Maternal Nutritional Knowledge as a Determinant of Stunting in West Java: Rural-Urban Disparities
Pengetahuan Gizi Ibu Sebagai Determinan Stunting di Jawa Barat: Disparitas Perdesaan-Perkotaan
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Background: Maternal nutritional knowledge must be strengthened to lower the problem of stunting. However, there is currently a lack of information regarding the nutritional knowledge of mothers of stunted and non-stunted children in West Java's rural and urban areas.
Objectives: This study compares the nutritional knowledge of mothers of under-five children in West Java across four groups: those who are stunted in rural areas (SR), those who are stunted in urban areas (SU), and those who are not in rural (NR) and urban (NU).
Methods: This cross-sectional study was conducted in Cianjur (rural) and Sukabumi City (urban) in June 2022. Data was collected through interview to 300 mothers of children underfive using pretested questionnaire. Nutritional knowledge comprised of 20 questions about infant and young child feeding and balanced nutrition. One-way ANOVA and Tukey HSD Post Hoc Tests were applied for data analyses using IBM SPSS 22.0.
Results: Overall, both prevalence of stunting in rural and urban was 33.3% and 30.7%, respectively. Mothers in four groups had moderate nutritional knowledge, with total scores ranging from 70.9 to 75.2. Mothers of NU were found to have more nutritional awareness than NR and SR. In comparison to NR, mothers of NU babies are more likely to be aware that their 2- or 3-month-old infants cannot consume bananas or papayas. Compared to SR, more NU mothers are aware that vegetables do not contain protein. There are more mothers of NU know that sweetened condensed milk is not more nutrient rich compared to powder or liquid milk than NR and SR.
Conclusions: Urban mothers have superior nutritional knowledge than rural mothers. Even, knowledge of rural mother with stunted child is the poorest. With the high prevalence of stunting, access to nutritional information should be enhanced, with a focus on the feeding practices of young children.
Ministry of Health of Republic of Indonesia. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Kabupaten/Kota Tahun 2021. (2021).
TNP2K. 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting). (The National Team for The Acceleration of Proverty Reduction of Republic of Indonesia, 2017).
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D. & Neufeld, L. M. A review of child stunting determinants in Indonesia. Matern. Child Nutr. 14, e12617 (2018).
Nirmala, I. R., Februhartanty, J. & Wiradnyani, L. A. A. Maternal attributes are positively associated with feeding practices of children aged 2-5 years in West Java, Indonesia. Malays. J. Nutr. 22, 191–205 (2016).
Halder, S. & Kejriwal, S. Nutritional awareness of mothers in relation to nutritional status of the preschool children. Early Child Dev. Care 186, 1366–1377 (2016).
Hall, C. et al. Maternal Knowledge of Stunting in Rural Indonesia. Int. J. Child Heal. Nutr. 7, 139–145 (2018).
Widyaningsih, V., Mulyaningsih, T., Rahmawati, F. N. & Adhitya, D. Determinants of socioeconomic and rural–urban disparities in stunting: evidence from Indonesia. Rural Remote Health 22, (2022).
Zhu, W., Zhu, S., Sunguya, B. F. & Huang, J. Urban–rural disparities in the magnitude and determinants of stunting among children under five in tanzania: Based on tanzania demographic and health surveys 1991–2016. Int. J. Environ. Res. Public Health 18, (2021).
De Onis, M. et al. Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutr. 22, 175–179 (2019).
Debela, B. L., Demmler, K. M., Rischke, R. & Qaim, M. Maternal nutrition knowledge and child nutritional outcomes in urban Kenya. Appetite 116, 518–526 (2017).
Martin, C. R., Ling, P. R. & Blackburn, G. L. Review of infant feeding: Key features of breast milk and infant formula. Nutrients 8, 1–11 (2016).
Piwoz, E. G. & Huffman, S. L. Impact of marketing of breast-milk substitutes on WHO-recommended breastfeeding practices. Food Nutr. Bull. 36, 373–386 (2015).
Barennes, H., Slesak, G., Goyet, S., Aaron, P. & Srour, L. M. Enforcing the International Code of Marketing of Breast-milk Substitutes for Better Promotion of Exclusive Breastfeeding. J. Hum. Lact. 32, 20–27 (2016).
Zhao, J., Li, M. & Freeman, B. A baby formula designed for Chinese babies: Content analysis of milk formula advertisements on Chinese parenting apps. JMIR mHealth uHealth 7, 1–12 (2019).
Chen, X. et al. Differences in Rural and Urban Health Information Access and Use. J. Rural Heal. 35, 405–417 (2019).
Owais, A. et al. Maternal knowledge and attitudes towards complementary feeding in relation to timing of its initiation in rural Bangladesh. BMC Nutr. 5, 1–8 (2019).
Badan POM RI. Peraturan Badan pengawas Obat dan Makanan Republik Indonesia Nomor 20 Tahun 2021 tentang Perubahan Atas Peraturan Badan Pengawas Obat Dan Makanan Nomor 31 Tahun 2018 Tentang Label Pangan Olahan. Badan Pengawas Obat Dan Makanan Republik Indones. 1–22 (2021).
Sukandar, D., Khomsan, A., Anwar, F., Riyadi, H. & Mudjajanto, E. S. Nutrition knowledge, attitude, and practice of mothers and children nutritional status improved after five months nutrition education intervention. Int. J. Sci. Basic Appl. Res. 23, 424–442 (2015).
Kajjura, R. B., Veldman, F. J. & Kassier, S. M. Effect of Nutrition Education on Knowledge, Complementary Feeding, and Hygiene Practices of Mothers With Moderate Acutely Malnourished Children in Uganda. Food Nutr. Bull. 40, 221–230 (2019).
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