Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia
The need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study t...
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| Format: | Article |
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MDPI AG
2020-12-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/12/12/3851 |
| _version_ | 1797544467699335168 |
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| author | Umi Fahmida Min Kyaw Htet Elaine Ferguson Tran Thanh Do Annas Buanasita Christiana Titaley Ashraful Alam Aang Sutrisna Mu Li Iwan Ariawan Michael John Dibley |
| author_facet | Umi Fahmida Min Kyaw Htet Elaine Ferguson Tran Thanh Do Annas Buanasita Christiana Titaley Ashraful Alam Aang Sutrisna Mu Li Iwan Ariawan Michael John Dibley |
| author_sort | Umi Fahmida |
| collection | DOAJ |
| description | The need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study to evaluate the Baduta project’s effectiveness on growth among children under 2 years of age in two districts (Sidoarjo and Malang Districts) in East Java. Six subdistricts were randomly selected, in which three were from the intervention areas, and three were from the control areas. We recruited 340 pregnant women per treatment group during the third trimester of pregnancy and followed up until 18 months postpartum. The assessment of breastfeeding and complementary feeding practices used standard infant and young child feeding (IYCF) indicators in a tablet-based application. We measured weight and length at birth and every three-months after that. The enumerators met precision and accuracy criteria following an anthropometry standardization procedure. Among the breastfed children, the percentage of children who achieved the minimum dietary diversity score (DDS) and minimum acceptable diet (MAD) was higher for the intervention group than the comparison group across all age groups. The odd ratios were 3.49 (95% CI: 2.2–5.5) and 2.79 (95% CI: 1.7–4.4) for DDS and 3.49 (95% CI: 2.2–5.5) and 2.74 (95% CI: 1.8–5.2) for MAD in the 9–11 month and 16–18-month age groups, respectively. However, there was no significant improvement in growth or reduction in the prevalence of anemia. The intervention was effective in improving the feeding practices of children although it failed to show significant improvement in linear growth of children at 18 months of age. |
| first_indexed | 2024-03-10T14:00:55Z |
| format | Article |
| id | doaj.art-4d316fdb01dc45b7b447cd37928d1117 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T14:00:55Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-4d316fdb01dc45b7b447cd37928d11172023-11-21T01:08:56ZengMDPI AGNutrients2072-66432020-12-011212385110.3390/nu12123851Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, IndonesiaUmi Fahmida0Min Kyaw Htet1Elaine Ferguson2Tran Thanh Do3Annas Buanasita4Christiana Titaley5Ashraful Alam6Aang Sutrisna7Mu Li8Iwan Ariawan9Michael John Dibley10Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON), Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta 10430, IndonesiaSoutheast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON), Pusat Kajian Gizi Regional Universitas Indonesia, Jakarta 10430, IndonesiaDepartment of Population Health, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UKNational Institute of Nutrition, Hanoi 116110, VietnamSurabaya Health Polytechnic, Ministry of Health, Surabaya 60282, IndonesiaFaculty of Medicine, Pattimura University, Ambon 97233, IndonesiaSchool of Public Health, The University of Sydney, Sydney, NSW 2006, AustraliaGAIN Global Alliance for Improved Nutrition, Jakarta 12950, IndonesiaSchool of Public Health, The University of Sydney, Sydney, NSW 2006, AustraliaCenter for Health Research, Faculty of Public Health, Universitas Indonesia, Depok 16424, IndonesiaSchool of Public Health, The University of Sydney, Sydney, NSW 2006, AustraliaThe need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study to evaluate the Baduta project’s effectiveness on growth among children under 2 years of age in two districts (Sidoarjo and Malang Districts) in East Java. Six subdistricts were randomly selected, in which three were from the intervention areas, and three were from the control areas. We recruited 340 pregnant women per treatment group during the third trimester of pregnancy and followed up until 18 months postpartum. The assessment of breastfeeding and complementary feeding practices used standard infant and young child feeding (IYCF) indicators in a tablet-based application. We measured weight and length at birth and every three-months after that. The enumerators met precision and accuracy criteria following an anthropometry standardization procedure. Among the breastfed children, the percentage of children who achieved the minimum dietary diversity score (DDS) and minimum acceptable diet (MAD) was higher for the intervention group than the comparison group across all age groups. The odd ratios were 3.49 (95% CI: 2.2–5.5) and 2.79 (95% CI: 1.7–4.4) for DDS and 3.49 (95% CI: 2.2–5.5) and 2.74 (95% CI: 1.8–5.2) for MAD in the 9–11 month and 16–18-month age groups, respectively. However, there was no significant improvement in growth or reduction in the prevalence of anemia. The intervention was effective in improving the feeding practices of children although it failed to show significant improvement in linear growth of children at 18 months of age.https://www.mdpi.com/2072-6643/12/12/3851cohortfeeding practicesgrowthIndonesiainfants and young childrennutrition-sensitive |
| spellingShingle | Umi Fahmida Min Kyaw Htet Elaine Ferguson Tran Thanh Do Annas Buanasita Christiana Titaley Ashraful Alam Aang Sutrisna Mu Li Iwan Ariawan Michael John Dibley Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia Nutrients cohort feeding practices growth Indonesia infants and young children nutrition-sensitive |
| title | Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia |
| title_full | Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia |
| title_fullStr | Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia |
| title_full_unstemmed | Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia |
| title_short | Effect of an Integrated Package of Nutrition Behavior Change Interventions on Infant and Young Child Feeding Practices and Child Growth from Birth to 18 Months: Cohort Evaluation of the Baduta Cluster Randomized Controlled Trial in East Java, Indonesia |
| title_sort | effect of an integrated package of nutrition behavior change interventions on infant and young child feeding practices and child growth from birth to 18 months cohort evaluation of the baduta cluster randomized controlled trial in east java indonesia |
| topic | cohort feeding practices growth Indonesia infants and young children nutrition-sensitive |
| url | https://www.mdpi.com/2072-6643/12/12/3851 |
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