Journal of Health Science and Pharmacy
Vol. 2 No. 3 (2025): September - December

Hierarchical Factors Influencing Minimum Dietary Diversity Among Children Aged 6–23 Months: A Machine Learning Approach

Devi Savitri Effendy (Faculty of Public Health, Halu Oleo University, Kendari)



Article Info

Publish Date
30 Dec 2025

Abstract

Background: Dietary diversity is an important indicator for assessing diet quality in early childhood. Minimum Dietary Diversity (MDD) is widely used to evaluate the nutritional adequacy of diets among children aged 6–23 months, in accordance with World Health Organization (WHO) recommendations. Objectives: This study aimed to identify factors associated with the achievement of MDD among children aged 6–23 months in Kendari City using a Classification and Regression Tree (CRT) approach. Methods: This was a cross-sectional study involving 123 children selected through simple random sampling. Data were collected through structured interviews and anthropometric measurements, covering maternal and child sociodemographic characteristics, child feeding practices, and continued breastfeeding status. Bivariate analysis was conducted using the chi-square test, while predictive analysis was performed using the CRT algorithm with cross-validation. Results: To showed that 62.6% of children met the MDD criteria. Chi-square analysis indicated significant associations between maternal education (p = 0.001), number of children in the household (p = 0.002), and continued breastfeeding status (p = 0.005) with MDD achievement. The CRT model generated 15 nodes, including eight terminal nodes, with a risk estimate of 0.252 (SE = 0.039), indicating good classification performance. Maternal education emerged as the primary predictor, followed by continued breastfeeding status, child nutritional status (weight-for-age z-score), and child age. Children of highly educated mothers with good nutritional status who continued breastfeeding had the highest likelihood of achieving MDD. Conclusion: These findings highlight the importance of improving maternal nutrition literacy and supporting continued breastfeeding practices as strategies to enhance diet quality among young children at the community level.

Copyrights © 2025






Journal Info

Abbrev

jhsp

Publisher

Subject

Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health

Description

Journal of Health Science and Pharmacy adalah jurnal ilmiah yang ditinjau oleh rekan sejawat, yang berfokus pada publikasi penelitian berkualitas tinggi di bidang ilmu kesehatan dan farmasi. Jurnal ini menyediakan platform bagi akademisi, peneliti, dan profesional kesehatan untuk berbagi temuan ...