Nutrition assistance of breastfeeding and complementary feeding associated with the linier growth of stunted children aged 6-24 months

Authors

  • Demsa Simbolon Poltekkes Kemenkes Bengkulu
  • Ina Deborah Ludji Poltekkes Kemenkes Kupang
  • Yuni Rahyani

DOI:

https://doi.org/10.53638/phpma.2022.v10.i2.p03

Keywords:

nutrition assistance, breastfeeding, complementary feeding, stunting

Abstract

Background and purpose: Age 6-24 months is a critical period for experiencing nutrition and health problems, especially among children who are stunted. Stunting children need to recover their nutritional status through appropriate interventions to be able to pursue their growth. The purpose of this study was to determine the effect of nutrition assistance on breastfeeding and complementary feeding on the length growth of children aged 6-24 with stunting.

Methods: This was a quasi-experimental study. A sample of 60 intervention and 60 control groups were divided into North Bengkulu District and Timor Tengah Selatan (TTS) District. Nutrition assistance for 6 months (July-November 2019) was carried out by 10 trained cadres. Each cadre is responsible for 6 stunted children aged 6-24 months (3 children received assistance and 3 children with standard services from the public health center). Data analysis uses independent t-test and dependent t-test after passing the homogeneity test phase of the proportion of sample characteristics and normality of the data.

Results: We found that assistance for breastfeeding and complementary feeding for mothers with stunting children aged 6-24 months was effective in increasing the growth of the child's body length. As many as 53.3% of stunted children in North Bengkulu District and 36.7% in TTS District showed growth after nutrition assistance.  

Conclusion: It is recommended that the implementation of a nutrition assistance model be accompanied by continuous family and community empowerment in the recovery of nutritional status, especially in families with stunted children aged 6-24 months.

References

WHO. Stunted growth and development, Context, Causes and Consequences. 2017. 18–41 p.

Ministry of Health of Indonesia. Laporan Nasional Riset Kesehatan Dasar 2018 [National Report on Basic Health Research] [Internet]. Ministry of Health of Indonesia. 2018. Available from:http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

TNP2K. 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting) [100 Districts and Cities Prioritized for Stunting Intervention]. Vol. 1. Sekretariat Wakil Presiden Republik Indonesia; 2017.

Amare D, Negesse A, Tsegaye B, Assefa B, Ayenie B. Prevalence of Undernutrition and Its Associated Factors among Children below Five Years of Age in Bure Town, West Gojjam Zone, Amhara National Regional State, Northwest Ethiopia. Adv Public Heal. 2016;2016:1–8.

Adair LS, Fall CHD, Osmond C, Stein AD, Martorell R, Ramirez-Zea M, et al. Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: Findings from five birth cohort studies. Lancet. 2013;382(9891):525–34.

Hoddinott J, Alderman H, Behrman JR, Haddad L, Horton S. The economic rationale for investing in stunting reduction. Matern Child Nutr. 2013;9(S2):69–82.

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(S2):27–45.

Prihutama NY, Rahmadi FA, Hardaningsih G. Pemberian Makanan Pendamping ASI Dini sebagai Faktor Risiko Kejadian Stunting pada Anak Usia 2-3 Tahun. J Kedokt Diponegoro. 2018;7(2):1419–30.

Najahah I, Adhi KT, Pinatih GI. Risk factors stunting for 12-36 month old children in Dasan Agung Community Health Centre, Mataram, West Nusa Tenggara Province. Public Heal Prev Med Arch. 2013;1(2):103–8.

Kavosi E, Rostami ZH, Kavosi Z, Nasihatkon A, Moghadami M, Heidari M. Prevalence and determinants of under-nutrition among children under six: A cross-sectional survey in Fars province, Iran. Int J Heal Policy Manag. 2014;3(2):71–6.

Khasanah DP, Hadi H, Paramashanti BA. Waktu pemberian makanan pendamping ASI (MP-ASI) berhubungan dengan kejadian stunting anak usia 6-23 bulan di Kecamatan Sedayu [Time to start complementary feeding is correlated with stunting in children aged 6-23 months in Sedayu Sub-District]. J Gizi dan Diet Indones (Indonesian J Nutr Diet). 2016;4(2):105.

Abeway S, Gebremichael B, Murugan R, Assefa M, Adinew YM. Stunting and its determinants among children aged 6-59 months in Northern Ethiopia: A cross-sectional study. J Nutr Metab. 2018;2018:1–8.

Parlesak A, Tetens I, Jensen JD, Smed S, Blenkuš MG, Rayner M, et al. Use of linear programming to develop cost-minimized nutritionally adequate health promoting food baskets. PLoS One. 2016;11(10):1–19.

Angkat AH. Penyakit Infeksi dan Praktek Pemberian MP-ASI terhadap Kejadian Stunting pada Anak Usia 12-36 Bulan di Kecamatan Simpang Kiri Kota Subulussalam [Infections and complementary feeding practice towards stunting among children aged 12-36 months in Simpang Kiri Sub-District, Subulussalam City]. J Dunia Gizi. 2018;1(1):52–8.

Galetti V, Mitchikpè CES, Kujinga P, Tossou F, Hounhouigan DJ, Zimmermann MB, et al. Rural beninese children are at risk of zinc deficiency according to stunting prevalence and plasma zinc concentration but not dietary zinc intakes. J Nutr. 2016;146(1):114–23.

Walters CN, Rakotomanana H, Komakech JJ, Stoecker BJ. Maternal determinants of optimal breastfeeding and complementary feeding and their association with child undernutrition in Malawi (2015-2016). BMC Public Health. 2019;19(1):1–12.

Evitasari D. Faktor-faktor yang Berhubungan dengan Perilaku Pemberian Makanan Pendamping ASI Bayi Usia <6 Bulan [Factors related to complementary feeding practice among <6 months babies]. J Ilm Indones. 2016;1(3):39–50.

Kumalasari, Yulianti S, Sabrian, Febriana, Hasanah O. Faktor-faktor yang Berhubungan dengan Pemberian Makanan Pendamping ASI Dini [Factors associated with early complementary feeding practice]. J Aisyah J Ilmu Kesehat. 2017;2(1):879–89.

Kusumangtyas W, Rahfiludin M, Pradigdo SF. Hubungan Perilaku Ibu terkait MPASI Standar WHO dengan Status Gizi Baduta Usia 6-23 Bulan (Studi Di Kelurahan Punggawan Kota Surakarta) [The association of complementary feeding practice based on WHO standards with nutritional status of children aged 6-23 months]. J Kesehat Masy Univ Diponegoro. 2017;5(3):202–9.

Atikah A, Nugroho R, Pradigdo S. Hubungan Perilaku Ibu dalam Pemberian ASI dengan Pertumbuhan Baduta usia 6-24 Bulan (Studi di Kelurahan Kestalan Kota Surakarta) [The association between breast feeding practice and the growth of children aged 6-24 monthas]. J Kesehat Masy. 2017;5(3):210–7.

Kustiani A, Misa AP. Perubahan Pengetahuan, Sikap, dan Perilaku Ibu dalam Pemberian MP-ASI Anak Usia 6-24 Bulan pada Intervensi Penyuluhan Gizi di Lubuk Buaya Kota Padang [The change of knowledge, attitude and behaviors of mothers regarding complementary feeding in children aged 6-24 months after the intervention of nutrition education in Lubuk Buaya Padang City]. J Kesehat PERINTIS (Perintis’s Heal Journal). 2018;5(1):51–7.

UNICEF Indonesia. Ringkasan Kajian: Kesehatan Ibu & Anak [The summary of reviews: Mother and child health]. In: UNICEF Indonesia. 2012.

Frongillo EA, Nguyen PH, Saha KK, Sanghvi T, Afsana K, Haque R, et al. Large-scale behavior-change initiative for infant and young child feeding advanced language and motor development in a cluster-randomized program evaluation in Bangladesh. J Nutr. 2017;147(2):256–63.

Rahmad AH Al. Pemberian ASI dan MPASI terhadap Pertumbuhan Bayi Usia 6-24 Bulan [Breastfeeding and complementary feeding towards the growth of babies aged 6-24 months]. J Kedokt Syiah Kuala. 2017;17(1):8–14.

Fabrizio CS, van Liere M, Pelto G. Identifying determinants of effective complementary feeding behaviour change interventions in developing countries. Matern Child Nutr. 2014;10(4):575–92.

Ulfani DH, Martianto D, Baliwati Y. Faktor-faktor Sosial Ekonomi dan Kesehatan Masyarakat Kaitannya dengan masalah Gizi Underweight, Stunted, dan Wasted di Indonesia: Pendekatan Ekologi gizi. [Socioeconomic and public health factors associated with the nutritional problems of underweight, stunted and wasted in Indonesia: The nutritional ecological approach]. North Am Rev. 2005;290(3–4):76.

Dewi M, Aminah M. Pengaruh Edukasi Gizi terhadap Feeding Practice Ibu Balita Stunting Usia 6-24 Bulan [The influence of nutritional education towards feeding practice among the mothers of stunted children aged 6-24 months]. Indones J Hum Nutr [Internet]. 2016;3(1):1–8.

Remans R, Pronyk PM, Fanzo JC, Chen J, Palm CA, Nemser B, et al. Anexo: Cronología de los Estados Unidos (1990-presente) - Wikipedia, la enciclopedia libre. Am J Clin Nutr [Internet]. 2011;94:1632–42.

Prentice, Kate A Ward, Gail R Goldberg, Landing M Jarjou, Sophie E Moore AJF, Prentice. Critical windows for nutritional interventions against stunting. Am J Clin Nutr. 2013;97(3):911–8.

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Published

2023-05-06

How to Cite

Simbolon, D. ., Ludji, I. D., & Rahyani, Y. . (2023). Nutrition assistance of breastfeeding and complementary feeding associated with the linier growth of stunted children aged 6-24 months. Public Health and Preventive Medicine Archive, 10(2), 120–129. https://doi.org/10.53638/phpma.2022.v10.i2.p03

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