An interpersonal nutrition campaign and maternal knowledge and childhood feeding practices: a case study from mothers in rural Indonesia

Abstract

Background: The purpose of this study was to examine the extent to which a national nutrition communication campaign (NNCC) intervention providing interpersonal communication (IPC) was associated with improved knowledge and behaviors related to feeding practices among mothers with children under two years of age in rural Indonesia. Methods: Data came from a follow-up, cross-sectional survey of 1734 mothers. Key outcomes of interest were minimum meal frequency, minimum dietary diversity and minimum acceptable diet, as defined by the World Health Organization. Associations between exposure to the NNCC intervention and infant and young child feeding (IYCF) knowledge and behaviors were analyzed using adjusted linear and logistic regression, controlling for age, education, and income. Results: A total of 525 mothers reported exposure to IPC interventions (30.3%). Participation in IPC was associated with increased knowledge of feeding practices (p < .0001). Separately, knowledge of feeding practices was related to achieving recommended behavioral practices of minimum meal frequency (p = 0.019), dietary diversity (p = 0.013), adequate diet (p < .001). Conclusion: These findings underscore the value of increasing maternal knowledge of IYCF practices through IPC interventions as a way to improve behavioral practices and address stunting in rural Indonesia.

Actor’s Network of Stunting Prevention Program in Bandar Lampung City, Lampung, Indonesia

“…The health approach, especially nutrition improvement, adopted by the GoBLM in preventing stunting is in line with previous studies that emphasize factors at the individual level as contributors of stunting, for example nutritional intake for pregnant women, nursing mothers and toddlers [4], maternal knowledge [5], and nutritional knowledge [7]. However, stunting also involves factors at the household level (for example, the level of family welfare, household poverty [8][9][10], level of parent education [10], level of family income [16], and family food security [17]) and the environmental level (for example, sanitation and drinking water facilities [22,23]) which have not received serious attention from the GoBLM.…”

“…Previous research has identified the factors associated with stunting. At the individual level, stunting is associated with low nutritional intake for pregnant women, nursing mothers and toddlers [4], maternal knowledge [5], marriage under 18 years old [6], nutritional knowledge [7]. Certain diseases, for example diarrheal diseases and acute respiratory infection (ARI) [6], can also increase the incidence of stunting.…”

Effect of a Nutrition Education Intervention on Mothers’ Infant and Young Child Feeding Knowledge and Practices in the Peri-Urban Areas of Bobo-Dioulasso: Before and after Study

“…The improvement observed in mothers' knowledge and practices related to nesia among mothers where they reported an increase of the mothers' level of childhood feeding knowledge [18].…”

Measuring the Governance of Collaborative Practices for Stunting Management in Lampung, Indonesia

“…However, it has been voiced by several researchers [3,4]. The results of the literature review show that previous research on stunting is more concerned with: (a) risk factors, for example, the Human Development Index [5], household welfare [6], sanitary facilities and water treatment [7], and service institutions [8], income and employment [9], infectious diseases [10], food insecurity [11], lower birth weight, six months breastfed or more, having parents who were underweight, and mothers who never attended formal education [12]; (b) protective factors, such as direct cash assistance and prosperous rice program (RASTA or Beras Sejahtera), the Program of Family Hope (PKH or Program Keluarga Harapan) [13][14][15], education, maternal knowledge and feeding practices [16][17][18], access to animal products [19]. However, there are not many studies that measure how collaborative practices in governing stunting in Indonesia.…”