Mothers’ Experiences in Implementing Responsive Feeding for Stunted Toddlers: A Qualitative Phenomenological Study
DOI:
https://doi.org/10.55018/janh.v7i3.387Keywords:
Toddler, Nutritional Physiological Phenomena, Feeding Behavior, StuntingAbstract
Background: Reducing stunting rates is a priority for health programs in Indonesia, including in Bangka Belitung. One of the factors of stunting is a responsive feeding problem. The problems experienced by mothers related to responsive feeding are that the way of feeding according to age is not optimal, does not provide examples of healthy eating habits, does not encourage children to eat, and does not interact with children when eating, because they are busy with household chores.
Methods: The research used a descriptive phenomenological approach, and the ethical considerations in the study were beneficence, justice, and Respect for human dignity. The research participants involved were five mothers having stunting children, because saturation (data saturation) was achieved during data collection, so that no new information was obtained. The sample was selected using a purposive sampling technique. Inclusion criteria included mothers with stunting toddlers who could express their experiences and spoke Indonesian. Researchers also conducted in-depth interviews to collect data. Researchers used COREQ as a guideline. The data were analyzed using the Colaizzi method.
Results: This research discovered five themes, including children's independence in eating versus being fed, refusal to eat, interaction between parents and children when eating, knowing signs of hunger and fullness in children, and eating texture according to the child's age.
Conclusion: Eventually, it is expected that mothers can apply responsive feeding and use it as a nursing intervention to improve children's eating habits and abilities more optimally.
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References
Abas, A. H., Ahmed, A. T., Farah, A. E., & Wedajo, G. T. (2020). Barriers to Optimal Maternal and Child Feeding Practices in Pastoralist Areas of Somali Region, Eastern Ethiopia: A Qualitative Study. Food and Nutrition Sciences, 11(06), 540–561. https://doi.org/10.4236/fns.2020.116038
Al Yazeedi, B., C Berry, D., Crandell, J., & Waly, M. (2021). Family Influence on Children’s Nutrition and Physical Activity Patterns in Oman. Journal of Pediatric Nursing, 56, e42–e48. https://doi.org/https://doi.org/10.1016/j.pedn.2020.07.012
Almaatani, D. E., Kelly, E., & Rossiter, M. (2017). Responsive Feeding Practices and Influences: A Qualitative Analysis of Parent Experiences with Feeding their Young Children. In American International Journal of Contemporary Research (Vol. 7, Issue 2). www.aijcrnet.com
Anggryni, M., Mardiah, W., Hermayanti, Y., Rakhmawati, W., Ramdhanie, G. G., & Mediani, H. S. (2021). Faktor Pemberian Nutrisi Masa Golden Age dengan Kejadian Stunting pada Balita di Negara Berkembang. Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini, 5(2), 1764–1776. https://doi.org/10.31004/obsesi.v5i2.967
Arintasari, F., & Puteri, I. R. P. (2022). Analisis stunting 1000 Hari Pertama Kehidupan (HPK) dengan perilaku responsive feeding dan pemberian therapy massage eating difficulties untuk menunjang tumbuh kembang. Journal of TSCNers, 7(1), 1–12. https://doi.org/https://doi.org/10.35720/tscners.v7i01.340
Dayuningsih, Permatasari, T. A. E., & Supriyatna, N. (2020). Pengaruh pola asuh pemberian makan dengan kejadian stunting pada balita. Jurnal Kesehatan Masyarakat Andalas, 14(2), 3–11. http://jurnal.fkm.unand.ac.id/index.php/jkma/
Desiyanti, I. W., & Agustina, R. (2022). Responsive feeding education for parents with stunting babies aged 12-36 months. Journal of Health Technology Assessment in Midwifery, 5(1), 20–28. https://doi.org/10.31101/jhtam.2446
Febriani, B. R., & Noer, R. (2016). Faktor determinan responsive feeding pada balita stunting usia 6-36 bulan (Studi kualitatif di Wilayah Kerja Puskesmas Halmahera). Journal of Nutrition College, 5(3). http://ejournal-s1.undip.ac.id/index.php/jnc
Juherman, Y. N., Sutrio, Mulyani, R., & Wahyuni, S. E. (2022). Analisis kualitatif praktik pemberian makan pada bayi dan anak di Wilayah Kerja Puskesmas Rajabasa Kota Bandar Lampung. Prepotif: Jurnal Kesehatan Masyarakat, 6(2), 1115–1127. https://doi.org/10.31004/prepotif.v6i2.4375
Julianti, E., & Elni. (2020). Determinants of stunting in children aged 12-59 months. Nurse Media Journal of Nursing, 10(1), 36–45. https://doi.org/10.14710/nmjn.v10i1.25770
Kementrian Kesehatan, B. (2023). Survey Kesehatan Indonesia (SKI) tahun 2024.
Khaerunnisa, I., Nurhayati, A., & Yulia, C. (2019). Praktik pemberian makan pada anak stunting usia bawah Dua Tahun Di kelurahan Cimahi. Media Pendidikan, Gizi, Dan Kuliner, 8(2), 7–13. https://doi.org/https://doi.org/10.17509/boga.v8i2.21954
Killion, K. E., Corcoran, A., Romo-Palafox, M. J., Harris, J. L., Kagan, I., Gilbert, L., & Duffy, V. B. (2024). Responsive Feeding Practices to Promote Healthy Diets: A Mixed Method Study among Low-Income Caregivers with Toddlers. Nutrients, 16(6). https://doi.org/10.3390/nu16060863
Kretz, E. C., Itaru, A., Glas, M. G., Waswa, L. M., & Jordan, I. (2022). Is Responsive Feeding Difficult? A Case Study in Teso South Sub-County, Kenya. Nutrients, 14(21). https://doi.org/10.3390/nu14214677
Latifah, U., Prastiwi, R. S., & Baroroh, U. (2020). The Responsive Feeding Behavior and Stunting Incident on Toddlers. Jurnal Kebidanan, 10(2), 143–148. https://doi.org/10.31983/jkb.v10i2.6286
Manuputty, N. H. K., Sumarmi, S., Studi Gizi, P., Kesehatan Masyarakat, F., & Airlangga, U. (2024). Pengaruh edukasi responsive feeding terhadap pengetahuan pada ibu balita usia 6-24 tahun di Wilayah Kerja Puskesams Kalirungut. Jurnal Kesehatan Tambusai, 5(3), 7730–7737.
Mobley, A. R., Jake-Schoffman, D. E., Fedele, D. A., Varela, E. G., & Zeldman, J. (2023a). BabyByte: Qualitative Research to Inform the Development of an App to Improve Responsive Feeding Practices in Parents of Infants and Toddlers. International Journal of Environmental Research and Public Health, 20(6). https://doi.org/10.3390/ijerph20064769
Mobley, A. R., Jake-Schoffman, D. E., Fedele, D. A., Varela, E. G., & Zeldman, J. (2023b). BabyByte: Qualitative Research to Inform the Development of an App to Improve Responsive Feeding Practices in Parents of Infants and Toddlers. International Journal of Environmental Research and Public Health, 20(6). https://doi.org/10.3390/ijerph20064769
Munjidah, A., & Rahayu, E. P. (2020). Pengaruh penerapan feeding rules sebagai upaya mengatasi kesulitan makan pada anak (picky eater, selective eater dan small eater). Jurnal Kesehatan Masyarakat, 8(1), 29–39. https://doi.org/10.31596/jkm.v8i1.564
Nurfitri, M., Andhini, D., Rizona, F., & studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sriwijaya, P. (2021). Hubungan pengetahuan responsive feeding ibu dengan kejadian stunting pada anak usia 12-24 bulan. Proceeding Seminar Nasional Keperawatan, 99–104. http://conference.unsri.ac.id/index.php/SNK/article/view/2381
Nurwulansari, F., Nurul Aini, E., Islamiah, A., Mar, S., Sholikhah, atus, Kebidanan, J., & Kesehatan Kemenkes Surabaya, P. (2024). Pengaruh Karakteristik Keluarga Dan Social Support Terhadap Perilaku Responsive Feeding Ibu Balita. Journal of Midwifery Science and Women’s Health, 18. https://doi.org/10.36082/jmswh.v5i1.1684
Pebruanti, P., & Rokhaidah. (2022). Hubungan picky eating dengan kejadian stunting pada anak prasekolah di TKA Nurul Huda Tumaritis Kabupaten Bogor. Jurnal Keperawatan Widya Gantari Indonesia, 6(1), 1–11. https://doi.org/10.52020/jkwgi.v6i1.3181
Pérez-Escamilla, R., Yakes Jimenez, E., & Dewey, K. G. (2021). Responsive Feeding Recommendations: Harmonizing Integration into Dietary Guidelines for Infants and Young Children. Current Developments in Nutrition, 5(6). https://doi.org/https://doi.org/10.1093/cdn/nzab076
Purwanti, R., Margawati, A., Wijayanti, H. S., Rahadiyanti, A., Kurniawati, D. M., & Fitranti, D. Y. (2023). Strategi Peningkatan Pengetahuan, Sikap, dan Praktik Responsive Feeding untuk Pencegahan Stunting pada Balita. Wikrama Parahita : Jurnal Pengabdian Masyarakat, 7(2), 270–280. https://doi.org/10.30656/jpmwp.v7i2.5874
Redsell, S. A., Slater, V., Rose, J., Olander, E. K., & Matvienko-Sikar, K. (2021). Barriers and enablers to caregivers’ responsive feeding behaviour: A systematic review to inform childhood obesity prevention. Obesity Reviews, 22(7). https://doi.org/10.1111/obr.13228
Robert, R., Creed-Kanashiro, H., Marin, M., & Penny, M. (2021). Responsive feeding is associated with minimum dietary diversity in Rural Areas of Peru, Nicaragua and Indonesia. Current Developments in Nutrition, 5(2), 682. https://doi.org/https://doi.org/10.1093/cdn/nzab045_064
Septamarini, R. G., Widyastuti, N., & Purwanti, R. (2019). Hubungan pengetahuan dan sikap responsive feeding dengan kejadian stunting pada baduta usia 6-24 bulan di wilayah kerja Puskesmas Bandarharjo, Semarang. Journal of Nutrition College, 8(1), 9–20. https://doi.org/https://doi.org/10.14710/jnc.v8i1.23808
Syahdani, F., Ar Rabbani, F., Gymnastiar Daffa, F., Saputra, A., Wina, A., Permatasari, M., Aidah, S., Fadhilah Azzahra, N., Syafriani, E., Nisa, K., & Perikanan dan Kelautan Universitas Riau, F. (2023). Demo inovasi makanan pendamping asi (MPASI) sebagai bentuk gerakan anti stunting di Desa Banglas. Journal of Rural and Urban Community Empowerment, 4(2), 66–71. https://doi.org/DOI: 10.31258/jruce.4.2.65-71
UNICEF. (2016). Responsive feeding: Supporting families for nurturing care. https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2017/12/Responsive-Feeding-Infosheet-Unicef-UK-Baby-Friendly-Initiative.pdf
United Nations Children’s Fund (UNICEF), & World Health Organization. (2023). Nurturing young children through responsive feeding. UNICEF dan WHO.
Waqiyah, H., Maineny, A., & Nurfatimah, N. (2023). The Relationship between the Timing of Complementary Feeding and Maternal Knowledge of Responsive Feeding and the Incidence of Stunting in Children Aged 6-24 Months. Poltekita : Jurnal Ilmu Kesehatan, 17(1), 147–154. https://doi.org/10.33860/jik.v17i1.1889
WHO. (2022). The Global health observatory : Joint child malnutrion estimates
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