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Strengthening Infant and Young Child Feeding Practices Through WHO-Based Nutritional Counseling: Evidence from a Quasi-Experimental Study Among Mothers of Children Aged 6–23 Months Tavadjio, Riswati S.; Keswara, Nila Widya
Health and Technology Journal (HTechJ) Vol. 4 No. 5 (2026): October 2026
Publisher : KHD Production

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Abstract

Appropriate complementary feeding practices during the first two years of life are essential for supporting optimal growth and preventing childhood malnutrition. Maternal compliance with recommended complementary feeding practices remains a challenge, highlighting the need for effective interventions that improve maternal feeding behaviors. This study aimed to determine the effect of nutritional counseling on mothers' compliance with complementary feeding practices in accordance with World Health Organization (WHO) guidelines for children aged 6–23 months. A quantitative quasi-experimental study with a one-group pretest–posttest design was conducted among 30 mothers selected through purposive sampling. Maternal compliance with complementary feeding practices was assessed before and after nutritional counseling using a structured instrument based on WHO complementary feeding indicators, including feeding frequency, food diversity, food texture, and food hygiene practices. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05. Nutritional counseling significantly improved maternal compliance with complementary feeding practices (p < 0.001). Before the intervention, maternal compliance was categorized as good in 30.0% of respondents, fair in 40.0%, and poor in 30.0%. After counseling, good compliance increased to 70.0%, fair compliance remained at 30.0%, and no respondents remained in the poor compliance category. Nutritional counseling effectively improved mothers’ compliance with WHO-based complementary feeding practices among children aged 6–23 months. Structured counseling interventions should be integrated into maternal and child health programs to strengthen feeding behaviors and support improved child nutrition outcomes.