1.571

Arum Ariasih, Meiwita Budiharsana. PREVALENCE AND SOCIODEMOGRAPHIC FACTORS ASSOCIATED WITH PERIPARTUM DEPRESSION IN INDONESIA: NATIONAL BASIC HEALTH RESEARCH DATA 2018. JURNAL KESEHATAN REPRODUKSI. 2023 Feb 27;13(2):141–9. doi:10.58185/jkr.v13i2.45

WHO. Stunting in a nutshell [Internet]. 2015 [cited 2026 May 27]. Available from: https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell

Sharma L, Rani D, Kanchan T, Krishan K. Short Stature [Internet]. 2026 [cited 2026 May 27]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556031/ PubMed PMID: 32310491.

Ramdani ZS, Darma S, Badruddin K, Rauf S, Idrus F. History of Infectious Diseases with the Incidence of Stunting in Children of Toddlers at Mamajang Public Health Center and Cendrawasih Public Health Center, Makassar. Jurnal Eduhealth. 2025;16(1). doi:10.54209/eduhealth.v16i01

Mulyasari I, Jatiningrum A, Setyani AP, Kurnia RRSS. Faktor Risiko Stunting pada 1000 Hari Pertama Kehidupan. Amerta Nutrition. 2022 Dec 23;6(1SP):177–83. doi:10.20473/amnt.v6i1SP.2022.177-183

Farías-Antúnez S, Xavier MO, Santos IS. Effect of maternal postpartum depression on offspring’s growth. J Affect Disord. 2018 Mar;228:143–52. doi:10.1016/j.jad.2017.12.013

Madlala S, Kassier S. Antenatal and postpartum depression: effects on infant and young child health and feeding practices. South African Journal of Clinical Nutrition. 2018 Jan 2;31(1):1–7. doi:10.1080/16070658.2017.1333753

WHO. Chidhood Stunting: Context, Causes and Consequences [Internet]. 2016 [cited 2026 May 27]. Available from: https://www.who.int/publications/m/item/childhood-stunting-context-causes-and-consequences-framework

Herba CM, Glover V, Ramchandani PG, Rondon MB. Maternal depression and mental health in early childhood: an examination of underlying mechanisms in low-income and middle-income countries. Lancet Psychiatry. 2016 Oct;3(10):983–92. doi:10.1016/S2215-0366(16)30148-1

Grajek M, Krupa-Kotara K, Białek-Dratwa A, Sobczyk K, Grot M, Kowalski O, et al. Nutrition and mental health: A review of current knowledge about the impact of diet on mental health. Front Nutr. 2022 Aug 22;9. doi:10.3389/fnut.2022.943998

Hurley KM, Surkan PJ, Black MM. Maternal Depression and Child Growth in Developing Countries: A Focus on the Postnatal Period. In: Handbook of Growth and Growth Monitoring in Health and Disease. New York, NY: Springer New York; 2012. p. 2023–46. doi:10.1007/978-1-4419-1795-9_123

Wardoyo H, Moeloek N, Basrowi R, Ekowati M, Samah K, Mustopo W, et al. Mental Health Awareness and Promotion during the First 1000 Days of Life: An Expert Consensus. Healthcare. 2023 Dec 24;12(1):44. doi:10.3390/healthcare12010044

Mhamane S, Karande Y, Ramanathan V. Post-partum depression: Its association with IYCF practices and effect on child growth indicators in urban slums of Mumbai, India. Clin Epidemiol Glob Health. 2024 Jul;28:101667. doi:10.1016/j.cegh.2024.101667

Shriyan P, Khetrapal S, van Schayck OCP, Babu GR. Maternal depressiveness and infant growth outcomes: Findings from the MAASTHI cohort study in India. J Psychosom Res. 2023 Jul;170:111378. doi:10.1016/j.jpsychores.2023.111378

Mitra M, Mahkota R, Ismainar H, Basrowi RW, Marlina H, As Syifa ED, et al. Sociodemographic Factors and Parenting Patterns Related to Stunting in Children Under Five Years in Pekanbaru, Indonesia: A Structural Equation Modeling Analysis. Open Public Health J. 2025 May 12;18(1). doi:10.2174/0118749445394097250505103953

Panolan S, Thomas M B, Jafar K. Between stigma and support: a qualitative inquiry into help-seeking behaviour for postpartum depression care in Kerala, India. BMC Pregnancy Childbirth. 2026 Jan 26;26(1):249. doi:10.1186/s12884-026-08675-4

Wemakor A, Mensah KA. Association between maternal depression and child stunting in Northern Ghana: a cross-sectional study. BMC Public Health. 2016 Dec 24;16(1):869. doi:10.1186/s12889-016-3558-z

Purwani YD, Yuwono T, Rimawati E, Handayani S, Wiwoho S, Kharisma DC. Determinants of Childhood Stunting in Central Java, Indonesia: The Role of Maternal Mental Health and Child Health History. Sage Open Pediatrics. 2025 Feb 15;12. doi:10.1177/30502225251401695

Pertiwi Y, Pardede EL. Pengaruh Kesehatan Mental Ibu terhadap Status Gizi Anak di Indonesia. Jurnal Ekonomi Kependudukan dan Keluarga. 2024 Jan 30;1(1):77–95. doi:10.7454/jekk.v1i1.1016

Josafat GN, Setiasari FJ. Maternal Depression and Its Association with Various Aspects of Early Childhood Development in Indonesia: A Multidimensional Review. Jurnal Biologi Tropis. 2025;25(4):5229–35. doi:http://doi.org/10.29303/jbt.v25i4.10296

Tyas AP, Setyonaluri D. Association between Maternal Mental Health and Child Stunting in Indonesia. Jurnal Kesehatan Masyarakat. 2022 Mar 17;17(3):381–8. doi:10.15294/kemas.v17i3.27813

Ashri Nurfurqoni F, Hastuti D, Sunarti E, Eva Riany Y. Family function, social support, postpartum depression, and maternal parenting practices: Their impact on infant growth. BIO Web Conf. 2025 Jan 28;153:02019. doi:10.1051/bioconf/202515302019

Rahmadina N, Linawati SW, Khairunnisa SHH, Basrowi RW, Riadi D. A Systematic Literature Review of Husband’s Support for the Incidence of Postpartum Depression in Indonesia. Open Public Health J. 2026 Feb 12;19(1). doi:10.2174/0118749445424980260202101630

Nurfatimah, Sumiaty, Sulistiani I, Basrowi RW, Novitasari PD, Ramadhan K. Involvement of Husband in Maternal Care: Impact on Pospartum Blues–A Systematic Review. Madago Nursing Journal. 2025;6(2):91–102.

Basrowi RW, Farradika Y, Sundjaya T. Mother’s Perspective and Trust Toward Integrated Services Post (Posyandu) in Indonesia. Open Public Health J. 2024 Nov 13;17(1). doi:10.2174/0118749445329656240930095509

Nindrea RD, Ming LC, Sari NP. Maternal postnatal depression, bonding, and health care practices in providing essential services for preterm and low birth weight infants in Indonesia. Clin Epidemiol Glob Health. 2025 May;33:102028. doi:10.1016/j.cegh.2025.102028

Wasir R, Rahma FA, Apriningsih, Basrowi RW, Saputra H, Zaid M. Implementation of perinatal mental health policy in Indonesia: a systematic review. General Medicine. 2025;27(6):65–70.

Sentika R, Setiawan T, Kusnadi K, Rattu DJ, Yunita I, Masita BM, et al. The Importance of Interprofessional Collaboration (IPC) Guidelines in Stunting Management in Indonesia: A Systematic Review. Healthcare. 2024 Nov 7;12(22):2226. doi:10.3390/healthcare12222226

Sentika R, Setiawan T, Kusnadi, Rattu DJ, Yunita I, Basrowi RW, et al. Expert Consensus on Interprofessional Collaboration (IPC) Guidelines on Stunting Management in Indonesian Primary Healthcare (Puskesmas). Open Public Health J. 2024 Dec 10;17(1). doi:10.2174/0118749445352608241119164446

Basrowi RW, Wiguna T, Samah K, Djuwita F Moeloek N, Soetrisno M, Purwanto SA, et al. Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus. Clinical Practice & Epidemiology in Mental Health. 2024 Nov 7;20(1). doi:10.2174/0117450179331951241022175443

Feyissa G, Pouget E, Kitila S, Terfa Y, Wong T. Integrating Mental Health Services Into Perinatal Care: Challenges and Opportunities. J Multidiscip Healthc. 2025 Jul;Volume 18:4317–39. doi:10.2147/JMDH.S536732

Zanoria MR, Laurito KDD, Alcantara GA, Mutya RC. Socio-economic barriers affecting mother’s motivations in seeking medical postpatrum depression treatment in Danao City, Philippines. HO CHI MINH CITY OPEN UNIVERSITY JOURNAL OF SCIENCE - ECONOMICS AND BUSINESS ADMINISTRATION. 2023 Nov 6;14(1):20–37. doi:10.46223/HCMCOUJS.econ.en.14.1.2691.2024

Downloads

Published

2026-06-25