ASSOCIATIONS OF EARLY COMPLEMENTARY FEEDING, MATERNAL HYGIENE, AND HOME SANITATION WITH DIARRHEA AMONG INFANTS 0-6 MONTHS

Authors

  • Mustika Cahya Nirmala Dewinta Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Putri Apriliani Meldi Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Suci Musvita Ayu Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Septian Emma Dwi Jatmika International Health program, Institute of Public Health, College of Medicine, National Yang-Ming University, Taiwan
  • Nurul Kodriati Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Moh. Irma Sukarelawan Physics Education Study Program, Faculty of Teacher Training and Education, Universitas Ahmad Dahlan, Indonesia https://orcid.org/0000-0002-3823-3964

DOI:

https://doi.org/10.58185/jkr.v15i2.259

Keywords:

Complementary feeding, Diarrhea, Maternal hygiene, Home sanitation

Abstract

Background: Diarrhea in infants aged 0-6 months is one of the leading causes of morbidity and mortality in developing countries. Objective: This study aims to analyze the relationship between early complementary feeding, personal hygiene habits, sanitation system conditions, availability of waste/trash bins, and household sewage systems on the incidence of diarrhea in infants. Method: This analytical observational study used a cross-sectional design conducted at the Borong Health Centre, East Manggarai Regency, NTT. A total of 51 mothers of infants aged 0–6 months were selected using total population sampling. Data were collected through interviews and observations using a questionnaire and then analyzed with bivariate and multivariate tests. Results: Bivariate analysis showed significant associations between ECF, availability of proper trash bins, and household wastewater disposal systems with diarrhea (p < 0.05). ECF increased the risk of diarrhea by 3.95 times, while poor trash bin availability increased the risk by 4.00 times. Multivariate analysis showed risk trends but no statistical significance after adjusting for confounders. Conclusion: Early complementary feeding, availability of waste bins, and household sanitation systems play important roles in increasing the risk of diarrhea among infants aged 0-6 months.

References

Shah AC, Sareen D, Goyal DK. Clinical and demographic profile of paediatric patients presenting with acute diarrhea. Int J Contemp Pediatr [Internet]. 2020 Apr 24;7(5):1043. Available from: https://www.ijpediatrics.com/index.php/ijcp/article/view/3250

Susilowati E, Astuti Y, Mulyasih R. Scoping Review: Diarrhea in Toddlers and Causing Factors. PKM-P [Internet]. 2023 May 30;7(1):130. Available from: https://pkm.uika-bogor.ac.id/index.php/pkm-p/article/view/1708. https://doi.org/10.32832/jurma.v7i1.1708

Samson AO, Alimi MA, Shuaibu GA, Fatima AL. Epidemiological and demographic factors associated with diarrhoea in Makurdi, Benue State, Nigeria. J Public Heal Epidemiol [Internet]. 2020 May 31;12(2):98–105. Available from: https://academicjournals.org/journal/JPHE/article-abstract/C3A826C63688

Sani SL, Achadi EL. Child feeding practice, sanitation hygiene, and other factors of diarrhea in children aged 6-23 months in indonesia: analysis of IDHS 2017. J Biometrika dan Kependud [Internet]. 2023 Jul 6;12(1):74–83. Available from: https://e-journal.unair.ac.id/JBK/article/view/31316

Kemenkes RI. Profil Direktorat Jenderal Pencegahan dan Pengendalian Penyakit Tahun 2021 [Internet]. Jakarta; 2021. Available from: https://p2p.kemkes.go.id/wp-content/uploads/2023/12/profilditjenp2p2021-230714074117-e9e6c512.pdf

Santri IN, Wardani Y. Environmental risk factors for diarrhea Children under five years of age: A Cross-Sectional study in Indonesia. Public Heal Prev Med Arch [Internet]. 2023 Jul 1;11(1):5–13. Available from: https://phpmarchive.org/index.php/phpma/article/view/304

Sembiring WSRG, Hasan A, Ferdina AR. Diarrhea Incidence in Tanah Bumbu, South Kalimantan, Under A Spatial Approach. J Kesehat Masy [Internet]. 2022 Mar 17;17(4):526–34. Available from: https://journal.unnes.ac.id/nju/index.php/kemas/article/view/28709

Camacho-Morales A, Caba M, García-Juárez M, Caba-Flores MD, Viveros-Contreras R, Martínez-Valenzuela C. Breastfeeding Contributes to Physiological Immune Programming in the Newborn. Front Pediatr [Internet]. 2021;9:1–12. Available from: https://www.frontiersin.org/articles/10.3389/fped.2021.744104

Branco J, Manuel AR, Completo S, Marques J, Rodrigues Antão R, Pinto Gago C, et al. Prevalence and Predictive Factors of Exclusive Breastfeeding in the First Six Months of Life. Acta Med Port [Internet]. 2023 Mar 22;36(6):416–423. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/18692

Alotiby AA. The role of breastfeeding as a protective factor against the development of the immune-mediated diseases: A systematic review. Front Pediatr [Internet]. 2023 Feb 16;11(February):01–12. Available from: https://www.frontiersin.org/articles/10.3389/fped.2023.1086999/full

Utami VNP, Sipahutar IE. Riwayat Inisiasi Menyusui Dini Dengan Kejadian Diare Pada Bayi Usia 0-12 Bulan. J Gema Keperawatan [Internet]. 2019;12(1):35–41. Available from: https://ejournal.poltekkes-denpasar.ac.id/index.php/JGK/article/view/831/282

Afifah N. Mekanisme probiotik lactobacillus plantarum dalam sistem imun pada penderita diare. Wellness Heal Mag [Internet]. 2020 Feb 4;2(1):79–82. Available from: https://wellness.journalpress.id/wellness/article/view/21011

Azrimaidaliza A, Helmizar H, Huda CN. Factors associated to early introduction of complementary feeding : meta analysis study in indonesia. Int J Heal Sci Med Res [Internet]. 2023 May 30;2(2):99–114. Available from: https://ejurnal.ung.ac.id/index.php/ihsmr/article/view/19143

Demsa Simbolon, Indah Vita Anggraini. Probability of Inappropriate Complementary Feeding Practices on Children Aged 6-23 Months in Indonesia: Results of Indonesian Demographic Health Survey in 2017. Int J Innov Res Dev [Internet]. 2023 Dec 12;12(9):105–12. Available from: https://www.internationaljournalcorner.com/index.php/ijird_ojs/article/view/173284

Azrimaidaliza, Syarif L, Resmiati. Hubungan antara Pendapatan, Penyakit Infeksi dan Pola Makan terhadap Kejadian Gizi Kurang pada Balita. Amerta Nutr [Internet]. 2022 Dec 23;6(1SP):259–65. Available from: https://e-journal.unair.ac.id/AMNT/article/view/39862

Bailey RL, Stang JS, Davis TA, Naimi TS, Schneeman BO, Dewey KG, et al. Dietary and Complementary Feeding Practices of US Infants, 6 to 12 Months: A Narrative Review of the Federal Nutrition Monitoring Data. J Acad Nutr Diet [Internet]. 2022 Dec;122(12):2337–45. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2212267221013848

Hutabarat DS, Nirmala Y, Siregar H, Sari Dewi N, Hidayat C, Bakara SMP. THE Relationship Of Knowledge And Attitude Of Public Mothers With Early Feeding Of MPASI In The Work Area. J Matern Child Heal Sci [Internet]. 2022 Dec 30;2(2):225–31. Available from: https://jurnal.poltekkespalembang.ac.id/index.php/JMCHS/article/view/1410

Hartman RM, Cohen AL, Antoni S, Mwenda J, Weldegebriel G, Biey J, et al. Risk Factors for Mortality Among Children Younger Than Age 5 Years With Severe Diarrhea in Low- and Middle-income Countries: Findings From the World Health Organization-coordinated Global Rotavirus and Pediatric Diarrhea Surveillance Networks. Clin Infect Dis [Internet]. 2023 Feb 8;76(3):e1047–53. Available from: https://academic.oup.com/cid/article/76/3/e1047/6633542

D’Auria E, Borsani B, Pendezza E, Bosetti A, Paradiso L, Zuccotti GV, et al. Complementary Feeding: Pitfalls for Health Outcomes. Int J Environ Res Public Health [Internet]. 2020 Oct 29;17(21):7931. Available from: https://www.mdpi.com/1660-4601/17/21/7931

Perichart-Perera O. Nutrition and Immunity: Key Nutrients and Trends in Nutrient Supplementation in Women and Children. In 2023. p. 48–65. Available from: https://karger.com/doi/10.1159/000534994

Sen A. Solid Waste Management Issues and Challenges. Pollut Res [Internet]. 2022;41(04):1240–5. Available from: http://www.envirobiotechjournals.com/PR/vol41issue42022/Poll Res-15.pdf

Shen D, Yu Q, Xing X, Ding H, Long Y, Hui C. Distribution and survival of pathogens from different waste components and bioaerosol traceability analysis in household garbage room. Environ Res [Internet]. 2024 Jul;252:119016. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0013935124009204

Birhanu MT, Liga AD, Jabir YN. Practices of hygiene during complementary food feeding and associated factors among women with children aged 6−24 months in Dedo district, Southwest Ethiopia: A cross‐sectional study. Heal Sci Reports [Internet]. 2023 Dec 17;6(12):1–11. Available from: https://onlinelibrary.wiley.com/doi/10.1002/hsr2.1771

Teshome HA, Yallew WW, Mulualem JA, Engdaw GT, Zeleke AM. Complementary Food Feeding Hygiene Practice and Associated Factors among Mothers with Children Aged 6–24 Months in Tegedie District, Northwest Ethiopia: Community-Based Cross-Sectional Study. Hygiene [Internet]. 2022 Apr 6;2(2):72–84. Available from: https://www.mdpi.com/2673-947X/2/2/6. https://doi.org/10.3390/hygiene2020006

Nabila I, Hananti FS, Abiddin AH, Martiningsih W, ACOB JRU. Correlation between Mother’s Behavior in Providing Early Complementary feeding with the Incidence of Diarrhea. Heal Gate [Internet]. 2023 Apr 30;1(2):66–72. Available from: https://healthgate.ppnikotablitar.com/index.php/hg/article/view/hg1205

Dipasquale V, Romano C. Complementary feeding: new styles versus old myths. Minerva Med [Internet]. 2020 Apr;111(2):141–152. Available from: https://www.minervamedica.it/index2.php?show=R10Y2020N02A0141

Mehta HD, Mehta DN, Dave NR. A study on good hygiene practices to stay healthy and protect unborn child during pregnancy. Int J Health Sci (Qassim) [Internet]. 2023 Jan 23;6(S8):6565–71. Available from: https://sciencescholar.us/journal/index.php/ijhs/article/view/13850

Fingki D, Khairunnas K. Maternal Knowledge and Practices Towards Basic House Sanitation in Simeulue District. J-Kesmas J Fak Kesehat Masy (The Indones J Public Heal [Internet]. 2022 Apr 24;9(1):18. Available from: http://jurnal.utu.ac.id/jkesmas/article/view/4639. https://doi.org/10.35308/j-kesmas.v9i1.4639

Langley‐Evans SC. Complementary feeding: Should baby be leading the way? J Hum Nutr Diet [Internet]. 2022 Apr 23;35(2):247–9. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jhn.12988

Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010–2018 and time trends since 2000 for 44 LMICs. eClinicalMedicine [Internet]. 2021 Jul;37:100971. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2589537021002510

Andini G, Pratiwi AI, Anisa F, Zanuba EA, Herbawani CK. Perbandingan status gizi bayi yang mendapatkan asi eksklusif dan asi parsial: systematic review. J-KESMAS J Kesehat Masy [Internet]. 2024 Nov 22;10(2):115. Available from: https://journal.lppm-unasman.ac.id/index.php/jikm/article/view/5141

Müller-Hauser AA, Sobhan S, Huda TMN, Waid JL, Wendt AS, Islam MA, et al. Key Food Hygiene Behaviors to Reduce Microbial Contamination of Complementary Foods in Rural Bangladesh. Am J Trop Med Hyg [Internet]. 2022 Sep 14;107(3):709–19. Available from: https://www.ajtmh.org/view/journals/tpmd/107/3/article-p709.xml

Adhikari U, Esfahanian E, Mitchell J, Charbonneau D, Song X, Lu Y. Quantitation of Risk Reduction of E. coli Transmission after Using Antimicrobial Hand Soap. Pathogens [Internet]. 2020 Sep 23;9(10):778. Available from: https://www.mdpi.com/2076-0817/9/10/778

Fatmawati DA, Sumardiyono S, Murti B. Meta-Analysis the Effects of Hand Washing Behavior Using Soap and Latrine Availability on the Diarrhea Incidence in Children Under Five. J Heal Promot Behav [Internet]. 2024;9(2):119–31. Available from: https://thejhpb.com/index.php/thejhpb/article/view/462

Rogawski McQuade ET, Platts-Mills JA, Gratz J, Zhang J, Moulton LH, Mutasa K, et al. Impact of Water Quality, Sanitation, Handwashing, and Nutritional Interventions on Enteric Infections in Rural Zimbabwe: The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial. J Infect Dis [Internet]. 2020 Mar 28;221(8):1379–86. Available from: https://doi.org/10.1093/infdis/jiz179

Kurniawati DP, Arini SY, Awwalina I, Pramesti NA. Poor Basic Sanitation Impact on Diarrhea Cases in Toddlers. J Kesehat Lingkung [Internet]. 2021 Jan 29;13(1):41–7. Available from: https://e-journal.unair.ac.id/JKL/article/view/22729

Wolf J, Hunter PR, Freeman MC, Cumming O, Clasen T, Bartram J, et al. Impact of drinking water, sanitation and handwashing with soap on childhood diarrhoeal disease: updated meta‐analysis and meta‐regression. Trop Med Int Heal [Internet]. 2018 May 23;23(5):508–25. Available from: https://onlinelibrary.wiley.com/doi/10.1111/tmi.13051

Gizaw Z, Demissie NG, Gebrehiwot M, Destaw B, Nigusie A. Enteric infections and management practices among communities in a rural setting of northwest Ethiopia. Sci Rep [Internet]. 2023;13(1):2294. Available from: https://www.nature.com/articles/s41598-023-29556-2

Prüss-Ustün A, Wolf J, Bartram J, Clasen T, Cumming O, Freeman MC, et al. Burden of disease from inadequate water, sanitation and hygiene for selected adverse health outcomes: An updated analysis with a focus on low- and middle-income countries. Int J Hyg Environ Health [Internet]. 2019 Jun 28;222(5):765–77. Available from: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-019-1410-x

Saputra IPBA, Arjita IPD, Syuhada I, Adnyana IGA. Hubungan pengelolaan sampah dengan kejadian diare di desa pandanan. Ganec Swara [Internet]. 2024 Mar 4;18(1):77. Available from: https://journal.unmasmataram.ac.id/index.php/GARA/article/view/736

Downloads

Published

2024-12-31

How to Cite

Dewinta, M. C. N., Meldi, P. A., Ayu, S. M., Jatmika, S. E. D., Kodriati, N., & Sukarelawan, M. I. (2024). ASSOCIATIONS OF EARLY COMPLEMENTARY FEEDING, MATERNAL HYGIENE, AND HOME SANITATION WITH DIARRHEA AMONG INFANTS 0-6 MONTHS . JURNAL KESEHATAN REPRODUKSI, 15(2), 156–172. https://doi.org/10.58185/jkr.v15i2.259