Dasmasela, Maya Klementina
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Effectiveness of Nutrition Education and Local Food-Based Supplementary Feeding to Improve Maternal Nutritional Status During Pregnancy Dasmasela, Maya Klementina; Hardinsyah, Hardinsyah; Dewi, Mira; Ekayanti, Ikeu
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0021

Abstract

Background: Chronic Energy Deficiency (CED) among pregnant women remains a significant public health concern in Indonesia. Objectives: This study aimed to evaluate the effectiveness of a 16-week nutrition intervention that integrated Behavior Change Communication (BCC)-based nutrition education with the provision of local food-based supplementary feeding (≥350 kcal/day) in improving the nutritional status of pregnant women.
Local Food-Based Supplementation and Behavior Change Communication Improve Mid-Upper Arm Circumference (MUAC) in Pregnant Women: A Community-Based Intervention Study Dasmasela, Maya Klementina; Hardinsyah, Hardinsyah; Dewi, Mira; Ekayanti, Ikeu; Indrayana, Indrayana
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.592

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a major nutritional issue in Indonesia and contributes to adverse birth outcomes and the risk of childhood stunting. Community-based interventions that integrate nutrition education and food supplementation have shown promise but remain underutilized. This study aimed to evaluate the effectiveness of an integrated nutrition intervention, consisting of Behavior Change Communication (BCC)-based education and local food-based supplementary feeding (PMT), on improving the Mid-Upper Arm Circumference (MUAC) and nutritional status of pregnant women in high-stunting prevalence areas. A 16-week quasi-experimental pre–post study was conducted among 175 pregnant women in Purbalingga, Serang, and Bogor, Indonesia. Participants received weekly group-based BCC education and daily local snack supplementation (≥350 kcal/day). MUAC, weight, BMI, hemoglobin levels, and dietary adequacy (energy, protein, fat, carbohydrate) were assessed pre- and post-intervention. Data were analyzed using the Wilcoxon Signed-Rank test and multiple linear regression. The mean MUAC increased significantly from 22.7 ± 1.1 cm to 23.6 ± 1.0 cm (p < 0.001), with a 27.4% reduction in CED prevalence. Regression analysis indicated that dietary compliance and baseline hemoglobin were strong predictors of MUAC improvement. The intervention also significantly increased maternal weight, BMI, and hemoglobin levels, while protein adequacy showed the most substantial improvement, aligning dietary intake more closely with national recommendations. The integration of BCC-based education with local PMT significantly improved maternal nutritional outcomes, particularly MUAC, protein adequacy, and hemoglobin status, thereby reducing the risk of CED and anemia. This dual-component approach is feasible for community-level stunting prevention and supports its inclusion in antenatal care services.