MOTHER’S CHILD FEEDING KNOWLEDGE AND PRACTICES ASSOCIATED WITH UNDERWEIGHT IN CHILDREN UNDER-FIVE YEARS: A STUDY FROM RURAL KONAWE, INDONESIA

Tasnim Tasnim, Lillian Mwanri, Gour Dasvarma

Abstract


Backgroud: Many rural mothers did not give appropriate child feeding which impacted to underweight for their children in Konawe Disrict of Southeast Island in Indonesia. This was also related to mother’s poor knowledge about child feeding. Objective: this study aimed to investigate the relationship between rural mothers’ knowledge and their practices of child feeding with underweight in under-5 children in Konawe District, Southeast Sulawesi Province in Indonesia.

Methods: The case-control study was conducted in 5 rural areas in Konawe District, Southeast Sulawesi Province. The study involved 400 under five children and their mothers, including 100 of whom were cases and 300 of whom were age-matched contorls (1:3). Cases were underweight children, while the controls were children with a normal nutritional status. The independent variabels were mother’s knowledge and  their child feeding practices. The data analysis used Conditional Logistic regression.

Results: poor mothers’ knowledge (odds ratio [OR], 8.9; 95% confidene interval [CI], 4.0 to 19.6;  p<0.001), poor practices of under-5 children feeding  (OR, 15.2; 95% CI, 5.5-41.7; p<0.001) significantly associated with underweight in rural children.

Conclusion: Mothers’ knowledge about the availability of nutritious foods determines her child feeding practices. A mother’s level of knowledge about nutritious foods and her practices is related to her educational level and health information sources.


Keywords


Child, Feeding Behaviour, Knowledge, Mother, Underweight

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References


Abuya, B. A., Onsomu, E. O., Kimani, J. K., & Moore, D. (2011). Influence of maternal education on child immunization and stunting in Kenya. Maternal and Child Health Journal, 15(8), 1389-1399.

Alasfoor, D., Traissac, P., Gartner, A., & Delpeuch, F. (2007). Determinants of persistent underweight among children, aged 6-35 months, after huge economic development and improvements in health services in Oman. Journal of Health, Population and Nutrition, 25(3), 359-369.

Appoh, L. Y., & Krekling, S. (2005). Maternal nutritional knowledge and child nutritional status in the Volta Region of Ghana. Maternal and Child Nutrition, 1, 100-110.

Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143-164.

Block, S. A. (2007). Maternal nutrition knowledge versus schooling as determinants of child micronutrient status. Oxford Economic Papers, 59, 330-353.

Bloom, D. E., Canning, D., & Jamison, D. T. (2004). Health, wealth, and welfare. Finance & Development, 41(1), 10-15.

Bundara, N., Mwanri, L., & Masika, J. (2013). Addressing childhood undernutrition in Tanzania: Challenges and opportunities. African Journal of Food, Agriculture, Nutrition and Development, 13(1), 7288 - 7306.

CDC, & WFP. (2005). A manual: Measuring and interpreting malnutrition and mortality. Rome: Centre for Diseases Control and Prevention (CDC) and World Food Programme (WFP).

El Taguri, A., Betilmal, I., Mahmud, S. M., Monem Ahmed, A., Goulet, O., Galan, P., & Hercberg, S. (2009). Risk factors for stunting among under-fives in Libya. Public Health Nutrition, 12(8), 1141-1149.

Health Department of South East Sulawesi Province. (2011 ). Annual health report of South East Sulawesi Province in 2010. Retrieved 2 August 2012, from http://www.depkes.go.id/resources/.../profil/PROFIL_KES...2011/P.Prov.SULTRA_11.pdf

Hong, R. (2007). Effect of economic inequality on chronic childhood undernutrition in Ghana. Public Health Nutrition, 10(4), 371-378.

IBM. (2012). Conditional logistic regression using coxreg. Retrieved from http://www-01.ibm.com/support/docview.wss?uid=swg21477360.

Kelsey, J. L., Thompson, W. D., & Evans, A. S. (1986, p. 122-125). Methods in observational epidemiology (pp. 122-125).

Martorell, R. (1999). The nature of child malnutrition and its long-term implications. Food and Nutrition Bulletin, 20(3), 288-292.

Moestue, H., & Huttly, S. (2008). Adult education and child nutrition: The role of family and community. Journal of Epidemiology and Community Health, 62(2), 153-159.

Mosley, W. H., & Chen, L. C. (1984). An analytical framework for the study of child survival in developing countries. Population and Development Review, 10, 25-45.

President of Republic of Indonesia. (2012 (Indonesian)). Regulation of Republic of Indonesia Number 18 In 2012 about Food. Jakarta: Sekretariat Negara Republik Indonesia.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175-183.

Ruel, M. T., Habicht, J.-P., Pinstrup-Andersen, P., & Grohn, Y. (1992). The mediating effect of maternal nutrition knowledge on the association between maternal schooling and child nutrition status in Lesotho. American Journal of Epidemiology, 135(8), 909-914.

Ruel, M. T., & Menon, P. (2002). Child feeding practices are association with child nutritional status in Latin America: Innovative uses of the demographic and health surveys. Journal of Nutrition, 132(6), 1180-1187.

Satterthwaite, Hart, D. R., Levy, C., & Mitlin, D. (1996). The environment for children. London: Earthscan.

Smith, L. C., & Haddad, L. (2000). Explaining child malnutrition in developing countries: A cross-country analysis. Washington, D.C.: International Food Policy Research Institute.

Tasnim, T. (2017). Housing conditions contribute to underweight in children: an example from rural villages in Southeast Sulawesi, Indonesia. Journal of Preventive Medicine & Public Health, 50(5), 328-335.

Variyam, J. N., Blaylock, J., Lin, B. H., Ralston, K., & Smallwood, D. (1999). Mother's nutrition knowledge and children's dietary intakes. American Journal Agricultural Economics, 81, 373-384.

Webb, P., & Blok, S. (2003). Nutrition knowledge and parental schooling as inputs to child nutrition in the long and short run. Nutrition Working Paper(3), 1-31.

World Health Organization. (2005). Guiding principles for feeding non-breastfed children 6-24 months of age. Geneva: World Health Organization Retrieved from http://whqlibdoc.who.int/publications/2005/9241593431.pdf.

World Health Organization. (2008). Indicators for assessing infant and young child feeding practice: Part 1 definitions. Geneva: World Health Organization.

World Health Organization. (2010). Indicators for assessing infant and young child feeding practices: Part 3 country profiles. Geneva: World Health Organization.


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