The intervention of maternal nutrition literacy has the potential to prevent childhood stunting: Randomized control trials

  • Sirajuddin Sirajuddin | sirajuddin.gizi@poltekkes-mks.ac.id Student Doctoral Public Health, Hasanuddin University, Makassar; Department of Dietetic and Nutrition, Health Polytechnic of Makassar, Indonesia.
  • Saifuddin Sirajuddin Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
  • Amran Razak Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
  • Ansariadi Ansariadi Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
  • Ridwan M Thaha Department of Health Nutrition, Faculty of Medicine, Gadjah Mada University, Yogyakarta, Indonesia.
  • Toto Sudargo Faculty Public Health Hasanuddin University, Makassar, Indonesia.

Abstract

Background: Stunting is the impaired growth and development of children due to poor nutrition, repeated infection, and inadequate psychological stimulation. This research aims to examine the impact of maternal nutrition literacy (MNL) in increasing the height or score of a stunted child.
Design and Methods: This study is a randomized control trial, which uses a sample size of 85 participants, 43 interventions and 42 controls, an 80% stress test and a 95% confidence level. The intervention group of the MNL consists of families with children under the age of five, focused on the mother's ability to perform breastfeeding, hygiene activities, care, and intervention for 3 months.
Result: The status of stunting was determined by the different distribution of stunting before and after the intervention in both the intervention and control groups. There was a decrease of about 9.3% of MNL in the intervention group, while in the control group it decreased by just 2.4% (p<0.05).
Conclusions: It can be concluded that MNL has an effect in preventing stunting, and it is recommended that preventive measures should focus more on normal children, while stunted children should be provided with breastfeeding as the core of MNL.

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References

Mbogori T, Murimi M, Ruhul A. Nutrition education intervention: Using train the trainer approach to reach populations with low literacy in Turkana, Kenya. J Nutr Educ Behav 2015;47:S81–2. DOI: https://doi.org/10.1016/j.jneb.2015.04.215

Babakazo P, Donnen P, Akilimali P, et al. Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study. Int Breastfeed J 2015;10:19. DOI: https://doi.org/10.1186/s13006-015-0044-7

Ipa A, Hartono R, Sirajuddin, et al. Breast feeding practice prevention for nutritional stunting of children in Buginese ethnicity. Indian J Forensic Med Toxicol 2020;14:1108–12.

Sirajuddin, Sirajuddin S, Hadju V, et al. Complemetary feeding practices influences of stunting children in Buginese ethnicity. Indian J Forensic Med Toxicol 2020;14:1227–33.

Sirajuddin, Nursalim AT. Breastfeeding practices can potential to prevent stunting for poor family. Enferma Clin 2020;30:13–7. DOI: https://doi.org/10.1016/j.enfcli.2020.02.007

Brown A, Shenker N. Experiences of breastfeeding during COVID‐19: Lessons for future practical and emotional support. Matern Child Nutr 2020;17:e13088. DOI: https://doi.org/10.1111/mcn.13088

Kent JC, Ashton E, Hardwick CM, et al. Causes of perception of insufficient milk supply in Western Australian mothers. Matern Child Nutr 2020;17:e13080. DOI: https://doi.org/10.1111/mcn.13080

Minhas AS, Scheel P, Garibaldi B, et al. Takotsubo syndrome in the setting of COVID-19. JACC Case Rep 2020;2:1321-5. DOI: https://doi.org/10.1016/j.jaccas.2020.04.023

McGovern ME, Krishna A, Aguayo VM, et al. A review of the evidence linking child stunting to economic outcomes. Int J Epidemiol 2017;46:1171–91. DOI: https://doi.org/10.1093/ije/dyx017

Said-Mohamed R, Pettifor JM, Norris SA. Life History theory hypotheses on child growth: Potential implications for short and long-term child growth, development and health. Am J Phys Anthropol 2018;165:4–19. DOI: https://doi.org/10.1002/ajpa.23340

Danaei G, Andrews KG, Sudfeld CR, et al. Risk factors for childhood stunting in 137 developing countries: A comparative risk assessment analysis at global, regional, and country levels. PLoS Med 2016;13:e1002164. DOI: https://doi.org/10.1371/journal.pmed.1002164

Dewey KG, Begum K. Long-term consequences of stunting in early life. Matern Child Nutr. 2011;7:S5–18. DOI: https://doi.org/10.1111/j.1740-8709.2011.00349.x

Mridha MK, Matias SL, Chaparro CM, et al. Lipid-based nutrient supplements for pregnant women reduce newborn stunting in a cluster-randomized controlled effectiveness trial in Bangladesh. Am J Clin Nutr 2016;103:236–49. DOI: https://doi.org/10.3945/ajcn.115.111336

Giao H, Le An P, Truong Vien N, et al. Stunting and overweight among 12-24-month-old children receiving vaccination in Ho Chi Minh City, Vietnam. Biomed Res Int 2019;2019:1547626. DOI: https://doi.org/10.1155/2019/1547626

de Onis M, Branca F. Childhood stunting: A global perspective. Matern Child Nutr 2016;12:12–26. DOI: https://doi.org/10.1111/mcn.12231

Beal T, Tumilowicz A, Sutrisna A, et al. A review of child stunting determinants in Indonesia. Matern Child Nutr 2018;14:1–10. DOI: https://doi.org/10.1111/mcn.12617

Sukmawati H, Sirajuddin. Assistance in child feeding influences the nutritional intake of stunting children: Randomized control trial. Indian J Forensic Med Toxicol 2020;14:1948–52.

Hartono R, Ipa A, Sirajuddin, et al. Feeding style for children aged 0-59 months of buginese ethnicity. Indian J Forensic Med Toxicol 2020;14:1216–20.

Tama TD, Astutik E, Katmawanti S, et al. Birth patterns and delayed breastfeeding initiation in Indonesia. J Prev Med Public Heal 2020;53:465–75. DOI: https://doi.org/10.3961/jpmph.20.212

Hossain M, Choudhury N, Abdullah KAB, et al. Evidence-based approaches to childhood stunting in low and middle income countries: A systematic review. Arch Dis Child 2017;102:903–9. DOI: https://doi.org/10.1136/archdischild-2016-311050

Kang Y, Kim S, Sinamo S, et al. Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial. Matern Child Nutr 2017;13:1–15. DOI: https://doi.org/10.1111/mcn.12349

Olney DK, Pedehombga A, Ruel MT, et al. A 2-year integrated agriculture and nutrition and health behavior change communication program targeted to women in Burkina Faso reduces anemia, wasting, and diarrhea in children 3-12.9 months of age at baseline: A cluster-randomized controlled trial. J Nutr 2015;145:1317–24. DOI: https://doi.org/10.3945/jn.114.203539

Kandpal E, Alderman H, Friedman J, et al. A conditional cash transfer program in the philippines reduces severe stunting. J Nutr 2016;146:1793–800. DOI: https://doi.org/10.3945/jn.116.233684

Effendy DS, Prangthip P, Soonthornworasiri N, et al. Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Matern Child Nutr 2020;4:e13030. DOI: https://doi.org/10.1111/mcn.13030

Matias SL, Mridha MK, Tofail F, et al. Home fortification during the first 1000 d improves child development in Bangladesh: a cluster-randomized effectiveness trial. Am J Clin Nutr 2017;105:958-69. DOI: https://doi.org/10.3945/ajcn.116.150318

Published
2021-04-14
Ethics Approval
This study was approved by the Makassar Health Polytechnic Ethics Committee
Keywords:
Maternal nutrition literacy, stunting prevention, status of stunting
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How to Cite
Sirajuddin, S., Sirajuddin, S., Razak, A., Ansariadi, A., Thaha, R. M., & Sudargo, T. (2021). The intervention of maternal nutrition literacy has the potential to prevent childhood stunting: Randomized control trials. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2235