Qualitative Study of the Role and Practice of Pharmaceutical Services Focusing on Stunting by Community Pharmacists in Indonesia
Abstract
Introduction: The peak of Indonesia's demographic bonus period is estimated to be in 2035, requiring government efforts in an integrated stunting prevention program to minimize risks. Cross-sector and cross-profession collaboration in the health field is needed to support optimal stunting services through the role and practice of pharmacists in community pharmacy facilities. This study aims to explore two topics: the role of community pharmacists and the practice of pharmaceutical service in stunting prevention programs in Indonesia.
Methods: A pragmatic qualitative-descriptive study, using structured interview techniques with a Standardized Open-Ended Interview (SOEI). Nine community pharmacists were recruited using purposive sampling through interview consent. The data obtained from the interviews consisted of video and audio recordings that were transcribed, and then thematically analyzed.
Results: The findings of this study are mapped into two main domains. The roles are identified as 1) The role of pharmacists in stunting prevention education through educational services, 2) in cross-sector collaboration among healthcare workers to prevent stunting in the community, and 3) in pharmaceutical services specifically for stunting prevention, which reflects practices in community pharmacy facilities in providing 4) basic education and counseling services related to stunting, 5) pharmaceutical product services for stunting needs, 6) promotive and preventive services in the stunting program, and 7) curative and referral services in the stunting program.
Conclusion: These findings indicate a high level of awareness and professional competence among community pharmacists, and practices in the field show involvement and collaboration that can be integrated into Indonesia's health policy system in the future.
References
- BKKBN. Laporan Kependudukan Indonesia 2024 [Internet]. Jakarta, Indonesia: Direktorat Analisis Dampak Kependudukan; 2024. 245 p.
- BPS. Analisis Profil Penduduk Indonesia - Mendeskripsikan Peran Penduduk dalam Pembangunan [Internet]. Jakarta: Direktorat Analisis dan Pengembangan Statistik; 2022. 124 p.
- Khairunnisah, Fitriyani AL. Bonus Demografi dan Visi Indonesia Emas 2045. BPS [Internet]. 2023;
- Noor MS, Shaddiq S. Bonus Demografi Menyongsong Indonesia Emas 2045 - Ditinjau dari Perspektif Ekonomi, Teknologi, dan Kesehatan [Internet]. 1st ed. Yogyakarta: CV. Mine Yogyakarta; 2023.
- Aida AN, Wibowo APS, Elizabeth A, N ARM, Dahiri D, Octavia E, et al. Kajian Isu Strategis Rencana Pembangunan Tahun 2024 [Internet]. Jakarta: Pusat Analisis Anggaran dan Akuntabilitas Keuangan Negara; 2023. 1–122 p.
- Nofitasari A, Islaeli I, Dina H. Stunting Countermeasures Model (A Case Study of a Specific Nutrition Intervention Program). Journal of Public Health and Pharmacy. 2025;5(2):417–430. https://doi.org/10.56338/jphp.v5i2.6373
- Wati K, Kartini A, Rahfiludin MZ. Determinant Factors: Literature Review Study on Stunting Incidence in Toddlers. International Journal of Health Education and Social. 2022;5(1):8–20. https://doi.org/10.1234/ijhes.v5i2.223
- Oktavia E, Editia YV, Primadani M. Faktor-Faktor yang Mempengaruhi Kejadian Stunting pada Balita di Indonesia Tahun 2024. Jurnal Ventilator. 2024;2(1):158–168. https://doi.org/10.59680/ventilator.v2i1.988
- Palapessy VED, Susanti R, Febrianti N, Hariyani F, Sucipto B. The Role of Health Workers in Preventing Stunting in Children. Jurnal Ners. 2023;7(1):260–265. https://doi.org/10.31004/jn.v7i1.13139
- Panfilova H, Nemchenko A, Korzh I, Zaytzeva Y, Bogdan N, Tsurikova O, et al. Scientific Measurement of the Current Role of Pharmacist in the Paradigm of Pharmaceutical Care Development. Research Journal of Pharmacy and Technology. 2019;12(2):817–826. https://doi.org/10.5958/0974-360X.2019.00142.2
- Ismail H, Athijah U, Hidayat W, Rahem A. Patient’s Perception of the Image of Community Pharmacists. Pharmacy Education. 2023;23(4):66–70. https://doi.org/10.46542/pe.2023.234.6670
- Suleiman MA, Abdulwase I, Tukur KA, Umar ZB, Muhammad SS, Ladan MM, et al. Evaluating the Competency of Community Pharmacists in Identifying and Managing Malnourished Patients: A Cross-Sectional Survey. Exploratory Research in Clinical and Social Pharmacy. 2023;12:100341. https://doi.org/10.1016/j.rcsop.2023.100341
- Greer BD, Mitteer DR, Briggs AM, Fisher WW, Sodawasser AJ. Comparisons of Standardized and Interview-Informed Synthesized Reinforcement Contingencies Relative to Functional Analysis. Journal of Applied Behavior Analysis. 2020;53(1):82–101. https://doi.org/10.1002/jaba.601
- Swain J. A Hybrid Approach to Thematic Analysis in Qualitative Research: Using a Practical Example. In: Sage Research Methods Cases. 2018. https://doi.org/10.4135/9781526435477
- Finlay L. “Outing” the Researcher: The Provenance, Process, and Practice of Reflexivity. Qualitative Health Research. 2002;12(4):531–545. https://doi.org/10.1177/104973202129120052
- Ahmed SK, Mohammed RA, Nashwan AJ, Ibrahim RH, Abdalla AQ, Ameen BM, et al. Using Thematic Analysis in Qualitative Research. Journal of Medicine, Surgery, and Public Health. 2025;6:100198. https://doi.org/10.1016/j.glmedi.2025.100198
- Meilianti S, John C, Duggan C, O’Campo L, Bates I. How Can Pharmacists Contribute to Anaemia Management? A Review of Literature and Exploratory Study on Pharmacists’ Role in Anaemia. Exploratory Research in Clinical and Social Pharmacy. 2023;9:100231. https://doi.org/10.1016/j.rcsop.2023.100231
- Silverio SA, Rahman MR, Wilson CA, Catalao R, Lakhani S, Alter M, et al. “There’s Very Little That You Can Do Other Than Refer Them to the Doctor if You Think They’ve Got Postnatal Depression”: Scoping the Potential for Perinatal Mental Health Care by Community Pharmacists. Research in Social and Administrative Pharmacy. 2023;19(2):286–292. https://doi.org/10.1016/j.sapharm.2022.10.005
- Frumence G, Jin Y, Kasangala A, Bakar S, Mahiti GR, Ochieng B. A Systems Approach in the Prevention of Undernutrition among Children Under Five in Tanzania. Nutrients. 2024;16(11):1551. https://doi.org/10.3390/nu16111551
- Mulyani AT, Khairinisa MA, Khatib A, Chaerunisaa AY. Understanding Stunting: Impact, Causes, and Strategy to Accelerate Stunting Reduction—A Narrative Review. Nutrients. 2025;17(9):1493. https://doi.org/10.3390/nu17091493
- Ahmed N, Ijaz S, Manzoor S, Sajjad S. Prevalence of Self-Medication in Children Under-Five Years by Their Mothers in Yogyakarta City, Indonesia. Journal of Family Medicine and Primary Care. 2021;10(8). https://doi.org/10.4103/jfmpc.jfmpc_2457_20
- Wathoni N, Lestari K, Iftinan GN, Rahayu SA, Nurlatifah A, Khairinisa MA, et al. Knowledge, Perception, and Readiness of Indonesian Pharmacists for the Implementation of Telepharmacy-Based Pharmaceutical Services in Indonesia. Integrated Pharmacy Research and Practice. 2023;12:213–225. https://doi.org/10.2147/IPRP.S434790
- Xuan YW, Goh HP, Rehman IU, Shafqat N, Mohammed Y, Worafi A. Assessing Consumers’ Perception and Demand on Community Pharmacists’ Dispensing Services. Journal of Pharmaceutical Policy and Practice. 2023;16(1):1–17. https://doi.org/10.1186/s40545-023-00609-1
- Slavcheva K, Staynova R, Neycheva N, Kafalova D. Community Pharmacists’ Knowledge, Attitudes, and Readiness to Provide Counseling on Food Supplements—A Scoping Review. Nutrients. 2025;17(23):3754. https://doi.org/10.3390/nu17233754
- Kassem RG, Mbata AO, Usuemerai PA, Abass LA, Ogbewele EG. Pharmacy Marketing for Public Health Impact: Promoting Preventive Care and Health Literacy Through Strategic Campaigns. World Journal of Advanced Research and Reviews. 2023;18(2):1406–1418. https://doi.org/10.30574/wjarr.2023.18.2.0982
- Bandiera C, Mistry SK, Harris E, Harris MF, Aslani P. Interprofessional Collaboration Between Pharmacists and Community Health Workers: A Scoping Review. International Journal for Equity in Health. 2025;24:23. https://doi.org/10.1186/s12939-025-02377-7
- Hermansyah A, Kristina SA. Primary Health Care Policy and Vision for Community Pharmacy and Pharmacists in Indonesia. Pharmacy Practice. 2020;18(3):2085. https://doi.org/10.18549/PharmPract.2020.3.2085
- Singla N, Jindal A, Mahapatra DK. Role of Pharmacist in Nutrition Management—The Unexplored Path. Indian Journal of Pharmacy Practice. 2023;16(2). https://doi.org/10.5530/ijopp.16.2.14
- Alshahrani SM. Knowledge, Attitudes, and Practices of Community Pharmacists About Nutrition and Lifestyle Medications and Counseling in the Aseer Region of Saudi Arabia: A Cross-Sectional Study. Cureus. 2025;17(6). https://doi.org/10.7759/cureus.85757
- Siddique A, Ahmed E, Al Zoghabi M, Alsaif E, Alhawshani F. Exploring Community Pharmacist’s Knowledge, Attitude, and Practice Toward the Provision of Pharmaceutical Care: A Prospective Cross-Sectional Study from Saudi Arabia. Journal of Pharmacy and Bioallied Sciences. 2022;14(1). https://doi.org/10.4103/jpbs.jpbs_16_21
- Pratiwi RE, Kartiningrum ED, Mahmudah RL. Cadre Role and Performance in Preventing Stunting in Dolo, Central Sulawesi. Journal of Public Health and Pharmacy. 2025;5(3):582–589. https://doi.org/10.56338/jphp.v5i3.6051
- Medhat M, Sabry N, Ashoush N. Knowledge, Attitude and Practice of Community Pharmacists Towards Nutrition Counseling. International Journal of Clinical Pharmacy. 2020;42(6):1456–1468. https://doi.org/10.1007/s11096-020-01106-0
- Kumaki R, Hatamoto M, Iida R, Kishimoto K. Toward Enhanced Nutritional Interventions in Community Pharmacies: Personal Attitude Construct Analysis. Journal of Health, Population and Nutrition. 2025;44:287. https://doi.org/10.1186/s41043-025-01035-6
- Ikatan Apoteker Indonesia. Standar Kompetensi Apoteker Indonesia. Jakarta: Ikatan Apoteker Indonesia; 2016.
- Hijazi MA, Shatila H, El-Lakany A, Al Rifai H, Aboul-Ela M, Naja F. Role of Community Pharmacists in Weight Management: Results of a National Study in Lebanon. BMC Health Services Research. 2020;20:386. https://doi.org/10.1186/s12913-020-05258-7
- Ayele AA, Cosh S, Islam MS, East L. Role of Community Pharmacy Professionals in Child Health Service Provision in Ethiopia: A Cross-Sectional Survey in Six Cities of Amhara Regional State. BMC Health Services Research. 2022;22:1259. https://doi.org/10.1186/s12913-022-08641-8
- Kelly D, Chawke J, Keane M, Conway H, Douglas P, Griffin A. An Exploration of the Self-Perceived Nutrition Competencies of Pharmacists. Exploratory Research in Clinical and Social Pharmacy. 2022;8:100203. https://doi.org/10.1016/j.rcsop.2022.100203
- Ansar A, AM S. Review on Role of Pharmacist in Nutrition and Health Care. International Journal of Research Publication and Reviews. 2024;5(4):6430–6433. https://doi.org/10.2139/ssrn.4909110
- Viegas R, Dineen-Griffin S, Söderlund LÅ, Acosta-Gómez J, Guiu JM. Telepharmacy and Pharmaceutical Care: A Narrative Review by International Pharmaceutical Federation. Farmacia Hospitalaria. 2022;46(7):86–91. https://doi.org/10.7399/fh.13244
- Yang DW, Noh Y, Son KB. Public Perceptions of Pharmacy Services: Perceived Importance and Face-to-Face Preference Across Service Stages in the Era of Digital Health. Digital Health. 2025;11:1–11. https://doi.org/10.1177/20552076251361630
- Sharn AR, Oliveros E, Lai S, Sanchez CP, Villa-Real Guno MJ, Rojas Montenegro C. Multi-Faceted Nutritional Interventions Are Imperative to Reduction of Stunting Among Children in Low- and Middle-Income Countries. Frontiers in Nutrition. 2025;12. https://doi.org/10.3389/fnut.2025.1479850
- Widiasih R, Sunjaya DK, Rahayuwati L, Rusyidi B, Ermiati, Sari CWM, et al. Evaluating the Knowledge, Roles, and Skills of Health Cadres in Stunting Prevention: A Mixed-Method Study in Indonesia. Belitung Nursing Journal. 2025;11(3):330–339. https://doi.org/10.33546/bnj.3722
- Kanan M, Alqhatani A, Khalid W, Alzuhairy S, Almohammadi S, Alsubaie M, et al. Clinical Interventions of Community Pharmacies for Diarrhea Management: Evidences from Developing Countries. Pharmacy Practice. 2024;22(2):2962. https://doi.org/10.18549/PharmPract.2024.2.2962
- Wigle JM, Akseer N, Mogilevskii R, Brar S, Conway K, Enikeeva Z, et al. Drivers of Stunting Reduction in the Kyrgyz Republic: A Country Case Study. American Journal of Clinical Nutrition. 2020;112(Suppl 2):830S–843S. https://doi.org/10.1093/ajcn/nqaa120
- Soegiantoro DH, Narwadan F, Ndruru JNC, Koa O, Mahemba YS, Palunggu BU, et al. Public Perceptions of Community Pharmacists’ Evolving Role in Health Promotion and Pharmaceutical Care: A Cross-Sectional Study in Indonesia. Current Pharmacy Teaching and Learning. 2026;18(5). https://doi.org/10.1016/j.cptl.2026.102600
- Ayele AA, Cosh S, Islam MS, East L. Role of Community Pharmacy Professionals in Child Health Service Provision in Ethiopia: A Cross-Sectional Survey in Six Cities of Amhara Regional State. BMC Health Services Research. 2022;22:1259. https://doi.org/10.1186/s12913-022-08641-8
- Kelly D, Chawke J, Keane M, Conway H, Douglas P, Griffin A. An Exploration of the Self-Perceived Nutrition Competencies of Pharmacists. Exploratory Research in Clinical and Social Pharmacy. 2022;8:100203. https://doi.org/10.1016/j.rcsop.2022.100203
- Ansar A, AM S. Review on Role of Pharmacist in Nutrition and Health Care. International Journal of Research Publication and Reviews. 2024;5(4):6430–6433. https://doi.org/10.2139/ssrn.4909110
- Viegas R, Dineen-Griffin S, Söderlund LÅ, Acosta-Gómez J, Guiu JM. Telepharmacy and Pharmaceutical Care: A Narrative Review by International Pharmaceutical Federation. Farmacia Hospitalaria. 2022;46(7):86–91. https://doi.org/10.7399/fh.13244
- Yang DW, Noh Y, Son KB. Public Perceptions of Pharmacy Services: Perceived Importance and Face-to-Face Preference Across Service Stages in the Era of Digital Health. Digital Health. 2025;11:1–11. https://doi.org/10.1177/20552076251361630
- Sharn AR, Oliveros E, Lai S, Sanchez CP, Villa-Real Guno MJ, Rojas Montenegro C. Multi-Faceted Nutritional Interventions Are Imperative to Reduction of Stunting Among Children in Low- and Middle-Income Countries. Frontiers in Nutrition. 2025;12. https://doi.org/10.3389/fnut.2025.1479850
- Widiasih R, Sunjaya DK, Rahayuwati L, Rusyidi B, Ermiati, Sari CWM, et al. Evaluating the Knowledge, Roles, and Skills of Health Cadres in Stunting Prevention: A Mixed-Method Study in Indonesia. Belitung Nursing Journal. 2025;11(3):330–339. https://doi.org/10.33546/bnj.3722
- Kanan M, Alqhatani A, Khalid W, Alzuhairy S, Almohammadi S, Alsubaie M, et al. Clinical Interventions of Community Pharmacies for Diarrhea Management: Evidences from Developing Countries. Pharmacy Practice. 2024;22(2):2962. https://doi.org/10.18549/PharmPract.2024.2.2962
- Wigle JM, Akseer N, Mogilevskii R, Brar S, Conway K, Enikeeva Z, et al. Drivers of Stunting Reduction in the Kyrgyz Republic: A Country Case Study. American Journal of Clinical Nutrition. 2020;112(Suppl 2):830S–843S. https://doi.org/10.1093/ajcn/nqaa120
- Soegiantoro DH, Narwadan F, Ndruru JNC, Koa O, Mahemba YS, Palunggu BU, et al. Public Perceptions of Community Pharmacists’ Evolving Role in Health Promotion and Pharmaceutical Care: A Cross-Sectional Study in Indonesia. Current Pharmacy Teaching and Learning. 2026;18(5). https://doi.org/10.1016/j.cptl.2026.102600
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