Effectiveness of an integrated approach to prevention of Anemia and stunting based on community as partner: Randomized controlled trial

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2026-01-01 Epub Date: 2026-05-28 DOI:10.1016/j.ijans.2026.101103

Darmawati Darmawati , Herlina Dimiati , Mira Rizkia , Nova Fajri , Aida Fitri , Nosi Delianti , Dara Ardhia , Mariatul Kiftia , Elka Halifah , Zulkarnaini Zulkarnaini

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引用次数: 0

Abstract

Background

Maternal knowledge of exclusive breastfeeding plays a critical role in shaping optimal infant feeding practices during the postpartum period. Sociodemographic characteristics may influence maternal knowledge, yet evidence from specific regional contexts such as Aceh, Indonesia, remains limited. This study aimed to examine the association between maternal sociodemographic characteristics and knowledge of exclusive breastfeeding and to identify independent predictors among postpartum mothers.

Methods: A cross-sectional study was conducted among 75 postpartum mothers in a tertiary hospital in Aceh, Indonesia. Data were collected using a validated structured questionnaire assessing maternal knowledge of exclusive breastfeeding and sociodemographic characteristics. Descriptive statistics were used to summarize participant characteristics. Bivariate analysis using Chi-square tests was performed to assess associations, and variables with p < 0.25 were included in a multivariate logistic regression model. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported, with statistical significance set at p < 0.05.

Results: Overall, 68.0% of mothers demonstrated good knowledge of exclusive breastfeeding. Bivariate analysis showed that maternal education was significantly associated with knowledge level (p = 0.012). In the multivariate analysis, maternal education and prior breastfeeding experience emerged as significant independent predictors. Mothers with secondary education were more likely to have good knowledge compared to those with primary education (AOR = 2.90; 95% CI: 1.02–8.25; p = 0.045). Similarly, mothers with prior breastfeeding experience had higher odds of good knowledge (AOR = 3.10; 95% CI: 1.05–9.20; p = 0.041). Other variables were not significantly associated with maternal knowledge.

Conclusions: Maternal education and prior breastfeeding experience are important determinants of knowledge of exclusive breastfeeding among postpartum mothers. Strengthening maternal education and providing targeted breastfeeding support during antenatal and postnatal care may enhance maternal knowledge and support optimal infant feeding practices.

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以社区为合作伙伴的预防贫血和发育迟缓综合方法的有效性：随机对照试验

背景：母亲对纯母乳喂养的了解在产后形成最佳婴儿喂养方法方面起着关键作用。社会人口特征可能影响孕产妇知识，但来自印度尼西亚亚齐等特定区域背景的证据仍然有限。本研究旨在探讨母亲社会人口学特征与纯母乳喂养知识之间的关系，并确定产后母亲的独立预测因素。方法：横断面研究进行了75名产后母亲在亚齐三级医院，印度尼西亚。数据收集使用有效的结构化问卷，评估母亲的纯母乳喂养知识和社会人口统计学特征。描述性统计用于总结参与者的特征。采用卡方检验进行双因素分析以评估相关性，并将p <； 0.25的变量纳入多因素logistic回归模型。校正优势比（AORs）为95%可信区间（CIs）， p <； 0.05为统计学显著性。结果：总体而言，68.0%的母亲表现出良好的纯母乳喂养知识。双变量分析显示，母亲受教育程度与知识水平显著相关（p = 0.012）。在多变量分析中，母亲教育程度和之前的母乳喂养经历成为重要的独立预测因素。与初等教育的母亲相比，受过中等教育的母亲更有可能拥有良好的知识（AOR = 2.90; 95% CI: 1.02-8.25; p = 0.045）。同样，有过母乳喂养经验的母亲拥有良好知识的几率更高（AOR = 3.10; 95% CI: 1.05-9.20; p = 0.041）。其他变量与母亲的知识没有显著相关。结论：产妇教育程度和既往母乳喂养经验是影响产后母亲纯母乳喂养知识的重要因素。加强孕产妇教育并在产前和产后护理期间提供有针对性的母乳喂养支持，可提高孕产妇知识并支持最佳婴儿喂养做法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.