The effect of cadre assistance on the knowledge and attitudes of mothers regarding breastfeeding, complementary feeding, and monitoring children's growth 10.55131/jphd/2024/220208

Main Article Content

Khalidatul Anwar
Nurmiaty Nurmiaty
Dyah Noviawati Setya Arum
La Banudi
Yustiari Yustiari
Arsulfa Arsulfa

Abstract

This study aimed to determine the effect of cadre assistance on mothers’ knowledge and attitudes regarding breastfeeding, complementary feeding, and monitoring children's growth. The research design was quasi-experimental and was conducted from August to October 2023 at four health centers (Poasia, Mokoau, Nambo, and Abeli in Kendari City, Indonesia). The study population consisted of mothers from four Health Centers. The sample size included 92 mothers. The inclusion criteria were mothers who had babies aged 4-6 months, could read, had no disability, and lived in the study area. The intervention group was divided into 2 (intervention 1 with cadre assistance, Intervention group 2 provided modules https://doi.org/10.36990/978-623-88118-2-3, and the control group received no intervention). The intervention was performed for 2 months. Data collection was carried out through questionnaires. The data obtained were in the ratio category, and data analysis was performed using Wilcoxon and Mann-Whitney tests.  Findings showed that there were differences in the maternal knowledge and attitude scores among the three groups (p<0.05). There was a difference between the pre-test and post-test in the mothers' knowledge scores in Intervention Group 1 (p<0.001). Regarding mothers’ attitudes, there were significant differences between intervention groups 1 and 2 (p<0.001). However, no significant differences were observed in the control group. Practical benefits from the results can be seen in designing more effective interventions for improving maternal knowledge and attitudes towards the topic. This could lead to improved health outcomes for mothers and infants. Future research should explore the long-term impacts of such interventions on the sustainability of breastfeeding practices and child development.

Article Details

How to Cite
1.
Anwar K, Nurmiaty Nurmiaty, Dyah Noviawati Setya Arum, La Banudi, Yustiari Yustiari, Arsulfa Arsulfa. The effect of cadre assistance on the knowledge and attitudes of mothers regarding breastfeeding, complementary feeding, and monitoring children’s growth: 10.55131/jphd/2024/220208. J Public Hlth Dev [Internet]. 2024 May 31 [cited 2024 Jul. 18];22(2):92-106. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/268267
Section
Original Articles
Author Biographies

Khalidatul Anwar, Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Nurmiaty Nurmiaty , Department of Midwifery, Poltekkes Kemenkes Palu, Palu, Centre Sulawesi, Indonesia

Department of Midwifery, Poltekkes Kemenkes Palu, Palu, Centre Sulawesi, Indonesia

Dyah Noviawati Setya Arum, Department of Midwifery, Poltekkes Kemenkes Yogyakarta, Yogyakarta, DIY, Indonesia

Department of Midwifery, Poltekkes Kemenkes Yogyakarta, Yogyakarta, DIY, Indonesia

La Banudi, Department of Nutrition, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Department of Nutrition, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Yustiari Yustiari , Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Arsulfa Arsulfa , Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

Department of Midwifery, Poltekkes Kemenkes Kendari, Kendari, Southeast Sulawesi, Indonesia

References

WHO. Stunting prevalence among children under five years of age [Internet]. WHO Library Cataloguing-in-Publication Data 2020. Available from: https://data.unicef.org/wp-content/ uploads/2020/03/JME-2020-UNICEF-regions-new.pdf

Laksono AD, Kusrini I. Ecological analysis of stunted toddler in Indonesia. Indian J Forensic Med Toxicol. 2020; 14(3):1685–91.

The Ministry of Health of The Republic of Indonesia. Report on the Implementation of the March 2019 Susenas Integration and the 2019 Indonesian Toddler Nutritional Status Survey [Internet]. 2019. Available from: https://cegahstunting.id/unduhan/ publikasi-data/

Alam MA, Richard SA, Fahim SM, Mahfuz M, Nahar B, Das S, et al. Correction: Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study. PLOS ONE. 2020;15(2):e0229663. doi: 10.1371/journal.pone.0229663

Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health. 2019;19(1):1–10. doi: 10.1186/s12889-019-6504-z

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018; 14(4):e12617. doi: 10.1111/mcn.12617

Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients. 2019;11(5):1–13. doi: 10.3390/nu11051106

Jang GJ, Ko S. Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea. Child Heal Nurs Res. 2021;27(4):377–84. doi: 10.4094/chnr.2021.27.4.377

Berhe K, Seid O, Gebremariam Y, Berhe A, Etsay N. Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PLOS ONE. 2019;14(6):1–11. doi: 10.1371/journal.pone.0217736

Prasetyo YB, Permatasari P, Susanti HD. The effect of mothers’ nutritional education and knowledge on children’s nutritional status: a systematic review. Int J Child Care Educ Policy. 2023;17(1):1–16.

Vikram K, Vanneman R. Maternal education and the multidimensionality of child health outcomes in India. J Biosoc Sci. 2019;52(1):57–77. doi: 10.1017/S0021932019000245

Shiroya-Wandabwa M, Kabue M, Kasungami D, Wambua J, Otieno D, Waka C, et al. Coaching community health volunteers in integrated community case management improves the care of sick children under-5: Experience from Bondo, Kenya. Int J Integr Care. 2018;18(4):1–11. doi: 10.5334/ijic.3971

Mediani HS, Hendrawati S, Pahria T, Mediawati AS, Suryani M. Factors Affecting the Knowledge and Motivation of Health Cadres in Stunting Prevention Among Children in Indonesia. J Multidiscip Healthc. 2022;15:1069–82. doi: 10.2147/JMDH. S356736.

Wibowo Y, Setiadi AP, Halim S V., Saputra RD, Oktavia R, Irianti R, et al. A pilot study of cadre training to promote responsible self-medication in Indonesia: Which is better specific or general modules? Heal Soc Care Community. 2021;29(2):554–63. doi: 10.1111/hsc.13118

Siswati T, Iskandar S, Pramestuti N, Raharjo J, Rialihanto MP, Rubaya AK, et al. Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia. Int J Environ Res Public Health. 2022;19(16):1–10. doi: 10.3390/ijerph19169843

Roodbeen R, Vreke A, Boland G, Rademakers J, van den Muijsenbergh M, Noordman J, et al. Communication and shared decision-making with patients with limited health literacy; helpful strategies, barriers and suggestions for improvement reported by hospital-based palliative care providers. PLOS ONE. 2020;15(6):1–20. doi: 10.1371/journal.pone.0234926

Coman C, Țîru LG, Meseșan-Schmitz L, Stanciu C, Bularca MC. Online teaching and learning in higher education during the coronavirus pandemic: Students’ perspective. Sustain. 2020;12(24):1–22.

Haleem A, Javaid M, Qadri MA, Suman R. Understanding the role of digital technologies in education: A review. Sustain Oper Comput. 2022;3:275–85. doi: https://doi.org/ 10.1016/j.susoc.2022.05.004

Gauld N, Martin S, Sinclair O, Petousis-Harris H, Dumble F, Grant CC. Influences on Pregnant Women’s and Health Care Professionals’ Behaviour Regarding Maternal Vaccinations: A Qualitative Interview Study. Vaccines. 2022;10(1):1–23. doi: 10.3390/vaccines10010076

Kaufman J, Attwell K, Hauck Y, Omer SB, Danchin M. Vaccine discussions in pregnancy: interviews with midwives to inform design of an intervention to promote uptake of maternal and childhood vaccines. Hum Vaccines Immunother. 2019;15(11):2534–43. doi: 10.1080/21645515.2019.1607131

Khoirunisa E, Karsidi R, Yusuf M. The Role of Posyandu as Primary Health Care Services in Implementing Early Detection and Intervention for Autistic Children in Indonesia. Int J Multicult Multireligious Underst. 2019;6(1):101.

Feizi A, Najmi B, Salesi A, Chorami M, Hoveidafar R. Parenting stress among mothers of children with different physical, mental, and psychological problems. J Res Med Sci. 2014;19(2): 145–52.

Nomaguchi K, Milkie MA. Parenthood and Well-Being: A Decade in Review. J Marriage Fam. 2020;82(1):198–223. doi: 10.1111/jomf.12646.

Anderson EL. Center for Vaccine Development Recommended Soluti ons to the Barriers to Immunizati on in Children and Adults. Sci Med [Internet]. 2014.. Available from: www. cdc.gov/vaccines/vac-en/6mishome.

Jahnke I, Meinke-Kroll M, Todd M, Nolte A. Exploring Artifact-Generated Learning with Digital Technologies: Advancing Active Learning with Co-design in Higher Education Across Disciplines. Technol Knowl Learn. 2022;27(1):335–64. doi: https:// doi.org/10.1007/s10758-020-09473-3

Alhawari S, Karadsheh L, Nehari Talet A, Mansour E. Knowledge-Based Risk Management framework for Information Technology project. International Journal of Information Management. 2012;32(1):50-65. doi: https://doi.org/10.1016/j.ijinfomgt.2011.07.002

Wart A Van, O’brien TC, Varvayanis S, Alder J, Greenier J, Layton RL, et al. Applying experiential learning to career development training for biomedical graduate students and postdocs: Perspectives on program development and design. CBE Life Sci Educ. 2020;19(3):1–12. doi: 10.1187/cbe.19-12-0270.

Tong DH, Uyen BP, Ngan LK. The effectiveness of blended learning on students’ academic achievement, self-study skills and learning attitudes: A quasi-experiment study in teaching the conventions for coordinates in the plane. Heliyon. 2022;8(12):e12657. doi: 10.1016/j.heliyon.2022.e12657

Chernikova O, Heitzmann N, Stadler M, Holzberger D, Seidel T, Fischer F. Simulation-Based Learning in Higher Education: A Meta-Analysis. Rev Educ Res. 2020;90(4):499–541.

Schmidt SJ. Distracted learning: Big problem and golden opportunity. J Food Sci Educ. 2020;19(4):278–91.

Amri NAAA, Fauzi NFM, Zaid NNM, Mee RWM. Gender Differences in Reading Attitudes Among Undergraduates. Selangor Hum Rev. 2021;5(2):190–207.

Rini AM, Marsono, Yoto. The Effect of Attitude and Motivation on Students’ Entrepreneurship Interest. Budapest Int Res Critics Institute-Journal. 2021;4(4): 10814–23.

Getie AS. Factors affecting the attitudes of students towards learning English as a foreign language. Cogent Educ. 2020;7(1):1–37. doi: https://doi.org/ 10.1080/2331186X.2020.1738184

Yunitasari E, Rahayu M, Kurnia ID. The Effects of Lecture, Brainstorming, Demonstration (CBD) to Mother’s Knowledge, Attitude, and Behavior About Stunting Prevention on Toddler. Syst Rev Pharm. 2020;11(6):1131–6.

Laksono AD, Wulandari RD, Ibad M, Kusrini I. The effects of mother’s education on achieving exclusive breastfeeding in Indonesia. BMC Public Health. 2021;21(1):1–6. doi: 10.1186/s12889-020-10018-7

Abdulahi M, Fretheim A, Argaw A MJ. Initiation and Exclusive Breastfeeding Practices and Infant Ethiopian Setting. Nutrients. 2021;13:1–15.

Verplanken B, Orbell S. Attitudes , Habits, and Behavior Change. Annu Rev of Psychology Attitudes. 2022;73:327–52.

Abd El Salam AE, AbdAllah AM, El Maghawry HA. Effect of health education program on improving knowledge and atitude towards mental health stigma and professional help-seeking among adolescents. Middle East Curr Psychiatry. 2023;30(1):1–9.

Xue Y, Saeed SA, Muppavarapu KS, Jones K, Xue LL. Exploring the Impact of Education Strategies on Individuals’ Attitude Towards Telemental Health Service: Findings from a Survey Experiment Study. Psychiatr Q. 2023;94(3):483–99. doi: 10.1007/ s11126-023-10033-y

Andrianto A, Ardiana M, Aditya M, Sitorus SJ, Rachmi DA, Septianda I, et al. Interactive training and education improves basic hypertension knowledge of woman cadres in surabaya. Open Access Maced J Med Sci. 2020;8(E):313–7.

Maingi M, Kimiywe J, Iron-Segev S. Maternal knowledge in complementary feeding following Baby Friendly Community Initiative in Koibatek, Kenya. Matern Child Nutr. 2020; 16(4):1–8. doi: 10.1111/mcn.13027

Mohammed EAI, Taha Z, Eldam AAAG, Shommo SAM, El hidai MM. Effectiveness of a Nutrition Education Program in Improving Mothers’ Knowledge and Feeding Practices of Infants and Young Children in Sudan. Open Access Maced J Med Sci. 2022;10(E):776–82.

Kari JT, Viinikainen J, Böckerman P, Tammelin TH, Pitkänen N, Lehtimäki T, et al. Education leads to a more physically active lifestyle: Evidence based on Mendelian randomization. Scand J Med Sci Sport. 2020;30(7): 1194–204. doi: 10.1111/sms.13653

Raghupathi V, Raghupathi W. The influence of education on health: An empirical assessment of OECD countries for the period 1995-2015. Arch Public Heal. 2020;78(1):1–18. doi: 10.1186/s13690-020-00402-5

Zajacova A, Lawrence EM. The relationship between education and health: reducing disparities through a contextual approach. Annu Rev Public Heal. 2018;1(39):273–89. doi: 10.1146/ annurev-publhealth-031816-044628