The Effect of Interactive Education Program in Preventing Stunting for Mothers with Children under 5 Years of Age in Indonesia: A Randomized Controlled Trial
DOI:
https://doi.org/10.3889/oamjms.2022.7944Keywords:
Parenting program, Breastfeeding, Complementary feeding, Stunting, Intervention studyAbstract
BACKGROUND: Stunting is still a major public health issue that has had a direct impact on the country’s growth and development. Parents play a significant role in tackling the nutritional intake of children, considering their impact on the selection and quantities of food products obtainable to children. However, there is currently no specific parenting education program targeted at stunting prevention in Indonesia.
AIM: This study aimed to assess the effect of interactive education programs on preventing stunting for mothers with children under 5 years of age in Indonesia.
METHODS: This study was conducted using a randomized controlled trial single-blinded at the Public Health Center Bantul, Yogyakarta, Indonesia, from January to November 2019. The participants included the mothers of children under 5 years of age and reported the main role of feeding the child at home. The parenting program comprises 12 session workshops, biweekly within 6 months. Regression models were used to evaluate the effect of the intervention on the outcome by intervention group over time (from baseline to follow-up).
RESULTS: This study enrolled 64 people, 32 in the intervention group and 32 in the control group. There were substantial main effects or interactions for sickness in the past week and .an increase in age; children across all categories grew less stunted. Dietary diversity showed improvement for intervention caregivers compared to control. This was evidenced by improved ratings in the practice of more varied diets. The magnitudes of the effects on dietary diversity ranged from 0.30 to 0.53.
CONCLUSION: This study highlighted the effectiveness of educational programs on preventing stunting among children under 5 years of age. This study provides a new approach to stunting prevention, which can provide basic evidence of healthcare policy improvements in prevention programs in the local community.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
de Onis M, Dewey KG, Borghi E, Onyango AW, Blössner M, Daelmans B, et al. The World Health Organization’s global target for reducing childhood stunting by 2025: Rationale and proposed actions. Matern Child Nutr. 2013;9(Suppl 2):6-26. https://doi.org/10.1111/mcn.12075 PMid:24074315 DOI: https://doi.org/10.1111/mcn.12075
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England). 2013;382:427-51. DOI: https://doi.org/10.1016/S0140-6736(13)60937-X
Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: A systematic analysis for the global burden of disease study 2015. Lancet (London, England). 2016;388:1459-544.
Indonesia NI of HR and D of M of H of the R of. The 2018 Indonesia Basic Health Survey (Riskesdas); 2018.
Crookston BT, Dearden KA, Alder SC, Porucznik CA, Stanford JB, Merrill RM, et al. Impact of early and concurrent stunting on cognition. Matern Child Nutr. 2011;7(4):397-409. https://doi.org/10.1111/j.1740-8709.2010.00255.x PMid:21902807 DOI: https://doi.org/10.1111/j.1740-8709.2010.00255.x
Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Ezzati M, et al. Maternal and child undernutrition: Global and regional exposures and health consequences. Lancet (London, England). 2008;371(9608):243-60. https://doi.org/10.1016/S0140-6736(07)61690-0 PMid:18207566 DOI: https://doi.org/10.1016/S0140-6736(07)61690-0
Golan M. Parents as agents of change in childhood obesity--from research to practice. Int J Pediatr Obes. 2006;1(2):66-76. https://doi.org/10.1080/17477160600644272 PMid:17907317 DOI: https://doi.org/10.1080/17477160600644272
Engle PL, Black MM, Behrman JR, de Mello MC, Gertler PJ, Kapiriri L, et al. Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. Lancet (London, England). 2007;369:229-42. DOI: https://doi.org/10.1016/S0140-6736(07)60112-3
Engle PL, Fernald LCH, Alderman H, Behrman J, O’Gara C, Yousafzai A, et al. Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries. Lancet (London, England). 2011;378(9799):1339-53. https://doi.org/10.1016/S0140-6736(11)60889-1 PMid:21944378 DOI: https://doi.org/10.1016/S0140-6736(11)60889-1
Walker SP, Wachs TD, Gardner JM, Lozoff B, Wasserman GA, Pollitt E, et al. Child development: Risk factors for adverse outcomes in developing countries. Lancet (London, England). 2007;369(9556):145-57. DOI: https://doi.org/10.1016/S0140-6736(07)60076-2
Eshel N, Daelmans B, de Mello MC, Martines J. Responsive parenting: interventions and outcomes. Bull World Health Organ. 2006;84(12):991-8. https://doi.org/10.2471/blt.06.030163 PMid:17242836 DOI: https://doi.org/10.2471/BLT.06.030163
Black MM, Aboud FE. Responsive feeding is embedded in a theoretical framework of responsive parenting. J Nutr. 2011;141(3):490-4. https://doi.org/10.3945/jn.110.129973 PMid:21270366 DOI: https://doi.org/10.3945/jn.110.129973
Bentley ME, Wasser HM, Creed-Kanashiro HM. Responsive feeding and child undernutrition in low-and middle-income countries. J Nutr. 2011;141(3):502-7. https://doi.org/10.3945/jn.110.130005 PMid:21270354 DOI: https://doi.org/10.3945/jn.110.130005
Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008;4(Suppl 1):24-85. https://doi.org/10.1111/j.1740-8709.2007.00124.x PMid:18289157 DOI: https://doi.org/10.1111/j.1740-8709.2007.00124.x
World Health Organization. WHO/PAHO. Guiding Principles for Complementary Feeding of the Breastfed Child. Geneva: World Health Organization; 2000.
Roy SK, Fuchs GJ, Mahmud Z, Ara G, Islam S, Shafique S, et al. Intensive nutrition education with or without supplementary feeding improves the nutritional status of moderatelymalnourished children in Bangladesh. J Health Popul Nutr. 2005;23(4):320-30. PMid:16599102
Vazir S, Engle P, Balakrishna N, Griffiths PL, Johnson SL, Creed-Kanashiro H, et al. Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers. Matern Child Nutr. 2013;9(1):99-117. https://doi.org/10.1111/j.1740-8709.2012.00413.x PMid:22625182 DOI: https://doi.org/10.1111/j.1740-8709.2012.00413.x
Aboud FE, Moore AC, Akhter S. Effectiveness of a community-based responsive feeding programme in rural Bangladesh: A cluster randomized field trial. Matern Child Nutr. 2008;4(4):275-86. https://doi.org/10.1111/j.1740-8709.2008.00146.x PMid:18811792 DOI: https://doi.org/10.1111/j.1740-8709.2008.00146.x
United Nations Development Programme. Sustainable Development Goals. New York: United Nations Development Programme. Available from: https://www.undp.org/sustainabledevelopment-goals [Last accessed on 2019 Nov 19].
Aboud FE, Akhter S. A cluster-randomized evaluation of a responsive stimulation and feeding intervention in bangladesh. Pediatrics. 2011;127(5):e1191-7. https://doi.org/10.1542/peds.2010-2160 PMid:21502222 DOI: https://doi.org/10.1542/peds.2010-2160
Daelmans B, Dewey K, Arimond M. New and updated indicators for assessing infant and young child feeding. Food Nutr Bull. 2009;30(2 Suppl):S256-62. https://doi.org/10.1177/15648265090302S210 PMid:20496619 DOI: https://doi.org/10.1177/15648265090302S210
Bloomfield J, Fisher MJ. Quantitative research design. J Australas Rehabil Nurses Assoc. 2019;22:27-30. DOI: https://doi.org/10.33235/jarna.22.2.27-30
Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. 2011;11(Suppl 3):S25. https://doi.org/10.1186/1471-2458-11-S3-S25 PMid:21501443 DOI: https://doi.org/10.1186/1471-2458-11-S3-S25
Sunguya BF, Poudel KC, Mlunde LB, Urassa DP, Yasuoka J, Jimba M. Nutrition training improves health workers’ nutrition knowledge and competence to manage child undernutrition: A systematic review. Front Public Health. 2013;1:37. https://doi.org/10.3389/fpubh.2013.00037 PMid:24350206 DOI: https://doi.org/10.3389/fpubh.2013.00037
Downloads
Published
How to Cite
License
Copyright (c) 2022 Siti Maryati, Pritta Yunitasari, Budi Punjastuti (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0