Dietary Diversity and Associated Factors Among Children Aged 6–23 Months in Indonesia

Sekartaji, Rizky; Suza, Dewi Elizadiani; Fauziningtyas, Rista; Almutairi, Wedad M.; Susanti, Ika Adelia; Astutik, Erni; Efendi, Ferry

doi:10.1016/j.pedn.2020.10.006

Cited by 37 publications

(47 citation statements)

References 24 publications

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“…In our study, it was found that the likelihood of meeting the requirement for minimum dietary diversity was significantly higher among children who belonged to the 12–17 months age bracket, compared with those belonging to the 0–5 months age bracket, indicating that increased age was positively associated with minimum dietary diversity. This finding is similar to that of a past study from Indonesia [ 60 ], in which children aged 12–17 months were more likely to receive various foods with each meal than younger children. This finding should motivate health workers in India to promote the benefits of various foods, targeting mothers with younger children.…”

Section: Discussionsupporting

confidence: 91%

Infant and Young Child Feeding Practices among Adolescent Mothers and Associated Factors in India

et al. 2021

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Adequate infant and young child feeding (IYCF) improve child survival and growth. Globally, about 18 million babies are born to mothers aged 18 years or less and have a higher likelihood of adverse birth outcomes in India due to insufficient knowledge of child growth. This paper examined factors associated with IYCF practices among adolescent Indian mothers. This cross-sectional study extracted data on 5148 children aged 0–23 months from the 2015–2016 India National Family Health Survey. Survey logistic regression was used to assess factors associated with IYCF among adolescent mothers. Prevalence of exclusive breastfeeding, early initiation of breastfeeding, timely introduction of complementary feeding, minimum dietary diversity, minimum meal frequency, and minimum acceptable diet rates were: 58.7%, 43.8%, 43.3%, 16.6%, 27.4% and 6.8%, respectively. Maternal education, mode of delivery, frequency of antenatal care (ANC) clinic visits, geographical region, child’s age, and household wealth were the main factors associated with breastfeeding practices while maternal education, maternal marital status, child’s age, frequency of ANC clinic visits, geographical region, and household wealth were factors associated with complementary feeding practices. IYCF practices among adolescent mothers are suboptimal except for breastfeeding. Health and nutritional support interventions should address the factors for these indicators among adolescent mothers in India.

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Section: Discussionsupporting

confidence: 91%

Infant and Young Child Feeding Practices among Adolescent Mothers and Associated Factors in India

et al. 2021

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“…Consistent with earlier studies in Indonesia (15,17) and in other low-and middle-income countries (18,24,27,28) , we found that mothers with higher educational levels tend to feed their children with a more diversified diet. Highly educated mothers might have more information and better understand educational messages, and they might also have learnt about child feeding at school (37) .…”

Section: Trends Of Minimum Dietary Diversity and Food Group Consumptionsupporting

confidence: 91%

Trends and determinants of minimum dietary diversity among children aged 6–23 months: a pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017

Paramashanti

Huda

Alam

et al. 2021

Public Health Nutr.

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Objective: To examine minimum dietary diversity (MDD) trends and determinants among children aged 6–23 months. Design: Secondary analysis of the Indonesia Demographic and Health Surveys (IDHS) between 2007 and 2017. The primary outcome was MDD, the consumption of at least five out of eight food groups (MDD-8). We included a total of 5015 (IDHS 2007), 5050 (IDHS 2007) and 4925 (IDHS 2017) children aged 6 to 23 months to estimate trends of MDD-8 and to identify factors associated with MDD-8. We used multiple logistic regression analysis adjusted for the complex sampling design to investigate the association between the study factors and MDD-8. Setting: Indonesia. Participant: A total of 14 990 children aged 6–23 months. Results: Over the 10 years, the percentage of children who consumed a diversified diet was 53·1 % in 2007, 51·7 % in 2012 and 53·7 % in 2017. Multivariate analyses showed that older age children, higher maternal education, maternal weekly access to media, paternal non-agricultural occupation, history of at least four antenatal care visits and wealthier households were associated with the increased odds of MDD-8. Children living in rural areas, Sulawesi and Eastern Indonesia, were less likely to eat a diversified diet. Conclusions: The proportion of children meeting MDD-8 has stagnated in the last decade. Child, parental, health care, household and community factors are associated with MDD-8. Therefore, nutrition education programmes and behaviour change communication activities should target mothers and families from socio-economically and geographically disadvantaged populations.

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“…This finding was consistent with studies conducted in Somalia and other studies conducted in Ethiopia [ 24 – 26 ]. However, it’s higher than studies conducted Nepal, Indonesia, and Tanzania [ 12 , 27 , 28 ]. The possible discrepancy is due to low food production and consumption, as well as people's purchasing capacity in Ethiopia for a variety of food goods.…”

Section: Discussionmentioning

confidence: 80%

Spatial variation and determinates of dietary diversity among children aged 6–23 months in Ethiopia: spatial and multilevel analysis using Ethiopian Demography Health Survey (EDHS) 2019

et al. 2022

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Background Minimum dietary diversity is the consumption of five or more food groups from the eight World Health Organization recommended food groups. Adequately diversified diet, in terms of amount and composition, is critical for optimal growth, development, and long-term health outcomes in the first 2 years. Understanding the regional variation of dietary diversity and the underlying factors is crucial for developing and implementing interventions. However, the use of spatial approaches in dietary studies has not been widely established. Therefore, this study aimed to explore the spatial patterns and determinates of minimum dietary diversity practice among 6–23 months children in Ethiopia. Methods Secondary data analysis was conducted based on the Demographic and Health Surveys data conducted in Ethiopia. A total weighted sample of 1578 children aged 6–23 months was included for this study. The Global Moran’s I was estimated to look into the regional variation of dietary diversity and hotspot and cold spot areas. Further, multivariable multilevel logistic regression was used for factor analyses. Adjusted Odds Ratio with 95% CI was used to declare the strength and significance of the association. Results Overall, 87.4% (95% CI: 85.7 to 88.9%) of children in 2019 had inadequate Minimum dietary diversity. We identified statistically significant clusters of high inadequate dietary diversity (hotspots) notably observed in Somali, Afar, Eastern and western Amhara, western Tigray, Benishangul, and Northeastern and western parts of the southern nations, nationality and peoples’ regions. Inadequate dietary diversity was significantly higher among young children, uneducated mother, married women, younger mother, no postnatal check, community with higher level of poverty and community level uneducated woman. Conclusion According to the findings of this study inadequate Minimum dietary diversity for children as measured by World Health Organization dietary assessment shows high. Children's dietary diversity was distributed non-randomly in different districts across Ethiopia's regions. The findings of the study provided critical evidence about dietary diversity and associated factors. Hence, policy should focused on improve education status of Mother, boosting economic status of the community, increased maternal continuum of care and focused on young children nutrition may advance dietary diversity.

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Dietary Diversity and Associated Factors Among Children Aged 6–23 Months in Indonesia

Cited by 37 publications

References 24 publications

Infant and Young Child Feeding Practices among Adolescent Mothers and Associated Factors in India

Infant and Young Child Feeding Practices among Adolescent Mothers and Associated Factors in India

Trends and determinants of minimum dietary diversity among children aged 6–23 months: a pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017

Spatial variation and determinates of dietary diversity among children aged 6–23 months in Ethiopia: spatial and multilevel analysis using Ethiopian Demography Health Survey (EDHS) 2019

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