National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure
Abstract Background Reducing childhood stunting continues to be a priority in Indonesia. In 2015, the National Nutrition Communication Campaign (NNCC) implemented mass media and interpersonal communication (IPC) interventions to disseminate stunting-related information. Whereas other studies of the...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | Archives of Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13690-021-00697-y |
| _version_ | 1818930290736758784 |
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| author | Leiema Hunt Abigail Norton Chantel Daines Evie Friedbaum Danica Topham Ryan Moffat Scott Torres Mary Linehan Hafiza Jusril Cougar Hall Benjamin Crookston Josh West |
| author_facet | Leiema Hunt Abigail Norton Chantel Daines Evie Friedbaum Danica Topham Ryan Moffat Scott Torres Mary Linehan Hafiza Jusril Cougar Hall Benjamin Crookston Josh West |
| author_sort | Leiema Hunt |
| collection | DOAJ |
| description | Abstract Background Reducing childhood stunting continues to be a priority in Indonesia. In 2015, the National Nutrition Communication Campaign (NNCC) implemented mass media and interpersonal communication (IPC) interventions to disseminate stunting-related information. Whereas other studies of the NNCC’s impact on attitudes and behaviors are currently underway, the purpose of this study was to better understand the factors associated with exposure to the media and IPC components of the NNCC. Methods A cross-sectional survey was conducted following the NNCC media and IPC campaigns in rural Indonesia. The final study sample included 1734 mothers. Survey data was collected from each participant by trained interviewers using an electronic tablet. Responses relating to demographic and socioeconomic factors, use of social media and WhatsApp, and electronic device ownership were analyzed. Logistic regression analyses, using SAS version 9.4, were conducted to evaluate the relationship between technology-related items and exposure to both the media and the IPC interventions. Results Owning an internet device (OR = 1.643, CI = 1.237–2.183, p < 0.001), accessing social media (OR = 1.81, CI = 1.32–2.49, p < 0.001), using a device to access health information (OR = 2.068, CI = 1.469–2.911, p < 0.0001), and accessing WhatsApp (OR = 1.663, CI = 1.175–2.355, p < 0.05) were positively related to exposure to NNCC messages meant to change behavior to decrease stunting. In separate analyses, owning an internet device (OR = 0.609, CI = 0.459–0.81, p < 0.001) accessing social media (OR = 0.626, CI = 0.459–0.854, p < 0.05), using a device to access health information (OR = 0.528, CI = 0.377–0.740, p < 0.001), and accessing WhatsApp (OR = 0.688, CI = 0.489–0.968, p < 0.05) were negatively related to IPC exposure. Mothers with access to internet-accessible devices were more likely to be exposed to the media campaign component to decrease stunting while mothers without access to internet-accessible devices were more likely to be exposed through IPC. Conclusions Mothers who owned devices that could access the internet were more likely to have been exposed to the media campaign component to decrease stunting by behavior change but were less likely to participate in IPC activities. The opposite was true for mothers who did not have access to internet-accessible devices. These findings may be used to inform future community health efforts in rural Indonesia and similar regions that may be considering the use of both mass media and interpersonal interventions to influence health behaviors in order to decrease stunting. |
| first_indexed | 2024-12-20T03:58:21Z |
| format | Article |
| id | doaj.art-f47ebfcb51224a65a3c7c463ff04d9ca |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-20T03:58:21Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-f47ebfcb51224a65a3c7c463ff04d9ca2022-12-21T19:54:15ZengBMCArchives of Public Health2049-32582021-10-017911710.1186/s13690-021-00697-yNational Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposureLeiema Hunt0Abigail Norton1Chantel Daines2Evie Friedbaum3Danica Topham4Ryan Moffat5Scott Torres6Mary Linehan7Hafiza Jusril8Cougar Hall9Benjamin Crookston10Josh West11Department of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversitySenior Manager Neglected Tropical Diseases, RTI International, Washington, D.C., Senior Program Director, IMA World HealthInfectious Disease Team Lead, USAIDAssociate Researcher, ReconstraDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityDepartment of Public Health, Brigham Young UniversityAbstract Background Reducing childhood stunting continues to be a priority in Indonesia. In 2015, the National Nutrition Communication Campaign (NNCC) implemented mass media and interpersonal communication (IPC) interventions to disseminate stunting-related information. Whereas other studies of the NNCC’s impact on attitudes and behaviors are currently underway, the purpose of this study was to better understand the factors associated with exposure to the media and IPC components of the NNCC. Methods A cross-sectional survey was conducted following the NNCC media and IPC campaigns in rural Indonesia. The final study sample included 1734 mothers. Survey data was collected from each participant by trained interviewers using an electronic tablet. Responses relating to demographic and socioeconomic factors, use of social media and WhatsApp, and electronic device ownership were analyzed. Logistic regression analyses, using SAS version 9.4, were conducted to evaluate the relationship between technology-related items and exposure to both the media and the IPC interventions. Results Owning an internet device (OR = 1.643, CI = 1.237–2.183, p < 0.001), accessing social media (OR = 1.81, CI = 1.32–2.49, p < 0.001), using a device to access health information (OR = 2.068, CI = 1.469–2.911, p < 0.0001), and accessing WhatsApp (OR = 1.663, CI = 1.175–2.355, p < 0.05) were positively related to exposure to NNCC messages meant to change behavior to decrease stunting. In separate analyses, owning an internet device (OR = 0.609, CI = 0.459–0.81, p < 0.001) accessing social media (OR = 0.626, CI = 0.459–0.854, p < 0.05), using a device to access health information (OR = 0.528, CI = 0.377–0.740, p < 0.001), and accessing WhatsApp (OR = 0.688, CI = 0.489–0.968, p < 0.05) were negatively related to IPC exposure. Mothers with access to internet-accessible devices were more likely to be exposed to the media campaign component to decrease stunting while mothers without access to internet-accessible devices were more likely to be exposed through IPC. Conclusions Mothers who owned devices that could access the internet were more likely to have been exposed to the media campaign component to decrease stunting by behavior change but were less likely to participate in IPC activities. The opposite was true for mothers who did not have access to internet-accessible devices. These findings may be used to inform future community health efforts in rural Indonesia and similar regions that may be considering the use of both mass media and interpersonal interventions to influence health behaviors in order to decrease stunting.https://doi.org/10.1186/s13690-021-00697-yNational Communications CampaignStuntingInterpersonal communicationsHealth behaviorsIndonesia |
| spellingShingle | Leiema Hunt Abigail Norton Chantel Daines Evie Friedbaum Danica Topham Ryan Moffat Scott Torres Mary Linehan Hafiza Jusril Cougar Hall Benjamin Crookston Josh West National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure Archives of Public Health National Communications Campaign Stunting Interpersonal communications Health behaviors Indonesia |
| title | National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure |
| title_full | National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure |
| title_fullStr | National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure |
| title_full_unstemmed | National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure |
| title_short | National Nutrition Communication Campaign in Indonesia: a cross-sectional study of factors associated with exposure |
| title_sort | national nutrition communication campaign in indonesia a cross sectional study of factors associated with exposure |
| topic | National Communications Campaign Stunting Interpersonal communications Health behaviors Indonesia |
| url | https://doi.org/10.1186/s13690-021-00697-y |
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