•  
  •  
 

Abstract

Poor complementary feeding practices can lead to malnutrition in infants and young children. Minimum dietary diversity (MDD) is one of the determinants of children’s nutritional status and has been found to predict stunting. This study examined factors associated with MDD achievement among breastfed children aged 6-23 months based on Indonesia’s Demographic and Health Survey 2017. This study used chi-square and multiple logistic regression to analyze the data. Among 2,976 children only around 53% children met MDD recommendation. Multivariate analysis found that the diversity of diet is better among older children than younger children. Children aged 18-23 months have possibility of 5.7 times higher to achieve MDD than children aged 6-11 months and 1.3 times higher than children aged 12-17 months. Children of wealthier family (3rd quintile and above), those delivered by trained health personnel, children of higher mothers’ education, working mothers, fathers’ involve in child care, ANC visit >= 4 times, and parents reside in urban areas have possibility of having higher MDD achievement significantly than the other groups. The low MDD achievement among children aged 6-11 months warrant the importance of prioritizing effort on this age group because this is a period where a child grows rapidly and potentially expose to infection as a result of un-hygienic food preparation, and will affect the child’s growth later on.

References

  1. WHO. Complementary feeding: report of the global consultation, and summary of guiding principles for complementary feeding of the breastfed child. WHO. World Health Organization; 2002.
  2. UNICEF/WHO/World Bank. Levels and trends in child malnutrition: key findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization; 2019.
  3. UNICEF. The State of the World’s Children 2019. Children, Food and Nutrition: Growing well in a changing world. New York: UNICEF; 2019.
  4. WHO. Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals. Switzerland; 2009.
  5. UNICEF. UNICEF ’ s approach to scaling up nutrition. New York; 2015.
  6. WHO. Infant and young child feeding [Internet]. WHO. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
  7. Solomon D, Aderaw Z, Tegegne TK. Minimum dietary diversity and associated factors among children aged 6-23 months in Addis Ababa, Ethiopia. Int J Equity Health. 2017;16(1):1–9.
  8. Eshete T, Kumera G, Bazezew Y, Mihretie A, Marie T. Determinants of inadequate minimum dietary diversity among children aged 6- 23months in Ethiopia: Secondary data analysis from Ethiopian Demographic and Health Survey 2016. Agric Food Secur [Internet]. 2018 Sep 19 [cited 2020 Jul 3];7(1):1–8. Available from: https://link.springer.com/articles/1 0.1186/s40066-018-0219-8
  9. Ahmad I, Khalique N, Khalil S, Urfi, Maroof M. Dietary diversity and stunting among infants and young children: A cross-sectional study in Aligarh. Indian J Community Med [Internet]. 2018 Jan 1 [cited 2020 Aug 6];43(1):34. Available from: http://www.ijcm.org.in/text.asp?2018/43/1/34/225356
  10. Sebayang SK, Dibley MJ, Astutik E, Efendi F, Kelly PJ, Li M. Determinants of age-appropriate breastfeeding, dietary diversity, and consumption of animal source foods among Indonesian children. Matern Child Nutr [Internet]. 2020 Jan 1 [cited 2020 Jul 3];16(1):16. Available from: /pmc/articles/PMC7038882/?repor t=abstract
  11. Baek Y, Chitekwe S. Sociodemographic factors associated with inadequate food group consumption and dietary diversity among infants and young children in Nepal. PLoS One. 2019;14(3):1–17.
  12. Ng CS, Dibley MJ, Agho KE. Complementary feeding indicators and determinants of poor feeding practices in Indonesia: A secondary analysis of 2007 Demographic and Health Survey data. Public Health Nutr [Internet]. 2012 May [cited 2020 Jul 3];15(5):827–39. Available from: /core/journals/public-health-nutrition/article/complementary-feeding-indicators-and-determinants-of-poor-feeding-practices-in-indonesia-a-secondary-analysis-of-2007- demographic-and-health-surveydata/1CBA96CA4DBD1E48C5EF A1B4DE579D63/core-reader
  13. Na M, Aguayo VM, Arimond M, Dahal P, Lamichhane B, Pokharel R, et al. Trends and predictors of appropriate complementary feeding practices in Nepal: An analysis of national household survey data collected between 2001 and 2014. Matern Child Nutr. 2018;14(October 2017):1–13.
  14. Aemro M, Mesele M, Birhanu Z, Atenafu A. Dietary diversity and meal frequency practices among infant and young children aged 6- 23 months in Ethiopia: A secondary analysis of Ethiopian Demographic and Health Survey 2011. J Nutr Metab. 2013;2013.
  15. Duan Y, Yang Z, Lai J, Yu D, Chang S, Pang X, et al. Exclusive breastfeeding rate and complementary feeding indicators in China: A national representative survey in 2013. Nutrients [Internet]. 2018 Feb 22 [cited 2020 Jul 3];10(2). Available from: /pmc/articles/PMC5852825/?report=abstract
  16. Dangura D, Gebremedhin S. Dietary diversity and associated factors among children 6-23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study. BMC Pediatr [Internet]. 2017;17(1):1–7. Available from: http://dx.doi.org/10.1186/s12887-016-0764-x
  17. Iqbal S, Zakar R, Zakar MZ, Fischer F. Factors associated with infants’ and young children’s (6- 23 months) dietary diversity in Pakistan: Evidence from the demographic and health survey 2012-13. Nutr J. 2017;16(1):1–10.
  18. WHO. Interpretation Guide Nutrition Landscape Information System (NLIS) Country Profile indicators. Geneva; 2010.
  19. WHO, UNICEF. Global Nutrition monitoring framework. Operational guidance for tracking progress in meeting targets for 2025 [Internet]. World Health Organization. 2017. 77 p. Available from: http://apps.who.int/iris/bitstream/handle/10665/259904/9789241513609-eng.pdf;jsessionid=82B08433379C3E3E69B3F8D4F2690C34?sequence=1%0Awww.who.int/nutrition
  20. UNICEF. Global UNICEF Global Databases: Infant and Young Child Feeding: Minimum acceptable diet, Minimum diet diversity, Minimum meal frequency [Internet]. New Yprk; 2019 [cited 2020 Jun 17]. Available from: https://data.unicef.org/topic/nutriti on/infant-and-young-child-feeding/
  21. UNICEF. From the First Hour of Life [Internet]. New York: UNICEF; 2016. 1–104 p. Available from: https://data.unicef.org/resources/first-hour-life-new-report-breastfeeding-practices/
  22. Damtie S, Tefera T, Haile M. Dietary Diversity Practice and Associated Factors among Children Aged 6–23 Months in Robe Town, Bale Zone, Ethiopia - ProQuest. 2020 [cited 2020 Aug 4]; Available from: https://search.proquest.com/openview/5b0ff00d79fa0a0286fd0c32bb5c003b/1?pq-origsite=gscholar&cbl=2037500
  23. Mokori A, Schonfeldt H, Hendriks SL. Child factors associated with complementary feeding practices in Uganda. South African J Clin Nutr. 2017;30(1):24–31.
  24. Beyene M, Worku AG, Wassie MM. Dietary diversity, meal frequency and associated factors among infant and young children in Northwest Ethiopia: A cross-sectional study. BMC Public Health [Internet]. 2015;15(1):1–9. Available from: http://dx.doi.org/10.1186/s12889-015-2333-x
  25. Tefera TB, Tegegne M, Bedada S, Amare A. Optimal Dietary Diversity and its Associated Factors among Children Aged 6 – 23 Months in Bale Zone , Southeast Ethiopia : aCommunity Based Cross-Sectional Study. 2020;
  26. Dhami MV, Ogbo FA, Osuagwu UL, Agho KE. Prevalence and factors associated with complementary feeding practices among children aged 6-23 months in India: a regional analysis. BMC Public Health. 2019;19(1):1034.
  27. Kumar V. Infant and Young Child Feeding Behavior among Working Mothers in India: Implications for Global Health Policy and Practice. Int J MCH AIDS [Internet]. 2014 [cited 2020 Jul 29];3(1):7–15. Available from: /pmc/articles/PMC4948173/?report=abstract
  28. Gewa CA, Leslie TF. Distribution and determinants of young child feeding practices in the East African region: Demographic health survey data analysis from 2008-2011. J Heal Popul Nutr [Internet]. 2015;34(1):1–14. Available from: https://www.ncbi.nlm.nih.gov/pmc /articles/PMC5026023/
  29. Dafursa K, Gebremedhin S. Dietary Diversity among Children Aged 6–23 Months in Aleta Wondo District, Southern Ethiopia. J Nutr Metab [Internet]. 2019 [cited 2020 Jul 3];10. Available from: https://www.hindawi.com/journals /jnme/2019/2869424/
  30. Temesgen H, Yeneabat T, Teshome M. Dietary diversity and associated factors among children aged 6–23 months in Sinan Woreda, Northwest Ethiopia: a cross-sectional study. BMC Nutr. 2018;4(1):1–8.
  31. 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.
  32. BPS Indonesia. Peraturan Kepala Badan Pusat Statistik Nomor 37 Tahun 2010 tentang Klasifikasi Perkotaan dan Perdesaan di Indonesia. Badan Pus Statisistik Republik Indones. 2010;13.

Bahasa Abstract

Praktik MP-ASI yang buruk dapat menyebabkan kekurangan gizi pada anak -anak.a Ragam Asupan Minimal (MDD) merupakan salah satu penentu status gizi anak dan dapat memprediksi terjadinya stunting. Penelitian ini membahas mengenai faktor-faktor yang berhubungan dengan capaian MDD pada anak yang diberi ASI usia 6-23 bulan berdasarkan data SDKI tahun 2017. Penelitian ini menggunakan uji Chi-square dan uji regresi logistik ganda untuk menganalisis data. Dari 2,976 anak usia 6-23 bulan yang diberi ASI di Indonesia tahun 2017, hanya sekitar 53% anak yang telah mencapai MDD. Hasil analisis multivariat menunjukkan bahwa capaian MDD lebih baik pada anak yang berusia lebih tua. Anak umur 18-23 bulan mempunyai kemungkinan sebesar 5.7 kalinya untuk mencapai MDD dan anak umur 12-17 bulan sebesar 1.3 kalinya, dibandingkan dengan bayi umur 6-11 bulan. Anak yan g berasal dari keluarga lebih mampu (kuintil 3 atau lebih), yg lahir ditolong tenaga kesehatan terlatih, anak dari ibu yang berpendidikan lebih tinggi, ibu yang bekerja, ayah yang berperan dalam mengurus anak, ibu yang melakukan kunjungan ANC > 4 kali dan orang tua tinggal di perkotaan, mempunyai kemungk inan lebih besar secara bermakna untuk mencapai MDD sesuai anjuran. Rendanhya capaian MDD pada bayi 6-11 bulan menunjukkan pentingnya memberikan perhatian pada kelopmpok ini karena merupakan kelompok yang masih tumbuh dengan cepat dan mulai terpapar dengan kemungkinan terjadiya infeksi akibat penyiapan makanan yang tidak hygienis, dan akan berpengaruh terhadap pertumbuhan selanjutnya.

Download

Share

COinS