Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh

https://doi.org/10.22146/ijcn.34560

Aripin Ahmad(1*), Siti Madanijah(2), Cesilia Meti Dwiriani(3), Risatianti Kolopaking(4)

(1) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Aceh
(2) Departemen Gizi Masyarakat, Fakultas Ekologi Manusia Institut Pertanian Bogor
(3) Departemen Gizi Masyarakat, Fakultas Ekologi Manusia Institut Pertanian Bogor
(4) Universitas Islam Negeri Syarief Hidayatullah Jakarta
(*) Corresponding Author

Abstract


Maternal knowledge, attitude, motivation and complementary feeding practice of children aged 6-23 months: formative study in Aceh

Background: Poor knowledge, attitude, and motivation of the mother determine complementary feeding (CF) practice of the child resulting in poor nutrition fulfillment.

Objective: This study aimed to analyze maternal knowledge, attitude, motivation, and relationships with the CF practice of children aged 6-23 months.

Method: A cross-sectional study and cluster random sampling was applied to select 392 mothers of children aged 6-23 months in Aceh Besar District. Data on maternal knowledge, attitude, and motivation were collected using valid and reliable structured questionnaire. CF practice quality was assessed using indicators of timely introduction to CF, minimum meal frequency, minimum dietary diversity, and minimum acceptable diet according to WHO recommendation. The association of maternal knowledge, attitude, and motivation with CF practice was analyzed using binary logistic regression with a 95% confidence level (α=0.05).

Results: There was a small proportion of mothers (20.2%, 8.7%, 33.9%) having good knowledge, attitude, and motivation, respectively. Overall, there was one-fourth (23%) of the children aged 6-23 months receiving CF as recommended by WHO. There were significant correlations between maternal knowledge and attitude (r=0.606, p<0.01) and motivation (r=0.103, p<0.05). Education level and motivation were the risk factors of improper CF practice (OR=4.25; 95% CI: 1.10-16.36; p=0.035and OR=1.83; 95% CI: 1.05-3.16; p=0.031, respectively).

Conclusion: Maternal knowledge, attitude, and motivation of children aged 6-23 months in Aceh were still poor, shown by improper CF practice. Therefore, an effort to improve nutrition education, particularly by health personnel and stakeholder, to be specific and targeted is important. 


Keywords


appropriate complementary feeding practice; attitude; infant 6-23 months old; knowledge; motivation

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References

  1. World Health Organization. Infant and young child feeding; model chapter for textbook for medical student and allied health profesional. Geneva, Switzerland: WHO; 2009.
  2. Direktorat Bina Gizi Masyarakat. Modul pelatihan konseling MP-ASI (panduan peserta). Jakarta: Direktorat Bina Gizi Masyarakat, Kemenkes RI; 2010.
  3. Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW. Contextualising complementary feeding in a broader framework for stunting prevention. Matern Child Nutr. 2013;9(Suppl.2):27-45. doi: 10.1111/mcn.12088
  4. Tim Nasional Percepatan Penanggulangan Kemiskinan (TNPK). 100 Kabupaten/Kota prioritas untuk intervensi anak kerdil (stunting). Jakarta: Sekretriat Wakil Presiden RI; 2017.
  5. Badan Penelitian dan Pengembangan Kesehatan. Laporan riset kesehatan dasar tahun 2018. Jakarta: Balitbangkes Kemenkes RI; 2018.
  6. Kartono D, Hermina, Faatih M. Buku studi diet total: survei konsumsi makanan individu Provinsi Aceh 2014. Jakarta: Balitbangkes RI; 2014.
  7. United Nation Children Fund Indonesia (UNICEF). Ringkasan kajian gizi ibu dan anak: isu-isu penting. [series online] 2012 [cited 2014 Des 20]. Available online: URL: http://www.unicef.or.id
  8. Barati Z, Purwestri RC, Wirawan NN, Beitze DE, Srour L, Scherbaum V. Breastfeeding and complementary feeding practices among children living in a rice surplus area, Central Java, Indonesia. Nutrition & Food Science 2018;48(4):589-604. doi: 10.1108/NFS-07-2017-0144
  9. Suyatno. The impact of complementary feeding type on the nutritional status of infant 6-12 months of age in Suburban Semarang Indonesia. Proceedings of International Conference on Applied Science and Health 2017: Improving health and well-being for better society. [series online] 2017 [cited 2018 Des 20]. Available online: URL: https://publications.inschool.id/index.php/icash/article/view/58/57
  10. Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Complementary feeding practices and nutritional status of children 6-23 months old: formative study in Aceh, Indonesia. Nutr Res Pract. 2018;12(6):512-20. doi: 10.4162/nrp.2018.12.6.512
  11. Contento IR. Nutrition education: lingking theory and practice. 2 ed. Canada: Jones and Bartlett Publisher; 2011.
  12. Bentley ME, Johnson SL, Wasser H, Kanashiro HC, Shroff M, Cunningham M, et al. Formative research methods for designing culturally appropriate, integrated child nutrition and development interventions: An overview. Ann N Y Acad Sci. 2014;(1)1308:54-67. doi: 10.1111/nyas.12290
  13. Fabrizio CS, Liere MV, Pelto G. Identifying determinants of effective complementary feeding behaviour change interventions in developing countries. Matern Child Nutr. 2014;10(4):575-92. doi: 10.1111/mcn.12119
  14. Dinas Kesehatan Aceh. Hasil survei pemantauan status gizi (PSG) Provinsi Aceh Tahun 2014: monitoring dan evaluasi program. Banda Aceh: Dinkes Aceh dan Jurusan Gizi Poltekkes Aceh; 2015.
  15. Lameshow S, Hosmer DW, Klar J, Lwanga SK. Adequacy sample size in health studies. New York: John Wiley & Sons Ltd; 1990.
  16. Dinas Kesehatan Aceh Besar. Laporan bulan penimbangan balita di posyandu. Aceh: Dinkes Aceh Besar; 2015.
  17. Food Agricultural Organization (FAO) of The United Nation. Guidelines for assesing nutrition-related knowledge, attitudes and practices. [series online] 2012 [cited 2014 Des 20]. Available online: URL: http://www.fao.org/3/a-i3545e.pdf
  18. Khomsan A. Teknik pengukuran pengetahuan gizi. Bogor; Institut Pertanian Bogor; 2000.
  19. PAHO, WHO, UNICEF. ProPAN: process for the promotion of child feeding. 2 ed. [series online] 2013 [cited 2015 November 29]. Available online: URL: https://www.paho.org/hq/dmdocuments/2013/Propan2-Eng.pdf
  20. World Health Organization. Resolution WHA65.6. Maternal, infant and young child nutrition. In: Sixty-fifth World Health Assembly (WHA65/2012/REC/1). [series online] 2012 [cited 2015 November 29]. Available online: URL: http://apps.who.int/gb/DGNP/pdf_files/A65_REC1-en.pdf
  21. Olatona FA, Adenihun JO, Aderibigbe SA, Adeniyi OF. Complementary feeding knowledge, practices, and dietary diversity among mothers of under-five children in an urban community in Lagos State, Nigeria. Int J MCH AIDS. 2017;6(1):46-59. doi: 10.21106/ijma.203
  22. Areja A, Yohannes D, Yohannis M. Determinants of appropriate complementary feeding practice among mothers having children 6–23 months of age in rural Damot sore district, Southern Ethiopia; a community based crosssectional study. BMC Nutrition. 2017;3:82. doi: 10.1186/s40795-017-0202-y
  23. Kassa T, Meshesha M,Haji J, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6–23 months in Southern Ethiopia, 2015. BMC Pediatr. 2016;16:131. doi: 10.1186/s12887-016-0675-x
  24. Gyampoh S, Otoo GE, Aryeetey RNO. Child feeding knowledge and practices among women participating in growth monitoring and promotion in Accra, Ghana. BMC Pregnancy and Childbirth. 2014;14:180. doi: 10.1186/1471-2393-14-180
  25. Dumaguing NV, Ignacio JLC, Naupal RT, Apostol NES, Ilagan JR, Talavera MTM. Knowledge, attitude, and practices of complementary feeding by mothers in the Bayanijuan Southville 7 Resettlement Village in Calauan, Laguna, Philippines. Journal of Human Ecology. 2011;1(1):58-72.
  26. Mekbib E, Shumey A, Ferede S, Haile F. Magnitude and factors associated with appropriate complementary feeding among mothers having children 6–23 months-of-age in Northern Ethiopia; a community-based cross-sectional study. J Food Nutr Sci. 2014;2(2):36-42. doi: 10.11648/j.jfns.20140202.13
  27. Nabugoomu J, Namutebi A, Kaaya AN, Nasinyama G. Nutrition education influences child feeding knowledge attitudes and practices of caregivers in Uganda. American Journal of Health Research. 2015;3(2):82-90. doi: 10.11648/j.ajhr.20150302.15
  28. Pillai A, Kinabo J, Krawinkel MB. Effect of nutrition education on the knowledge scores of urban households with home gardens in Morogoro, Tanzania. Agric & Food Secur. 2016;5:22. doi: 10.1186/s40066-016-0069-1
  29. Ahmad A, Boediman D, Prawirohartono EP. Pola makanan pendamping air susu ibu dan status gizi bayi 0-12 bulan di Kecamatan Lhoknga Kabupaten Aceh Besar. Jurnal Gizi Klinik Indonesia. 2006;3(1):58-65. doi: 10.22146/ijcn.17419
  30. Berhanu Z, Alemu T, Argaw D. Predictors of inappropriate complementary feeding practice among children aged 6 to 23 months in Wonago District, South Ethiopia, 2017; case control study. BMC Pediatr. 2019; 19:146. doi: 10.1186/s12887-019-1523-6
  31. Na M, Aguayo VM, Arimond M, Stewart CP. Risk factors of poor complementary feeding practices in Pakistani children aged 6–23 months: A multilevel analysis of the Demographic and Health Survey 2012–2013. Matern Child Nutr. 2017;13(S2):e12463. doi: 10.1111/mcn.12463
  32. Maciel BLL, Moraes ML, Soares AM, Cruz IFS, de Andrade MIR, Lima AAM, et al. Infant feeding practices and determinant variables for early complementary feeding in the first 8 months of life: results from the Brazilian MAL-ED cohort site. Public Health Nutrition. 2018;21(13):2462-70. doi: 10.1017/S136898001800099X
  33. Nkoka O, Mhone TG, Ntenda PAM. Factors associated with complementary feeding practices among children aged 6-23 mo in Malawi: an analysis of the Demographic and Health Survey 2015-2016. Int Health. 2018;10(6):466-79. doi: 10.1093/inthealth/ihy047
  34. Manikam L,Sharmila A, Dharmaratnam A, Alexander EC, Kuah JY, Lakhanpaul M, et al. Systematic review of infant and young child complementary feeding practices in South Asian families: the Pakistan perspective. Public Health Nutr. 2018;21(4):655-68. doi: 10.1017/S1368980017002956
  35. Sanghvi T, Seidel R, Baker J, Jimerson A. Using behavior change approaches to improve complementary feeding practices. Matern Child Nutr. 2017;13(S2):e12406. doi: 10.1111/mcn.12406
  36. Kulwa KBM, Verstraeten R, Bouckaert KP, Mamiro1 PS, Kolsteren PW, Lachat C. Effectiveness of a nutrition education package in improving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: rationale, design and methods of a cluster randomised trial. BMC Public Health 2014;14:1077. doi: 10.1186/1471-2458-14-1077



DOI: https://doi.org/10.22146/ijcn.34560

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