Rethinking School Nutrition via Community Engagement: A Review with Implications for Indonesia’s MBG Program

Adnan Achiruddin Saleh (1) , Suparman Abdullah (2) , Rahmat Muhammad (3) , Muhammad Yusran Amir (4) , Sulvinajayanti Sulvinajayanti (5)
(1) Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare, Indonesia,
(2) Faculty of Political Science and Social Science, Hasanuddin University, Makassar, Indonesia,
(3) Faculty of Political Science and Social Science, Hasanuddin University, Makassar, Indonesia,
(4) Faculty of Public Health, Hasanuddin University, Makassar, Indonesia,
(5) Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare, Indonesia

Abstract

Community engagement has become a growing concern in the implementation of school nutrition programs, particularly in addressing issues of child malnutrition, food insecurity, and educational outcomes. However, definitions and levels of participation remain conceptually fragmented across various studies. This study aims to systematically review the scope, forms, and implications of community engagement in school-based nutrition programs. A Systematic Literature Review (SLR) was conducted on 89 Scopus-indexed publications from 1984 to 2025 using the PRISMA 2020 protocol. Thematic analysis was employed to identify the conceptual, methodological, and contextual variations of community involvement. Data were collected through document analysis of peer-reviewed journal articles focusing instead on qualitative synthesis. The study examined forms of engagement based on eight participation levels and five thematic domains. Results show that the relevance of the topic has increased significantly, especially in the last decade, with a marked rise in academic interest from diverse institutions. While collaborative practices such as cross-sector coordination, parental involvement, and grassroots food initiatives are often promoted, most programs operate at symbolic or consultative levels, rarely advancing to full empowerment. Contextual cases, such as Indonesia’s Free Nutritious Meals Program (MBG), illustrate both the promise and challenge of operationalizing community engagement at scale. This review concludes that future research must adopt a more theory-informed and practice-oriented approach to community participation, supported by clearer frameworks, inclusive governance models, and culturally adaptive implementation strategies.

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References

1. Attree P, French B, Milton B, Povall S, Whitehead M, Popay J. The Experience of Community Engagement for Individuals: A Rapid Review of Evidence. Health & Social Care in the Community. 2010;19(3):250–260. https://doi.org/10.1111/j.1365-2524.2010.00976.x

2. Kang Y, Kim S, Sinamo S, Christian P. Effectiveness of A Community-based Nutrition Programme to Improve Child Growth in Rural Ethiopia: a Cluster Randomized Trial. Matern Child Nutr. 2016;13(1). https://doi.org/10.1111/mcn.12349

3. Ika Indriyastuti H, Tri Kartono D. Implementation of the Sustainable Development Goals (SDGs) Program on the Management of Stunting Cases in Indonesia. International Journal Recent Research in Interdisciplinary Sciences (IJRRIS). 2022;9 (2):60–65. https://doi.org/10.5281/zenodo.6631152

4. Marquis GS, Martin SL, Lartey A. The Multiple Dimensions of Participation: Key Determinants of Nutrition Intervention Outcomes. Current Development in Nutrition. 2022;7(5). https://doi.org/10.1016/j.cdnut.2022.100001

5. Suárez-Herrera JC. Community Nutrition Programmes, Globalization and Sustainable Development. British Journal of Nutrition. 2006;96(S1):S23–7. https://doi.org/10.1079/bjn20061694

6. Doustmohammadian A, Mohammadi-Nasrabadi F, Keshavarz-Mohammadi N, et al. Community Based Participatory Interventions to Improve Food Security: A Systematic Review. Frontiers in Nutrition. 2022;9:1028394. https://doi.org/10.3389/fnut.2022.1028394

7. Au LE, Ritchie LD, Gurzo K, Nhan LA, Woodward-Lopez G, Kao J, et al. Post Healthy Hunger-Free Kids Act Adherence to Select School Nutrition Standards, by Region and Poverty Level: The Healthy Communities Study. Journal Nutrition Education and Behavior. 2020;52(3):249-258. https://doi.org/10.1016/j.jneb.2019.10.016

8. Ausenhus C, Gold JM, Perry CK, Kozak A, Wang ML, Jang SH, et al. Factors Impacting Implementation of Nutrition and Physical Activity Policies In Rural Schools. BMC Public Health. 2023 Dec 1;23(1):1–10. https://doi.org/10.1186/s12889-023-15176-y

9. Sekiyama M, Kawakami T, Nurdiani R, Roosita K, Rimbawan R, Murayama N, et al. School Feeding Programs in Indonesia. The Japanese Journal of Nutrition and Dietetics. 2018;76(Supplement):S86–S97. https://doi.org/10.5264/eiyogakuzashi.76.S86

10. Studdert LJ, Soekirman, Rasmussen KM, Habicht JP. Community-based School Feeding During Indonesia’s Economic Crisis: Implementation, Benefits, and Sustainability. Food and Nutrition Bulletin. 2004;25(2):156–165. https://doi.org/10.1177/156482650402500208

11. Purnama SNPW, Mazenda A, Katiyatiya CLF, Nguyen MH, Vuong QH. Policy Analysis in School Meals Program: Regulation Impacts On In-School Food Fortification. Journal of Hunger & Environmental Nutrition. 2025; 1-18. https://doi.org/10.1080/19320248.2025.2505041

12. Sari NPWP, Mazenda A, Katiyatiya CLF, Nguyen MH, Vuong QH. Policy Analysis in School Meals Program: Regulation Impacts On In-School Food Fortification. Journal of Hunger & Environmental Nutrition. 2025;1–18. https://doi.org/10.1080/19320248.2025.2505041

13. Qiu K, Omand JA, Elshaarawi Y, Rasiah-Shaidev S, Keown-Stoneman C, Cohen-Silver J, Et Al. School Food Programs and Food Insecurity at The REACH School Network: An Observational Study. BMC Public Health. 2025;25(1):1–8. https://doi.org/10.1186/s12889-025-23163-8

14. Nuraeni I, Setiawati D, Karimah I, Miranti Y. Home-School-Based Nutrition Intervention Program to Increase Fruit and Vegetable Consumption in Children and Adolescent: A Systematic Review. Jurnal Sehat Indonesia (JUSINDO). 2025;7(2):829–839. https://doi.org/10.59141/.v7i2.273

15. Melnick EM, Acciai F, Yedidia MJ, Ohri-Vachaspati P. The Relationship Between Community Food Environment Around Schools and Student Meal Participation: The Role Of School CEP Participation Status. BMC Medicine. 2024;22(1):1–13. https://doi.org/10.1186/s12916-024-03498-6

16. Badan Gizi Nasional. Layanan Unggulan untuk Masa Depan Sehat Indonesia. 2025. https://www.bgn.go.id/

17. Kementerian Keuangan. Pemerintah Salurkan Makan Bergizi Gratis (MBG), Ini Sasaran Utama Penerimanya. Jakarta: Kementerian Keuangan RI; 2025. https://mediakeuangan.kemenkeu.go.id/article/show/pemerintah-salurkan-makan-bergizi-gratis-mbg-ini-sasaran-utama-penerimanya

18. Perserikatan Bangsa - Bangsa di Indonesia. Sembilan Cara PBB Mendukung Program Makan Bergizi Gratis di Indonesia. 2025. https://indonesia.un.org/id/297193-sembilan-cara-pbb-mendukung-program-makan-bergizi-gratis-di-indonesia

19. Kemdikbud. Program Makan Bergizi Gratis (MBG): Menyongsong Indonesia Emas 2045. Jakarta: Kementerian Pendidikan & Kebudayaan RI; 2025.

20. Octawijaya IH, Kondo M, Hori A, Ichikawa M. Parent Willingness to Pay for School Feeding Programs in Junior High Schools in Malang Regency, Indonesia. Nutrients. 2023;15(14):3212. https://doi.org/10.3390/nu15143212

21. Pulungan MS, Saloom G, Maswani &. The Relationship Between School Feeding Programs and School Well-Being: A Systematic Review. Towards Resilient Societies: The Synergi of Religius Education, Health, Science and Technologi-Rahiem. 2025;296–302. https://doi.org/10.1201/9781003645542-48

22. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. The BMJ. 2021;372. https://doi.org/10.1136/bmj.n71

23. Thomas J, Harden A. Methods For the Thematic Synthesis of Qualitative Research in Systematic Reviews. BMC Medical Research Methodology. 2008;8(1):1–10. https://doi.org/10.1186/1471-2288-8-45

24. Gough D, Thomas J, Oliver S. An Introduction to Systematic Reviews. An Introduction to Systematic Reviews. 2017;1–352. https://uk.sagepub.com/en-gb/eur/an-introduction-to-systematic-reviews/book245742

25. Braun V, Clarke V. Thematic Analysis: A Practical Guide. 2021;1–100. https://doi.org/10.58837/CHULA.PPJ.39.8

26. Samnani AA, Karmaliani R, Nuruddin R, Petrucka P, Soofi SB. Unveiling School Community Perceptions of Nutrition-Friendly School Initiatives in Preschool Settings in Rural Sindh Province, Pakistan: an Exploratory Study. Front Public Health. 2024;12:1379229. https://doi.org/10.3389/fpubh.2024.1379229

27. Yusof R, Yusof MIM, Rahman FAA, Sabri MF, Ariffin M, Hadžikadunić E. Rescaling the Rungs of Arnstein’s Ladder of Community Participation Framework on the Localisation of the Sustainable Development Goals. International Journal of Research and Innovation in Social Science. 2025;IX(I):1384–1400. https://doi.org/10.47772/IJRISS.2025.9010116

28. Veroniki AA, Tricco AC, Rangira D, McKenzie JE, Li T, Straus SE, et al. Updating the PRISMA Reporting Guideline for Network Meta-Analysis: A Scoping Review. Journal of Clinic Epidemiology. 2025;188:111985. https://doi.org/10.1016/j.jclinepi.2025.111985

29. O’Mara-Eves A, Brunton G, Oliver S, Kavanagh J, Jamal F, Thomas J. The Effectiveness of Community Engagement in Public Health Interventions for Disadvantaged Groups: A Meta-Analysis. BMC Public Health. 2015;15(1):129. https://doi.org/10.1186/s12889-015-1352-y

30. Wallerstein N, Duran B. Community-Based Participatory Research for Health: From Process to Outcomes. John Wiley & Sons; 2011. 544. https://books.google.co.id/books/about/Community_Based_Participatory_Research_f.html?id=1Wry09vE_HUC&redir_esc=y

31. FAO IUWW. The State of Food Security and Nutrition in the World 2022. State Food Secur Nutr World; 2022. https://openknowledge.fao.org/server/api/core/bitstreams/67b1e9c7-1a7f-4dc6-a19e-f6472a4ea83a/content

32. Sande A. Progress for Children Is Progress for Everyone: Keeping Children at the Front and Centre of International Development. Springer Nature; 2025:183–193. https://doi.org/10.1007/978-981-96-2452-2_18

33. Busse H, Covic N, Aakesson A, Jogo W. What Is the Role of Civil Society in Multisectoral Nutrition Governance Systems? A Multicountry Review. Food and Nutrition Bulletin. 2020;41(2):244–260. https://doi.org/10.1177/0379572119877348

34. Hawkes C, Ruel MT, Salm L, Sinclair B, Branca F. Double-duty Actions: Seizing Programme and Policy Opportunities to Address Malnutrition in All Its forms. Lancet. 2020;395(10218):142–155. https://doi.org/10.1016/s0140-6736(19)32506-1

35. Laverack G, Labonte R. A Planning Framework For Community Empowerment Goals within Health Promotion. Health Policy and Planning. 2000;15(3):255–262. https://doi.org/10.1093/heapol/15.3.255

36. Arnstein SR. A Ladder of Citizen Participation. Journal of American Institute of Planners. 2019;85(1):24–34. https://doi.org/10.1080/01944366908977225

37. Robert RC, Feijoo BL. Beneficiary and Local Stakeholder Participation in Community-Based Nutrition Interventions. Current Development in Nutrition. 2022;6(9):1-6. https://doi.org/10.1093/cdn/nzac131

38. Erzse A, Rwafa-Ponela T, Goldstein S, Motlhatlhedi M, Watson D, Hofman KJ, et al. What Values Drive Communities’ Nutrition Priorities in A Resource Constrained Urban Area in South Africa? BMC Public Health. 2023;23(1):1–15. https://doi.org/10.1186/s12889-023-15761-1

39. Adhikari B, Vincent R, Wong G, Duddy C, Richardson E, Lavery J V., et al. A Realist Review of Community Engagement with Health Research. Wellcome Open Research. 2019;4:87. https://doi.org/10.12688/wellcomeopenres.15298.2

40. O'Byrne, D. et al. WHO's Global School Health Initiative: Promoting Health Through Schools, World Health Organization. Switzerland; 1996. https://coilink.org/20.500.12592/s7jxkk

41. Perry HB, Zulliger R, Rogers MM. Community Health Workers in Low-, Middle-, and High-Income Countries: An Overview of Their History, Recent Evolution, and Current Effectiveness. Annual Revision of Public Health. 2014;35:399–421. https://doi.org/10.1146/annurev-publhealth-032013-182354

42. Rifkin SB, Muller F, Bichmann W. Primary Health Care: on Measuring Participation. Social & Science Medicine. 1988;26(9):931–940.

43. Wallerstein, N.'What is the Evidence on the Effectiveness of Empowerment to Improve Health?'. WHO Regional Office for Europe's Health Evidence Network, Copenhagen; 2006.

44. Mcleroy KR, Bibeau D, Steckler A, Glanz K. An Ecological Perspective on Health Promotion Programs. Health Education Quarterly. 1988;15(4):351–377. https://doi.org/10.1177/109019818801500401

45. Urie Bronfenbrenner. The Ecology of Human Development; Experiments by Nature and Design. Boston: Harvard University Press; 1979. https://doi.org/10.2307/j.ctv26071r6

46. Rogers EM, Singhal A, Quinlan MM. Diffusion of innovations. An Integrated Approach to Communication Theory and Research. Routledge: 2019.

47. Kickbusch I, Gleicher DE. Governance for Health in The 21st century. WHO Regional Office for Europe; 2012.

48. Drake L, Fernandes M, Aurino E, Kiamba J, Giyose B, Burbano C, et al. School Feeding Programs in Middle Childhood and Adolescence. Disease Control Priorities, Third Edition (Volume 8): Child and Adolescent Health and Development. The World Bank; 2017.

49. Bundy DAP. Rethinking School Feeding: Social Safety Nets, Child Development, and the Education Sector (Directions in Development. Human Development). The World Bank Group; 2009.

50. Scarparo ALS, Oliveira VR, Bittencourt JM V, Ruiz ENF, Fernandes PF, Zys JZ, et al. Training For Nutritionists Working on The Brazilian School Nutrition Program: An Evaluation of its Effectiveness. Ciencia & Saude Coletiva.2013;18(4):1001–1008. https://doi.org/10.1590/s1413-81232013000400013

51. Chen G, Chen W, Qi S, Shek DTL. Improving Child and Adolescent Mental Health: A Bibliometric Analysis of Related Intervention Studies. International Journal of Environmental Research and Public Health. 2024;21(12):1576. https://doi.org/10.3390/ijerph21121576

52. Zhang CC, Zheng X, Su CH, Huang H, Yan FR, Pan XJ, et al. A bibliometric study of the Journal of School Health: 1965–2014. Chinese Nursing Research. 2017;4(2):75–83. https://doi.org/10.1016/j.cnre.2017.03.011

53. Nusa RA, Annisa F. Analisis Konsep Arnstein’s Ladder Of Participation Dalam Mega Proyek Ibu Kota Nusantara. Mult J Glob Multidiscip. 2025 Mar 17;3(3):5048–5057. https://journal.institercom-edu.org/index.php/multiple/article/view/904

54. Rogers A. Participation: The New Tyranny?. International Journal of Education Development. 2003;23(2):233. https://doi.org/10.1016/S0738-0593(02)00022-6

55. Maschi T, Turner S, Kaye A. Empowerment Theory. Theoretical Perspectives for Direct Social Work Practice. Springer Publishing; 2021:43–63. https://doi.org/10.1891/9780826165565.0016

56. Putnam RD. Bowling Alone: America’s Declining Social Capital. Cult Polit. 2000;223–234. https://doi.org/10.1353/jod.1995.0002

57. David H. Peters NTT. Implementation Research in Health: A Practical Guide. World Health Organization; 2013.

58. Hawe P, Shiell A, Riley T. Theorising Interventions as Events in Systems. American Journal of Community Psychology. 2009;43(3–4):267–276. https://doi.org/10.1007/s10464-009-9229-9

59. Cornwall A. Unpacking ‘Participation’: Models, Meanings and Practices. Community Development Journal. 2008;43(3):269–283. https://doi.org/10.1093/cdj/bsn010

60. Aurino E, Gelli A, Adamba C, Osei-Akoto I, Alderman H. Food for Thought?. Journal of Human Resources. 2023;58(1):74–111. https://doi.org/10.3368/jhr.58.3.1019-10515R1

61. Alhasni NS, Damris M, Johari A, Herlambang H. Community-Based Educational Approaches to Stunting Prevention. Health Education and Health Promotion. 2025; 13(1):21–30. http://dx.doi.org/10.58209/hehp.13.1.21

62. Syitra SMLP, Anita Tiara, Tarigan AA. Effectiveness of Community-Based Nutrition Interventions in Preventing Stunting and Malnutrition in Toddlers: A Literature Review. International Journal of Health Science. 2025;5(2):78–88. https://doi.org/10.55606/ijhs.v5i2.5252

Authors

Adnan Achiruddin Saleh
adnanachiruddinsaleh@iainpare.ac.id (Primary Contact)
Suparman Abdullah
Rahmat Muhammad
Muhammad Yusran Amir
Sulvinajayanti Sulvinajayanti
Author Biographies

Adnan Achiruddin Saleh, Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare

Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare, Indonesia

Suparman Abdullah, Faculty of Political Science and Social Science, Hasanuddin University, Makassar

Faculty of Political Science and Social Science, Hasanuddin University, Makassar, Indonesia

Rahmat Muhammad, Faculty of Political Science and Social Science, Hasanuddin University, Makassar

Faculty of Political Science and Social Science, Hasanuddin University, Makassar, Indonesia

Muhammad Yusran Amir, Faculty of Public Health, Hasanuddin University, Makassar

Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

Sulvinajayanti Sulvinajayanti, Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare

Faculty of Ushuluddin, Adab and Dakwah, State Islamic Institute of Parepare, Parepare, Indonesia

Saleh, A. A., Abdullah, S., Muhammad, R., Amir, M. Y., & Sulvinajayanti, S. (2025). Rethinking School Nutrition via Community Engagement: A Review with Implications for Indonesia’s MBG Program. Media Kesehatan Masyarakat Indonesia, 21(3), 259–273. https://doi.org/10.30597/mkmi.v21i3.46204

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