Maternal Attributes and Child Minimum Acceptable Diet during COVID-19 Pandemic in Indonesia

Authors

  • Athiya Fadlina Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia Southeast Asian Ministers of Education Organization - Regional Centre for Food and Nutrition (SEAMEO RECFON)/Pusat Kajian Gizi Regional (PKGR), Universitas Indonesia
  • Judhiastuty Februhartanty Southeast Asian Ministers of Education Organization - Regional Centre for Food and Nutrition (SEAMEO RECFON)/Pusat Kajian Gizi Regional (PKGR), Universitas Indonesia
  • Saptawati Bardosono Department of Nutrition, Faculty of Medicine, Universitas Indonesia – Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia

DOI:

https://doi.org/10.21776/ub.ijhn.2021.008.02.2

Keywords:

Dietary diversity, Meal frequency, Minimum acceptable diet, COVID-19 Pandemic, Indonesia

Abstract

Appropriate complementary feeding practices must be sustained during the COVID-19 pandemic for optimal growth and development of a child. However, the studies assessing factors associated with complementary feeding practices during COVID-19 are still limited. The objective of this study was to evaluate maternal attributes and minimum acceptable diet (MAD) of 6-11-month-old children during the COVID-19 pandemic in Indonesia. This study was part of the “COVID-19 Mom-Infant Study†and was conducted in all regions of Indonesia using an online survey. Chi-square or Fisher's exact test was performed to examine the relationship between MAD and maternal attributes, with a significant level at p-value <0.05. From a total of 262 data collected, 74%, 77.1%, 94.3% of the children aged 6-11 months have met MAD, MDD (minimum dietary diversity), and MMF (minimum meal frequency), respectively. Mother’s education level (OR= 3.625; 95%CI [1.805 – 7.280]) and working status (OR= 2.197; 95%CI [1.291 – 3.895] were found associated with child’s MAD. One-third of children did not receive the recommended infant and young children feeding practices. Conducting nutrition interventions to mothers with lower education and not working should be a priority under these circumstances.

References

Black RE, Allen LH, Bhutta ZA, Caulfield LE, Onis M de, Ezzati M, et al. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 2008 Jan 19;371(9608):243–60.

Kemenkes Kesehatan RI. Hasil utama RISKESDAS 2018. Jakarta: Badan Penelitian & Pengembangan Kesehatan Kemenkes RI; 2018.

Badan Perencanaan Pembangunan Nasional. Rencana pembangunan jangka menengah nasional (RPJMN) 2020-2025 [Internet]. 2019 [cited 2020 Aug 27]. Available from: https://www.bappenas.go.id/files/Narasi%20Rancangan%20Awal%20RPJMN%202020-2024.pdf

World Health Organization. Indicators for assessing infant and young child feeding practices: part 2: measurement. 2010.

Dewanti JA. Agreement Between Minimum Acceptable Diet and The Adequacy of Nutrient Intake Among Children Aged 6-23 Months in Bekasi Municipality, West Java Province, Indonesia [Master Thesis]. Universitas Indonesia; 2014.

Marriott BP, White A, Hadden L, Davies JC, Wallingford JC. World Health Organization (WHO) infant and young child feeding indicators: associations with growth measures in 14 lowâ€income countries. Maternal & child nutrition. 2012;8(3):354–70.

National Population and Family Planning Board - BKKBN, Statistics Indonesia - BPS, Ministry of Health - Kemenkes, ICF. Indonesia Demographic and Health Survey 2017. Jakarta: BKKBN, BPS, Kemenkes, and ICF.; 2018 Sep.

White JM, Bégin F, Kumapley R, Murray C, Krasevec J. Complementary feeding practices: Current global and regional estimates. Maternal & Child Nutrition. 2017;13(S2):e12505.

Egayanti Y, Palupi NS, Prangdimurti E. Profile of

complementary food consumption during the first year of life based on Indonesia Individual Food Consumption Survey 2014. Malaysian Journal of Nutrition. 2018;24(1):9.

Blaney S, Februhartanty J, Sukotjo S. Feeding Practices among Indonesian Children above Six Months of Age: A Literature Review on Their Potential Determinants (Part 2). Asia Pacific Journal of Clinical Nutrition. 2015 Jan 1;24(1).

Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. SpringerPlus. 2016 Dec;5(1):1-9.

Agbadi P, Urke HB, Mittelmark MB. Household food security and adequacy of child diet in the food insecure region north in Ghana. Renzaho AMN, editor. PLoS ONE. 2017 May 11;12(5):e0177377.

Vazquez-Vazquez A, Dib S, Rougeaux E, Wells JC, Fewtrell M. The impact of the Covid-19 lockdown on the experiences and feeding practices of new mothers in the UK: Preliminary data from the COVID-19 New Mum Study. Pediatrics; 2020 Jun.

Anato A, Baye K, Tafese Z, Stoecker BJ. Maternal depression is associated with child undernutrition: A crossâ€sectional study in Ethiopia. Maternal & child nutrition. 2020 Jul;16(3):e12934

Hajeebhoy N, Nguyen PH, Tran DT, Onis M de. Introducing infant and young child feeding indicators into national nutrition surveillance systems: lessons from Vietnam. Maternal & Child Nutrition. 2013;9(S2):131–49.

Macharia TN, Ochola S, Mutua MK, Kimani-Murage EW. Association between household food security and infant feeding practices in urban informal settlements in Nairobi, Kenya. J Dev Orig Health Dis. 2018 Feb;9(1):20–9.

Brown A, Shenker N. Experiences of breastfeeding during COVID-19: Lessons for future practical and emotional support. Maternal & Child Nutrition. 2021;17(1):e13088.

Bahatheg RO. Young Children’s Nutrition During the COVID-19 Pandemic Lockdown: A Comparative Study. Early Childhood Education Journal. 2021 Apr 28:1-9.

Ceulemans M, Verbakel JY, Van Calsteren K, Eerdekens A, Allegaert K, Foulon V. SARS-CoV-2 infections and impact of the COVID-19 pandemic in pregnancy and breastfeeding: Results from an observational study in primary care in Belgium. International journal of environmental research and public health. 2020 Jan;17(18):6766.

Ahishakiye J, Bouwman L, Brouwer I, Matsiko E, Armar - Klemesu M, Koelen M. Challenges and responses to infant and young child feeding in rural Rwanda: a qualitative study. Journal of Health, Population and Nutrition. 2019 Dec 12;38:43.

Mitchodigni IM, Amoussa Hounkpatin W, Ntandou-Bouzitou G, Avohou H, Termote C, Kennedy G, et al. Complementary feeding practices: determinants of dietary diversity and meal frequency among children aged 6–23 months in Southern Benin. Food Sec. 2017 Oct 1;9(5):1117–30.

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. 2012 May;15(5):827–39.

Tegegne M, Sileshi S, Benti T, Teshome M, Woldie H. Factors associated with minimal meal frequency and dietary diversity practices among infants and young children in the predominantly agrarian society of Bale zone, Southeast Ethiopia: a community based cross sectional study. Arch Public Health. 2017 Nov 13;75.

Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R.

Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh. Jurnal Gizi Klinik Indonesia. 2019 Jul 27;16(1):1–13.

Puspitasari MD, Gayatri M. Indonesia Infant and Young Child Feeding Practice: The Role of Women’s Empowerment in Household Domain. Global Journal of Health Science. 2020 Jul 13;12(9):p129.

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 cross-sectional survey. International Breastfeeding Journal. 2017 Sep 16;12(1):40.

Kassa T, Meshesha B, Haji Y, Ebrahim J. Appropriate complementary feeding practices and associated factors among mothers of children age 6–23 months in Southern Ethiopia, 2015. BMC Pediatrics. 2016 Aug 19;16(1):131.

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 Aug 1;19(1):1034.

Downloads

Published

2021-11-29

Issue

Section

Articles