The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia

Bibliographic Data

ID15537328
AuthorsChristiana Rialine Titaley (0000-0002-3023-003X, University of Pattimura, corresponding author), Michael J Dibley (0000-0002-1554-5180, The University of Sydney), Iwan Ariawan (0000-0001-8414-8173, University of Indonesia), Anifatun Mu’asyaroh (Ministry of Health), Anifatun Mu'asyaroh (Alian Health Center District Health Office of Kebumen Central Java Indonesia), Bunga A Paramashanti (0000-0001-6066-2039, The University of Sydney), Ashraful Alam (0000-0001-7034-1095, The University of Sydney), Rita Damayanti (0000-0002-4710-3213, University of Indonesia), Tran Thanh Do (National Institute of Nutrition Hai Bà Trưng Hanoi Vietnam), Tran Thanh (0000-0001-6607-2590, National Institute of Nutrition), Elaine L Ferguson (0000-0003-4673-5128, London School of Hygiene & Tropical Medicine), Min Kyaw Htet (0000-0001-6417-2942, The University of Sydney), Mu Li (0000-0002-2371-8950, The University of Sydney), Aang Sutrisna (0000-0003-0506-556X, Global Alliance for Improved Nutrition), Umi Fahmida (0000-0003-1403-6242, University of Indonesia)
Year2022
Volume18
Issue3
Pagese13362-e13362
Publication date2022-04-29
Open AccessYes
TypeARTICLE
VenueMaternal and Child Nutrition (JOURNAL)
Journal identifiersISSN: 1740-8695 • E-ISSN: 1740-8709
PublisherWiley (PUBLISHER • GB)
DOI10.1111/mcn.13362
PMID35488406
OpenAlexW4225145850
LanguageEN
Citations received3
References cited26

Suboptimal infant young child feeding practices are frequently reported globally, including in Indonesia. This analysis examined the impact of a package of behaviour change interventions on breastfeeding practices in Malang and Sidoarjo Districts, East Java Province, Indonesia. The BADUTA study (which in the Indonesian Language is an acronym for BAwah DUa TAhun, or children aged less than 2 years) was an impact evaluation using a cluster-randomized controlled trial with two parallel treatment arms. We conducted household surveys in 12 subdistricts from Malang and Sidoarjo. We collected information from 5175 mothers of children aged 0-23 months: 2435 mothers at baseline (February 2015) and 2740 mothers at endline (January to February 2017). This analysis used two indicators for fever and diarrhoea and seven breastfeeding indicators (early initiation of breastfeeding, prelacteal feeding, exclusive breastfeeding under 6 months, predominant breastfeeding, continued breastfeeding, age-appropriate breastfeeding and bottle-feeding). We used multilevel logistic regression analysis to assess the effect of the intervention. After 2 years of implementation of interventions, we observed an increased odds of exclusive breastfeeding under 6 months (adjusted odds ratio [aOR] = 1.85; 95% confidence interval [CI]: 1.35-2.53) and age-appropriate breastfeeding (aOR = 1.39; 95% CI: 1.07-1.79) in the intervention group than in the comparison group, at the endline survey. We found significantly lower odds for prelacteal feeding (aOR = 0.52; 95% CI: 0.41-0.65) in the intervention than in the comparison group. Our findings confirmed the benefits of integrated, multilayer behaviour change interventions to promote breastfeeding practices. Further research is required to develop effective interventions to reduce bottle use and improve other breastfeeding indicators that did not change with the BADUTA intervention

Breast feeding · Breastfeeding · Confidence interval · Environmental health · Indonesian · Logistic regression · Odds · Odds ratio · Psychological intervention · Breastfeeding Practices and Influences · Child Nutrition and Water Access · Demography · Medicine · Nursing · Public Health and Nutrition · Pediatrics

Tools

Open DOIOpen Access