The Effectiveness of Counseling on Complementary Food for Mothers and Supplementary Feeding for Increasing weight of Breastfed babies (12-24 Months of Age) in the Aceh Besar District of Indonesia
DOI:
https://doi.org/10.3923/pjn.2020.279.284Keywords:
Breastmilk, pediatric weight, stunting, supplementary feeding, supplementary food counselingAbstract
Background and Objective: The first 0-24 months of life is one of the most crucial periods for determining the quality of the development of children. This period is a critical time for brain development; consequently, nutrition should be prioritized throughout this time. One effort to realize the importance of nutrition for mothers is a counseling program on complementary foods and supplementary feeding to increase the baby’s nutrition. The purpose of this study was to analyze the effectiveness of counseling on complementary food for mothers and supplementary feeding to increase the weights of infants aged 12-24 months. Materials and Methods: This study used a quasi-experimental design that included a pre- and post-tests in two groups. This research was conducted from August to December 2019 with 30 infants aged 12-24 months who were selected by purposive sampling. Data were analyzed using the Wilcoxon and the Mann-Whitney U tests. Results: Differences were found in the body weights of children (p = 0.00). The Mann-Whitney U test results showed no difference in body weights of children between the treatment and control group before treatment (p = 0.6); however, an average increase in body weight was found after the intervention. Therefore, counseling on complementary food for mothers may increase the weight of breastfed infants. Conclusion: The implementation of counseling on complementary food to enrich the mother’s breastmilk and supplementary feeding was found to be effective for increasing the weight of infants aged 12-24 months.
References
World Health Organization, 2010. Regional consultation on food-based dietary guidelines for countries in Asia region. WHO Regional Office for South-East Asia. https://apps.who.int/iris/handle/10665/205756
Oddy, W.H., G.E. Kendall, J. Li, P. Jacoby and M. Robinson et al., 2010. The long-term effects of breastfeeding on child and adolescent mental health: A pregnancy cohort study followed for 14 years. J. Pediatrics, 156: 568-574.
Bhutta, Z.A., J.K. Das, A. Rizvi, M.F. Gaffey and N. Walker et al., 2013. Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? Lancet, 382: 452-477.
Stewart, C.P., L. Iannotti, K.G. Dewey, K.F. Michaelsen and A.W. Onyango, 2013. Contextualising complementary feeding in a broader framework for stunting prevention. Maternal Child Nutr., 9: 27-45.
Lutter, C.K., B.M.E.G. Daelmans, M.d. Onis, M.T. Kothari and Marie T. Ruel et al., 2011. Undernutrition, poor feeding practices, and low coverage of key nutrition interventions. Pediatr., 128: e1418-e1427.
Frankenberg, E., 1995. The effects of access to health care on infant mortality in Indonesia. Health Transition Rev., 5: 143-163.
Lewycka, S., C. Mwansambo, P. Kazembe, T. Phiri and A. Mganga et al., 2010. A cluster randomised controlled trial of the community effectiveness of two interventions in rural Malawi to improve health care and to reduce maternal, newborn and infant mortality. Trials, Vol. 11, No. 88.
WHO., 2020. Infant and young child feeding. World Health Organization. https://www.who.int/en/news-room/fact-sheets/detail/infant-and-young-child-feeding
Hasil Utama RISKESDAS, 2018. Badan Penelitian dan Pengembangan Kesehatan. Kementerian Kesehatan, Indonesia
Al Rahmad, A.H., 2017. Pemberian asi dan mp-asi terhadap pertumbuhan bayi usia 6 – 24 bulan. J. Kedokteran Syiah Kuala, 17: 8-14.
Pascale, K.N.A., N.J. Laure and O.J. Enyong, 2007. factors associated with breast feeding as well as the nutritional status of infants (0-12) months: An epidemiological study in Yaounde, Cameroon. Pak. J. Nutr., 6: 259-263.
Kemenkes, R.I., 2018. Buku Saku Pemantauan Status Gizi Tahun 2017. Direktorat Bina Gizi Masyarakat Kemenkes 2018, https://promkes.net/2018/01/26/buku-saku-pemantauan-status-gizi-tahun-2017/
Ahmad, A., S. Madanijah, C.M. Dwiriani and R. Kolopaking, 2018. Complementary feeding practices and nutritional status of children 6-23 months old: Formative study in Aceh, Indonesia Nutr. Res. Practice, 12: 512-520.
Islam, M., S. Rahman, Kamruzzaman, M. Islam and Abdus Samad, 2013. Effect of maternal status and breastfeeding practices on infant nutritional status - a cross sectional study in the south-west region of Bangladesh. Pan Afr. Med. J., Vol. 16, No. 139.
Kumala, A., 2017. Factors associated with exclusive breastfeeding at primary health care in Indonesia. Pediatr. Ther., Vol. 7, No. 4.
Foo, L.L., S.J. Quek, S.A. Ng, M.T. Lim and M.T. Deurenberg, 2005. Breastfeeding prevalence and practices among Singaporean Chinese, Malay and Indian mothers. Health Promot. Int., 20: 229-237.
Bhandari, N., S. Mazumder, R. Bahl, J. Martines, R.E. Black and M.K. Bhan, 2004. An educational intervention to promote appropriate complementary feeding practices and physical growth in infants and young children in rural Haryana, India. Community Int. Nutr., 134: 2342-2348.
Ahmad, A., S. Madanijah, C.M. Dwiriani, R. Kolopaking, 2018. Iron deficiency risk factors in undernourished children aged 6-23 months in Aceh, Indonesia. J. Gizi Pangan, 13: 145-156.
Mufida L., T.D. Widyaningsih and J.M. Maligan, 2015. Prinsip dasar makanan pendamping air susu ibu (MP-ASI) untuk bayi 6–24 bulan: Kajian pustaka. Jurnal Pangan dan Agroindustri, 30: 1646-1651.
Amanda, G., 2004. Healthy Baby and Toddler Foods. https://picclick.co.uk/Healthy-Baby-and-Toddler-Foods-The-Complete-Healt-302427169480.html
Lenggogeni, P., 2016. Examining Exclusive Breastfeeding Practice in Indonesia, and Its Association to Maternal Socio-Demographic Determinants, to Inform Intervention Efforts Aimed at Reducing Infant Mortality. Master Thesis, Georgia State University,
Achad, E., 2014. Periode kritis 1000 hari pertama kehidupan dan dampak jangka panjang terhadap kesehatan dan fungsinya. Persagi, Yogyakarta, Indonesia, https://adoc.tips/periode-kritis-1000-hari-pertama-kehidupan-dan-dampak-jangka.html
Zhang, Y., Q. Wu, W. Wang, M.H.v. Velthoven and S. Chang et al., 2016. Effectiveness of complementary food supplements and dietary counselling on anaemia and stunting in children aged 6–23 months in poor areas of Qinghai Province, China: a controlled interventional study. BMJ Open, Vol. 6, No. 10.
Blaney, S., J. Februhartanty and S. Sukotjo, 2015. Feeding practices among Indonesian children above six months of age: A literature review on their magnitude and quality (Part 1). Asia Pac. J. Clin. Nutr., 24: 16-27.
Ortega, F.B., J.R. Ruiz, M.J. Castillo and M. Sjostrom, 2007. Physical fitness in childhood and adolescence: A powerful marker of health. Int. J. Obesity, 32: 1-11.
Shi, L. and J. Zhang, 2011. Recent evidence of the effectiveness of educational interventions for improving complementary feeding practices in developing countries. J. Trop. Pediatr., 57: 91-98.
Pearce, J. M.A. Taylor and S.C. Langley-Evans, 2013. Timing of the introduction of complementary feeding and risk of childhood obesity: A systematic review. Int. J. Obesity, 37: 1295-1306.
Jedrychowski, W., F. Perera, J. Jankowski, M. Butscher and E. Mroz et al., 2012. Effect of exclusive breastfeeding on the development of children’s cognitive function in the Krakow prospective birth cohort study. Eur. J. Pediatr., 171: 151-158.
Amelia and S.W. Nur, 2013. Usia pemberian makanan pendamping air susu ibu (MP-ASI) dengan gangguan perkembangan motorik halus bayi. Journal Midwivery, Vol. 5, No. 1.
Kumalasari, S.Y., F. Sabrian and O. Hasanah, 2015. Faktor-faktor yang berhubungan dengan pemberian makanan pendamping ASI dini. Jurnal Online Mahasiswa Program Studi Ilmu Keperawatan Universitas Riau, 2: 879-889.
Ntab, B., K.B. Simondon, J. Milet, B. CisseÌ, C. Sokhna, D. Boulanger and F. Simondon, 2005. A young child feeding index is not associated with either height-for-age or height velocity in rural Senegalese children. J. Nutr., 135: 457-464.
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