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Minimum Acceptable Diet and its Associated Factors among Children Aged 6–23 Months in Indonesia Pranita, Rani Fitri; Briawan, Dodik; Ekayanti, Ikeu; Triwinarto, Agus
Jurnal Gizi dan Pangan Vol. 18 No. 1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.1.1-10

Abstract

This study aimed to assess the fulfillment of the Minimum Dietary Diversity for children (MDD), the Minimum Meal Frequency (MMF), and the Minimum Acceptable Diet (MAD) and analyze the correlation between individual, socioeconomic, and demographic characteristics and the MAD in children between the ages of 6 and 23 months in Indonesia. This study used a cross-sectional study design. The subjects were 798 children between the ages of 6 and 23 months in Indonesia from a National Total Diet Study. The data collection on the MDD, the MMF, and the MAD used twenty-four-hour dietary recall. The chi-square and multiple logistic regression models were applied in this study with a p-value<0.05 considered significant predictors of outcome variables. The MDD, MMF, and MAD were met by 63.9%, 91.3%, and 61.8% of children, respectively. Significant positive relationships of child's age, mother's educational status, and area of residence (p<0.001) to the MAD. The determinants factors of MAD were the child's age (p<0.05; OR=7.06; 95% CI:3.46–14.38) and area of residence (p<0.05; OR=1.61; 95% CI:1.19–2.15). In conclusion, it is still necessary to improve the fulfillment of the MAD (a combined indicator of the MDD and the MMF). The government's role is to provide balanced nutritional child feeding programs based on local food, strengthen behavior change communication to meet nutritionally balanced complementary foods for children, and improve child nutrition services at posyandu.
Socioeconomic and Cultural Determinants of Early Childhood Feeding Practices in Indonesia Pranita, Rani Fitri
Journal of Global Nutrition Vol 5 No 2 (2025)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v5i2.184

Abstract

Infant and young child feeding practices among children aged 6–23 months remain a major challenge in Indonesia due to social, economic, cultural inequalities and regional contextual disparities. These conditions directly affect the achievement of Infant and Young Child Feeding indicators, particularly the Minimum Acceptable Diet (MAD). This study aimed to review and synthesize scientific evidence on the socioeconomic and contextual determinants of feeding practices among children aged 6–23 months in Indonesia. This study employed a literature review design using a narrative synthesis approach. A systematic search was conducted in PubMed, ScienceDirect, Google Scholar, and Garuda databases for publications from 2020 to 2024. Articles were selected based on predefined inclusion and exclusion criteria and analyzed descriptively. The results of this review identified nine eligible articles, which consistently indicated that household economic status was the most influential determinant of child feeding practices. Maternal education, area of residence, antenatal care visits, paternal involvement, and access to media and the internet were also associated with variations in MAD achievement. Children from wealthier households and those living in urban areas were more likely to experience better feeding practices. In conclusion, infant and young child feeding practices in Indonesia are strongly shaped by socioeconomic factors and environmental context. It is recommended that nutrition interventions be designed in an integrated manner, with a focus on reducing socioeconomic inequalities, strengthening family roles, and optimizing health services and nutrition-related information channels.