The Relationship between the Timing of Complementary Feeding and Maternal Knowledge of Responsive Feeding and the Incidence of Stunting in Children Aged 6-24 Months
https://doi.org/10.33860/jik.v17i1.1889
Keywords:
Stunting, Knowledge, Responsive Feeding, Complementary feedingAbstract
In 2021, the prevalence of stunting among toddlers in Wani Primary Health Care (Puskesmas) was still high at 18.2%. Delayed introduction of complementary feeding (MP-ASI) and inappropriate feeding practices, such as lack of responsive feeding, contribute to the occurrence of stunting. The objective of this study was to investigate the relationship between the timing of MP-ASI introduction and maternal knowledge of responsive feeding with the occurrence of stunting among children aged 6 to 24 months. This research employed a cross-sectional design using quantitative analytic observational methods. Simple random sampling was used to select the sample, and data were collected through questionnaire surveys from 126 mothers with children between the ages of 6 and 24 months. The study was conducted in the communities of Nupa Bomba, Bale, and Wani Lumbumpetigo, all located within the working area of Wani Primary Health Care. The results showed that 80.2% of the timing of MP-ASI introduction was inappropriate, and 62.7% of the mothers had insufficient knowledge of responsive feeding. The chi-square test revealed a significant association between the timing of MP-ASI introduction and the occurrence of stunting (p value = 0.047, OR = 0.290), as well as between the occurrence of stunting and maternal knowledge of responsive feeding (p value = 0.008, OR = 0.298). In conclusion, there is a relationship between the occurrence of stunting and the timing of MP-ASI introduction, as well as maternal knowledge of responsive feeding. It is recommended to enhance parental knowledge and attitudes and prevent stunting by providing nutrition education through counseling on proper complementary feeding and responsible childcare practices. This study highlights the importance of improving education and support for mothers to prevent stunting.
References
Rahmadhita K. Permasalahan Stunting dan Pencegahannya. J Ilm Kesehat Sandi Husada [Internet]. 2020 Jun 30;11(1):225–9. Available from: https://akper-sandikarsa.e-journal.id/JIKSH/article/view/253
Novitasari PD, Wanda D. Maternal Feeding Practice and Its Relationship with Stunting in Children. Pediatr Rep [Internet]. 2020 Jun 25;12(11):8698. Available from: https://www.mdpi.com/2036-7503/12/11/8698
Nkurunziza S, Meessen B, Van geertruyden J-P, Korachais C. Determinants of stunting and severe stunting among Burundian children aged 6-23 months: evidence from a national cross-sectional household survey, 2014. BMC Pediatr [Internet]. 2017 Dec 25;17(1):176. Available from: http://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-017-0929-2
Ramaningrum G, Anggraheny HD, Lahdji A. Risk Factors of Stunting in Toddlers 24-59 Months in Rembang Regency, Indonesia. South East Asia Nurs Res [Internet]. 2022;4(1):7–13. Available from: http://repository.unimus.ac.id/5831/1/Risk Factors of Stunting.pdf
Qurani RM, Karuniawaty TP, John RE, Wangiyana NK, Setiadi QH, Tengkawan J, Septisari AA, Ihyauddin Z. Correlation Between Maternal Factor And Stunting Among Children Of 6-12 Months Old In Central Lombok. J Public Heal Res Community Heal Dev [Internet]. 2022 Feb 21;5(2):107. Available from: https://e-journal.unair.ac.id/JPHRECODE/article/view/23525
Tondong HI, Hosang RF, Maineny A, Pani W. Faktor Risiko Ibu Pada Kejadian Stunting di Kabupaten Parigi Moutong. J Penelit Kesehat Suara Forikes [Internet]. 2022;13. Available from: https://forikes-ejournal.com/index.php/SF/article/view/1990
Maineny A, Longulo OJ, Endang N. Hubungan Riwayat Penyakit Infeksi Dengan Kejadian Stunting Pada Balita Umur 24-59 Bulan Di Wilayah Kerja Puskesmas Marawola Kabupaten Sigi. J Bidan Cerdas [Internet]. 2022 Apr 1;4(1):10–7. Available from: https://jurnal.poltekkespalu.ac.id/index.php/JBC/article/view/758
Baidho F, Wahyuningsih W, Sucihati S, Pratama F, Yudo Y. Hubungan Tinggi Badan Ibu dengan Kejadian Stunting pada Balita Usia 0-59 Bulan di Desa Argodadi Sedayu Bantul. J Kesehat Komunitas Indones [Internet]. 2021;17(1):275–83. Available from: https://jurnal.unsil.ac.id/index.php/jkki/article/download/2227/1975
Badriyah L, Syafiq A. The Association Between Sanitation, Hygiene, and Stunting in Children Under Two-Years (An Analysis of Indonesia’s Basic Health Research, 2013). Makara J Heal Res [Internet]. 2017 Aug 18;21(2). Available from: http://journal.ui.ac.id/index.php/health/article/view/6002
Kwami CS, Godfrey S, Gavilan H, Lakhanpaul M, Parikh P. Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia. Int J Environ Res Public Health [Internet]. 2019 Oct 9;16(20):3793. Available from: https://www.mdpi.com/1660-4601/16/20/3793
Rah JH, Sukotjo S, Badgaiyan N, Cronin AA, Torlesse H. Improved sanitation is associated with reduced child stunting amongst Indonesian children under 3 years of age. Matern Child Nutr [Internet]. 2020 Oct 24;16(S2). Available from: https://onlinelibrary.wiley.com/doi/10.1111/mcn.12741
Ramadhan K, Nurfatimah N, Hafid F, Hartono R, Zakaria Z, Bohari B. Improving the Healthy Family Index to Prevent Stunting among Children aged 0–59 Months in Indonesia. Open Access Maced J Med Sci [Internet]. 2022 Apr 30;10(E):752–7. Available from: https://oamjms.eu/index.php/mjms/article/view/7343
Nurfatimah N, Anakoda P, Ramadhan K, Entoh C, Sitorus SBM, Longgupa LW. Perilaku Pencegahan Stunting pada Ibu Hamil. Poltekita J Ilmu Kesehat [Internet]. 2021 Aug 31;15(2):97–104. Available from: https://jurnal.poltekkespalu.ac.id/index.php/JIK/article/view/475
Rukmana E, Briawan D, Ekayanti I. Faktor Risiko Pada Stunting Pada Anak Usia 6-24 Bulan Di Bogor. J MKMI [Internet]. 2016;12(3):192–9. Available from: https://journal.unhas.ac.id/index.php/mkmi/article/view/1081
Kementerian Kesehatan RI. Buku Status Gizi SSGI 2022. Jakarta; 2022.
Kementerian Kesehatan Republik Indonesia. Laporan Kinerja Kementrian Kesehatan Tahun 2020. Kementerian Kesehatan Republik Indonesia Tahun 2021. 2021. p. 1–224.
Dinas Kesehatan Provinsi Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah. Profil kesehatan Provinsi Sulawesi Tengah. 2021. p. 1–377.
Harjatno TP, Pari’i HM, Wiyono S. Bahan Ajar Gizi Penilaian Status Gizi. cetakan pe. Widyasari, editor. Jakarta Selatan: Pusat Pendidikan Sumber Daya Manusia Kesehatan Badan Pengembangan Dan Pemberdayaan Sumber Daya Manusia Kesehatan; 2017. 315 p.
Febriani BR, Noer ER. Faktor Determinan Perilaku Responsive Feeding pada Balita Stunting Usia 6 - 36 Bulan. J Nutr Coll [Internet]. 2016;5(3):120–9. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/16378
Nurfitri M, Andhini D, Rizona F. The Association Mothers ’s Knowledge of Responsive Feeding Towards The Incidence Of Stunting In Todlers Aged 12-24 Months. Seminar Nasional Keperawatan “Strategi Optimalisasi Status Kesehatan Mental Masyarakat dengan Perawatan Paliatif di Era Pandemi Covid 19” Tahun 2021. 2021;(2477–1597):99–104.
Zogara AU. Pemberian Makanan Pendamping ASI (MPASI) Dan Status Gizi Balita Di Kelurahan Tuak Daun Merah. CHMK Heal J [Internet]. 2020;4(1):112–7. Available from: https://www.neliti.com/id/publications/316343/pemberian-makanan-pendamping-asi-mpasi-dan-status-gizi-balita-di-kelurahan-tuak
Angkat AH. Penyakit Infeksi dan Praktek Pemberian MP-ASI Terhadap Kejadian Stunting Pada Anak Usia 12-36 Bulan di Kecamatan Simpang Kiri Kota Subulussalam. J Dunia Gizi [Internet]. 2018 Nov 15;1(1):52. Available from: http://ejournal.helvetia.ac.id/index.php/jdg/article/view/2919
Khasanah DP, Hadi H, Paramashanti BA. Waktu pemberian makanan pendamping ASI (MP-ASI) berhubungan dengan kejadian stunting anak usia 6-23 bulan di Kecamatan Sedayu. J Gizi dan Diet Indones (Indonesian J Nutr Diet [Internet]. 2016 Aug 30;4(2):105. Available from: http://ejournal.almaata.ac.id/index.php/IJND/article/view/335
Nurfatimah N, Labusa P, Noya F, Longgupa LW, Entoh C, Siregar NY, et al. Sosial Ekonomi dan Pengetahuan Ibu Terhadap Pemberian ASI Eksklusif. J Sehat Mandiri [Internet]. 2022;17(1):99–114. Available from: https://jurnal.poltekkespadang.ac.id/ojs/index.php/jsm/article/view/585
Mufida L, Widyaningsih TD, Maligan JM. Prinsip Dasar Makanan Pendamping Air Susu Ibu ( MP-ASI ) untuk Bayi 6 – 24 Bulan : Kajian Pustaka. Basic Principles of Complementary Feeding for Infant 6 - 24 Months : A Review. J Pangan dan Agroindustri [Internet]. 2015;3(4):1646–51. Available from: https://jpa.ub.ac.id/index.php/jpa/article/view/290
Marjan AQ, Fauziyah A, Amar MI. A Counseling on Complementary Food to Mothers of Infants Aged 6--24 Months at A Community Clinic in Sukmajaya. MITRA J Pemberdaya Masy [Internet]. 2019 May 21;3(1):11–20. Available from: http://ejournal.atmajaya.ac.id/index.php/mitra/article/view/496
Rahmi R, Puspita R. Infants Nutrition: Supplementary Feeding of Breastfeeding Infants Variation. Sci Midwifery [Internet]. 2021;9(2):313–6. Available from: https://midwifery.iocspublisher.org/index.php/midwifery/article/view/95
Latifah U, Prastiwi RS, Baroroh U. The Responsive Feeding Behavior and Stunting Incident on Toddlers. J KEBIDANAN [Internet]. 2020 Oct 28;10(2):143–8. Available from: http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jurkeb/article/view/6286
Kusumawati DE, Ansar A, Bahja B, Hafid F. Workshop Praktek Pemberian Makanan Pendamping ASI (MP-ASI) bagi Baduta pada Kader Posyandu. Poltekita J Pengabdi Masy [Internet]. 2020 May 18;1(1):1–7. Available from: http://jurnal.poltekkespalu.ac.id/index.php/PJPM/article/view/24
Tadale DL, Ramadhan K, Nurfatimah N. Peningkatan Pengetahuan Ibu Balita Terkait Gizi Seimbang Balita untuk Mencegah Stunting Melalui Penyuluhan. Community Empower [Internet]. 2020 Dec 30;6(1):48–53. Available from: https://journal.unimma.ac.id/index.php/ce/article/view/4379
Fitri L, Ernita Ernita. Hubungan Pemberian ASI Eksklusif dan MP-ASI Dini dengan Kejadian Stunting Pada Balita. Al-Insyirah J Ilmu Kebidanan [Internet]. 2019;8(1):19–24. Available from: https://jurnal.stikes-alinsyirah.ac.id/index.php/kebidanan/article/view/112
Widiastity W, Harleli H. Hubungan Pemberian MP-ASI Terhadap Kejadian Stunting Pada Balita Usia 6 – 24 Bulan di Puskesmas Soropia. Nurs Care Heal Technol J [Internet]. 2021 Sep 25;1(2):81–6. Available from: http://ojs.nchat.id/index.php/nchat/article/view/13
Hurek RKK, Esem O. Determinan Pemberian Makan Pada Bayi Berusia Kurang Dari Enam Bulan. Arkesmas [Internet]. 2020;5(2):1–8. Available from: https://journal.uhamka.ac.id/index.php/arkesmas/article/download/5197/2068
Lestiarini S, Sulistyorini Y. Perilaku Ibu pada Pemberian Makanan Pendamping ASI (MPASI) di Kelurahan Pegirian. J PROMKES [Internet]. 2020 May 6;8(1):1. Available from: https://e-journal.unair.ac.id/PROMKES/article/view/8429
Septamarini RG, Widyastuti N, Purwanti R. Hubungan Pengetahuan Dan Sikap Responsive Feeding Dengan Kejadian Stunting Pada Baduta Usia 6-24 Bulan Di Wilayah Kerja Puskesmas Bandarharjo, Semarang. J Nutr Coll [Internet]. 2019 May 14;8(1):9. Available from: https://ejournal3.undip.ac.id/index.php/jnc/article/view/23808
Harbron J, Booley S, B N, CE D. Responsive Feeding: Establishing Healthy Eating Behaviour Early on in Life. South African J Clin Nutr [Internet]. 2013;26(3):S141–9. Available from: https://www.ajol.info/index.php/sajcn/article/view/97829
Dewi M, Aminah M. Pengaruh Edukasi Gizi terhadap Feeding Practice Ibu Balita Stunting Usia 6-24 Bulan (The Effect of Nutritional Knowledge on Feeding Practice of Mothers Having Stunting Toddler Aged 6-24 Months). Indones J Hum Nutr [Internet]. 2016 Jul 1;3(1):1–8. Available from: https://ijhn.ub.ac.id/index.php/ijhn/article/view/138
Blaney S, Februhartanty J, Sukotjo S. 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 [Internet]. 2015;24(1). Available from: https://pubmed.ncbi.nlm.nih.gov/25740738/
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
