The Effect of Regional Characteristics and Women's Autonomy on Infant and Young Child Feeding Practice
Pengaruh Karakteristik Wilayah dan Otonomi Perempuan terhadap Praktik Pemberian Makan Bayi dan Anak
Downloads
Background: Appropriate infant and young child feeding practices (IYCF) for children aged 6-23 months are vital for their growth and can prevent stunting. There is high variation between provinces regarding nutrition, which makes it essential to analyze based on contextual variables at the provincial level.
Objective: Aimed to study the effect of contextual variables and women's autonomy variables and study the effects of the differences between these two variables on IYCF on the three leading indicators, namely MDD, MMF, and MAD.
Methods: Used multilevel logistic regression analysis from the 2017 IDHS data with a research sample of 4,923 mothers who were married and lived with partners who had their last children aged 6-23 months. The dependent variable in this study was whether PMBA complied with WHO recommendations or not, which were divided into three groups: Minimum Meal Frequency, Minimum Dietary Diversity, and Drinkable Acceptable Diet. The independent variables were the independent variables at the individual level and the independent variables (contextual) at the provincial level. In addition, it will also be seen the influence of the interaction variables.
Results: The results showed that the contextual variables associated with infant and child feeding practices were the percentage of poor people and the percentage of health facilities. Meanwhile, at the individual level, several indicators of the autonomy variable, along with the variables of mother's age, classification of residence, mother's access to the internet, age of children, and husband's education, have associations with IYCF in the three indicators used. The interaction variable showed a different effect on women's autonomy and contextual variables on IYCF.
Conclusion: This study shows the results of regional characteristic variables, women's autonomy, and the interaction variables between the two can influence IYCF.
SUN. Scaling Up Nutrition (SUN) Movement Strategy [2012-2015]. Imperial College, London vol. 1 https://scalingupnutrition.org/wp-content/uploads/2012/10/Sun-Movement-Strategy-Eng.pdf (2012).
UNICEF. UNICEF. ata.unicef.org (2020).
EAT - Lancet Commission. Healthy Diet From Sustainable Food Systems Food Planet Health. Lancet 5, 1–30 (2019).
SMERU .Strategic Review of Food Security and Nutrition in Indonesia. https://smeru.or.id/sites/default/files/publication/rr_fsn_indonesia_finalreport_eng.pdf (2020).
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. 15, 827–839 (2012).
Na, M., Jennings, L., Talegawkar, SA & Ahmed, S. Association Between Women's Empowerment and Infant and Child Feeding Practices in sub-Saharan Africa : An Analysis of Demographic and Health Surveys. 18, 3155–3165 (2015).
Kabir, N. Women's Economic Empowerment and Inclusive Growth: Labor Markets and Enterprise Development. https://gsdrc.org/document-library/womens-economic-empowerment-and-inclusive-growth-labour-markets-and-enterprise-development/ (2012).
Khan, JR, Awan, N. & Sheikh, MT A. Multilevel and Spatial Analysis of the Infant and Young Child Feeding Practices and Associated Factors among the Under-2 Aged Children in Bangladesh. Child Care Practice. 1–18 (2019) doi:10.1080/13575279.2019.1680528.
Na, M., Aguayo, VM, Arimond, M., Mustaphi, P. & Stewart, CP. Predictors of Complementary Feeding Practices in Afghanistan: Analysis of the 2015 Demographic and Health Survey. Maternity. Child Nutr. 14, 1–14 (2018).
Shadow, SKet al. Determinants of Age-Appropriate Breastfeeding, Dietary Diversity, and Consumption of Animal Source Foods among Indonesian Children. Maternity. Child Nutr. 16, 1–19 (2020).
Inayati, DAet al. Infant Feeding Practices among Mildly Wasted Children: A Retrospective Study on Nias Island, Indonesia. int. Breastfeed. J. 7, 3 (2012).
Puspitasari, MD & Gayatri, M. Indonesia Infant and Young Child Feeding Practice: The Role of Women's Empowerment in the Household Domain. Glob. J.Health Sci. 12, 129 (2020).
Lamidi, EO. Multilevel Analysis of State Variations in Women's Participation in Household Decision-Making in Nigeria. J.Int. womens. Studs. 17, 186–201 (2016).
Jejeebhoy & sathar. Women's Autonomy in India and Pakistan: The Influence of Religion and Region.27, 687–712 (2001).
Tassew, AA, Tekle, DY, Belachew AB, Adhena, B. . Determinants of Minimum Acceptable Diet among 6-23 Months Age Children in Ethiopia: A Multilevel Analysis of the Ethiopian Demographic Health Survey. bioRxiv 1–14 (2018) doi:10.1101/393678.
The National Population and Family Planning Board of Indonesia. Indonesia Health Demographic Survey 2017. BKKBN (BKKBN, 2018).
Rettig, EM, Fick, SE & Hijmans, RJ The Female Empowerment Index (FEMI): Spatial and Temporal Variation in Women's Empowerment in Nigeria. Heliyon. 6, e03829 (2020).
Riyanto and Uka Wikarya. Economic and Business Statistics. (Mitra Discourse Media, 2018).
Dian Ayu Puspitasari. Relationship Between Availability of Health Infrastructure and Accessibility and Utilization of Maternal Health Services in Indonesia (2017 IDHS Data Analysis). (University of Indonesia, 2020).
Joop Hox. Multilevel Analysis (Techniques and Applications). (Lawrence Erlbaum Associates, Publisher, 2002).
Aliyudin, F. & Budyanra. Factors Affecting Childbirth Complications in Women of Reproductive Age in Indonesia Using IDHS 2012 Data (Application of Multilevel Binary Logistics Regression Analysis). J. App. Stats. Stat Computing. 8, 33–46 (2017).
Febrianto, AR. Contextual Factors of Birth Spacing in Indonesia. Univ. thesis Indonesia.(2020).
Berde, AS & Ozcebe, H. Risk factors for Prelacteal Feeding in Sub-Saharan Africa : A Multilevel Analysis of Population Data From Twenty-Two Countries. (2017) doi:10.1017/S1368980017000659.
Na, M., Aguayo, VM, Arimond, M. & Stewart, CP Risk Factors of Poor Complementary Feeding Practices in Pakistani Children Aged 6–23 Months: A Multilevel Analysis of the Demographic and Health Survey 2012–2013. Maternity. Child Nutr. 13, 1–12 (2017).
Custodio, E.et al. Children's Dietary Diversity and Related Factors in Rwanda and Burundi : A Multilevel Analysis Using 2010 Demographic and Health Surveys. 1–18 (2019) doi:10.1371/journal.pone.0223237.
Brunson, EK, Shell-duncan, B. & Steele, M. Women's Autonomy and its Relationship to Children's Nutrition Among the Rendille of Northern Kenya. 64, 55–64 (2009).
Nurul Ulfhaini Bachri. The Influence of Domestic Violence on Divorce in Ciputat District. (Sharif Hidayatullah State Islamic University, 2020).
Copyright (c) 2023 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.