Appropriate Complementary Feeding Among Indonesian Children Aged 6-23 Months: A Descriptif Literature Review

Authors

  • Suyitno Suyitno Occupational Health and Safety Program, Politeknik Medika Farma Husada Mataram, Indonesia.
  • Maretalinia Maretalinia Ph.D. Program in Demography, Institute Population and Social Research, Mahidol University, Nakhon Pathom 73170, Thailand
  • Muhammad Uzair Khan nternational Medical Faculty, Samarkand State Medical University, Samarkand, Uzbekistan
  • Supriatin supriatin Ph.D in Nursing Program, Faculty of Health Science, Lincoln University College, Malaysia.

DOI:

https://doi.org/10.53770/amhj.v4i2.317

Keywords:

Complementary Feeding, Children, Food Safety Practice, Nutrition

Abstract

The introduction of complementary foods (CF), which includes solid and semi-solid foods alongside breastfeeding, is crucial for ensuring adequate nutrition and supporting healthy growth and development in children aged 6-23 months. In Indonesia, a country with diverse cultures and socioeconomic conditions, family dynamics significantly influence practices and choices related to CF. These factors collectively shape the nutritional status and health outcomes of children during this critical developmental period. This descriptive literature review was conducted by searching electronic databases such as PubMed, Google Scholar, and local Indonesian academic repositories. Keywords used included "complementary feeding," "family dynamics," "child nutrition," and "Indonesia." The review focused on studies published in the last ten years to ensure relevance and timeliness. The results indicate that inappropriate CF practices, such as the early or late introduction of solid foods and a lack of food diversity, contribute to malnutrition. Nutritional status in this critical age group is heavily influenced by the type and timing of CF, with children receiving diverse and timely foods showing better growth outcomes. CF practices are also closely related to the incidence of diarrhea in infants. Factors such as the child's age, nutritional status, breastfeeding practices, and hygiene can affect the risk of diarrhea. Educational interventions and the provision of fortified foods can improve the growth and micronutrient status of children aged 6-23 months. Findings from various studies highlight the crucial role of appropriate CF practices in influencing the nutritional status, growth, and overall health of children aged 6-24 months. Comprehensive strategies that include education, fortification, and the promotion of local food cultures are essential for improving the nutritional outcomes and development of young children.

References

Agestika, R. (2022). The Pattern of Complementary Feeding Affects The Incidence of Diarrhea in Infants. Indonesian Midwifery and Health Sciences Journal, 6(1), 37–48. https://doi.org/10.20473/imhsj.v6i1.2022.37-48

Aisiana, N. R., Utami, S., Harumi, A. M., & Kusuma Wardani, N. E. (2022). Analisis Partisipasi Keluarga Pada Program Perbaikan Gizi Balita Melalui Aplikasi Mobile. Gema Bidan Indonesia, 11(1), 6–19. https://doi.org/10.36568/gebindo.v11i1.51

Ali, M., Arif, M., & Shah, A. A. (2021). Complementary feeding practices and associated factors among children aged 6–23 months in Pakistan. PLOS ONE, 16(2), e0247602. https://doi.org/10.1371/journal.pone.0247602

Andrias, D. R., Fahmida, U., & Adi, A. C. (2019). Nutritional potential of underutilized food crops to improve diet quality of young children in food insecure prone areas of Madura Island, Indonesia. Asia Pacific Journal of Clinical Nutrition, 28(4), 826–836. https://search.informit.org/doi/10.3316/ielapa.825036405721505

Anindya, A. D., & Sudiarti, T. (2023). The Relationship Between Diverse Food Consumption and Stunting in Infants Aged 6-24 Months in Indonesia. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(1), 31. https://doi.org/10.30829/contagion.v5i1.14950

Baker, P., Smith, J. P., Garde, A., Grummer-Strawn, L. M., Wood, B., Sen, G., Hastings, G., Pérez-Escamilla, R., Ling, C. Y., Rollins, N., & McCoy, D. (2023). The political economy of infant and young child feeding: confronting corporate power, overcoming structural barriers, and accelerating progress. The Lancet, 401(10375), 503–524. https://doi.org/10.1016/S0140-6736(22)01933-X

Baye, K., Laillou, A., & Chitweke, S. (2020). Socio-Economic Inequalities in Child Stunting Reduction in Sub-Saharan Africa. Nutrients, 12(1), 253. https://doi.org/10.3390/nu12010253

Caso, G., Annunziata, A., & Vecchio, R. (2024). Indulgent, Practical or Balanced? Exploring mothers’ food choices for their children in low- and middle-income households. Food Quality and Preference, 113, 105080. https://doi.org/10.1016/j.foodqual.2023.105080

Chagwena, D. T., Fernando, S., Tavengwa, N. V., Sithole, S., Nyachowe, C., Njovo, H., Datta, K., Brown, T., Humphrey, J. H., Prendergast, A. J., & Smith, L. E. (2024). Formulation and acceptability of local nutrient‐dense foods for young children: A formative study for the Child Health, Agriculture and Integrated Nutrition (CHAIN) Trial in rural Zimbabwe. Maternal & Child Nutrition, 20(2). https://doi.org/10.1111/mcn.13605

Choudhury, S., Headey, D. D., & Masters, W. A. (2019). First foods: Diet quality among infants aged 6–23 months in 42 countries. Food Policy, 88, 101762. https://doi.org/10.1016/j.foodpol.2019.101762

Costa, A., & Oliveira, A. (2023). Parental Feeding Practices and Children’s Eating Behaviours: An Overview of Their Complex Relationship. Healthcare, 11(3), 400. https://doi.org/10.3390/healthcare11030400

D’Auria, E., Borsani, B., Pendezza, E., Bosetti, A., Paradiso, L., Zuccotti, G. V., & Verduci, E. (2020). Complementary Feeding: Pitfalls for Health Outcomes. International Journal of Environmental Research and Public Health, 17(21), 7931. https://doi.org/10.3390/ijerph17217931

Dewey, K. G., & Adu‐Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4(s1), 24–85. https://doi.org/10.1111/j.1740-8709.2007.00124.x

Dhami, M. V., Ogbo, F. A., Osuagwu, U. L., & Agho, K. E. (2019). Prevalence and factors associated with complementary feeding practices among children aged 6–23 months in India: a regional analysis. BMC Public Health, 19(1), 1034. https://doi.org/10.1186/s12889-019-7360-6

Dulal, S., Prost, A., Karki, S., Saville, N., & Merom, D. (2021). Characteristics and effects of integrated nutrition and stimulation interventions to improve the nutritional status and development of children under 5 years of age: a systematic review and meta-analysis. BMJ Global Health, 6(7), e003872. https://doi.org/10.1136/bmjgh-2020-003872

Ford, N. D., Ruth, L. J., Ngalombi, S., Lubowa, A., Halati, S., Ahimbisibwe, M., Baingana, R., Whitehead, R. D., Mapango, C., & Jefferds, M. E. (2020). An Integrated Infant and Young Child Feeding and Micronutrient Powder Intervention Does Not Affect Anemia, Iron Status, or Vitamin A Status among Children Aged 12–23 Months in Eastern Uganda. The Journal of Nutrition, 150(4), 938–944. https://doi.org/10.1093/jn/nxz314

Gutiérrez-Camacho, C., Méndez-Sánchez, L., Klünder-Klünder, M., Clark, P., & Denova-Gutiérrez, E. (2019). Association between Sociodemographic Factors and Dietary Patterns in Children Under 24 Months of Age: A Systematic Review. Nutrients, 11(9), 2006. https://doi.org/10.3390/nu11092006

Harsanti, T., & Ubaidillah, A. (2023). Socio-economic Status of Mothers and Stunting Among Their Children of Under-Five Years Age in Urban Areas of DKI Jakarta. In Urban Dynamics, Environment and Health (pp. 511–530). Springer Nature Singapore. https://doi.org/10.1007/978-981-99-5744-6_23

Herman, H., Mansur, A. R., & Chang, Y.-J. (2023). Factors associated with appropriate complementary feeding: A scoping review. Journal of Pediatric Nursing, 71, e75–e89. https://doi.org/10.1016/j.pedn.2023.04.017

Jokhu, L. A., Syauqy, A., Lin, L.-Y., Dieny, F. F., & Rahadiyanti, A. (2024). Determinants of stunting among children 6–23 months: a population-based study in Indonesia. Nutrition & Food Science. https://doi.org/10.1108/NFS-01-2024-0025

Kostecka, M., Jackowska, I., & Kostecka, J. (2020). Factors Affecting Complementary Feeding of Infants. A Pilot Study Conducted after the Introduction of New Infant Feeding Guidelines in Poland. Nutrients, 13(1), 61. https://doi.org/10.3390/nu13010061

Lanou, H. B., Osendarp, S. J. M., Argaw, A., De Polnay, K., Ouédraogo, C., Kouanda, S., & Kolsteren, P. (2019). Micronutrient powder supplements combined with nutrition education marginally improve growth amongst children aged 6–23 months in rural Burkina Faso: A cluster randomized controlled trial. Maternal & Child Nutrition, 15(4). https://doi.org/10.1111/mcn.12820

Lutter, C. K., Grummer-Strawn, L., & Rogers, L. (2021). Complementary feeding of infants and young children 6 to 23 months of age. Nutrition Reviews, 79(8), 825–846. https://doi.org/10.1093/nutrit/nuaa143

Mekonen, E. G., Zegeye, A. F., & Workneh, B. S. (2024). Complementary feeding practices and associated factors among mothers of children aged 6 to 23 months in Sub-saharan African countries: a multilevel analysis of the recent demographic and health survey. BMC Public Health, 24(1), 115. https://doi.org/10.1186/s12889-023-17629-w

Moa, M. K., Parulian, T. S., & Setyarini, E. A. (2022). Gambaran Dukungan Keluarga Tentang Pelaksanaan 1000 Hari Pertama dalam Pencegahan Stunting. Elisabeth Health Jurnal, 7(1), 33–43. https://doi.org/10.52317/ehj.v7i1.412

MY, M. L., & Welan, R. (2024). Providing Complementary Food Made from Local Food for Toddlers in Indonesia: A Literature Review. International Journal of Research and Review, 11(5), 420–422. https://doi.org/10.52403/ijrr.20240549

Nantel, A., & Gingras, V. (2023). Are Complementary Feeding Practices Aligned with Current Recommendations? A Narrative Review. Children, 10(5), 794. https://doi.org/10.3390/children10050794

Nurul Suci, L., & aulia azizah, milenia. (2022). Effectiveness of complementary feeding patterns on Nutritional status in toddlers age 6-24 months : A systematic review. International Journal of Research Publications, 115(1). https://doi.org/10.47119/IJRP10011511220224363

Panjwani, A., & Heidkamp, R. (2017). Complementary Feeding Interventions Have a Small but Significant Impact on Linear and Ponderal Growth of Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. The Journal of Nutrition, 147(11), 2169S-2178S. https://doi.org/10.3945/jn.116.243857

Penne, T., & Goedemé, T. (2021). Can low-income households afford a healthy diet? Insufficient income as a driver of food insecurity in Europe. Food Policy, 99, 101978. https://doi.org/10.1016/j.foodpol.2020.101978

Roy, A.-S., Mazaniello-Chézol, M., Rueda-Martinez, M., Shafique, S., & Adams, A. M. (2023). Food systems determinants of nutritional health and wellbeing in urban informal settlements: A scoping review in LMICs. Social Science & Medicine, 322, 115804. https://doi.org/10.1016/j.socscimed.2023.115804

Sadruddin, A. F. A., Ponguta, L. A., Zonderman, A. L., Wiley, K. S., Grimshaw, A., & Panter-Brick, C. (2019). How do grandparents influence child health and development? A systematic review. Social Science & Medicine, 239, 112476. https://doi.org/10.1016/j.socscimed.2019.112476

Salamung, N., Anggun Primasari, N., Restu Pertiwi, M., & Riskika, S. (2020). Complementary Feeding with Genesis Stunting in Children: A Systematic Review. D’Nursing and Health Journal (DNHJ), 1(2), 61–68. https://doi.org/10.36835/dnursing.v1i2.43

Saleh, A., Syahrul, S., Hadju, V., Andriani, I., & Restika, I. (2021). Role of Maternal in Preventing Stunting: a Systematic Review. Gaceta Sanitaria, 35, S576–S582. https://doi.org/10.1016/j.gaceta.2021.10.087

Samosir, O. B., Radjiman, D. S., & Aninditya, F. (2023). Food consumption diversity and nutritional status among children aged 6–23 months in Indonesia: The analysis of the results of the 2018 Basic Health Research. PLOS ONE, 18(3), e0281426. https://doi.org/10.1371/journal.pone.0281426

Selva, P., & Krianto Karjoso, T. (2023). Social-Cultural Relationship with Stunting Incidence in Children Aged 24-59 Months. Indonesian Health Journal, 2(3), 106–112. https://doi.org/10.58344/ihj.v2i3.181

Shrestha, A., Six, J., Dahal, D., Marks, S., & Meierhofer, R. (2020). Association of nutrition, water, sanitation and hygiene practices with children’s nutritional status, intestinal parasitic infections and diarrhoea in rural Nepal: a cross-sectional study. BMC Public Health, 20(1), 1241. https://doi.org/10.1186/s12889-020-09302-3

Sudiarti, P. E., Neherta, M., & Deswita, D. (2019). Gambaran pengetahuan ibu tentang makanan pendamping ASI (MP-ASI) pada anak usia 6-24 bulan. Holistik Jurnal Kesehatan, 13(3), 201–206. https://doi.org/10.33024/hjk.v13i3.1663

Suyitno, S., Chompikul, J., Tiraphat, S., & Anye, K. S. (2019). Prevalence and risk factors for diarrhea among children aged less than two years in Central Kalimantan Province, Indonesia. Journal of Public Health and Development, 17(1), 31–45.

Suyitno, Suwarni, L., Asmarawanti, Sadli, M., & Sera, A. C. (2023). Exploring tabooed food among Dayaknese of Ngaju Women in Central Kalimantan Province, Indonesia. Public Health of Indonesia, 9(3), 123–132. https://doi.org/10.36685/phi.v9i3.715

Tizazu, W., Laillou, A., Hailu, B. A., Chitekwe, S., & Baye, K. (2024). Complementary feeding and food‐group level inequality among Ethiopian children 6–23 months of age (2011–2019). Maternal & Child Nutrition, 20(S5). https://doi.org/10.1111/mcn.13375

Umami, Z., Puspa, A. R., & Irawan, M. A. (2023). The effect of education on knowledge and attitude In halal and tayyib food selection among Muslim. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 11(2), 55. https://doi.org/10.21927/ijnd.2023.11(2).55-61

Uwiringiyimana, V., Ocké, M. C., Amer, S., & Veldkamp, A. (2019). Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrition, 60, 11–18. https://doi.org/10.1016/j.nut.2018.07.016

World Health Organization. (2023). WHO Guideline for complementary feeding of infants and young children 6-23 months of age. World Health Organization.

Zakiyah, F., Suryawan, A., & Fatmaningrum, W. (2021). Overview of the Pattern of Complementary Feeding to Stunting Toddlers Age 6-24 Months in the Tampo Banyuwangi Community Health Center Work Area. International Journal of Research Publications, 92(1). https://doi.org/10.47119/IJRP100921120222713

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Published

2024-09-30

How to Cite

Suyitno, S., Maretalinia, M., Khan, M. U., & supriatin, S. (2024). Appropriate Complementary Feeding Among Indonesian Children Aged 6-23 Months: A Descriptif Literature Review. Ahmar Metastasis Health Journal, 4(2), 117–126. https://doi.org/10.53770/amhj.v4i2.317