Fulfilment of Minimum Acceptable Diet as Dominant Factor in Wasting in Children Aged 6–23 Months in Central Jakarta, Indonesia, 2019

Ervida Andina, Madinar Madinar, Endang Laksminingsih Achadi

Abstract


Abstract

Wasting is a form of acute malnutrition characterized by significant and rapid weight loss resulting from inadequate food intake and infectious diseases. This study was to investigate the factors associated with wasting in children aged 6–23 months and the dominant factor among these. The study followed a cross-sectional study design. A total sample of 261 children was selected using multistage random sampling from 13 integrated healthcare centres in six administrative villages located in three sub-districts of Central Jakarta. Data was collected by measuring body weight and height and questionnaires completed through interviews carried out by trained data collectors. This study shows that the prevalence of wasting in children aged 6–23 months in Central Jakarta is 6.9%. Based on logistic regression analysis, fulfillment Minimum Acceptable Diet (MAD) (OR=3.2 90% CI 1.1-9.5) was found to be the dominant factor in wasting after controlling by mother's level of education (OR=1.7 90% CI 0.7–4.2) and the level of family income (OR=2.9; 90% CI 0.9-8.9). This research shows that there is a need for improvement of maternal behaviour in providing appropriate care for children. Based on this research, we recommend that intervention on appropriate breastfeeding and complementary feeding practices be strengthened, especially for mothers with low levels of education and family income.

Abstrak

Wasting adalah salah satu bentuk malnutrisi akut yang ditandai dengan penurunan berat badan yang signifikan dan cepat akibat asupan makanan yang tidak memadai dan penyakit infeksi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan wasting pada anak usia 6-23 bulan dan untuk mengetahui faktor dominan di antaranya. Penelitian menggunakan desain studi cross-sectional. Sampel berjumlah 261 anak dipilih dengan menggunakan multistage random sampling dari 13 puskesmas di enam kelurahan yang berada di tiga kecamatan di Jakarta Pusat. Pengumpulan data dilakukan dengan mengukur berat badan dan tinggi badan serta pengisian kuesioner melalui wawancara yang dilakukan oleh pengumpul data terlatih. Hasil penelitian menunjukkan bahwa prevalensi wasting pada anak umur 6–23 bulan di Jakarta Pusat sebesar 6,9%. Berdasarkan analisis regresi logistik, pemenuhan Minimum Acceptable Diet (MAD) (OR = 3,2 90% CI 1,1-9,5) ditemukan menjadi faktor dominan kejadian wasting selah dikontrol oleh tingkat pendidikan ibu (OR = 1,7 90% CI 0,7– 4.2) dan tingkat pendapatan keluarga (OR = 2.9; 90% CI 0.9-8.9). Penelitian ini menunjukkan perlunya peningkatan perilaku ibu dalam memberikan pengasuhan yang tepat kepada anak. Berdasarkan penelitian ini, kami merekomendasikan agar intervensi praktik pemberian ASI dan MP-ASI yang tepat diperkuat, terutama bagi ibu dengan tingkat pendidikan dan pendapatan keluarga yang rendah.


Keywords


wasting; minimum acceptable diet; children aged 6–23 months

Full Text:

PDF

References


WHO. WHA Global Nutrition Targets 2025: Low Birth Weight POlicy Brief [Internet]. 2014. Available from: https://www.who.int/nutrition/topics/globaltargets_lowbirthweight_policybrief.pdf

Yassin MM, Abujami SM. Risk factors associated with wasting among children aged 6 to 24 months old in Gaza strip. Int J Med. 2016;1(May):26–31.

Kemenkes RI. Laporan Nasional RISKESDAS 2018. Jakarta; 2018.

WHO. Nutrition Landscape Information System (NLIS). Geneva, Switzerland; 2010.

Liben ML, Abuhay T, Haile Y. The Role of Colostrum Feeding on the Nutritional Status of Preschool Children The Role of Colostrum Feeding on the Nutritional Status of Preschool Children in Afambo District , Northeast Ethiopia : Descriptive Cross Sectional Study. Eur J Clin Biomed Sci. 2016;2(6):87–91.

Blaney S, Februhartanty J, Sukotjo S. Feeding practices among Indonesian children above six months of age : a literature review on their magnitude and quality ( part 1 ). Asia Pac J Clin Nutr. 2015;24:16–27.

Ahmed R, Sultana P, Al-fuad S, Islam A. Association between Breastfeeding Practices and Nutritional Status of International Journal of Health Sciences and Research Association between Breastfeeding Practices and Nutritional Status of Children Aged 6-24 Months in Jessore , Bangladesh. Int J Heal Sci Res. 2017;7(11).

Tariku A, Bikis GA, Woldie H, Wassie MM, Worku AG. Child Wasting is a Severe Public Health Problem in the Predominantly Rural Population of Ethiopia: A Community Based Cross-sectional Study. Arch Public Heal. 2017;75(26):1–9.

Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Complementary feeding practices and nutritional status of children 6-23 months old : formative study in Aceh , Indonesia. Nutr Res Pract. 2018;12(6):512–20.

Wairimu MJ. Feeding Practices And Nutrition Status Among Children Aged 6-23 Months Following Discharge from Supplementary Feeding Program in Isiolo County, Kenya. Kenyatta University; 2018.

Vitolo MR, Gama CM, Bortolini GA, Campagnolo PDB, Drachler MDL. Some risk factors associated with overweight , stunting and wasting among children under 5 years old. J Pediatr (Rio J). 2008;84(3):251–7.

Afriyani R, Malahayati N. Faktor – faktor yang Mempengaruhi Kejadian Wasting pada Balita Usia 1-5 Tahun. J Kesehat. 2015;VII(1):66–72.

Amalia ML. Suplementasi Vitamin Asebagai Faktor Determinan yang Berhubungan dengan Kejadian Wasting pada Anak USia 6 - 23 Bulan di Jakarta Barat Tahun 2017. Universita Indonesia; 2017.

Meiandayati R, Wulansari R, Hanifah L, Laksminingsih E. Wasting and Associated Factors Among Infants Aged 0-23 Months in 13 Provinces in Indonesia : Evidence from Indonesia Family Life Surveys ( IFLS ) 2000 , 2007 and 2014. Mal J Nutr. 2018;24(3):323–31.

West Jr. KP. Vitamin A Deficiency Disorders in Children and Women. Food Nutr Bull Bull [Internet]. 2003;24(4):S78-90. Available from: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17016949

Mitchodigni IM, Hounkpatin WA, Ntandou-bouzitou G, Avohou H, Termote C, Kennedy G, et al. Complementary feeding practices : determinants of dietary diversity and meal frequency among children aged 6 – 23 months in Southern Benin. Food Sec. 2017;9:1117–30.

Adeba A, Garoma S, Fekadu H, Garoma W. Prevalence’s of Wasting and its Associated Factors of Children among 6 - 59 Months Age in Guto Gida District, Oromia Regional State, Ethiopia. J Food Process Technol. 2014;05(01).

Mukuria A, Cushing J, Sangha J. Nutritional Status of Children: Result from the Demographic and Health Surveys 1994-2001. DHS Comparative Reports No. 10. Calverton, Maryland, USA; 2005.

WHO, UNICEF. Operational Guidance for Tracking Progress in Meeting Targets for 2025. Geneva, Switzerland: World Health Organization; 2017.

Wijndaele K, Lakshman R, Landsbaugh JR, Ong KK, Ogilvie D. Determinants of Child Feeding Practices. J Nutr. 2006;22:233–40.

Kumar D, Goel NK, Mittal PC, Misra P. Influence of Infant-feeding Practices on Nutritional Status of Under-five Children. Indian J Pediatr. 2006;73:417–8.

Haq I, Wasila H, Nawsherwan, Khan A, R KC, Imtiaz M, et al. Maternal Formal Education in Association with Nutritional Status of Children ( Less-than Two Years ). Indian J Nutr. 2017;4(2):1–5.

Daka B, Chibwili E, Mwiitwa DH, Malama S. Determination of the Correlation Between Nutritional and Socio-Economic Status of Under-Five Children in Lusaka District. ARC J Nutr Growth. 2018;4(2):21–6.

Mogre V, Dery M, Gaa PK. Knowledge, Attitudes, and Determinants of Exclusive Breastfeeding Practice among Ghanaian Rural Lactating Mothers. Int Breastfeed J [Internet]. 2016;11(12):1–8. Available from: http://dx.doi.org/10.1186/s13006-016-0071-z

Putri maya S, Kapantow N, Kawengian S. Hubunga antara Riwayat Penyakit Infeksi dengan Status Gizi pada Anak Batita di Desa Mopusi Kecamatan Lolayan Kabupaten Bolaang Mongondow. J e-Biomedik. 2015;3(2):1–5.

Ali Z, Saaka M, Adams A, Kamwininaang SK, Abizari A. The Effect of Maternal and Child Factors on Stunting , Wasting and Underweight among Preschool Children in Northern Ghana. BMC Nutr. 2017;3(31):1–13.

Ridwan E. Kapsul Vitamin A dan Morbiditas Anak Balita: RISKESDAS 2007. Gizi Indones. 2012;35(1):64–72.

Ajao K, Ojofeitimi E, Adebayo A, Fatusi A, Afolabi O. Influence of Family Size , Household Food Security Status , and Child Care Practices on the Nutritional Status of Under-five Children in IIe-Ife, Nigeria. Afr J Reprod Health. 2010;14(4):123–32.


Refbacks

  • There are currently no refbacks.