The impact of a new application for complementary feeding monitoring on feeding knowledge and practices of the mothers and nutritional status of their children | ||||
The Egyptian Journal of Community Medicine | ||||
Articles in Press, Accepted Manuscript, Available Online from 14 June 2025 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejcm.2025.379362.1395 | ||||
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Authors | ||||
Surmita Surmita ![]() | ||||
1Doctoral Program in Nutrition Science, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia Department of Nutrition, Poltekkes Kemenkes Bandung, Bandung, Indonesia | ||||
2Department of Child Health, Faculty of Medicine Universitas Indonesia – Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia | ||||
3Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia | ||||
4Department of Nutrition, Faculty of Medicine Universitas Indonesia - Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia | ||||
Abstract | ||||
Background: Complementary feeding monitoring is essential to ensure children receive appropriate nutrition. The objectives were to develop a digital complementary feeding monitoring application and to evaluate its effect on mothers and their children. Methods: The study was conducted in two phases among mothers with children aged 6 to 12 months in Indonesia. In the first phase, a complementary feeding-monitoring system application was created. In the second phase, the impact of the application on maternal knowledge and feeding practices as well as children’s nutritional status was examined using a two-arm experimental design (intervention and control). The intervention was conducted for 3 months. Both groups received the same educational content, through the application (intervention) or a WhatsApp group (control). Results: A total 100 mothers were included; 42 in the intervention group and 58 in the control group. The intervention group showed a significant increase in knowledge (P<0.001), attitude (P<0.001), and practices (P=0.003) compared to the control group. The intervention group showed also a significant increase in nutrient intake, including energy (P=0.008) and protein (P<0.001) but not fat (P=0.058). The length-for-age z-score indicator showed a significant reduction in growth faltering in the intervention group (-0.14 ± 0.59) compared to the control group (-0.70 ± 0.84, P<0.001). Although weight-for-age z-score increased in the intervention group, the increase was not significantly different between groups (P=0.759). Conclusion: A digital complementary feeding monitoring application is beneficial for improving complementary feeding practices, enhancing nutrition intake, and potentially in preventing stunting in children aged 6 to 12 months. | ||||
Keywords | ||||
complementary feeding monitoring; digital application; nutrient intake; feeding practice; child growth | ||||
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