THE RELATIONSHIP BETWEEN RESPONSIVE FEEDING PRACTICES, MOTHER'S SELF-EFFICACY, FOOD DIVERSITY, AND SOCIOECONOMIC STATUS WITH TODDLER NUTRITIONAL STATUS

Authors

  • Raysah Sa’diyah Shidiqah Esa Unggul University
  • Anugrah Novianti Esa Unggul University
  • Erry Yudhya Mulyani Esa Unggul University
  • Nadiyah Nadiyah Esa Unggul University
  • Dessy Aryanti Utami Esa Unggul University
  • Tonny Sundjaya Indonesia Health Development Center, Jakarta ; Department Epidemiology, Faculty of Public Health, Universitas Indonesia

DOI:

https://doi.org/10.63953/jisn.v3i1.39

Keywords:

Responsive Feeding Practices, Maternal Self-Efficacy, Dietary Diversity, Stunting, Wasting

Abstract

Background: Nutritional issues among toddlers, such as stunting, wasting, and underweight, remain significant health challenges in Indonesia, including in East Jakarta. Several factors influence the nutritional status of toddlers, including responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors. This study aims to analyze the relationship between responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors with the nutritional status of toddlers in the Duren Sawit Public Health Center, East Jakarta. Methods: This study employed a quantitative approach with a cross-sectional design. Data collection included direct interviews, height/length measurements using a microtoise/infantometer, weight measurements using a digital scale, and a 24-hour dietary recall. Questionnaires were used to assess the independent variables. Data were analyzed using the Chi-Square and Fisher’s Exact Test. Results: The findings indicate that responsive feeding practices, maternal self-efficacy, and dietary diversity significantly influence stunting status (pvalue < 0.05). However, socioeconomic factors (maternal education and household income) did not show a significant relationship on stunting. Furthermore, responsive feeding practices, maternal self-efficacy, dietary diversity, socioeconomic factors (maternal education), and socioeconomic factors (household income) were found to have a significant impact on the wasting status of toddlers. Conclusion: These findings emphasize the importance of interventions based on responsive feeding and enhancing maternal self-efficacy in improving toddler nutritional status. Therefore, educational programs and initiatives focusing on healthy feeding practices and increasing access to nutritious foods are essential to reduce malnutrition rates among toddlers

References

Rokom. Status Gizi Indonesia Alami Perbaikan [Internet]. 2019. Available from: https://sehatnegeriku.kemkes.go.id/baca/umum/20190130/2529268/status-gizi-indonesia-alami-perbaikan/

WHO, UNICEF, World Bank. Levels and trends in child malnutrition: Key findings of the 2021 Edition [Internet]. UNICEF; 2021. Available from: https://iris.who.int/handle/10665/341135

Paramita M, Helmyati S, Basrowi RW, Dilantika C. Risk Factors for Stunting among Infants on Java Island: A Cross-Sectional Study using the 2021 Indonesian Nutritional Status Survey Data. Amerta Nutrition. 2023;7. doi: 10.20473/amnt.v7i3SP.2023.20-29

World Health Organization. Malnutrition [Internet]. 2020. Available from: https://www.who.int/health-topics/malnutrition#tab=tab_1

Black MM, Aboud FE. Responsive feeding and child nutrition. Lancet Glob Health. 2019;448–256.

Kennedy G, Ballard T, Dop M. Guidelines for measuring household and individual dietary diversity [Internet]. FAO; 2011. Available from: https://www.fao.org/4/i1983e/i1983e00.pdf

Diniyyah R, Nindya T. Household income and food intake among Indonesian families. Indonesian Journal of Health Nutrition. 2017;4:87–94.

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. Journal of Nutrition College. 2019;8(1):9–20. doi: 10.14710/jnc.v8i1.23808

Rusmil VK, Ikhsani R, Dhamayanti M, Hafsah T. Hubungan perilaku ibu dalam praktik pemberian makan pada anak usia 12-23 bulan dengan kejadian stunting di wilayah kerja puskesmas Jatinangor. Sari Pediatri. 2019;20(6):366. doi: 10.14238/sp20.6.2019.366-74

Devi TL. Hubungan praktik pemberian makan dan riwayat ASI eksklusif dengan kejadian wasting pada balita di wilayah kerja Puskesmas Garuda [Internet]. Vol. 12. Universitas Islam Negeri Sultan Syarif Kasim Riau; 2024. Available from: http://repository.uin-

suska.ac.id/id/eprint/85326

Engle PL, Bentley M, Pelto G. The role of care in nutrition programmes: current research and a research agenda. Proceedings of the Nutrition Society. 2000;59(1):25–35. doi:10.1017/s0029665100000045

Pratama N, Wulandari K. The relationship between maternal self-efficacy and stunting in children under five years of age in Indonesia. International Journal of Public Health and Nutrition. 2021;10:98–105.

Dewi S, Nurhalimah R, Putri M, Hidayat T, Prasetyo A. Maternal Education and Its mpact on Child Malnutrition: A Study on Wasting and Stunting. Journal of Public Health and Nutrition . 2023;15:110–25.

Santoso A. Pengaruh Keragaman Pangan terhadap Kejadian Wasting pada Balita di Daerah Pedesaan. Jurnal Gizi dan Pangan. 2019;14(2):85–92.

Yulia R. Hubungan Pola Makan dan Status Gizi Anak Usia Dini di Wilayah Perkotaan. Jurnal Kesehatan Masyarakat. 2017;12(1):45–53.

Wahyuni FC, Karomah U, Basrowi RW, Sitorus NL, Lestari LA. The Relationship between Nutrition Literacy and Nutrition Knowledge with the Incidence of Stunting: A Scoping Review. Amerta Nutrition. 2023;7. doi: 10.20473/amnt.v7i3SP.2023.71-85

Rahman M, Bhowmik A, Ahmed R. Maternal knowledge, socioeconomic status, and child stunting in rural Bangladesh. J Nutr Educ Behav. 2018;12(1):258–64.

Salsabila D, Nugroho A, Wulandari S, Rizky TM, Anjani N. Education and Stunting: A Study in Sangkrah Health Center. Journal of Health Science. 2023;15:45–50.

Kumari A, Singh M, Singh P. The impact of maternal education and knowledge of nutrition on child stunting in rural areas of India. J Nutr Educ Behav. 2020;52(5):420–7.

Rahmawati N, Susanti M, Putra D, Hanifah Y. The Role of Maternal Knowledge in Preventing Acute and Chronic Malnutrition. International Journal of Child Nutrition and Health. 2022;10:78–90.

Sentika R, Setiawan T, Rattu DJ, Yunita I, Masita BM, Basrowi RW. The Importance of Interprofessional Collaboration (IPC) Guidelines in Stunting Management in Indonesia: A Systematic Review. Healthcare(Basel) MDPI; 2024;12(8):2226. doi:10.3390/healthcare12222226

Sari D, Wahyuni S, Indrawati L. Relationship between family income and child nutrition status: A case study in Indonesia. Journal of Public Health and Nutrition. 2018;2:45–52.

Nielsen PS, Ahmed A, Rahman R. The relationship between household income, malnutrition, and acute illness in children under five years of age: A cross-sectional study in rural Bangladesh. Nutr Health. 2021;27(5):453–60

Downloads

Published

2025-03-30