The Integrated Health Posts Have Contextual Effect on Maternal Practice of Providing Complementary Feeding

[摘要] Background: Age 0-24 months is a period of ra­pid growth and development, or also known as the golden period as well as a critical period. The golden period can be realized if during this pe­riod infants and children obtain appropriate nut­rition for optimal growth and development. The highest pre­­valence of toddlers of BGM (be­low the red line) in 2017 is found in Gunung­kidul Regency by 1.24%. This study aimed to ana­lyze the deter­mi­nants of providing MP-ASI at the individual level and posyandu level. Subjects and Method: This research was con­ducted using a cross sectional research de­sign. The study was conducted in Gunung­kidul Re­gen­cy from October to November 2019. Sam­p­­ling was conducted using probability samp­ling with a number of 200 mothers who have child­ren aged 6-24 months. The depen­dent variable is the prac­tice of complementary feed­ing. The in­de­pendent variables were birth weight, nutritional status, maternal knowledge toward complementary feeding, maternal education, and fa­mily in­come. Data were col­lected using a ques­tion­naire, weight scales, and height gau­ges. Data were analyzed by a multiple multi­level logis­tic regres­sion. Results: Good Complementary feeding prac­tice increased with birth weight ≥2500 grams (b= 2.51; 95% CI= 0.57 to 4.66; p= 0.012), nor­mal child nutritional status (b= 2.18 ; 95% CI= 0.33 to 6.42; p= 0.029), high maternal knowledge toward complementary feeding (b= 2.12; 95% CI= 0.16 to 4.38; p= 0.034), maternal education ≥Senior high school (b= 2.10; 95% CI= 0.18 to 5.31; p= 0.036), and high fa­mily income (b= 2.30; 95% CI= 0.34 to 4.32; p= 0.021). Posyandu had strong con­textual effect on complementary feeding practice (ICC= 28.01%). Conclusion: Good Complementary feeding prac­tice increases with normal birth weight, nor­mal child nutritional status, high maternal know­ledge, high maternal education, and high fa­mily income. Posyandu has strong con­textual effect on complementary feeding practice.

[学科分类] 食品科学和技术

[关键词] complementary feeding;integrated health post