WhatsApp-based complementary feeding education and counselling for adolescent mothers: A one-group pre-post study

https://doi.org/10.22146/jcoemph.67364

Tisa Salma Muthi'ah(1*), Riris Andono Ahmad(2), Digna Niken Purwaningrum(3)

(1) Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(2) Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


More than two-thirds of deaths in children are related to improper feeding practices, especially in adolescent mothers, with very low levels of complementary feeding knowledge, less responsiveness, and few skills of proper feeding practices.  The area of Banguntapan III Public Health Center (PHC) has the highest prevalence of adolescent mothers in 2018-2019. The aim of this study was to evaluate the effect of WhatsApp-based complementary feeding education and counseling for adolescent mothers who have children aged 6-24 months at Banguntapan III PHC on complementary feeding knowledge and practice. A quasi-experimental with one group pre-post test was conducted (n=10 adolescent mothers) on February-May 2021 at the Banguntapan III PHC area. The education program was conducted by trained cadres for 8 days through the WhatsApp group, then followed by asynchronous counseling once through WhatsApp private chat. Change of outcome was tested using independent sample T-test and McNemar test. The range of adolescent mothers’ age in this study was 19-20 years, with education level of junior high school (50%), and do not work (80%). The results showed that WhatsApp-based education and counselling had a significant effect on increasing the adolescent mother's IYCF knowledge (Δ = 1.1 ± 2.28) with a p-value of 0.017 < a (0.05). Meanwhile, the effect of the intervention on the IYCF practice by adolescent mothers was not significant, with a p-value of 0.311 > a (0.05). In conclusion, WhatsApp-based education and counselling for adolescent mothers can increase their level of complementary feeding knowledge, but was not been able to improve their feeding practices for infants/children aged 6-24 months.


Keywords


education; counseling; complementary feeding; knowledge; adolescent mother



References

1. WHO. Global Strategy for Infant and Young Child Feeding. World Health Organization. Geneva; 2003. 37 p.

2. Armar-klemesu M, Osei-menya S, Zakariah-Makoto S, Tumilowicz A, Lee J, Hotz C. Using ethnography to identify barriers and facilitators to optimal infant and young child feeding in rural Ghana: implications for programs. Food Nutr Bull. 2018;39(2):231–45.

3. Burns J, Emerson JA, Amundson K, Doocy S, Caulfield LE, Klemm RDW. A qualitative analysis of barriers and facilitators to optimal breastfeeding and complementary feeding practices in South Kivu, Democratic Republic of Congo. Food Nutr Bull. 2016;37(2):119–31.

4. Chaturvedi A, Nakkeeran N, Doshi M, Patel R, Bhagwat S. Capacity of frontline ICDS functionaries to support caregivers on infant and young child feeding (IYCF) practices in Gujarat, India. Asia Pacific J Clin Nutr. 2014;23(March):29–37.

5. Nurbaiti, Lina. Studi kasus kualitatif pelaksanaan program pemberian makan bayi dan anak lima puskesmas di Lombok Tengah. Jurnal Kedoteran Umran. 2017;6(4):1–6.

6. Widaryanti, Rahayu. Hambatan program pemberian makan bayi dan anak. In: Seminar Nasional UNRIYO. Yogyakarta; 2019. p. 253–8.

7. Hackett KM, Mukta US, Jalal CSB, Sellen DW. Knowledge, attitudes, and perceptions on infant and young child nutrition and feeding among adolescent girls and young mothers in rural Bangladesh. Blackwell Publ Ltd Matern Child Nutr. 2015;11:173–89.

8. Horodynski MA, Silk K, Hsieh G, Hoffman A, Robson M. Tools for teen moms to reduce infant obesity: a randomized clinical trial. BMC Public Health. 2015;1–9.

9. Olodu MD, Adeyemi AG, Olowookere SA, Esimai OA. Nutritional status of under-five children born to teenage mothers in an urban setting, south-western Nigeria. BMC Res Notes. 2019;12(1):1–6.

10. Pillay S, Sibanda W, Ghuman MR, Coutsoudis A. Infant feeding practices of teenage mothers attending a well-baby clinic in a public hospital in Umlazi, KwaZulu-natal, South Africa. South African J Clin Nutr. 2018;31(1):14–9.

11. Aprillia YT, Nugraha S, Mawarni ES. Efektifitas kelas edukasi makanan pendamping asi (mp-asi) dalam peningkatan pengetahuan ibu bayi. Jurnal Bidang Ilmu Kesehatan. 2019;9(2):126–33.

12. Widyaningrum R, Nurdiati DS, Gamayanti I. Perbedaan pengetahuan dan praktik pemberian makan serta perkembangan anak 6-24 bulan pada ibu usia remaja dan dewasa. J Gizi Klin Indones. 2016;13(1):27–33.

13. Issuryanti, Meining. Pengaruh edukasi melalui media whatsapp terhadap pengetahuan ibu dalam memberikan ASI eksklusif. Universitas Gadjah Mada; 2017.

14. Ekadinata N, Widyandana D. Promosi kesehatan menggunakan gambar dan teks dalam aplikasi WhatsApp pada kader posbindu. Ber Kedokt Masy. 2017;33(11):547–52.

15. Yildirim, Serkan. Infographics for educational purposes: their structure, properties, and reader approaches. Turkish Online J Educ Technol. 2016;15(3).

16. Mohd, Fadzil H. Designing infographics for the educational technology course: Perspectives of preservice science teachers. J Balt Sci Educ. 2018;12(1):8–18.

17. Hasanah, Nurlienda. Studi kasus potensi whatsapp group dalam edukasi gizi seimbang melalui penyusunan menu keluarga. Ber Kedokt Masy. 2017;33(11).

18. Hasanah N, Febridiani LD, Irsal FS. Whatsapp grup sebagai media edukasi dan diskusi pengalaman terkait ASI dan MP-ASI saat bencana. In: Public Health Symposium UGM. 2018.

19. Azzahra MF, Muniroh L. pengaruh konseling terhadap pengetahuan dan sikap pemberian MP-ASI. Media Gizi Indones. 2015;10(1):20–5.

20. Vasiloglou M, Fletcher J, Poulia KA. Challenges and perspectives in nutritional counselling and nursing: a narrative review. J Clin Med. 2019;8(9).

21. Tirel M, Rozgonjuk D, Purre M, Elhai JD. When do people seek internet counselling? exploring the temporal patterns of initial submissions to online counselling services. J Technol Hum Serv. 2020;38(2):184–202.

22. Kemenkes R. Pedoman Pemberian Makan Bayi dan Anak. Jakarta, Indonesia: Kementrian Kesehatan RI; 2020.

23. Fatmawati YD, Rosyadah R, Damayanti M., Abigael DP, Ismawati F, Ilmi AF, et al. Kuliah whatsapp dalam meningkatkan pengetahuan ibu terhadap pencegahan stunting pada balita di masa pandemi. J Abdi Masy. 2020;1(1):45–50.

24. Sari IY, Prawesti I, Febrianti S. E-counseling nutrisi berbasis media sosial sebagai upaya menurunkan angka stunting. J Kebidanan dan Keperawatan Aisyiyah. 2020;16(2).

25. Rachmawati SM, Madanijah S, Anwar F, Kolopaking R. konseling oleh kader posyandu meningkatkan praktik ibu dalam pemberian makan bayi dan anak usia 6-24 bulan di Desa Pagelaran, Kecamatan Ciomas, Bogor, Indonesia. J Gizi Indones. 2019;42(1):11–22.



DOI: https://doi.org/10.22146/jcoemph.67364

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