Factors Contributed in Providing Complementary Foods and Changes in Toddler Growth Charts

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Introduction: The purpose of this study was to analyze the factors that contributed in providing complementary foods with the growth chart of under-five children.
Methods: Correlational analytic study with a cross-sectional approach on 366 under-fives aged 6-24 months who were recruited using simple random sampling. The variables consisted of the demographic factors and father's role in providing complementary feeding and the growth chart of the card to health, both variables were measured using demographic questionnaire and The Paternal Engagement, Paternal Accessibility and Paternal Responsibility scale with a good validity and reability and analyzed using the binary logistic regression.
Results: The majority shows positive father involvement (72%), normal weight progression (76.5%), and predominantly normal height (88%), with only 11% categorized as short. The multivariate analysis show that father's education, father's job, mother's age, mother's education, mother's job and father's role have a significant relationship with the growth chart. Father's role is the most dominant variable because its OR is the highest (p = 0.001; OR = 2.128; CI = 1.263-3.433), which means that a supportive or better father's role will make the provision of complementary food better and improve the child's growth chart.
Conclusions: Fathers play an important role in supporting the growth of under-fives through complementary feeding. This study is expected to be applied with a wider range of areas in order to obtain comparisons with research that has been done.
Ajike, S. O. et al. (2020) ‘Effect of a breastfeeding educational programme on fathers’ intention to support exclusive breastfeeding: A quasi-experimental study’, African Journal of Reproductive Health, 24(3), pp. 59–68.
Al-Jawaldeh, A., Taktouk, M. and Nasreddine, L. (2020) ‘Food consumption patterns and nutrient intakes of children and adolescents in the Eastern Mediterranean Region: A call for policy action’, Nutrients, 12(11), p. 3345.
Allotey, D., Flax, V. L., Ipadeola, A. F., et al. (2022) ‘Fathers’ complementary feeding support strengthens the association between mothers’ decision-making autonomy and optimal complementary feeding in Nigeria’, Current Developments in Nutrition, 6(7), p. nzac098.
Allotey, D., Flax, V. L., Ipadeola, A., et al. (2022) ‘Maternal and paternal involvement in complementary feeding in Kaduna State, Nigeria: The continuum of gender roles in urban and rural settings’, Maternal & Child Nutrition, 18(2), p. e13325.
Ayres-de-Campos, D., Rei, M., Nunes, I., Sousa, P., & Bernardes, J. (2017). SisPorto 4.0–computer analysis following the 2015 FIGO guidelines for intrapartum fetal monitoring. The Journal of Maternal-Fetal & Neonatal Medicine, 30(1), 62–67. https://doi.org/10.3109/14767058.2016.11617
Banerjee, A. et al. (2021) ‘The challenges of universal health insurance in developing countries: experimental evidence from Indonesia’s National Health Insurance’, American Economic Review, 111(9), pp. 3035–3063.
Basri, H. and Hadju, V. (2020) ‘Breastfeeding and complementary food on nutritional status infants in Indonesia’, Enfermería Clínica, 30, pp. 191–195.
Bimpong, K. A. et al. (2020) ‘Mothers’ knowledge and attitudes regarding child feeding recommendations, complementary feeding practices and determinants of adequate diet’, BMC nutrition, 6, pp. 1–8.
Bukit, D. S., Keloko, A. B. and Ashar, T. (2021) ‘Father’s support and mother’s behavior in stunting prevention efforts’, Journal of Health Science and Prevention, 5(2), pp. 100–105.
Clegg, M. E. et al. (2021) ‘A comparative assessment of the nutritional composition of dairy and plant-based dairy alternatives available for sale in the UK and the implications for consumers’ dietary intakes’, Food Research International, 148, p. 110586.
Edelblute, H. B. and Altman, C. E. (2021) ‘The Interaction and Impact of Social Support and Father Absence on Breastfeeding’, Breastfeeding Medicine, 16(8), pp. 629–634.
Ekelund, L. et al. (2021) ‘Duration of breastfeeding, age at introduction of complementary foods and allergy-related diseases: a prospective cohort study’, International breastfeeding journal, 16, pp. 1–14.
Eshete, M. et al. (2021) ‘Aflatoxin contamination of human breast milk and complementary foods in southern Ethiopia’, Maternal & Child Nutrition, 17(1), p. e13081.
Hadi, A. J. et al. (2020) ‘Relationship Factor Enabling Giving Complementary Foods for Breast Milk with Baby Nutrition Status in Makassar City.’, Indian Journal of Public Health Research & Development, 11(6).
Hendriyani, H. et al. (2020) ‘Complementary feeding self-efficacy: a concept analysis’, Open Access Macedonian Journal of Medical Sciences, 8(F), pp. 11–22.
Isaacs, A., Neve, K. and Hawkes, C. (2022) ‘Why do parents use packaged infant foods when starting complementary feeding? Findings from phase one of a longitudinal qualitative study’, BMC Public Health, 22(1), p. 2328.
Januarti, L. F. and Hidayathillah, A. P. (2020) ‘Parenting culture on the role of father in prevention of stunting in toddler’, Babali Nursing Research, 1(2), pp. 81–90.
Kaur, A. et al. (no date) ‘Comparative study of breastfeeding support and guidance to mother alone, mother and father, mother father and family’.
Koksal, I., Acikgoz, A. and Cakirli, M. (2022) ‘The effect of a father’s support on breastfeeding: A systematic review’, Breastfeeding Medicine, 17(9), pp. 711–722.
Kosasih, D. M. et al. (2022) ‘Determinant factors behind changes in health-seeking behaviour before and after implementation of universal health coverage in Indonesia’, BMC Public Health, 22(1), p. 952.
Kostecka, M., Jackowska, I. and Kostecka, J. (2020) ‘Factors affecting complementary feeding of infants. A pilot study conducted after the introduction of new infant feeding guidelines in Poland’, Nutrients, 13(1), p. 61.
Lutter, C. K., Grummer-Strawn, L. and Rogers, L. (2021) ‘Complementary feeding of infants and young children 6 to 23 months of age’, Nutrition Reviews, 79(8), pp. 825–846.
Martin, S. L. et al. (2021) ‘Engaging fathers to improve complementary feeding is acceptable and feasible in the Lake Zone, Tanzania’, Maternal & Child Nutrition, 17, p. e13144.
Masuke, R. et al. (2021) ‘Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study’, PloS one, 16(5), p. e0250562.
Mkhize, M. and Sibanda, M. (2020) ‘A review of selected studies on the factors associated with the nutrition status of children under the age of five years in South Africa’, International Journal of Environmental Research and Public Health, 17(21), p. 7973.
Neri, D. et al. (2022) ‘Ultraprocessed food consumption and dietary nutrient profiles associated with obesity: A multicountry study of children and adolescents’, Obesity Reviews, 23, p. e13387.
Nguyen, T. T. et al. (2021) ‘Community support model on breastfeeding and complementary feeding practices in remote areas in Vietnam: implementation, cost, and effectiveness’, International Journal for Equity in Health, 20(1), p. 121.
Peeters, M., Davison, K., Ma, D., & Haines, J. (2019). Meeting Report on the Conference on Fathers' Role in Children's Weight-Related Behaviors and Outcomes. Obesity (Silver Spring, Md.), 27(4), 523–524. https://doi.org/10.1002/oby.22396
Phua, H. W., Razak, N. A. A. A. and Shukri, N. H. M. (2020) ‘Associations of Father’s Breastfeeding Attitude and Support With the Duration of Exclusive Breastfeeding Among First-time Mothers.’, Malaysian Journal of Medicine & Health Sciences, 16(6).
Pradanie, R., Diyan Rachmawati, P. and Cahyani, M. D. (2020) ‘Factors associated with mothers’ behaviors in selecting complementary feeding in Surabaya, Indonesia’.
Susanti, G. et al. (2022) ‘Assessing the national health insurance system: a study of the implementation of health insurance policy in Indonesia’, Public Policy and Administration, 21(4).
Tello, B. et al. (2022) ‘Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age’, International Breastfeeding Journal, 17(1), p. 19.
Wolkanto, A. A. et al. (2023) ‘Fathers’ involvement in complementary feeding of children in Damot Woyde District, South Ethiopia: a community-based cross-sectional study’, BMC nutrition, 9(1), p. 8.
Watterworth, J. C., Hutchinson, J. M., Buchholz, A. C., Darlington, G., Randall Simpson, J. A., Ma, D. W. L., Haines, J., & Guelph Family Health Study (2017). Food parenting practices and their association with child nutrition risk status: comparing mothers and fathers. Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme, 42(6), 667–671. https://doi.org/10.1139/apnm-2016-0572
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