Abstract

Working mothers in Indonesia may influence complementary feeding practices, particularly their ability to ensure that their infants properly meet the minimum acceptable diet (MAD). In this cross-sectional study, an online survey was distributed through various online platforms where participants were recruited using convenience sampling. The questionnaire covered sociodemographic factors, workplace policies, and infant and young child feeding (IYCF) practices. Descriptive and logistic regression analyses were conducted. A total of 394 working mothers participated, of which over 90% of the respondents reported meeting minimum dietary diversity, minimum milk frequency, minimum milk feeding frequency, and MAD indicators as assessed with a standardized questionnaire based on the WHO’s IYCF assessment. Multivariate analysis identified two workplace policy variables significantly associated with meeting MAD requirements: physical facility support (AOR: 2.99; 95% CI [1.03, 8.70]; p-value <0.05) and workplace flexibility scores (AOR: 0.18; 95% CI [0.05, 0.65]; p-value <0.05). These findings highlighted the importance of having supportive workplace environments that enable working mothers to ensure that their infants meet MAD requirements. Additionally, the negative association between workplace flexibility and meeting MAD requirements may have been due to the homogeneity of this study’s subjects' characteristics.

References

1. Ritchie H. Half of all child deaths are linked to malnutrition. Our World in Data; 2024.

2. Biks GA, Tariku A, Wassie MM, et al. Mother’s Infant and Young Child Feeding (IYCF) knowledge improved timely initiation of complementary feeding of children aged 6–24 months in the rural population of northwest Ethiopia. BMC Res Notes. 2018; 11: 593. DOI: 10.1186/s13104-018-3703-0.

3. World Health Organization, United Nations Children’s Fund. Indicators for Assessing Infant and Young Child Feeding Practices: Definitions and Measurement Methods. Geneva: World Health Organization; 2021.

4. Gatica-Domínguez G, Neves PAR, Barros AJD, et al. Complementary Feeding Practices in 80 Low- and Middle-Income Countries: Prevalence of and Socioeconomic Inequalities in Dietary Diversity, Meal Frequency, and Dietary Adequacy. J Nutr. 2021; 151 (7): 1956–1964. DOI: 10.1093/jn/nxab088.

5. kitaw TA, Tilahun BD, Abate BB, et al. Minimum acceptable diet and its predictors among children aged 6‐23 months in Ethiopia. A multilevel cloglog regression analysis. Matern Child Nutr. 2024; 20 (3): e13647. DOI: 10.1111/mcn.13647.

6. Nurokhmah S, Middleton L, Hendarto A. Prevalence and Predictors of Complementary Feeding Practices Among Children Aged 6-23 Months in Indonesia. J Prevent Med Public Health. 2022; 55 (6): 549–558. DOI: 10.3961/jpmph.22.199.

7. Yunitasari E, Al Faisal AH, Efendi F, et al. Factors associated with complementary feeding practices among children aged 6–23 months in Indonesia. BMC Pediatr. 2022; 22: 727. DOI: 10.1186/s12887-022-03728-x.

8. Satu Data Ketenagakerjaan. Ketenagakerjaan Dalam Data Edisi 4 Tahun 2021. Jakarta: Kementerian Ketenagakerjaan Republik Indonesia; 2021.

9. Mansyur M. Workplace-based Nutrition Intervention towards Nutrition for All. Acta Med Philipp. 2022; 56 (19): 5–6. DOI: 10.47895/amp.v56i19.6946.

10. Win H, Shafique S, Mizan S, et al. Association between mother’s work status and child stunting in urban slums: A cross-sectional assessment of 346 child-mother dyads in Dhaka, Bangladesh (2020). Arch Public Health. 2022; 80: 192. DOI: 10.1186/s13690-022-00948-6.

11. Laksono AD, Sukoco NEW, Rachmawati T, et al. Factors Related to Stunting Incidence in Toddlers with Working Mothers in Indonesia. Int J Environ Res Public Health. 2022; 19 (17): 10654. DOI: 10.3390/ijerph191710654.

12. Supadmi S, Laksono AD, Kusumawardani HD, et al. Factor related to stunting of children under two years with working mothers in Indonesia. Clin Epidemiol Glob Health. 2024; 26: 101538. DOI: 10.1016/j.cegh.2024.101538.

13. Aronsson AE, Vidaurre-Teixidó P, Jensen MR, et al. The health consequences of informal employment among female workers and their children: A systematic review. Glob Health. 2023; 19: 59. DOI: 10.1186/s12992-023-00958-1.

14. Deandra FI, Februhartanty J, Mansyur M. Child rearing workplace policy for working mothers. World Nutr J. 2024; 8 (1): 129–146. DOI: 10.25220/WNJ.V08.i1.0014.

15. Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019; 95: 103208. DOI: 10.1016/j.jbi.2019.103208.

16. Andrade C. The Inconvenient Truth About Convenience and Purposive Samples. Indian J Psychol Med. 2021; 43 (1): 86–88. DOI: 10.1177/0253717620977000.

17. International Labour Organization. International Standard Classification of Occupations (ISCO-08): Structure, group defi nitions and correspondence tables. Geneva: International Labour Office; 2012.

18. International Labour Organization. C183 - Maternity Protection Convention, 2000. Geneva: International Labour Organization; 2000.

19. United Nations Children’s Fund. Family-Friendly Policies Redesigning the Workplace of the Future: A Policy Brief. New York: United Nations Children’s Fund; 2019.

20. Presiden Republik Indonesia. Undang-undang (UU) Nomor 11 Tahun 2020 tentang Cipta Kerja. Jakarta: Pemerintah Pusat Republik Indonesia; 2020.

21. Presiden Republik Indonesia. Peraturan Pemerintah (PP) Nomor 36 Tahun 2021 tentang Pengupahan. Jakarta: Pemerintah Pusat Republik Indonesia; 2021.

22. Manzione LC, Kriser H, Gamboa EG, et al. Maternal employment status and minimum meal frequency in children 6-23 months in Tanzania. Int J Environ Res Public Health. 2019; 16 (7): 1137. DOI: 10.3390/ijerph16071137.

23. Kekalih A, Februhartanty J, Mansyur M, et al. Dietary Diversity Beliefs and Practices among Working Mothers in Jakarta: A Qualitative Study. Mal J Nutr. 2019; 25 (Suppl): 1–7.

24. Feeney MK, Stritch JM. Family-Friendly Policies, Gender, and Work–Life Balance in the Public Sector. Rev Public Pers Adm. 2019; 39 (3): 422–448. DOI: 10.1177/0734371X17733789.

25. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan RI Nomor 15 Tahun 2013 Tentang Tata Cara Penyediaan Fasilitas Khusus Menyusui Dan/Atau Memerah ASI. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.

26. Taber KS. The Use of Cronbach’s Alpha When Developing and Reporting Research Instruments in Science Education. Res Sci Educ. 2018; 48 (6): 1273–1296. DOI: 10.1007/s11165-016-9602-2.

27. Gouda MA. Common Pitfalls in Reporting the Use of SPSS Software. Med Principl Pract. 2015; 24 (3): 300. DOI: 10.1159/000381953.

28. Wulandari R, Martha E, Guspaneza E, et al. Exclusive Breastfeeding among Working Mothers in Jabodetabek, Indonesia. Proceed Int Conf Public Health. 2019; 4 (2). DOI: 10.26911/the6thicph-FP.03.02.

29. Chen J, Xin T, Gaoshan J, et al. The association between work related factors and breastfeeding practices among Chinese working mothers: A mixed-method approach. Int Breastfeed J. 2019; 14: 28. DOI: 10.1186/s13006-019-0223-z.

30. Ray TK, Pana-Cryan R. Work flexibility and work-related well-being. Int J Environ Res Public Health. 2021; 18 (6): 3254. DOI: 10.3390/ijerph18063254.

31. Nkrumah J. Maternal work and exclusive breastfeeding practice: A community based cross-sectional study in Efutu Municipal, Ghana. Int Breastfeed J. 2016; 12: 10. DOI: 10.1186/s13006-017-0100-6.

32. Oddo VM, Ickes SB. Maternal employment in low- and middle-income countries is associated with improved infant and young child feeding. Am J Clin Nutr. 2018; 107 (3): 335–344. DOI: 10.1093/ajcn/nqy001.

33. Presiden Republik Indonesia. Undang-undang (UU) Nomor 24 Tahun 2024 tentang Kabupaten Tapanuli Selatan di Provinsi Sumatera Utara. Jakarta: Pemerintah Pusat Republik Indonesia; 2024.

34. Hackett KM, Mukta US, Jalal CSB, et al. A qualitative study exploring perceived barriers to infant feeding and caregiving among adolescent girls and young women in rural Bangladesh. BMC Public Health. 2015; 15: 771. DOI: 10.1186/s12889-015-2115-5.

35. Woldetensay YK, Belachew T, Ghosh S, et al. The effect of maternal depressive symptoms on infant feeding practices in rural Ethiopia: Community based birth cohort study. Int Breastfeed J. 2021; 16: 27. DOI: 10.1186/s13006-021-00375-3.

36. Mansyur M, Khoe LC, Karman MM, et al. Improving Workplace-Based Intervention in Indonesia to Prevent and Control Anemia. J Prim Care Community Health. 2019; 10: 2150132719854917. DOI: 10.1177/2150132719854917.

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