Improved Nutrition Knowledge and Practice through Intensive Nutrition Education: A Study among Caregivers of Mildly Wasted Children on Nias Island, Indonesia

Inayati, Dyah Ayu; Scherbaum, Veronika; Purwestri, Ratna Chrismiari; Wirawan, Nia Novita; Suryantan, Julia; Hartono, Susan; Bloem, Maurice Alexander; Pangaribuan, Rosnani Verba; Biesalski, Hans Konrad; Hoffmann, Volker H.; Bellows, Anne C.

doi:10.1177/156482651203300205

Cited by 32 publications

(32 citation statements)

References 19 publications

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“…Similar findings were demonstrated by Powers et al [8] where participants in the treatment group exhibited significantly greater improvement in nutrition knowledge. Inayati et al [55] found that nutrition knowledge was significantly increased after participating in a nutrition education program with the percentage of correct answers on nutrition knowledge being higher in the intensive nutrition education group compared to the non-intensive nutrition education group. Likewise, Kostanjevec et al [56] observed a significant improvement in nutrition knowledge, however, only participants scoring low at baseline made the most improvement while those scoring best at baseline did not improve significantly.…”

Section: Discussionmentioning

confidence: 99%

Is a Nutrition Education Intervention Associated with a Higher Intake of Fruit and Vegetables and Improved Nutritional Knowledge among Housewives in Mauritius?

et al. 2016

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The purpose of the study was to assess the determinants of nutrition behaviors and body mass index and determine the impact of a nutrition education intervention (NEI) among Mauritian housewives. A pretest-posttest design was used assessing Nutrition Knowledge (NK), Nutrition Attitudes, Fruit and Vegetable Intake (FVI), body mass index (BMI). Two hundred Mauritian housewives were recruited. The NEI was in the form of a lecture and lasted for twenty minutes. Statistical tests performed revealed that the mean NK score at baseline was 65.8 ± 6.92 and a significant increase of +17.1 at post-test and +16.1 at follow-up was observed. Determinants of NK were age, presence of elderly people, and BMI. Mean nutrition attitude score at baseline was 2.37 ± 0.22 with significant increase of +0.2 (post-test) and +0.17 at follow-up. Age, level of education, presence of elders, and NK were linked to a positive attitude. FVI was predicted by age, income, presence of elders, NK, and nutrition attitudes. Baseline FVI was 4.77 ± 1.11 which increased significantly (p < 0.001) to 4.98 ± 1.13 at post-test and 5.03 ± 1.20 at follow up. NEI had a positive impact suggesting the benefits of such intervention in the promotion of healthy nutrition behaviors.

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Section: Discussionmentioning

confidence: 99%

Is a Nutrition Education Intervention Associated with a Higher Intake of Fruit and Vegetables and Improved Nutritional Knowledge among Housewives in Mauritius?

et al. 2016

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“…A total of 215 mothers of mildly wasted children (< -1.0 to ≥ -1.5 Weight-for-Height-Z -score s, according to WHO/NCHS reference data [14]) aged ≥ 6 to < 60 months participated in the study, which aimed at improving the nutritional status of children under five years of age in this community [15]. …”

Section: Methodsmentioning

confidence: 99%

Infant feeding practices among mildly wasted children: a retrospective study on Nias Island, Indonesia

et al. 2012

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BackgroundThis study investigated the infant feeding practices of participating mothers who were recruited into a research project aimed at improving the nutritional status of mildly wasted children (< -1.0 to ≥ -1.5 Weight-for-Height Z-scores) aged ≥ 6 to < 60 months on Nias Island, Indonesia.MethodsCross-sectional, questionnaire-based interview of mothers of the index children (n = 215) who were admitted to the community program for mildly wasted children in the study area. Four focus groups and twenty in-depth interviews were conducted to explore further information on infant feeding practices in the study area.ResultsRetrospective results indicated that 6% of the mothers never breastfed. Fifty two percent of mothers initiated breastfeeding within six hours of birth, but 17% discarded colostrum. Exclusive breastfeeding until 6 months of age was practiced by 12%. Seventy-four percent of the mothers offered supplementary liquids besides breast milk within the first 7 days of life, and 14% of infants received these supplementary liquids from 7 days onwards until 6 months of age. Moreover, 79% of the infants were given complementary foods (solid, semi-solid, or soft foods) before 6 months of age. About 9% of the children were breastfed at least two years. Less than one in five of the mildly wasted children (19%) were breastfed on admission to the community program. Qualitative assessments found that inappropriate infant feeding practices were strongly influenced by traditional beliefs of the mothers and paternal grandmothers in the study areas.ConclusionGenerally, suboptimal infant feeding was widely practiced among mothers of mildly wasted children in the study area on Nias Island, Indonesia. To promote breastfeeding practices among mothers on Nias Island, appropriate nutrition training for community workers and health-nutrition officers is needed to improve relevant counseling skills. In addition, encouraging public nutrition education that promotes breastfeeding, taking into account social-cultural factors such as the influence of paternal grandmothers on infant feeding practice, is needed.

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“…In addition, even when food resources are available in the home, caregivers might not make the best use of them due to lack of knowledge of the best foods for young children, cultural beliefs and practices, and inappropriate advice (14)(15)(16) . Studies on young children's feeding practices in other countries have demonstrated evidence that educational interventions have positive effects on knowledge of caregivers, complementary feeding practices and growth among children (17)(18)(19)(20)(21) .…”

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confidence: 99%

Community-based educational intervention improved the diversity of complementary diets in western Kenya: results from a randomized controlled trial

Waswa

Jordan

Herrmann

et al. 2015

Public Health Nutr.

126

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Objective: Lack of diversity is a major factor contributing to inadequate nutrient intakes among children during the complementary feeding period in many rural areas in developing countries. This has been attributed to inadequate feeding practices and nutrition knowledge among their caregivers. The aim of the present study was to assess the effect of an educational intervention on children's dietary diversity and nutrition knowledge of caregivers. Design: Cluster randomization was applied and twenty matched village pairs were randomly assigned to the intervention or control group. The nutrition education intervention consisted of four sessions comprising of group trainings and cooking demonstrations that were conducted over a period of 5 months. Setting: Households in rural communities in Bondo and Teso South sub-counties, western Kenya. Subjects: Caregivers with children aged 6-17 months receiving nutrition education. Results: The children's dietary diversity scores (CDDS) and nutrition knowledge scores of the caregivers improved significantly in the intervention group at endline. The treatment effect on CDDS was positive and significant (P = 0·001). The CDDS rate of the children in the intervention group was 27 % larger than it would have been without the treatment effect. The intervention also had a significant effect on the caregivers' nutrition knowledge scores (incidence rate ratio = 2·05; P < 0·001). However, the nutrition knowledge of the caregivers did not have a significant effect on CDDS (P = 0·731). Conclusions: The nutrition education intervention led to improvements in children's dietary diversity and nutrition knowledge of the caregivers. Keywords Nutrition education Complementary feeding Dietary diversity Caregivers InterventionMalnutrition among children under 5 years of age is still a widespread problem in many developing countries. Worldwide, approximately 162 million children under 5 years are stunted, while 99 million and 51 million are underweight and wasted, respectively (1) . An analysis of data from the Kenya Demographic and Health Surveys (KDHS) over the last three decades shows that there has been a slow decline in the prevalence of malnutrition among young children in Kenya (2,3) . Data from the 2008-2009 KDHS showed that in Kenya, 35 % of children aged <5 years were stunted, 16 % were underweight and 7 % were wasted. The prevalence of stunting was highest (46 %) among children aged 18-24 months and 42 % among those aged 6-12 months. Stunting rates were highest among children living in rural areas (37 %) compared with those living in urban areas (26 %) (4) .While the causes of malnutrition are complex, inappropriate feeding practices during the complementary feeding period have been identified as major factors contributing to inadequate nutrient intakes among infants and young children (5)(6)(7)(8)(9) . While consuming a variety of foods is important for meeting essential nutrient requirements needed to promote growth, traditional diets fed to children in developing countries ...

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Improved Nutrition Knowledge and Practice through Intensive Nutrition Education: A Study among Caregivers of Mildly Wasted Children on Nias Island, Indonesia

Abstract: In comparison with NNE, the INE approach was significantly better in bringing about a positive change in knowledge and practice of caregivers of mildly wasted children in the study area.

Cited by 32 publications

References 19 publications

Is a Nutrition Education Intervention Associated with a Higher Intake of Fruit and Vegetables and Improved Nutritional Knowledge among Housewives in Mauritius?

Is a Nutrition Education Intervention Associated with a Higher Intake of Fruit and Vegetables and Improved Nutritional Knowledge among Housewives in Mauritius?

Infant feeding practices among mildly wasted children: a retrospective study on Nias Island, Indonesia

Community-based educational intervention improved the diversity of complementary diets in western Kenya: results from a randomized controlled trial

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