Starkweather Cecily, Guarino Ayla, Bennion Natalie, Cottam Malynne, McGhie Josie, Dearden Kirk A, Santika Otte, Jusril Hafizah, Hall Cougar, Crookston Benjamin T, Linehan Mary, Torres Scott, Bennett Cudjoe, West Joshua H
Department of Public Health, Master of Public Health Program, Brigham Young University, Provo, UT USA.
IMA World Health, Washington, DC USA.
Arch Public Health. 2020 Jul 9;78:62. doi: 10.1186/s13690-020-00444-9. eCollection 2020.
The purpose of this study was to examine the extent to which a national nutrition communication campaign (NNCC) intervention providing interpersonal communication (IPC) was associated with improved knowledge and behaviors related to feeding practices among mothers with children under two years of age in rural Indonesia.
Data came from a follow-up, cross-sectional survey of 1734 mothers. Key outcomes of interest were minimum meal frequency, minimum dietary diversity and minimum acceptable diet, as defined by the World Health Organization. Associations between exposure to the NNCC intervention and infant and young child feeding (IYCF) knowledge and behaviors were analyzed using adjusted linear and logistic regression, controlling for age, education, and income.
A total of 525 mothers reported exposure to IPC interventions (30.3%). Participation in IPC was associated with increased knowledge of feeding practices ( < .0001). Separately, knowledge of feeding practices was related to achieving recommended behavioral practices of minimum meal frequency ( = 0.019), dietary diversity ( = 0.013), adequate diet ( < .001).
These findings underscore the value of increasing maternal knowledge of IYCF practices through IPC interventions as a way to improve behavioral practices and address stunting in rural Indonesia.
本研究的目的是调查一项提供人际沟通（IPC）的全国营养宣传活动（NNCC）干预措施在多大程度上与印度尼西亚农村地区两岁以下儿童母亲在喂养习惯方面的知识改善和行为改变相关。
数据来自对1734名母亲的随访横断面调查。感兴趣的主要结果是世界卫生组织定义的最低进餐频率、最低饮食多样性和最低可接受饮食。使用调整后的线性和逻辑回归分析NNCC干预措施与婴幼儿喂养（IYCF）知识和行为之间的关联，并控制年龄、教育程度和收入。
共有525名母亲报告接触过IPC干预措施（30.3%）。参与IPC与喂养习惯知识的增加相关（<0.0001）。此外，喂养习惯知识与达到最低进餐频率（=0.019）、饮食多样性（=0.013）、充足饮食（<0.001）的推荐行为习惯相关。
这些发现强调了通过IPC干预增加母亲对IYCF做法的了解作为改善印度尼西亚农村地区行为习惯和解决发育迟缓问题的一种方式的价值。
