Abstract
BackgroundThe 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.MethodsData 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.ResultsA 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).ConclusionThese 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.
Highlights
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
Design This study included an analysis of cross-sectional data collected in rural Indonesia following the 2014–2018 NNCC intervention and represents a collaborative effort between IMA World Health (IMA), the University of Indonesia’s Center for Nutrition and Health Studies, and the Ministry of Health in Indonesia
The purpose of this study was to evaluate the impact of an IPC campaign on childhood feeding knowledge and the extent to which knowledge was associated with actual childhood feeding behaviors
Summary
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. Childhood stunting has life-long consequences and has been linked to increased susceptibility to disease [2], premature death [2], reduced cognitive functioning [3], poor performance in school [4], delays in motor development [4], and reduced productivity in the workplace [5]. Findings from the Indonesian Family Life Survey from 2000 to 2014 reveal stunting prevalence increased from 29.7% in 2000 to 32.6% in 2014 among children less than 2 years of age. This increase was significantly associated with a child’s age, pre-lacteal food intake, birth weight, and sanitation practices [8]
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