Factors Associated with Minimum Acceptable Diet in 6–11-Month-Old Indonesian Children Using the 2017 IDHS

Authors

  • Eurika Zebadia Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia https://orcid.org/0000-0002-5398-0132
  • Trias Mahmudiono Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia
  • Dominikus Raditya Atmaka Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia https://orcid.org/0000-0001-5124-4580
  • Mira Dewi Department of Community Nutrition, Faculty of Human Ecology, IPB University, Bogor, Indonesia
  • Siti Helmyati Department of Health Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gajah Mada, Yogyakarta, Indonesia
  • Cindra Tri Yuniar Department of Pharmacology and Clinical Pharmacy, School of Pharmacy, Institut Teknologi Bandung, Kota Bandung, Jawa Barat, Indonesia https://orcid.org/0000-0001-5972-217X

DOI:

https://doi.org/10.3889/oamjms.2021.7452

Keywords:

Minimum acceptable diet, Complementary feeding, Children, Health and well-being

Abstract

BACKGROUND: Inadequate complementary feeding practices are known to contribute to children’s nutritional status. A minimum acceptable diet (MAD) is one of the simple, valid, and reliable indicators to assess complementary feeding practices in 6–23-month-old children on food diversity and meal frequency. Based on the UNICEF data, the MAD of 6–11 months in Indonesia was 26.3% in 2017 and the lowest compared to other groups. Hence, this study research question is posing toward several factors associated with the low MAD among 6–11 months infant.

AIM: This study aimed to determine factors associated with MAD in 6–11-month-old children in Indonesia.

METHODS: This study was a secondary analysis using the 2017 Indonesia Demographic and Health Survey. This is a cross-sectional study involving 17,848 children in Indonesia. Final sample to be analyzed were 1,441 children of 6–11-month-old. Logistic regression model was applied to identify the significant risk factors associated with MAD.

RESULTS: The result showed that the prevalence of MAD in this study is 29%. From the multivariate logistic regression, wealth index, television ownership, and mother’s occupation were significantly associated with MAD of 6–11-month-old children in Indonesia.

CONCLUSION: In conclusion, factors associated with MAD among 6–11-month-old children were wealth index, television ownership, and mother’s occupation.

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References

Indonesia Ministry of Health. Studi Status Gizi Balita. Balitbangkes Kemenkes RI; 2019. Available from:https://www.kemkes.go.id/resources/download/info-terkini/rakerkesnas-2020/02-sideevent/se_08/studistatusgizibalitaterintegrasisusenas2019 (kapuslitbangukm).pdf. [Last accesed on 2021 Apr 14].

UNICEF. UNICEF’s Approach to Scaling Up Nutrition. New York: UNICEF; 2015. Available from: https://www.unicef.org/nutrition/files/unicef_nutrition_strategy.pdf. [Last accesed on 2021 Apr 15].

UNICEF and WHO. Indicators for Assessing Infant and Young Child Feeding Practices Part 1: Definitions. France: World Health Organization; 2008. Available from: https://www.who.int/nutrition/publications/infantfeeding/9789241599290/en. [Last accesed on 2021 Apr 19].

World Health Organization. Global Nutrition Monitoring Framework: Operational Guidance for Tracking Progress in Meeting Targets for 2025. Geneva: World Health Organization; 2017. Available from: https://www.who.int/publications/i/item/9789241513609. [Last accesed on 2021 Apr 14].

UNICEF and WHO. Indicators for Assessing Infant and Young Child Feeding Practices Part 2: Measurement. World Health Organization. Malta: World Health Organization; 2010.

Puspitasari MD, Gayatri M. Indonesia infant and young child feeding practice: The role of women’s empowerment in household domain. Glob J Health Sci. 2020;12(9):129. http://doi.org/10.5539/gjhs.v12n9p129 DOI: https://doi.org/10.5539/gjhs.v12n9p129

Yisak H, Ambaw B, Walle Z, Alebachew B, Ewunetei A. Minimum acceptable diet and associated factors among HIV-exposed children aged 6-24 months in Debre Tabor Town, Ethiopia. HIV AIDS (Auckl). 2020;12:639-45. http://doi.org/10.2147/HIV.S274764 PMid:33149697 DOI: https://doi.org/10.2147/HIV.S274764

White JM, Bégin F, Kumapley R, Murray C, Krasevec J. Complementary feeding practices: Current global and regional estimates. Matern Child Nutr. 2017;13(Suppl 2):e12505. http://doi.org/10.1111/mcn.12505 PMid:29032623 DOI: https://doi.org/10.1111/mcn.12505

UNICEF. Global UNICEF Global Databases: Infant and Young Child Feeding: Minimum Acceptable Diet, Minimum Diet Diversity, Minimum Meal Frequency. New York: UNICEF; 2019. Available from: https://data.unicef.org/topic/nutrition/infant-andyoung-child-feeding. [Last accesed on 2020 Oct 20].

Khanal V, Sauer K, Zhao Y. Determinants of complementary feeding practices among Nepalese children aged 6-23 months: Findings from demographic and health survey 2011. BMC Pediatr. 2013;13(1):131. DOI: https://doi.org/10.1186/1471-2431-13-131

Santika O, Februhartanty J, Ariawan I. Feeding practices of young children aged 12-23 months in different socioeconomic settings: A study from an urban area of Indonesia. Br J Nutr. 2016;116(S1):S1-7. http://doi.org/10.1017/S0007114515003438 PMid:26388172 DOI: https://doi.org/10.1017/S0007114515003438

Issaka AI, Agho KE, Page AN, Burns PL, Stevens GJ, Dibley MJ. Determinants of suboptimal complementary feeding practices among children aged 6-23 months in four anglophone West African countries. Matern Child Nutr. 2015;11(Suppl 1):14-30. http://doi.org/10.1111/mcn.12194 PMid:26364789 DOI: https://doi.org/10.1111/mcn.12194

Kabir I, Khanam M, Agho KE, Mihrshahi S, Dibley MJ, Roy SK. Determinants of inappropriate complementary feeding practices in infant and young children in Bangladesh: Secondary data analysis of demographic health survey 2007. Matern Child Nutr. 2012;8(Suppl 1):11-27. http://doi.org/10.1111/j.1740-8709.2011.00379.x PMid:22168516 DOI: https://doi.org/10.1111/j.1740-8709.2011.00379.x

Ahmed KY, Page A, Arora A, Ogbo FA. Trends and factors associated with complementary feeding practices in Ethiopia from 2005 to 2016. Matern Child Nutr. 2020;16(2):e12926. http://doi.org/10.1111/mcn.12926 PMid:31833239 DOI: https://doi.org/10.1111/mcn.12926

Mulat E, Alem G, Woyraw W, Temesgen H. Uptake of minimum acceptable diet among children aged 6-23 months in orthodox religion followers during fasting season in rural area, DEMBECHA, North West Ethiopia. BMC Nutr. 2019;5:18. http://doi.org/10.1186/s40795-019-0274-y PMid:32153931 DOI: https://doi.org/10.1186/s40795-019-0274-y

Olatona FA, Adenihun JO, Aderibigbe SA, Adeniyi OF. Complementary feeding knowledge, practices, and dietary diversity among mothers of under-five children in an Urban Community in Lagos State, Nigeria. Int J MCH AIDS. 2017;6(1):46-59. http://doi.org/10.21106/ijma.203 PMid:28798893 DOI: https://doi.org/10.21106/ijma.203

Tassew AA, Tekle DY, Belachew AB, Adhena BM. Factors affecting feeding 6-23 months age children according to minimum acceptable diet in Ethiopia : A multilevel analysis of the Ethiopian demographic health survey. PLoS One. 2019;14(2):e0203098. http://doi.org/10.1371/journal.pone.0203098 PMid:30789922 DOI: https://doi.org/10.1371/journal.pone.0203098

Patel A, Pusdekar Y, Badhoniya N, Borkar J, Agho KE, Dibley MJ. Determinants of inappropriate complementary feeding practices in young children in India: Secondary analysis of National Family Health Survey 2005-2006. Matern Child Nutr. 2012;8(Suppl 1):28-44. http://doi.org/10.1111/j.1740-8709.2011.00385.x PMid:22168517 DOI: https://doi.org/10.1111/j.1740-8709.2011.00385.x

Joshi N, Agho KE, Dibley MJ, Senarath U, Tiwari K. Determinants of inappropriate complementary feeding practices in young children in Nepal: Secondary data analysis of demographic and health survey 2006. Matern Child Nutr. 2012;8(Suppl 1):45-59. http://doi.org/10.1111/j.1740-8709.2011.00384.x PMid:22168518 DOI: https://doi.org/10.1111/j.1740-8709.2011.00384.x

Dagne AH, Anteneh KT, Badi MB, Adhanu HH, Ahunie MA, Tebeje HD, et al. Appropriate complementary feeding practice and associated factors among mothers having children aged 6-24 months in Debre Tabor Hospital, North West Ethiopia, 2016. BMC Res Notes. 2019;12(1):215. http://doi.org/10.1186/s13104-019-4259-3 PMid:30961638 DOI: https://doi.org/10.1186/s13104-019-4259-3

Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Complementary feeding practices and nutritional status of children 6-23 months old: Formative study in Aceh, Indonesia. Nutr Res Pract. 2018;12(6):512-20. http://doi.org/10.4162/nrp.2018.12.6.512 PMid:30515279 DOI: https://doi.org/10.4162/nrp.2018.12.6.512

Limardi S, Hasanah DM, Utami NM, Sidiartha IG. Investigating the effect of unachieved minimum acceptable diet and low infant and child feeding index as risk factors of stunting in children aged 6-23 months. Paediatr Indones. 2020;60(5):259-68. DOI: https://doi.org/10.14238/pi60.5.2020.259-68

Statistics Indonesia. Peraturan Kepala Badan Pusat Statistik No. 103 Tahun 2016 Tentang Pedoman Teknis Badan Pusat Statistik Provinsi dan Badan Pusat Statistik Kabupaten/Kota dalam Rangka Survei Demografi dan Kesehatan Indonesia, Jakarta 2017.

Statistics Indonesia. Profil Kesehatan Indonesia Tahun; 2017. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profilkesehatan-indonesia-tahun-2017.pdf. [Last accesed on 2021 May 14].

National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes) and II. Indonesia 2017 DHS; 2017. p. 588.

Na M, Aguayo VM, Arimond M, Stewart CP. Risk factors of poor complementary feeding practices in Pakistani children aged 6-23 months: A multilevel analysis of the demographic and health survey 2012-2013. Matern Child Nutr. 2017;13(Suppl 1):e12463. DOI: https://doi.org/10.1111/mcn.12463

Victor R, Baines SK, Agho KE, Dibley MJ. Factors associated with inappropriate complementary feeding practices among children aged 6-23 months in Tanzania. Matern Child Nutr. 2014;10(4):545-61. http://doi.org/10.1111/j.1740-8709.2012.00435.x PMid:22925557 DOI: https://doi.org/10.1111/j.1740-8709.2012.00435.x

Filmer D, Pritchett LH. Estimating wealth effects without expenditure data or tears: An application to educational enrollments in states of India. Demography. 2001;38(1):115-32. http://doi.org/10.1353/dem.2001.0003 PMid:11227840 DOI: https://doi.org/10.1353/dem.2001.0003

Khan GN, Ariff S, Khan U, Habib A, Umer M, Suhag Z, et al. Determinants of infant and young child feeding practices by mothers in two rural districts of Sindh, Pakistan: A crosssectional survey. Int Breastfeed J. 2017;12(1):40. http://doi.org/10.1186/s13006-017-0131-z PMid:28936229 DOI: https://doi.org/10.1186/s13006-017-0131-z

Ickes SB, Hurst TE, Flax VL. Maternal literacy, facility birth, and education are positively associated with better infant and young child feeding practices and nutritional status among Ugandan children. J Nutr. 2015;145(11):2578-86. http://doi.org/10.3945/jn.115.214346 PMid:26377762 DOI: https://doi.org/10.3945/jn.115.214346

Ali M, Arif M, Shah AA. Complementary feeding practices and associated factors among children aged 6-23 months in Pakistan. PLoS One. 2021;16(2):e0247602. http://doi.org/10.1371/journal.pone.0247602 PMid:33630931 DOI: https://doi.org/10.1371/journal.pone.0247602

Komatsu H, Malapit HJ, Theis S. Does women’s time in domestic work and agriculture affect women’s and children’s dietary diversity? Evidence from Bangladesh, Nepal, Cambodia, Ghana, and Mozambique. Food Policy. 2018;79:256-70. DOI: https://doi.org/10.1016/j.foodpol.2018.07.002

Paramashanti BA, Benita S. Early introduction of complementary food and childhood stunting were linked among children aged 6-23 months. J Gizi Klin Indones. 2020;17(1):1. DOI: https://doi.org/10.22146/ijcn.53788

Senarath U, Agho KE, Akram DS, Godakandage SS, Hazir T, Jayawickrama H, et al. Comparisons of complementary feeding indicators and associated factors in children aged 6-23 months across five South Asian countries. Matern Child Nutr. 2011;8(Suppl 1):89-106. http://doi.org/10.1111/j.1740-8709.2011.00370.x PMid:22168521 DOI: https://doi.org/10.1111/j.1740-8709.2011.00370.x

Ministry of Health. Complementary Feeding Public Service Advertisment. Ministry of Health: Director of Health Promotion and Community Empowerment; 2019. Available from: https://promkes.kemkes.go.id/tv-spot-mp-asi [Last accesed on 2021 May 27].

PAHO, World Health Organization. Guiding Principles for Complimentary Feeding of the Breastfed Child. Washington, DC: World Health Organization; 2003. Available from: https://www.who.int/maternal_child_adolescent/documents/a85622/en

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Published

2021-12-01

How to Cite

1.
Zebadia E, Mahmudiono T, Atmaka DR, Dewi M, Helmyati S, Yuniar CT. Factors Associated with Minimum Acceptable Diet in 6–11-Month-Old Indonesian Children Using the 2017 IDHS. Open Access Maced J Med Sci [Internet]. 2021 Dec. 1 [cited 2024 Apr. 19];9(E):1403-12. Available from: https://oamjms.eu/index.php/mjms/article/view/7452

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